4A (Expenses $ 122267207 including grants of $ 0) (Revenue $ 122951394)
Saint Anthony Hospital (SAH) provides medical care, social services, and community outreach to Chicago's West and Southwest communities. SAH accepts patients regardless of their ability to pay, whether they cannot afford healthcare or are uninsured or underinsured. Saint Anthony has continually provided millions of dollars in net community benefit expense. Founded in 1897, SAH is a 151-bed, faith based, non-profit community teaching hospital dedicated to serving the health needs of Chicago's near southwest side. For over 100 years, Saint Anthony Hospital has offered quality and affordable medical services in a caring and supportive environment. SAH's operating rooms, emergency department, and imaging center offer modern technology that helps us in providing our patients the quality services they need in our communities. Saint Anthony Hospital uses four categories to identify the resources utilized for the care of persons who are poor, and for community benefit programs:- Traditional charity care includes the cost of services provided to persons who cannot afford healthcare because of inadequate resources and/or who are uninsured or underinsured.- Unpaid cost of public programs represents the unpaid cost of services provided to persons covered by public programs for the poor.- Cost of other programs for the poor includes unreimbursed costs of programs intentionally designed to serve the poor and vulnerable of the community, including substance abusers, the homeless, victims of child abuse, and persons with Acquired Immune Deficiency Syndrome.- Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the poor, including health promotion and education, health clinics and screenings, and medical research.

Saint Anthony Hospital
Part V, Section B, Line 5: Saint Anthony Hospital used Professional Research Consultants, Inc. (PRC) to collect the relevant data for the CHNA. PRC collected data that was largely based on the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System. PRC conducted a telephone survey of 200 individuals, age 18 and older, in Saint Anthony's service area which is the West and Southwest side of Chicago to obtain preliminary information regarding the community's health needs. In addition, 199 participants completed the survey online during community outreach efforts.

Saint Anthony Hospital
Part V, Section B, Line 6a: The CHNA was conducted alongside the following other hospital facilities: Alexian Brothers Health System/Amita Health (Alexian Brothers Behavioral Health Hospital, Alexian Brothers Medical Center, St. Alexius Medical Center); Amita Health (Adventist Bolingbrook Hospital, Adventist GlenOaks Hospital, Adventist Hinsdale Hospital, Adventist LaGrange Memorial Hospital); Edward-Elmhurst Healthcare (Edward Hospital & Health Services, Elmhurst Memorial Hospital); Franciscan Alliance (Franciscan St. James Health); Ingalls Health System (Ingalls Memorial Hospital); Little Company of Mary Hospital and Health Care Centers; Saint Anthony Hospital; Northwest Community Healthcare (Northwest Community Hospital, Northwestern Memorial Hospital); Northwestern Medicine (Central DuPage Hospital, Northwestern Lake Forest Hospital); Palos Community Hospital; Rush System for Health (Rush Oak Park Hospital, Rush University Medical Center); St. Bernard Hospital and Health Care Center; Thorek Memorial Hospital; and the University of Chicago Medical Center.

Saint Anthony Hospital
Part V, Section B, Line 11: Saint Anthony Hospital takes pride in addressing the health care needs of our community, so we drafted the Implementation Strategy to address the top six areas of need identified in the CHNA over the next three years. However, we are only a piece of the puzzle and must stay focused in our efforts in order to be effective and efficient with our limited resources and stay within our scope of practice and expertise. Working closely with the clinical team at Saint Anthony Hospital, the Community Development Team provides support through direct social service programs. Under this reciprocal referral relationship, both the clinical and social needs of community residents and patients continue to be addressed as it relates to the six focus areas, which are diabetes, nutrition education, mental health, injury and violence, access to healthcare and infant health.The other eight areas - potentially disabling conditions, tobacco use, heart disease & stroke, oral heal, cancer, respiratory disease, sexual health and kidney disease - were excluded from our implementation strategy but several are still addressed in services we do offer. When we come into contact with patients and community members with specific issues outside of our scope, such as oral health, we refer them to other community organizations or healthcare providers with more experience and resources that meet their needs.

