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Saint Anthony's Health Center: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
Saint Anthony's Health Center (EIN 37-0661234)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201243199349301504
Schema version
2011v1.3
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)
Timestamp2012-11-14T08:32:06-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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
CityAltonCity
StateILState
ZIP Code620020340ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEVERT J KUIPERName
TitlePRESIDENT & CEOTitle
Phone6184652571Phone
Date Signed2012-11-05DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3142315544Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts88781487GrossReceipts
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 Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees928TotalNbrEmployees
Total Nbr Volunteers90TotalNbrVolunteers
Total Gross UBI1012918TotalGrossUBI
Contributions Grants Prior Year353881ContributionsGrantsPriorYear
Contributions Grants Current Year1488801ContributionsGrantsCurrentYear
Program Service Revenue Prior Year99378396ProgramServiceRevenuePriorYear
Program Service Revenue CY85251852ProgramServiceRevenueCY
Investment Income Prior Year126632InvestmentIncomePriorYear
Investment Income Current Year227117InvestmentIncomeCurrentYear
Other Revenue Prior Year1550750OtherRevenuePriorYear
Other Revenue Current Year1796454OtherRevenueCurrentYear
Total Revenue Prior Year101409659TotalRevenuePriorYear
Total Revenue Current Year88764224TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year23305GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY26448GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year43058216SalariesEtcPriorYear
Salaries Etc Current Year42110663SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year53865013OtherExpensePriorYear
Other Expenses Current Year46187995OtherExpensesCurrentYear
Total Expenses Prior Year96946534TotalExpensesPriorYear
Total Expenses Current Year88325106TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4463125RevenuesLessExpensesPriorYear
Revenues Less Expenses CY439118RevenuesLessExpensesCY
Total Assets BOY64767602TotalAssetsBOY
Total Assets EOY59901825TotalAssetsEOY
Total Liabilities BOY51483075TotalLiabilitiesBOY
Total Liabilities EOY56018356TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13284527NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3883469NetAssetsOrFundBalancesEOY
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
Expense39262679Expense
Grants26448Grants
Revenue36580394Revenue
DescriptionINPATIENT SERVICES: SAINT ANTHONY'S HEALTH CENTER IS A TWO-CAMPUS, 199-BED ACUTE CARE FACILITY LOCATED IN ALTON, ILLINOIS. COMPRISED OF THE SAINT ANTHONY'S HEALTH CENTER CAMPUS AND SAINT CLARE'S HOSPITAL, THE ORGANIZATION OFFERS THE LATEST IN TECHNOLOGY AND STATE-OF-THE-ART MEDICINE ADMINISTERED WITH COMPASSION AND SKILL. INPATIENT SERVICES BASED AT THE SAINT ANTHONY'S CAMPUS INCLUDE MEDICAL, SURGICAL, AND OBSTETRICS. WE PROVIDE ADDITIONAL SERVICES TO OUR INPATIENTS INCLUDING: PAIN MANAGEMENT, SURGICAL SERVICES, GASTROENTEROLOGY, LABORATORY SERVICES, CARDIOLOGY, STRESS LAB, DIAGNOSTIC RADIOLOGY SERVICES, CARDIOVASCULAR SERVICES, RADIATION THERAPY, ONCOLOGY SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY. INPATIENT SERVICES AT SAINT CLARE'S HOSPITAL INCLUDE REHABILITATION SERVICES AND A SKILLED NURSING FACILITY. SAINT ANTHONY'S HEALTH CENTER PROVIDES PRIVATE ROOMS TO THEIR INPATIENTS. DURING 2011 SAINT ANTHONY'S HEALTH CENTER HAD 4,043 ADMISSIONS, 23,992 PATIENT DAYS, 414 BIRTHS, AND 672 SURGERIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense27655375Expense
Revenue40140269Revenue
