Alexian Brothers - AHS Midwest Region Health Co: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- Alexian Brothers - AHS Midwest Region Health Co (EIN 47-2360513)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-17
- IRS object ID
- 202121379349305007
- Schema version
- 2019v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-17T13:03:03-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 472360513 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alexian Brothers - AHS Midwest Region Health Co | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALEX | BusinessNameControlTxt |
| Phone | 2242730515 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 NAVISTAR DRIVE | AddressLine1Txt |
| City | LISLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60532 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DOUG CARTER | PersonNm |
| Person Title | CFO, AMITA HEALTH | PersonTitleTxt |
| Signature | 2021-05-17 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE SCHEDULE O | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEITH PARROTT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 SOUTH WACKER DRIVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,581,400 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.amitahealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2014 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | To provide a financially and operationally integrated organization for the common management and operation of the health care facilities and operations of Alexian Brothers Health System ("ABHS") and Adventist Midwest Health ("AMH"), including furthering the respective religious missions of Ascension Health ("Ascension") and Adventist Health System Sunbelt Healthcare Corporation ("Adventist"). | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $25,325,191 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,581,400 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $25,325,191 | PYTotalRevenueAmt |
| CY Total Revenue | $8,581,400 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $25,325,191 | PYOtherExpensesAmt |
| CY Other Expenses | $8,581,400 | CYOtherExpensesAmt |
| PY Total Expenses | $25,325,191 | PYTotalExpensesAmt |
| CY Total Expenses | $8,581,400 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $0 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,498,016 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,533,834 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,498,016 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $21,533,834 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $0 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Our Mission is to extend the healing ministry of Jesus. This is accomplished through our values: God Honoring - As a faith based organization, we show respect for God by living justly and in right relationship with God, self, others, and creation. Justice - We respect and protect the dignity of all people by working to ensure that conditions in society allow people to reach their fulfillment, especially by providing health care to all, with special attention to the poor and vulnerable. Compassion - Love is expressed in compassion, which includes the willingness to enter into the suffering of another. Integrity - Living authentically, our words and actions are consistent with our identity and mission. Dignity - We are created in God's image and likeness as relational beings. Every person is sacred and of immeasurable worth. Human dignity proclaims our equality and obligates us to respect all persons. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,210,546 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $8,581,400 | RevenueAmt |
| Desc | The purposes of Alexian Brothers-AHS Midwest Region Health Co. (otherwise known as "AMITA Health" throughout the Form 990) are as follows: - Operate exclusively for charitable, educational, scientific and religious purposes, including furthering the respective religious missions of Ascension Health ("Ascension") and Adventist Health System Sunbelt Healthcare Corporation ("Adventist") - To provide a financially and operationally integrated organization for the common management and operation of the health care facilities and operations of Alexian Brothers Health System ("Alexian") and Adventist Midwest Health ("AMH") with specific goals, including the following: - Increase the quality of health care services in the service areas of Alexian and AMH - Improve