ST ALEXIUS MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
ST ALEXIUS MEDICAL CENTER (EIN 36-4251846)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-15
IRS object ID
201931359349306148
Schema version
2017v2.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-15T12:37:59-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN364251846EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Alexius Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTALBusinessNameControlTxt
Phone3147338000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11555 Barrington RoadAddressLine1Txt
CityHoffman EstatesCityNm
State AbbreviationILStateAbbreviationCd
ZIP601691099ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTonya MershonPersonNm
Person TitleTax OfficerPersonTitleTxt
Signature2019-05-15SignatureDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Len WilkBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11555 Barrington RoadAddressLine1Txt
CityHoffman EstatesCityNm
State AbbreviationILStateAbbreviationCd
ZIP601691099ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$353,188,636GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://www.amitahealth.org/locations/hospitals/hoffman-estatesWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTo improve the health and well-being of all people in the communities we serve.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee2047TotalEmployeeCnt
Total Volunteers463TotalVolunteersCnt
Total Gross UBI$50,288TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$312,104PYContributionsGrantsAmt
CY Contributions Grants$148,025CYContributionsGrantsAmt
PY Program Service Revenue$356,873,482PYProgramServiceRevenueAmt
CY Program Service Revenue$349,041,753CYProgramServiceRevenueAmt
PY Investment Income$232,470PYInvestmentIncomeAmt
CY Investment Income$728,360CYInvestmentIncomeAmt
PY Other Revenue$2,077,764PYOtherRevenueAmt
CY Other Revenue$2,234,724CYOtherRevenueAmt
PY Total Revenue$359,495,820PYTotalRevenueAmt
CY Total Revenue$352,152,862CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$118,676,925PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$119,573,452CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$196,408,292PYOtherExpensesAmt
CY Other Expenses$195,621,695CYOtherExpensesAmt
PY Total Expenses$315,085,217PYTotalExpensesAmt
CY Total Expenses$315,195,147CYTotalExpensesAmt
PY Revenues Less Expenses$44,410,603PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$36,957,715CYRevenuesLessExpensesAmt
Total Assets BOY$327,697,242TotalAssetsBOYAmt
Total Assets EOY$394,453,094TotalAssetsEOYAmt
Total Liabilities BOY$107,449,906TotalLiabilitiesBOYAmt
Total Liabilities EOY$107,560,159TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$220,247,336NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$286,892,935NetAssetsOrFundBalancesEOYAmt
MissionSt. Alexius Medical Center carries out the healing mission of the Catholic Church as an Alexian Brothers ministry by identifying and developing effective responses to the health and housing needs of the those we are called to serve.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$261,443,597ExpenseAmt
Grant$0GrantAmt
Revenue$349,042,412RevenueAmt
DescSt. Alexius Medical Center is a 318-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, St. Alexius Medical Center treated 16,613 adults and children for a total of 71,031 patient days of service. The hospital also provided services for 263,545 outpatient visits, which included 6,421 outpatient surgeries and 61,479 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.Desc
Total Program Service Expenses$261,443,597TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document305IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2047EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jeannie JustieBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2242730515PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12601 Navistar Dr Bld 4 FL 2-FinanceAddressLine1Txt
CityLisleCityNm
State AbbreviationILStateAbbreviationCd
ZIP60532ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRUCE WOLFE
CHAIRPERSON1.02.0Yes (X)Yes (X)$0$0$0
KATHLEEN GILMER
VICE CHAIRPERSON1.02.0Yes (X)Yes (X)$0$0$0
LEN WILK
CEO, ST. ALEXIUS49.01.0Yes (X)Yes (X)$0$553,717$20,475
CALVIN H FISCHER DO
DIRECTOR1.049.0Yes (X)$0$264,437$41,830
JOANNE LESKI EDD RN CNE
DIRECTOR1.02.0Yes (X)$0$0$0
MARIJO LETIZIA PHD
DIRECTOR1.02.0Yes (X)$0$0$0
THOMAS R PALMER JD
DIRECTOR1.02.0Yes (X)$0$0$0
JUDGE JOHN D TOURTELOT
DIRECTOR1.02.0Yes (X)$0$0$0
MICHAEL HANDLER MD
DIRECTOR; CMO ABMC & SAMC25.025.0Yes (X)$0$394,182$34,049
MARK FREY
CEO, AMITA HEALTH0.00.0Yes (X)$0$1,730,719$47,458
DONNA GAUTHIER
ASSISTANT SECRETARY1.039.0Yes (X)$0$90,398$24,526
DIANA WOYTKO
SECRETARY; CQO, AMITA HEALTH1.049.0Yes (X)$0$383,399$58,496
HENRY ZEISEL
TREASURER; CFO, ABMC & SAMC25.025.0Yes (X)$0$285,379$25,862
LAURENCE R DRY III
CHIEF OPERATING OFFICER25.025.0$0$341,806$35,388Yes (X)
ANSHUL AGGARWAL MD
CARDIOLOGY50.00$1,051,926$0$23,340Yes (X)
BRYAN BERTOGLIO MD
NEUROSURGERY50.00$1,215,131$0$36,122Yes (X)
KOGAN NEPHTALI MD
CARDIOLOGY50.00$858,555$0$46,053Yes (X)
SCOTT E TOMASIK MD
CARDIOLOGY50.00$951,097$0$46,173Yes (X)
SANJAY YADLA MD
NEUROSURGEON50.00$810,391$0$34,293Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,887,101TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,044,036TotReportableCompRltdOrgAmt
Total Other Compensation$474,064TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K138IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
OBHG ILLINOIS SC
10 CENTIMETERS DRMAULDINSC29662MEDICAL SERVICES$1,005,730
SUBURBAN LUNG ASSOCIATES SC
800 BIESTERFIELD RD STE 510ELK GROVE VILLAGEIL60007MEDICAL SERVICES$752,285
POWER CONSTRUCTION COMPANY LLC
8750 W BRYN MAWR AVE STE 500CHICAGOIL60631CONSTRUCTION SERVICES$502,917
PULMONARY EXCHANGE LTD
9840 SOUTHWEST HIGHWAYOAK LAWNIL60453MEDICAL SERVICES$294,274
COMPASS HEALTHCARE CONSULTING LLC
3400 DUNDEE RD STE 200NORTHBROOKIL60062CONSULTING SERVICES$260,392
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$148,025RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Total Contributions$148,025TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Revenue621990$346,685,124$346,685,124
Income from Joint Ventures621990$985,000$985,000
Rental Income from Affiliates531120$886,775$886,775
Services to Affiliates561000$434,566$434,566
Laboratory Services621500$50,288$50,288

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$349,041,753TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$725,740TotalRevenueColumnAmt
Exclusion$725,740ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,318,404RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,030,554RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$287,850RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$287,850TotalRevenueColumnAmt
Exclusion$287,850ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$7,840OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$5,220OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$2,620OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,620TotalRevenueColumnAmt
Exclusion$2,620ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Exclusion$0ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$393,318GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$393,318TotalRevenueColumnAmt
Exclusion$393,318ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria/Vending Revenue722514$1,477,571$1,477,571
Medical Records Fees900099$9,754$9,754
Childbirth Education616000$50,947$50,947

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,284TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$15,284ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,553,556OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$352,152,862TotalRevenueColumnAmt
Related Or Exempt Func Income$349,042,412RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$50,288UnrelatedBusinessRevenueAmt
Exclusion$2,912,137ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$98,434,149TotalAmt
Program Services$92,624,354ProgramServicesAmt
Management And General$5,809,795ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,014,243TotalAmt
Program Services$1,895,358ProgramServicesAmt
Management And General$118,885ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,907,553TotalAmt
Program Services$11,204,744ProgramServicesAmt
Management And General$702,809ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,217,507TotalAmt
Program Services$6,791,514ProgramServicesAmt
Management And General$425,993ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$16,218TotalAmt
Management And General$16,218ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,672TotalAmt
Management And General$10,672ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,614TotalAmt
Management And General$1,614ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,667,932TotalAmt
Program Services$7,319,491ProgramServicesAmt
Management And General$348,441ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$159,802TotalAmt
Program Services-$68,463ProgramServicesAmt
Management And General$228,265ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$779,140TotalAmt
Program Services$341,726ProgramServicesAmt
Management And General$437,414ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$43,801TotalAmt
Program Services$40,007ProgramServicesAmt
Management And General$3,794ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,531,491TotalAmt
Program Services$640,035ProgramServicesAmt
Management And General$4,891,456ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$54,402TotalAmt
Program Services$48,172ProgramServicesAmt
Management And General$6,230ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$145,911TotalAmt
Program Services$119,616ProgramServicesAmt
Management And General$26,295ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,960,496TotalAmt
Management And General$8,960,496ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,660,247TotalAmt
