ALEXIAN BROTHERS COMMUNITY SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ALEXIAN BROTHERS COMMUNITY SERVICES (EIN 36-4344423)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-09
IRS object ID
201421299349302047
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

FieldValueIRS element (for citing)
Timestamp2014-05-09T15:06:59-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Wacker DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN364344423EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Alexian Brothers Community ServicesBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALEXNameControl
Phone4236980802Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1425 Cumberland StreetAddressLine1
CityChattanoogaCity
StateTNState
ZIP Code37404ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJohn TurongianName
TitleVice PresidentTitle
Phone4236980802Phone
Date Signed2014-05-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLaura GillespieName
PTINP00855604PTIN
Phone3124861000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonViston TaylorNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1425 Cumberland StreetAddressLine1
CityChattanoogaCity
StateTNState
ZIP Code37404ZIPCode
FieldValueIRS element (for citing)
Gross Receipts39527005GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.alexianbrothershealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionProgram for All Inclusive Care for the ElderlyActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees437TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year50ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19048910ProgramServiceRevenuePriorYear
Program Service Revenue CY37529844ProgramServiceRevenueCY
Investment Income Prior Year2124828InvestmentIncomePriorYear
Investment Income Current Year1997161InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year21173788TotalRevenuePriorYear
Total Revenue Current Year39527005TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6638173SalariesEtcPriorYear
Salaries Etc Current Year13427333SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10707314OtherExpensePriorYear
Other Expenses Current Year23145491OtherExpensesCurrentYear
Total Expenses Prior Year17345487TotalExpensesPriorYear
Total Expenses Current Year36572824TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3828301RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2954181RevenuesLessExpensesCY
Total Assets BOY51312931TotalAssetsBOY
Total Assets EOY55237382TotalAssetsEOY
Total Liabilities BOY9604634TotalLiabilitiesBOY
Total Liabilities EOY9894043TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY41708297NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY45343339NetAssetsOrFundBalancesEOY
Mission DescriptionAlexian Brothers Community Services ("ABCS") carries out the healing mission of the Catholic Church as an Alexian Brothers ministry by identifying and developing effective responses to the health and housing needs of those we are called to serve.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense28337163Expense
Revenue35154139Revenue
DescriptionABCS operates a Program of All-Inclusive Care for the Elderly ("PACE"). PACE is a community-based program whose purpose is to serve the frail elderly. The PACE program enables its participants to remain independent in their own homes and communities through a unique system of managed care. PACE combines Medicare and Medicaid funds to provide comprehensive health and social services in the home, in the community and in the hospital or nursing facility. In fiscal year 2013, an average of 308 participants were provided care and services through PACE. This level of participation represents approximately 95% of the program's capacity. The total dollar value of community benefits was $162,240.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1907122Expense
Revenue2375705Revenue
DescriptionAlexian Brothers Live at Home/Home Care are programs designed to help older adults live independently in their own homes for as long as possible. Live at Home provides a full range of services including active independent living, a built-in guarantee of personal services and nursing home care if needed. Home Care is a home-based program of non-medical personal care, assistance and adult companionship provided on an as-needed basis to older adults in the community. In fiscal year 2013, Live at Home served an average of 205 members. Home Care provided over 75,000 hours of service to individuals; 10% of these hours were provided to low income adults (waiver services).Description
FieldValueIRS element (for citing)
Total Program Service Expense30244285TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096222NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees437NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Tim BoothBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4237553437TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1250 East 10th StreetAddressLine1
CityChattanoogaCity
StateTNState
ZIP Code37402ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Brother Lawrence Krueger CFA
Chairperson/President (end 9/12)1.000.00XX000
John Turongian
Director & Treasurer/Secretary0.0040.00XX033944250851
Curtis Gielow
Director1.000.00X000
Sandra Johnson JD LLM
Director1.000.00X000
Brother Warren Longo CFA
Director1.000.00X000
Brother Daniel McCormick CFA
Director1.000.00X000
Howard Roddy
Director1.000.00X000
Donna Gauthier
Assistant Secretary0.0040.00X07100715381
Robin Baschnagel
President (start 10/12)0.0040.00X0509451056
Mel Causey
Vice President (end 2/13)40.000.00X018895829891
Tim Booth
Director of Finance40.000.00X012054319824
Viston Taylor
Vice President40.000.00X023623140547
Jim Lewandowski
Vice President0.0040.000468370805832X
Norman Desbiens
Medical Director40.000.00179094012036X
Lorna Birch
Physician40.000.00160866020561X
Ann Harris Rybolt
Team Physician40.000.0016241704102X
Monica Beri
Team Physician40.000.0012496602499X
Alfreda Pulley