DescriptionOUTPATIENT SERVICES: SAINT ANTHONY'S HEALTH CENTER IS A TWO-CAMPUS, 199-BED ACUTE CARE FACILITY LOCATED IN ALTON, ILLINOIS. COMPRISED OF THE SAINT ANTHONY'S HEALTH CENTER CAMPUS AND SAINT CLARE'S HOSPITAL, THE ORGANIZATION OFFERS THE LATEST IN TECHNOLOGY AND STATE-OF-THE-ART MEDICINE ADMINISTERED WITH COMPASSION AND SKILL. OUTPATIENT SERVICES INCLUDE: CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE, SURGICAL SERVICES, DIABETES SERVICES, HOME-HEALTH SERVICES, CANCER CENTER OF EXCELLENCE, RADIATION ONCOLOGY, CHEMOTHERAPY, ADULT DAY SERVICES PSYCHOLOGICAL SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, GASTROENTEROLOGY, PAIN MANAGEMENT, CARDIOVASCULAR LAB, DIAGNOSTIC RADIOLOGY, SLEEP STUDIES AND RESPIRATORY CARE SERVICES. DURING 2011 WE PERFORMED 2,403 OUTPATIENT SURGERIES, 131,850 OUTPATIENT REGISTRATIONS, AND 22,725 HOME HEALTH VISITS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense8146360Expense
Revenue8531189Revenue
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 2011 WE HAD 23,534 VISITS TO OUR EMERGENCY ROOM.Description
FieldValueIRS element (for citing)
Total Program Service Expense75064414TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 OrganizationstrueGrantsToOrganizations
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096111NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees928NumberOfEmployees
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 Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
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 (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
DANIEL V BEISER
DIRECTOR1.0X000
SISTER M ANSELMA BELONGEA
DIRECTOR40.0X000
EDWARD BLAIR JR MD
DIRECTOR1.0X228819165910823
DALE CHAPMAN
DIRECTOR1.0X000
MOTHER M REGINA COURY PACIS
DIRECTOR1.0X000
SISTER M KATERI HAWLEY
DIRECTOR1.0X000
A JESSE HOPKINS
DIRECTOR1.0X000
JAMES HUDSON MD
DIRECTOR1.0X000
SALVADOR LOBIANCO MD
DIRECTOR1.0X625000
SISTER M MIKELA MEIDL
CHAIR - DIRECTOR40.0X000X
THOMAS MOORE
DIRECTOR1.0X000
SISTER M STEPHANIE BELGERI
DIRECTOR1.0X000
DONALD NORTON
DIRECTOR1.0X000
LARRY REED MD
DIRECTOR1.0X887500
JANE SAALE
DIRECTOR1.0X000
HERMAN SEEDORF
DIRECTOR1.0X000
JOAN SHEPPARD
DIRECTOR1.0X000
JIM SHRADER
DIRECTOR1.0X000
DWIGHT WERTS
DIRECTOR1.0X000
STEVEN ZENKER MD
DIRECTOR1.0X000
EVERT J KUIPER
PRESIDENT/CEO40.0X581521065208X
SISTER M ANASTASIA MAHER
SECRETARY40.0X000X
SISTER M ALEXANDRA MORRISON
DIRECTOR1.0X000
MICHAEL L NELSON
EVP/CFO40.04863370199272X
MICHAEL RUSSO
EVP/CAO40.0182344038026X
PATTI FISCHER
VP OF PHYSICIAN SERVICES13.0133891067501X
EUGENE GOTWAY
CHIEF PHARMACIST40.01121760101436X
MARY WENDLE
PHARMACY DIRECTOR40.01138650109169X
DIANE SCHUETTE
AVP, MARKETING & DEVELOPMENT40.0110593049538X
COREY BATES
CLINICAL PHARMACIST40.0110266056184X
MARK WEBER
FORMER PRESIDENT/CEO44548201217X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2293888TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs191659TotalReportableCompFrmRltdOrgs
Total Other Compensation698374TotalOtherCompensation
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 SERVICES1516474
SSM CLINICAL ENGINEERING SERVICE
12312 OLIVE BLVD STE 500ST LOUISMO63141EQUIPMENT SERVICES885128
SISTERS OF STFRANCIS OF THE MARTYR
1 FRANSCISCAN WAYALTONIL62002ADMIN&NURSING SRVCS880542
RIGHTCHOICE
10795 WATSON ROADSAINT LOUISMO63127HEALTH PLAN ADMIN727757
ACROPOLIS TECHNOLOGY
915 WHITELAW AVENUEWOOD RIVERIL62095IT SERVICES360685
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
Related Organizations954045RelatedOrganizations
Government Grants31693GovernmentGrants
All Other Contributions503063AllOtherContributions
Total Contributions1488801TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column85251852TotalRevenueColumn
Related Or Exempt Function Income85251852RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue85251852TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column84012TotalRevenueColumn
Exclusion$84,012ExclusionAmount

