2014-05-09T15:06:59-05:00 2013-06-30 861065772 Deloitte Tax LLP 111 S Wacker Drive Chicago IL 60606 990 2012-07-01 363260495 Alexian Brothers Health System ALEX 8473857165 3040 West Salt Creek Lane Arlington Heights IL 60005 Mark Frey 8478185100 2014-05-09 1 Laura Gillespie P00855604 3124861000 2012 2015-11-30 17:44:51Z Mark Frey 3040 West Salt Creek Lane Arlington Heights IL 60005 62636253 0 0928 X www.alexianbrothershealth.org X 1983 IL National member for Catholic Health System. 9 7 7678 8 0 0 3025871 5812716 18415340 44797719 12810746 10565756 -57535 429243 34194422 61605434 1695863 8530983 0 0 14905675 30901335 0 0 2512692 4667587 15231921 21269125 54664239 12925297 6941195 407666911 496559975 705666911 592370822 -298000000 -95810847 X Alexian Brothers Health System ("ABHS") carries out the healing mission of the Catholic Church through the Alexian Brothers ministries by identifying and developing effective responses to the health and housing needs of those we are called to serve. 0 0 51334781 8530983 44797719 Ranked among the nation's best-performing health systems, Alexian Brothers Health System (ABHS) is a health care ministry comprised of five hospitals, a center for mental health, clinical institutes, diagnostic imaging facilities and the Alexian Brothers Medical Group, which includes 13 primary care practices, seven immediate care centers, seven occupational health centers and several specialty programs. We serve more than two million people across Chicago's northwest suburbs and beyond with innovative care and world-class medical specialists. See Schedule O for continuation. ABHS strives to provide a prophetic, holistic approach to health care, rooted in Gospel values and the legacy of the Alexian Brothers, an 800-year-old Congregation that carries out the healing ministry of Jesus Christ in the tradition of the Roman Catholic Church. Through partnerships with our associates, physicians and the community, we identify and develop effective responses to the health and housing needs of those we are called to serve. Alexian Brothers Health System is a Ministry Organization of Ascension Health, the largest Catholic health system in the nation. The Alexian Brothers Health System provides the community with a full range of comprehensive healthcare services and access to the most advanced medical technology. We are passionate about delivering exceptional health care and are proud of the powerful, cutting edge technology our skilled professionals are able to access. In addition, we offer a wide range of community health services, corporate wellness programs, preventive care and education. Our ministries exist to continue the Alexian Brothers mission of caring for the sick, the poor and the dying and promoting the physical, mental, spiritual and social health and well-being of all individuals we serve.Locations:- Alexian Brothers Medical Center:Ranked 3rd in the Chicago Metro Area and Illinois by US News & World Report, Alexian Brothers Medical Center (ABMC), is a 387-bed acute care hospital located in Elk Grove Village, Illinois that has been providing outstanding healthcare to the residents of Chicago's northwest suburbs for more than 40 years. Located at 800 Biesterfield Road, ABMC is a full-service hospital with a Neurosciences Institute, Cancer Institute, Heart & Vascular Institute, as well as additional specialties in Older Adult (including an emergency room designed for seniors), Pediatrics, Bariatric Surgery, Orthopedics and Obstetrics. It also includes a 66-bed inpatient rehabilitation hospital. ABMC is a Certified Comprehensive Stroke Center and has received Disease Specific Certification from The Joint Commission in Stroke, Heart Failure, Acute Myocardial Infarction, and Joint Replacement. ABMC is nationally ranked in 2 specialties and high performing in 10 specialties by U.S. News & World Report and has received the Blue Cross Blue Star of Distinction. In addition, ABMC was the recipient of HealthGrades Clinical Excellence recognition in a numerous specialties. - St. Alexius Medical Center:Ranked 9th in the Chicago Metro Area and Illinois by US News & World Report, St. Alexius Medical Center (SAMC) is a 339-bed acute care hospital located in Hoffman Estates, Illinois that has provided outstanding healthcare to the residents of Chicago's northwest suburbs for more than 30 years. Located at 1555 Barrington Road, SAMC is nationally ranked in 1 specialty and high performing in 9 specialties by U.S. News & World Report.SAMC is a full-service hospital with a Neurosciences Institute, Cancer Institute, Heart & Vascular Institute, as well as additional specialties in Older Adult, Pediatrics, Bariatric Surgery, Orthopedics and Obstetrics. The Alexian Brothers Women & Children's Hospital opened in April 2013. SAMC has received Disease Specific Certification from The Joint Commission in Stroke, Heart Failure, and Knee and Hip Joint Replacement. In addition, SAMC was the recipient of HealthGrades Clinical Excellence recognition in a numerous specialties. - Alexian Brothers Behavioral Health Hospital:Alexian Brothers Behavioral Health Hospital (ABBHH), located at 1650 Moon Lake Boulevard in Hoffman Estates, Illinois, provides comprehensive inpatient and outpatient behavioral health services. ABBHH offers the complete continuum of behavioral health services, from prevention and early intervention to treatment and aftercare. We offer inpatient and outpatient services, as well as clinical psychiatric research. Our goal is to help individuals of all ages to learn ways to manage mental health and substance abuse problems.- Alexian Rehabilitation Hospital:Alexian Rehabilitation Hospital (ARH), part of Alexian Brothers Medical Center in Elk Grove Village, Illinois, is a 66-bed inpatient rehabilitation facility. Its physicians, nurses and therapists are experts in every aspect of rehabilitation medicine. ARH is a joint venture between the health system and the Rehabilitation Institute of Chicago; they work together through a team approach to meet the physical, emotional and spiritual needs of patients and families. The ARH staff strives to provide each patient with the best possible care by recognizing that every patient's needs and goals are different. - Alexian Brothers Center for Mental Health:The Alexian Brothers Center for Mental Health offers a wide spectrum of high quality and innovative mental health services. Located at 3436 North Kennicott Avenue in Arlington Heights, Illinois, its primary service area spans the 10 towns that comprise Palatine and Wheeling Townships.Services and programming include: therapy and psychiatry services for all ages, case management, psychosocial rehabilitation, community support services, vocational rehabilitation, supported education, crisis services, supported residential services, school-based mental health services, a Partial Hospitalization Program and more.- Alexian Brothers Medical Group:Alexian Brothers Medical Group provides primary care, immediate care, and occupational health services at eleven locations. Sites are staffed by physicians trained to provide chronic and acute care for all illnesses and injuries, including work and sports-related injuries. Primary care involves the widest scope of healthcare and includes patients of all ages seeking to maintain optimal health and manage chronic conditions, such as high blood pressure, high cholesterol, diabetes, and back pain. Immediate care is for the treatment of patients with an injury or illness that requires immediate attention but is not serious enough to warrant a visit to a hospital emergency room. No appointment is needed for either adults or children. Occupational health medicine is primarily for the treatment and prevention of work-related illness and injury. No appointment is needed.- Alexian Brothers Housing and Health Alliance:Alexian Brothers Housing and Health Alliance (ABHHA) has been serving people impacted by HIV/AIDS and related co-morbidities in the Chicago metropolitan region for more than 20 years, providing housing, comprehensive services, and spiritual care. With services located at The Harbor in Waukegan, Illinois, Bonaventure House on the North Side of Chicago, on the South Side of Chicago and at scattered sites throughout the Chicago metro area, ABHHA strives to transform the lives of people who are homeless and living with HIV/AIDS within a supportive, compassionate community.Clinical Institutes:- Cancer Institute:The Cancer Institute provides comprehensive oncology services across the entire Alexian Brothers Health System. Accredited by the American College of Surgeons as a Comprehensive Community Hospital Program, our Cancer Institute boasts five-year survival rates that exceed the American Cancer Society's national statistics for breast, ovarian, lung and colon cancers. - Heart & Vascular Institute:The Heart & Vascular Institute offers high-level cardiovascular care. Our cardiac team includes some of the most highly respected cardiologists and cardiovascular surgeons in the area, many who are regionally and nationally known.- Neurosciences Institute: The Neurosciences Institute offers the latest medical advances and technology to help patients with neurological conditions. Our spectrum of care includes advanced diagnostic procedures, treatment strategies, and proven approaches to help patients achieve high quality of life. In addition, we are working to provide scientific insight into how to lower the risk of developing certain neurological diseases. 51334781 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 X 1055 0 1 7678 1 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X Paul Belter 8478185100 3040 West Salt Creek Lane Arlington Hts IL 60005 Br James Classon CFA 1.00 0.00 X X 0 0 0 Br Lawrence Krueger CFA 1.00 0.00 X X 0 0 0 Jerry Capizzi 1.00 0.00 X 0 0 0 Richard Fischer 1.00 0.00 X 0 0 0 Br John Howard CFA 1.00 0.00 X 0 0 0 Br Richard Lowe CFA 1.00 0.00 X 0 0 0 Larry Singer 1.00 0.00 X 12000 0 0 Karen S Wells 1.00 0.00 X 0 0 0 Bruce Wolfe 1.00 0.00 X 0 0 0 Mark Frey 40.00 0.00 X X 1434790 0 179527 Paul Belter 40.00 0.00 X 199213 0 21767 Tracy Rogers 40.00 0.00 X 662290 0 65199 James Sances 40.00 0.00 X 1697343 0 148158 Donna Gauthier 40.00 0.00 X 71007 0 15381 Jim Lewandowski 40.00 0.00 X 468370 0 805832 Mary Ann Magnifico 40.00 0.00 X 400090 0 68216 Peg Wendell 40.00 0.00 X 425083 0 41666 Melanie Furlan 40.00 0.00 X 383421 0 56426 Jean Justie 40.00 0.00 X 355921 0 52777 Gary Breuer 40.00 0.00 X 339318 0 51052 6448846 0 1506001 10 0 1 0 Sodexho Operations LLC 4880 Paysphere Circle Chicago IL 60674 Food Service 7016173 Efficiency Media 3616 Winnetka Road Glenview IL 60026 Media Planning Buying Services 2523229 Ungaretti & Harris 70 W Madison Street 3500 Chicago IL 60602 Attorneys 2430830 Hospital Laundry Services 13028 Collection Center Drive Chicago IL 60693 Laundry Service 2087688 Deloite Tax LLP PO Box 2062 Carol Stream IL 60132 Tax/Financial Advisory Service 1608655 99 X 563554 5249162 5812716 Management Fees 561000 33010096 33010096 Leased Empl. Benefits 900099 7054704 7054704 I/C Affiliate Rent 532000 2773358 2773358 Premier redemption 900099 1556241 1556241 Rent Non I/C 532000 22390 22390 380930 380930 44797719 10565756 10565756 1243933 721027 522906 522906 522906 216129 563554 309792 -93663 -93663 61605434 44797719 0 10994999 X 8530983 8530983 22165806 20882006 1283800 1761939 1761939 5930942 5553916 377026 1042648 968659 73989 259739 259739 557027 557027 7232244 6781001 451243 207783 200143 7640 1687889 1612534 75355 600 600 3232690 3024457 208233 160173 130720 29453 907 907 40298 40298 181388 181388 241174 241174 CHAN Audit Fees 794675 794675 Spirit Commit. Activity 50708 50708 Food Expense 4860 2949 1911 Public/Comm. Relations 3021 3021 576745 573610 3135 54664239 51334781 816766 2512692 9581022 0 3395642 2913392 0 877685 877685 3954221 6626617 247068 368693 10633802 1025797 10058414 9608005 175539726 277165532 3833100 2981300 200180033 196018751 407666911 496559975 33926216 39230342 161565000 157000000 2496675 8883705 507679020 387256775 705666911 592370822 X -298000000 -95810847 0 0 -298000000 -95810847 407666911 496559975 X 6941195 5321253 189926705 X 0 1 X 1 0 X X X 0 0 0 ABHS Inc Investment Trust 363801585 11 III-FI 1 1 1 0 Alexian Brothers of San Jose Inc 941530037 11 III-FI 1 1 1 0 Alexian Brothers Services Inc 431295333 9 1 1 1 0 Alexian Village of Milwaukee Inc 391351584 9 1 1 1 0 Alexian Brothers Community Services 364344423 9 1 1 1 0 Alexian Brothers Senior Neighbors 620646376 7 1 1 1 0 Alexian Village of Tennessee 621136742 9 1 1 1 0 Alexian Brothers Senior Ministries 364484290 11 III-FI 1 1 1 0 Alexian Elderly Services Inc 392039667 9 1 1 1 0 Alexian Brothers Lansdowne Village 431470362 9 1 1 1 0 Alexian Brothers Hospital Network 363276552 11 III-FI 1 1 1 0 Alexian Brothers Center for Mental Health 363045007 3 1 1 1 0 Alexian Brothers Behavioral Health Hospital 364251848 7 1 1 1 0 St Alexius Medical Center 364251846 3 1 1 1 0 Alexian Brothers Ambulatory Group 364336931 3 1 1 1 0 Alexian Brothers of St Louis Inc 430653236 3 1 1 1 0 Alexian Brothers Sherbrooke Village 431592502 11 III-FI 1 1 1 0 Alexian Brothers Specialty Group 800710751 9 1 1 1 0 Savelli Properties Inc 363308965 3 1 1 1 0 Alexian Brothers Bonaventure House 363527899 9 1 1 1 0 Alexian Brothers Medical Center 362596381 3 1 1 1 0 21 0 Schedule A, Part IV, Supplemental Information: ABHS supports the provision of healthcare services at the corporations to which it is the National Member by the provision of centralized administrative support, including services such as Mission Integration, Accounting, Accounts Payable, Treasury (including Cash, Investment and Debt Management), Insurance, Payroll, Human Resources, Compliance, Legal, Education, Wellness, and Patient Safety and Quality. All costs of ABHS are charged to the members through a management fee. Transactions with each member are delineated on Schedule R. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3202680 250 -44617 2511315 646998 3293690 10825 1553 103388 3202680 3409815 8594 70761 194481 999 3293690 3466340 5275 135915 197715 3409815 3594762 2651 73613 204686 3466340 0.99000 0.01000 0 0 2123775 2123775 6422800 344912 6077888 1669433 507587 1161846 399695 160698 238997 18099 12600 5499 9608005 Flex Plan Capital Accumulation 637316 F Beneficial Interest in Alexian Brothers Health System, Inc. Investment Trust 260337015 F Trustee Held 16191201 F 277165532 Due to Affiliates - Foundation 183673833 Land Held For Future Use 1523600 Foundation Investment Deposits 4538789 Cash Surrender Value 6282529 196018751 Supplemental Employee Retirement Plan Liab. 509795 Unclaimed Property/Execu-flex Accumulation 751451 Restricted Pledges 2913392 Negative Cash 34976871 Health/Dental Liability 3992929 Intercompany Debt to Ascension Health 4670981 Swap LT Liability 2685415 LT Pension liability 13968083 Due to Affilites 2389809 Miscellaneous 320398049 387256775 Description of Intended Use of Endowment Funds: Part V, Line 4: The endowment funds are used to support charitable efforts within the Alexian Brothers Health System. Part X, Line 2: Alexian Brothers Health System 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. X X X X X X 1 Harris Connects 1511 Route 22 Suite C25 Brewster NY 10509 Telephone Solicitation 1 22751 129960 -107209 22751 129960 -107209 IL Ball De Fleur 516913 386474 130439 300 5109 17833 86633 18680 85648 Golf Classic 193250 136395 56855 0 400 34776 18144 0 12713 2 69520 40685 28835 0 3040 8758 11319 0 6439 779683 563554 216129 300 8549 61367 116096 18680 104800 309792 -93663 1 Alexian Brothers Medical Center 800 Biesterfield Road Elk Grove Village IL 60007 362596381 Section 501(c)(3) 4600240 General Support St Alexius Medical Center 1555 Barrington Road Hoffman Estates IL 60194 364251846 Section 501(c)(3) 1997050 General Support Alexian Brothers Behavioral Health Hospital 1650 Moon Lake Blvd Hoffman Estates IL 60194 364251848 Section 501(c)(3) 244179 General Support Alexian Brothers Lansdowne Village 4624 Lansdowne St Louis MO 63116 431470362 Section 501(c)(3) 8390 General Support Alexian Brothers Center for Mental Health 3436 N Kennicott Avenue Arlington Heights IL 60004 363045007 Section 501(c)(3) 768873 General Support Alexian Brothers Sherbrooke Village 4005 Ripa Avenue St Louis MO 63125 431592502 Section 501(c)(3) 8390 General Support Alexian Brothers Bonaventure House 825 W Wellington Avenue Chicago IL 60657 363527899 Section 501(c)(3) 868427 General Support 7 0 Employee Assistance 35434 X X X X X X 1 1 0 0 0 0 0 1 0 Mark Frey 1110138 0 263024 0 61628 0 137956 0 41571 0 1614317 0 44628 0 Paul Belter 199213 0 0 0 0 0 9552 0 12215 0 220980 0 0 0 Tracy Rogers 478013 0 165217 0 19060 0 35075 0 30124 0 727489 0 19060 0 James Sances 358665 0 213760 0 1124918 0 126943 0 21215 0 1845501 0 33210 0 Jim Lewandowski 328372 0 88552 0 51446 0 779279 0 26553 0 1274202 0 33988 0 Mary Ann Magnifico 313686 0 71123 0 15281 0 46025 0 22191 0 468306 0 15281 0 Peg Wendell 348382 0 76701 0 0 0 20640 0 21026 0 466749 0 0 0 Melanie Furlan 262677 0 107528 0 13216 0 24264 0 32162 0 439847 0 13216 0 Jean Justie 278045 0 66716 0 11160 0 28782 0 23995 0 408698 0 11160 0 Gary Breuer 258495 0 69747 0 11076 0 22940 0 28112 0 390370 0 11076 0 Part I, Line 3 Alexian Brothers Health System uses all of the items in Schedule J, Part I, Line 3 to establish the compensation of the organization's CEO. Supplemental Information Part III Part I, Line 4a: The following individuals listed in Schedule J received 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 - $19,123 Part I, Line 7: Alexian Brothers Health System provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the Compensation Committee of the Board of Governors. A Illinois Finance Authority 861091967 45200BQD3 2005-08-11 255795000 Partial refund 1999 Series, issued 1/15/99 0 0 0 B Illinois Finance Authority 861091967 45200FFH7 2008-04-23 44028000 Construct a Facility 0 0 0 C Illinois Finance Authority 861091967 45200FY94 2010-04-21 134586814 Partial refunding issue 8/11/05, construction 0 0 0 A 171065000 255795000 1612171 7020188 247162641 0 1 1 1 B 41925000 44028000 788514 43239485 2009 0 0 1 1 C 70322055 134787913 12264137 59307 1904465 50145550 70420000 2012 1 0 1 1 B 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 1 Bank America Merrill Mynch 0 1 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 Schedule K Part IV, Arbitrage, Line 2c Date Rebate Computation Performed Issuer Name: Illinois Finance Authority Date the Rebate Computation was Performed: 07/16/2009 Issuer Name: Illinois Finance Authority Date the Rebate Computation was Performed: 03/14/2013 Part IV, Line 6, Column (A): This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the bonds. Part II, Line 4: Only amounts constituting debt service reserve funds are included on Line 4. In addition, ABHS has the following amounts at June 30, 2013 in debt service funds: $2,277,758 for Series 2005, $42,282 for Series 2008, and $1,607,024 for Series 2010. Part II, Line 4, Column (B): At issuance, the Series 2008 Bonds original proceeds included a $4,500,000 reserve. The reserve was subsequently replaced by a $4,500,000 letter of credit, and the proceeds expended on the project. Part III, Column (A): Part III is not required for the 2005 bonds, column A, as they refunded pre-2003 issues. Part IV, Line 4c, Column (A): The following three swaps were entered into by ABHS, the counterparty being BOA Merrill Lynch: A) $87,425,000, receiving variable rate, paying fixed rate, terminated date 5/28/2008 (actual term 2.8 years). B) $87,425,000, receiving variable rate, paying fixed rate, terminated date 5/28/2008 (actual term 2.8 years). C) $80,945,000, receiving variable rate, paying fixed rate, scheduled termination date 1/1/2018 (scheduled term 12.4 years). Part IV, Line 4e, Column (A): Swaps A and B were terminated on May 28, 2008. Swap C remains open. Part I, Column (C) and Part II, Line 3: Differences between the issue price shown on Part I, column (e) and total proceeds shown on Part II, line 3 are due to investment earnings. Part IV, Line 3, Column (A): While all the currently outstanding 2005 bonds actually bear fixed rates, taken in its entirety Series 2005 constitutes a variable yield issue for tax purposes. Jean Justie Vice President Split dollar life insurance X 69031 69031 0 1 1 Mark Frey Ex Officio Director & President/CEO Split dollar life insurance X 330231 330231 0 1 1 Jim Lewandowski Vice President Split dollar life insurance X 95825 95825 0 1 1 Gary Breuer Vice President Split dollar life insurance X 66854 66854 0 1 1 Tracy Rogers Senior Vice President & COO Split dollar life insurance X 75952 75952 0 1 1 James Sances Senior Vice President, Finance & CFO Split dollar life insurance X 51022 51022 0 1 1 Mary Ann Magnifico Vice President Split dollar life insurance X 107960 107960 0 1 1 Peg Wendell Vice President Split dollar life insurance X 28252 28252 0 1 1 Melanie Furlan Vice President Split dollar life insurance X 52558 52558 0 1 1 877685 Charity Care and Community Service: The amounts and types of charity care and community services provided in the entire Alexian Brothers Health System are as follows: Charity Care at Cost - 20,158,348 Language Assistant Services - 400,937 Excess of Government Sponsored Health Care Cost Over Reimbursement - Medicaid - 38,347,328 Donations - 165,694 Education - 2,611,721 Subsidized Health Services - 2,846,882 Other Community Benefits - 5,867,198 Total Charity Care and Community Benefits - 70,398,108 Excess of Government Sponsored Health Care Cost Over than Reimbursement - Medicare - 53,400,401 Bad Debt Expense at Cost - 9,809,366 Form 990, Part V , Line 1a: Alexian Brothers Health System, uses a common bank account to compensate all independent contractors within the Health System. The number attributable to each organization is not easily distinguished. The total number of Forms 1099 filed for the entire Health System appears on Part V, Line 1a of the Alexian Brothers Health System Form 990. Form 990, Part VI, Section A, line 6 Alexian Brothers Health System has one class of member, Ascension Health (the "Sponsor"). Form 990, Part VI, Section A, line 7a Ascension Health has the authority to appoint and remove Directors and Executive Officers of Alexian Brothers Health System. Form 990, Part VI, Section A, line 7b Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals of directors; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension Health per the system authority matrix. 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 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 19 The financial statements of Alexian Brothers Health System are available through the Office of the Illinois Attorney General. Conflict of Interest statements and the governing documents of Alexian Brothers Health System are not made available to the public. Part VIII, Line 3; Part X, Line 12: The amount reflected as dividends and interest reflects Alexian Brothers Health System's share of interest, dividends and realized gains/losses from Alexian Brothers Health System'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. Other Fees Form 990, Part IX, line 11g System Office Supply Chain Fees: Program service expenses 4,056,308. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,056,308. ABHS Misc. Purchase Services: Program service expenses 1,371,176. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,371,176. Other: Program service expenses 1,353,517. Management and general expenses 0. Fundraising expenses 451,243. Total expenses 1,804,760. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Transfers to/from Affiliates 189,644,689. Swaps -131,932. Recognition of Minimum Pension Liability -2,420,291. Foundation Contributions -5,814,466. Foundation Distribution to Entities 8,530,983. Net loss from Founation fundraising/Net Assets Released from Restriction 117,722. Form 990, Part XI, Line 2b: Audit Disclosure: The financial statements of Alexian Brothers Health System 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. 