2015-05-13T13:30:00-05:00 2014-06-30 861065772 Deloitte Tax LLP 111 South Wacker Drive Chicago IL 60606 990 2013-07-01 364484290 Alexian Brothers Senior Ministries ALEX 3147293500 12250 Weber Hill Road No 200 St Louis MO 63127 Gary Mohn Director 3147293500 2015-05-12 1 Laura Gillespie P00855604 3124861000 2015-05-06 2013 2016-03-07 17:11:31Z Gary Mohn 12250 Weber Hill Road No 200 St Louis MO 63127 4580802 0 0928 X www.alexianbrothers.net X 2009 IL Alexian Brothers Senior Ministries is an area member for Catholic health system ministries. 6 5 56 5 0 0 0 0 2828031 4552450 17814 28352 0 0 2845845 4580802 0 0 0 0 2876504 3763827 0 0 0 291649 2302397 3168153 6066224 -322308 -1485422 2984279 8400117 2582894 2728276 401385 5671841 Alexian Brothers Senior Ministries ("ABSM") 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. 0 0 5296457 4552450 ABSM promotes the availability of quality healthcare and housing to all persons by coordinating the activities of the corporations to which it is the area member (including Alexian Village of Tennessee, Alexian Village of Milwaukee, Inc., Alexian Brothers Community Services, Alexian Brothers Lansdowne Village, Alexian Brothers Sherbrooke Village, and Alexian Brothers Senior Neighbors) by the provision of centralized administrative support, including services such as Human Resources, Accounting and Information Technologies. In 2014, these corporations served numerous residents and clients by providing care in nursing homes, retirement communities and Program for All-Inclusive Care of the Elderly ("PACE") programs. 5296457 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 15 0 1 56 1 0 0 0 0 0 0 0 0 0 0 X 6 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Cynthia Winters 3147293519 12250 Weber Hill Road Suite 200 St Louis MO 63127 Sandra Johnson JD LLM Director and Chairperson 1.00 1.00 X X 0 0 0 Howard Roddy Director & Secretary/Treasurer 1.00 1.00 X X 0 0 0 Gary Mohn start 114 Director & Vice President 25.00 25.00 X X 0 248477 58314 John Turongian end 114 Vice President 50.00 1.00 X X 0 259070 48066 Curtis C Gielow Director 1.00 1.00 X 0 0 0 Brother Warren Longo CFA Director 1.00 1.00 X 0 0 0 Brother Daniel McCormick CFA Director 1.00 1.00 X 0 0 0 Donna Gauthier Assistant Secretary 1.00 40.00 X 0 74489 15715 Ken Marx end 114 Chief Financial Officer 50.00 1.00 X 0 190506 42107 Joe Girardi start 614 Chief Financial Officer 50.00 1.00 X 0 0 0 Scott Peterson Vice President of Human Resources 1.00 50.00 X 0 342755 38484 Cynthia Winters Chief Accounting Officer 50.00 0.00 X 105535 0 4994 Charles Weschke Director of Financial Planning 50.00 0.00 X 142353 0 7008 Jim Lewandowski Former Key Employee 0.00 0.00 X 0 722305 15727 247888 1837602 230415 5 1 1 0 Alexian Brothers Health System 3040 W Salt Creek Lane Chicago IL 60657 Management Services 449442 McGladrey LLP 9225 Priority Way West Dr Ste 30 Indianapolis IN 46240 AR Consulting 316430 Grandview Associates LLC 4678 World Parkway Circle St Louis MO 63134 Rental Services 145347 Impact Advisors LLC 931 West 75th Street Suite 137-304 Naperville IL 60565 AOD Consulting 141679 United Healthcare Insurance Company 22561 Network Place Chicago IL 60673 Health Insurance 109576 5 Management Fees 561000 3105252 3105252 Shared Services Rev. 541900 464990 464990 982208 982208 4552450 28352 28352 4580802 4552450 0 28352 X 3123817 3049243 74574 57848 45950 11898 360377 286254 74123 221785 176168 45617 11620 11620 40910 40910 1302061 1302061 207213 191598 15615 44606 44606 1657 1657 47919 47919 6283 6283 98936 98936 1485 1485 Management Fees 493925 493925 Other Purchased Svcs. 44489 44489 Personal Property Taxes 1293 1293 6066224 5296457 769767 0 0 3823864 28617 35423 357305 144285 94868 213020 1001331 2860794 3326479 2984279 8400117 2555068 1927284 27826 800992 2582894 2728276 X 401385 5671841 0 0 401385 5671841 2984279 8400117 X -1485422 22715 6733163 X 0 1 X 1 0 X X X 0 0 0 Alexian Village of Milwaukee Inc 391351584 9 1 1 1 0 Alexian Brothers Community Services 364344423 9 1 1 1 0 Alexian Brothers Senior Neighbors 620646376 7 1 1 1 0 Alexian Village of Tennessee 621136742 9 1 1 1 0 Alexian Brothers Sherbrooke Village 431592502 9 1 1 1 0 Alexian Brothers Lansdowne Village 431470362 9 1 1 1 0 6 0 Schedule A, Part I, Line 11h: ABSM supports the provision of health and housing services at the corporations to which it is a member by the provision of centralized administrative support, including Billing and Collections; IT; Accounting; and Human Resources. Costs of these departments are charged to the members through a management fee. Transactions with members are delineated on Schedule R. 342750 144285 198465 14555 14555 213020 Interest in Investments Held by Ascension Health Alliance 1001331 F 1001331 Refundable Deposits 15526 Due from Affiliates 3310953 3326479 Due to Affiliates 800992 800992 X Part X, Line 2: From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Alexian Brothers Senior Ministries: The System accounts for uncertainty in income tax provisions 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, 2014. 