Program Services$3,338,941ProgramServicesAmt
Management And General$12,321,306ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,852,640TotalAmt
Management And General$2,852,640ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Professional Fee to Affiliate$61,461,765$61,461,765
Medical Supplies$45,559,883$45,688,451-$128,568
Purchased Services$18,263,924$2,327,814$15,936,110
Provider Tax$15,455,850$15,455,850

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,995,907TotalAmt
Program Services$12,214,222ProgramServicesAmt
Management And General$781,685ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$315,195,147TotalAmt
Program Services$261,443,597ProgramServicesAmt
Management And General$53,751,550ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$496BOYAmt
EOY$11,271EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,327EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$60,633,377BOYAmt
EOY$56,200,385EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,716,728BOYAmt
EOY$5,485,212EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$167,744BOYAmt
EOY$292,402EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$333,126,071LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$91,525,367LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$247,517,182BOYAmt
EOY$241,600,704EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,309,975BOYAmt
EOY$1,258,996EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$121,431BOYAmt
EOY$235,523EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,230,309BOYAmt
EOY$89,366,274EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$327,697,242BOYAmt
EOY$394,453,094EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$20,353,429BOYAmt
EOY$19,444,258EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$87,096,477BOYAmt
EOY$88,115,901EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$107,449,906BOYAmt
EOY$107,560,159EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$220,247,336BOYAmt
EOY$286,892,935EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$220,247,336BOYAmt
EOY$286,892,935EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$327,697,242BOYAmt
EOY$394,453,094EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$36,957,715ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$29,687,884OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$1,614OtherActivitiesAmt
Total Lobbying Expenditures$1,614TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYLobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. Alexius Medical Center does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYLobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. Alexius Medical Center does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,220,000OtherCostOrOtherBasisAmt
Book Value$12,220,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$250,729,551OtherCostOrOtherBasisAmt
Depreciation$54,105,644DepreciationAmt
Book Value$196,623,907BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,423,594OtherCostOrOtherBasisAmt
Depreciation$4,832,931DepreciationAmt
Book Value$3,590,663BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,793,803OtherCostOrOtherBasisAmt
Depreciation$32,531,595DepreciationAmt
Book Value$24,262,208BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,959,123OtherCostOrOtherBasisAmt
Depreciation$55,197DepreciationAmt
Book Value$4,903,926BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$241,600,704TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Other Current Assets$99,682
Due from Affiliates$86,269,107
Other Receivables$331,472
Estimated 3rd Party Payor Settlements$2,666,013
Adj-Debt Issuance Costs #193425 - N/R Other
FieldValueIRS element (for citing)
Total Book Value Other Assets$89,366,274TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$50,000FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Due to Affiliates$37,153,973
Other Current Liabilities$1,854,869
Estimated 3rd Party Payor Settlement$47,700,539
Recovery Tail Liability$574,433
Accrued Tax Liability$782,087
FieldValueIRS element (for citing)
Total Liability$88,115,901TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationTHE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2018.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,617,185TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,617,185NetCommunityBenefitExpnsAmt
Total Expense0.0146TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$69,683,475TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$68,945,926DirectOffsettingRevenueAmt
Net Community Benefit Expns$737,549NetCommunityBenefitExpnsAmt
Total Expense0.0023TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$74,300,660TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$68,945,926DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,354,734NetCommunityBenefitExpnsAmt
Total Expense0.0170TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served108217PersonsServedCnt
Total Community Benefit Expns$428,247TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,690DirectOffsettingRevenueAmt
Net Community Benefit Expns$425,557NetCommunityBenefitExpnsAmt
Total Expense0.0014TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served1244PersonsServedCnt
Total Community Benefit Expns$1,063,906TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,063,906NetCommunityBenefitExpnsAmt
Total Expense0.0034TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served339PersonsServedCnt
Total Community Benefit Expns$1,009,980TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,009,980NetCommunityBenefitExpnsAmt
Total Expense0.0032TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served1PersonsServedCnt
Total Community Benefit Expns$3,720TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,720NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served109801PersonsServedCnt
Total Community Benefit Expns$2,505,853TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,690DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,503,163NetCommunityBenefitExpnsAmt
Total Expense0.0079TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served109801PersonsServedCnt
Total Community Benefit Expns$76,806,513TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$68,948,616DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,857,897NetCommunityBenefitExpnsAmt
Total Expense0.0249TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$4,790,203BadDebtExpenseAmt
Bad Debt Expense Attributable$479,020BadDebtExpenseAttributableAmt
Reimbursed By Medicare$91,889,822ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$109,119,682CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$17,229,860MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1HOFFMAN ESTATES SURGERY CENTER LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesAMBULATORY SURGERY CENTERPrimaryActivitiesTxt
Org Profit Or Ownership0.4OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.6PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST ALEXIUS MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11555 BARRINGTON ROADAddressLine1Txt
CityHOFFMAN ESTATESCityNm
State AbbreviationILStateAbbreviationCd
ZIP60169ZIPCd
FieldValueIRS element (for citing)
Website Addresshttps://www.amitahealth.org/locations/hospitals/hoffman-estatesWebsiteAddressTxt
State License0004994StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST ALEXIUS MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.amitahealth.org/about-us/community-benefit/st-alexius-hoffman-estatesOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.amitahealth.org/about-us/community-benefit/st-alexius-hoffman-estatesStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care600.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistanceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistanceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3ETo better target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - ST ALEXIUS MEDICAL CENTER. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY HOSPITALS PARTICIPATING IN THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL (MCHC) LED HOSPITAL COALITION; AND INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, SOCIAL SERVICE PROVIDERS AND A VARIETY OF OTHER COMMUNITY LEADERS. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK AS WELL AS THE COMMUNITY OVERALL. TWENTY-NINE AGENCIES/INDIVIDUALS PROVIDED COMMENT. INPUT FROM THE FOLLOWING ORGANIZATIONS WAS GATHERED DURING THE PERIOD AUGUST TO OCTOBER 2016 : A SAFE HAVEN FOUNDATION ANTOICH AREA HEALTHCARE ACCESSIBILITY ALLIANCE AUSTIN CHILDCARE PROVIDERS NETWORK CHICAGO DEPARTMENT OF PUBLIC HEALTH DUPAGE COUNTY HEALTH DEPARTMENT DUPAGE FEDERATION ON HUMAN SERVICES REFORM ELMHURST CUSD 205 ENLACE CHICAGO ERIE FAMILY HEALTH CENTER/ERIE HEALTHREACH WAUKEGAN HEALTHCARE FOUNDATION OF NORTHERN LAKE COUNTY ILLINOIS DEPARTMENT OF PUBLIC HEALTH, BELLWOOD REG OFFICE LAKE COUNTY FOREST PRESERVES LAKE COUNTY HEALTH DEPARTMENT LAKE COUNTY COMMUNITY HEALTH CENTER LORETTO HOSPITAL METROPOLITAN CHICAGO HEALTHCARE COUNCIL NAPERVILLE SCHOOL DISTRICT 203 NEW MOMS, INC. NORTHWEST COMMUNITY HEALTHCARE NORTHWEST COMPASS, INC. NORTHWESTERN LAKE FOREST HOSPITAL PCC COMMUNITY WELLNESS CENTER PEOPLE'S RESOURCE CENTER ST. JOSEPH SERVICES UNITED WAY OF METROPOLITAN CHICAGO VILLAGE OF ADDISON VILLAGE OF ARLINGTON HEIGHTS WEST HUMBOLDT PARK DEVELOPMENT COUNCIL WHEELING TOWNSHIP GENERAL ASSISTANCE OFFICE THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS (INCLUDING AFRICAN-AMERICAN, ARABIC, ASIAN, AUTISTIC CHILDREN, THE DISABLED, EASTERN EUROPEAN, ELDERLY, ETHNIC MINORITIES, HISPANIC, THE HOMELESS, IMMIGRANTS, INDIAN, JAPANESE, LGBT POPULATION, LOW-INCOME RESIDENTS, MULTILINGUAL, MULTIRACIAL, NON-ENGLISH SPEAKING, POLISH, RUSSIAN, SOUTH AMERICAN, UNDOCUMENTED, UNINSURED/UNDERINSURED, WOMEN, YOUTH), OR OTHER MEDICALLY UNDERSERVED POPULATIONS (INCLUDING AFRICAN-AMERICAN, THE DISABLED, ELDERLY, EX-OFFENDERS, FREE CARE, HISPANIC, THE HOMELESS, IMMIGRANTS, LGBT COMMUNITY, LOW-INCOME, MEDICAID/MEDICARE, THE MENTALLY ILL, NONENGLISH SPEAKING ADULTS, PREGNANT TEENS, SUBSTANCE ABUSERS, UNDOCUMENTED, UNINSURED/UNDERINSURED, VETERANS, YOUNG ADULTS, YOUTH).
