2016-05-16T20:43:30-05:00 2015-06-30 861065772 Deloitte Tax LLP 111 S Wacker Drive Chicago IL 60606 990 2014-07-01 363260495 Alexian Brothers Health System ALEX 8478185100 3040 West Salt Creek Lane Arlington Heights IL 60005 Mark Frey President & CEO 2016-05-16 true Samantha Bokori P01057347 3124861000 2014 2016-08-17 19:52:53Z Mark Frey 3040 West Salt Creek Lane Arlington Heights IL 60005 106351264 false 0928 X www.alexianbrothershealth.org X 1983 IL National member for Catholic Health System 5 4 7372 4 0 0 5469015 5041630 82930669 91443613 10990416 8282489 314316 436702 99704416 105204434 4729088 3241492 0 0 33343794 31991680 121647 108408 2752443 53555252 70149111 91749781 105490691 7954635 -286257 525686857 340627882 588900451 290998063 -63213594 49629819 Alexian Brothers Health System ("ABHS") carries out the healing mission of the Catholic Church through the Alexian Brothers ministries by identifying and developing effective responses to the health and housing needs of those we are called to serve. false false 100470624 3241492 91443613 Alexian Brothers Health System - Ranked among the nation's best-performing health systems, Alexian Brothers Health System (ABHS) is a health care ministry comprised of two acute care hospitals, 3 specialty hospitals, a community mental health center, clinical institutes, diagnostic imaging facilities and the Alexian Brothers Medical Group, which includes 15 primary care locations, seven immediate care centers, seven occupational health centers and several specialty programs. We serve more than two million people across Chicago's northwest suburbs and beyond with innovative care and world-class medical specialists. ABHS strives to provide a prophetic, holistic approach to health care, rooted in Gospel values and the legacy of the Alexian Brothers, an 800-year-old Congregation that carries out the healing ministry of Jesus Christ in the tradition of the Roman Catholic Church. (CONTINUED ON SCHEDULE O) 100470624 true true false false false false false false false true true true false false true true false true false false false false false true true true false true false true true false false false false false true false false false true false false false false false true true true true false true 877 0 true 7372 true false false false false false true true false false false false X 5 4 true false true false true true true true true false false true true true true true true false true false IL X Paul Belter 8478185100 3040 West Salt Creek Lane Arlinton Heights IL 60005 MARK FREY PRESIDENT/CEO 50.00 13.00 X X 1938610 0 40093 ROBERT J HENKEL FACHE DIRECTOR & CHAIRPERSON 1.00 49.00 X X 0 7455630 56750 BRUCE WOLFE DIRECTOR & CHAIRPERSON 1.00 3.00 X X 0 0 0 JERRY CAPIZZI DIRECTOR 1.00 0 X 0 0 0 RICHARD FISCHER DIRECTOR 1.00 0 X 0 0 0 JOSEPH R IMPICCICHE DIRECTOR 1.00 49.00 X 0 3242424 42523 LUKE KNECHT DIRECTOR 1.00 0 X 0 0 0 BROTHER RICHARD LOWE CFA DIRECTOR 1.00 0 X 0 0 0 BROTHER DANIEL MCCORMICK CFA DIRECTOR 1.00 5.00 X 0 0 0 LARRY SINGER DIRECTOR 1.00 0 X 0 0 0 ANTHONY J SPERANZO DIRECTOR 1.00 49.00 X 0 4879259 50560 DAVID B PRYOR MD DIRECTOR 1.00 49.00 X 0 3275580 50652 PAUL BELTER VICE PRESIDENT & TREASURER 50.00 7.00 X 568488 0 68370 DONNA GAUTHIER ASSISTANT SECRETARY 40.00 11.00 X 72815 0 16346 TRACY ROGERS VICE PRESIDENT 25.00 30.00 X 712928 0 81776 PEG WENDELL SECRETARY 50.00 0 X 373114 0 46624 BRIAN BERTOGLIO MD PEDIATRIC NEUROSURGEON 0.00 50.00 X 910140 0 30230 MOHAMMED KHAN MD CARDIOLOGIST 0.00 50.00 X 926962 0 28133 TIMOTHY MALISCH MD INTERVENTIONAL NEURORADIOLOGIST 0.00 50.00 X 868810 0 32764 SZYMON S ROSENBLATT MD NEUROSURGEON 0.00 50.00 X 976014 0 34374 DANIEL SAURI MD CARDIOLOGIST 0.00 50.00 X 845340 0 22890 JIM LEWANDOWSKI FORMER KEY EMPLOYEE 0.00 0.00 X 136675 0 21163 SCOTT PETERSON FORMER KEY EMPLOYEE 0.00 0.00 X 345141 0 38935 8675037 18852893 662183 512 true true true TOUCHPOINT SERVICES 4721 MORRISON DR SUITE 300 MOBILE AL 36609 CAFETERIA AND ENVIRONMENTAL SERVICES 31954788 MCKESSON ONE POST STREET SAN FRANCISCO CA 94104 MEDICAL SUPPLY COMPANY 30042283 OWENS AND MINOR DISTRIBUTION INC 437 TOWER BLVD CAROL STREAM IL 60188 MEDICAL EQUIPMENT DISTRIBUTION 18130097 TRIMEDX PO BOX 636129 CINCINNATI OH 45263 CLINICAL ENGINEERING 4760163 EFFICIENCY MEDIA 3616 WINNETKA RD GLENVIEW IL 60026 MEDIA PLANNING BUYING SERVICE 4306493 223 X 515985 37500 4488145 5041630 Management Fees 561000 82539417 82539417 Leased Employee Benefits 900099 7892874 7892874 AMITA Unconsolidated Oper Inc 900099 402000 402000 Rent Non I/C 532000 26399 26399 582923 582923 0 0 91443613 8282489 8282489 1312810 839473 473337 0 473337 473337 0 0 247467 515985 304392 -56925 -56925 23255 2965 20290 20290 0 0 0 0 0 105204434 91443613 0 8719191 3241492 3241492 3919164 3919164 20310003 18817499 1492504 1432420 1432420 5134463 4583194 551269 1195630 1099572 96058 2085620 2085620 182004 182004 108408 108408 4248796 3861157 0 387639 436197 430460 5737 1982127 1924939 57188 35715914 35714609 