2012-11-01T11:11:30-05:00 2011-12-31 861065772 Deloitte Tax LLP 111 S Wacker Drive Chicago IL 60606 990 2011-01-01 363260495 Alexian Brothers Health System ALEX 8473857165 3040 West Salt Creek Lane Arlington Heights IL 60005 MARK FREY 8474638910 2012-11-01 1 Laura Gillespie P00855604 3124861000 2011 2016-02-24 21:20:13Z Mark Frey 3040 West Salt Creek Lane Arlington Heights IL 60005 45855624 0 0928 X www.alexianbrothershealth.org X 1983 IL Alexian Brothers Health System ("ABHS") carries out the healing mission of the Catholic Church through the Alexian Brothers ministries by identifying and developing effective responses to the health and housing needs of those we are called to serve. 10 10 7574 10 2952 0 5238173 3704948 28573798 33418047 9536179 7035210 287667 262013 43635817 44420218 0 0 0 0 24006343 28202718 0 0 2260488 19293464 21915577 43299807 50118295 336010 -5698077 449506571 690705024 542956252 829433897 -93449681 -138728873 X Alexian Brothers Health System ("ABHS") carries out the healing mission of the Catholic Church through the Alexian Brothers ministries by identifying and developing effective responses to the health and housing needs of those we are called to serve. 0 0 45682449 33418047 ABHS supports the provision of healthcare services at the corporations to which it is a member by the provision of centralized administrative support, including services such as Accounting, Human Resources and Compliance. For more than seven centuries, the Alexian Brothers have cared for the sick, the aged, the poor and dying. The basic Judeo-Christian beliefs that inspired the founders of this worldwide Catholic religious congregation sustain its ministry today: to promote the physical, mental, spiritual, and social well-being of individuals of all creeds, races, nationalities and socioeconomic levels served through this health care ministry. (See Schedule O)Strengthened by community, prayer, commitment to the poor and the legacy of its founders, and in partnership with others, the Alexian Brothers witness the healing Christ by a holistic approach to promoting health and caring for the sick, dying, aged and unwanted of all socioeconomic levels, outside as well as within ABHS.ABHS carries out its exempt purposes by coordinating and managing the activities of the regional corporations for which it is the national member. Through these regional corporations, ABHS provides healthcare and other services to communities in suburban Chicago, IL, St. Louis, MO, Milwaukee, WI, and Signal Mountain, TN. As a charitable organization, it is recognized that not all individuals possess the ability to purchase essential medical services. ABHS' mission is to serve the community with respect to providing healthcare services and education, and housing needs. Therefore, in keeping with ABHS' commitment to serve all members of its community:-Free care and/or subsidized care-Care to persons covered by government programs at or below cost, and -Health activities and programs to support the community are considered and provided when appropriate. These activities include wellness programs, community education programs, special programs for the elderly, handicapped, medically underserved, and a variety of broad community support activities. Consistent with its mission, ABHS, through its ministries, provides medical care to all patients regardless of their ability to pay. In addition, the ministries provide services intended to benefit the poor and underserved, including those persons who cannot afford health insurance because of inadequate resources and/or are uninsured or underinsured, and to enhance the health status of the communities in which they operate. As a religious organization, each of the ABHS facilities operates a chapel and pastoral care department, and assists in the promotion of ABHS' Catholic identity and religious sponsorship while addressing the spiritual needs of patients and their families in a holistic manner. Charity