the health status of the communities served - Provide a broad scope and a continuum of health care services available through multiple outlets with a focus upon community health benefit - Improve cost effectiveness and efficiencies in the delivery of health care services - Enable the parties to more effectively meet the health care needs in the market by eliminating unnecessary duplication of services, and consolidating managerial decisions - Assume and manage risk in the delivery of health care services - Establish, maintain, support and stimulate the development of a health care network, including, without limitation, hospitals, clinics and other facilities that provide inpatient or outpatient care, accommodation, diagnosis and treatment to persons suffering from injury, disease or any other condition where medical, surgical, rehabilitative, nursing and associated professional services may be required - Foster the conduct of such educational and research activities related to rendering care to the sick and injured or the protection of health - Foster and/or participate in any activity designed and carried on to promote the general health, rehabilitation and social needs of the community - To conduct quality management, quality assurance, risk management activities, and peer review of licensed health care professionals in accordance with the quality management programs established by licensed or certified health care facilities managed and operated by the Corporation Adventist Health System Sunbelt Healthcare Corporation and Ascension Health, the sponsors of Adventist Midwest Health (AMH) and Alexian Brothers Health System (ABHS), respectively, entered into an Affiliation Agreement that established the Joint Operating Company, Alexian Brothers-AHS Midwest Region Health Co. which became operational on February 1, 2015. The purpose of the Joint Operating Company is to provide a financially and operationally integrated organization for the common management and operation of the health care facilities and operations of AMH and ABHS while preserving the Catholic and Adventist identities and mission priorities that define ABHS and Adventist, respectively. In April 2015, we announced AMITA Health as the d/b/a for Alexian Brothers-AHS Midwest Region Health Co. The word AMITA is inspired by words from several languages: friendship in Italian, honesty and truth in Hebrew, and spiritual light and boundlessness in Hindi. These words reflect our core values of friendship, truth, and mutual respect for all, as well as our faith-based call to healing. Although the name is new, the values of our two great organizations will continue to be the foundation of who we are and how we care for our communities into the future. The dedication and promise our caregivers show every day to our patients, their families and each other is deeply rooted in our name - AMITA Health. | Desc |
| Total Program Service Expenses | $8,210,546 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DANA LLOYD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6309142667 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N RIVER ROAD | AddressLine1Txt |
| City | DES PLAINES | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60016 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| CRAIG A CORDOLA FACHE | |||||||
| ASSISTANT SECRETARY (START 3/2020) | 0.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| HERBERT J VALLIER | |||||||
| VICE CHAIR | 0.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JEFFREY BROMME | |||||||
| SECRETARY | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOSEPH R IMPICCICHE JD MHA | |||||||
| ASSISTANT SECRETARY (END 3/2020) | 0.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KEITH A PARROTT | |||||||
| EX-OFFICIO/PRESIDENT (START 3/2020) | 50.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARK FREY | |||||||
| EX-OFFCIO/PRESIDENT (END 8/2019) | 0.0 | 0 | Yes (X) | Yes (X) | $2,177,333 | $0 | $39,067 |
| RANDY HAFFNER | |||||||
| CHAIR | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ANTHONY J SPERANZO | |||||||
| DIRECTOR | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| BRENT SNYDER | |||||||
| DIRECTOR (START 3/2020) | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| DAVID B PRYOR MD | |||||||
| DIRECTOR | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| EDDIE SOLER | |||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |
| EDUARDO F CONRADO | |||||||
