ALEXIAN BROTHERS HOSPITAL NETWORK: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ALEXIAN BROTHERS HOSPITAL NETWORK (EIN 36-3276552)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-10-29
- IRS object ID
- 201203039349300625
- Schema version
- 2011v1.2
- 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 | 2012-10-29T13:18:23-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | 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 | 2011-01-01 | 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 | 2012-10-29 | 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 | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 87538717 | 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 | ABHN carries out the healing mission of the Catholic Church (See Schedule O).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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 1 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 2 | TotalNbrVolunteers |
| Total Gross UBI | 173189 | 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 | 68249053 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 87538717 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 68249053 | TotalRevenuePriorYear |
| Total Revenue Current Year | 87538717 | 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 | 25139550 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 28063980 | 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 | 43093477 | OtherExpensePriorYear |
| Other Expenses Current Year | 42692792 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 68233027 | TotalExpensesPriorYear |
| Total Expenses Current Year | 70756772 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 16026 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 16781945 | RevenuesLessExpensesCY |
| Total Assets BOY | 75700722 | TotalAssetsBOY |
| Total Assets EOY | 16954000 | TotalAssetsEOY |
| Total Liabilities BOY | 9548587 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1138000 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 66152135 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 15816000 | 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 | 50724254 | Expense |
| Revenue | 86432244 | Revenue |
| Description | The 800-year-old Congregation of Alexian Brothers carries out the healing ministry of Jesus Christ in the tradition of the Roman Catholic Church under the guidance of Alexian Brothers Health System (ABHS). Ranked among the nation's best-performing health systems, ABHS Illinois health care ministry (ABHN) is comprised of four hospitals, a center for mental health, four clinical institutes, a diagnostic imaging facility 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 the more than two million people across Chicago's northwest suburbs and beyond with innovative care and world-class medical specialists. ABHN strives to provide a prophetic, holistic approach (See Schedule O) to health care, rooted in Gospel values and the legacy of the Alexian Brothers. 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. These ministries exist to continue the Alexian Brothers mission of caring for the sick, the poor and the dying and promoting the physical, mental, spritual and social health and well-being of all individuals we serve. The Alexian Brothers Health System provides the community with a full range of comprehensive healthcare services and access to the most advanced medical technology. In addition, we offer a wide range of community health services, corporate wellness programs, preventive care and education. | Description |
| Total Program Service Expense | 50724254 | 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 | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | 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 | 0 | 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 |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| 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 | 0 | 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 | 0 | 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 | Jeannie Justie | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8473857160 | 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 (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Mark Frey | |||||||||
| President & CEO | 1.00 | X | X | 0 | 867276 | 184992 | |||
| John Werrbach | |||||||||
| Vice President/CEO ABMC | 1.00 | X | X | 0 | 522985 | 72001 | |||
| Edward Goldberg | |||||||||
| Vice President/CEO St.Alexius | 1.00 | X | X | 0 | 628028 | 170831 | |||
| Francine McGouey | |||||||||
| Vice President/CEO ABBHH | 1.00 | X | X | 0 | 378929 | 62061 | |||
| Clayton Ciha | |||||||||
| Vice-President/CEO ABBHH | 1.00 | X | X | 0 | 226829 | 47746 | |||
| James Sances | |||||||||