Pharmacy Director40.000.0011131108182X
James Sances
Former Officer0.0040.0001697343148158X
FieldValueIRS element (for citing)
Total Reportable Comp From Org738654TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3172839TotalReportableCompFrmRltdOrgs
Total Other Compensation1158920TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Alexian Village of Tennessee
437 Alexian WaySignal MountainTN37377Skilled Nursing Facility Services1450713
Memorial Hospital
2525 Desales AvenueChattanoogaTN37404Acute Care Provider1412492
Health Center of Standifer Place
2626 Walker RoadChattanoogaTN37421Skilled Nursing Facility Services1249110
Anthem Blue Cross Blue Shield
PO Box 10518AtlantaGA30348Employee Medical Insurance Provider914418
Alexian Brothers Lansdowne Village
4624 LansdowneSt LouisMO63116Skilled Nursing Facility Services627403
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medicare/Medicaid Pmt6219903515051135150511
Home Care Services62161013599371359937
Live at Home Program62161010157681015768
Consulting Services62161036283628
FieldValueIRS element (for citing)
Total Program Service Revenue37529844TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1997161TotalRevenueColumn
Exclusion$1,997,161ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column39527005TotalRevenueColumn
Related Or Exempt Function Income37529844RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,997,161ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10784302Total
Program Services9238095ProgramServices
Management And General1546207ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total111179Total
Program Services99460ProgramServices
Management And General11719ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1763332Total
Program Services1580119ProgramServices
Management And General183213ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total768520Total
Program Services699818ProgramServices
Management And General68702ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total84473Total
Management And General84473ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30762Total
Management And General30762ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total39153Total
Management And General39153ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total376409Total
Program Services151065ProgramServices
Management And General225344ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total99174Total
Management And General99174ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total737083Total
Program Services632698ProgramServices
Management And General104385ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total34435Total
Program Services18526ProgramServices
Management And General15909ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total355870Total
Program Services354876ProgramServices
Management And General994ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total431986Total
Program Services358341ProgramServices
Management And General73645ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22821Total
Program Services10401ProgramServices
Management And General12420ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1322936Total
Program Services1183490ProgramServices
Management And General139446ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total655715Total
Program Services586598ProgramServices
Management And General69117ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total123883Total
Program Services80066ProgramServices
Management And General43817ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Purchased Serv-Medical109388211093882100
Purchased Serv-Other3066309114798319183260
Medical Supplies2298874229887400
Management Fees1506132015061320

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1020655Total
Program Services865054ProgramServices
Management And General155601ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total36572824Total
Program Services30244285ProgramServices
Management And General6328539ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY508429BOY
EOY332120EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1237930BOY
EOY822728EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY239252BOY
EOY207371EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY136126BOY
EOY184539EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6157946LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec961796LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6604619BOY
EOY5196150EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY42535568BOY
EOY48406787EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY51007BOY
EOY87687EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY51312931BOY
EOY55237382EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6912498BOY
EOY7092430EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2692136BOY
EOY2801613EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9604634BOY
EOY9894043EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY41708297BOY
EOY45343339EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41708297BOY
EOY45343339EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY51312931BOY
EOY55237382EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2954181ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1208359ReconciliationUnrealizedInvest
Reconcilation Other Changes-527498ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2225CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12633CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years460CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50CurrentTaxYearMinus1Year
Total15368Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37281301CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34380499CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34922005CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19048910CurrentTaxYearMinus1Year
Current Tax Year37529844CurrentTaxYear
Total163162559Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14310CurrentTaxYearMinus4Years