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - ST ALEXIUS MEDICAL CENTER. THE OTHER HOSPITAL FACILITIES WITH WHICH THE REPORTING HOSPITAL CONDUCTED ITS CHNA INCLUDE: ADVENTIST LAGRANGE MEMORIAL HOSPITAL ALEXIAN BROTHERS MEDICAL CENTER ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL FRANCISCAN ST. JAMES HEALTH INGALLS MEMORIAL HOSPITAL LITTLE COMPANY OF MARY HOSPITAL AND HEALTH CARE CENTERS LORETTO HOSPITAL NORTHWEST COMMUNITY HEALTHCARE NORTHWESTERN MEMORIAL HOSPITAL PALOS COMMUNITY HOSPITAL RUSH OAK PARK HOSPITAL RUSH UNIVERSITY MEDICAL CENTER SAINT ANTHONY HOSPITAL ST. BERNARD HOSPITAL AND HEALTH CARE CENTER SWEDISH COVENANT HOSPITAL THE UNIVERSITY OF CHICAGO MEDICINE THOREK MEMORIAL HOSPITAL ADVENTIST GLEN OAKS HOSPITAL ADVENTIST HINSDALE HOSPITAL EDWARD HOSPITAL & HEALTH SERVICES ELMHURST MEMORIAL HEALTHCARE CENTRAL DUPAGE HOSPITAL NORTHWESTERN LAKE FOREST HOSPITAL ADVENTIST BOLINGBROOK HOSPITAL
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - ST. ALEXIUS MEDICAL CENTER - PART I. ISSUE: CANCER SAMC ALONG WITH ITS MEMBER HOSPITAL, ABMC, RUNS A COMPREHENSIVE CANCER INSTITUTE IN THEIR RESPECTIVE IMMEDIATE SERVICE AREAS. FREE SUPPORT GROUPS THAT FOCUS ON EDUCATION, SUPPORT AND POSITIVE COPING WERE PROVIDED TO PATIENTS AND COMMUNITY MEMBERS. THE SUPPORT GROUPS WERE LED BY LICENSED PROFESSIONALS THAT FACILITATE THE SESSIONS, WHICH WERE DESIGNED TO PROVIDE AN OPEN, SAFE AND ENCOURAGING ENVIRONMENT FOR THE SHARING OF COMMON EXPERIENCES, TIPS AND LAUGHTER. SUPPORT GROUPS WERE FOCUSED ON THE FOLLOWING: -YOUNG WOMEN'S SUPPORT GROUP (50 & YOUNGER) - IN THIS PHASE OF LIFE, WOMEN'S ROLES INCLUDE BEING SINGLE YOUNG WOMEN, YOUNG WIVES, MOTHERS, AND BEGINNING OR SOLIDIFYING THEIR CAREERS. IN THIS GROUP, WOMEN RECEIVE EMOTIONAL SUPPORT FROM OTHER WOMEN WHO CAN SHARE THEIR PAST EXPERIENCES. -EXPRESS YOURSELF! - A MONTHLY WORKSHOP USING VARIOUS ART MATERIALS TO CREATE BEAUTIFUL SYMBOLS OF STRENGTH AND VITALITY. -FIT CLUB TO FIGHT CANCER - A FITNESS AND CANCER WORKOUT PROGRAM. -TAI CHI-QIGONG MEDITATION - TRADITIONAL CHINESE METHODS ARE TAUGHT TO STRENGTHEN THE HEALTH OF THE BODY, MIND, AND SPIRIT. - HEALING TOUCH - SPECIALIZED THERAPY DESIGNED TO ALLEVIATE CANCER TREATMENT'S PAIN, STRESS AND SIDE EFFECTS. -ENERGY THERAPY - HELPS TO EASE FATIGUE, PAIN AND STRESS WITH A 45-MINUTE MASSAGE. -MASSAGE THERAPY - A 30-MINUTE MASSAGE WITH A CERTIFIED THERAPIST. - GENTLE YOGA - AN INTRODUCTION TO YOGA FOR CANCER PATIENTS, WHO CAN PRACTICE FROM THE MAT OR CHAIR. -CANCER GENETICS RISK ASSESSMENT - CERTIFIED HIGH-RISK GENETIC EDUCATORS OFFER GENETIC EDUCATION/COUNSELING AND TESTING FOR HEREDITARY CANCERS. ISSUE: CHRONIC KIDNEY DISEASE OUR EFFORTS AT ADDRESSING CHRONIC KIDNEY DISEASE CONTINUE TO BE INCLUDED IN ALL OF OUR EDUCATION, PREVENTION, SCREENING AND TREATMENT OF TYPE II DIABETES. ISSUE: HIV/AIDS ABHS, CORPORATE MEMBER OF SAMC, CONTINUES TO BE A PERMANENT, VOTING MEMBER OF THE CATHOLIC CHARITIES HIV/AIDS TASK FORCE FOR THE CHICAGO ARCHDIOCESE AND IS AN HIV/AIDS PROGRAM SERVICES ADVISORY COMMITTEE. THIS TASK FORCE COLLABORATES WITH AGENCIES,INSTITUTIONS AND INDIVIDUALS WHO PROVIDE HIV/AIDS SERVICES, EDUCATION AND MINISTRY IN THE CHICAGO AREA TO CARRY OUT THE HEALING MISSION OF THE CATHOLIC CHURCH. THIS APPROACH BEGINS WITH HOUSING, THE CORNERSTONE OF HEALTHCARE AND AN INTEGRAL PART OF ABHS. STABLE HOUSING PROVIDES A FOUNDATION FOR PEOPLE TO GET A FRESH START. IT PROVIDES A PLACE TO RECEIVE COUNSELING, CARE, AND TO RECONNECT WITH FAMILY. IT'S A PLACE TO BE PART OF A SUPPORTIVE COMMUNITY THAT OFFERS COMPREHENSIVE SERVICES. ABHS OFFERS CLIENTS A WIDE ARRAY OF SUPPORTIVE SERVICES. INDIVIDUAL SESSIONS AND GROUP SERVICES WERE PROVIDED IN ALL AREAS, INCLUDING SPIRITUAL CARE, LIFE SKILLS, AND PSYCHOSOCIAL SUPPORT GROUPS SUCH AS HIV SUPPORT AND SUBSTANCE USE COUNSELING. THE PROGRAMS WERE FOCUSED ON TREATING THE WHOLE INDIVIDUAL, THROUGH A HOLISTIC RANGE OF SERVICES FOCUSED ON RECOVERY AND SUPPORT. THESE INCLUDE THE FOLLOWING: COMPREHENSIVE CASE MANAGEMENT; SUBSTANCE USE COUNSELING; OCCUPATIONAL THERAPY; SPIRITUAL CARE; AND, AFTER CARE. ABHS REPRESENTS CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) ON ISSUES RELATED TO HIV/AIDS. ISSUE:IMMUNIZATION AND INFECTIOUS DISEASES SAMC HOSTED CHILD IMMUNIZATION CLINICS WITH LOCAL MUNICIPALITIES FOR A NOMINAL FEE. SAMC PROVIDES EVERY PATIENT UPON DISCHARGE THE OPPORTUNITY TO RECEIVE A FLU VACCINE. SAMC REQUIRES EVERY EMPLOYEE TO HAVE A FLU VACCINE FOR THE PROTECTION OF OUR PATIENTS UNLESS THEY WERE MEDICALLY EXCUSED. THE EMPLOYED PHYSICIAN GROUP SERVING SAMC URGES EVERY PATIENT TO HAVE A FLU VACCINATION. ABHS, CORPORATE MEMBER OF SAMC, PROVIDES A FREE IMMUNIZATION CLINIC EACH QUARTER TO ANY MEMBER OF THE COMMUNITY. ISSUE: INFANT HEALTH AND FAMILY PLANNING THROUGH THE WOMEN'S HEALTH INSTITUTE, A VARIETY OF FREE PROGRAMS WERE OFFERED TO PATIENTS, FAMILY AND CAREGIVERS AT NO CHARGE OR FOR A NOMINAL FEE. THEY INCLUDE: -TWO-PART, IN-DEPTH CLASSES FOR EXPECTED COUPLES WHO WANT TO LEARN MORE ABOUT BREASTFEEDING. -PREGNANCY CENTRAL, AN ONLINE RESOURCE FOR INFORMATION AND QUESTIONS DURING PREGNANCY. -BREASTFEEDING CLASSES. -PREPARED CHILDBIRTH CLASSES PROVIDED TO NEW PARENTS THAT COVERS LABOR AND DELIVERY, OBSTETRIC INTERVENTIONS, MEDICATIONS, CESAREAN DELIVERY, NEWBORN CARE AND FEELINGS. -TWO-SESSIONS, FOUR-HOUR CLASSES ARE OFFERED TO PREPARE PARENTS NAVIGATE THEIR FIRST WEEKS AT HOME. -WEEKEND PREPARED CHILDBIRTH CLASSES WHICH FOCUSES ON ONE-WEEKEND WITH COMPACT COURSES FOR EXPECTED PARENTS. SAMC HAS ADOPTED THE MARCH OF DIMES "HEALTHY BABIES ARE WORTH THE WAIT" INITIATIVE TO EDUCATE CONSUMERS AND PROFESSIONALS ABOUT PREVENTABLE PRETERM BIRTH, WHICH WAS ADOPTED BY ALL OBSTETRICIANS ON THE MEDICAL STAFF AND COMMUNICATED TO ALL PATIENTS. ISSUES: INJURY AND VIOLENCE, POTENTIALLY DISABLING CONDITIONS SAMC IS DETERMINED TO ADDRESS FAMILY VIOLENCE BY PARTNERING WITH THE WINGS PROGRAM. WINGS PROVIDES A PATHWAY TO INDEPENDENCE FOR ADULTS AND CHILDREN WHO WERE ESCAPING DOMESTIC VIOLENCE AND ABUSE. SAMC PROVIDES AT NO CHARGE AN OFFICE FOR WINGS AT SAMC THAT IS STAFFED BY A FULL-TIME WINGS SOCIAL WORKER WHO MEETS WITH CLIENTS AND PROVIDES SCREENING AND OTHER SUPPORT SERVICES. THROUGH THE PARTNERSHIP WITH WINGS, SAMC DEVELOPED AN INDESTRUCTIBLE BUSINESS CARD WITH HELPLINE PHONE NUMBER AND HAS IMPLEMENTED A PROCESS IN IDENTIFYING AND OFFERING HELP IN BOTH ENGLISH AND SPANISH. SAMC HAS BEEN PROVIDING CONTINUING EDUCATION FOR EMERGENCY MEDICAL PERSONNEL. THESE NURSES WORK WITH THE REGIONAL EMERGENCY SERVICES COORDINATOR TO TEACH, TRAIN AND TEST EVERY FIRST RESPONDER ON A CONTINUAL BASIS. EMERGENCY ROOMS AT SAMC HAVE BEEN TRAINED ON IDENTIFYING AND SUPPORTING HUMAN TRAFFICKING SURVIVORS. A SURVEY CONDUCTED BY THE COALITION TO ABOLISH SLAVERY & TRAFFICKING (CAST) FOUND OVER HALF OF LABOR AND SEX TRAFFICKING SURVIVORS SURVEYED HAD ACCESSED HEALTH CARE AT LEAST ONCE WHILE BEING TRAFFICKED. THIS SHOWS AN OPPORTUNITY FOR EMERGENCY DEPARTMENTS, FIRST RESPONDERS AND EMT STAFF TO DETECT POTENTIAL SITUATIONS. THROUGH THE WOMEN'S HEALTH INSTITUTE FAMILY AND FRIENDS INFANT CPR CLASSES ARE OFFERED, WHICH TEACHES THE LIFESAVING SKILLS OF CPR AND RELIEF OF CHOKING. THE SENIOR & COMMUNITY RESOURCE CENTER OFFERS FREE OSTEOPOROSIS AND MEMORY SCREENINGS. ISSUES: MENTAL HEALTH, SUBSTANCE ABUSE SAMC CREATED A 3-YEAR PARTNERSHIP WITH THE ECKER CENTER FOR MENTAL HEALTH TO OFFER PSYCHIATRIC SERVICES TO THE UNDERINSURED. THE FUNDING FROM SAMC GIVES THE ECKER CENTER FOR MENTAL HEALTH THE ABILITY TO ENROLL 15 NEW CHILDREN INTO THE PSYCHIATRIC DEPARTMENT, BUT THE ENROLLMENT EXCEEDED GOALS AND ENROLLED 60 ADOLESCENTS INSTEAD DURING THE 2018 FISCAL YEAR. PATIENTS RATED THE EFFICACY OF TREATMENT AND SATISFACTION AT 90%. MOST MENTAL HEALTH COMMUNITY PROGRAMMING IS DISSEMINATED THROUGH ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL, A HOSPITAL AFFILIATED WITH SAMC. ISSUE: NUTRITION, PHYSICAL ACTIVITY AND WEIGHT SAMC ALONG WITH ITS MEMBER HOSPITAL, ABMC, OFFER THE GONOODLE PROGRAMMING TO THE SCHAUMBURG AND ELGIN AREA SCHOOL DISTRICTS. GONOODLE IS AN ONLINE SUITE OF PROGRAMS DESIGNED TO IMPROVE CHILDREN'S PHYSICAL ACTIVITY AND NUTRITION. THIS INCLUDES OVER 50 SCHOOLS WITH AN AVERAGE OF 14,000 STUDENTS PARTICIPATING IN GONOODLE ACTIVITIES ON A MONTHLY BASIS. GONOODLE CREATES AN ENGAGING AND FUN ENVIRONMENT WHERE CHILDREN MOVE AROUND THE CLASSROOM, INCREASING THEIR PHYSICAL ACTIVITY TIME WHILE LEARNING THEIR CURRICULUM MATERIAL. NATIONALLY, THE UTILIZATION OF GONOODLE SHOWED 23% GREATER IMPROVEMENT IN READING SCORES, 50% GREATER IMPROVEMENT IN MATH SCORES AND 13% IMPROVEMENT IN CHILDHOOD WEIGHT (AS MEASURED BY BMI) COMPARED TO CHILDREN WHO DIDN'T PLAY GONOODLE. ISSUES: TYPE II DIABETES, HEART DISEASE AND STROKE SAMC ALONG WITH ITS MEMBER HOSPITAL, ABMC, PARTNERED WITH GOLDEN CORRIDOR FAMILY YMCA IN ELGIN AND SCHAUMBURG TO LAUNCH THE DIABETES PREVENTION PROGRAM (DPP) FOR THE AT-RISK POPULATION AND THOSE WHO WERE UNDERINSURED. THE GOAL OF THE DPP PROGRAM IS FOR PARTICIPANTS TO LOSE 5-7% OF BODY WEIGHT (2% BMI DECREASE) DURING THE PROGRAM AND MAINTAIN THE WEIGHT AFTER THE PROGRAM. THE PROGRAM ALSO AIMS TO INCREASE PHYSICAL ACTIVITY OF PARTICIPANTS TO 150 MINUTES PER WEEK. BOTH HOSPITALS OFFER FINANCIAL SUPPORT IN INITIATING THE DPP PROGRAM WHILE OFFERING FINANCIAL AID TO THE PARTICIPANTS THUS TARGETING PARTICIPANTS WHOM WERE UNDERINSURED. OFFERING DIABETES CARE AND CHRONIC MANAGEMENT SERVICES IN THE COMMUNITIES BATTLING HIGH RATES OF THESE DISEASES IMPROVES ACCESS TO HEALTH CARE. SAMC LED DIABETES EDUCATIONAL PROGRAMMING THROUGH A MENTOR PROGRAM MEET AND GREET, AND OFFERED DIABETES 101 CLASS TO SCHOOL NURSES AND STAFF THROUGHOUT FY2018. SAMC COORDINATES FREE BI-MONTHLY BLOOD PRESSURE SCREENINGS TO PREVENT HYPERTENSION RELATED HEALTH RISKS TO THE COMMUNITY. THE HOSPITAL PROVIDED BLOOD PRESSURE SCREENING TO HUNDREDS OF PEOPLE IN THE COMMUNITY.