| DIRECTOR (START 3/2020) | 0.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| PAUL RATHBUN | |||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| EARL J BARNES II | |||||||
| ASSISTANT SECRETARY (START 8/2019) | 0.0 | 50.0 | Yes (X) | $0 | $514,654 | $1,716 | |
| G THOR THORDARSON | |||||||
| TREASURER/ASSISTANT SECRETARY (START 11/2019) | 0.0 | 50.0 | Yes (X) | $0 | $992,042 | $24,967 | |
| KAREN L SPRINGER | |||||||
| INTERIM PRESIDENT (START 11/2019 - END 3/2020) | 0.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| MARGARET J WENDELL | |||||||
| ASSISTANT SECRETARY (END 8/2019) | 0.0 | 50.0 | Yes (X) | $0 | $690,811 | $11,093 | |
| PAUL BELTER | |||||||
| TREASURER/ASSISTANT SECRETARY (END 11/2019) | 0.0 | 0 | Yes (X) | $1,098,169 | $0 | $26,068 | |
| RICHARD D CARTER | |||||||
| CFO, AMITA HEALTH (START 4/2020) | 0.0 | 50.0 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,275,502 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,197,507 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $102,911 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| DELOITTE CONSULTING LLP | ||||||
| 250 E 5TH ST FL 1600 | CINCINNATI | OH | 452024263 | CONSULTING | $1,889,669 | |
| PRIME TIME MARKETING | ||||||
| 2700 PATRIOT BLVD | GLENVIEW | IL | 60026 | MARKETING | $778,140 | STE 140 |
| SLALOM LLC | ||||||
| 821 2ND AVE | SEATTLE | WA | 98104 | CONSULTING | $318,499 | STE 1900 |
| POWER CONSTRUCTION COMPANY LLC | ||||||
| 8750 W BRYN MAWR AVE | CHICAGO | IL | 606313546 | CONTRACTING | $246,390 | STE 500 |
| CROWE LLP | ||||||
| 320 E JEFFERSON BLVD | SOUTH BEND | IN | 466012314 | CONSULTING | $107,385 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Management Fees | Desc |
| Business | 561000 | BusinessCd |
| Total Revenue Column | $8,581,400 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,581,400 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,581,400 | TotalProgramServiceRevenueAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,581,400 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,581,400 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,106,032 | TotalAmt |
| Program Services | $3,106,032 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,998 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $258,998 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,163 | TotalAmt |
| Management And General | $8,163 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,104,514 | TotalAmt |
| Program Services | $5,104,514 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| Maintenance & Repairs | $87,463 | $87,463 |
| Minor Equipment | $14,985 | $14,985 |
| Medical Supplies | $961 | $961 |
| Other Non Medical Supplies | $284 | $284 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,581,400 | TotalAmt |
| Program Services | $8,210,546 | ProgramServicesAmt |
| Management And General | $370,854 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,379,996 | BOYAmt |
| EOY | $2,075,969 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,285 | BOYAmt |
| EOY | $201,874 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,927,735 | BOYAmt |
| EOY | $19,255,991 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,498,016 | BOYAmt |
| EOY | $21,533,834 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,328,900 | BOYAmt |
| EOY | $441,389 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,169,116 | BOYAmt |
| EOY | $21,092,445 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,498,016 | BOYAmt |
| EOY | $21,533,834 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,498,016 | BOYAmt |
| EOY | $21,533,834 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 23 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (23 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| Adventist Bolingbrook Hospital | ||||
| 651219504 | 3 | Yes (true) | $0 | $0 |
| Adventist GlenOaks Hospital | ||||
| 363208390 | 3 | Yes (true) | $0 | $0 |
| Adventist Health Partners Inc | ||||
| 364138353 | 3 | Yes (true) | $0 | $0 |
| Adventist Midwest Health | ||||
| 362276984 | 3 | Yes (true) | $0 | $0 |
| AHP Specialty Care NFP | ||||
| 811105774 | 3 | Yes (true) | $0 | $0 |
| Alexian Brothers Ambulatory Group | ||||
| 364336931 | 3 | Yes (true) | $0 | $0 |
| Alexian Brothers Behavioral Health Hospital | ||||
| 364251848 | 3 | Yes (true) | $0 | $0 |
| Alexian Brothers Bonaventure House | ||||
| 363527899 | 9 | Yes (true) | $0 | $0 |
| Alexian Brothers Center for Mental Health | ||||
| 363045007 | 9 | Yes (true) | $0 | $0 |