Total14310Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37297836CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34393132CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34922465CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19048960CurrentTaxYearMinus1Year
Current Tax Year37529844CurrentTaxYear
Total163192237Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509163192237PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years699201CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1352398CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1081025CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2124828CurrentTaxYearMinus1Year
Current Tax Year1997161CurrentTaxYear
Total7254613Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years699201CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1352398CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1081025CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2124828CurrentTaxYearMinus1Year
Current Tax Year1997161CurrentTaxYear
Total7254613Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37997037CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35745530CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years36003490CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21173788CurrentTaxYearMinus1Year
Current Tax Year39527005CurrentTaxYear
Total170446850Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95740PublicSupportPercentage509
Prior Year Support Percentage0.97720PriorYearSupportPercentage
Investment Income Percentage0.04260InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02280PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSchedule A, Part IV, Supplemental Information: For the year ended 6/30/12, the organization filed a short period return due to a change of accounting period. Thus, the amounts in column 2011 of Schedule A reflect the tax year 1/1/2012 6/03/2012 activity. Prior balances have been rolled backward.GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$39,153DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB39153TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationRetainer fees paid for direct lobbying with legislatures and governmental officials regarding State of Tennessee and State of Missouri legislation regarding PACE organizations.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis558000InvestmentCostOrOtherBasis
Other Cost Or Other Basis1040000OtherCostOrOtherBasis
Book Value1598000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2469647OtherCostOrOtherBasis
Depreciation277066Depreciation
Book Value2192581BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2090299OtherCostOrOtherBasis
Depreciation684730Depreciation
Book Value1405569BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5196150TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionBeneficial Interest in Alexian Brothers Health System, Inc. Investment TrustDescription
Book Value48406787BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities48406787TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Prepaid Premiums$244,754
Non-Refundable Entry Fee Net of Amortization$2,531,435
Reserve for Insurance Losses$25,424
FieldValueIRS element (for citing)
Total Of Amounts2801613TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
ExplanationPart X, Line 2: Alexian Brothers Community Services 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

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John Turongian
Director & Treasurer/Secretary02730390555230108800229930278580390293010880
Mel Causey
Vice President (end 2/13)014956703105708334012632017259021884907591
Viston Taylor
Vice President018931003970007221015998024549027677807221
Jim Lewandowski
Vice President0328372088552051446077927902655301274202033988
Norman Desbiens
Medical Director179094000006275057610191130000
Lorna Birch
Physician1608660000054900150710181427000
Ann Harris Rybolt
Team Physician16241700000324008620166519000
James Sances
Former Officer0358665021376001124918012694302121501845501033210

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 3Alexian Brothers Health System, a related organization of Alexian Brothers Community Services, uses all of the items in Schedule J, Part I, Line 3 to establish the compensation of the organization's CEO.
Part IIIPart I, Line 4a: The following individual listed in Schedule J recieved the referenced amount of change in control payments 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: 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 individual: Jim Lewandowski - $19,123Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2John Turongian, Mel Causey, Viston Taylor, Robin Baschnagel, Jim Lewandowski, James Sances and Donna Gauthier have a business relationship due to joint employment by a common health system entity.
Form 990, Part VI, Section A, line 6The Organization has two classes of members Alexian Brothers Health System (the "National Member") and Alexian Brothers Senior Ministries (the "Area Member").
Form 990, Part VI, Section A, line 7aAlexian Brothers Health System has the authority to appoint and remove Directors and Executive Officers of Alexian Brothers Community Services.
Form 990, Part VI, Section A, line 7bAlexian Brothers Health System has principal authority with respect to the following matters: - Amendment of the Articles of Incorporation and Bylaws as provided by Statute; - Appointment and removal of Directors and Executive Officers; - Adoption, amendment and repeal of fundamental statements of mission, philosophy, spirit, vision, values and charity policy, and the sponsorship of apostolic activities; - Any plan of merger, consolidation, dissolution, sale or lease of all or substantially all of the assets of Alexian Brothers Community Services; - The annual capital and operating budget and the strategic plan of Alexian Brothers Community Services; and - Other certain reserved powers which Alexian Brothers Health System may designate.
