Civic Intelligence

Saint Anthony'S Health Center

990 • Fiscal year 2013 • EIN 37-0661234

Jan 01, 2013 to Dec 31, 2013 • Filed on Oct 29, 2014

One Saint Anthonys Way PO Box 3Suite62002-0340

(618) 465-2571

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

81st percentile

0.75x

Higher debt load relative to assets than 81% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Liabilities / Revenue

53rd percentile

0.48x

Higher debt load relative to revenue than 53% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Net Margin

60th percentile

7.0%

Higher net margin than 60% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Top Officer Pay

79th percentile

$741,149

Higher top officer pay than 79% of similar nonprofits.

Top officer pay equals 0.9% of source-year revenue.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Asset Growth

5th percentile

-10%

Faster asset growth than 5% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Down

$53,676,571

Down $6,156,580 (-10%) from 2012

Net Assets

Up

$13,349,801

Up $11,418,647 (+591%) from 2012

Liabilities

Down

$40,326,770

Down $17,575,227 (-30%) from 2012

Revenue

$83,325,313

No earlier filing loaded for comparison.

Expenses

Down

$77,521,922

Down $5,564,748 (-6.7%) from 2012

Net Income

$5,803,391

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$80M$60M$40M$20M$0Assets 2010: $64,767,602Liabilities 2010: $51,483,075Net Assets 2010: $13,284,5272010Assets 2011: $59,901,825Liabilities 2011: $56,018,356Net Assets 2011: $3,883,4692011Assets 2012: $59,833,151Liabilities 2012: $57,901,997Net Assets 2012: $1,931,1542012Assets 2013: $53,676,571Liabilities 2013: $40,326,770Net Assets 2013: $13,349,8012013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2013

Assets$53,676,571
Liabilities$40,326,770
Net Assets$13,349,801

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100M$50M$0-$50MExpenses 2010: $96,946,5342010Expenses 2011: $88,325,1062011Expenses 2012: $83,086,6702012Revenue 2013: $83,325,313Expenses 2013: $77,521,922Net Income 2013: $5,803,3912013Revenue 2014: $61,103,938Expenses 2014: $66,012,489Net Income 2014: -$4,908,5512014

Highlighted filing

2013

Revenue$83,325,313
Expenses$77,521,922
Net Income$5,803,391
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Oct 29, 2014
Return Version
2013v3.1
Gross Receipts
$83,548,241
Mission and Program Overview

Mission

Sponsored by the sisters of st. Francis of the martyr st. George, saint anthony's health center is a two-campus system with a mission of making christ's merciful love visible by providing quality health care.

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$26,374,429$24,912,698▼ $1,461,731
Accounts Receivable$12,120,668$9,709,428▼ $2,411,240
Savings and Temporary Cash Investments$7,114,943$7,163,075▲ $48,132
Investments in Publicly Traded Securities$6,300,719$4,138,973▼ $2,161,746
Other Notes and Loans Receivable, Net$3,466,352$3,499,969▲ $33,617
Inventories for Sale or Use$1,697,388$1,802,080▲ $104,692
Investments Program Related$1,492,231$1,492,197▼ $34
Prepaid Expenses and Deferred Charges$927,024$417,002▼ $510,022
Cash and Non-Interest-Bearing Accounts$3,751$3,378▼ $373
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$59,833,151$53,676,571▼ $6,156,580
Other Assets Total$335,646$537,771▲ $202,125
Liabilities
Other Liabilities$35,621,407$24,295,997▼ $11,325,410
Accounts Payable and Accrued Expenses$8,654,306$7,685,935▼ $968,371
Tax Exempt Bond Liabilities$10,645,962$6,222,379▼ $4,423,583
Mortgage Notes Payable Secured by Investment Property$2,980,322$2,122,459▼ $857,863
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$57,901,997$40,326,770▼ $17,575,227
Net Assets / Fund Balance
Unrestricted Net Assets$618,985$12,023,592▲ $11,404,607
Temporarily Rstr Net Assets$1,312,169$1,326,209▲ $14,040
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$1,931,154$13,349,801▲ $11,418,647
Total Liabilities and Net Assets / Fund Balance$59,833,151$53,676,571▼ $6,156,580