| Alexian Brothers Medical Care Group NFP | ||||
| 471930457 | 3 | Yes (true) | $0 | $0 |
| Alexian Brothers Medical Center | ||||
| 362596381 | 3 | Yes (true) | $0 | $0 |
| ALEXIAN BROTHERS MEDICAL GROUP SPECIALTY CARE | ||||
| 811110738 | 3 | Yes (true) | $0 | $0 |
| Alexian Brothers Specialty Group | ||||
| 800710751 | 3 | Yes (true) | $0 | $0 |
| Medicare Value Partners | ||||
| 363495969 | 9 | Yes (true) | $0 | $0 |
| Presence Ambulatory Services | ||||
| 364286236 | 9 | Yes (true) | $0 | $0 |
| Presence Behavioral Health | ||||
| 362709982 | 9 | Yes (true) | $0 | $0 |
| Presence Care Home | ||||
| 460483587 | 9 | Yes (true) | $0 | $0 |
| Presence Central and Suburban Hospitals Network | ||||
| 364195126 | 3 | Yes (true) | $0 | $0 |
| Presence Chicago Hospitals Network | ||||
| 362235165 | 3 | Yes (true) | $0 | $0 |
| Presence Healthcare Services | ||||
| 363330928 | 9 | Yes (true) | $0 | $0 |
| Presence Home Care | ||||
| 460483581 | 9 | Yes (true) | $0 | $0 |
| Rainbow Hospice and Palliative Care | ||||
| 363296367 | 9 | Yes (true) | $0 | $0 |
| St Alexius Medical Center | ||||
| 364251846 | 3 | Yes (true) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 23 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | Yes (true) | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | Yes (true) | OrganizationChangeSuprtOrgInd |
| Supported Org Class Designated | Yes (true) | SupportedOrgClassDesignatedInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | false | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2) | SUPPORTED ORGANIZATIONS NOT REQUIRED TO OBTAIN A SEPARATE IRS DETERMINATION OF STATUS ARE EITHER CONSIDERED AN INSTRUMENTALITY OF THE CATHOLIC CHURCH OR GENERAL CONFERENCE OF SEVENTH-DAY ADVENTISTS OR ARE INCLUDED IN EITHER THE OFFICIAL CATHOLIC DIRECTORY OR THE SEVENTH-DAY ADVENTIST YEARBOOK AND HAVE BEEN VERIFIED TO BE DESCRIBED IN EITHER 509(A)(1) OR 509(A)(2) ACCORDING TO THEIR MOST RECENT FORM 990 FILING. |
| Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org. | (I)/(II) THE ORGANIZATION ADDED SUPPORTED ORGANIZATIONS, AS FOLLOWS: ALEXIAN BROTHERS MEDICAL GROUP SPECIALTY CARE, FEIN 81-1110738 THE ORGANIZATION REMOVED SUPPORTED ORGANIZATIONS, AS FOLLOWS: Presence Health Foundation Board of Trustees, FEIN 36-3330929, merged into Alexian Brothers Health System in April 2019. |
| Schedule A, Part IV, Section C, Line 1 Majority director detail | The filing organization has two members, Alexian Brothers Health System ("ABHS") and Adventist Midwest Health ("AMH"). ABHS and AMH maintain certain reserved powers over the filing organization. In addition, the Bylaws provide that ABHS has the ability to appoint half of the filing organization's Board, and AMH has the ability to appoint the other half. ABHS's sole corporate member is Ascension Health and Ascension Health's sole corporate member is Ascension Health Alliance (collectively referred to as "Ascension"). AMH's sole corporate member is Adventist Health System/Sunbelt, Inc. and Adventist Health System/Sunbelt, Inc.'s sole corporate member is Adventist Health System Sunbelt Healthcare Corporation ("Adventist"). Ascension and Adventist maintain certain reserved powers over ABHS and AMH (the filing organization's members). As described in the filing organization's bylaws, Ascension and Adventist also have certain reserved authority over the filing organization. As the filing organization was formed as part of an affiliation between the Illinois facilities of Ascension and Adventist, the filing organization's Supported Organizations are healthcare facilities within either the Ascension or Adventist corporate systems. On the Ascension side, just as Ascension Health is the parent of ABHS (one of the members of the filing organization), Ascension Health also serves as the national parent subsidiary (with Ascension Health Alliance as the national parent) of the Supported organizations within its system. On the Adventist side, just as Adventist is the top-tier parent of AMH (the other member of the Corporation), Adventist serves as the national parent of the Supported Organizations within its system. JUST AS ASCENSION AND ADVENTIST (EACH A SPONSOR OF THE FILING ORGANIZATION AND, COLLECTIVELY, THE SPONSORS) HAVE CERTAIN AUTHORITY OVER THE FILING ORGANIZATION (DIRECTLY AS PROVIDED IN THE BYLAWS, AND INDIRECTLY AS NATIONAL PARENTS OF THE FILING ORGANIZATION'S MEMBERS), ASCENSION AND ADVENTIST MAINTAIN CERTAIN RESERVED AUTHORITY OVER THE SUPPORTED ORGANIZATIONS IN THEIR RESPECTIVE SYSTEMS. AS ASCENSION HEALTH IS THE NATIONAL PARENT SUBSIDIARY OVER THE SUPPORTED ORGANIZATIONS WITHIN ITS SYSTEM (INCLUDING ONE OF THE FILING ORGANIZATION'S MEMBERS), AND AS ADVENTIST IS THE NATIONAL PARENT OVER THE SUPPORTED ORGANIZATIONS WITHIN ITS SYSTEM (INCLUDING THE OTHER MEMBER OF THE FILING ORGANIZATION), THE FILING ORGANIZATION IS SUPERVISED AND CONTROLLED IN CONNECTION WITH ITS SUPPORTED ORGANIZATIONS. |