Care and Community Service: The amounts and types of charity care and other community services provided in the entire Alexian Brothers Health System are as follows: Charity Care at Cost: $17,759,062. Language Assistant Services: $707,502Excess of Government Sponsored Health Care Cost Over Reimbursement-Medicaid: $27,733,877Donations: $190,093 Education: $2,384,921 Government-Sponsored Program Services: $0Subsidized Health Services: $1,669,456 Other Community Benefits: $3,887,754Total Charity Care and Community Benefits: $54,332,665 Excess of Government Sponsored Health Care Cost Over Reimburstment - Medicare: $58,208,836Bad Debt Expense at Cost: $10,169,004Information has been included for all exempt entities in ABHS. The information for the hospitals included has been calculated on a basis consistent with the requirements for the Illinois Attorney General Community Benefit report. 45682449 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 792 0 1 7574 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 IL X Jeannie Justie 8473857160 3040 West Salt Creek Lane Arlington Hts IL 600051020 X Jerry Capizzi 1.00 X 0 0 0 Br Richard Lowe CFA 1.00 X 0 0 0 Br John Howard CFA 1.00 X 0 0 0 Kenneth McHugh 1.00 X 0 0 0 Karen S Wells 1.00 X 0 0 0 Bruce Wolfe 1.00 X 0 0 0 Br Theodore Loucks CFA 1.00 X 0 0 0 Richard Fischer 1.00 X 0 0 0 Kaveh Safavi MD 1.00 X 0 0 0 Br James Classon CFA 1.00 X X 0 0 0 Br Lawrence Krueger CFA 1.00 X X 0 0 0 Br Thomas Keusenkothen CFA 40.00 X 0 0 0 Mark Frey 40.00 X 867276 0 184992 Tracy Rogers 40.00 X 497648 0 78096 James Sances 40.00 X 642540 0 143948 Virginia Golembiewski 40.00 X 69801 0 16144 Jim Lewandowski 40.00 X 372210 0 66995 Mary Ann Magnifico 40.00 X 288008 0 70747 Peg Wendell 40.00 X 295214 0 44260 Melanie Furlan 40.00 X 320737 0 58982 Jean Justie 40.00 X 258209 0 51154 Gary Breuer 40.00 X 266580 0 49272 3878223 0 764590 9 0 1 0 Ungaretti & Harris 3500 Three First National Plaza Chicago IL 60602 Attorneys 2639528 Sodexho Operations LLC 4880 Paysphere Circle Chicago IL 60674 Foodservice 1961328 Efficiency Media 4304 N Avers Chicago IL 60618 Media Planning Buying Services 1716545 Peterson Contracting Services Inc 1025 Revere Ct Lombard IL 60148 Painting and Decorating Services 1189869 Riddiford Roofing Metal Work 2333 Hamilton Road Arlingotn Heights IL 60005 Roofing Contractors 1057788 285 663282 3041666 3704948 Management Fees 900099 23293231 23293231 Leased Empl. Benefits 900099 6542036 6542036 I/C Affiliate Rent 900099 2992332 2992332 I/C Chargebacks 900099 566856 566856 RESTRICTED FUNDS UTILI 900099 15164 15164 8428 8428 33418047 7035210 7035210 1285695 890635 395060 395060 395060 408772 663282 544771 -135999 -135999 UBI - Premier 900099 2952 2952 2952 44420218 33418047 2952 7294271 20065728 18825521 1240207 2267387 2267387 5000713 4639659 361054 868890 792049 76841 3708 3708 1932446 1928694 3752 246664 246664 3781779 3383231 398548 216270 213379 2891 1141597 1058003 83594 2784153 2733715 50438 203442 171947 31495 29613 29613 10442414 10442414 158008 158008 Deferred Bond Costs 727871 727871 0 0 Food Expense 89440 81480 0 7960 Medical Supplies Expens 80094 80094 0 0 Public/Comm. Relations 84 84 0 0 77994 77994 50118295 45682449 2175358 2260488 381522 48722677 8109456 5669961 1000206 821612 152 4048778 3045076 4432410 4458032 2470092 107151730 59222941 38830398 47928789 288424254 221031686 105257475 355579019 449506571 690705024 27622129 51157047 0 26628 12156 459945921 449346082 0 2971030 2660461 52390544 326258151 542956252 829433897 X -93449681 -138728873 0 -93449681 -138728873 449506571 690705024 X -5698077 -39581115 X 0 1 1 X 0 X X X 0 0 0 ABHS Inc Investment Trust 363801585 11 III-FI 1 1 1 0 Alexian Brothers of San Jose Inc 941530037 3 1 1 1 0 Alexian Brothers Services Inc 431295333 9 1 1 1 0 Alexian Village of Milwaukee Inc 391351584 9 1 1 1 0 Alexian Brothers Community Services 364344423 9 1 1 1 0 Alexian Brothers Senior Neighbors 620646376 7 1 1 1 0 Alexian Village of Tennessee 