FURP.ORG / PUBLIC DATA EXPLORER

ALEXIAN BROTHERS HOSPITAL NETWORK: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ALEXIAN BROTHERS HOSPITAL NETWORK (EIN 36-3276552)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-05
IRS object ID
201132789349300238
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)
Timestamp2011-10-05T16:22:25-05:00Timestamp
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)
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 Signed2011-10-05DateSigned
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 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 Receipts68249053GrossReceipts
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 Members2NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers2TotalNbrVolunteers
Total Gross UBI39307TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year51986711ProgramServiceRevenuePriorYear
Program Service Revenue CY68249053ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year176500OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year52163211TotalRevenuePriorYear
Total Revenue Current Year68249053TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year204896GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year23569159SalariesEtcPriorYear
Salaries Etc Current Year25139550SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year47178331OtherExpensePriorYear
Other Expenses Current Year43093477OtherExpensesCurrentYear
Total Expenses Prior Year70952386TotalExpensesPriorYear
Total Expenses Current Year68233027TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-18789175RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16026RevenuesLessExpensesCY
Total Assets BOY73009892TotalAssetsBOY
Total Assets EOY75700722TotalAssetsEOY
Total Liabilities BOY8871757TotalLiabilitiesBOY
Total Liabilities EOY9548587TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY64138135NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY66152135NetAssetsOrFundBalancesEOY
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
Expense53601148Expense
Grants0Grants
Revenue66750541Revenue
DescriptionABHN supports the provision of healthcare services at the corporations of which it is a member by the provision of centralized administrative support, including services such as billing and collection, IT services, managed care contracting, and other administrative support. ABHN promotes the availability of quality health care to all persons by coordinating the activities of the corporations to which it is a corporate member, including Alexian Brothers Medical Center, St. Alexius Medical Center, and Alexian Brothers Behavioral Health Hospital. In 2010, these corporations served numerous inpatients, outpatients, and emergency room patients. For more than seven centuries, the Alexian Brothers have cared for the sick, the aged, the poor, and the dying. (See Schedule O) The basic Judeo-Christian beliefs that inspired the founders of this worldwide Catholic religious congregation sustain its ministry today. These include promoting the physical, mental, spiritual, and social well being of individuals of all creeds, races, nationalities, and socioeconomic levels through this health care ministry. 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 the Alexian Brothers Health System. ABHN carries out its exempt purposes by coordinating and managing the activities of the corporations of which it is the area member. Through these corporations, ABHN provides healthcare and other services to communities in suburban Chicago, IL. As a charitable organization, it is recognized that not all individuals possess the ability to purchase essential medical services and further that our mission is to serve the community with respect to providing healthcare services and health care education. Therefore, in keeping with ABHN's 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, the corporations provide medical care to all patients regardless of their ability to pay. In addition, the corporations 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 ABHN facilities operate a chapel and pastoral care department and assist in the promotion of the organization's 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 ABHN are as follows: Charity Care at Cost - $15,551,190 Language Assistant Services - $398,760 Excess of Government Sponsored Health Care Cost Over Reimbursement (Medicaid) - $22,876,054 Donations - $188,677 Education - $2,080,725 Government - Sponsored Program Services - $25,512 Subsidized Health Services - $4,390,443 Other Community Benefits - $1,461,730 Total Charity Care and Community Benefits - $46,973,091 Excess of Government Sponsored Health Care Cost Over Reimbursement (Medicare) - $53,562,576 Bad Debt Expense at Cost - $8,309,125 Information has been included for all exempt entities in ABHN. The information for the hospitals included has been calculated on a basis consistent with the requirements for the Illinois Attorney General Community Benefit report.Description
Total Program Service Expense53601148TotalProgramServiceExpense
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 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 Rltnshp1OfficerEntityWithBsnssRltnshp
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
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 Members2NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
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 (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Br Thomas Keusenkothen
Vice Chairperson1.00XX000
Br James Classon CFA
Director1.00X000
Richard X Fischer
Director1.00X000
James Kane Jr MD
Director1.00X012000
Steven J Leibach MD
Director1.00X000
Kathleen Martin
Director1.00X000
Michael Miles
Director1.00X000
Thomas Rivera
Director1.00X000
John Sullivan DO
Director1.00X0257400
Francine McGouey
Officer1.00XX034051771916
Kaveh Safavi MD
Chairperson1.00X000
Mark Frey
President and CEO30.00X0794004188333
James Sances
Treasurer and Secretary1.00X0622253134046
Tracy Rogers
Vice President40.00X047676564395
Virginia Golembiewski
Assistant Secretary1.00X06775215424
John Werrbach
Vice President1.00X052284969954
Edward Goldberg
Vice President1.00X0627398168077
Jim Lewandowski
Vice President1.00035877663763X
Kathleen Davis
CIO40.000334573368196X
Robert Wright
VP Managed Care40.00034725649845X
Kenneth Peterson
VP/Logistics Officer40.00033314150395X
Patti Baker
Vice President ABHN40.00027283250112X
Diana Woytko
VP Patient Safety40.00022574043646X
Conchetta Forchetti
Medical Director30.00036959325467X
Dean Grant
Former Officer0.00040481357146X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6125202TotalReportableCompFrmRltdOrgs
Total Other Compensation1420715TotalOtherCompensation
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 Fees9000996389398063893980
Alexian Rehab Svcs,LLC90009920140002014000
Research Revenues900099149851239307$1,459,205
Interfaith Parish Supp900099414191414191
Premier Dividend900099159058159058