Schedule D IRS990ScheduleD
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due From Affiliates | $64,323 |
| Other Assets | |
| Right of Use Operating Lease Asset | $19,191,668 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $19,255,991 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to affiliates | $1,029,900 |
| Deferred Rent Liability | $657,228 |
| Long Term Operating Lease Liability | $19,401,371 |
| Other Liabilities | $3,946 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $21,092,445 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK FREY | ||||||||||||||
| EX-OFFCIO/PRESIDENT (END 8/2019) | $1,112,451 | $0 | $862,562 | $0 | $202,320 | $0 | $18,200 | $0 | $20,867 | $0 | $2,216,400 | $0 | $0 | $0 |
| EARL J BARNES II | ||||||||||||||
| ASSISTANT SECRETARY (START 8/2019) | $0 | $383,654 | $0 | $110,000 | $0 | $21,000 | $0 | $0 | $0 | $1,716 | $0 | $516,370 | $0 | $0 |
| MARGARET J WENDELL | ||||||||||||||
| ASSISTANT SECRETARY (END 8/2019) | $0 | $249,182 | $0 | $196,866 | $0 | $244,763 | $0 | $0 | $0 | $11,093 | $0 | $701,904 | $0 | $0 |
| G THOR THORDARSON | ||||||||||||||
| TREASURER/ASSISTANT SECRETARY (START 11/2019) | $0 | $620,170 | $0 | $311,794 | $0 | $60,078 | $0 | $0 | $0 | $24,967 | $0 | $1,017,009 | $0 | $0 |
| PAUL BELTER | ||||||||||||||
| TREASURER/ASSISTANT SECRETARY (END 11/2019) | $474,053 | $0 | $360,954 | $0 | $263,162 | $0 | $8,400 | $0 | $17,668 | $0 | $1,124,237 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | AN AFFILIATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS with respect to THE ORGANIZATION OR A RELATED ORGANIZATION DURING CALENDAR YEAR 2019: PAUL E BELTER - $166,098 MARGARET J WENDELL - $216,336 |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No individuals received payment(s) from the supplemental nonqualified retirement plan during the calendar year 2019. |
| Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL | NAME - MARK FREY, COMPENSATION FROM UNRELATED ORGANIZATION - 2216400.000000, NAME OF UNRELATED ORGANIZATION - ASCENSION HEALTH ALLIANCE, TYPE OF COMPENSATION - PAYROLL |
| Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL | NAME - PAUL BELTER, COMPENSATION FROM UNRELATED ORGANIZATION - 1124237.000000, NAME OF UNRELATED ORGANIZATION - ASCENSION HEALTH ALLIANCE, TYPE OF COMPENSATION - PAYROLL |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 2a Number of Employees reported on W-3 | ALEXIAN BROTHERS - AHS MIDWEST HEALTH REGION CO. (DBA AMITA) HAS A RELATED ORGANIZATION, ALEXIAN BROTHERS HEALTH SYSTEM, THAT COMPENSATES CERTAIN LEASED EMPLOYEES WITHIN AMITA. IN ADDITION, ADVENTIST MIDWEST HEALTH, ALSO COMPENSATES CERTAIN OF THE LEASED EMPLOYEES. |
| Form 990, Part VI, Line 15a PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT OFFICIAL | THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY AN AFFILIATED ORGANIZATION. THE AFFILIATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. |
| Form 990, Part VI, Line 15b PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES | THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY AN AFFILIATED ORGANIZATION. THE AFFILIATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | The filing organization has one class of members, Adventist Midwest Health (AMH) and Alexian Brothers Health System (ABHS). |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The members, ADVENTIST MIDWEST HEALTH (AMH) AND ALEXIAN BROTHERS HEALTH SYSTEM (ABHS), have the right to appoint the Directors of the filing organization. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | Alexian Brothers-AHS Midwest Region Health Co. has one class of Members, Adventist Midwest Health and Alexian Brothers Health System. The Members have the authority to appoint the Directors of the Corporation and have reserved powers to exercise financial, managerial and operational authority over the filing organization and its Covered Affiliates. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | DURING THE RETURN PREPARATION PROCESS, management WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY tax leadership of the members DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD. |