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)
Real35879Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real35879Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column35879TotalRevenueColumn
Exclusion$35,879ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities160368Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other17263Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities160368Securities
Other-17263Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column143105TotalRevenueColumn
Exclusion$143,105ExclusionAmount

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 SALES722210443572$443,572
MANAGEMENT FEE561000300000$300,000
NON-PATIENT DME SALES45300010129181012918

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column4085TotalRevenueColumn
Exclusion$4,085ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1760575TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column88764224TotalRevenueColumn
Related Or Exempt Function Income85251852RelatedOrExemptFunctionIncome
Unrelated Business Revenue1012918UnrelatedBusinessRevenue
Exclusion$1,010,653ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total26448Total
Program Services26448ProgramServices

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)
Total2016820Total
Management And General2016820ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total29152239Total
Program Services26479411ProgramServices
Management And General2672828ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1971280Total
Program Services1790543ProgramServices
Management And General180737ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6747953Total
Program Services6129266ProgramServices
Management And General618687ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2222371Total
Program Services1887997ProgramServices
Management And General334374ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total113525Total
Management And General113525ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total514732Total
Management And General514732ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total100856Total
Management And General100856ManagementAndGeneral

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)
Total7351499Total
Program Services5165598ProgramServices
Management And General2185901ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total544951Total
Program Services373ProgramServices
Management And General544578ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16654359Total
Program Services16015956ProgramServices
Management And General638403ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1187029Total
Program Services267512ProgramServices
Management And General919517ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1662687Total
Program Services1626687ProgramServices
Management And General36000ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total204848Total
Program Services159998ProgramServices
Management And General44850ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total26662Total
Program Services494ProgramServices
Management And General26168ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total990790Total
Program Services990790ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3473602Total
Program Services3283981ProgramServices
Management And General189621ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1827026Total
Program Services500ProgramServices
Management And General1826526ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE83451998345199
DPA PROVIDER TAX25004522500452
DUES & SUBSCRIPTIONS35717662743294433
MINOR EQUIPMENT1428241406882136

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total189778Total
Program Services189778ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total88325106Total
Program Services75064414ProgramServices
Management And General13260692ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3701BOY
EOY3701EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5033017BOY
EOY3888020EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY15439564BOY
EOY13099050EOY

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)
BOY2960967BOY
EOY3134921EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1662136BOY
EOY1579805EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2197093BOY
EOY1977835EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis101784873LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec74602210LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY25940395BOY
EOY27182663EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10038419BOY
EOY7244527EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1492310BOY
EOY1492275EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY299028EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY64767602BOY
EOY59901825EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11018054BOY
EOY9924384EOY

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)
BOY16421734BOY
EOY13542838EOY