Schedule H, Part V, Section B, Line 11 Facility , 2Facility , 2 - ST. ALEXIUS MEDICAL CENTER - PART II. THE SENIOR & COMMUNITY RESOURCE CENTER OFFERS FREE EVENTS/PROGRAMS THAT SUPPORT HEALTH LIFESTYLES. THOSE EVENTS INCLUDE CHOLESTEROL AND BLOOD PRESSURE SCREENINGS; FOREVER YOUNG YOGA CLASSES, AND HEATLY COOKING CLASSES. ISSUE: RESPIRATORY DISEASES A NEW ALEXIAN SLEEP HEALTH CENTER IS BEING CONSTRUCTED IN SAMC TO SERVE THE COMMUNITY IN THE IMMEDIATE SERVICE AREAS. THE CENTER IS PREMIER IN THE CHICAGOLAND AREA IN BOTH QUALITY AND QUANTITY. THE SLEEP STAFF INCLUDES A NATIONALLY RECOGNIZED PEDIATRIC SLEEP SPECIALIST WHO HAS ALLOWED THE PROGRAM TO DEVELOP HIGH QUALITY SERVICE IN THE IMPORTANT AND UNDERSERVED AREA OF PEDIATRIC SLEEP. THE ALEXIAN SLEEP HEALTH CENTER WAS FOUNDED TO HELP PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS DIAGNOSE AND TREAT PATIENTS WITH SLEEP DISORDERS INCLUDING SLEEP APNEA, NARCOLEPSY, RESTLESS LEGS SYNDROME AND INSOMNIA. AT THE TIME OF THIS REPORT, ABMC IS IN THE PLANNING STAGES OF AN ASTHMA PROGRAM WITH OTHER COMMUNITY STAKEHOLDERS. ISSUE: SEXUALLY TRANSMITTED DISEASES SAMC DOES NOT PROVIDE SPECIFIC PROGRAMMING FOR THIS ISSUE BUT PROVIDES REFERRALS TO PRIMARY CARE FOR ANY COMMUNITY MEMBER NEEDING ASSISTANCE. ALL IDENTIFIED NEEDS ARE BEING ADDRESSED BY ALEXIAN BROTHERS MEDICAL CENTER, ST. ALEXIUS MEDICAL CENTER AND ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL AS DESCRIBED.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - ST ALEXIUS MEDICAL CENTER. ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING CHARITY. THE FRONT OF OUR STATEMENT INCLUDES THIS MESSAGE: "IF YOU ARE AN UNINSURED ILLINOIS RESIDENT AND MEET CERTAIN INCOME REQUIREMENTS, YOU MAY QUALIFY FOR A DISCOUNT THROUGH OUR ALEXIAN ASSISTANCE PROGRAM IN ACCORDANCE WITH THE STATE OF ILLINOIS, HOSPITAL UNINSURED PATIENT DISCOUNT ACT (EFFECTIVE APRIL 1, 2009). FOR ADDITIONAL INFORMATION, PLEASE CONTACT US AT 866-690-3370 OR ALEXIANASSISTANCE@ALEXIAN.NET". THE BACK OF OUR STATEMENT INCLUDES THIS MESSAGE: "IF PAYING THIS BILL PRESENTS A FINANCIAL HARDSHIP, YOU MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALEXIAN BROTHERS HOSPITAL NETWORK PROVIDES ASSISTANCE TO PATIENTS IN NEED OF FINANCIAL AID TO HELP PAY FOR HIS/HER HOSPITAL BILLS. YOU MAY OBTAIN AN APPLICATION BY CALLING OUR STAFF AT THE NUMBER BELOW OR YOU MAY DOWNLOAD THE FORMS FROM THE INTERNET AT WWW.ALEXIANBROTHERSHEALTH.ORG". IN ADDITION, ALL UNINSURED PATIENTS RECEIVE A LETTER FROM OUR PATIENT FINANCIAL SERVICES DEPARTMENT ONCE WE COMPLETE A PROCESS OF ATTEMPTING TO IDENTIFY ALTERNATIVE COVERAGE FOR UNINSURED PATIENTS. THIS LETTER IS SENT AT THE BEGINNING OF OUR STATEMENT CYCLE FOR EACH UNINSURED PATIENT. THE TEXT OF THE LETTER IS: "THANK YOU FOR CHOOSING [HOSPITAL NAME] AS YOUR HEALTHCARE PROVIDER. YOUR ACCOUNT CURRENTLY HAS A BALANCE OF $XX; ADDITIONAL CHARGES MAY BE PENDING. WE HAVE NO RECORD THAT YOU HAVE HEALTH INSURANCE TO HELP IN PAYING YOUR BILL. IF YOU HAVE INSURANCE, PLEASE PROVIDE THE NECESSARY INFORMATION BY FILLING OUT THE STUB ABOVE AND FAXING A COPY OF YOUR INSURANCE CARD TO 847-483-7058, ATTN: CORRESPONDENCE TEAM. IF YOU HAD INSURANCE THAT ENDED WITHIN THE LAST 60 DAYS, YOU MAY BE ELIGIBLE FOR COBRA COVERAGE FROM A FORMER EMPLOYER. PLEASE CONTACT YOUR FORMER EMPLOYER TO DETERMINE IF YOU ARE ELIGIBLE." ST. ALEXIUS USES MULTIPLE METHODS OF COMMUNICATING ITS MISSION OF PROVIDING CARE TO ALL WHO NEED IT REGARDLESS OF ABILITY TO PAY. SIGNS POSTED AT REGISTRATION CLEARLY POINT OUT THAT CHARITY CARE OR FINANCIAL ASSISTANCE IS AVAILABLE. ALEXIAN BROTHERS HEALTH SYSTEM'S (ABHS) WEBSITE, THE MAIN WEBSITE FOR ALL SYSTEM HOSPITALS, INCLUDING ST. ALEXIUS, FEATURES INFORMATION ON HOW TO APPLY FOR CHARITY CARE ON-LINE. IN THE HOSPITAL SETTING, WE EMPLOY TWO FINANCIAL COUNSELORS WHO ARE AVAILABLE TO WORK WITH PATIENTS AND WE ALSO HAVE MEDICAID APPLICATION SPECIALISTS TO ASSIST PATIENTS THAT MAY QUALIFY. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING CHARITY.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
ST ALEXIUS OUTPATIENT CENTER
347 W GOLF ROADSCHAUMBURGIL60195DIAGNOSTIC IMAGING SERVICES AND PHYSICAL THERAPY REHABILITATION SERVICES
ST ALEXIUS BREAST CARE CENTER
864 W STEARNS ROADBARTLETTIL60103MAMMOGRAPHY AND DEXA BONE SCAN IMAGING

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part VI, Line 7 STATE OF FILING COMMUNITY BENEFITALEXIAN BROTHERS HOSPITAL NETWORK("ABHN") PREPARES AND FILES THE ANNUAL NON-PROFIT HOSPITAL COMMUNITY BENEFIT PLAN REPORT WITH THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS. THIS REPORT IS PREPARED ON A CONSOLIDATED BASIS AND INCLUDES DATA FOR ALEXIAN BROTHERS MEDICAL CENTER ("ABMC"), ST. ALEXIUS MEDICAL CENTER ("SAMC") AND ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL ("ABBHH").
Schedule H, Part I, Line 3c FAP ELIGIBILTYPATIENTS WITH INCOME LESS THAN OR EQUAL TO 250% OF THE FEDERAL POVERTY LEVEL ("FPL") WILL BE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF ON THAT PORTION OF THE CHARGES FOR SERVICES FOR WHICH THE PATIENT IS RESPONSIBLE FOLLOWING PAYMENT BY AN INSURER, IF ANY. AT A MINIMUM, PATIENTS WITH INCOMES ABOVE 250% OF THE FPL BUT NOT EXCEEDING 400% OF THE FPL WILL RECEIVE A SLIDING SCALE DISCOUNT ON THAT PORTION OF THE CHARGES FOR SERVICES PROVIDED FOR WHICH THE PATIENT IS RESPONSIBLE FOLLOWING PAYMENT BY AN INSURER, IF ANY. A PATIENT ELIGIBLE FOR THE SLIDING SCALE DISCOUNT WILL NOT BE CHARGED MORE THAN THE CALCULATED AGB CHARGES. PATIENTS WITH DEMONSTRATED FINANCIAL NEEDS WITH INCOME GREATER THAN 400% OF THE FPL (INSURED) AND GREATER THAN 600% FPL (UNINSURED) MAY BE ELIGIBLE FOR CONSIDERATION UNDER A "MEANS TEST" FOR SOME DISCOUNT OF THEIR CHARGES FOR SERVICES FROM THE ORGANIZATION BASED ON A SUBSTANTIVE ASSESSMENT OF THEIR ABILITY TO PAY. CATASTROPHIC LOSS - YEARLY MAXIMUM FAMILY RESPONSIBILITY ON BALANCES WILL NOT EXCEED 25% OF THE ANNUAL GROSS FAMILY INCOME. A PATIENT ELIGIBLE FOR THE "MEANS TEST" DISCOUNT WILL NOT BE CHARGED MORE THAN THE CALCULATED AGB CHARGES.
Schedule H, Part I, Line 6a NAME OF THE ORGANIZATION THAT PREPARED THE COMMUNITY BENEFIT REPORTALEXIAN BROTHERS HOSPITAL NETWORK (ABHN), EIN: 36-3276552, PREPARES AND FILES THE ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFIT PLAN REPORT WITH THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS. THIS REPORT IS PREPARED ON A CONSOLIDATED BASIS AND INCLUDES DATA FOR ALEXIAN BROTHERS MEDICAL CENTER (ABMC), ST. ALEXIUS MEDICAL CENTER (SAMC) AND ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL (ABBHH).