| Form 990, Part VI, Line 12c Conflict of interest policy | The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. |
| Form 990, Part VI, Line 19 Required documents available to the public | The Organization will provide any documents open to public inspection upon request. |
| Form 990, Part VII, Section A Related Entities | The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting. |
| Form 990, Page 1, Box C D/B/A NAMES | Alexian Brothers - AHS Midwest Region Health Co. has the following d/b/a names: - AMITA Health - AMITA Health Medical Group - AMITA Health Foundation |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Business Name Line2DisregardedEntityName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Adventist Bolingbrook Hospital | |||||||||||
| 500 Remington Boulevard | Bolingbrook | IL | 60440 | 651219504 | Acute care hospital | IL | 501(c)(3) | 3 | Adventist Midwest Health | false | |
| Adventist GlenOaks Hospital | |||||||||||
| 701 Winthrop Avenue | Glendale Heights | IL | 60139 | 363208390 | Acute care hospital | IL | 501(c)(3) | 3 | Adventist Midwest Health | false | |
| Adventist Health Partners Inc | |||||||||||
| 2601 NAVISTAR DRIVE | LISLE | IL | 60532 | 364138353 | Operate out patient Physician clinics | IL | 501(c)(3) | 3 | AHS Midwest Management Inc | false | |
| Adventist Midwest Health | |||||||||||
| 120 North Oak Street | Hinsdale | IL | 60521 | 362276984 | Acute care hospitals | IL | 501(c)(3) | 3 | Adventist Health System Sunbelt Inc | false | |
| AHP Specialty Care NFP | |||||||||||
| 2601 NAVISTAR DRIVE | LISLE | IL | 60532 | 811105774 | PHYSICIAN SERVICES | IL | 501(c)(3) | 3 | AHS MIDWEST MANAGEMENT INC | false | |
| AHS Midwest Management Inc | |||||||||||
| 2601 Navistar Drive | Lisle | IL | 60532 | 363354567 | Management of Physician practices | IL | 501(c)(3) | Type I | Adventist Midwest Health | false | |
| Alexian Brothers Ambulatory Group | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 364336931 | Physician services | IL | 501(c)(3) | 3 | Alexian Brothers Health System | false | |
| Alexian Brothers Behavioral Health Hospital | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 364251848 | Behavioral health hospital | IL | 501(c)(3) | 3 | Alexian Brothers Health System | false | |
| Alexian Brothers Bonaventure House dba Alexian Brothers The Harbor and Alex | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 363527899 | Housing and supportive care services for persons with HIV/AIDS | IL | 501(c)(3) | 10 | Alexian Brothers Health System | false | ian Brothers Housing and Health Alliance |
| Alexian Brothers Center for Mental Health | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 363045007 | Outpatient community mental health services | IL | 501(c)(3) | 10 | Alexian Brothers Health System | false | |
| Alexian Brothers Health System | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 363260495 | Supports the provision of healthcare services for related corporations for which it is a member | IL | 501(c)(3) | Type III-FI | Ascension Health | false | |
| Alexian Brothers Hospital Network | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 363276552 | Supports the provision of healthcare services for related corporations | IL | 501(c)(3) | Type III-FI | Alexian Brothers Health System | false | |
| Alexian Brothers Medical Care Group NFP | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 471930457 | Physician services | IL | 501(c)(3) | 3 | Alexian Brothers Health System | false | |
| Alexian Brothers Medical Center | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 362596381 | Acute care hospital | TX | 501(c)(3) | 3 | Alexian Brothers Health System | false | |
| ALEXIAN BROTHERS MEDICAL GROUP SPECIALTY CARE | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 811110738 | Specialty Physician Practice group | IL | 501(c)(3) | 3 | Alexian Brothers Health System | false | |
| Alexian Brothers Specialty Group | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 800710751 | Specialty Physician Practice group | IL | 501(c)(3) | 3 | Alexian Brothers Health System | false | |
| MEDICARE VALUE PARTNERS | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 363495969 | HEALTH CARE | IL | 501(c)(3) | 10 | Presence Health Partners Services | false | |
| PRESENCE AMBULATORY SERVICES | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 364286236 | HEALTH CARE | IL | 501(c)(3) | 10 | Presence Care Transformation Corporation | false | |