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)
BOY1826312BOY
EOY2844028EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY22216975BOY
EOY29707106EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY51483075BOY
EOY56018356EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11973127BOY
EOY2731504EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1311400BOY
EOY1151965EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13284527BOY
EOY3883469EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY64767602BOY
EOY59901825EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses439118ReconcilationRevenueExpenses
Reconcilation Other Changes-9840176ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
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 MemberstrueMailingsMembers
Mailings Members$106MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$46,270DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Total Lobbying Expenditures IIB46376TotalLobbyingExpendituresIIB
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 Balance2899164BeginningOfYearBalance
Contributions1290200Contributions
Investment Earnings Or Losses-9337InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures1444562OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2735465EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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)
Board Designated EOY Balance0.55000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.43000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.02000TermEndowmentEOYBalance
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 Basis48765884OtherCostOrOtherBasis
Depreciation41116020Depreciation
Book Value7649864BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis37788779OtherCostOrOtherBasis
Depreciation28050317Depreciation
Book Value9738462BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11346993OtherCostOrOtherBasis
Depreciation5435873Depreciation
Book Value5911120BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings27182663TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY SETTLEMENTS$3,141,751
PENSION LIABILITY$24,993,580
ASSET RETIREMENT OBLIGATION$1,571,775
FieldValueIRS element (for citing)
Total Of Amounts29707106TotalOfAmounts
Total Revenue88764224TotalRevenue
Total Expenses88325106TotalExpenses
Excess Or Deficit For Year439118ExcessOrDeficitForYear
Net Unrealized GL On Investments-251986NetUnrealizedGLOnInvestments
Other-$9,588,189OtherAmount
Total Adjustments-9840175TotalAdjustments
Excess Or Deficit Per FS-9401057ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt88556184TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-251986NetUnrealizedGainsInvestments
Other Revenues1306615OtherRevenues
Revenue Not Rptd F9901054629RevenueNotRptdF990
Revenue Subtotal87501555RevenueSubtotal
Investment Expenses Not Included127678InvestmentExpensesNotIncluded
Other Revenues Not Included1134991OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1262669RevenueNotRptdOnFinStmt
Total Revenue Per Form99088764224TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt88214691TotExpensesEtcAuditedFinclStmt
Other Expenses Included17263OtherExpensesIncluded
Expenses Not Rptd F99017263ExpensesNotRptdF990
Expenses Subtotal88197428ExpensesSubtotal
Investment Expenses Not Included2127678InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt127678ExpensesNotRptdOnFinStmt
Total Expenses Per Form99088325106TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES OF ENDOWMENT FUNDSPART V, LINE 4THESE FUNDS ARE TO BE USED FOR FUTURE CAPITAL IMPROVEMENTS, FUTURE RETIREMENT PLAN CONTRIBUTIONS AND OTHER USES OVER WHICH THE BOARD RETAINS CONTROL AND MAY AT ITS DISCRETION SUBSEQUENTLY USE FOR OTHER PURPOSES. ON PRIOR RETURNS THERE WERE AMOUNTS INCLUDED IN ENDOWMENT FUNDS IN ERROR. THE THREE PREVIOUS YEARS LISTED ON THIS RETURN HAVE BEEN CORRECTED TO ONLY INCLUDE ENDOWMENT FUNDS.
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 CHANGES IN NET ASSETSPART XI, LINE 8CHANGE IN VALUE OF TEMPORARILY RESTRICTED NET ASSETS ($5,074) FAS 158 ADJUSTMENT ($6,531,080) CHANGE IN INVESTMENT IN UNCONSOLIDATED ORGANIZATIONS ($35) TRANSFER TO ST. ANTHONY HEALTH SYSTEM ($3,052,000) TOTAL ($9,588,189)
OTHER REVENUE ON BOOKS BUT NOT ON RETURNPART XII, LINE 2DLOSS FROM SALE OF ASSETS $17,263 RELEASE FROM RESTRICTIONS $1,289,352 TOTAL $1,306,615
OTHER REVENUE ON RETURN BUT NOT ON F/SPART XII, LINE 4BRESTRICTED CONTRIBUTION REVENUE $1,134,991
OTHER EXPENSES ON BOOKS BUT NOT ON RETURNPART XIII, LINE 2DLOSS FROM SALE OF ASSETS $17,263