Schedule H, Part V, Section B, Line 17 BILLING AND COLLECTION POLICYDURING TAX YEAR 2017, THE ORGANIZATION LEARNED VIA VERBAL COMMENTS OF IRS AGENTS AT PUBLIC EVENTS THAT THE IRS INTENDS THAT THE "READILY OBTAINABLE" STANDARD IN THE 501(R) REGULATIONS FOR THE AGB CALCULATION AND BILLING AND COLLECTION POLICY IS ONLY MET IF THOSE ITEMS ARE POSTED TO THE ORGANIZATION'S WEB SITE. THE ORGANIZATION HAD INTERPRETED THAT WEB POSTING STANDARD TO BE A SAFE HARBOR AFTER CONSULTING WITH EXTERNAL COUNSEL AND TAX ADVISORS, AND TIMELY TOOK OTHER STEPS TO MAKE THE INFORMATION READILY OBTAINABLE. CONSEQUENTLY, THE ORGANIZATION DOES NOT BELIEVE ITS DECISION TO NOT POST THESE DOCUMENTS TO ITS WEB SITE RISES TO THE LEVEL OF A FAILURE, NOR DOES IT BELIEVE THE CIRCUMSTANCES WERE EITHER WILLFUL OR EGREGIOUS, HAVING OTHERWISE TIMELY TAKEN THE STEPS NECESSARY TO ATTAIN AND CONTINUE TO MAINTAIN COMPLIANCE WITH THE OTHER REQUIREMENTS RELATED TO THE BILLING AND COLLECTION POLICY AND THE AGB, AS PART OF ITS POLICIES AND PROCEDURES FOR ENSURING COMPLIANCE WITH ALL ASPECTS OF 501(R). HOWEVER, THE ORGANIZATION IS MAKING THIS VOLUNTARY DISCLOSURE IN ORDER TO COMMUNICATE TO THE IRS THE CHANGES IT IS UNDERTAKING IN RESPONSE TO THE RECENT IRS INFORMAL GUIDANCE ON THIS SPECIFIC POINT CONCERNING THE "READILY OBTAINABLE" STANDARD, AND THE FACT THAT THE ORGANIZATION HAS STARTED THE WORK NECESSARY TO POST ITS AGB INFORMATION AND BILLING AND COLLECTION POLICY TO ITS WEB SITE AND WILL COMPLETE THOSE ADDITIONAL POSTINGS AS SOON AS REASONABLY POSSIBLE. THE OTHER WEB POSTINGS REQUIRED UNDER 501(R) (I.E., THOSE RELATED TO THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE FINANCIAL ASSISTANCE POLICY) WERE TIMELY COMPLETED AND CONTINUE TO REMAIN IN PLACE AS REQUIRED. THE ORGANIZATION BELIEVES ITS SAFEGUARDS WORKED AS INTENDED IN THIS CASE (I.E., THE ORGANIZATION HAS REGULAR COMMUNICATIONS WITH A NUMBER OF EXTERNAL LAW FIRMS AND TAX CONSULTANTS AND THE TIMELY ATTENTION TO THE RECENT GUIDANCE WAS SUPPORTED BY THE FRAMEWORK OF REGULAR ACCESS TO SUBJECT MATTER EXPERTS). THESE CHANGES ARE IN THE PROCESS OF BEING INCORPORATED INTO CORPORATE POLICIES AND PROCEDURES THAT APPLY TO THE ORGANIZATION.
Schedule H, Part I, Line 7g Subsidized Health ServicesST. ALEXIUS HAS NOT INCLUDED COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC AS PART OF SUBSIDIZED HEALTH SERVICES.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceTHE FOLLOWING COSTING METHODOLOGIES WERE USED: -CHARITY AT COST - A COST TO CHARGE METHODOLOGY BASED ON THE FILED 2018 MEDICARE COST REPORT WAS USED TO CALCULATE COSTS. -UNREIMBURSED MEDICAID - COSTS ARE CALCULATED USING THE 2018 FILED MEDICAID COST REPORT. -OTHER BENEFITS - COSTS ARE DETERMINED BY ACTIVITY REPORTED IN ACCORDANCE WITH GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION; COSTS COULD INCLUDE THE VALUE OF HOURLY WAGES, COSTS OF MATERIALS, VALUE OF SPACE LOANED TO COMMUNITY GROUPS FOR MEETINGS, AND INDIRECT COSTS WHERE APPLICABLE.
Schedule H, Part II Community Building ActivitiesTHE COMMUNITY BUILDING EFFORTS INCLUDE ECONOMIC DEVELOPMENT OPPORTUNITIES WITH CHAMBERS OF COMMERCE; PROVIDING INTERNSHIPS AND SCHOLARSHIPS TO LOCAL COLLEGES; AND SPONSORING FUND RAISERS FOR COMMUNITY ORGANIZATIONS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountAFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE ST ALEXIUS MEDICAL CENTER FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyTHE ABHN HOSPITALS, INCLUDING ST. ALEXIUS, PROACTIVELY WORK TO PRESUMPTIVELY ASSESS AND GRANT CHARITY TO ALL UNINSURED PATIENTS PRIOR TO SENDING THESE PATIENTS THEIR FIRST STATEMENT. WE SCREEN ALL UNINSURED PATIENTS AGAINST CREDIT SCORE DATA IN ORDER TO PRESUMPTIVELY APPLY OUR CHARITY POLICY.WE ESTIMATE THAT APPROXIMATELY 10% OF OUR CURRENT BAD DEBT PLACEMENTS WOULD BE ELIGIBLE FOR ADDITIONAL CHARITY IF WE HAD A FULL PRESUMPTIVE CHARITY PROCESS ACROSS 100% OF OUR SELFPAY AFTER INSURANCE ACCOUNTS. DISCOUNTS AND PAYMENTS ARE NOT INCLUDED IN BAD DEBT EXPENSE IN THE FINANCIAL STATEMENTS FOR ST. ALEXIUS UNLESS THE PAYMENT IS A RECOVERY OF AMOUNTS PREVIOUSLY WRITTEN OFF AS BAD DEBT. RECOVERIES ARE CLASSIFIED AS A DECREASE TO BAD DEBT EXPENSE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteFROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE (WHICH INCLUDE THE ACTIVITY OF ST ALEXIUS MEDICAL CENTER): The provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the System. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies. The methodology for determining the allowance for doubtful accounts and related write-offs on uninsured patient accounts has remained consistent with the prior year.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsA cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceIT IS THE POLICY OF ABHS, INCLUDING ST. ALEXIUS, TO OFFER PATIENTS A PAYMENT PLAN AND/OR CHARITY ASSISTANCE WHEN IT BECOMES KNOWN OR EVEN SUSPECTED THAT A PATIENT NEEDS FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS ARE NOTIFIED AND EVERY ATTEMPT IS MADE TO CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP THEM COMPLETE AN APPLICATION WITH COMPASSION AND DIGNITY. FINANCIAL COUNSELORS WORK WITH PATIENTS TO HELP DETERMINE IF THERE ARE ANY THIRD PARTY PAYERS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS. WE WORK WITH THE PATIENT TO DETERMINE IF THEY ARE ELIGIBLE FOR FEDERAL PROGRAMS INCLUDING MEDICAID, STATE FUNDED PROGRAMS INCLUDING CRIME VICTIMS, ALTERNATIVE INSURANCE INCLUDING COBRA, WORKER'S COMPENSATION AND OR OTHER SPECIALIZED GRANT PROGRAMS SUCH AS OUR MAMMOGRAPHY GRANT PROGRAM FOR LOW INCOME WOMEN. IN THE EVENT NO THIRD PARTY PROGRAMS ARE IDENTIFIED, WE THEN WORK WITH THE PATIENT TO HELP THEM APPLY FOR CHARITY DISCOUNTS AND PAYMENT PLANS.IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING CHARITY.
Schedule H, Part V, Section B, Line 16a FAP website- ST ALEXIUS MEDICAL CENTER: Line 16a URL: https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website- ST ALEXIUS MEDICAL CENTER: Line 16b URL: https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- ST ALEXIUS MEDICAL CENTER: Line 16c URL: https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessmentEXISTING SECONDARY DATA SOURCES WERE CONSULTED TO COMPLEMENT THE RESEARCH QUALITY OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT. DATA WERE OBTAINED FROM THE FOLLOWING SOURCES: *CENTER FOR APPLIED RESEARCH AND ENVIRONMENTAL SYSTEMS (CARES) *CENTERS FOR DISEASE CONTROL & PREVENTION, OFFICE OF INFECTIOUS DISEASE, NATIONAL CENTER FOR HIV/AIDS, VIRAL HEPATITIS, STD, AND TB PREVENTION *CENTERS FOR DISEASE CONTROL & PREVENTION, OFFICE OF PUBLIC HEALTH SCIENCE SERVICES, CENTER FOR SURVEILLANCE, EPIDEMIOLOGY AND LABORATORY SERVICES, DIVISION OF HEALTH INFORMATICS AND SURVEILLANCE (DHIS) *CENTERS FOR DISEASE CONTROL & PREVENTION, OFFICE OF PUBLIC HEALTH SCIENCE SERVICES, NATIONAL CENTER FOR HEALTH STATISTICS *COMMUNITY COMMONS *CONNECTICUT DEPARTMENT OF PUBLIC HEALTH *ESRI ARCGIS MAP GALLERY *NATIONAL CANCER INSTITUTE, STATE CANCER PROFILES *OPENSTREETMAP (OSM) *US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY *US CENSUS BUREAU, COUNTY BUSINESS PATTERNS *US CENSUS BUREAU, DECENNIAL CENSUS *US DEPARTMENT OF AGRICULTURE, ECONOMIC RESEARCH SERVICE *US DEPARTMENT OF HEALTH & HUMAN SERVICES *US DEPARTMENT OF HEALTH & HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) *US DEPARTMENT OF JUSTICE, FEDERAL BUREAU OF INVESTIGATION *US DEPARTMENT OF LABOR, BUREAU OF LABOR STATISTICS SECONDARY DATA INDICATORS REFLECT COUNTY-LEVEL DATA FOR COOK, LAKE, AND DUPAGE COUNTIES. WHILE THIS ASSESSMENT IS QUITE COMPREHENSIVE, IT CANNOT MEASURE ALL POSSIBLE ASPECTS OF HEALTH IN THE COMMUNITY, NOR CAN IT ADEQUATELY REPRESENT ALL POSSIBLE POPULATIONS OF INTEREST. IT MUST BE RECOGNIZED THAT THESE INFORMATION GAPS MIGHT IN SOME WAYS LIMIT THE ABILITY TO ASSESS ALL OF THE COMMUNITY'S HEALTH NEEDS. FOR EXAMPLE, CERTAIN POPULATION GROUPS - SUCH AS THE HOMELESS, INSTITUTIONALIZED PERSONS, OR THOSE WHO ONLY SPEAK A LANGUAGE OTHER THAN ENGLISH OR SPANISH - ARE NOT REPRESENTED IN THE SURVEY DATA. OTHER POPULATION GROUPS - FOR EXAMPLE, PREGNANT WOMEN, LESBIAN/GAY/BISEXUAL/TRANSGENDER RESIDENTS, UNDOCUMENTED RESIDENTS, AND MEMBERS OF CERTAIN RACIAL/ETHNIC OR IMMIGRANT GROUPS - MIGHT NOT BE IDENTIFIABLE OR MIGHT NOT BE REPRESENTED IN NUMBERS SUFFICIENT FOR INDEPENDENT ANALYSES. IN TERMS OF CONTENT, THIS ASSESSMENT WAS DESIGNED TO PROVIDE A COMPREHENSIVE AND BROAD PICTURE OF THE HEALTH OF THE OVERALL COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceMULTIPLE METHODS ARE USED AT ST. ALEXIUS TO COMMUNICATE ITS MISSION OF PROVIDING CARE TO ALL WHO NEED IT REGARDLESS OF ABILITY TO PAY. SIGNS POSTED AT REGISTRATION CLEARLY POINT OUT THAT CHARITY CARE OR FINANCIAL ASSISTANCE IS AVAILABLE. ALEXIAN BROTHERS HEALTH SYSTEM'S (ABHS) WEBSITE, THE MAIN WEBSITE FOR ALL SYSTEM HOSPITALS, INCLUDING ST. ALEXIUS, FEATURES INFORMATION ON HOW TO APPLY FOR CHARITY CARE ON-LINE. IN THE HOSPITAL SETTING, WE EMPLOY FINANCIAL COUNSELORS WHO ARE AVAILABLE TO WORK WITH PATIENTS AND WE ALSO HAVE MEDICAID APPLICATION SPECIALISTS TO ASSIST PATIENTS THAT MAY QUALIFY. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING CHARITY.
