FURP.ORG / PUBLIC DATA EXPLORER

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

FieldValueIRS element (for citing)
Timestamp2012-10-29T13:18:23-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 S Wacker DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code606064301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363276552EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Alexian Brothers Hospital NetworkBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALEXNameControl
Phone8473857100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13040 W Salt Creek LaneAddressLine1
CityArlington HeightsCity
StateILState
ZIP Code600051069ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMark FreyName
TitlePresident & CEOTitle
Phone8473857100Phone
Date Signed2012-10-29DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLaura GillespieName
PTINP00855604PTIN
Phone3124861000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMark FreyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13040 W Salt Creek LaneAddressLine1
CityArlington HeightsCity
StateILState
ZIP Code600051069ZIPCode
FieldValueIRS element (for citing)
Gross Receipts87538717GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.alexianbrothershealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionABHN 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 Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers2TotalNbrVolunteers
Total Gross UBI173189TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year68249053ProgramServiceRevenuePriorYear
Program Service Revenue CY87538717ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year68249053TotalRevenuePriorYear
Total Revenue Current Year87538717TotalRevenueCurrentYear
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 Year25139550SalariesEtcPriorYear
Salaries Etc Current Year28063980SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year43093477OtherExpensePriorYear
Other Expenses Current Year42692792OtherExpensesCurrentYear
Total Expenses Prior Year68233027TotalExpensesPriorYear
Total Expenses Current Year70756772TotalExpensesCurrentYear
Revenues Less Expenses Prior Year16026RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16781945RevenuesLessExpensesCY
Total Assets BOY75700722TotalAssetsBOY
Total Assets EOY16954000TotalAssetsEOY
Total Liabilities BOY9548587TotalLiabilitiesBOY
Total Liabilities EOY1138000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY66152135NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15816000NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAlexian 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense50724254Expense
Revenue86432244Revenue
DescriptionThe 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 Expense50724254TotalProgramServiceExpense
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 Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
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
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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 Body0Form990ProvidedToGoverningBody
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
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Jeannie JustieBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8473857160TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13040 West Salt Creek LaneAddressLine1
CityArlington HeightsCity
StateILState
ZIP Code600051069ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Mark Frey
President & CEO1.00XX0867276184992
John Werrbach
Vice President/CEO ABMC1.00XX052298572001
Edward Goldberg
Vice President/CEO St.Alexius1.00XX0628028170831
Francine McGouey
Vice President/CEO ABBHH1.00XX037892962061
Clayton Ciha
Vice-President/CEO ABBHH1.00XX022682947746
James Sances
Treasurer/Secretary1.00XX0642540143948
Br Thomas Keusenkothen
Chairperson1.00XX000
Br James Classon CFA
Director1.00X000
Virginia Golembiewski
Assistant Secretary1.00X06980116144
Jim Lewandowski
Vice President, HR1.00037221066995X
Sherrie Russell
Vice President/CIO40.00015685920031X
Rob Wright
VP Managed Care40.00036188557637X
Kathleen Gunderson
VP Ancillary Services40.00025350564298X
Patti Baker
VP Oncology40.00028374777361X
Diana Woytko
VP Quality40.00024201837479X
Kelley Clancy
VP External Affairs40.00024520975009X
Tracy Rogers
Former Vice President/COO1.00049764878096X
Kathleen Davis
Former Vice President, CIO0.00022986625150X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5979335TotalReportableCompFrmRltdOrgs
Total Other Compensation1199779TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Management Fees9000998303483683034836
Alexian Rehab Svcs,LLC90009929100002910000
Research Revenues90009911064730173189$933,284
Premier Dividend900099242084242084
CONTRIBUTIONS9000999403394033

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column151291TotalRevenueColumn
Related Or Exempt Function Income151291RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue87538717TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column87538717TotalRevenueColumn
Related Or Exempt Function Income86432244RelatedOrExemptFunctionIncome
Unrelated Business Revenue173189UnrelatedBusinessRevenue
Exclusion$933,284ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total20611628Total
Program Services12733893ProgramServices
Management And General7877735ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6165204Total
Management And General6165204ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1287148Total
Program Services753562ProgramServices
Management And General533586ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1127232Total
Management And General1127232ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total625715Total
Program Services20846ProgramServices
Management And General604869ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6275352Total
Program Services5312765ProgramServices
Management And General962587ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2391315Total
Program Services2391315ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total374338Total
Program Services105676ProgramServices
Management And General268662ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total20954907Total
Program Services20954907ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8014921Total
Program Services5862886ProgramServices
Management And General2152035ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total263890Total
Program Services211446ProgramServices
Management And General52444ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total125094Total
Program Services907ProgramServices
Management And General124187ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total20981Total
Program Services20981ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Public Relations1966453196645300
Bad Debt14623568201394150
Medical Supplies12353712353700
Dietary5526930707245620

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total227553Total
Program Services227553ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total70756772Total
Program Services50724254ProgramServices
Management And General20032518ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY27262BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY75673460BOY
EOY16954000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY75700722BOY
EOY16954000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9548587BOY
EOY1138000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9548587BOY
EOY1138000EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY66152135BOY
EOY15816000EOY