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$7,119,866$41,766,829$48,886,695
Equipment$8,905,346$31,183,606$40,088,952
Other Land Buildings$5,004,269$6,159,992$11,164,261
Land$3,883,217-$3,883,217

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$1,312,169$669,404▲ $79,037$734,401$1,326,209
2012$2,735,465$3,199,311▲ $96,972$4,719,579$1,312,169
2011$2,899,164$1,290,200▼ $9,337$1,444,562$2,735,465
2010$2,679,513$291,592▲ $45,651$117,592$2,899,164
2009$2,642,125$113,220▲ $92,664$168,496$2,679,513
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Evert J KuiperPresident/CEOFT$414,160$249,918$664,078
Mark WeberFormer President/CEO-$425,000$42,174$467,174
Michael L NelsonEvp/CFOFT$235,407$34,760$270,167
Patti FischerVP of Physician ServicesPT$161,576$-12,553$149,023
John PeipertDirector of Emergency ServicesFT$123,006$14,049$137,055
Denise BoettgerAvp, Patient Care ServicesFT$115,814$-63$115,751
Mary WendlePharmacy DirectorFT$117,783$-11,942$105,841
Diane SchuetteAvp, Marketing & DevelopmentPT$116,221$-15,954$100,267
James Piephoff MdDirector-$12,863$728,286$12,863
Edward Blair Jr MdDirector-$2,044$208,742$2,044

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Crothall HealthcareEvs/eng/biomed Srvs-$3,049,037
Conifer Health SolutionsBilling Services-$1,525,597
Sisters Of Stfrancis Of The MartyrAdmin&nursing Srvcs-$871,676
UmrAdminister Health Pl-$689,240
Acropolis Technology Group INCIt Services-$578,721
Revenue and Support

Revenue Composition

Contributions and Grants
$669,404
Program Service Revenue
$79,337,812
Investment Income
$1,932,133
Other Revenue
$1,385,964
All Other Contributions
$288,811
Change in Net Assets
$5,803,391

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table1$42,905Fair Market Value (FMV)
Total Noncash Contributions1$42,905-

Audited Revenue Reconciliation

Revenue per Audited Statements
$81,672,441
Revenue Not Reported on Financial Statements
$1,652,872
Revenue Not Reported on Form 990
$951,074
Other Revenue Adjustments
$1,535,427
Total Revenue per Audited Statements
$82,623,515
Total Revenue per Form 990
$83,325,313
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$43,099,707
Salaries, Compensation, and Employee Benefits$34,416,015
Grants and Similar Amounts Paid$6,200
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$24,277,732$2,870,495-$27,148,227
Office Expenses$14,979,891$489,304-$15,469,195
Fees for Services Other$7,672,975$2,291,882-$9,964,857
Depreciation Depletion$3,285,362$523,385-$3,808,747
Other Employee Benefits$2,368,769$273,561-$2,642,330
Payroll Taxes$1,794,192$316,287-$2,110,479
Information Technology$313,218$1,253,209-$1,566,427
Insurance-$1,501,408-$1,501,408
Occupancy$1,405,739$36,750-$1,442,489
Current Officers, Directors, Trustees, and Key Employees-$1,419,826-$1,419,826
Pension Plan Contributions$928,135$107,187-$1,035,322
Advertising-$768,964-$768,964
Interest$655,895--$655,895
Fees for Services Legal-$628,648-$628,648
Travel$144,801$44,667-$189,468
Fees for Services Management-$125,720-$125,720
Other Expenses$67,121$56,130-$123,251
Fees for Services Accounting-$110,220-$110,220
All Other Expenses$85,650--$85,650
Comp Disqual Persons$59,831--$59,831
Conferences and Meetings$757$32,749-$33,506
Grants to Domestic Orgs$6,200--$6,200
Total Functional Expenses$64,325,803$13,196,119$0$77,521,922