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 Expense3348000TotalCommunityBenefitExpense
Net Community Benefit Expense3348000NetCommunityBenefitExpense
Percent Of Total Expense0.04190PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense12107409TotalCommunityBenefitExpense
Direct Offsetting Revenue10532572DirectOffsettingRevenue
Net Community Benefit Expense1574837NetCommunityBenefitExpense
Percent Of Total Expense0.01970PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense15455409TotalCommunityBenefitExpense
Direct Offsetting Revenue10532572DirectOffsettingRevenue
Net Community Benefit Expense4922837NetCommunityBenefitExpense
Percent Of Total Expense0.06160PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served208PersonsServed
Total Community Benefit Expense708779TotalCommunityBenefitExpense
Direct Offsetting Revenue27104DirectOffsettingRevenue
Net Community Benefit Expense681675NetCommunityBenefitExpense
Percent Of Total Expense0.00850PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served1231PersonsServed
Total Community Benefit Expense1138877TotalCommunityBenefitExpense
Net Community Benefit Expense1138877NetCommunityBenefitExpense
Percent Of Total Expense0.01420PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served20894PersonsServed
Total Community Benefit Expense323391TotalCommunityBenefitExpense
Direct Offsetting Revenue280123DirectOffsettingRevenue
Net Community Benefit Expense43268NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense70575TotalCommunityBenefitExpense
Net Community Benefit Expense70575NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served22333PersonsServed
Total Community Benefit Expense2241622TotalCommunityBenefitExpense
Direct Offsetting Revenue307227DirectOffsettingRevenue
Net Community Benefit Expense1934395NetCommunityBenefitExpense
Percent Of Total Expense0.02410PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served22333PersonsServed
Total Community Benefit Expense17697031TotalCommunityBenefitExpense
Direct Offsetting Revenue10839799DirectOffsettingRevenue
Net Community Benefit Expense6857232NetCommunityBenefitExpense
Percent Of Total Expense0.08570PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,530,000BadDebtExpenseAmount
Amount Attributable To76500AmountAttributableTo
Amount Reimbursed By Medicare32231163AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare31080438CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1150725MedicareSurplusOrShortfall

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 HOSPITAL
1ONE SAINT ANTHONYS WAYALTONIL62002XXX
SAINT CLARE'S HOSPITAL
2915 EAST FIFTH STREETALTONIL62002XACUTE INPATIENT PHYSICAL REHABILITATION

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

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesOther Actions TakenOtherActionsTakenNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
SAINT ANTHONY'S HOSPITAL
1truetrue200.true600.trueXXXXXXtruetrueXXXXtruefalseXtrueXfalsefalse
SAINT CLARE'S HOSPITAL
2truetrue200.true600.trueXXXXXXtruetrueXXXXtruefalseXtrueXfalsefalse