Saint Anthony Hospital
Part V, Section B, Line 20e: Before any collections efforts are initiated, the Hospital performs reasonable efforts by sending two statements and two letters. The statements and letters indicate the option to apply for financial assistance, if needed.

Part I, Line 7:
The cost to charge ratio derived from Worksheet 2 was used to calculate the amounts reported in Lines 7a, 7b, and 7g. Line 7e was derived from a cost accounting system that addresses all patient segments.

Part I, Line 7, Column (f):
The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 5,639,891.

Part III, Line 2:
The Hospital uses the following methods to determine the amount of bad debt reported:1) Potential public aid third party liability accounts are identified by a monthly report generated by the collection system. 2) The Medicare bad debt specialist will review the accounts to ensure that the proper balance is on the account. 3) Accounts returned from collection agency as uncollectible will be reviewed to ensure that they have aged greater than 120 days from first notice to patient prior to the account placement with agency. 4) The Medicare bad debt specialist will obtain copies of the Medicare voucher showing the deductible and co-insurance amount, and accounts will be logged with the balance of the co-insurance and deductible amount from the Medicare voucher. 5) Public aid third party liability accounts will be logged with copies of the Medicare and public aid vouchers. The amount logged will reflect the Medicare deductible and co-insurance, minus any payment amount from public aid. 6) A copy of the completed log will be provided to reimbursement and a copy will be maintained in the patient financial services department.

Part III, Line 3:
Detailed data is unavailable to estimate the amount of bad debt attributable to patients who would likely be eligible for financial assistance.

Part III, Line 4:
Please see Note 1 of the attached financial statements for the foonote describing bad debt expense.

Part III, Line 8:
The shortfall is arrived at by using the Medicare Cost and Reimbursement Summary. The Summary takes into account the Medicare cost less the Medicare reimbursement.

Part III, Line 9b:
Saint Anthony Hospital has posted signage throughout the Hospital informing all patients about the financial assistance program. In addition to the signage, the financial assistance program is listed on the Hospital's website. Patients who qualify for assistance often have their entire balance written off. Patients who do not qualify for any assistance can enter into payment arrangements with the Hospital. If that patient fails to keep those arrangements, their account will be referred to an outside collection agency.

Part VI, Line 2:
Saint Anthony Hospital completed its latest Community Health Needs Assessment (CHNA) in 2021, in cooperation with Professional Research Consultants (PRC). This CHNA, a follow-up to a similar assessment conducted in 2018, is a systematic, data-driven approach to determining the health status, behaviors, and needs of residents in Saint Anthony Hospital's community. It is a tool to assist us in reaching three basic goals:- improving residents' health status, increasing their life spans, and elevating their overall quality of life,- reducing the health disparities among residents, and- increasing accessibility to preventive services for all community residents.Our CHNA was conducted by Professional Research Consultants, Inc. (PRC), a nationally-recognized healthcare consulting firm with extensive experience conducting assessments in hundreds of communities across the United States since 1994. It incorporates data from both quantitative and qualitative sources. Quantitative data input includes results from the PRC community health survey and secondary research. Qualitative data input includes primary research gathered through a series of key informant focus groups. The survey instrument used for this CHNA was based largely on the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS), as well as various other public health surveys and customized questions addressing gaps in indicator data relative to health promotion and disease prevention objectives and other recognized health issues. To ensure the best representation of the population surveyed, a telephone interview methodology, incorporating both landline and cell phone interviews, was employed. The sample design used for this effort consisted of a random sample of 200 individuals, age 18 and older, in Saint Anthony's service area. All administration of the surveys, data collection, and data analysis was conducted by PRC. The same survey was also made available via a link and administered to people in community within the seven chosen zip codes. This data was also analyzed by PRC.Saint Anthony provided PRC with a list of recommended community stakeholders to participate in additional qualitative research gathering. Potential participants were chosen because of their ability to identify primary concerns of the community overall. These findings represent qualitative rather than quantitative data. The group was designed to gather input from participants regarding their opinions and perceptions of the health of the residents in the area. Thus, these findings are based on perceptions, not facts. From the data collected and analyzed by PRC, the focus areas were chosen based on community input from the survey. While the implementation strategy focuses on the top six issues, the areas have been categorized into four main priorities which include aspects of each need identified in the CHNA.