621136742 9 1 1 1 0 Alexian Brothers Senior Ministries 364484290 11 III-FI 1 1 1 0 Alexian Elderly Services Inc 392039667 9 1 1 1 0 Alexian Brothers Lansdowne Village 431470362 9 1 1 1 0 Alexian Brothers Sherbrooke Village 431592502 9 1 1 1 0 Alexian Brothers Hospital Network 363276552 11 III-FI 1 1 1 0 Alexian Brothers Medical Center 362596381 3 1 1 1 0 Alexian Brothers Center for Mental Health 363045007 7 1 1 1 0 Alexian Brothers Behavioral Health Hospital 364251848 3 1 1 1 0 St Alexius Medical Center 364251846 3 1 1 1 0 Alexian Brothers Ambulatory Group 364336931 3 1 1 1 0 Alexian Brothers of St Louis Inc 430653236 3 1 1 1 0 Alexian Brothers Specialty Group 800710751 3 1 1 1 0 19 0 Schedule A, Part IV, Supplemental Information: ABHS supports the provision of healthcare services at the corporations to which it is a member by the provision of centralized administrative support, including services such as Mission Integration, Accounting, Accounts Payable, Treasury (including Cash, Investment and Debt Management), Insurance, Payroll, Human Resources, Compliance, Legal, Education, Wellness, and Patient Safety and Quality. All costs of ABHS are charged to the members through a management fee. Transactions with each member are delineated on Schedule R. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3409815 8594 70761 194481 999 3293690 3466340 5275 135915 197715 3409815 3594762 2651 73613 204686 3466340 3594762 3594762 0.28000 0.72000 0 1 1 9504208 4668183 4836025 15231068 11407039 3824029 65792644 43031536 22761108 16623810 116183 16507627 47928789 Beneficial interest in Alexian Brothers Health System, Inc. Investment Trust 221031686 F 221031686 Land Held for Future Use 2323759 Due from Affiliates 262434754 Due from A. Manseau Trust 40719 Deferred Finance Costs 9424945 Goodwill 74051961 Other 7302881 355579019 Supplemental Employee Retirement Plan Liab. 1176207 Unclaimed Property 2380 Execu-flex Cap Accumulation 885923 Restricted Pledges 5669961 Negative Cash 116200095 Health/Dental Liability 5376764 Reserve for Outstanding Insurance Losses 7049 swap LT liab 4043568 Long Term Pension Liability 14667175 Other 178229029 326258151 Description of Intended Use of Endowment Funds: Part V, Line 4: The endowment funds are used to support charitable efforts within the Alexian Brothers Health System. Description of Uncertain Tax Positions Under FIN 48: Part X: ABHS 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. Ball de Fleur 639496 367395 272101 0 9251 30995 174475 32125 102497 Golf Classic 172250 143550 28700 0 400 30300 39000 0 648 5 260308 152337 107971 5275 12493 17220 45019 8350 36723 1072054 663282 408772 5275 22144 78515 258494 40475 139868 544771 -135999 X X X X X X 0 1 0 0 0 0 0 0 0 Mark Frey 617468 0 172499 0 77309 0 145072 0 39920 0 1052268 0 39114 0 Tracy Rogers 367650 0 105531 0 24467 0 34778 0 43318 0 575744 0 24467 0 James Sances 477155 0 136544 0 28841 0 115746 0 28202 0 786488 0 28841 0 Jim Lewandowski 280338 0 56701 0 35171 0 35309 0 31686 0 439205 0 12354 0 Mary Ann Magnifico 230526 0 45431 0 12051 0 42714 0 28033 0 358755 0 12051 0 Peg Wendell 246634 0 46000 0 2580 0 19919 0 24341 0 339474 0 0 0 Melanie Furlan 240239 0 68684 0 11814 0 21186 0 37796 0 379719 0 11814 0 Jean Justie 208071 0 37789 0 12349 0 23903 0 27251 0 309363 0 12349 0 Gary Breuer 215534 0 38201 0 12845 0 20379 0 28893 0 315852 0 10456 0 Part I, Line 4b Alexian Brothers Health System offers a Supplemental Employee Retirement Plan to all employees who participate in the executive benefits program and whose compensation exceeds the IRS allowable limit for a qualified pension plan. The amount accrued in 2011 was included in income in Schedule J for the following individuals: Mark Frey - $77,808 Tracy Rogers - $5,914 James Sances - $52,060 Jim Lewandowski - $5,297 Mary Ann Magnifico - $4,317 Peg Wendell - $1,311 Melanie Furlan - $940 Jean Justie - $231 Illinois Finance Authority 861091967 45189FAY0 2004-04-28 80000000 Construct