1 0 0 0 0 0 0 0 0 Gary Mohn start 114 Director & Vice President 0 199745 0 34606 0 14126 0 28332 0 29982 0 306791 0 14126 John Turongian end 114 Vice President 0 222982 0 20058 0 16030 0 23254 0 24812 0 307136 0 16030 Ken Marx end 114 Chief Financial Officer 0 175708 0 10027 0 4771 0 14158 0 27949 0 232613 0 0 Scott Peterson Vice President of Human Resources 0 302795 0 39960 0 0 0 14311 0 24173 0 381239 0 0 Jim Lewandowski Former Key Employee 0 0 0 0 0 722305 0 0 0 15727 0 738032 0 722305 Part I, Line 3 Alexian Brothers Health System, a related organization of Alexian Brothers Senior Ministries, uses the following methods to establish the compensation of the organization's CEO/Executive Director: - Compensation committee, - Independent compensation consultant, - Form 990 of other organizations, - Compensation survey or study, and - Approval by the board or compensation committee. Part I, Line 4a: The following individual listed in Schedule J received the referenced amount of change in control payments in calendar 2013. The payments under a change-of-control arrangement are made in connection with retirement that changed the terms of employment resulting from a change in control of the organization: Jim Lewandowski - $689,832 Form 990, Part VI, Section A, line 2 Donna Gauthier, Scott Peterson, John Turongian, Gary Mohn, Ken Marx and Joe Girardi have a business relationship due to joint employment by a common health system entity. Form 990, Part VI, Section A, line 6 Alexian Brothers Senior Ministries has a single corporate member, Alexian Brothers Health System (the "National Member"). Form 990, Part VI, Section A, line 7a Alexian Brothers Health System has the authority to appoint and remove Directors and Executive Officers of Alexian Brothers Senior Ministries. Form 990, Part VI, Section A, line 7b All decisions that have a material impact to Alexian Brothers Senior Ministries' financial information or corporation as a whole are subject to approval by the National Member, Alexian Brothers Health System. Form 990, Part VI, Section B, line 11 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 Member's questions. Form 990, Part VI, Section B, line 12c 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, Section B, line 15 In determining compensation of the organization's CEO, Executive Director, or top management official, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee of the Board of Governors of Alexian Brothers Health System reviewed and approved the compensation. In the review of the compensation, the CEO, Executive Director, or top management official were compared to the compensation of those in positions in other similarly situated organizations that hold the same or a similar title. During the review and approval of the compensation, the documentation of the decision was recorded in the Compensation Committee minutes. The individual was not present when his compensation was decided. In determining compensation of other officers or key employee of the organization, the process 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 employee 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, Section C, line 19 The financial statements of Alexian Brother Senior Ministries are available through the National Reporting Municipal Services Information Repository (NRMSIR). Conflicts of Interest statements and the governing documents of Alexian Brothers Senior Ministries are not made available to the public. Form 990, Part IX, line 11g Bank Fees: Program service expenses 25,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 25,000. Recruiting Expenses: Program service expenses 112,723. Management and general expenses 0. Fundraising expenses 0. Total expenses 112,723. Purchased Services: Program service expenses 1,164,338. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,164,338. Form 990, Part XI, line 9: Equity Transfer from Alexian Brothers Community Services 6,733,163. Form 990, Part XII, Line 2b - Audit Disclosure: The financial statements of Alexian Brothers Senior Ministries were audited on a consolidated basis. The Audit Committee of the Board of Governors of Alexian Brothers Health System has been delegated the responsibility to oversee the audited financial statements and the selection of the independent accountants that audit the financial statements. Ascension Health Alliance PO Box 45998 St Louis MO 631455998 453358926 National Health System MO Section 501(c)(3) Schedule A, Line 11a N/A 0 Ascension Health PO Box 45998 St Louis MO 63145 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a Ascension Health Alliance 0 Alexian Brothers Health System 3040 W Salt Creek Lane Arlington Heights IL 60005 363260495 Supports provision of healthcare services for related corporations IL Section 501(c)(3) Schedule A, Line 11c Ascension Health 0 Alexian Brothers Bonaventure House 825 Wellington Avenue Chicago IL 60657 363527899 Housing and supportive care services for persons with HIV/AIDS IL Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 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 Section 501(c)(3) Schedule A, Line 11c Alexian