1305 7274779 7274779 120559 87688 32871 29786 17391 12395 273159 273159 418119 418119 Ascension System Office 12517398 12517398 CHAN Audit Fees 968400 968400 Management Fees-AMITA 3267950 3267950 Public/Community Relations 12723 12723 615580 608511 0 7069 105490691 100470624 2267624 2752443 3821155 1279557 1335978 791001 0 0 307036 326143 595040 1062327 981848 12365432 2346840 9508112 10018592 307413494 308667829 0 2129500 1277700 203176723 13622704 525686857 340627882 32869027 36666443 153710000 153370000 0 7594889 6335343 394726535 94626277 588900451 290998063 X -70292065 42658561 6870944 6729540 207527 241718 -63213594 49629819 525686857 340627882 X -286257 -10565953 123695623 X false true X true false X X 9 ALEXIAN BROTHERS SERVICES INC 431295333 9 false 0 0 ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH 363045007 9 false 0 0 ALEXIAN BROTHERS BEHAVIORAL HEALTH 364251848 3 false 0 0 ST ALEXIUS MEDICAL CENTER 364251846 3 false 0 0 ALEXIAN BROTHERS AMBULATORY GROUP 364336931 3 false 0 0 ALEXIAN BROTHERS SPECIALTY GROUP 800710751 3 false 0 0 ALEXIAN BROTHERS BONAVENTURE HOUSE 363527899 9 false 0 0 ALEXIAN BROTHERS MEDICAL CENTER 362596381 3 false 0 0 ALEXIAN BROTHERS MEDICAL CARE GROUP NFP 471930457 3 false 0 0 9 0 0 false false false false true false false false false false false false false false false true true true X true true Schedule A, Part I SUPPORT ABHS SUPPORTS THE PROVISION OF HEALTHCARE SERVICES AT THE CORPORATIONS TO WHICH IT IS THE NATIONAL MEMBER BY THE PROVISION OF CENTRALIZED ADMINISTRATIVE SUPPORT, INCLUDING SERVICES SUCH AS MISSION INTEGRATION, ACCOUNTING, ACCOUNTS PAYABLE, TREASURY (INCLUDING CASH, INVESTMENT AND DEBT MANAGEMENT), INSURANCE, PAYROLL, HUMAN RESOURCES, COMPLIANCE, LEGAL, EDUCATION, WELLNESS, AND PATIENT SAFETY AND QUALITY. ALL COSTS OF ABHS ARE CHARGED TO THE MEMBERS THROUGH A MANAGEMENT FEE. TRANSACTIONS WITH EACH MEMBER ARE DELINEATED ON SCHEDULE R. Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name ABHS doesn't list the supported entities-each supported entity lists ABHS. There is a historic and continuing relationship between ABHS and each of its supported entities. ABHS currently provides support in the form of services such as accounting, payroll, legal, compliance and other administrative support, and has also provided this support in the past. Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org. Added the following entity: (i) Alexian Brothers Medical Care Group, NFP EIN: 47-1930457. (ii) for the acquisition of physician practice. (iii) Alexian Brothers Health System, as the National Member, has the authority to approve the acquisition of legal entities and (iv) the action was accomplished by a Resolution of the Board of Governors of Alexian Brothers Health System. Removed the following entities: (i) Alexian Village of Milwaukee, Inc., EIN: 39-1351584 Alexian Village of Tennessee, EIN: 62-1136742 Alexian Brothers Lansdowne Village, EIN: 43-1470362 Alexian Brothers Sherbrooke Village, EIN: 43-1592502 Alexian Brothers Community Services, EIN: 36-4344423 (ii) The entities listed above were removed to allow transfer of assets to a related organization. (iii) The Articles of Incorporation and Bylaws of each of Alexian Brothers Community Services, Alexian Brothers Lansdowne Village, Alexian Brothers Sherbrooke Village, Alexian Village of Milwaukee and Alexian Village of Tennessee ("Alexian Entities") were amended to substitute Ascension Health Senior Care as the sole corporate member (iv) the action was accomplished by a Resolution of the Board of Directors for each entity and the Board of Governors of Alexian Brothers Health System. Dissolved the following entity: (i) Alexian Brothers Senior Neighbors EIN: 62-0646376. (ii) Alexian Brothers Senior Neighbors was dissolved on June 6, 2014; (iii) the dissolution was authorized by the Board of Governors of Alexian Brothers Health System, the National Member of Alexian Brothers Senior Neighbors; and (iv) the dissolution was accomplished by resolution of the Board of Governors of Alexian Brothers Health System, and filing of the appropriate paperwork with the State of Tennessee Attorney General, State of Tennessee Secretary of State and the Hamilton County Register of Deeds. Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies BY VIRTUE OF OVERLAPPING BOARD MEMBERS, THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE SUPPORTING ORGANIZATION'S DAILY OPERATIONS. THE ASCENSION SPONSOR, THROUGH ITS CONTROL OF THE ASCENSION BOARD, CONTROLS THE SYSTEM INTEGRATED STRATEGIC OPERATIONAL FINANCIAL PLAN, ANNUAL TARGETS AND INITIATIVES. WITHIN THIS OPERATIONAL FRAMEWORK, CERTAIN EXPENDITURES OF FUNDS, CAPITAL INVESTMENTS, ISSUANCE OF DEBT, ETC. ARE SUBJECT TO ASCENSION-LEVEL APPROVAL. Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee Alexian Brothers Health System, as the National Member, has the authority to approve changes to the governing documents of its supported organizations; approve the mission and vision statements for its respective supported organizations; approve the formation or acquisition of legal entities; and, appoint, upon the recommendation of the governing board of the applicable supported organization, or removal, the Board Chair and members of the governing board of such supported organization. Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities All decisions that have a material impact to each of the supporting organization's financial information or corporation as a whole are subject to approval by the national Member, Alexian Brothers Health System. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 191127 0 19849 3449 207527 646997 0 0 455870 0 0 191127 3202679 250 -44617 2511315 646997 3293690 10824 1553 103388 3202679 3409815 2845 70761 189731 3293690 1.0 false false 2123775 2123775 6645531 765576 5879955 2569080 1137300 1431780 828217 305554 522663 198829 138410 60419 10018592 Flex Plan Capital Accum 571299 Investment Deposit Other 1088745 Interest in investments held by Ascension 289825146 Trustee held 17182639 308667829 Supplemental employee retirement plan liab 519228 Unclaimed property/Execu-flex accumulation 778580 Negative Cash Health/Dental Liability 11389325 Intercompany debt to Ascension Health 3637491 Swap LT Liability 1170411 LT Pension Liability 6349438 Due to affiliates -219781230 Miscellaneous 291739783 Restricted Pledges -1205139 Negative accounts receivable 28390 94626277 X Schedule D, Part V, Line 4 Intended uses of endowment funds The endowment funds are used to support charitable efforts within the Alexian Brothers Health System. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The 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, 2015. X X X X X X true HARRIS CONNECTS TELEPHONE SOLICITATION false 55749 108408 -52659 55749 108408 -52659 IL 2015 Ball De Fleur 496698 330535 166163 0 0 22314 83513 13000 74518 2014 Golf Classic 168500 128100 40400 0 600 42372 7009 15025 3 98254 57350 40904 0 0 10536 20115 15390 763452 515985 247467 0 600 75222 110637 13000 104933 304392 -56925 23255 1500 0 0 1465 false 23255 1500 0 0 1465 2965 20290 IL true false true false 0.5 0.5 Julie Baker 3040 salt Creek Lane Arlington Heights IL 60005 false JULIE BAKER 1713 JULIE BAKER MANAGES FOUNDATION FUNDRAISING EVENTS AND RAFFLES HELD AT EVENTS. TWO PERCENT OF HER (FULLY-LOADED) SALARY HAS BEEN ESTIMATED TO BE COMPENSATION DIRECTLY RELATED TO RAFFLE MANAGEMENT. X true 20290 Schedule G, Part III, Line 17 Distributions required under state law STATE=,MANDATORY DISTRIBUTION AMOUNT=20290; true Alexian Brothers Medical Center 800 Biesterfield Road Elk Grove Village IL 60007 362596381 Section 501(c)(3) 503884 General Support St Alexius Medical Center 1555 Barrington Road Hoffman Estates IL 60194 364251846 Section 501 (c)(3) 367972 General Support Alexian Brothers Behavioral Health Hospital 1650 moon Lake Blvd Hoffman Estates IL 60194 364251848 Section 501(c)(3) 297932 General Support Alexian Brothers Specialty Group 3040 W Salt Creek Lane Arlington Heights IL 60005 800710751 Section 501(c)(3) 25884 General Support Alexian Brothers Center for Mental Health 3436 N Kennicott Avenue Arlington Heights IL 60004 363045007 Section 501(c)(3) 1309247 General Support Alexian Brothers Bonaventure House 825 W Wellington Avenue Chicago IL 60657 363527899 Section 501(c)(3) 710293 General Support 6 0 Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds Grant funds reported are disbursed to entities owned by Alexian Brothers Health System (ABHS). The disbursement of the funds is centralized within ABHS. The entity requesting funds must fill out a form that describes the use of the funds. The form must be approved by an operational Vice President in the requesting entity prior to submission. The form is then reviewed by and signed off on by executives in the ABHS Foundation and in ABHS Finance prior to approval. No funds are disbursed without going through this intensive process. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Grant funds reported are disbursed to entities owned by Alexian Brothers Health System (ABHS). The disbursement of the funds is centralized within ABHS. The entity requesting funds must fill out a form that describes the use of the funds. The form must be approved by an operational Vice President in the requesting entity prior to submission. The form is then reviewed by and signed off on by executives in the ABHS Foundation and in ABHS Finance prior to approval. No funds are disbursed without going through this intensive process. true true false false false false false true false MARK FREY PRESIDENT/CEO 715750 0 1205360 0 17500 0 19895 0 20198 0 1978703 0 0 0 ROBERT J HENKEL FACHE DIRECTOR & CHAIRPERSON 0 1213433 0 5571283 0 670914 0 25277 0 31473 0 7512380 0 0 JOSEPH R IMPICCICHE DIRECTOR 0 775431 0 2161419 0 305574 0 14102 0 28421 0 3284947 0 0 ANTHONY J SPERANZO DIRECTOR 0 1042029 0 3252375 0 584855 0 16942 0 33618 0 4929819 0 0 DAVID