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$77,521,922
Total Expenses per Audited Statements$76,428,254
Expenses per Audited Statements$76,426,531
Expenses Not Reported on Financial Statements$1,095,391
Other Expense Adjustments$977,946
Expenses Not Reported on Form 990$1,723
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Teresa BeiserSpouse Is DirectorEmployee CompensationNo$59,831

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Pension Liability$20,163,052
Third Party Settlements$3,069,610
Asset Retirement Obligation$1,063,335

Bond Issues

BondIssuerIssuedIssue PricePurpose
B86-10919672010-03-18$10,000,000Construction & Equipment Purchase
A86-10919672004-11-30$4,975,000Construction & Equipment Purchase

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$10,001,152$0$0$101,424
A$4,975,000$0$0$0

Bond Financing Compliance

Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No
Filing and Contact Details

Filer

EIN
37-0661234
In Care Of
% MICHAEL L NELSON
Phone
6184652571

Signing Officer

Name
Sr M Mikela Meidl
Title
President & CEO, Sahs
Phone
6184652571
Signed
2014-10-29
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sr M Mikela Meidl
Formed
1925
Legal Domicile
Il
Voting Board Members
19
Independent Board Members
15
Employees
830
Volunteers
72

Preparer

Preparer
Donna J Larson
Phone
6184652571
Supplemental Narrative

Additional Explanations

ORGANIZATION'S MISSION

Part i, line i sponsored by the sisters of st. Francis of the martyr st. George, saint anthonys health center is a two-campus system with a mission of making christs merciful love visible by providing quality health care description of classes of members or stockholders part vi, line 6 saint anthony's health center has one member, designated as the corporate member, which shall be saint anthony's health system, an illinois not-for-profit corporation. Saint anthony's health system shall act in stewardship capacity and ensure that all actions of saint anthony's health center are consistent with the purposes, and ethical and religious principles in furtherance of their charitable apostolate of quality health care.

Approval and Voting Rights of Members or Stockholders

Part vi, line 7a & 7b saint anthony's health system has the exclusive power to appoint and remove the directors and the president/ceo, adopt, amend, restate and repeal the articles of incorporation and the bylaws, adopt any plan of merger, consolidation, or dissolution, adopt statement of philosophy, mission, and apostolate, establish a corporate limit for expenditures, and approve the mission statement, strategic plan, and annual operating budget. Saint anthony's health system must approve purchases, sales, transfers, leases or encumbrances of real property or of substantially all of the personal property, borrowing which is in excess of the corporate limit as determined from time to time by saint anthony's health system, the execution of any deeds, mortgages, or bonds, any transaction which involves an alienation of property or other act of extraordinary administration, and extraordinary medical/moral issues and any matter challenging the catholicity of saint anthony's health center.

Process to Review Form 990

Part vi, line 11b saint anthony's health center uses an outside preparer to prepare its form 990 and 990-t. Once completed, the returns are reviewed internally by the president/ceo, evp/cfo and the controller before filing. Annually, the return of organization exempt from income tax, form 990, and the exempt organization business income tax return, form 990-t, will be provided to the saint anthony's health system governing board and saint anthony's health system finance committee for review prior to filing such returns with the internal revenue service for saint anthony's health center, saint anthony's physician group, and saint anthony's foundation. Written notification will be sent to each of the governing boards' members of saint anthony's health center, saint anthony's physician group, and saint anthony's foundation advising them that the returns have been filed and to contact michael nelson at (618) 463-5616 if they would like to review their respective return.

Compliance With Conflict of Interest Policy

Part vi, line 12c a conflict of interest disclosure statement must be completed annually by: all board members, board committee members, officers, board designees, senior management, directors, managers, employed physicians, members of any committee that oversees the approval of pharmaceutical and medical devices, and any other individual who holds a position of trust; and non-employed members of the medical staff who also either: holds paid or unpaid medical administrative positions or have procurement responsibility or the authority effectively to recommend such procurement. The statements are reviewed annually by the president/ceo and the board secretary. Any member of a board including physicians shall refrain from voting on any potential conflicts.

Process for Determining Compensation

Part vi, line 15a in 2010, hewitt associates was engaged to perform a review of executive compensation, including all disqualified persons. Hewitt associates issued an opinion letter showing rebuttable presumption of reasonableness of executive compensation for saint anthony's. This analysis involved comparable data. Saint anthony's continues to use hewitt's data by adjusting for an aging factor and looking at any market dynamics since 2010 when making changes to executive compensation. The compensation committee of the health system board oversees matters of executive compensation and utilizes outside consulting services when appropriate. The process is documented in compensation committee meeting minutes. There have been no changes to this process in the past year. Part vi, line 15b the compensation committee of saint anthony's health system, parent corporation, relied on market surveys and compensation analysis completed by hewitt associates during 2010 to assist in calculating compensation in 2013. The 2010 data was adjusted by an aging factor and changes in the market to create the 2013 compensation for senior team members in 2013. All of this activity is documented in the minutes of the compensation committee.

Availability to the Public

Part vi, line 19 financial information is provided in accordance with the freedom of information act.

Other Compensation

Part vii, section a, column f certain retirement and other deferred compensation amounts in column f are negative due to the decrease in actuarial value of defined benefit plan accruals.

Other Fees for Services

Part ix, line 11g contract services $4,005,424 purchased services 2,929,635 physician fees 1,043,709 physician support services 557,780 reference lab services 322,019 purchased laundry services 288,825 other fees for services 817,465 ---------- $9,964,857

Other Changes to Net Assets

Part xi, line 9 change in temporarily restricted assets 79,037 fas 158 adjustment 9,432,380 change in investment in unconsolidated organizations (34) transfer to st. Anthony health system (4,223,000) rounding (13) ----------- 5,288,370

Financial Statement Notes

Intended Uses of Endowment Funds

Part v, line 4 these funds are to be used for future capital improvements and operating expenses.

Fin 48

Part x, line 2 management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

Other Revenue on Books But Not on Return

Part xi, line 2d loss from sale of assets 1,710 net assets released from restriction 622,478 -------- $624,188

Other Revenue on Return But Not on Books

Part xi, line 4b restricted contribution revenue 557,481 bad debt expense 976,222 other adjustment 1,724 ---------- $1,535,427

Other Expenses on Books But Not on Return

Part xii, line 2d loss from sale of assets 1,710 rounding 13 ------ $1,723

Other Expenses on Return But Not on Books

Part xii, line 4b bad debt expense 976,222 other adjustment 1,724 -------- $977,946

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IRS990/Desc0INPATIENT SERVICES: SAINT ANTHONY'S HEALTH CENTER IS A TWO-CAMPUS, 199-BED ACUTE CARE FACILITY LOCATED IN ALTON, ILLINOIS. COMPRISED OF THE SAINT ANTHONY'S HEALTH CENTER CAMPUS AND SAINT CLARE'S HOSPITAL, THE ORGANIZATION OFFERS THE LATEST IN TECHNOLOGY AND STATE-OF-THE-ART MEDICINE ADMINISTERED WITH COMPASSION AND SKILL. INPATIENT SERVICES BASED AT THE SAINT ANTHONY'S CAMPUS INCLUDE MEDICAL, SURGICAL, AND OBSTETRICS. WE PROVIDE ADDITIONAL SERVICES TO OUR INPATIENTS INCLUDING: PAIN MANAGEMENT, SURGICAL SERVICES, GASTROENTEROLOGY, LABORATORY SERVICES, CARDIOLOGY, STRESS LAB, DIAGNOSTIC RADIOLOGY SERVICES, CARDIOVASCULAR SERVICES, RADIATION THERAPY, ONCOLOGY SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY. INPATIENT SERVICES AT SAINT CLARE'S HOSPITAL INCLUDE REHABILITATION SERVICES AND A SKILLED NURSING FACILITY. SAINT ANTHONY'S HEALTH CENTER PROVIDES PRIVATE ROOMS TO THEIR INPATIENTS. DURING 2013, SAINT ANTHONY'S HEALTH CENTER HAD 4,010 ADMISSIONS, 20,395 PATIENT DAYS, 311 BIRTHS, AND 532 SURGERIES.
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