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column269312TotalRevenueColumn
Related Or Exempt Function Income269312RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue68249053TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column68249053TotalRevenueColumn
Related Or Exempt Function Income66750541RelatedOrExemptFunctionIncome
Unrelated Business Revenue39307UnrelatedBusinessRevenue
Exclusion$1,459,205ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18274302Total
Program Services15080245ProgramServices
Management And General3194057ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5638904Total
Program Services20000ProgramServices
Management And General5618904ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1226344Total
Program Services1051512ProgramServices
Management And General174832ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1063571Total
Management And General1063571ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total355977Total
Program Services1106ProgramServices
Management And General354871ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8671264Total
Program Services7168555ProgramServices
Management And General1502709ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1263073Total
Program Services1258673ProgramServices
Management And General4400ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1142191Total
Program Services1087284ProgramServices
Management And General54907ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total19294442Total
Program Services19294442ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9876500Total
Program Services7632515ProgramServices
Management And General2243985ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total152138Total
Program Services98405ProgramServices
Management And General53733ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total137490Total
Management And General137490ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total21209Total
Program Services21209ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Public Relations751988751988
Medical Supplies7734577345

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total286289Total
Program Services57869ProgramServices
Management And General228420ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total68233027Total
Program Services53601148ProgramServices
Management And General14631879ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY27262BOY
EOY27262EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY72982630BOY
EOY75673460EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY73009892BOY
EOY75700722EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8871757BOY
EOY9548587EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8871757BOY
EOY9548587EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY64138135BOY
EOY66152135EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY64138135BOY
EOY66152135EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY73009892BOY
EOY75700722EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16026ReconcilationRevenueExpenses
Reconcilation Other Changes1997974ReconcilationOtherChanges
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$468,701DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB468701TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

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

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Due from Bonaventure Medical Foundation, L.L.C.6472803
Due from Savelli Properties, Inc.700000
Due from Alexian Rehabilitation Services, LLC14558829
Investment in Thelen Corporation7101243
Investment in Bonaventure Medical Foundation, L.L.C46839585
Investment in Alexian Brothers Health Providers Association, Inc.1000
FieldValueIRS element (for citing)
Total Book Value Other Assets75673460TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to Alexian Brothers Medical Center$7,895,425
Other Liabilities - Due to Rehabilitation Institute of Chicago$1,653,162
FieldValueIRS element (for citing)
Total Of Amounts9548587TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X:ReturnReference
ExplanationABHN does not file a separate audit report, but is part of the Alexian Brothers Health System consolidated audit report. The text of the FIN 48 (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 (14 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
Francine McGouey
02424240638100342830547840171320412433031363
Mark Frey
0565469016500006353501433870449460982337033766
James Sances
0462621013224402738801117540222920756299027388
Tracy Rogers
035680301022110177510298670345280541160017751
John Werrbach
038221201073840332530444350255190592803026070
Edward Goldberg
0447687013284004687101078370602400795475017183
Jim Lewandowski
02721840509850356070329530308100422539012292
Kathleen Davis
023347304357605752403434160247800702769027512
Robert Wright
02753460521160197940225960272490397101014620
Kenneth Peterson
02679140504690147580224570279380383536014758
Patti Baker
0219030038750015052027140022972032294409722
Diana Woytko
018679703251906424028040015606026938606424
Conchetta Forchetti
0235587013400600010458015009039506000
Dean Grant
000004048130343000228460461959017323

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart IIIReturnReference
ExplanationPart I, Line 3: ABHN follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation of the CEO and other officers and executives of the Corporation. This function is performed by the Compensation Committee of the Board of Governors of ABHS, which is composed of independent board members. The process includes review of comparability data, retention of an outside compensation consultant, and contemporaneous substantiation of the deliberation and decision through detailed minutes of the Compensation Committee. All of the items in schedule J, Part I, Line 3 are used by the Committee to establish compensation for the CEO of the organization. Part I, Line 4a: The following individuals listed in Schedule J were paid the referenced amount of severence in 2010: Dean Grant $389,358 Kathleen Davis $26,482 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 Edward Goldberg - $55,217 John Werrbach - $6,582 Jim Lewandowski - $4,547 Robert Wright - $2,268 Patti Baker - $945 Francine McGouey - $7,814Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
KRT Productions Inc
More than 35% owned by Tom Rivera, Board Member51340Video production0
Suburban Surgical Care Specialists
More than 35% owned by James Kane Jr., M.D., Board Member299020Medical Director Agreement0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 4Effective as of November 1, 2010 the Bylaws of ABHN were amended to streamline governance of the hospital operations, to be consistent with the governance structure of Alexian Brothers Health System and to further the accomplishment of the health care ministry of the Alexian Brothers.
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 ABHN.
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. ABHN'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 review the 2010 Form 990 for ABHN.
ABHN collects annual attestations from board members, officers, directors and key employees. The attestations are reviewed by the System's Vice President of Compliance and Internal Audit and any conflicts are shared with the ABHN Chief Executive 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 12c
ABHN follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation of the CEO and other officers and executives of the Corporation. This function is performed by the Compensation Committee of the Board of Governors of ABHS, which is composed of independent board members. The process includes review of comparability data, retention of an outside compensation consultant, and contemporaneous substantiation of the deliberation and decision through detailed minutes of the Compensation Committee.Form 990, Part VI, Section B, line 15
ABHN's financial statements are available through the office of the Illinois Attorney General. Conflicts of Interest and ABHN's governing documents are not made available to the public.Form 990, Part VI, Section C, line 19
Average hours devoted to related organizations when related compensation is reported: - Mark Frey worked 10 hours per week for Alexian Brothers Health System and 30 hours per week for ABHN; - John Werbach worked 40 hours per week for Alexian Brothers Medical Center; - Edward Goldberg worked 40 hours per week for St. Alexius Medical Center; - Francine McGouey worked 40 hours per week for Alexian Brothers Behavioral Health Hospital; - Conchetta Forchetti worked 10 hours per week for Alexian Brothers Medical Center; - Jim Sances worked 40 hours per week for Alexian Brothers Health System; - 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 ABHN. Form 990 Part VII, Column E (Reasonable Efforts): 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:
Changes in Net Assets or Fund Balances:Equity Transfer - Alexian Brothers Health System 11,270,000. Transfer of depreciation to related entity -9,302,377. Restricted funds utilized 31,423. Prior period adjustments -1,072. Total to Form 990, Part XI, Line 5: 1,997,974.Form 990, Part XI, line 5:

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 AmericaInc
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
425 Cumberland St Suite 110ChattanoogaTN37404364344423Provides 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 related 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 Health System
3040 W Salt Creek LaneArlington HeightsIL60005363260495Supports 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 EstatesIL60194364251846Acute care hospitalIL501(c)(3)31Alexian Brothers Health System
Alexian Brothers Ambulatory Group
3040 W Salt Creek LaneArlington HeightsIL60005364336931Physician 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 StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerDirect Controlling Entity NADirectControllingEntityNA
Alexian Rehabilitation Services LLC
935 Beisner RoadElk Grove VillageIL60007300221481Rehabilitation hospitalILAlexian Brothers Hospital NetworkRelated2013990148045400
Illinois NeuroMeg Center LLC
3040 W Salt Creek LaneArlington HeightsIL60005870783164Provision of NeuroMeg servicesILN/A00N/A
Elk Grove MOB Limited Partnership
3040 W Salt Creek LaneArlington HeightsIL60005363853289Medical office buildingILN/A00N/A
Workplace Solutions LLC
1100 East Woodfield RoadSchaumburgIL60173364095007Provision of EAP servicesILN/A00N/A
Bonaventure Medical Foundation LLC
3040 W Salt Creek LaneAHeightsIL60005363978153Manages managed care contractsDEAlexian Brothers Health SystemRelated676853200
Neurosciences Equipment LLC
3040 W Salt Creek LaneArlington HeightsIL60005861115516Ownership of Gamma KnifeILN/A00N/A
Alexian Cardiovascular Institute Equipment LLC
3040 W Salt Creek LaneAHeightsIL60005300307978Lease and sub-lease of 64-slice CT equipmentILN/A00N/A
St Alexius Center for Sleep Health LLC
665 W North AveLombardIL60148205876371Operation of sleep labsILN/A00N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNA
Thelen Corporation
3040 W Salt Creek LaneArlington HeightsIL60005363266316Owns/Leases Property; joint venture PartnerILAlexian Brothers Hospital NetworkC52351211.00000
Edessa Insurance Company Ltd
3040 W Salt Creek LaneArlington HeightsIL60005Captive insurer located in BermudaCBDN/A
Alexian Brothers Health Providers Association Inc
3040 W Salt Creek LaneArlington HeightsIL60005363853286Messenger model IPAILCN/A
Alexian Village of Elk Grove
3040 W Salt Creek LaneArlington HeightsIL60005352211303Tax credit financed housingILCN/A
Alexian Brothers Corpus Christi Housing Project LLC
3040 W Salt Creek LaneArlington HeightsIL60005943465394Tax credit financed housingILCN/A
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 (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Other Intercompany Transfers-Various
O404514Fair Market Value
Alexian Brothers Medical Center
P33436131Fair Market Value
St Alexius Medical Center
P24380275Fair Market Value
Alexian Brothers Behavioral Health Hospital
P4098572Fair Market Value
Alexian Brothers Ambulatory Group
P1574488Fair Market Value
Alexian Brothers Health System
P-63893980Fair Market Value