ALEXIAN BROTHERS HOSPITAL NETWORK: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ALEXIAN BROTHERS HOSPITAL NETWORK (EIN 36-3276552)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-09
- IRS object ID
- 201411299349301796
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-09T15:06:59-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 S Wacker Drive | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606064301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363276552 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alexian Brothers Hospital Network | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ALEX | NameControl |
| Phone | 8473857100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3040 W Salt Creek Lane | AddressLine1 |
| City | Arlington Heights | City |
| State | IL | State |
| ZIP Code | 600051069 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Mark Frey | Name |
| Title | President & CEO | Title |
| Phone | 8473857100 | Phone |
| Date Signed | 2014-05-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Laura Gillespie | Name |
| PTIN | P00855604 | PTIN |
| Phone | 3124861000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Mark Frey | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3040 W Salt Creek Lane | AddressLine1 |
| City | Arlington Heights | City |
| State | IL | State |
| ZIP Code | 600051069 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 101358155 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.alexianbrothershealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | Area member for Catholic health system ministries. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 1 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 1 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 48402096 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 101358155 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 473540 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 48875636 | TotalRevenuePriorYear |
| Total Revenue Current Year | 101358155 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 19063715 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 26532873 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 29143978 | OtherExpensePriorYear |
| Other Expenses Current Year | 71178569 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 48207693 | TotalExpensesPriorYear |
| Total Expenses Current Year | 97711442 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 667943 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3646713 | RevenuesLessExpensesCY |
| Total Assets BOY | 112173264 | TotalAssetsBOY |
| Total Assets EOY | 129212972 | TotalAssetsEOY |
| Total Liabilities BOY | 146498909 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 142533597 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -34325645 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -13320625 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Alexian Brothers Hospital Network ("ABHN") 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 74955738 | Expense |
| Revenue | 100264863 | Revenue |
| Description | Alexian Brothers Hospital Network (ABHN) 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. 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 Hospital Network and its entities are a Ministry Organization of Ascension Health, the largest Catholic health system in the nation. The Alexian Brothers Hospital Network 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. | Description |
| Total Program Service Expense | 74955738 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 1 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Paul Belter | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8478185100 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3040 West Salt Creek Lane | AddressLine1 |
| City | Arlington Heights | City |
| State | IL | State |
| ZIP Code | 600051069 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Mark Frey | |||||||||
| Ex-Officio Member and Chairperson | 0.00 | 40.00 | X | X | 0 | 1434790 | 179527 | ||
| John Werrbach | |||||||||
| Director & Vice President | 0.00 | 40.00 | X | X | 0 | 702565 | 65432 | ||
| Clayton Ciha | |||||||||
| Director & Vice President | 0.00 | 40.00 | X | X | 0 | 383075 | 67019 | ||
| Edward Goldberg | |||||||||
| Dir. & Vice Pres. (end 11/12) | 0.00 | 40.00 | X | X | 0 | 1082224 | 1641824 | ||
| Len Wilk | |||||||||
| Dir. & Vice Pres. (start 2/13) | 0.00 | 40.00 | X | X | 0 | 0 | 0 | ||
| James Sances | |||||||||
| Dir. & Secretary/Treas. (end 7/12) | 0.00 | 40.00 | X | X | 0 | 1697343 | 148158 | ||
| Paul Belter | |||||||||
| Dir. & Secretary/Treas. (start 7/12) | 0.00 | 40.00 | X | X | 0 | 199213 | 21767 | ||
| Br James Classon CFA | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Tracy Rogers | |||||||||
| Director | 0.00 | 40.00 | X | 0 | 662290 | 65199 | |||
| Donna Gauthier | |||||||||
| Assistant Secretary | 0.00 | 40.00 | X | 0 | 71007 | 15381 | |||
| Sherrie Russell | |||||||||
| Vice Pres./Chief Info. Officer | 40.00 | 0.00 | 0 | 344209 | 35225 | X | |||
| Jim Lewandowski | |||||||||
| Vice President | 0.00 | 40.00 | 0 | 468370 | 805832 | X | |||
| Rob Wright | |||||||||
| Vice President | 40.00 | 0.00 | 0 | 465157 | 59979 | X | |||
| Patti Baker | |||||||||
| Vice President | 40.00 | 0.00 | 0 | 367566 | 33788 | X | |||
| John Wilkerson | |||||||||
| Physician/Medical Director | 0.00 | 40.00 | 0 | 390460 | 5890 | X | |||
| Beth Tze | |||||||||
| CEO, ABAG | 0.00 | 40.00 | 0 | 390220 | 53526 | X | |||
| Scott Neeley | |||||||||
| Intensivist/ICU Medical Director/CMO | 0.00 | 40.00 | 0 | 516121 | 24922 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 9174610 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 3223469 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Management Fees | 561000 | 97090602 | 97090602 | |
| Rehab. Revenue | 900099 | 2747171 | 2747171 | |
| Research Revenues | 541700 | 1036352 | $1,036,352 | |
| Revenue Cycle Income | 900099 | 304500 | 304500 | |
| Managed Care Cost Allo | 900099 | 121428 | 121428 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 58102 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1162 | RelatedOrExemptFunctionIncome |
| Exclusion | $56,940 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 101358155 | TotalProgramServiceRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 101358155 | TotalRevenueColumn |
| Related Or Exempt Function Income | 100264863 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,093,292 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18944502 | Total |
| Program Services | 8951275 | ProgramServices |
| Management And General | 9993227 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6359745 | Total |
| Program Services | -315775 | ProgramServices |
| Management And General | 6675520 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1228626 | Total |
| Program Services | 709250 | ProgramServices |
| Management And General | 519376 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1107012 | Total |
| Management And General | 1107012 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 556134 | Total |
| Program Services | 36259 | ProgramServices |
| Management And General | 519875 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30 | Total |
| Management And General | 30 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18673863 | Total |
| Program Services | 17168038 | ProgramServices |
| Management And General | 1505825 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3900041 | Total |
| Program Services | 3880584 | ProgramServices |
| Management And General | 19457 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104904 | Total |
| Program Services | -249620 | ProgramServices |
| Management And General | 354524 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27766765 | Total |
| Program Services | 27766765 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2075299 | Total |
| Program Services | 542545 | ProgramServices |
| Management And General | 1532754 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 232095 | Total |
| Program Services | 146196 | ProgramServices |
| Management And General | 85899 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10429 | Total |
| Program Services | 10051 | ProgramServices |
| Management And General | 378 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13499042 | Total |
| Program Services | 13499042 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5428 | Total |
| Program Services | 5428 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Public Relations | 1973147 | 1973147 | |
| Medical Supplies | 760292 | 766929 | -6637 |
| Dues | 474526 | 48629 | 425897 |
| Dietary | 24214 | 16995 | 7219 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15348 | Total |
| Management And General | 15348 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97711442 | Total |
| Program Services | 74955738 | ProgramServices |
| Management And General | 22755704 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70875 | BOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 241846 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4474823 | BOY |
| EOY | 4505867 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3731206 | BOY |
| EOY | 225412 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 47388736 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13279387 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33610943 | BOY |
| EOY | 34109349 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53942000 | BOY |
| EOY | 53941828 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 7774141 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16343417 | BOY |
| EOY | 28414529 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112173264 | BOY |
| EOY | 129212972 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17153579 | BOY |
| EOY | 15280267 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 129345330 | BOY |
| EOY | 127253330 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146498909 | BOY |
| EOY | 142533597 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -34325645 | BOY |
| EOY | -13320625 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -34325645 | BOY |
| EOY | -13320625 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112173264 | BOY |
| EOY | 129212972 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3646713 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 17358307 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (4 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| Alexian Brothers Medical Center | |||||
| 362596381 | 3 | 1 | 1 | 1 | $0 |
| St Alexius Medical Center | |||||
| 364251846 | 3 | 1 | 1 | 1 | $0 |
| Alexian Brothers Behavioral Health Hospital | |||||
| 364251848 | 3 | 1 | 1 | 1 | $0 |
| Alexian Brothers Center for Mental Health | |||||
| 363045007 | 7 | 1 | 1 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 4 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
| General Explanation | Schedule A, Part IV, Supplemental Information: ABHN supports the provision of healthcare services at the corporations to which it is a member by the provision of centralized administrative support, including Billing and Collections; IT; Managed Care Contracting; Medical Library; CME; Property Management; Administrative Costs for Clinical Institutes (including Oncology, Cardiology, Bariatrics, Pediatrics, Stroke and Neurosciences); Research (including Oncology, Neurosciences, and General Research); Marketing; Logistics; External Affairs; Public Relations; and Construction. Costs of certain of these departments are charged to the corporations through a management fee. Transactions with each corporation is delineated on Schedule R. | GeneralExplanation |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $716,398 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $75,886 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 792284 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | The Department of External Affairs at Alexian Brothers Health System is responsible for advocacy at the local, county, state and federal government. The Vice President of External Affairs works with the Illinois Hospital Association and the American Hospital Association on issues that affect the hospital industry in Illinois and in the entire country. These issues include regulation, reimbursement, workforce and overall health policy. The Vice President of External Affairs is responsible for retaining certain consultants to provide advice and support for issues of specific concern to Alexian Brothers Health System. One such example is our support of a full interchange from a nearby toll way that would save lives by providing easier, quicker ambulance access to the St. Alexius Medical Center campus emergency department, an acute care hospital, of which ABHN is the area member. | Explanation |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4139180 | OtherCostOrOtherBasis |
| Depreciation | 926759 | Depreciation |
| Book Value | 3212421 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 43188959 | OtherCostOrOtherBasis |
| Depreciation | 12339316 | Depreciation |
| Book Value | 30849643 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 60597 | OtherCostOrOtherBasis |
| Depreciation | 13312 | Depreciation |
| Book Value | 47285 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 34109349 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Investments in Related Taxable Affiliates | Description |
| Book Value | 53941828 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 53941828 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due from Affiliates | 28410012 |
| Other Assets-Misc. | 4517 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 28414529 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due to Affiliates | Description |
| Amount | $127,253,330 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 127253330 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Part X, Line 2: Alexian Brothers Hospital Network does not file a separate audit report, but is part of the Alexian Brothers Health System consolidated audit report. There is no ASC 740 (fka FIN 48) footnote for the current year. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mark Frey | ||||||||||||||
| Ex-Officio Member and Chairperson | 0 | 1110138 | 0 | 263024 | 0 | 61628 | 0 | 137956 | 0 | 41571 | 0 | 1614317 | 0 | 44628 |
| John Werrbach | ||||||||||||||
| Director & Vice President | 0 | 526005 | 0 | 149112 | 0 | 27448 | 0 | 41464 | 0 | 23968 | 0 | 767997 | 0 | 27448 |
| Clayton Ciha | ||||||||||||||