and Equip/Facilities 0 0 0 Illinois Finance Authority 861091967 45200BQD3 2005-08-11 255795000 Partial refund 1999 Series issued 1/15/99 0 0 0 Illinois Finance Authority 861091967 45200FFH7 2008-04-23 44028000 Construct a Facility 0 0 0 Illinois Finance Authority 861091967 NoneAvail 2009-07-23 13607000 Refund 1985 Series D issued 11/1/85 0 0 0 82801580 866162 191498 3147167 78596753 2007 0 0 1 1 86570000 255795000 1612171 7020188 247162641 0 1 1 1 44028000 788514 43239485 2009 0 0 1 1 3098000 13607000 13607000 1 0 1 1 0 1 1 1 1 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0 0 1 1 1 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0 1 0 0 0 0 0 1 1 See Part VI 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X Part I, Column (g), Line (B) (2005 Bonds): Proceeds of Series 2010 were used to retire $70,420,000 of the Series 2005 bonds outstanding on the issue date of the 2010 bonds. Part IV, Line 5, Column (B): This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the bonds. Part II, Line 3, Column (A) Second Page (2010 Issue): At issuance, the Series 2010 Bonds sold for a premium of $1,186,814, and a principal amount of $133,400,000. Part II, Line 4, Column (C): Only amounts constituting debt service reserve funds are included on Line 4. In addition, ABHS has the following amounts at December 31, 2010 in debt service funds: $23,123 for Series 2004, $5,319,469 for Series 2005, $618,760 for Series 2008, and $7,642,114 for Series 2010. Part II, Line 4, Column (C): At issuance, the Series 2008 Bonds original proceeds included a $4,500,000 reserve. The reserve was subsequently replaced by a $4,500,000 letter of credit, and the proceeds expended on the project. Part III, Columns (B) and (D): Part III is not required for the 2005 and 2009 bonds, columns B and D, as they refunded pre-2003 issues. Part IV, Line 3c, Column (B): The following three swaps were entered into by ABHS, the counterparty being BOA Merrill Lynch: A) $87,425,000, receiving variable rate, paying fixed rate, scheduled termination date 1/1/2028 (actual term 2.8 years). B) $87,425,000, receiving variable rate, paying fixed rate, scheduled termination date 1/1/2028 (actual term 2.8 years). C) $80,945,000, receiving variable rate, paying fixed rate, scheduled termination date 1/1/2018 (scheduled term 12.4 years). Part IV, Line 3e, Column (B): Swaps A and B were terminated on May 28, 2008. Swap C remains open. Part I, Column (e) and Part II, Line 3: Differences between the issue price shown on Part I, column (e) and total proceeds shown on Part II, line 3 are due to investment earnings. Part IV, Line 2, Column (B): While all the currently outstanding 2005 bonds actually bear fixed rates, taken in its entirety Series 2005 constitutes a variable yield issue for tax purposes. Illinois Finance Authority 861091967 45200FY94 2010-04-21 134568814 Partial refunding and construct. issued 8/11/05 1 0 0 8120000 134787055 12302178 14957 1904465 43863843 70420000 6281612 2012 1 0 1 1 0 0 1 1 0 1 0 0 0 0 0 1 Jean Justie Split dollar life insurance X 67997 67997 0 1 1 Mark Frey Split dollar life insurance X 291686 291686 0 1 1 Jim Lewandowski Split dollar life insurance X 95147 95147 0 1 1 Gary Breuer Split dollar life insurance X 65820 65820 0 1 1 Tracy Rogers Split dollar life insurance X 75338 75338 0 1 1 James Sances Split dollar life insurance X 50887 50887 0 1 1 Mary Ann Magnifico Split dollar life insurance X 107204 107204 0 1 1 Peg Wendell Split dollar life insurance X 17809 17809 0 1 1 Melanie Furlan Split dollar life insurance X 49724 49724 0 1 1 821612 Form 990, Part VI, Section A, line 6 There is one class of member, Alexian Brothers of America, Inc. (the "Institute Member"). Form 990, Part VI, Section A, line 7a Alexian Brothers of America, Inc. has the authority to appoint and remove Directors and Executive Officers of Alexian Brothers Health System. Form 990, Part VI, Section A, line 7b Alexian Brothers of America, Inc. has all powers which can be vested in members of a corporation under Statute, including, without limitation, the powers set forth below and elsewhere in the Bylaws: - Appointment and removal of members of the Board and Executive Officers; - Adoption, amendment and repeal of fundamental statements of mission, philosophy, values and charity policy of ABHS and its subsidiaries; - Adoption, amendment or repeal of Bylaws and approval of plans of merger, consolidation, dissolution or sale of substantially all assets and amendment of the Articles of Incorporation of ABHS; and - Approval of the adoption or material amendment of a strategic plan and an annual Capital and Operating Budget of ABHS; - Other certain reserved powers which Alexian Brothers of America, Inc. may designate. Alexian Brothers of America, Inc. may require any actions by the Board of Governors, Officers or other agencies of ABHS which it may deem appropriate in furtherance of its determinations with respect to the foregoing categories of matters. Form 990, Part VI, Section B, line 11 ABHS is a Catholic health system. ABHS is the National Member and ultimate parent for each entity within the System. ABHS'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 ABHS's financial officer and the CEO. The Form 990 is also reviewed at the System Corporate level by the Chief Accounting Officer for ABHS. 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 ABHS Board of Governors 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 on a rotating basis. 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 review the 2011 Form 990 for ABHS. Form 990, Part VI, Section B, line 12c ABHS collects annual attestations from board members, officers, directors and key employees. The attestations are reviewed by the ABHS compliance officer and any conflicts are shared with ABHS Chief Executive Officer. The conflicts are also reveiwed by System's Vice President, 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 ABHS 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 Alexian Brothers health System's financial statements are available through the office of the Illinois Attorney General. Conflicts of Interest and Alexian Brothers Health System's governing documents are not made available to the public. Form 990, Part VII: Average hours devoted to related organizations when related compensation is reported: Hours worked are not tracked on an entity by entity basis. Therefore all officers, directors, trustees and key employees hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employess, and Independent Contractors, represent aggregate hours worked per week for all related entities. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Transfers to/from affiliates -42,225,319. Recognition of minimum pension liability -2,433,873. Transfers of depreciation from related entity 9,616,124. Unrealized Gain -961,561. Foundation Contributions -3,704,948. UBI -2,952. Net Loss from Foundation Fundraising Activities 135,999. Misc Adjustment -4,585. Total to Form 990, Part XI, Line 5: -39,581,115. Form 990, Part VII, Column E: Description of reasonable effort made to obtain compensation from related organization: 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 services. Schedule D, Part VII: Form 990, Part VIII, Line 3: The amount reflected as dividends and interest reflects ABHS's share of interest, dividends and realized gains/losses from ABHS's beneficial share in the Alexian Brothers Health System, Inc. Investment Trust (ABHSIT). ABHSIT is a related entity whose purpose is to pool the investments of the not-for-profit entities in ABHS and acts as an internal mutual fund investment. Details of gains and losses are shown on the Form 990 of ABHSIT. 