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 $8,345,199 REPORTED ON PART IX, LINE 24 OF THE FORM 990; HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS PART I, LINE 7, COLUMN F.
BAD DEBT EXPENSEPART III, LINE 4ATHE HEALTH CENTER'S TOTAL COST OF UNCOMPENSATED CARE RELATING TO CHARITY CARE AND UNCOLLECTIBLE ACCOUNTS ARE AS FOLLOWS FOR 2011: CHARITY CARE - $3,348,000, UNCOLLECTIBLE ACCOUNTS - $1,530,000, AND TOTAL COSTS OF UNCOMPENSATED CARE - $4,878,000. IN ADDITION TO THESE COSTS OF UNCOMPENSATED CARE, THE HEALTH CENTER ALSO COMMITS SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND CRITICAL SERVICES WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. MANY OF THESE ACTIVITIES ARE SPONSORED WITH THE KNOWLEDGE THAT THEY WILL NOT BE SELF SUPPORTING OR FINANCIALLY VIABLE.
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.
MEDICAREPART III, LINE 8THE COST ON LINE 6 IS FROM THE FILED 12/31/2011 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.
BILLING AND COLLECTIONSPART V, SECTION B, LINE 17SAINT ANTHONY'S HEALTH CENTER DOES NOT PERFORM ANY OF THE ACTIONS IN QUESTION 16 PRIOR TO DETERMINING ELIGIBILITY UNDER OUR FINANCIAL ASSISTANCE POLICY. THERE ARE SIGNS POSTED IN OUR REGISTRATION OFFICES AS WELL AS OUR EMERGENCY ROOMS ADVISING PATIENTS THAT THERE IS FINANCIAL ASSISTANCE AVAILABLE. THE POLICY AND APPLICATION ARE AVAILABLE ON OUR WEBSITE. WE ALSO NOTIFY PATIENTS THAT THERE IS A FINANCIAL ASSISTANCE POLICY AVAILABLE WHEN DISCUSSING THEIR PATIENT BILL. PATIENTS ARE NOTIFIED VIA MAIL UPON ACCEPTANCE OR DENIAL OF FINANCIAL ASSISTANCE.
CHARGES FOR MEDICAL CAREPART V, SECTION B, LINE 19WE 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 ASSISTS US IN UNDERSTANDING THE HEALTH NEEDS OF THE 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 THE 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 THE FACILITY.
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 ADDED 10 PHYSICIANS DURING 2011 PROVIDING SERVICES FOR UROLOGY, GASTROENTEROLOGY, EAR-NOSE-THROAT, PRIMARY CARE PHYSICIANS, AND A SURGEON. WHERE SAINT ANTHONY'S PHYSICIAN GROUP OFFERS THE PHYSICIAN SERVICES TO OUR POPULATION, THE HEALTH CENTER PROVIDES THE 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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING GRANT FUNDSIdentifier
Return ReferencePART I, LINE 2ReturnReference
ExplanationTRADITIONALLY, SAINT ANTHONY'S HEALTH CENTER DOES NOT OFFER GRANTS OR ASSISTANCE. ALL DONATIONS WERE MADE TO PRE-SELECTED, REPUTABLE, PUBLICLY SUPPORTED CHARITABLE ORGANIZATIONS.Explanation

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 PlantrueSupplementalNonqualRetirePlan
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 (10 entries)

Base 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
2288190658000100100010823228820248200
MARK WEBER
4250000002048200012170446699000
EVERT J KUIPER
37350001788400291810394690257390646729000
MICHAEL L NELSON
2254690002608680183864015408068560901829310
MICHAEL RUSSO
766360320320736760274840105420220370000
PATTI FISCHER
1328600001031062129053720201392000
EUGENE GOTWAY
1116940004820811140203220213612000
MARY WENDLE
11285700010080884730206960223034000
DIANE SCHUETTE
110035000558047184023540160131000
COREY BATES
1099620003040459930101910166450000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF ADDITIONAL BENEFITS PROVIDEDPART I, LINE 1ACOUNTRY CLUB BENEFITS WERE PROVIDED TO THE FOLLOWING OFFICERS: EVERT KUIPER $8,144 MICHAEL NELSON $8,079 ALL OF THESE AMOUNTS WERE INCLUDED IN THEIR TAXABLE COMPENSATION. EVERT KUIPER ALSO RECEIVED TAX GROSS-UP PAYMENTS IN THE AMOUNT OF $10,947, WHICH WERE INCLUDED IN TAXABLE COMPENSATION. TAX GROSS-UPS IN THE AMOUNT OF $3 WERE APPLIED TO ALL OTHER EMPLOYEES FOR GIFT CARDS GIVEN OUT AT CHRISTMAS.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTSPART I, LINE 4BMICHAEL NELSON $251,704 MICHAEL RUSSO $72,567 THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS WERE MADE IN ACCORDANCE WITH EACH INDIVIDUAL'S EMPLOYMENT CONTRACT AND WERE INCLUDED IN THEIR TAXABLE COMPENSATION. NONQUALIFIED RETIREMENT PLANS INCLUDE ACTURIAL VALUES THAT FLUCTUATE WITH MARKET CONDITIONS.
NON-FIXED PAYMENTSPART I, LINE 7EVERT KUIPER EARNED BONUSES TOTALING $78,840 BASED ON FINANCIAL OUTCOMES, PATIENT SATISFACTION SCORES, BOARD EVALUATIONS, AND EPOB (EMPLOYEE PER OCCUPIED BED) TARGETS BEING MET.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
ILLINOIS FINANCE AUTHORITY
8610919672004-11-304975000Construction & Equipment Purchasefalsefalsefalse
ILLINOIS FINANCE AUTHORITY
8610919672010-03-1810000000Construction & Equipment Purchasefalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount 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
0049750000000004975000002007falsefalsetruetrue
0010000992000101424007927608019719602012falsefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalse0true
falsefalsefalsefalse0true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsefalsefalsefalse0falsefalse
0
falsefalsefalsefalse0falsefalse

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 $992 OF INTEREST EARNINGS IN THE ESCROW ACCOUNT.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
TERESA BEISER
SPOUSE IS DIRECTOR64171EMPLOYEE COMPENSATIONfalse
INTENSIVO LLC
OWNED BY DR. LOBIANCO,208800CRITICAL CARE PROVIDERfalse
INTENSIVO LLC
DIRECTOR

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (19 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.
DESCRIPTION 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 APOSTALATE, 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 990PART VI, LINE 11SAINT 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 SERVICES AND COMPARABLE DATA WHEN MAKING ANY 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 REVIEW AND APPROVE SALARIES FOR SENIOR TEAM MEMBERS IN THE SPRING OF 2011. 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 5NET UNREALIZED GAINS ($251,987) CHANGE IN TEMPORARILY ($5,074) RESTRICTED ASSETS FAS 158 ADJUSTMENT ($6,531,080) CHANGE IN INVESTMENT IN ($35) UNCONS. ORGANIZATIONS TRANSFER TO ST. ANTHONY'S ($3,052,000) HEALTH SYSTEM ____________ TOTAL CHANGE IN NET ASSETS ($9,840,176)
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER M. ANSELMA BELONGEA TITLE:DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:EDWARD BLAIR, JR., MD. TITLE:DIRECTOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MOTHER M. REGINA COURY PACIS TITLE:DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER M. KATERI HAWLEY TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:A. JESSE HOPKINS TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER M. MIKELA MEIDL TITLE:CHAIR - DIRECTOR HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DONALD NORTON TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DWIGHT WERTS TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:EVERT J KUIPER TITLE:PRESIDENT/CEO HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER M. ANASTASIA MAHER TITLE:SECRETARY HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL L NELSON TITLE:EVP/CFO HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PATTI FISCHER TITLE:VP OF PHYSICIAN SERVICES HOURS:27

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 Income97698TotalIncome
EOY Assets9067EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ST ANTHONY'S HEALTH CENTER AUXILIARY
SAINT ANTHONYS WAYPO BOX 340ALTONIL62002376048318SUPPORTIL501(C)(3)11 IIN/Afalse
SAINT ANTHONY'S HEALTH SYSTEM
SAINT ANTHONYS WAYPO BOX 340ALTONIL62002371252623SUPPORTIL501(C)(3)11 IN/Afalse
SAINT ANTHONY'S FOUNDATION
SAINT ANTHONYS WAYPO BOX 340ALTONIL62002371325398SUPPORTIL501(C)(3)11 IIfalseSA HLTH SYST
ST ANTHONY'S PHYSICIAN GROUP
915 EAST FIFTH STREETALTONIL62002371365059HEALTH CAREIL501(C)(3)9falseSA HLTH SYST
SISTERS OF ST FRANCIS MARTYR ST GEORGE
1 FRANCISCAN WAY PO BOX 9020ALTONIL62002376034163RELIGIOUSIL501(C)(3)1falseNA

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-34ShareOfTotalIncome
Share Of EOY Assets2612021ShareOfEOYAssets
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
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