| Director & Vice President | 0 | 295575 | 0 | 87500 | 0 | 0 | 0 | 30159 | 0 | 36860 | 0 | 450094 | 0 | 0 |
| Edward Goldberg | ||||||||||||||
| Dir. & Vice Pres. (end 11/12) | 0 | 553244 | 0 | 177791 | 0 | 351189 | 0 | 1582338 | 0 | 59486 | 0 | 2724048 | 0 | 22074 |
| James Sances | ||||||||||||||
| Dir. & Secretary/Treas. (end 7/12) | 0 | 358665 | 0 | 213760 | 0 | 1124918 | 0 | 126943 | 0 | 21215 | 0 | 1845501 | 0 | 33210 |
| Paul Belter | ||||||||||||||
| Dir. & Secretary/Treas. (start 7/12) | 0 | 199213 | 0 | 0 | 0 | 0 | 0 | 9552 | 0 | 12215 | 0 | 220980 | 0 | 0 |
| Tracy Rogers | ||||||||||||||
| Director | 0 | 478013 | 0 | 165217 | 0 | 19060 | 0 | 35075 | 0 | 30124 | 0 | 727489 | 0 | 19060 |
| Sherrie Russell | ||||||||||||||
| Vice Pres./Chief Info. Officer | 0 | 271122 | 0 | 73087 | 0 | 0 | 0 | 18267 | 0 | 16958 | 0 | 379434 | 0 | 0 |
| Jim Lewandowski | ||||||||||||||
| Vice President | 0 | 328372 | 0 | 88552 | 0 | 51446 | 0 | 779279 | 0 | 26553 | 0 | 1274202 | 0 | 33988 |
| Rob Wright | ||||||||||||||
| Vice President | 0 | 370722 | 0 | 84238 | 0 | 10197 | 0 | 33472 | 0 | 26507 | 0 | 525136 | 0 | 10197 |
| Patti Baker | ||||||||||||||
| Vice President | 0 | 290674 | 0 | 64694 | 0 | 12198 | 0 | 22292 | 0 | 11496 | 0 | 401354 | 0 | 12198 |
| John Wilkerson | ||||||||||||||
| Physician/Medical Director | 0 | 374942 | 0 | 15518 | 0 | 0 | 0 | 5000 | 0 | 890 | 0 | 396350 | 0 | 0 |
| Beth Tze | ||||||||||||||
| CEO, ABAG | 0 | 279813 | 0 | 102297 | 0 | 8110 | 0 | 28288 | 0 | 25238 | 0 | 443746 | 0 | 8110 |
| Scott Neeley | ||||||||||||||
| Intensivist/ICU Medical Director/CMO | 0 | 516121 | 0 | 0 | 0 | 0 | 0 | 5000 | 0 | 19922 | 0 | 541043 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 3 | Alexian Brothers Health System, a related organization of Alexian Brothers Hospital Network, uses all of the items in Schedule J, Part I, Line 3 to establish the compensation of the organization's CEO. | |
| Part III | Part I, Line 4a: The following individuals listed in Schedule J were paid the referenced amount of change in control in calendar 2012. 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: Edward Goldberg - $309,303 James Sances - $1,091,708 Part I, Line 4b: Alexian Brothers Health System offers a Supplemental 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. The amount paid in calendar 2012 was included in income in Schedule J for the following individuals: Jim Lewandowski - $19,123 | Supplemental Information |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | Tracy Rogers, Ed Goldberg, Len Wilk, Clay Ciha, John Werrbach, James Sances, Paul Belter, Mark Frey, Jim Lewandowski, Sherrie Russell, and Donna Gauthier, have a business relationship due to joint employment by a common health system entity. | |
| Form 990, Part VI, Section A, line 6 | Alexian Brothers Hospital Network has one 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 Hospital Network. | |
| Form 990, Part VI, Section A, line 7b | All decisions that have a material impact to Alexian Brothers Hospital Network's 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 Members' 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 meeting 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, 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 were compared to 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/her compensation was decided. In determining compensation of other officers or key employees 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 employees of the organization were compared to other similarly situated organization's 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 Brothers Hospital Network are available through the Office of the Illinois Attorney General. Conflict of Interest statements and the governing documents of Alexian Brothers Hospital Network are not made available to the public. | |
| Form 990, Part VII, Section A: | Officers and certain key employees for Alexian Brothers Hospital Network provide services to Alexian Brothers Health System (the National Member) and its subsidiaries. Hours worked are not tracked on an entity by entity basis, and a 40 hour work week is used as a proxy for all individuals listed on Part VII if employed by the filing organization or a related organization (even though more hours may be worked on average). Therefore, all officers, directors, trustees, and key employee hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees represent aggregate hours for worked per week for all entities. | |
| Form 990, Part VII, Section A: | Compensation amounts for Ed Goldberg, and Len Wilk represent payment for services rendered to St. Alexius Medical Center, a related entity, Compensation amount for Clayton Ciha represents payment for services rendered to Alexian Brothers Behavioral Health Hospital, a related entity and compensation amounts for Tracy Rogers, John Werrbach, James Sances, Paul Belter, and Mark Frey represent payment for services rendered to Alexian Brothers Health System, a related entity. The amounts are not for services as a board member of Alexian Brothers Hospital Network. | |