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 Alexian Brothers of America Inc 1 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 Alexian Brothers Health System 1 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 Alexian Brothers Health System 1 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 Alexian Brothers of America Inc 1 Alexian Brothers Specialty Group 3040 W Salt Creek Lane Arlington Heights IL 600051069 800710751 Specialty physician practice group IL Section 501(c)(3) 3 Alexian Brothers Health System 1 Alexian Brothers of Chicago 3040 W Salt Creek Lane Arlington Heights IL 600051069 Inactive Corporation IL Section 501(c)(3) 9 Alexian Brothers of America Inc 1 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 Alexian Brothers Health System 1 Alexian Brothers Services Inc 3040 W Salt Creek Lane Arlington Heights IL 600051069 431295333 HUD housing MO Section 501(c)(3) 9 Alexian Brothers Health System 1 Alexian Village of Milwaukee Inc 9301 N 76th Street Milwaukee WI 532230000 391351584 Continuing care retirement community WI Section 501(c)(3) 9 Alexian Brothers Health System 1 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 Alexian Brothers Health System 1 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 Alexian Brothers Health System 1 Alexian Village of Tennessee 437 Alexian Way Signal Mountain TN 373770000 621136742 Continuing care retirement community TN Section 501(c)(3) 9 Alexian Brothers Health System 1 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 Alexian Brothers Health System 1 Alexian Elderly Services Inc 3040 W Salt Creek Lane Arlington Heights IL 600051069 392039667 Community outreach WI Section 501(c)(3) 9 Alexian Brothers Health System 1 Alexian Brothers Lansdowne Village 4624 Lansdowne St Louis MO 631160000 431470362 Skilled nursing facility MO Section 501(c)(3) 9 Alexian Brothers Health System 1 Alexian Brothers Sherbrooke Village 4005 Ripa Avenue St Louis MO 631250000 431592502 Skilled nursing facility MO Section 501(c)(3) 9 Alexian Brothers Health System 1 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 Alexian Brothers Health System 1 Alexian Brothers Hospital Network 3040 W Salt Creek Lane Arlington Heights IL 600051069 363276552 Supports the provision of healthcare services for related corporations IL Section 501(c)(3) 11, III-FI Alexian Brothers Health System 1 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 Alexian Brothers Health System 1 Alexian Brothers Center for Mental Health 3436 N Kennicott Avenue Arlington Heights IL 60004 363045007 Outpatient community mental health services IL Section 501(c)(3) 7 Alexian Brothers Health System 1 Alexian Brothers Behavioral Health Hospital 1650 Moon Lake Blvd Hoffman Estates IL 601940000 364251848 Behavioral health hospital IL Section 501(c)(3) 3 Alexian Brothers Health System 1 St Alexius Medical Center 1555 Barrington Road Hoffman Estates IL 601940000 364251846 Acute care hospital IL Section 501(c)(3) 3 Alexian Brothers Health System 1 Alexian Brothers Ambulatory Group 3040 W Salt Creek Lane Arlington Heights IL 600051069 364336931 Physician services IL Section 501(c)(3) 3 Alexian Brothers Health System 1 Alexian Brothers Medical Center 800 Biesterfield Road Elk Grove Village IL 60007 362596381 Acute care hospital TX Section 501(c)(3) 3 Alexian Brothers Health System 1 Alexian Rehabilitation Services LLC 935 Beisner Road Elk Grove Village IL 600070000 300221481 Rehabilitation hospital IL N/A N/A 0 0 Illinois NeuroMeg Center LLC 3040 W Salt Creek Lane Arlington Heights IL 600051069 870783164 Provision of NeuroMeg services IL N/A N/A 0 0 Elk Grove MOB Limited Partnership 3040 W Salt Creek Lane Arlington Heights IL 600051069 363853289 Medical office building IL N/A N/A 0 0 Workplace Solutions LLC 1100 E Woodfield Road Schaumburg IL 60173 364095007 Provision of EAP services IL N/A N/A 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 -5477692 0 1 0.50000 Neurosciences Equipment LLC 3040 W Salt Creek Lane Arlington Heights IL 600051069 861115516 Ownership of Gamma Knife IL N/A N/A 0 0 St Alexius Center for Sleep Health LLC 665 W North Avenue Lombard IL 601480000 205876371 Operation of sleep lab IL N/A N/A 0 0 Thelen Corporation 3040 