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)
BOY66152135BOY
EOY15816000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY75700722BOY
EOY16954000EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16781945ReconcilationRevenueExpenses
Reconcilation Other Changes-67118080ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (4 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
Alexian Brothers Medical Center
362596381501(c)(3)111$0
St Alexius Medical Center
364251846501(c)(3)111$0
Alexian Brothers Behavioral Health Hospital
364251848501(c)(3)111$0
Alexian Brothers Center for Mental Health
363045007501(c)(3)111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts
General ExplanationSchedule 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

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$562,544DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB562544TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDue from Alexian Rehabilitation Services, LLCDescription
Book Value16954000BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets16954000TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOther Liabilities- Due to Rehab Institute of ChicagoDescription
Amount$1,138,000Amount
FieldValueIRS element (for citing)
Total Of Amounts1138000TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X:ReturnReference
ExplanationAlexian 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

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 (15 entries)

Base 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
Mark Frey
06174680172499077309014507203992001052268039114
John Werrbach
03927940915090386820494770225240594986025332
Edward Goldberg
0461729011201005428901072000636310798859021449
Francine McGouey
02804730637890346670496030124580440990034667
Clayton Ciha
019934402329704188011220036526027457500
James Sances
0477155013654402884101157460282020786488028841
Jim Lewandowski
02803380567010351710353090316860439205012354
Sherrie Russell
0156859000009624010407017689000
Rob Wright
02837990538100242760293940282430419522014660
Kathleen Gunderson
021456403149907442044100020198031780300
Patti Baker
0243844028241011662038749038612036110805811
Diana Woytko
019596203610009956022354015125027949709956
Kelley Clancy
020620903900000038858036151032021800
Tracy Rogers
036765001055310244670347780433180575744024467
Kathleen Davis
03590002295070313702201302550160229507

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 3ABHN 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-bThe following individuals listed in Schedule J were paid the referenced amount of severence in 2011: Kathleen Davis - $229,507
Part I, Lines 4a-bAlexian 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 ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6ABHN has one member, Alexian Brothers Health System (the "National 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 Hospital Network.
Form 990, Part VI, Section A, line 7bAlexian 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 11ABHN 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 12cABHN 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 15ABHN 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 19ABHN'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 whenDisclosure 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Alexian Brothers of America Inc
3040 W Salt Creek LaneArlington HeightsIL600051069362606768Religious order of Roman Catholic menTXSection 501(c)(3)1N/A0
Brothers of St Alexius Health and Welfare Fund Inc
3040 W Salt Creek LaneArlington HeightsIL600051069362976617Provides for health & welfare payments for religious sponsorTXSection 501(c)(3)11Alexian Brothers of America Inc
Alexian Brothers Bonaventure House
825 Wellington AvenueChicagoIL606570000363527899Housing and supportive care services for persons with HIV/AIDSILSection 501(c)(3)91Alexian Brothers Health System
Alexian Brothers Health System
3040 W Salt Creek LaneArlington HeightsIL600051069363260495Supports provision of healthcare services for related corporationsILSection 501(c)(3)11, III-FI1Alexian Brothers of America Inc
Alexian Brothers Health System Inc Investment Trust
3040 W Salt Creek LaneArlington HeightsIL600051069363801585Manages pooled investments of related not-for-profit entitiesILSection 501(c)(3)11, III-FI1Alexian Brothers Health System
Alexian Brothers of America Investment Trust
3040 W Salt Creek LaneArlington HeightsIL600051069364390471Manages pooled investments of related not-for-profit entitiesILSection 501(c)(3)11, III-FI1Alexian Brothers of America Inc
Alexian Brothers Specialty Group
3040 W Salt Creek LaneArlington HeightsIL600051069800710751Specialty physician practice groupILSection 501(c)(3)31Alexian Brothers Health System
Alexian Brothers of Chicago
3040 W Salt Creek LaneArlington HeightsIL600051069Inactive CorporationILSection 501(c)(3)91Alexian Brothers of America Inc
Alexian Brothers of San Jose Inc
3040 W Salt Creek LaneArlington HeightsIL600051069941530037Acute care hospital (sold in 1998)TXSection 501(c)(3)31Alexian Brothers Health System
Alexian Brothers Services Inc
3040 W Salt Creek LaneArlington HeightsIL600051069431295333HUD housingMOSection 501(c)(3)91Alexian Brothers Health System
Alexian Village of Milwaukee Inc
9301 N 76th StreetMilwaukeeWI532230000391351584Continuing care retirement communityWISection 501(c)(3)91Alexian Brothers Health System
Alexian Brothers Community Services
425 Cumberland Street Suite 110ChattanoogaTN374040000364344423Provides comprehensive & coordinated community based servicesILSection 501(c)(3)91Alexian Brothers Health System
Alexian Brothers Senior Neighbors
250 East 10th StreetChattanoogaTN374020000620646376Supports the provision of community services for senior citizensTNSection 501(c)(3)71Alexian Brothers Health System
Alexian Village of Tennessee
437 Alexian WaySignal MountainTN373770000621136742Continuing care retirement communityTNSection 501(c)(3)91Alexian Brothers Health System
Alexian Brothers Senior Ministries
3040 W Salt Creek LaneArlington HeightsIL600051069364484290Supports the provision of healthcare services for related corporationsILSection 501(c)(3)11, III-FI1Alexian Brothers Health System
Alexian Elderly Services Inc
3040 W Salt Creek LaneArlington HeightsIL600051069392039667Community outreachWISection 501(c)(3)91Alexian Brothers Health System
Alexian Brothers Lansdowne Village
4624 LansdowneSt LouisMO631160000431470362Skilled nursing facilityMOSection 501(c)(3)91Alexian Brothers Health System
Alexian Brothers Sherbrooke Village
4005 Ripa AvenueSt LouisMO631250000431592502Skilled nursing facilityMOSection 501(c)(3)91Alexian Brothers Health System
Alexian Brothers of St Louis Inc
3040 W Salt Creek LaneArlington HeightsIL600051069430653236Acute care hospital (sponsorship transferred in 1997)MOSection 501(c)(3)31Alexian Brothers Health System
Savelli Properties Inc
3040 W Salt Creek LaneArlington HeightsIL600051069363308965Owns or leases properties where healthcare services are deliveredILSection 501(c)(2)N/A1Alexian Brothers Health System
Alexian Brothers Center for Mental Health
3436 N Kennicott AvenueArlington HeightsIL60004363045007Outpatient community mental health servicesILSection 501(c)(3)71Alexian Brothers Health System
Alexian Brothers Behavioral Health Hospital
1650 Moon Lake BlvdHoffman EstatesIL601940000364251848Behavioral health hospitalILSection 501(c)(3)31Alexian Brothers Health System
St Alexius Medical Center
1555 Barrington RoadHoffman EstatesIL601940000364251846Acute care hospitalILSection 501(c)(3)31Alexian Brothers Health System
Alexian Brothers Ambulatory Group
3040 W Salt Creek LaneArlington HeightsIL600051069364336931Physician servicesILSection 501(c)(3)31Alexian Brothers Health System
Alexian Brothers Medical Center
800 Biesterfield RoadElk Grove VillageIL60007362596381Acute care hospitalTXSection 501(c)(3)31Alexian Brothers Health System