Form 990, Part VI, Section B, line 11Management, 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 12cThe 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 15In 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 was compared to individuals at 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 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 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 19Alexian Brothers Community Services's financial statements are available through the National Reporting Municipal Services Information Repository (NRMSIR). Conflicts of Interest and Alexian Brothers Community Services's governing documents are not made available to the public.
Form 990, Part VII, Section A:Officers and certain key employees for Alexian Brothers Community Services 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, Highest Compensated Employees represent aggregate hours for worked per week for all entities. Compensation amount for James Sances represents payment for services rendered to Alexian Brothers Health System, a related entity, compensation amount for Robin Baschnagel represents payment for services rendered to Alexian Village of Tennessee, a related entity and compensation amount for John Turongian represents payment for services rendered to Alexian Brothers Senior Ministries, a related entity. The amounts are not for services as a board member of Alexian Brothers Community Services.
Form 990, Part XI, line 9:Equity Transfer -527,498.Changes in Net Assets or Fund Balances:
Form 990, Part VIII, Line 3 and Schedule D, Part VII:The amount reflected as dividends and interest reflects Alexian Brothers Community Service's share of interest, dividends and realized gains/losses from Alexian Brothers Community Service's beneficial share in the Alexian Brothers Health System, Inc. Investment Trust (ABHSIT). ABHSIT is a related entity whose purpose is to pool the investments of the not-for-profit entities in Alexian Brothers Health System and acts as an internal mutual fund. Details of gains and losses are shown on the Form 990 of ABHSIT.
Form 990, Part XII, Line 2b - Audit Disclosure:The financial statements of Alexian Brothers Community Services 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 II Form990ScheduleRPartII (22 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Ascension Health
PO Box 45998St LouisMO63145311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11aAscension Health Alliance0
Alexian Brothers Health System
3040 W Salt Creek LaneArlington HeightsIL60005363260495Supports provision of healthcare services for related corporationsILSection 501(c)(3)Schedule A, Line 11cAscension Health0
Alexian Brothers Bonaventure House
825 Wellington AvenueChicagoIL60657363527899Housing and supportive care services for persons with HIV/AIDSILSection 501(c)(3)Schedule A, Line 9Alexian Brothers Health System1
Alexian Brothers Health System Inc Investment Trust
3040 W Salt Creek LaneArlington HeightsIL60005363801585Manages pooled investments of related not-for-profit entitiesILSection 501(c)(3)Schedule A, Line 11cAlexian Brothers Health System1
Alexian Brothers Specialty Group
3040 W Salt Creek LaneArlington HeightsIL60005800710751Specialty physician practice groupILSection 501(c)(3)Schedule A, Line 3Alexian Brothers Health System1
Alexian Brothers of San Jose Inc
3040 W Salt Creek LaneArlington HeightsIL60005941530037Acute care hospital (sold in 1998)TXSection 501(c)(3)Schedule A, Line 11cAlexian Brothers Health System1
Alexian Brothers Services Inc
3040 W Salt Creek LaneArlington HeightsIL60005431295333HUD housingMOSection 501(c)(3)Schedule A, Line 9Alexian Brothers Health System1
Alexian Village of Milwaukee Inc
9301 N 76th StreetMilwaukeeWI53223391351584Continuing care retirement communityWISection 501(c)(3)Schedule A, Line 9Alexian Brothers Health System1
Alexian Brothers Senior Neighbors
250 East 10th StreetChattanoogaTN37402620646376Supports the provision of community services for senior citizensTNSection 501(c)(3)Schedule A, Line 7Alexian Brothers Health System1
Alexian Village of Tennessee