Schedule H, Part VI, Line 4 Community informationIN THE SAMC SERVICE AREA, THE POPULATION IS SLIGHTLY OLDER WITH 15.4% OF RESIDENTS OVER AGE 65 AS COMPARED TO 13.9% IN ILLINOIS. 19.2% OF THE POPULATION IS HISPANIC, A HIGHER PERCENTAGE AS COMPARED TO 16.7% IN ILLINOIS AND 17.4% IN THE US. THE COMMUNITY'S SOCIAL DETERMINANTS ARE FAIRLY AVERAGE, EXCEPT THAT THERE ARE 7.6% OF RESIDENTS THAT IS CONSIDERED "LINGUISTICALLY ISOLATED" IE DO NOT SPEAK ENGLISH. NEARLY 15% OF THE POPULATION LIVES AT OR BELOW 100% OF THE POVERTY LEVEL AND 32.3% ARE AT OR BELOW THE 200% OF THE POVERTY LEVEL, REPRESENTING 2,174,865 INDIVIDUALS. IN THE ASSESSMENT, IT IS MOST OFTEN THESE INDIVIDUALS THAT HAVE DIFFICULTY ACCESSING SERVICES AND HAVE POORER OVERALL HEALTH, AND SO OUR EFFORTS TO PROVIDE THE COMMUNITY WITH NEEDED SERVICES SHOULD BE DIRECTED IN MOST CASES TOWARDS THIS POPULATION.
Schedule H, Part VI, Line 5 Promotion of community healthSAMC'S GOVERNING BODY IS THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS REPORT UP THROUGH THE ALEXIAN BROTHERS HEALTH SYSTEM BOARD OF GOVERNORS. THE MAJORITY OF THE BOARD OF DIRECTORS MEMBERS LIVE AND WORK IN THE COMMUNITY AND SERVE TO SUPPORT THE MISSION AND VALUES OF THE ALEXIAN BROTHERS. SAMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY AND ENDEAVORS TO PROVIDE THEM WITH THE SAFEST AND MOST TECHNOLOGICALLY ADVANCED ENVIRONMENT POSSIBLE THROUGH THE EFFECTIVE USE OF SURPLUS FUNDS. SOME OF OUR SURPLUS FUNDS HAVE BEEN USED TO PURCHASE TECHNOLOGY FOR NON-INVASIVE BRAIN MAPPING AND NONINVASIVE TECHNOLOGY FOR TREATING BRAIN TUMORS IN PRIOR YEARS. AS NECESSARY, SAMC RECRUITS MEDICAL SPECIALISTS AND SUBSPECIALISTS WHO PROVIDE THE EXPERTISE FOR EMERGING TECHNOLOGIES THAT ADVANCE PATIENT CARE. SAMC STRIVES TO FULLY SERVE THE COMMUNITY THROUGH PARTICIPATION IN GOVERNMENT SPONSORED HEALTHCARE PROGRAMS SUCH AS MEDICARE, MEDICAID, CHAMPUS AND TRICARE. SAMC ALSO PARTICIPATES IN RESEARCH AND EDUCATION. COMMUNITY MEMBERS ALSO USE SAMC AS A CONDUIT FOR VOLUNTEERING AS EVIDENCED BY OVER 400 VOLUNTEERS (COMPRISING ALMOST 71,000 HOURS OF SERVICE) WHO ASSIST WITH NON- MEDICAL PATIENT SERVICES, ADMINISTRATION AND THE GIFT SHOP
Schedule H, Part VI, Line 6 Affiliated health care systemSt Alexius Medical Center, d/b/a AMITA Health St Alexius Medical Center, Hoffman Estates, is a member hospital of Alexian Brothers Health System (ABHS), a comprehensive and diversified healthcare organization located in Arlington Heights, Illinois, a community in Chicago's northwestern suburbs. A ministry organization of Ascension, the largest Catholic health system in the nation, ABHS consists of two acute-care hospitals, three specialty hospitals, a community mental health center, clinical institutes, diagnostic imaging facilities and the Alexian Brothers Ambulatory Group, d/b/a Alexian Brothers Medical Group, which is part of the AMITA Health Medical Group. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 23 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. ASCENSION (WWW.ASCENSION.ORG) IS A FAITH-BASED HEALTHCARE ORGANIZATION DEDICATED TO TRANSFORMATION THROUGH INNOVATION ACROSS THE CONTINUUM OF CARE. AS THE LARGEST NON-PROFIT HEALTH SYSTEM IN THE U.S. AND THE WORLD'S LARGEST CATHOLIC HEALTH SYSTEM, ASCENSION IS COMMITTED TO DELIVERING COMPASSIONATE, PERSONALIZED CARE TO ALL, WITH SPECIAL ATTENTION TO PERSONS LIVING IN POVERTY AND THOSE MOST VULNERABLE. IN FY2018, ASCENSION PROVIDED MORE THAN $2.0 BILLION IN CARE OF PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS. ASCENSION INCLUDES APPROXIMATELY 156,000 ASSOCIATES AND 34,000 ALIGNED PROVIDERS. ASCENSION'S HEALTHCARE DIVISION OPERATES MORE THAN 2,600 SITES OF CARE - INCLUDING 151 HOSPITALS AND MORE THAN 50 SENIOR LIVING FACILITIES - IN 21 STATES AND THE DISTRICT OF COLUMBIA, WHILE ITS SOLUTIONS DIVISION PROVIDES A VARIETY OF SERVICES AND SOLUTIONS INCLUDING PHYSICIAN PRACTICE MANAGEMENT, VENTURE CAPITAL INVESTING, INVESTMENT MANAGEMENT, BIOMEDICAL ENGINEERING, FACILITIES MANAGEMENT, CLINICAL CARE MANAGEMENT, INFORMATION SERVICES, RISK MANAGEMENT, AND CONTRACTING THROUGH ASCENSION'S OWN GROUP PURCHASING ORGANIZATION. AMITA HEALTH (WWW.AMITAHEALTH.ORG) IS A JOINT OPERATING COMPANY FORMED BY ASCENSION HEALTH AND ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION OF WHICH ADVENTIST MIDWEST HEALTH, AND ALEXIAN BROTHERS HEALTH SYSTEM, ARE THE MEMBERS. AMITA HEALTH WELCOMED PRESENCE HEALTH TO THE ORGANIZATION IN MARCH 2018, MAKING AMITA HEALTH THE LARGEST HEALTH SYSTEM IN ILLINIOS. THROUGH ITS MEMBERS, AMITA HEALTH HAS OVER 25,000 ASSOCIATES COMMITTED TO DELIVERING THE MOST EFFICIENT, HIGHEST QUALITY, FAITH-BASED CARE AT NINETEEN ACUTE AND SPECIALTY CARE HOSPITALS AND AT MORE THAN 200 AMBULATORY/CLINIC LOCATIONS. AMITA HEALTH HAS AN EXTENSIVE PROVIDER NETWORK OF OVER 7,000 HOSPITAL-AFFILIATED PHYSICIANS, AND THE AMITA HEALTH MEDICAL GROUP CONSISTS OF OVER 800 MULTI-SPECIALTY EMPLOYED PHYSICIANS AND ASSOCIATE PRACTITIONERS, RANKING IT AMONG THE LARGEST REGIONAL MEDICAL GROUPS. AMITA HEALTH'S MISSION IS TO EXTEND THE HEALING MINISTRY OF JESUS BY RESPECTING THE FAITH TRADITIONS OF THE MANY INDIVIDUALS AND FAMILIES IT SERVES ACROSS SUBURBAN CHICAGO. WITH A SACRED MISSION OF EXTENDING THE HEALING MINISTRY OF CHRIST, ADVENTHEALTH (WWW.ADVENTHEALTH.COM) IS A CONNECTED SYSTEM OF CARE FOR EVERY STAGE OF LIFE AND HEALTH. MORE THAN 80,000 SKILLED AND COMPASSIONATE CAREGIVERS IN PHYSICIAN PRACTICES, HOSPITALS, OUTPATIENT CLINICS, SKILLED NURSING FACILITIES, HOME HEALTH AGENCIES AND HOSPICE CENTERS PROVIDE INDIVIDUALIZED, WHOLISTIC CARE. A CHRISTIAN MISSION, SHARED VISION, COMMON VALUES, FOCUS ON WHOLE-PERSON HEALTH AND COMMITMENT TO MAKING COMMUNITIES HEALTHIER UNIFY THE SYSTEM'S 45 HOSPITAL CAMPUSES AND HUNDREDS OF CARE SITES IN DIVERSE MARKETS THROUGHOUT NINE STATES. THE COVERED AFFILIATES WITHIN AMITA HEALTH PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTHCARE SERVICES AND ACCESS TO THE MOST ADVANCED MEDICAL TECHNOLOGY. THEIR HEALTHCARE PROFESSIONALS ARE PASSIONATE ABOUT DELIVERING EXCEPTIONAL HEALTHCARE AND ARE PROUD OF THE POWERFUL, CUTTING-EDGE TECHNOLOGY OFFERED BY THE SYSTEM. THE COVERED AFFILIATES WITHIN AMITA HEALTH ALSO OFFER A WIDE RANGE OF COMMUNITY HEALTH SERVICES, CORPORATE WELLNESS PROGRAMS, PREVENTIVE CARE AND EDUCATION. AS CHARITABLE ORGANIZATIONS, THEY RECOGNIZE THAT NOT EVERYONE CAN AFFORD ESSENTIAL MEDICAL SERVICES AND THAT THEIR MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH AMITA HEALTH'S COMMITMENT TO SERVING ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT OR BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY ARE CONSIDERED AND PROVIDED WHEN APPROPRIATE. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY AND MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES INCLUDING, BUT NOT LIMITED TO, EDUCATIONAL AFFILIATIONS, HEALTH SCREENINGS, COUNSELING PROGRAMS, CONTINUING MEDICAL EDUCATION (CME) PROGRAMS AND DONATIONS TO COMMUNITY GROUPS.