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Alexian Rehabilitation Services LLC
935 Beisner RoadElk Grove VillageIL600070000300221481Rehabilitation HospitalILAlexian Brothers Hospital NetworkRelated2909826944996000.51000
Illinois NeuroMeg Center LLC
3040 W Salt Creek LaneArlington HeightsIL600051069870783164Provision of NeuroMeg ServicesILAlexian Brothers Medical CenterRelated00
Elk Grove MOB Limited Partnership
3040 W Salt Creek LaneArlington HeightsIL600051069363853289Medical Office BuildingILThelen CorporationN/A00
Workplace Solutions LLC
1100 E Woodfield RoadSchaumburgIL60173364095007Provision of EAP ServicesILAlexian Brothers Medical CenterUnrelated00
Bonaventure Medical Foundation LLC
3040 W Salt Creek LaneArlington HeightsIL60005363978153Manages Managed Care ContractsDEAlexian Brothers Health SystemRelated010.50000
Neurosciences Equipment LLC
3040 W Salt Creek LaneArlington HeightsIL600051069861115516Ownership of Gamma KnifeILThelen CorporationN/A00
St Alexius Center for Sleep Health LLC
665 W North AvenueLombardIL601480000205876371Operation of Sleep LabsILSt Alexius Medical CenterRelated00

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipLegal Domicile Foreign CountryLegalDomicileForeignCountry
Thelen Corporation
3040 W Salt Creek LaneArlington HeightsIL600051069363266316Owns/leases property; joint venture partnerILAlexian Brothers Hospital NetworkC-13600042640001.00000
Edessa Insurance Company Ltd
3040 W Salt Creek LaneArlington HeightsIL600051069Captive insurer located in BermudaAlexian Brothers Health SystemCBD
Alexian Brothers Health Providers Association Inc
3040 W Salt Creek LaneArlington HeightsIL600051069363853286Messenger model IPAILAlexian Brothers Health SystemC
Alexian Brothers Corpus Christi Housing Project LLC
3040 W Salt Creek LaneArlington HeightsIL600051069943465394Tax credit financed housingILAlexian Brothers Health SystemC
Alexian Village of Elk Grove
3040 W Salt Creek LaneArlington HeightsIL600051069352211303Tax credit financed housingILAlexian Brothers Community ServicesC
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
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 Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Other Intercompany Transfers-Various
O337164Fair Market Value
Alexian Brothers Medical Center
P38512369Fair Market Value
St Alexius Medical Center
P28598033Fair Market Value
Alexian Brothers Behavioral Health Hospital
P5223888Fair Market Value
Alexian Brothers Ambulatory Group
P2994433Fair Market Value
Alexian Brothers Senior Ministries
P43299Fair Market Value
Alexian Brothers Health System
P-75709186Fair Market Value

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierSupplemental Information:Identifier
Return ReferencePart V, Line 2:ReturnReference
ExplanationABHN 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