W Salt Creek Lane Arlington Heights IL 600051069 363266316 Owns/leases property; joint venture partner IL N/A C Edessa Insurance Company Ltd 3040 W Salt Creek Lane Arlington Heights IL 600051069 Captive insurer located in Bermuda BD N/A C Alexian Brothers Health Providers Association Inc 3040 W Salt Creek Lane Arlington Heights IL 600051069 363853286 Messenger model IPA IL N/A C Alexian Brothers Corpus Christi Housing Project LLC 3040 W Salt Creek Lane Arlington Heights IL 600051069 943465394 Tax credit financed housing IL N/A C Alexian Village of Elk Grove 3040 W Salt Creek Lane Arlington Heights IL 600051069 352211303 Tax credit financed housing IL N/A C 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 ALEXIAN BROTHERS HOSPITAL NETWORK A 68407 FAIR MARKET VALUE ALEXIAN BROTHERS MEDICAL CENTER A 58229 FAIR MARKET VALUE ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL A 574243 FAIR MARKET VALUE ALEXIAN BROTHERS OF AMERICA I 2970912 FAIR MARKET VALUE ALEXIAN BROTHERS MEDICAL CENTER J 246840 FAIR MARKET VALUE ST ALEXIUS MEDICAL CENTER J 343296 FAIR MARKET VALUE ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL J 80928 FAIR MARKET VALUE ALEXIAN BROTHERS HOSPITAL NETWORK J 2114004 FAIR MARKET VALUE ALEXIAN BROTHERS AMBULATORY GROUP J 140544 FAIR MARKET VALUE ALEXIAN BROTHERS OF ST LOUIS INC Q 1600000 FAIR MARKET VALUE ALEXIAN BROTHERS AMBULATORY GROUP Q 6000000 FAIR MARKET VALUE ALEXIAN VILLAGE OF TENNESSEE P 697228 FAIR MARKET VALUE ALEXIAN VILLAGE OF MILWAUKEE INC P 778445 FAIR MARKET VALUE ALEXIAN BROTHERS LANSDOWNE VILLAGE P 443270 FAIR MARKET VALUE ALEXIAN BROTHERS SHERBROOKE VILLAGE P 487788 FAIR MARKET VALUE ALEXIAN BROTHERS MEDICAL CENTER P 19702880 FAIR MARKET VALUE ST ALEXIUS MEDICAL CENTER P 14676623 FAIR MARKET VALUE ALEXIAN BROTHERS AMBULATORY GROUP P 1468981 FAIR MARKET VALUE ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL P 3508696 FAIR MARKET VALUE ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH P 68400 FAIR MARKET VALUE ALEXIAN BROTHERS COMMUNITY SERVICES P 1199590 FAIR MARKET VALUE ALEXIAN BROTHERS HOSPITAL NETWORK Q 53245135 FAIR MARKET VALUE ALEXIAN BROTHERS MEDICAL CENTER R 2001405 FAIR MARKET VALUE ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL R 232212 FAIR MARKET VALUE ALEXIAN BROTHERS HEALTH SYSTEM INC INVESTMENT TRUST P 161301 FAIR MARKET VALUE ALEXIAN BROTHERS SPECIALTY GROUP O 4258726 FAIR MARKET VALUE ALEXIAN BROTHERS OF SAN JOSE INC O 494806 FAIR MARKET VALUE ALEXIAN BROTHERS OF ST LOUIS INC P 1522590 FAIR MARKET VALUE ALEXIAN BROTHERS HOSPITAL NETWORK P 84970428 FAIR MARKET VALUE ALEXIAN BROTHERS HOSPITAL NETWORK O 52521181 FAIR MARKET VALUE ALEXIAN BROTHERS MEDICAL CENTER O 108413131 FAIR MARKET VALUE ALEXIAN REHABILITATION SERVICES LLC P 2059808 fAIR MARKET VALUE WORKPLACE SOLUTIONS LLC P 91108 FAIR MARKET VALUE ST ALEXIUS MEDICAL CENTER O 53787231 FAIR MARKET VALUE ST ALEXIUS MEDICAL CENTER O 585835 FAIR MARKET VALUE ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL O 13579132 FAIR MARKET VALUE BONAVENTURE MEDICAL FOUNDATION LLC P 271069 FAIR MARKET VALUE THELEN CORPORATION O 422444 FAIR MARKET VALUE SAVELLI PROPERTIES INC O 528218 FAIR MARKET VALUE ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH O 306852 FAIR MARKET VALUE ALEXIAN BROTHERS AMBULATORY GROUP O 2760789 FAIR MARKET VALUE ELK GROVE MOB LIMITED PARTNERSHIP O 106420 FAIR MARKET VALUE ALEXIAN BROTHERS OF AMERICA INC O 60782 FAIR MARKET VALUE ALEXIAN VILLAGE OF TENNESSEE O 534512 FAIR MARKET VALUE ALEXIAN VILLAGE OF MILWAUKEE INC O 720270 FAIR MARKET VALUE ALEXIAN BROTHERS LANSDOWNE VILLAGE O 327404 FAIR MARKET VALUE ALEXIAN BROTHERS SHERBROOKE VILLAGE O 402678 FAIR MARKET VALUE ALEXIAN BROTHERS COMMUNITY SERVICES O 1026748 FAIR MARKET VALUE ALEXIAN BROTHERS BETTENDORF PLACE LLC P 92307 FAIR MARKET VALUE ALEXIAN BROTHERS BONAVENTURE HOUSE O 280968 FAIR MARKET VALUE Supplemental Information Schedule R, Part V, Line 2: ABHS 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.