2024-11-21T14:21:57-06:00 2023-06-30 420714325 RSM US LLP 30 South Wacker Dr Suite 3300 Chicago IL 606063392 990 2022-07-01 364340137 Saint Anthony Health Affiliates SAIN 7734844831 2875 W 19th Street Chicago IL 60623 Guy A Medaglia President & CEO 7734844831 2024-09-11 1 1 Rebekuh Eley P01247672 3126343400 2024-09-11 2022 2024-10-15 13:58:12Z Guy A Medaglia 2875 W 19th Street Chicago IL 60623 1042610 0 X www.sahchicago.org X 2003 IL Saint Anthony Health Affiliates' Mission is to support the operations of Saint Anthony Hospital, a related tax-exempt organization, in order for the Hospital to focus its resources on serving its patients. 9 8 0 8 0 0 0 0 635200 1020002 0 0 21528 22608 656728 1042610 0 0 0 0 1805883 1729898 0 0 0 362144 365405 2168027 2095303 -1511299 -1052693 28570 9851 0 0 28570 9851 X Saint Anthony Health Affiliates' Mission is to support the operations of Saint Anthony Hospital, a related tax-exempt organization, in order for the Hospital to focus its resources on serving its patients. The organization's main support is in the form of managing billing responsibilities for select physicians for Saint Anthony Hospital. Also, Health Affiliates provides non-emergency physician care services to the residents of the Near Southwest side of Chicago. 0 0 2095303 1020002 Saint Anthony Hospital, a related tax-exempt organization, is a Catholic not-for-profit community hospital dedicated to serving the health needs of its community. The Hospital is committed to servicing the health needs of the entire community, especially those residents who have no other means to address their health issues. Saint Anthony Health Affiliates was established to support the operations of Saint Anthony Hospital, in order for the Hospital to focus its resources on serving its patients. The main support provided is in the form of managing billing responsibilities for select physicians for the Hospital, as well as providing non-emergency physician care services to the residents of the near southwest side of Chicago. 2095303 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Jamie Mack 7734844834 2875 W 19th Street Chicago IL 60623 Guy A Medaglia President & CEO 5.00 80.00 X X 0 771365 499295 Peter V Fazio Jr Chair 1.00 5.00 X X 0 0 0 Dorval R Carter Jr Vice Chair 1.00 3.00 X X 0 0 0 Sister Joan McGlinchey MSC Secretary 1.00 2.00 X X 0 0 0 Tyla Courtney MD Board Member 1.00 1.00 X 0 0 0 Wayne Detmer MD Board Member 1.00 1.00 X 0 0 0 Pastor Richard Nelson Board Member 1.00 1.00 X 0 0 0 Jaime di Paulo Board Member 1.00 1.00 X 0 0 0 Frank Zappa MD Board Member 1.00 1.00 X 0 0 0 Bob Enkema CFO 1.00 44.00 X 0 0 0 0 771365 499295 0 0 1 0 0 Physician Billing & Se 621110 789601 789601 Clinic Services 561499 230401 230401 1020002 22608 0 22608 22608 22608 1042610 1020002 0 22608 1611699 1611699 118199 118199 4933 4933 147449 147449 Medical Supplies 71891 71891 Utilities 48862 48862 Medical Licenses 29064 29064 Dues & Subscriptions 4033 4033 59173 59173 2095303 2095303 0 0 927318 917467 28570 9851 28570 9851 0 0 X 28570 9851 28570 9851 28570 9851 X -1052693 1033974 X 0 0 0 X 5801021 4075034 1337962 635200 1020002 12869219 5801021 4075034 1337962 635200 1020002 12869219 0 0 0 12869219 29832 28283 20508 21528 22608 122759 29832 28283 20508 21528 22608 122759 5830853 4103317 1358470 656728 1042610 12991978 0.99060 0.99250 0.00940 0.00750 X 98968 97801 1167 606836 600104 6732 221514 219562 1952 9851 0 1 0 0 0 0 0 0 0 Guy A Medaglia President & CEO 0 656627 0 0 0 114738 0 460517 0 38778 0 1270660 0 0 Part I, Line 4b The following individual participates in a 457(f) plan and received amounts deferred/accrued by Saint Anthony during 2022: Guy A. Medaglia - $449,787 Schedule J, Part 1, Line 3 Compensation of the organization's President & CEO is set by Saint Anthony Hospital (SAH), a related organization. All annual salary increases are reviewed and approved by SAH's President Compensation Sub-Committee and documented in minutes prepared for each meeting. Also, an independent market survey was conducted in August 2021 to ensure that the salaries of the CEO and other officers were within standard market range. Form 990, Part VI, Section A, line 6 The sole corporate member of Saint Anthony Health Affiliates is Saint Anthony Hospital. Form 990, Part VI, Section A, line 7a The sole corporate member of Saint Anthony Health Affiliates is Saint Anthony Hospital. The sole member of Saint Anthony Hospital is Saint Anthony Health Ministries. Saint Anthony Health Ministries has the right to appoint or remove members of the governing body. Form 990, Part VI, Section A, line 7b The sole corporate member of Saint Anthony Health Affiliates is Saint Anthony Hospital. The sole member of Saint Anthony Hospital is Saint Anthony Health Ministries. 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, and 7) Approving the incurrence of debt of the organization. Form 990, Part VI, Section B, line 11b A thorough review of Form 990 is performed by management. A copy of the return is shared with the Board of Directors prior to filing Form 990 with the IRS. Form 990, Part VI, Section B, line 12c Annually, the Corporate Responsibility Officer of Saint Anthony Hospital, a related organization, has the Board, as well as officers and vice presidents, review, fill out, and sign the conflict of interest questionnaire. The Corporate Responsibility Officer reviews the completed conflict of interest questionnaires. 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. Form 990, Part VI, Section B, line 15 The filing organization does not compensate its officers, directors, or trustees; instead, they are compensated by Saint Anthony Hospital, a related organization. All annual salary increases for the President & CEO are reviewed and approved by the President Compensation Sub-Committee and documented in minutes prepared for each meeting. All annual salary increases for other officers are reviewed and approved by the Compensation Committee and documented in minutes prepared for each meeting. Also, an independent market survey was conducted in August 2021 to ensure that the salaries of the CEO and other officers were within standard market range. 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. Form 990, Part XI, line 9: Transfer of Net Assets from Saint Anthony Hospital 1,033,974. Chicago Southwest Community Organization 2875 West 19th Street Chicago IL 60623 461578466 Community Development IL 501(c)(3) PF N/A 0 Chicago Southwest Development Corporation 2875 West 19th Street Chicago IL 60623 461575093 Community Development IL 501(c)(3) Line 12b, II Chicago Southwest Community Organization 0 Saint Anthony Health Ministries 2875 West 19th Street Chicago IL 60623 363903595 Management IL 501(c)(3) Line 12b, II N/A 0 Saint Anthony Hospital 2875 West 19th Street Chicago IL 60623 510217097 Healthcare IL 501(c)(3) Line 3 Saint Anthony Health Ministries 0 Saint Anthony Hospital Foundation 2875 West 19th Street Chicago IL 60623 237448580 Fundraising IL 501(c)(3) Line 7 Saint Anthony Hospital 1 SAH Anesthesia Group LLC 2875 West 19th Street Chicago IL 60623 474991463 Healthcare IL N/A S 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0