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 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 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 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 Brothers Hospital Network 3040 W Salt Creek Lane Arlington Heights IL 60005 363276552 Supports the provision of healthcare services for related corporations IL Section 501(c)(3) Schedule A, Line 11c Alexian Brothers Health System 1 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 Alexian Rehabilitation Services LLC 935 Beisner Road Elk Grove Village IL 60007 300221481 Rehabilitation hospital IL N/A Illinois NeuroMeg Center LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 870783164 Provision of NeuroMeg services IL N/A Elk Grove MOB Limited Partnership 3040 W Salt Creek Lane Arlington Heights IL 60005 363853289 Medical office building IL N/A 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 Alexian Brothers Health System Related -6569157 0 1 0.50000 Neurosciences Equipment LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 861115516 Ownership of Gamma Knife IL N/A St Alexius Center for Sleep Health LLC 1300 S Main Street Lombard IL 60148 205876371 Operation of sleep lab IL N/A Thelen Corporation 3040 W Salt Creek Lane Arlington Heights IL 60005 363266316 Owns/leases property; joint venture partner IL N/A C 0 Alexian Brothers Health Providers Association Inc 3040 W Salt Creek Lane Arlington Heights IL 60005 363853286 Messenger model IPA IL Alexian Brothers Health System C -41035 753341 1.00000 1 Alexian Brothers Corpus Christi Housing Project LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 943465394 Tax credit financed housing IL N/A C 0 Alexian Village of Elk Grove 3040 W Salt Creek Lane Arlington Heights IL 60005 352211303 Tax credit financed housing IL Alexian Brothers Health System C -21748 2077583 1.00000 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 Alexian Brothers Health System Inc Investment Trust R 67403 FMV Alexian Brothers Specialty Group Q 411839 FMV Alexian Brothers Specialty Group R 246733 FMV Alexian Brothers of San Jose Inc R 937707 FMV Alexian Brothers of St Louis Inc R 162512 FMV Alexian Brothers Hospital Network Q 97090602 FMV Alexian Brothers Medical Center Q 24738369 FMV Alexian Brothers Medical Center R 98000000 FMV Alexian Brothers Medical Center B 4609093 FMV Alexian Brothers Medical Center J 361459 FMV Alexian Rehabilitation Services LLC R 3148304 FMV Alexian Brothers Accountable Care Organization LLC R 816473 FMV St Alexius Medical Center B 1997050 FMV St Alexius Medical Center Q 239630035 FMV St Alexius Medical Center R 87000000 FMV St Alexius Medical Center J 476638 FMV St Alexius Medical Center R 150959450 FMV Alexian Brothers Behavioral Health Hospital B 244179 FMV Alexian Brothers Behavioral Health Hospital Q 4208077 FMV Alexian Brothers Behavioral Health Hospital R 16000000 FMV Alexian Brothers Behavioral Health Hospital J 659201 FMV Alexian Brothers Behavioral Health Hospital R 25207921 FMV Bonaventure Medical Foundation LLC R 403570 FMV Thelen Corporation R 179945 FMV Savelli Properties Inc Q 61519 FMV Savelli Properties Inc R 546952 FMV Alexian Brothers Center for Mental Health B 768873 FMV Alexian Brothers Center for Mental Health Q 171115 FMV Alexian Brothers Center for Mental Health R 1600000 FMV Alexian Brothers Center for Mental Health R 1859979 FMV Alexian Brothers Ambulatory Group Q 2148439 FMV Alexian Brothers Ambulatory Group R 6500000 FMV Alexian Brothers Ambulatory Group J 154860 FMV Alexian Brothers Ambulatory Group R 1665223 FMV Neurosciences Equipment LLC R 362608 FMV Illinois Neuromeg Center LLC R 138183 FMV Alexian Village of Tennessee Q 852648 FMV Alexian Village of Tennessee R 3180203 FMV Alexian Village of Tennessee R 2142327 FMV Alexian Village of Milwaukee Inc Q 1263379 FMV Alexian Village of Milwaukee Inc R 1390464 FMV Alexian Brothers Lansdowne Village Q 527727 FMV Alexian Brothers Lansdowne Village R 521604 FMV Alexian Brothers Sherbrooke Village Q 574400 FMV Alexian Brothers Sherbrooke Village R 615139 FMV Alexian Brothers Community Services Q 1506133 FMV Alexian Brothers Community Services J 157612 FMV Alexian Brothers Community Services R 1342601 FMV Alexian Brothers Senior Neighbors Q 104793 FMV Alexian Brothers Senior Neighbors R 55064 FMV Alexian Brothers Senior Ministries Q 1939014 FMV Alexian Brothers Senior Ministries R 1878336 FMV Alexian Brothers Bonaventure House Q 220432 FMV Alexian Brothers Bonaventure House R 1046362 FMV Ascension Health R 2882000 FMV Alexian Brothers Bonaventure House B 868427 FMV