B PRYOR MD DIRECTOR 0 775978 0 2161419 0 338183 0 7800 0 42852 0 3326232 0 0 PAUL BELTER VICE PRESIDENT & TREASURER 429933 0 129000 0 9555 0 27619 0 40751 0 636858 0 9555 0 TRACY ROGERS VICE PRESIDENT 514322 0 156749 0 41857 0 39905 0 41871 0 794704 0 24357 0 PEG WENDELL SECRETARY 283293 0 60000 0 29821 0 21968 0 24656 0 419738 0 12321 0 JIM LEWANDOWSKI FORMER KEY EMPLOYEE 0 0 0 0 136675 0 0 0 21163 0 157838 0 0 0 SCOTT PETERSON FORMER KEY EMPLOYEE 127890 0 0 0 217251 0 14045 0 24890 0 384076 0 207772 0 BRIAN BERTOGLIO MD PEDIATRIC NEUROSURGEON 873398 0 19242 0 17500 0 7887 0 22343 0 940370 0 0 0 MOHAMMED KHAN MD CARDIOLOGIST 504314 0 405148 0 17500 0 5200 0 22933 0 955095 0 0 0 TIMOTHY MALISCH MD INTERVENTIONAL NEURORADIOLOGIST 820810 0 25000 0 23000 0 10471 0 22293 0 901574 0 0 0 SZYMON S ROSENBLATT MD NEUROSURGEON 928014 0 25000 0 23000 0 11028 0 23346 0 1010388 0 0 0 DANIEL SAURI MD CARDIOLOGIST 324664 0 503737 0 16939 0 5200 0 17690 0 868230 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Ascension Health, a related organization of Alexian Brothers Health System, uses the following methods to establish the compensation of the organization's CEO: - Compensation Committee, - Independent compensation consultant, - Form 990 of other organizations, - Written employment contract, - Compensation survey or study, and - Approval by the Board or Compensation Committee. Schedule J, Part I, Line 4a Severance or change-of-control payment The following individuals listed in Schedule J were paid the referenced amount of severance payments in calendar year 2014. Scott Peterson $192,708 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan ALEXIAN BROTHERS HEALTH SYSTEM OFFERS A SUPPLEMENTAL NONQUALIFIED EMPLOYEE RETIREMENT PLAN TO ALL EMPLOYEES WHO PARTICIPATE IN THE EXECUTIVE BENEFITS PROGRAM AND WHOSE COMPENSATION EXCEEDS THE IRS ALLOWABLE LIMIT FOR A QUALIFIED PENSION PLAN. THE PURPOSE OF THE PLAN IS TO RESTORE RETIREMENT BENEFITS THAT ARE RESTRICTED BECAUSE OF COMPENSATION LIMITS FOR THE EXECUTIVES. PAYMENTS WERE MADE TO THE FOLLOWING INDIVIDUALS LISTED IN PART VII DURING THE YEAR: JIM LEWANDOWSKI $136,675. Schedule J, Part I, Line 7 Non-fixed payments Alexian Brothers Health System provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the Compensation Committee of the Board of Governors. A Illinois Finance Authority 861091967 45200bqd3 2005-08-11 255795000 Partial refund 1999 series, issued 1/15/99. false false false B Illinois Finance Authority 861091967 45200FFH7 2008-04-23 44028000 Construct a facilty false false false C Illinois Finance Authority 861091967 45200FY94 2010-04-21 134586814 Partial refunding issue 08/11/05 and construction false false false A 171575000 0 255795000 0 0 0 1612171 7020188 0 0 247162641 0 false true true true B 41925000 0 44028000 0 0 0 788514 0 0 43239485 0 0 2009 false false true true C 67325000 0 134787913 12264528 59307 0 1904465 0 0 50145550 70420000 0 2012 true false true true A true 0.0 0.0 0.0 B false false true true true true 0.0 0.0 0.0 false false true C false false true true true true 0.0 0.0 0.0 false false true A false false false true true true Bank of Americe Merrill Lynch false true false false true B false false false true false false false false true C false false false true false false false false true A true B true C true Schedule K, Part I, Column (c) and Part II Line 3 Differences between the issue price shown on Part I, column (e) and the total proceeds shown on Part II, line 3 are due to investment earnings. Schedule K, Part II, Line 4 Reserve Funds Gross Proceeds Only amounts constituting debt service reserve funds are included on line 4. In addition, ABHS has the following amounts at June 30, 2015 in debt service funds: $2,265,007 for Series 2005; $42,282 for Series 2008; $14,875,330 for Series 2010. Schedule K, Part II, Line 4 Col. B At issuance, sale proceeds of the Series 2008 bonds funded a $4,500,000 debt service reserve fund. The reserve was subsequently replaced by a $4,500,000 letter of credit, and the proceeds expended on the project. Schedule K, Part III Col. A Part III is not required for the 2005 bonds, column A, as they refunded pre-2003 issues. Schedule K, Part IV, Line 3 Col. A While all currently outstanding 2005 bonds actually bear fixed rates, taken in its entirety Series 2005 constitutes a variable yield issue for tax purposes. Schedule K, Part IV, Line 4c Col. A The following three swaps were entered into by ABHS, the counterparty being BOA Merrill Lynch: A) $87,425,000 receiving variable rate, paying fixed rate, terminated on 5/28/2008 (actual term 2.8 years). B) $87,425,000 receiving variable rate, paying fixed rate, terminated on 5/28/2008 (actual term 2.8 years). C) $80,945,000 receiving variable rate, paying fixed rate, schedule termination on 1/1/2018 (scheduled term 12.4 years). Schedule K, Part IV, Line 4e Col. A Swaps A and B were terminated on May 28, 2008. Swap C remains open. Schedule K, Part IV, Line 6 Col. A This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the bonds. Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 03/12/2014 Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 03/14/2013 Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 06/16/2015 TRACY ROGERS SENIOR VP & COO SPLIT DOLLAR LIFE INSURANCE X 143747 143747 false true true PAUL BELTER SENIOR VP & TREASURER SPLIT DOLLAR LIFE INSURANCE X 100862 100862 false true true PEG WENDELL OFFICER-SECRETARY SPLIT DOLLAR LIFE INSURANCE X 62427 62427 false true true 307036 Substantial Contributor Substantial Contributor 115232 Consulting services false Substantial Contributor Substantial Contributor 108050 Contracted services false Substantial Contributor Substantial Contributor 1340400 Software services false Form 990, Part III, Line 4a OTHER PROGRAM SERVICES CHARITY CARE AND COMMUNITY BENEFITS: THE AMOUNTS AND TYPES OF CHARITY CARE AND COMMUNITY BENEFITS PROVIDED IN THE ENTIRE ALEXIAN BROTHERS HEALTH SYSTEM ARE AS FOLLOWS: CHARITY CARE AT COST - $11,068,351 LANGUAGE ASSISTANT SERVICES - $645,343 EXCESS OF GOVERNMENT SPONSORED HEALTH CARE COST OVER REIMBURSEMENT - MEDICAID - $49,543,159 DONATIONS - $241,279 EDUCATION - $3,282,294 SUBSIDIZED HEALTH SERVICES - $1,466,926 OTHER COMMUNITY BENEFITS - $3,849,608 TOTAL CHARITY CARE AND COMMUNITY BENEFITS - $70,096,960 EXCESS OF GOVERNMENT SPONSORED HEALTH CARE COST OVER REIMBURSEMENT - MEDICARE - $51,441,421 BAD DEBT EXPENSE AT COST - $9,001,406 Form 990, Part III, Line 4a Continued From Part III Through partnerships with our associates, physicians and the community, we identify and develop effective responses to the health and housing needs of those we are called to serve. Alexian Brothers Health System is a Ministry Organization of Ascension Health, the largest Catholic health system in the nation. The Alexian Brothers Health System provides the community with a full range of comprehensive healthcare services and access to the most advanced medical technology. We are passionate about delivering exceptional health care and are proud of the powerful, cutting edge technology our skilled professionals are able to access. In addition, we offer a wide range of community health services, corporate wellness programs, preventive care and education. Our ministries exist to continue the Alexian Brothers mission of caring for the sick, the poor and the dying and promoting the physical, mental, spiritual and social health and well-being of all individuals we serve. Adventist Health System Sunbelt Healthcare Corporation and Ascension Health, the sponsors of Adventist Midwest Health (AMH) and Alexian Brothers Health System (ABHS), respectively, entered into an Affiliation Agreement that established the Joint Operating Company, Alexian Brothers-AHS Midwest Region Health Co. which became operational on February 1, 2015. The purpose of the Joint Operating Company is to provide a financially and operationally integrated organization for the common management and operation of the health care facilities and operations of AMH and ABHS while preserving the Catholic and Adventist identities and mission priorities that define ABHS and Adventist, respectively. In April 2015, we announced AMITA Health as the d/b/a for Alexian Brothers-AHS Midwest Region Health Co. The word AMITA is inspired by words from several languages: friendship in Italian, honesty and truth in Hebrew, and spiritual light and boundlessness in Hindi. These words reflect our core values of friendship, truth, and mutual respect for all, as well as our faith-based call to healing. Although the name is new, the values of our two great organizations will continue to be the foundation of who we are and how we care for our communities into the future. The dedication and promise our caregivers show every day to our patients, their families and each other is deeply rooted in our new name - AMITA Health. Locations Alexian Brothers Medical Center Ranked 10th in the Chicago Metro Area and Illinois by US News & World Report, Alexian Brothers Medical Center (ABMC), is a 387-bed acute care hospital located in Elk Grove Village, Illinois that has been providing outstanding healthcare to the residents of the Chicago's northwest suburbs for more than 40 years. Located at 800 Biesterfield Road, ABMC is a full-service hospital with a Neurosciences Institute, Cancer Institute, Heart & Vascular Institute, as well as additional specialties in Older Adult (including an emergency room designed for seniors, a geropsych unit and a new hospice residence), Pediatrics, Bariatric Surgery, Orthopedics and Obstetrics. It also includes a 66-bed inpatient rehabilitation hospital. ABMC is a Certified Comprehensive Stroke Center and has received Disease Specific Certification from The Joint Commission in Stroke, Heart Failure, Acute Myocardial Infarction, and Joint Replacement. ABMC is regionally ranked in 6 specialties and high performing in 4 specialties by U.S. News & World Report. St. Alexius Medical Center Ranked 8th in the Chicago Metro Area and Illinois by US News & World Report, St. Alexius Medical Center (SAMC) is a 339-bed acute care hospital located in Hoffman Estates, Illinois that has provided outstanding healthcare to the residents of the Chicago's northwest suburbs for more than 30 years. Located at 1555 Barrington Road, SAMC is nationally ranked in 1 specialty, regionally ranked in 7 specialties and high performing in 2 specialties by U.S. News & World Report. SAMC is a full-service hospital with a Neurosciences Institute, Cancer Institute, Heart & Vascular Institute, as well as additional specialties in Older Adult, Pediatrics, Bariatric Surgery, Orthopedics and Obstetrics. The Alexian Brothers Women & Children's Hospital opened in April 2013. SAMC has received Disease Specific Certification from The Joint Commission in Stroke, Heart Failure, and Knee and Hip Joint Replacement. Alexian Brothers Behavioral Health Hospital Alexian Brothers Behavioral Health Hospital (ABBHH), located at 1650 Moon Lake Boulevard in Hoffman Estates, Illinois, provides comprehensive inpatient and outpatient behavioral health services. ABBHH offers the complete continuum of behavioral health services, from prevention and early intervention to treatment and aftercare. We offer inpatient and outpatient services, as well as clinical psychiatric research. Our goal is to help individuals of all ages to learn ways to manage mental health and substance abuse problems. Alexian Rehabilitation Hospital Alexian Rehabilitation Hospital (ARH), part of Alexian Brothers Medical Center in Elk Grove Village, Illinois, is a 66-bed inpatient rehabilitation facility. Its physicians, nurses and therapists are experts in every aspect of rehabilitation medicine. ARH is a joint venture between the health system and the Rehabilitation Institute of Chicago; they work together through a team approach to meet the physical, emotional and spiritual needs of patients and families. The ARH staff strives to provide each patient with the best possible care by recognizing that every patient's needs and goals are different. Alexian Brothers Center for Mental Health The Alexian Brothers Center for Mental Health (ABCMH) offers a wide spectrum of high quality and innovative mental health services. Located at 3436 North Kennicott Avenue in Arlington Heights, Illinois, its primary service area spans the 10 towns that comprise Palatine and Wheeling Townships. Services and programming include: therapy and psychiatry services for all ages, case management, psychosocial rehabilitation, community support services, vocational rehabilitation, supported education, crisis services, supported residential services, school-based mental health services, a Partial Hospitalization Program and more. Alexian Brothers Ambulatory Group, d/b/a Alexian Brothers Medical Group Alexian Brothers Medical Group (ABMG) provides primary care, immediate care, and occupational health services at fifteen locations. Sites are staffed by physicians trained to provide chronic and acute care for all illnesses and injuries, including work and sports-related injuries. Primary care involves the widest scope of healthcare and includes patients of all ages seeking to maintain optimal health and manage chronic conditions, such as high blood pressure, high cholesterol, diabetes, and back pain. Immediate care is for the treatment of patients with an injury or illness that requires immediate attention but is not serious enough to warrant a visit to a hospital emergency room. No appointment needed for either adults or children. Occupational health medicine is primarily for the treatment and prevention of work-related illness and injury. No appointment is needed. Alexian Brothers Bonaventure House d/b/a Alexian Brothers Housing and Health Alliance Alexian Brothers Housing and Health Alliance (ABHHA) has been serving people impacted by HIV/AIDS and related co-morbidities in the Chicago metropolitan region for more than 20 years, providing housing, comprehensive services, and spiritual care. With services located at The Harbor in Waukegan, Illinois, Bonaventure House on the North Side of Chicago, Bettendorf Place on the South Side of Chicago and at scattered sited throughout the Chicago metro area, ABHHA strives to transform the lives of people who are homeless and living with HIV/AIDS within a supportive, compassionate community. Clinical Institutes Cancer Institute The Cancer Institute provides comprehensive oncology services across the entire Alexian Brothers Health System. Accredited by the American College of Surgeons as a Comprehensive Community Hospital Program, our Cancer Institute boasts five-year survival rates that exceed the American Cancer Society's national statistics for breast, ovarian, lung and colon cancers. Heart & Vascular Institute The Heart & Vascular Institute offers high-level cardiovascular care. Our cardiac team includes some of