| Treasurer/Secretary | 1.00 | X | X | 0 | 642540 | 143948 | |||
| Br Thomas Keusenkothen | |||||||||
| Chairperson | 1.00 | X | X | 0 | 0 | 0 | |||
| Br James Classon CFA | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Virginia Golembiewski | |||||||||
| Assistant Secretary | 1.00 | X | 0 | 69801 | 16144 | ||||
| Jim Lewandowski | |||||||||
| Vice President, HR | 1.00 | 0 | 372210 | 66995 | X | ||||
| Sherrie Russell | |||||||||
| Vice President/CIO | 40.00 | 0 | 156859 | 20031 | X | ||||
| Rob Wright | |||||||||
| VP Managed Care | 40.00 | 0 | 361885 | 57637 | X | ||||
| Kathleen Gunderson | |||||||||
| VP Ancillary Services | 40.00 | 0 | 253505 | 64298 | X | ||||
| Patti Baker | |||||||||
| VP Oncology | 40.00 | 0 | 283747 | 77361 | X | ||||
| Diana Woytko | |||||||||
| VP Quality | 40.00 | 0 | 242018 | 37479 | X | ||||
| Kelley Clancy | |||||||||
| VP External Affairs | 40.00 | 0 | 245209 | 75009 | X | ||||
| Tracy Rogers | |||||||||
| Former Vice President/COO | 1.00 | 0 | 497648 | 78096 | X | ||||
| Kathleen Davis | |||||||||
| Former Vice President, CIO | 0.00 | 0 | 229866 | 25150 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5979335 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1199779 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 1 | 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 | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Management Fees | 900099 | 83034836 | 83034836 | ||
| Alexian Rehab Svcs,LLC | 900099 | 2910000 | 2910000 | ||
| Research Revenues | 900099 | 1106473 | 0 | 173189 | $933,284 |
| Premier Dividend | 900099 | 242084 | 242084 | ||
| CONTRIBUTIONS | 900099 | 94033 | 94033 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 151291 | TotalRevenueColumn |
| Related Or Exempt Function Income | 151291 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 87538717 | TotalProgramServiceRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 87538717 | TotalRevenueColumn |
| Related Or Exempt Function Income | 86432244 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 173189 | UnrelatedBusinessRevenue |
| Exclusion | $933,284 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20611628 | Total |
| Program Services | 12733893 | ProgramServices |
| Management And General | 7877735 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6165204 | Total |
| Management And General | 6165204 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1287148 | Total |
| Program Services | 753562 | ProgramServices |
| Management And General | 533586 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1127232 | Total |
| Management And General | 1127232 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 625715 | Total |
| Program Services | 20846 | ProgramServices |
| Management And General | 604869 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6275352 | Total |
| Program Services | 5312765 | ProgramServices |
| Management And General | 962587 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2391315 | Total |
| Program Services | 2391315 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 374338 | Total |
| Program Services | 105676 | ProgramServices |
| Management And General | 268662 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20954907 | Total |
| Program Services | 20954907 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8014921 | Total |
| Program Services | 5862886 | ProgramServices |
| Management And General | 2152035 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 263890 | Total |
| Program Services | 211446 | ProgramServices |
| Management And General | 52444 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125094 | Total |
| Program Services | 907 | ProgramServices |
| Management And General | 124187 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20981 | Total |
| Program Services | 20981 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Public Relations | 1966453 | 1966453 | 0 | 0 |
| Bad Debt | 146235 | 6820 | 139415 | 0 |
| Medical Supplies | 123537 | 123537 | 0 | 0 |
| Dietary | 55269 | 30707 | 24562 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 227553 | Total |
| Program Services | 227553 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70756772 | Total |
| Program Services | 50724254 | ProgramServices |
| Management And General | 20032518 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27262 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75673460 | BOY |
| EOY | 16954000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75700722 | BOY |
| EOY | 16954000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9548587 | BOY |
| EOY | 1138000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9548587 | BOY |
| EOY | 1138000 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66152135 | BOY |