| Form 990, Part IX, line 11g | Medical Fees: Program service expenses 11,114,775. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,114,775. Misc. Purchase Services: Program service expenses 376,716. Management and general expenses 1,505,825. Fundraising expenses 0. Total expenses 1,882,541. Other: Program service expenses 5,676,547. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,676,547. | Other Fees |
| Form 990, Part XI, line 9: | Prior Period Adjustment - No Tax Effect 17,358,307. | Changes in Net Assets or Fund Balances: |
| Form 990, Part V, Line 1a: | Alexian Brothers Health System, a related organization of Alexian Brothers Hospital Network, 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. | |
| Part XI, Line 2b Audit Disclosure: | The financial statements of Alexian Brothers Hospital Network 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 audits the financial statements. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alexian Brothers Accountable Care | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3040 W Salt Creek Lane | AddressLine1 |
| City | Arlington Heights | City |
| State | IL | State |
| ZIP Code | 60005 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 900855278 | EIN |
| Primary Activities | Accountable Care Organization | PrimaryActivities |
| Legal Domicile State | IL | LegalDomicileState |
| Total Income | -831648 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alexian Brothers Hospital Network | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (22 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 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 |
| 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 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 Brothers Senior Ministries | ||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 364484290 | Supports the provision of healthcare services for related corporations | IL | Section 501(c)(3) | Schedule A, Line 11c | 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 of St Louis Inc | ||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 430653236 | Acute care hospital (sponsorship transferred in 1997) | MO | Section 501(c)(3) | Schedule A, Line 11c | Alexian Brothers Health System | 1 |
| Alexian Village of Tennessee | ||||||||||
| 437 Alexian Way | Signal Mountain | TN | 37737 | 621136742 | Continuing care retirement community | TN | Section 501(c)(3) | Schedule A, Line 9 | 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 7 | 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 |
Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alexian Rehabilitation Services LLC | ||||||||||||||
| 935 Beisner Road | Elk Grove Village | IL | 60007 | 300221481 | Rehabilitation hospital | IL | Alexian Brothers Hospital Network | Related | 2747171 | 1007074 | 0 | 0 | 0.51000 | |
| 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 | |||||||
| Workplace Solutions LLC | ||||||||||||||
| 1100 E Woodfield Road | Schaumburg | IL | 60173 | 364095007 | Provision of EAP services | IL | N/A | |||||||
| Bonaventure Medical Foundation LLC | ||||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 363978153 | Manages managed care contracts | DE | Related | 6997833 | 0 | 0 | 0.50000 | 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 | |||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Thelen Corporation | ||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 363266316 | Owns/leases property; joint venture partner | IL | Alexian Brothers Hospital Network | C | 6581222 | 1.00000 | 1 | |
| Alexian Brothers Health Providers Association Inc | ||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 363853286 | Messenger model IPA | IL | C | 0 | N/A | |||
| Alexian Brothers Corpus Christi Housing Project LLC | ||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 943465394 | Tax credit financed housing | IL | C | 0 | N/A | |||
| Alexian Village of Elk Grove | ||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 352211303 | Tax credit financed housing | IL | C | 0 | N/A | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Alexian Brothers Medical Center | ||
| P | 48009972 | FMV |
| St Alexius Medical Center | ||
| P | 36113976 | FMV |
| Thelen Corporation | ||
| P | 143256 | FMV |
| Alexian Brothers Specialty Group | ||
| P | 612252 | FMV |
| Alexian Brothers Behavioral Health Hospital | ||
| P | 6462384 | FMV |
| Savelli Properties Inc | ||
| P | 194976 | FMV |
| Alexian Brothers Ambulatory Group | ||
| P | 3614772 | FMV |
| Alexian Brothers Senior Ministries | ||
| P | 1939014 | FMV |
| Alexian Brothers Health System | ||
| J | 1590462 | FMV |
| Alexian Brothers Health System | ||
| R | 98482602 | FMV |