Brothers Health System 1 Alexian Brothers of San Jose Inc 3040 W Salt Creek Lane Arlington Heights IL 60005 941530037 Acute care hospital (sold in 1998) TX Section 501(c)(3) Schedule A, Line 11c Alexian Brothers Health System 1 Alexian Brothers Services Inc 3040 W Salt Creek Lane Arlington Heights IL 60005 431295333 HUD housing MO Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Brothers Hospital Network 3040 W Salt Creek Lane Arlington Heights IL 60005 363276552 Supports the provision of healthcare services for related corporations IL Section 501(c)(3) Schedule A, Line 11c Alexian Brothers Health System 1 Alexian Village of Milwaukee Inc 9301 N 76th Street Milwaukee WI 53223 391351584 Continuing care retirement community WI Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Brothers Community Services 425 Cumberland Street Suite 110 Chattanooga TN 37404 364344423 Provides comprehensive & coordinated community based services IL Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Brothers Senior Neighbors 250 East 10th Street Chattanooga TN 37402 620646376 Supports the provision of community services for senior citizens TN Section 501(c)(3) Schedule A, Line 7 Alexian Brothers Health System 1 Alexian Village of Tennessee 437 Alexian Way Signal Mountain TN 37377 621136742 Continuing care retirement community TN Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Elderly Services Inc 3040 W Salt Creek Lane Arlington Heights IL 60005 392039667 Community outreach WI Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Brothers Lansdowne Village 4624 Lansdowne St Louis MO 63116 431470362 Skilled nursing facility MO Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Brothers Sherbrooke Village 4005 Ripa Avenue St Louis MO 63125 431592502 Skilled nursing facility MO Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Brothers Specialty Group 3040 W Salt Creek Lane Arlington Heights IL 60005 800710751 Specialty physician practice group IL Section 501(c)(3) Schedule A, Line 3 Alexian Brothers Health System 1 Savelli Properties Inc 3040 W Salt Creek Lane Arlington Heights IL 60005 363308965 Owns or leases properties where healthcare services are delivered IL Section 501(c)(2) N/A Alexian Brothers Health System 1 Alexian Brothers Center for Mental Health 3436 N Kennicott Avenue Arlington Heights IL 60004 363045007 Outpatient community mental health services IL Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Brothers Behavioral Health Hospital 1650 Moon Lake Blvd Hoffman Estates IL 60194 364251848 Behavioral health hospital IL Section 501(c)(3) Schedule A, Line 3 Alexian Brothers Health System 1 St Alexius Medical Center 1555 Barrington Road Hoffman Estates IL 60194 364251846 Acute care hospital IL Section 501(c)(3) Schedule A, Line 3 Alexian Brothers Health System 1 Alexian Brothers Ambulatory Group 3040 W Salt Creek Lane Arlington Heights IL 60005 364336931 Physician services IL Section 501(c)(3) Schedule A, Line 3 Alexian Brothers Health System 1 Alexian Brothers Medical Center 800 Biesterfield Road Elk Grove Village IL 60007 362596381 Acute care hospital TX Section 501(c)(3) Schedule A, Line 3 Alexian Brothers Health System 1 Alexian Rehabilitation Services LLC 935 Beisner Road Elk Grove Village IL 60007 300221481 Rehabilitation hospital IL N/A Illinois NeuroMeg Center LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 870783164 Provision of NeuroMeg services IL N/A Elk Grove MOB Limited Partnership 3040 W Salt Creek Lane Arlington Heights IL 60005 363853289 Medical office building IL N/A Bonaventure Medical Foundation LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 363978153 Manages managed care contracts DE N/A Neurosciences Equipment LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 861115516 Ownership of Gamma Knife IL N/A St Alexius Center for Sleep Health LLC 1300 S Main Street Lombard IL 60148 205876371 Operation of sleep lab IL N/A Thelen Corporation 3040 W Salt Creek Lane Arlington Heights IL 60005 363266316 Owns/leases property; joint venture partner IL N/A C 0 Alexian Brothers Health Providers Association Inc 3040 W Salt Creek Lane Arlington Heights IL 60005 363853286 Messenger model IPA IL N/A C 0 Alexian Brothers Corpus Christi Housing Project LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 943465394 Tax credit financed housing IL N/A C 0 Alexian Village of Elk Grove 3040 W Salt Creek Lane Arlington Heights IL 60005 352211303 Tax credit financed housing IL N/A C 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 1 Alexian Village of Tennessee P 877044 FMV Alexian Brothers Health System P 1730599 FMV Alexian Brothers Hospital Network P 1632889 FMV Alexian Brothers Community Services P 1138824 FMV Alexian Village of Milwaukee Inc P 590693 FMV Alexian Brothers Lansdowne Village P 231123 FMV Alexian Brothers Sherbrooke Village P 224701 FMV Ascension Health R 63666584 FMV Alexian Village of Tennessee S 115060 FMV Alexian Brothers Community Services S 121553 FMV Alexian Brothers Lansdowne Village S 65608 FMV Alexian Brothers Sherbrooke Village S 65465 FMV Alexian Brothers Health System S 3496317 FMV