Part VI, Line 3:
Signs are posted in waiting areas of the Hospital, as well as on the Hospital's website, announcing the availability of financial assistance. Hospital Patient Access staff assists uninsured or under-insured patients in applying for any government assistance programs that they may qualify for, as well as the Hospital's financial assistance program. Hospital bills to patients also have information on applying for financial assistance.

Part VI, Line 7, Reports Filed With States
IL

Part VI, Line 4:
Saint Anthony Hospital is a 151-bed healthcare facility located on the border of the North Lawndale and South Lawndale communities on Chicago's West and Near Southwest side. The area includes the North Lawndale, East and West Garfield Park, parts of Austin, Little Village, South Lawndale, Pilsen, Brighton Park, McKinley Park, and Back of the Yards neighborhoods. Saint Anthony is in a medically under-served area, a Primary Care Health Professional Shortage Area, a Mental Health Professional Shortage Area, and a Dental Care Health Professional Shortage Area, as classified by the Health Resources and Services Administration of the U.S. Department of Health and Human Services. The surrounding area has around 410,000 residents, of which more than 50% are Latino and more than 30% are African American.

Part VI, Line 5:
Saint Anthony Hospital is a 151-bed, independent, faith-based, non-profit, acute care community hospital founded in 1897. The Hospital provides a wide range of services and community benefit programs to its under-served community. Saint Anthony believes in taking a holistic approach to the care of our community. Therefore, we strengthen the community not only through healthcare, but also focusing on building and supporting healthy communities through the power of advocacy and economic and workforce development. We participate actively with a variety of community organizations and local community churches. Saint Anthony, its neighborhood clinics, and the offices of its community-based human services programs further the organization's exempt purpose by providing the following services at no cost to community residents: pregnancy testing, prenatal education, gestational diabetes education, early childhood development consultation and support, parent-child play groups, parenting skills training, blood pressure and blood glucose screenings, health and nutrition education presentations, mental health counseling, transportation to and from hospital appointments, patient navigation, and state and federal government benefits counseling and application assistance. Saint Anthony has and will always try to hire qualified professional and non-professional staff from within the communities in its service area. A majority of the Hospital's governing body is comprised of persons who reside in the Chicago community who are not employees or independent contractors of the Hospital, nor family members thereof. The Hospital extends medical privileges to all qualified physicians in the community.

Part VI, Line 6:
For over 100 years, Saint Anthony Hospital has been improving the health and wellness of families across Chicagoland by providing medical care, social services, and community outreach to the residents of eight city neighborhoods: Little Village, North Lawndale, Pilsen, Brighton Park, Back of the Yards, McKinley Park, Archer Heights, and Chicago Lawn, as well as suburban Cicero and Berwyn. The outpatient clinics are strategically located within the surrounding communities to provide healthcare services just as the Hospital does, but on a smaller scale. Those individuals requiring more care are referred to the Hospital for further evaluation. Saint Anthony Health Affiliates provides non-emergency physician services to the community that the Hospital serves. The Foundation was organized for the purpose of soliciting, earning, and receiving funds from public and private sources, accumulating such funds, and making distributions to the Hospital. Saint Anthony Health Ministries (SAHM) is the sole corporate member of the Hospital, and SAHM supports the Hospital.