Schedule H, Part VI, Line 7 State filing of community benefit reportIL

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LEN WILK
CEO, ST. ALEXIUS$0$407,879$0$107,545$0$38,293$0$0$0$20,475$0$574,192$0$36,307
CALVIN H FISCHER DO
DIRECTOR$0$233,224$0$31,213$0$0$0$19,301$0$22,529$0$306,267$0$0
MICHAEL HANDLER MD
DIRECTOR; CMO ABMC & SAMC$0$357,959$0$20,000$0$16,223$0$11,077$0$22,972$0$428,230$0$0
MARK FREY
CEO, AMITA HEALTH$0$912,487$0$678,307$0$139,925$0$25,948$0$21,510$0$1,778,177$0$0
DIANA WOYTKO
SECRETARY; CQO, AMITA HEALTH$0$244,210$0$104,096$0$35,093$0$42,582$0$15,915$0$441,895$0$27,399
HENRY ZEISEL
TREASURER; CFO, ABMC & SAMC$0$271,055$0$13,468$0$855$0$0$0$25,862$0$311,241$0$0
LAURENCE R DRY III
CHIEF OPERATING OFFICER$0$290,516$0$13,560$0$37,731$0$12,337$0$23,050$0$377,194$0$36,338
ANSHUL AGGARWAL MD
CARDIOLOGY$691,247$0$243,000$0$117,679$0$0$0$23,340$0$1,075,266$0$0$0
BRYAN BERTOGLIO MD
NEUROSURGERY$887,483$0$327,649$0$0$0$4,993$0$31,129$0$1,251,253$0$0$0
KOGAN NEPHTALI MD
CARDIOLOGY$564,220$0$189,000$0$105,335$0$20,766$0$25,287$0$904,608$0$0$0
SCOTT E TOMASIK MD
CARDIOLOGY$620,628$0$239,000$0$91,469$0$23,005$0$23,168$0$997,270$0$0$0
SANJAY YADLA MD
NEUROSURGEON$663,017$0$147,374$0$0$0$10,105$0$24,188$0$844,684$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationAlexian Brothers-AHS Midwest Region Health Co., a related organization of St. Alexius Medical Center, uses the following methods to establish the compensation of the organization's CEO: - Compensation committee - Independent compensation consultant - Form 990 of other organizations - Compensation survey or study - Approval by the Board or Compensation Committee
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planEligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following individuals received payment(s) from the supplemental nonqualified retirement plan during the calendar year: LEN WILK - $36,307 DIANA WOYTKO - $27,399 LAURENCE R DRY, III - $36,338

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part IV, Line 20b EXPLANATION OF FINANCIAL STATEMENTSTHE ACTIVITY OF ST. ALEXIUS MEDICAL CENTER IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF ST. ALEXIUS MEDICAL CENTER IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF ST. ALEXIUS MEDICAL CENTER.
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALIN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, THE PROCESS, PERFORMED BY ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO., A RELATED ORGANIZATION OF ST. ALEXIUS MEDICAL CENTER, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO. COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEESIN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES, THE PROCESS PERFORMED BY ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO., A RELATED ORGANIZATION OF ST. ALEXIUS MEDICAL CENTER, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA THAT HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 4 Significant changes to organizational documentsDIRECTORS SHALL BE APPOINTED BY THE ASCENSION CLASS DIRECTORS OF THE MINISTRY MARKET CORPORATION (THE CORPORATE MEMBER) AND SHALL SERVE FOR THREE (3) THREE-YEAR TERMS AND UNTIL SUCCESSORS ARE DULY APPOINTED AND QUALIFIED UNLESS THEY SHALL SOONER RESIGN OR BE REMOVED. EXCEPT AS OTHERWISE DETERMINED BY THE ASCENSION CLASS DIRECTORS OF THE MINISTRY MARKET CORPORATION, NO PERSON SHALL BE ELIGIBLE FOR APPOINTMENT FOR MORE THAN THREE SUCCESSIVE THREE-YEAR TERMS. FORMERLY, DIRECTORS WOULD SERVE FOR ONE YEAR AND WERE ELIGIBLE FOR EIGHT CONSECUTIVE APPOINTMENTS. THE CORPORATE MEMBER NAME CHANGED AND WORDING WAS EDITED TO READ AS FOLLOWS: THE CORPORATION SHALL HAVE ONE MEMBER: ALEXIAN BROTHERS HEALTH SYSTEM D/B/A PRESENCE ALEXIAN BROTHERS HEALTH SYSTEM, AN ILLINOIS NOT-FOR PROFIT CORPORATION. ADDITIONALLY, RIGHTS OF ASCENSION, ASCENSION HEALTH AND THE JOINT OPERATING COMPANY WERE ADDED TO THE BYLAWS AS FOLLOWS: DECISION MAKING RIGHTS OF ASCENSION SUBJECT TO THE AMITA AFFILIATION AGREEMENT, THE FOLLOWING MATTERS SHALL BE DECIDED BY ASCENSION: MAJOR TRANSACTIONS INVOLVING CORPORATION OR A CORPORATION SUBSIDIARY THAT IS A CREDIT GROUP MEMBER; AND THE INCURRENCE OF DEBT BY CORPORATION OR ANY CORPORATION SUBSIDIARY. DECISION MAKING RIGHTS OF ASCENSION HEALTH SUBJECT TO THE AMITA AFFILIATION AGREEMENT, THE FOLLOWING MATTERS SHALL BE DECIDED BY ASCENSION HEALTH: THE APPOINTMENT, REMOVAL AND PERFORMANCE EVALUATION OF THE PRESIDENT OF THE CORPORATION; CHANGES TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION WHERE SUCH CHANGES ARE NOT CONSISTENT WITH SYSTEM POLICY; THE APPOINTMENT, REMOVAL, AND PERFORMANCE EVALUATION OF THE CORPORATION PRESIDENT; THE FORMATION OF A CORPORATION SUBSIDIARY; AND MAJOR TRANSACTIONS INVOLVING ANY CORPORATION SUBSIDIARY THAT IS NOT A CREDIT GROUP MEMBER. THE DISTRIBUTION OF ASSETS UPON DISSOLUTION WAS AMENDED WHERE FORMERLY ALL ASSETS REMAINING AFTER THE PAYMENT OF ALL LIABILITIES OF THE CORPORATION WOULD BE DISTRIBUTED TO THE CORPORATE MEMBER OR OTHER SUCH EXEMPT ORGANIZATION(S) UNDER SECTION 501(C)(3) OF THE CODE AS DETERMINED BY THE CORPORATE MEMBER, NOW THE BYLAWS STATE: UPON THE DISSOLUTION OF THE CORPORATION, THE DISPOSITION OF ALL THE ASSETS OF THE CORPORATION SHALL BE IN A MANNER AS PROVIDE BY THE BOARD (SUBJECT TO THE PRIOR APPROVAL OF ASCENSION HEALTH) AND IN ACCORDANCE WITH THE FOLLOWING: THE PAYING, OR THE MAKING PROVISION, OF THE PAYMENT OF ALL OF THE LIABILITIES, DIRECT OR INDIRECT, CONTINGENT OR OTHERWISE, INCLUDING WITHOUT LIMITATION, ALL LIABILITIES EVIDENCED IN ALL OUTSTANDING LOAN AGREEMENTS, CREDIT AGREEMENTS, MASTER INDENTURES AND OTHER SIMILAR DOCUMENTS. SUBJECT TO COMPLIANCE WITH THE DISSOLUTION PRINCIPLES OF ASCENSION HEALTH, ALL ASSETS REMAINING AFTER THE PAYMENT OF ALL OF THE LIABILITIES OF THE CORPORATION SHALL BE DISTRIBUTED TO ASCENSION HEALTH OR SUCH OTHER EXEMPT ORGANIZATION(S) UNDER SECTION 501(C)(3) OF THE CODE AS SHALL BE DETERMINED BY ASCENSION. ANY OTHER ASSETS NOT SO DISPOSED OF SHALL BE DISTRIBUTED FOR ONE OR MORE EXEMPT PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE CODE, OR SHALL BE DISTRIBUTED TO THE FEDERAL GOVERNMENT, OR TO A STATE OR LOCAL GOVERNMENT, FOR A PUBLIC PURPOSE. ANY SUCH ASSETS NOT SO DISPOSED OF SHALL BE DISPOSED OF BY A COURT OF COMPETENT JURISDICTION OF THE COUNTY IN WHICH THE PRINCIPAL OFFICE OF THE CORPORATION IS THEN LOCATED, EXCLUSIVELY FOR SUCH PURPOSES OR TO SUCH ORGANIZATION OR ORGANIZATIONS, AS SAID COURT SHALL DETERMINE, WHICH ARE ORGANIZED AND OPERATED EXCLUSIVELY FOR SUCH PURPOSES.
Form 990, Part VI, Line 6 Classes of members or stockholdersEFFECTIVE AS OF 3/1/2018, ST. ALEXIUS MEDICAL CENTER HAS ONE CORPORATE MEMBER - ALEXIAN BROTHERS HEALTH SYSTEM IS THE CORPORATE MEMBER OF EACH OF ITS SUBSIDIARIES. THE INSTITUTE MEMBER OF ALEXIAN BROTHERS HEALTH SYSTEM IS ASCENSION HEALTH.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodySubject to the ratification of the board of Alexian Brothers-AHS Midwest Region Health Co., Alexian Brothers Health System has the authority to appoint and remove Directors and Executive Officers of St. Alexius Medical Center.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ST. ALEXIUS MEDICAL CENTER FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY THE CORPORATE MEMBER, ALEXIAN BROTHERS HEALTH SYSTEM, SUBJECT TO THE APPROVAL OF ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyDURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD.