| PRESENCE BEHAVIORAL HEALTH | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 362709982 | HEALTH CARE | IL | 501(c)(3) | 3 | Presence Care Transformation Corporation | false | |
| PRESENCE CARE at HOME | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 460483587 | HEALTH CARE | IL | 501(c)(3) | 10 | PRESENCE CARE TRANSFORMATION CORPORATION | false | |
| PRESENCE CARE TRANSFORMATION CORPORATION | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 363366652 | MGMT SUPPORT | IL | 501(c)(3) | Type III-FI | Alexian Brothers Health System | false | |
| PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 364195126 | HEALTH CARE | IL | 501(c)(3) | 3 | Presence Care Transformation Corporation | false | |
| PRESENCE CHICAGO HOSPITALS NETWORK | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 362235165 | HEALTH CARE | IL | 501(c)(3) | 3 | Presence Care Transformation Corporation | false | |
| PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES | |||||||||||
| 200 SOUTH WACKER DRIVE | CHICAGO | IL | 60606 | 363330929 | FUNDRAISING | IL | 501(c)(3) | 7 | Alexian Brothers Health System | false | |
| PRESENCE HEALTH PARTNERS SERVICES | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 362644178 | HEALTH CARE | IL | 501(c)(3) | Type II | Alexian Brothers Health System | false | |
| PRESENCE HEALTHCARE SERVICES | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 363330928 | HEALTH CARE | IL | 501(c)(3) | 10 | Presence Care Transformation Corporation | false | |
| PRESENCE HOME CARE | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 460483581 | HEALTH CARE | IL | 501(c)(3) | 10 | PRESENCE CARE TRANSFORMATION CORPORATION | false | |
| RAINBOW HOSPICE AND PALLIATIVE CARE | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 363296367 | HEALTH CARE | IL | 501(c)(3) | 10 | Presence Care Transformation Corporation | false | |
| Savelli Properties Inc | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 363308965 | Owns or leases properties where healthcare services are delivered | IL | 501(c)(2) | Alexian Brothers Health System | false | ||
| St Alexius Medical Center | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 364251846 | Acute care hospital | IL | 501(c)(3) | 3 | Alexian Brothers Health System | false | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| Alexian Rehabilitation Services LLC | |||||||||
| 935 Beisner | Elk Grove Village | IL | 60007 | 300221481 | Rehabilitation hospital | IL | NA | N/A | |
| Bonaventure Medical Foundation LLC | |||||||||
| 2601 NAVISTAR DRIVE | IL | IL | 60532 | 363978153 | Manages managed care contracts | DE | NA | N/A | LISLE |
| BELMONTHARLEM SURGERY CENTER LLC | |||||||||
| 3101 NORTH HARLEM | CHICAGO | IL | 60634 | 412237162 | MEDICAL SERVICE | IL | NA | N/A | |
| ALVERNO CLINICAL LABORATORIES LLC | |||||||||
| 2434 INTERSTATE PLAZA DRIVE | HAMMOND | IN | 46324 | 203240648 | MEDICAL SERVICE | IN | NA | N/A | |
| Presence Lakeshore Gastroenterology LLC | |||||||||
| 150 N River Road | Des Plaines | IL | 60016 | 811750563 | Medical Service | IL | NA | N/A | Suite 210 |
| PROFESSIONAL CLINICAL LABORATORIES LLC | |||||||||
| 113 E 4TH ST | MICHIGAN CITY | IN | 46360 | 300711211 | MEDICAL SERVICES | IN | NA | N/A | |
| PCAC GI JV LLC | |||||||||
| 2601 Navistar Drive | Lisle | IL | 60532 | 850878312 | AMBULATORY SURGERY CENTER | IL | NA | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Thelen Corporation | |||||||||
| 2601 NAVISTAR DRIVE | LISLE | IL | 60532 | 363266316 | Owns/ leases property; joint venture partner | IL | NA | C Corporation | false |
| Alexian Brothers Health Providers Association Inc | |||||||||
| 2601 NAVISTAR DRIVE | LISLE | IL | 60532 | 363853286 | Messenger model IPA | IL | NA | C Corporation | false |
| Amita Health Clinically Integrated Network LLC | |||||||||
| 2601 Navistar Drive | Lisle | IL | 60532 | 800967178 | managed care | IL | NA | C Corporation | false |
| PRESENCE PROPERTIES INC | |||||||||
| 100 NORTH RIVER ROAD | DES PLAINES | IL | 60016 | 363520630 | MEDICAL | IL | NA | C Corporation | false |
| PRESENCE SERVICE CORPORATION | |||||||||
| 2380 E DEMPSTER STREET | DES PLAINES | IL | 60016 | 364314354 | MEDICAL | IL | NA | C Corporation | false |
| PRESENCE VENTURES INC | |||||||||
| 100 NORTH RIVER ROAD | DES PLAINES | IL | 60016 | 371168085 | MEDICAL | IL | NA | C Corporation | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |