FURP.ORG / PUBLIC DATA EXPLORER

ALEXIAN BROTHERS AMBULATORY GROUP: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ALEXIAN BROTHERS AMBULATORY GROUP (EIN 36-4336931)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-09-12
IRS object ID
201122559349300632
Schema version
2010v3.4
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)
Timestamp2011-09-12T15:47:10-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN364336931EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Alexian Brothers Ambulatory GroupBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALEXNameControl
Phone8473857100Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameBeth TzeName
TitleChief Executive OfficerTitle
Phone8473857100Phone
Date Signed2011-09-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLaura GillespieName
Phone3124861000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBeth TzeNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13040 West Salt Creek LaneAddressLine1
CityArlington HeightsCity
StateILState
ZIP Code600051069ZIPCode
FieldValueIRS element (for citing)
Gross Receipts47369406GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.alexianbrothershealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionAlexian Brothers Ambulatory Group ("ABAG") carries out the healing mission of the Catholic Church (See Schedule O).Alexian Brothers Ambulatory Group ("ABAG") carries out the healing mission of the Catholic Church as an Alexian Brothers ministry by identifying and developing effective responses to the health needs of those we are called to serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees444TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year34564ContributionsGrantsPriorYear
Contributions Grants Current Year17612ContributionsGrantsCurrentYear
Program Service Revenue Prior Year29474701ProgramServiceRevenuePriorYear
Program Service Revenue CY47122539ProgramServiceRevenueCY
Investment Income Prior Year76672InvestmentIncomePriorYear
Investment Income Current Year107007InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year122248OtherRevenueCurrentYear
Total Revenue Prior Year29585937TotalRevenuePriorYear
Total Revenue Current Year47369406TotalRevenueCurrentYear
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 Year19607127SalariesEtcPriorYear
Salaries Etc Current Year31629149SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year16210409OtherExpensePriorYear
Other Expenses Current Year24294137OtherExpensesCurrentYear
Total Expenses Prior Year35817536TotalExpensesPriorYear
Total Expenses Current Year55923286TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-6231599RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-8553880RevenuesLessExpensesCY
Total Assets BOY10497462TotalAssetsBOY
Total Assets EOY11030550TotalAssetsEOY
Total Liabilities BOY10592066TotalLiabilitiesBOY
Total Liabilities EOY10231560TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-94604NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY798990NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAlexian Brothers Ambulatory Group ("ABAG") carries out the healing mission of the Catholic Church as an Alexian Brothers ministry by identifying and developing effective responses to the health needs of those we are called to serve.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense50859516Expense
Revenue47244787Revenue
DescriptionABAG provides primary care, immediate care, occupational health, and specialty care physician services to patients in the northwestern suburbs of Chicago and surrounding communities. ABAG operates 14 physician offices located throughout the community which provide varying combinations of primary care, immediate care and/or occupational health services. During 2010, ABAG physicians in these offices combined to serve patients in the community through 209,738 outpatient visits including 134,135 primary care visits, 26,019 immediate care visits and 49,584 occupational health visits. (See Schedule O).ABAG also maintains two physician offices specifically dedicated to serving the healthcare needs of adults over the age of 65 in the community. Experienced physicians specialize in treating illness and caring for patients in this unique stage of life. During 2010, older adults were served through a combined 16,336 office, hospital and nursing home visits. In addition, ABAG offers a team of experienced, highly trained specialist physicians who provide specialty healthcare services for both adults and children living in our community and surrounding areas. During 2010, specialty physicians, serving patients in the areas of Cardiovascular Surgery, Neurosciences, General Surgery, Breast Surgery, Pediatric Specialties and other areas, combined to provide 13,642 office visits, 6,143 hospital visits and 2,362 surgeries for adult patients and 14,708 office and hospital visits for pediatric patients.Description
Total Program Service Expense50859516TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109694NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees444NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
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 Line1Daniel IsacksenBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8473857100TelephoneNumber

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 (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Mark Frey
Vice Chairperson1.00XX0794003188333
James Sances
Secretary and Treasurer1.00XX0622253134046
Brother T Keusenkothen
Chairperson1.00XX000
Beth Tze
Chief Executive Officer40.00X032329061666
Tracy Rogers
Vice President1.00X047676564395
Virginia Golembiewski
Assistant Secretary1.00X06775215425
Daniel Isacksen
Chief Financial Officer40.00X022913524756
Jim Lewandowski
VP Human Resources1.00035877763763X
Kim Zimmermann
Chief Operating Officer40.00018872122546X
Robert Arensman
Pediatric Surgeon40.00455426022127X
Adrienne Baksinski
Admin Director/Physician40.00233835015203X
Charles Kalenowski
Primary Care Physician40.00317537026812X
Calvin Fischer
Med Staff President40.002502453080028517X
Roger Weise
Med Dir, Older Adult40.00260434026892X
Dean Grant
Former Officer0.00040481357146X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1517477TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3496309TotalReportableCompFrmRltdOrgs
Total Other Compensation751627TotalOtherCompensation
Number Individuals GT100 K59NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MEA Medical Care Centers LLC
2000 Spring Rd - Suite 200Oak BrookIL60523Medical Specialists/Physicians2658474
Schaumburg Family Physicians
25 E Schaumburg RoadSchaumburgIL60192Medical Specialists/Physicians2352803
Chest Medicine Consultants
2800 N Shedian Rd - Suite 301ChicagoIL60657Medical Specialists/Physicians1775951
Sinai Medical Group
2750 W 15th PlaceChicagoIL60608Medical Specialists/Physicians189050
Rush University Medical Center
1725 W Harrison St - Ste 1106ChicagoIL60612Medical Specialists/Physicians185585
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions17612AllOtherContributions
Total Contributions17612TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Svcs Rev6211114709417247094172
Intercompany Rent9000992836728367
FieldValueIRS element (for citing)
Total Program Service Revenue47122539TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column107007TotalRevenueColumn
Exclusion$107,007ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real122248Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real122248Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column122248TotalRevenueColumn
Related Or Exempt Function Income122248RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column47369406TotalRevenueColumn
Related Or Exempt Function Income47244787RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$107,007ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total27050022Total
Program Services24426368ProgramServices
Management And General2623654ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total521717Total
Program Services484705ProgramServices
Management And General37012ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2490850Total
Program Services2081988ProgramServices
Management And General408862ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1566560Total
Program Services1421191ProgramServices
Management And General145369ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total80148Total
Program Services593ProgramServices
Management And General79555ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31750Total
Management And General31750ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10746142Total
Program Services10450802ProgramServices
Management And General295340ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6384Total
Program Services5148ProgramServices
Management And General1236ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total941212Total
Program Services681983ProgramServices
Management And General259229ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total11622Total
Program Services11622ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3678808Total
Program Services3493378ProgramServices
Management And General185430ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total310634Total
Program Services284531ProgramServices
Management And General26103ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total45634Total
Program Services14785ProgramServices
Management And General30849ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total504372Total
Program Services390038ProgramServices
Management And General114334ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3302660Total
Program Services3273810ProgramServices
Management And General28850ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Management fees21309481355749775199
Bad Debt12192101219210
Medical Supplies11833381183338
Miscellaneous1012758027720998

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total55923286Total
Program Services50859516ProgramServices
Management And General5063770ManagementAndGeneral
Fundraising0Fundraising

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4507517BOY
EOY4942624EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY717885BOY
EOY529275EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY139393BOY
EOY215150EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8166516LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6132207LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1608622BOY
EOY2034309EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3214487BOY
EOY2779968EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY229232BOY
EOY302032EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY80326BOY
EOY227192EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10497462BOY
EOY11030550EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4627713BOY
EOY4113589EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5964353BOY
EOY6117971EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10592066BOY
EOY10231560EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-94604BOY
EOY798990EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-94604BOY
EOY798990EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10497462BOY
EOY11030550EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-8553880ReconcilationRevenueExpenses
Reconcilation Other Changes9447474ReconcilationOtherChanges
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)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3129789OtherCostOrOtherBasis
Depreciation1896086Depreciation
Book Value1233703BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5036727OtherCostOrOtherBasis
Depreciation4236121Depreciation
Book Value800606BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2034309TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionBeneficial Interest in Alexian Brothers Health System, Inc. Investment TrustDescription
Book Value2779968BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities2779968TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Due to Affiliates$5,366,303
Other Liabilities$50,034
Reserve for Outstanding Insurance Losses$701,634
FieldValueIRS element (for citing)
Total Of Amounts6117971TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X:ReturnReference
ExplanationABAG does not file a separate audit report, but is part of the Alexian Brothers Health System consolidated audit report. The text of the FIN48 (ASC 740) footnote in this audit report is as follows: On January 1, 2008, the Corporations adopted Interpretation No. 48, Accounting for Uncertainty in Income Taxes, included in FASB ASC Subtopic 740-10, Income Taxes - Overall. ASC Subtopic 740 addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the consolidated financial statements. Under ASC Subtopic 740-10, the Corporations must recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. ASC Subtopic 740-10 also provides guidance on derecognition, classification, interest and penalties on income taxes, and accounting in interim periods and requires increased disclosures. As of December 31, 2010 and 2009, the Corporations do not have a liability for unrecognized tax benefits.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 (13 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
0565468016500006353501433870449460982336033766
James Sances
0462621013224402738801117540222920756299027388
Beth Tze
024812407050004666019540042126038495600
Tracy Rogers
035680301022110177510298670345280541160017751
Daniel Isacksen
01911350380000002522022234025389100
Jim Lewandowski
02721850509850356070329530308100422540012292
Kim Zimmermann
01587210300000007129015417021126700
Robert Arensman
341958011346800085750135520477553000
Adrienne Baksinski
229522043130009060061430249038000
Charles Kalenowski
3148110272600067890200230344349000
Calvin Fischer
2388113080011434000857501994202787623080000
Roger Weise
211194049240000133490135430287326000
Dean Grant
000004048130343000228460461959017323

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart IIIReturnReference
ExplanationPart I, Line 3: ABAG 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, Line 4a: The following individual listed in Schedule J was paid the referenced amount of severance in 2010: Dean Grant - $389,358 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 2010 was included in income in Schedule J for the following individuals: Mark Frey - $68,038 James Sances - $48,808 Tracy Rogers - $3,363 Jim Lewandowski - $4,547 Beth Tze - $1,820Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6ABAG has two classes of members, Alexian Brothers Health System (the "National Member") and Alexian Brothers Hospital Network (the "Area Member").
Form 990, Part VI, Section A, line 7aAlexian Brothers Health System has the authority to appoint and remove Directors and Executive Officers of ABAG.
Form 990, Part VI, Section A, line 7bAlexian Brothers Health System has principal authority with respect to the following matters: - Amendment of the Articles of Incorporation and Bylaws as provided by Statute; - Appointment and removal of Directors and Executive Officers; - Adoption, amendment and repeal of fundamental statements of mission, philosophy, spirit, vision, values and charity policy, and the sponsorship of apostolic activities; - Any plan or merger, consolidation, dissolution, sales or lease of all or substantially all of the assets of the ABAG. - The annual capital and operating budget and the Strategic Plan of the ABAG; and - Other certain reserved powers which Alexian Brothers Health System may designate.
Form 990, Part VI, Section B, line 11ABAG 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. ABAG'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 ABAG'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. The 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. ABAG's 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 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 not review the 2010 Form 990 for ABAG.
ABAG collects annual attestations from board members, officers, directors and key employees. The attestations are reviewed by the ABAG compliance officer and any conflicts are shared with the ABAG Chief Executive Officer. The conflicts are also reviewed by the System's Vice President of Compliance and Internal Audit. 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 12c
ABAG 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 B, line 15
ABAG's financial statements are available through the Office of the Illinois Attorney General. Conflicts of Interest and ABAG's governing documents are not made available to the public.Form 990, Part VI, Section C, line 19
Average hours devoted to related org(s) when related comp is reported:- Mark Frey worked 30 hours per week for Alexian Brothers Hospital Network and 10 hours per week for Alexian Brothers Health System; - James Sances worked 40 hours per week for Alexian Brothers Health System; - Tracy Rogers worked 40 hours per week for Alexian Brothers Hospital Network; - Virginia Golembiewski worked 40 hours per week for Alexian Brothers Health System; - Jim Lewandowski worked 40 hours per week for Alexian Brothers Health System; - Dean Grant is a former officer. - All others listed in Part VII devoted 100% of their time to ABAG.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 services.Form 990, Part VII, Column E (Reasonable Efforts):
The amount reflected as dividends and interest reflects ABAG's share of interest, dividends and realized gains/losses from ABAG'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. Details of gains and losses are shown on the Form 990 of ABHSIT.Form 990, Part VIII, Line 3; Schedule D, Part VII:
Changes in Net Assets or Fund Balances:Net unrealized gains on investments: 58,474. Equity transfers from affiliates: 9,389,000. Total to Form 990, Part XI, Line 5: 9,447,474.Form 990, Part XI, line 5:
The Internal Revenue Service has issued different definitions of a "hospital" for Form 990 Schedules A and H. Although ABAG qualifies as a hospital for purposes of Schedule A, the Organization operates physician care practices but does not operate a state licensed hospital as required for Form 990, Schedule H. ABAG is not recognized as a hospital by the State of Illinois and, as such, is not required to complete Form 990 Schedule H.Schedule A, Part I, Line 3:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (27 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 HeightsIL60005362606768Religious order of Roman Catholic menTX501(c)(3)1N/A0
Brothers of St Alexius Health and Welfare Fund Inc
3040 W Salt Creek LaneArlington HeightsIL60005362976617Provides for health & welfare payments for religious sponsorTX501(c)(3)11Alexian Brothers of America Inc
Alexian Brothers Bonaventure House
825 Wellington AveChicagoIL60657363527899Housing and supportive care services for persons with HIV/AIDSIL501(c)(3)91Alexian Brothers of America Inc
Alexian Brothers Health System
3040 W Salt Creek LaneArlington HeightsIL60005363260495Supports the provision of healthcare services for related corporationsIL501(c)(3)11, III-FI1Alexian Brothers of America Inc
Alexian Brothers Health System Inc Investment Trust
3040 W Salt Creek LaneArlington HeightsIL60005363801585Manages pooled investments of related not-for-profit entitiesIL501(c)(3)11, III-FI1Alexian Brothers Health System
Alexian Brothers of America Investment Trust
3040 W Salt Creek LaneArlington HeightsIL60005364390471Manages pooled investments of related not-for-profit entitiesIL501(c)(3)11, III-FI1Alexian Brothers of America Inc
The Alexian Brothers Hospital School of Nurses
3040 W Salt Creek LaneArlington HeightsIL60005Inactive corporationIL501(c)(3)91Alexian Brothers of America Inc
Alexian Brothers of Chicago
3040 W Salt Creek LaneArlington HeightsIL60005Inactive corporationIL501(c)(3)91Alexian Brothers of America Inc
Alexian Brothers of San Jose Inc
3040 W Salt Creek LaneArlington HeightsIL60005941530037Acute care hospital (sold in 1998)TX501(c)(3)31Alexian Brothers Health System
Alexian Brothers Services Inc
3040 W Salt Creek LaneArlington HeightsIL60005431295333HUD housingMO501(c)(3)91Alexian Brothers Health System
Alexian Village of Milwaukee Inc
9301 N 76th StreetMilwaukeeWI53223391351584Continuing care retirement communityWI501(c)(3)91Alexian Brothers Health System
Alexian Brothers Community Services
424 Cumberland Street Suite 110ChattanoogaTN37402364344423Provides comprehensive and coordinated community based servicesIL501(c)(3)91Alexian Brothers Health System
Alexian Brothers Senior Neighbors
250 East 10th StreetChattanoogaTN37402620646376Supports the provision of community services for senior citizensTN501(c)(3)71Alexian Brothers Health System
Alexian Village of Tennessee
437 Alexian WaySignal MountainTN37377621136742Continuing care retirement communityTN501(c)(3)91Alexian Brothers Health System
Alexian Brothers Senior Ministries
3040 W Salt Creek LaneArlington HeightsIL60005364484290Supports the provision of healthcare for corporationsIL501(c)(3)11, III-FI1Alexian Brothers Health System
Alexian Elderly Services Inc
3040 W Salt Creek LaneArlington HeightsIL60005392039667Community outreachWI501(c)(3)91Alexian Brothers Health System
Alexian Brothers Lansdowne Village
4624 LansdowneSt LouisMO63116431470362Skilled nursing facilityMO501(c)(3)91Alexian Brothers Health System
Alexian Brothers Sherbrooke Village
4005 Ripa AvenueSt LouisMO63125431592502Skilled nursing facilityMO501(c)(3)91Alexian Brothers Health System
Alexian Brothers Hospital Network
3040 W Salt Creek LaneArlington HeightsIL60005363276552Supports the provision of healthcare services for related corporationsIL501(c)(3)11, III-FI1Alexian Brothers Health System
Alexian Brothers Medical Center
800 Biesterfield RoadElk Grove VillageIL60007362596381Acute care hospitalTX501(c)(3)31Alexian Brothers Health System
Savelli Properties Inc
3040 W Salt Creek LaneArlington HeightsIL60005363308965Owns or leases properties where healthcare services are deliveredIL501(c)(2)N/A1Alexian Brothers Health System
Alexian Brothers Center for Mental Health
3350 W Salt Creek LaneArlington HeightsIL60005363045007Outpatient community mental health servicesIL501(c)(3)71Alexian Brothers Health System
Alexian Brothers Behavioral Health Hospital
1650 Moon Lake BlvdHoffman EstatesIL60194364251848Behavioral health hospitalIL501(c)(3)31Alexian Brothers Health System
St Alexius Medical Center
1555 Barrington RoadHoffman EstatesIL60194364251846Actue care hospitalIL501(c)(3)31Alexian Brothers Health System
Alexian Brothers Health System
3040 W Salt Creek LaneArlington HeightsIL60005363260495Physician servicesIL501(c)(3)31Alexian Brothers Health System
Chicago Catholic Healthcare System Inc
3040 W Salt Creek LaneArlington HeightsIL60005363693486Inactive corporationIL501(c)(3)91Alexian Brothers Hospital Network
Alexian Brothers of St Louis Inc
3040 W Salt Creek LaneArlington HeightsIL60005430653236Acute care hospital (sponsorship transferred in 1997)MO501(c)(3)31Alexian Brothers Health System

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Alexian Rehabilitation Services LLC
935 Beisner RoadElk Grove VillageIL60007300221481Rehabilitation hospitalILN/AN/A00
Illinois NeuroMeg Center LLC
3040 W Salt Creek LaneArlington HeightsIL60005870783164Provision of NeuroMeg servicesILN/AN/A00
Elk Grove MOB Limited Partnership
3040 W Salt Creek LaneArlington HeightsIL60005363853289Medical office buildingILN/AN/A00
Workplace Solutions LLC
1100 East Woodfield RoadSchaumburgIL60173364095007Provision of EAP servicesILN/AN/A00
Bonaventure Medical Foundation LLC
3040 W Salt Creek LaneArlington HeightsIL60005363978153Manages managed care contractsDEN/AN/A00
Neurosciences Equipment LLC
3040 W Salt Creek LaneArlington HeightsIL60005861115516Ownership of Gamma KnifeILN/AN/A00
Alexian Cardiovascular Institute Equipment LLC
3040 W Salt Creek LaneArlington HeightsIL60005300307978Lease and sub-lease of 64-slice CT equipmentILN/AN/A00
St Alexius Center for Sleep Health LLC
665 W North AveLombardIL60148205876371Operation of sleep labsILN/AN/A00

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityLegal Domicile Foreign CountryLegalDomicileForeignCountry
Thelen Corporation
3040 W Salt Creek LaneArlington HeightsIL60005363266316Owns/leases property; joint venture partnerILN/AC
Edessa Insurance Company Ltd
3040 W Salt Creek LaneArlington HeightsIL60005Captive insurer located in BermudaN/ACBD
Alexian Brothers Health Providers Association Inc
3040 W Salt Creek LaneArlington HeightsIL60005363853286Messenger model IPAILN/AC
Alexian Village of Elk Grove
3040 W Salt Creek LaneArlington HeightsIL60005352211303Tax credit financed housingILN/AC
Alexian Brothers Corpus Christi Housing Project LLC
3040 W Salt Creek LaneArlington HeightsIL60005943465394Tax credit financed housingILN/AC
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 Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Alexian Brothers Medical Center
P4480639FMV
Alexian Brothers Medical Center
J247746FMV
St Alexius Medical Center
P4684783FMV
Savelli Properties Inc
J1661842FMV
Thelen Corporation
J59257FMV
Alexian Brothers Health System
O9226408FMV
Alexian Brothers Health System
R9388000FMV