| EOY | 15816000 | 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 | 66152135 | BOY |
| EOY | 15816000 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75700722 | BOY |
| EOY | 16954000 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 16781945 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -67118080 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | 501(c)(3) | 1 | 1 | 1 | $0 |
| St Alexius Medical Center | |||||
| 364251846 | 501(c)(3) | 1 | 1 | 1 | $0 |
| Alexian Brothers Behavioral Health Hospital | |||||
| 364251848 | 501(c)(3) | 1 | 1 | 1 | $0 |
| Alexian Brothers Center for Mental Health | |||||
| 363045007 | 501(c)(3) | 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 members through a management fee. Transactions with each member are 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 | $562,544 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 562544 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due from Alexian Rehabilitation Services, LLC | Description |
| Book Value | 16954000 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 16954000 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Other Liabilities- Due to Rehab Institute of Chicago | Description |
| Amount | $1,138,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1138000 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X: | ReturnReference |
| Explanation | Alexian Brothers Hospital Network does not file a separate audit report, but is part of the Alexian Brothers Health System consolidated audit report. There were no uncertain tax positions, and as a result there was no disclosure related to FIN 48 (ASC740) in the December 31, 2011 audit report. | 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 (15 entries)
| 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 | |||||||||||||
| 0 | 617468 | 0 | 172499 | 0 | 77309 | 0 | 145072 | 0 | 39920 | 0 | 1052268 | 0 | 39114 |
| John Werrbach | |||||||||||||
| 0 | 392794 | 0 | 91509 | 0 | 38682 | 0 | 49477 | 0 | 22524 | 0 | 594986 | 0 | 25332 |
| Edward Goldberg | |||||||||||||
| 0 | 461729 | 0 | 112010 | 0 | 54289 | 0 | 107200 | 0 | 63631 | 0 | 798859 | 0 | 21449 |
| Francine McGouey | |||||||||||||
| 0 | 280473 | 0 | 63789 | 0 | 34667 | 0 | 49603 | 0 | 12458 | 0 | 440990 | 0 | 34667 |
| Clayton Ciha | |||||||||||||
| 0 | 199344 | 0 | 23297 | 0 | 4188 | 0 | 11220 | 0 | 36526 | 0 | 274575 | 0 | 0 |
| James Sances | |||||||||||||
| 0 | 477155 | 0 | 136544 | 0 | 28841 | 0 | 115746 | 0 | 28202 | 0 | 786488 | 0 | 28841 |
| Jim Lewandowski | |||||||||||||
| 0 | 280338 | 0 | 56701 | 0 | 35171 | 0 | 35309 | 0 | 31686 | 0 | 439205 | 0 | 12354 |
| Sherrie Russell | |||||||||||||
| 0 | 156859 | 0 | 0 | 0 | 0 | 0 | 9624 | 0 | 10407 | 0 | 176890 | 0 | 0 |
| Rob Wright | |||||||||||||
| 0 | 283799 | 0 | 53810 | 0 | 24276 | 0 | 29394 | 0 | 28243 | 0 | 419522 | 0 | 14660 |
| Kathleen Gunderson | |||||||||||||
| 0 | 214564 | 0 | 31499 | 0 | 7442 | 0 | 44100 | 0 | 20198 | 0 | 317803 | 0 | 0 |
| Patti Baker | |||||||||||||
| 0 | 243844 | 0 | 28241 | 0 | 11662 | 0 | 38749 | 0 | 38612 | 0 | 361108 | 0 | 5811 |
| Diana Woytko | |||||||||||||
| 0 | 195962 | 0 | 36100 | 0 | 9956 | 0 | 22354 | 0 | 15125 | 0 | 279497 | 0 | 9956 |
| Kelley Clancy | |||||||||||||
| 0 | 206209 | 0 | 39000 | 0 | 0 | 0 | 38858 | 0 | 36151 | 0 | 320218 | 0 | 0 |
| Tracy Rogers | |||||||||||||
| 0 | 367650 | 0 | 105531 | 0 | 24467 | 0 | 34778 | 0 | 43318 | 0 | 575744 | 0 | 24467 |
| Kathleen Davis | |||||||||||||
| 0 | 359 | 0 | 0 | 0 | 229507 | 0 | 3137 | 0 | 22013 | 0 | 255016 | 0 | 229507 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 3 | ABHN follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation of the CEO and other officers and executives of the Corporation. This function is performed by the Compensation Committee of the Board of Governors of ABHS, which is composed of independent board members. The process includes review of comparability data, retention of an outside compensation consultant, and contemporaneous substantiation of the deliberation and decision through detailed minutes of the Compensation Committee. All of the items in Schedule J, Part I, Line 3 are used by the Committee to establish compensation for the CEO of the organization. |
| Part I, Lines 4a-b | The following individuals listed in Schedule J were paid the referenced amount of severence in 2011: Kathleen Davis - $229,507 |
| Part I, Lines 4a-b | 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 amount accrued in 2011 was included in income in Schedule J for the following individuals: Mark Frey - $77,208 James Sances - $52,060 Edward Goldberg - $55,673 John Werrbach - $6,784 Jim Lewandowski - $5,297 Rob Wright - $4,619 Kathleen Gunderson - $1,074 Patti Baker - $1,389 Tracy Rogers - $5,914 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | ABHN 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 | Alexian Brothers Health System has principal authority with respect to the following matters: - Adoption of amendment of the Articles of Incorporation; - Amendment of the Bylaws; - 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 ABHN; - The annual capital and operating budget and the strategic plan of ABHN; and - Other certain reserved powers which Alexian Brothers Health System may designate. | |
| Form 990, Part VI, Section B, line 11 | ABHN is an affiliate of Alexian Brothers Health System ("ABHS" or "the System"), which is a Catholic health system. ABHS is the National Member and ultimate parent for each entity within the System. ABHN's Form 990 goes through an intensive review process at the System's Corporate level prior to being filed with the IRS. The entire Form 990 is reviewed by ABHN's financial officer and the CEO. The Form 990 is also reviewed at the System Corporate level by the Chief Accounting Officer for the System. The Vice President and General Counsel for the System reviews all sections of the Form 990 with the exception of the compensation section. The Vice President of Human Resources for ABHS reviews all compensation disclosures for each entity in ABHS. These reviews were conducted before the Form 990 was signed and filed with the IRS. In addition, there is also a Compensation Committee that reports to the ABHS Board of Governors. This Committee reviews the Compensation disclosures for all entities in the System. The ABHN board reports to the ABHS Board of Governors, which has ultimate oversight of the activities of all entities within the System. The Audit Committee of the ABHS Board of Governors has responsibility for and oversight of the Tax Compliance process. The Audit Committee provides oversight for the Form 990 process for the entire System and reviews detailed Forms 990 for the System as requested. It then reports back to the ABHS Board of Governors on the results of these activities. The Forms 990 not reviewed by the Audit Committee are available to the Audit Committee members upon request. The Audit Committee did not review the 2011 Form 990 for ABHN. | |
| Form 990, Part VI, Section B, line 12c | ABHN collects annual attestations from board members, officers, directors and key employees. The attestations are reviewed by the ABHN compliance officer and any conflicts are shared with the ABHN Chief Executive Officer. The conflicts are also reveiwed by the System's Vice President Officer, Corporate Responsibility Officer. The Audit Committee of the ABHS Board of Governors monitors and receives reports on the completion of this process. | |
| Form 990, Part VI, Section B, line 15 | ABHN follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation of the CEO and other officers and executives of the Corporation. This function is performed by the Compensation Committee of the Board of Governors of ABHS, which is composed of independent board members. The process includes review of comparability data, retention of an outside compensation consultant, and contemporaneous substantiation of the deliberation and decision through detailed minutes of the Compensation Committee. | |
| Form 990, Part VI, Section C, line 19 | ABHN's financial statements are available through the office of the Illinois Attorney General. Conflicts of Interest and ABHN's governing documents are not made available to the public. | |
| Form 990, Part VII: Average hours devoted to related organizations when | Disclosure for estimated hours per week devoted to related organizations for which compensation was reported: -Mark Frey worked 40 hours per week for Alexian Brothers Health System. -Jim Sances worked 40 hours per week for Alexian Brothers Health System; -Virginia Golembiewski worked 40 hours per week for Alexians Brothers Health System; -Jim Lewandowski worked 40 hours per week for Alexian Brothers Health System; -Edward Goldberg worked 40 hours per week for St. Alexius Medical Center; -Clayton Ciha worked 40 hours per week for Alexian Brothers Behavioral Health Hospital; -Francine McGouey worked 40 hours per week for Alexian Brothers Behavioral Health Hospital; -John Werrbach worked 40 hours per week for Alexian Brothers Medical Center; -Tracy Rogers worked 40 hours per week for Alexian Brothers Health System; -All others listed in Part VII devoted 100% of their time to Alexian Brothers Hospital Network. | related compensation is reported: |
| Form 990, Part XI, line 5: | Equity Transfer - Alexian Brothers Health System -56,642,000. ABHN Depreciation & Amortization - Alexian Brothers Health System -9,616,124. Released from Restricted 13,219. Investment in subsidiary -388,000. ABHN activity -610,000. Other adjustment 124,825. Total to Form 990, Part XI, Line 5: -67,118,080. | Changes in Net Assets or Fund Balances: |