437 Alexian WaySignal MountainTN37377621136742Continuing care retirement communityTNSection 501(c)(3)Schedule A, Line 9Alexian Brothers Health System1
Alexian Brothers Senior Ministries
3040 W Salt Creek LaneArlington HeightsIL60005364484290Supports the provision of healthcare services for related corporationsILSection 501(c)(3)Schedule A, Line 11cAlexian Brothers Health System1
Alexian Elderly Services Inc
3040 W Salt Creek LaneArlington HeightsIL60005392039667Community outreachWISection 501(c)(3)Schedule A, Line 9Alexian Brothers Health System1
Alexian Brothers Lansdowne Village
4624 LansdowneSt LouisMO63116431470362Skilled nursing facilityMOSection 501(c)(3)Schedule A, Line 9Alexian Brothers Health System1
Alexian Brothers Sherbrooke Village
4005 Ripa AvenueSt LouisMO63125431592502Skilled nursing facilityMOSection 501(c)(3)Schedule A, Line 9Alexian Brothers Health System1
Alexian Brothers of St Louis Inc
3040 W Salt Creek LaneArlington HeightsIL60005430653236Acute care hospital (sponsorship transferred in 1997)MOSection 501(c)(3)Schedule A, Line 11cAlexian Brothers Health System1
Alexian Brothers Hospital Network
3040 W Salt Creek LaneArlington HeightsIL60005363276552Supports the provision of healthcare services for related corporationsILSection 501(c)(3)Schedule A, Line 11cAlexian Brothers Health System1
Savelli Properties Inc
3040 W Salt Creek LaneArlington HeightsIL60005363308965Owns or leases properties where healthcare services are deliveredILSection 501(c)(2)N/AAlexian Brothers Health System1
Alexian Brothers Center for Mental Health
3436 N Kennicott AvenueArlington HeightsIL60004363045007Outpatient community mental health servicesILSection 501(c)(3)Schedule A, Line 7Alexian Brothers Health System1
Alexian Brothers Behavioral Health Hospital
1650 Moon Lake BlvdHoffman EstatesIL60194364251848Behavioral health hospitalILSection 501(c)(3)Schedule A, Line 3Alexian Brothers Health System1
St Alexius Medical Center
1555 Barrington RoadHoffman EstatesIL60194364251846Acute care hospitalILSection 501(c)(3)Schedule A, Line 3Alexian Brothers Health System1
Alexian Brothers Ambulatory Group
3040 W Salt Creek LaneArlington HeightsIL60005364336931Physician servicesILSection 501(c)(3)Schedule A, Line 3Alexian Brothers Health System1
Alexian Brothers Medical Center
800 Biesterfield RoadElk Grove VillageIL60007362596381Acute care hospitalTXSection 501(c)(3)Schedule A, Line 3Alexian Brothers Health System1

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Alexian Rehabilitation Services LLC
935 Beisner RoadElk Grove VillageIL60007300221481Rehabilitation hospitalILN/A
Illinois NeuroMeg Center LLC
3040 W Salt Creek LaneArlington HeightsIL60005870783164Provision of NeuroMeg servicesILN/A
Elk Grove MOB Limited Partnership
3040 W Salt Creek LaneArlington HeightsIL60005363853289Medical office buildingILN/A
Workplace Solutions LLC
1100 E Woodfield RoadSchaumburgIL60173364095007Provision of EAP servicesILN/A
Bonaventure Medical Foundation LLC
3040 W Salt Creek LaneArlington HeightsIL60005363978153Manages managed care contractsDEN/A
Neurosciences Equipment LLC
3040 W Salt Creek LaneArlington HeightsIL60005861115516Ownership of Gamma KnifeILN/A
St Alexius Center for Sleep Health LLC
1300 S Main StreetLombardIL60148205876371Operation of sleep labILN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Thelen Corporation
3040 W Salt Creek LaneArlington HeightsIL60005363266316Owns/leases property; joint venture partnerILN/AC0
Alexian Brothers Health Providers Association Inc
3040 W Salt Creek LaneArlington HeightsIL60005363853286Messenger model IPAILN/AC0
Alexian Brothers Corpus Christi Housing Project LLC
3040 W Salt Creek LaneArlington HeightsIL60005943465394Tax credit financed housingILC1Alexian Brothers Community Services7558061.00000
Alexian Village of Elk Grove
3040 W Salt Creek LaneArlington HeightsIL60005352211303Tax credit financed housingILN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Alexian Brothers Health System
P1506133FMV
Alexian Brothers Health System
S1500213FMV
Alexian Brothers Senior Ministries
P1922491FMV

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