the most highly respected cardiologists and cardiovascular surgeons in the area, many who are regionally and nationally known. Neurosciences Institute The Neurosciences Institute offers the latest medical advances and technology to help patients with neurological conditions. Our spectrum of care includes advanced diagnostic procedures, treatment strategies, and proven approaches to help patients achieve high quality of life. In addition, we are working to provide scientific insight into how to lower the risk of developing certain neurological diseases. Form 990, Part V, Line 1a IRS FILINGS AND TAX COMPLIANCE ALEXIAN BROTHERS HEALTH SYSTEM USES A COMMON BANK ACCOUNT TO COMPENSATE ALL INDEPENDENT CONTRACTORS WITHIN THE HEALTH SYSTEM. THE NUMBER ATTRIBUTABLE TO EACH ORGANIZATION IS NOT EASILY DISTINGUISHED. THE TOTAL NUMBER OF FORMS 1099 FILED FOR THE ENTIRE HEALTH SYSTEM APPEARS ON PART V, LINE 1A OF THE ALEXIAN BROTHERS HEALTH SYSTEM FORM 990. Form 990, Part VI, Line 2 Family/Business Relationship Amongst Interested Persons Anthony Speranzo, Robert Henkel, Joseph Impicciche and David Pryor have a business relationship due to a joint employment by a common health system entity. Form 990, Part VI, Line 4 Significant changes to organizational documents To identify that the Alexian Brothers Health System is part of an affiliation comprising a regional comprehensive health care delivery network operated and managed by Alexian Brothers-AHS Midwest Region Health Co. (the "Joint Operating Company"). With respect to the Corporation, the authority granted to the Corporation's Board of Directors or otherwise reserved to Alexian Brothers Health System ("ABHS") under the Corporation's Bylaws is subject to the authority granted to the Joint Operating Company and its members and sponsors under the Affiliation Agreement and the Joint Operating Company Bylaws Form 990, Part VI, Line 6 Classes of members or stockholders Alexian Brothers Health System has a single corporate member, Ascension Health (the Sponsor") Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Alexian Brothers Health System has a single corporate member, Ascension Health, which has the ability to elect members to the governing body of Alexian Brothers Health System, which is also SUBJECT TO THE RATIFICATION OF THE BOARD OF ALEXIAN BROTHERS AHS MIDWEST REGION HEALTH CO. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix include the following: new organizations for which Ascension Health will serve as the controlling entity and major transactions; governing documents; appointment/removal of the Chair of the Board and Chief Executive Officer; debt limits; strategic and financial plans; the transfer of assets; and, system policies and procedures. These areas are subject to certain levels of approval by Ascension Health per the system authority matrix and are sUBJECT TO CERTAIN LEVELS OF APPROVAL BY ASCENSION HEALTH PER THE SYSTEM AUTHORITY MATRIX, WHICH IS SUBJECT TO THE APPROVAL OF ALEXIAN BROTHERS AHS MIDWEST REGION HEALTH, CO. Form 990, Part VI, Line 11b Review of form 990 by governing body Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board members are provided the Form 990 and management team members are available to answer any Board Members' questions. Form 990, Part VI, Line 12c Conflict of interest policy The 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 15b Process to establish compensation of other employees In determining compensation of other officers or key employees of the organization, the process PERFORMED BY ALEXIAN BROTHERS HEALTH SYSTEM, 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 other officers or key employees of the organization were compared to other similarly situated organizations' employees that hold the same or similar title. During the review and approval of the compensation by the Compensation Committee, documentation of the decision was recorded in the minutes. Form 990, Part VI, Line 19 Required documents available to the public The financial statements of Alexian Brothers Health System are available through the Office of the Illinois Attorney General. Conflicts of Interest statements and the governing documents of Alexian Brothers Health System are not made available to the public. Form 990, Part VIII, Line 2f Other Program Service Revenue Cafeteria Revenue - Total Revenue: 183783, Related or Exempt Function Revenue: 183783, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Discounts Earned - Total Revenue: 14957, Related or Exempt Function Revenue: 14957, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; AMITA Leased Employee Benefits- AMITA - Total Revenue: 68386, Related or Exempt Function Revenue: 68386, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; PSR - Total Revenue: 194784, Related or Exempt Function Revenue: 194784, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Misc - Total Revenue: 121013, Related or Exempt Function Revenue: 121013, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers to/from Affiliates - XXX-XX-XXXX; Restricted Contributions used for PPE - -522406; Recognition of Minimum Pension Liability - -7673280; System Office, Sponsorship, Symphony & Capital Fees - -25276853; Unrestricted NA IC activity - -2487559; Contributions - 3362644; Released for Operations - -2946503; Other (Negative CGA distributions) - -948; Difference between HFM net income and 990 net income - -28705; Add back Unrealized g/l -included as part of Net Income reconciliation and on separate line in 990 - 10565953; Form 990, Part XII, Line 2b Audit Disclosure The activity of Alexian Brothers Health System is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Alexian Brothers Health System is completed. Ascension Health Alliance's audit committee assumes responsibility for oversight of the audit of the financial statements. The audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Alexian Brothers Health System. Alexian Brothers - AHS Midwest Region Health Co 3040 W Salt Creek Lane Arlington Heights IL 60005 472360513 Joint Operating Company IL 501(c)(3 Type II NA false Ascension Health Alliance PO Box 45998 St Louis MO 631455998 453358926 National Health System MO 501(c)(3 Type I NA false Ascension Health PO Box 45998 St Louis MO 63145 311662309 National Health System MO 501(c)(3 Type I Ascension Health Alliance false Alexian Brothers Bonaventure House 825 Wellington Avenue Chicago IL 60657 363527899 Housing and supportive care services for persons with HIV/AIDS IL 501(c)(3 9 Alexian Brothers Health System true Alexian Brothers Health System Inc Investment Trust 3040 W Salt Creek Lane Arlington Heights IL 60005 363801585 Manages pooled investments of related not-for-profit entities IL 501(c)(3 Type III-FI Alexian Brothers Health System true Alexian Brothers of San Jose Inc 3040 W Salt Creek Lane Arlington Heights IL 60005 941530037 Acute care hospital (sold in 1998) TX 501(c)(3 Type I Alexian Brothers Health System true Alexian Brothers Services Inc 3040 W Salt Creek Lane Arlington Heights IL 60005 431295333 HUD housing MO 501(c)(3 9 Alexian Brothers Health System true Alexian Brothers Senior Ministries 3040 W Salt Creek Lane Arlington Heights IL 60005 364484290 Supports the provision of healthcare for related corporations IL 501(c)(3 Type III-FI Alexian Brothers Health System true Alexian Brothers Hospital Network 3040 W Salt Creek Lane Arlington Heights IL 60005 363276552 Supports the provision of healthcare services for related corporations IL 501(c)(3 Type III-FI Alexian Brothers Health System true Alexian Brothers Medical Center 800 Biesterfield Road Elk Grove Village IL 60007 362596381 Acute care hospital TX 501(c)(3 3 Alexian Brothers Health System true Savelli Properties Inc 3040 W Salt Creek Lane Arlington Heights IL 60005 363308965 Owns or leases properties where healthcare services are delivered IL 501(c)(2 Alexian Brothers Health System true Alexian Brothers Behavioral Health Hospital 1650 Moon Lake Blvd Hoffman Estates IL 60169 364251848 Behavioral health hospital IL 501(c)(3 3 Alexian Brothers Health System true St Alexius Medical Center 1555 Barrington Road Hoffman Estates IL 60194 364251846 Acute care hospital IL 501(c)(3 3 Alexian Brothers Health System true Alexian Brothers Ambulatory Group 3040 W Salt Creek Lane Arlington Heights IL 60005 364336931 Physician services IL 501(c)(3 3 Alexian Brothers Health System true Alexian Brothers Specialty Group 3040 W Salt Creek Lane Arlington Heights IL 60005 800710751 Specialty physician practice group IL 501(c)(3 3 Alexian Brothers Health System true Alexian Brothers Center for Mental Health 3436 N Kennicott Avenue Arlington Heights IL 60004 363045007 Outpatient community mental health services IL 501(c)(3 9 Alexian Brothers Health System true Alexian Brothers Medical Care Group NFP 3040 W Salt Creek Lane Arlington Heights IL 60005 471930457 Physician services IL 501(c)(3 3 Alexian Brothers Health System true Alexian Rehabilitation Services LLC 935 Beisner Elk Grove Village IL 60007 300221481 Rehabilitation hospital IL NA N/A false false Illinois NeuroMeg Center LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 870783164 Provision of NeuroMeg services IL NA N/A false false Elk Grove MOB Limited Partnership 3040 W Salt Creek Lane Arlington Heights IL 60005 363853289 Medical office building IL NA N/A false false Bonaventure Medical Foundation LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 363978153 Manages managed care contracts DE Alexian Brothers Health System Related 0 false false Neurosciences Equipment LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 861115516 Ownership of Gamma Knife IL NA N/A false false St Alexius Center for Sleep Health LLC 1300 S Main Street Lombard IL 60148 205876371 Operation of sleep lab IL NA N/A false false Thelen Corporation 3040 W Salt Creek Arlington Heights IL 60005 363266316 Owns/ leases property; 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