| Form 990, Part VII: | Payroll records are kept that identify which officers/key employees are paid by a related entity. These documents also show the organization being charged for the officer's/key employee's salary. | Reasonable Effort made to obtain Compensation from Related Organizations: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (25 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Alexian Brothers of America Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 362606768 | Religious order of Roman Catholic men | TX | Section 501(c)(3) | 1 | N/A | 0 | |
| Brothers of St Alexius Health and Welfare Fund Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 362976617 | Provides for health & welfare payments for religious sponsor | TX | Section 501(c)(3) | 1 | 1 | Alexian Brothers of America Inc | |
| Alexian Brothers Bonaventure House | |||||||||||
| 825 Wellington Avenue | Chicago | IL | 606570000 | 363527899 | Housing and supportive care services for persons with HIV/AIDS | IL | Section 501(c)(3) | 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Health System | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 363260495 | Supports provision of healthcare services for related corporations | IL | Section 501(c)(3) | 11, III-FI | 1 | Alexian Brothers of America Inc | |
| Alexian Brothers Health System Inc Investment Trust | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 363801585 | Manages pooled investments of related not-for-profit entities | IL | Section 501(c)(3) | 11, III-FI | 1 | Alexian Brothers Health System | |
| Alexian Brothers of America Investment Trust | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 364390471 | Manages pooled investments of related not-for-profit entities | IL | Section 501(c)(3) | 11, III-FI | 1 | Alexian Brothers of America Inc | |
| Alexian Brothers Specialty Group | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 800710751 | Specialty physician practice group | IL | Section 501(c)(3) | 3 | 1 | Alexian Brothers Health System | |
| Alexian Brothers of Chicago | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | Inactive Corporation | IL | Section 501(c)(3) | 9 | 1 | Alexian Brothers of America Inc | ||
| Alexian Brothers of San Jose Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 941530037 | Acute care hospital (sold in 1998) | TX | Section 501(c)(3) | 3 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Services Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 431295333 | HUD housing | MO | Section 501(c)(3) | 9 | 1 | Alexian Brothers Health System | |
| Alexian Village of Milwaukee Inc | |||||||||||
| 9301 N 76th Street | Milwaukee | WI | 532230000 | 391351584 | Continuing care retirement community | WI | Section 501(c)(3) | 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Community Services | |||||||||||
| 425 Cumberland Street Suite 110 | Chattanooga | TN | 374040000 | 364344423 | Provides comprehensive & coordinated community based services | IL | Section 501(c)(3) | 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Senior Neighbors | |||||||||||
| 250 East 10th Street | Chattanooga | TN | 374020000 | 620646376 | Supports the provision of community services for senior citizens | TN | Section 501(c)(3) | 7 | 1 | Alexian Brothers Health System | |
| Alexian Village of Tennessee | |||||||||||
| 437 Alexian Way | Signal Mountain | TN | 373770000 | 621136742 | Continuing care retirement community | TN | Section 501(c)(3) | 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Senior Ministries | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 364484290 | Supports the provision of healthcare services for related corporations | IL | Section 501(c)(3) | 11, III-FI | 1 | Alexian Brothers Health System | |
| Alexian Elderly Services Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 392039667 | Community outreach | WI | Section 501(c)(3) | 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Lansdowne Village | |||||||||||
| 4624 Lansdowne | St Louis | MO | 631160000 | 431470362 | Skilled nursing facility | MO | Section 501(c)(3) | 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Sherbrooke Village | |||||||||||
| 4005 Ripa Avenue | St Louis | MO | 631250000 | 431592502 | Skilled nursing facility | MO | Section 501(c)(3) | 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers of St Louis Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 430653236 | Acute care hospital (sponsorship transferred in 1997) | MO | Section 501(c)(3) | 3 | 1 | Alexian Brothers Health System | |