Form 990, Part VI, Line 12c Conflict of interest policyThe organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Line 19 Required documents available to the publicThe Organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section A Related EntitiesThe organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueMiscellaneous Revenue - Total Revenue: 15284, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 15284;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTransfers with ALPHA - -XXX-XX-XXXX; Transfers with Affiliates - XXX-XX-XXXX;
Form 990, Part XII, Line 2c OVERSIGHT OF AUDIT OR SELECTION OF INDEPENDENT ACCOUNTANTST. ALEXIUS MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. THE FINANCE AND AUDIT COMMITTEE OF ASCENSION HEALTH ALLIANCE'S BOARD ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED ORGANIZATION AS A WHOLE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndBusiness Name Line2DisregardedEntityName/BusinessNameLine2TxtBusiness Name Line2DirectControllingEntityName/BusinessNameLine2Txt
Ascension Health Alliance
PO Box 45998St LouisMO631455998453358926National Health SystemMO501(c)(3)Type INAfalse
Ascension Health
PO Box 45998St LouisMO63145311662309National Health SystemMO501(c)(3)Type IAscension Health Alliancefalse
Alexian Brothers - AHS Midwest Region Health Co
2601 Navistar DriveLisleIL60532472360513Joint Operating CompanyIL501(c)(3)Type IINAfalse
Alexian Brothers Health System
200 South Wacker DriveChicagoIL60606363260495Supports the provision of healthcare services for related corporations for which it is a memberIL501(c)(3)Type III-FIAscension Healthfalse
Alexian Brothers Bonaventure House dba Alexian Brothers The Harbor and Alex
825 Wellington AvenueChicagoIL60657363527899Housing and supportive care services for persons with HIV/AIDSIL501(c)(3)10Alexian Brothers Health SystemYes (true)ian Brothers Housing and Health Alliance
Alexian Brothers of San Jose Inc
2601 Navistar DriveLisleIL60532941530037Acute care hospital (sold in 1998)TX501(c)(3)Type IAlexian Brothers Health SystemYes (true)
Alexian Brothers Services Inc
2601 Navistar DriveLisleIL60532431295333HUD housingMO501(c)(3)10Alexian Brothers Health SystemYes (true)
Alexian Brothers Hospital Network
2601 Navistar DriveLisleIL60532363276552Supports the provision of healthcare services for related corporationsIL501(c)(3)Type III-FIAlexian Brothers Health SystemYes (true)
Alexian Brothers Medical Center
800 Biesterfield RoadElk Grove VillageIL60007362596381Acute care hospitalTX501(c)(3)3Alexian Brothers Health SystemYes (true)
Savelli Properties Inc
2601 Navistar DriveLisleIL60532363308965Owns or leases properties where healthcare services are deliveredIL501(c)(2)Alexian Brothers Health SystemYes (true)
Alexian Brothers Behavioral Health Hospital
1650 Moon Lake BlvdHoffman EstatesIL60169364251848Behavioral health hospitalIL501(c)(3)3Alexian Brothers Health SystemYes (true)
Alexian Brothers Ambulatory Group
2601 Navistar DriveLisleIL60532364336931Physician servicesIL501(c)(3)3Alexian Brothers Health SystemYes (true)
Alexian Brothers Specialty Group
2601 Navistar DriveLisleIL60532800710751Specialty physician practice groupIL501(c)(3)3Alexian Brothers Health SystemYes (true)
Alexian Brothers Center for Mental Health
3436 N Kennicott AvenueArlington HeightsIL60004363045007Outpatient community mental health servicesIL501(c)(3)10Alexian Brothers Health SystemYes (true)
Alexian Brothers Medical Care Group NFP
2601 Navistar DriveLisleIL60532471930457Physician servicesIL501(c)(3)3Alexian Brothers Health SystemYes (true)
Alexian Brothers Medical Group Specialty Care
2601 Navistar DriveLisleIL60532811110738SPECIALTY PHYSICIAN PRACTICE GROUPIL501(c)(3)3ALEXIAN BROTHERS HEALTH SYSTEMYes (true)
PRESENCE CARE TRANSFORMATION CORPORATION
200 South Wacker DriveChicagoIL60606363366652MGMT SUPPORTIL501(c)(3)Type III-FIAlexian Brothers Health SystemYes (true)
PRESENCE HEALTH PARTNERS SERVICES
2380 E DEMPSTER AVE STE 236DES PLAINESIL60016362644178HEALTH CAREIL501(c)(3)Type IIAlexian Brothers Health SystemYes (true)
PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES
200 SOUTH WACKER DRIVECHICAGOIL60606363330929FUNDRAISINGIL501(c)(3)7Alexian Brothers Health SystemYes (true)
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
200 South Wacker DriveChicagoIL60606364195126HEALTH CAREIL501(c)(3)3Presence Care Transformation CorporationYes (true)
PRESENCE BEHAVIORAL HEALTH
1820 SOUTH 25TH AVENUEBROADVIEWIL60155362709982HEALTH CAREIL501(c)(3)3Presence Care Transformation CorporationYes (true)
PRESENCE AMBULATORY SERVICES
2380 E Dempster StreetDES PLAINESIL60016364286236HEALTH CAREIL501(c)(3)10Presence Care Transformation CorporationYes (true)
PRESENCE CHICAGO HOSPITALS NETWORK
200 SOUTH WACKER DRIVECHICAGOIL60606362235165HEALTH CAREIL501(c)(3)3Presence Care Transformation CorporationYes (true)
PRESENCE HEALTHCARE SERVICES
2380 E Dempster StreetDES PLAINESIL60016363330928HEALTH CAREIL501(c)(3)10Presence Care Transformation CorporationYes (true)
RAINBOW HOSPICE AND PALLIATIVE CARE
1550 BISHOP COURTMOUNT PROSPECTIL60056363296367HEALTH CAREIL501(c)(3)10Presence Care Transformation CorporationYes (true)
MEDICARE VALUE PARTNERS
100 NORTH RIVER ROADDES PLAINESIL60016363495969HEALTH CAREIL501(c)(3)10Presence Health Partners ServicesYes (true)
PRESENCE HOME CARE
18927 HICKORY CREEK DR 300MOKENAIL60448460483581HEALTH CAREIL501(c)(3)10PRESENCE CARE TRANSFORMATION CORPORATIONYes (true)
PRESENCE CARE HOME
18927 HICKORY CREEK DR 300MOKENAIL60448460483587HEALTH CAREIL501(c)(3)10PRESENCE CARE TRANSFORMATION CORPORATIONYes (true)
ALVERNO PROVENA HOSPITAL LABORATORIES INC
2434 Interstate Plaza DriveHammondIN46234203238867HEALTH CAREIN501(c)(3)3Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITALYes (true)S NETWORK

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndAddress Line2USAddress/AddressLine2Txt
Alexian Rehabilitation Services LLC
935 BeisnerElk Grove VillageIL60007300221481Rehabilitation hospitalILNAN/A
Bonaventure Medical Foundation LLC
2601 Navistar DriveLisleIL60532363978153Manages managed care contractsDENAN/A
St Alexius Center for Sleep Health LLC
1300 S Main StreetLombardIL60148205876371Operation of sleep labILST ALEXIUS MEDICAL CENTERRelated-$2,671$0falseYes (true)
BELMONTHARLEM SURGERY CENTER LLC
3101 NORTH HARLEMCHICAGOIL60634412237162MEDICAL SERVICEILNAN/A
ALVERNO CLINICAL LABORATORIES LLC
2434 INTERSTATE PLAZA DRIVEHAMMONDIN46324203240648MEDICAL SERVICEINNAN/A
Presence Lakeshore Gastroenterology LLC
150 N River RoadDes PlainesIL60016811750563Medical ServiceILNAN/ASuite 210
PROFESSIONAL CLINICAL LABORATORIES LLC
113 E 4TH STMICHIGAN CITYIN46360300711211MEDICAL SERVICESINNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Thelen Corporation
2601 Navistar DriveLisleIL60532363266316Owns/ leases property; joint venture partnerILNAC CorporationYes (true)
Alexian Brothers Health Providers Association Inc
2601 Navistar DriveLisleIL60532363853286Messenger model IPAILNAC CorporationYes (true)
PRESENCE PROPERTIES INC
100 NORTH RIVER ROADDES PLAINESIL60016363520630MEDICALILNAC CorporationYes (true)
PRESENCE SERVICE CORPORATION
2380 E DEMPSTER STREETDES PLAINESIL60016364314354MEDICALILNAC CorporationYes (true)
PRESENCE VENTURES INC
100 NORTH RIVER ROADDES PLAINESIL60016371168085MEDICALILNAC CorporationYes (true)
AMITA HEALTH CLINICALLY INTEGRATED NETWORK LLC
2601 NAVISTAR DRIVELISLEIL60532800967178MANAGED CAREILNAC CorporationYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL
L$1,097,441FAIR MARKET VALUE
ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL
O$320,122FAIR MARKET VALUE
ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL
Q$583,162FAIR MARKET VALUE
ALEXIAN BROTHERS AMBULATORY GROUP
J$258,829FAIR MARKET VALUE
ALEXIAN BROTHERS AMBULATORY GROUP
L$3,479,571FAIR MARKET VALUE
ALEXIAN BROTHERS AMBULATORY GROUP
Q$336,471FAIR MARKET VALUE
ALEXIAN BROTHERS HOSPITAL NETWORK
L$23,466,780FAIR MARKET VALUE
ALEXIAN BROTHERS HOSPITAL NETWORK
M$967,722FAIR MARKET VALUE
ALEXIAN BROTHERS HOSPITAL NETWORK
Q$140,547FAIR MARKET VALUE
ALEXIAN BROTHERS MEDICAL CARE GROUP
L$133,150FAIR MARKET VALUE
ALEXIAN BROTHERS MEDICAL CENTER
L$83,765,113FAIR MARKET VALUE
ALEXIAN BROTHERS MEDICAL CENTER
Q$5,817,359FAIR MARKET VALUE
ALEXIAN BROTHERS MEDICAL CENTER
S$1,604,562FAIR MARKET VALUE
ALEXIAN BROTHERS SPECIALTY GROUP
J$627,946FAIR MARKET VALUE
ALEXIAN BROTHERS SPECIALTY GROUP
L$197,208FAIR MARKET VALUE
SAVELLI PROPERTIES INC
K$130,405FAIR MARKET VALUE

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