| Savelli Properties Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 363308965 | Owns or leases properties where healthcare services are delivered | IL | Section 501(c)(2) | N/A | 1 | Alexian Brothers Health System | |
| 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) | 7 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Behavioral Health Hospital | |||||||||||
| 1650 Moon Lake Blvd | Hoffman Estates | IL | 601940000 | 364251848 | Behavioral health hospital | IL | Section 501(c)(3) | 3 | 1 | Alexian Brothers Health System | |
| St Alexius Medical Center | |||||||||||
| 1555 Barrington Road | Hoffman Estates | IL | 601940000 | 364251846 | Acute care hospital | IL | Section 501(c)(3) | 3 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Ambulatory Group | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 364336931 | Physician services | IL | Section 501(c)(3) | 3 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Medical Center | |||||||||||
| 800 Biesterfield Road | Elk Grove Village | IL | 60007 | 362596381 | Acute care hospital | TX | Section 501(c)(3) | 3 | 1 | Alexian Brothers Health System | |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alexian Rehabilitation Services LLC | |||||||||||||
| 935 Beisner Road | Elk Grove Village | IL | 600070000 | 300221481 | Rehabilitation Hospital | IL | Alexian Brothers Hospital Network | Related | 2909826 | 944996 | 0 | 0 | 0.51000 |
| Illinois NeuroMeg Center LLC | |||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 870783164 | Provision of NeuroMeg Services | IL | Alexian Brothers Medical Center | Related | 0 | 0 | |||
| Elk Grove MOB Limited Partnership | |||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 363853289 | Medical Office Building | IL | Thelen Corporation | N/A | 0 | 0 | |||
| Workplace Solutions LLC | |||||||||||||
| 1100 E Woodfield Road | Schaumburg | IL | 60173 | 364095007 | Provision of EAP Services | IL | Alexian Brothers Medical Center | Unrelated | 0 | 0 | |||
| Bonaventure Medical Foundation LLC | |||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 363978153 | Manages Managed Care Contracts | DE | Alexian Brothers Health System | Related | 0 | 1 | 0.50000 | ||
| Neurosciences Equipment LLC | |||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 861115516 | Ownership of Gamma Knife | IL | Thelen Corporation | N/A | 0 | 0 | |||
| St Alexius Center for Sleep Health LLC | |||||||||||||
| 665 W North Avenue | Lombard | IL | 601480000 | 205876371 | Operation of Sleep Labs | IL | St Alexius Medical Center | Related | 0 | 0 | |||
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 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 Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Thelen Corporation | ||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 363266316 | Owns/leases property; joint venture partner | IL | Alexian Brothers Hospital Network | C | -136000 | 4264000 | 1.00000 | |
| Edessa Insurance Company Ltd | ||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | Captive insurer located in Bermuda | Alexian Brothers Health System | C | BD | |||||
| Alexian Brothers Health Providers Association Inc | ||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 363853286 | Messenger model IPA | IL | Alexian Brothers Health System | C | ||||
| Alexian Brothers Corpus Christi Housing Project LLC | ||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 943465394 | Tax credit financed housing | IL | Alexian Brothers Health System | C | ||||
| Alexian Village of Elk Grove | ||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 352211303 | Tax credit financed housing | IL | Alexian Brothers Community Services | C | ||||
| 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 |
| 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 | 0 | 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 | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Other Intercompany Transfers-Various | ||
| O | 337164 | Fair Market Value |
| Alexian Brothers Medical Center | ||
| P | 38512369 | Fair Market Value |
| St Alexius Medical Center | ||
| P | 28598033 | Fair Market Value |
| Alexian Brothers Behavioral Health Hospital | ||
| P | 5223888 | Fair Market Value |
| Alexian Brothers Ambulatory Group | ||
| P | 2994433 | Fair Market Value |
| Alexian Brothers Senior Ministries | ||
| P | 43299 | Fair Market Value |
| Alexian Brothers Health System | ||
| P | -75709186 | Fair Market Value |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information: | Identifier |
| Return Reference | Part V, Line 2: | ReturnReference |
| Explanation | ABHN tracks all transactions with related organizations in the general ledger or subsidiary schedules to the general ledger. Amounts are valued based on the fair market value of the transaction. | Explanation |