2020-05-15T09:03:22-05:00 2019-06-30 990 2018-07-01 362596381 Alexian Brothers Medical Center ALEX 3147338000 800 Biesterfield Road Elk Grove Village IL 600073397 Tonya Mershon Tax Officer 2020-05-15 2018 2020-11-19 02:30:22Z SEE SCHEDULE O KEITH PARROTT 200 SOUTH WACKER DRIVE CHICAGO IL 60606 491727509 false 0928 X https://www.amitahealth.org/locations/hospitals/elk-grove-village X 1971 IL To improve the health and well-being of all people in the communities we serve. 9 8 0 431 4002416 0 284588 198712 487501153 485700292 727589 456298 3927746 3856520 492441076 490211822 0 23000 0 0 174226638 0 0 0 0 283193233 479274395 457419871 479297395 35021205 10914427 489548392 329743952 243946141 138847906 245602251 190896046 Alexian Brothers Medical Care Group, NFP carries out the healing mission of the Catholic Church as an Alexian Brothers ministry by identifying and developing effective responses to the health needs of those we are called to serve. false false 409804821 23000 485762820 Alexian Brothers Medical Center is a 353-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2019, Alexian Brothers Medical Center treated 17,471 adults and children for a total of 97,610 patient days of service. The hospital also provided services for 375,092 outpatient visits, which included 5,961 outpatient surgeries and 45,493 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 409804821 true true false false false false false false true true false false true true true false true false false false false false false false false true true false true true false false false false false false false false false false false false false true true true true false true 341 0 true 0 true true false false false false false true false false false false false X 9 8 false false true false true true true true true false false false true true true true true false false false IL X SARA O'BRIEN 3147338070 11775 BOMAN DRIVE MARYLAND HEIGHTS MO 63146 DIA NICHOLS EX-OFFICIO/PRESIDENT & CEO (START 3/2019) 0.0 50.0 X X 0 0 0 BRUCE WOLFE CHAIR 1.0 2.0 X X 0 0 0 KATHLEEN GILMER VICE CHAIR 1.0 2.0 X X 0 0 0 JOHN WERRBACH EX-OFFICIO/PRESIDENT & CEO (END 1/2019) 0.0 50.0 X X 0 608290 1696 MICHAEL HENDLER MD DIRECTOR 1.0 0 X 0 0 0 LYNWOOD JONES MD DIRECTOR 1.0 0 X 0 0 0 JOANNE LESKI EDD RN CNE DIRECTOR 1.0 2.0 X 0 0 0 MARIJO LETIZIA PHD DIRECTOR 1.0 2.0 X 0 0 0 THOMAS R PALMER JD DIRECTOR 1.0 2.0 X 0 0 0 JUDGE JOHN D TOURTELOT DIRECTOR 1.0 2.0 X 0 0 0 MARK A FREY CEO, AMITA HEALTH 0.0 50.0 X 0 2205049 40892 HENRY ZEISEL TREASURER 0.0 50.0 X 0 297733 1109 DIANA WOYTKO SECRETARY 0.0 50.0 X 0 430513 1093 DONNA GAUTHIER ASSISTANT SECRETARY 0.0 50.0 X 0 78467 178 LAURENCE R DRY III FORMER KEY EMPLOYEE (END 12/2017) 0.0 50.0 X 0 286171 1065 0 3906222 46034 0 true true false AURORA AREA BLOOD BANK 1200 N HIGHLAND AVE AURORA IL 605061401 MEDICAL SERVICES 1272923 SUBURBAN LUNG ASSOCIATES SC PO BOX 967 TINLEY PARK IL 604770967 MEDICAL SERVICES 1135050 ARUP LABORATORIES 500 S CHIPETA WAY SALT LAKE CITY UT 841081221 LABORATORY SERVICES 648443 MARBERRY LAUNDRY LLC 315 E MAIN STREET ST CHARLES IL 601742042 LAUNDRY SERVICES 607857 MEDSPEED LLC 655 W GRAND AVE STE 320 ELMHURST IL 601261043 COURIER SERVICES 504477 26 X 0 0 0 159069 0 39643 198712 Net Patient Service Revenue 621990 473924594 473924594 Pharmacy Revenue 446110 4429622 3221183 1208439 Services to Affiliates 561000 4421956 4421956 Lab Services 621500 2254082 2254082 Rental Income from Affiliates 531120 662422 662422 7616 7616 0 0 485700292 498773 498773 0 0 0 0 1518291 0 1138151 380140 0 380140 380140 0 107172 149648 0 -42476 -42475 -42475 0 0 0 0 0 0 0 0 0 283075 227888 55187 55187 Cafeteria/Vending Revenue 722514 2050309 2050309 Telephone Revenues 517000 404979 404979 Escheatment Revenue 900099 345700 345700 620205 62528 134916 422761 3421193 490211822 482300299 4002416 3710395 23000 23000 0 0 0 0 82135 104 82031 2895 2895 8668605 8453701 214904 0 1500 1500 1113085 443713 669372 12655 12655 5961430 1052042 4909388 373678 297183 76495 104513 95146 9367 7106592 7106592 15772887 7220514 8552373 5543093 172984 5370109 WAGE & BENEFIT ALLOCATION 177474749 144716431 32758318 PROFESSIONAL FEE TO AFFILIATE 98141336 98141336 MEDICAL SUPPLIES 97129379 97129379 PURCHASED SERVICES 26223068 19548150 6674918 35562795 32498483 3064312 0 479297395 409804821 69492574 0 8430 8930 4559 0 0 0 88230829 69400817 0 0 0 0 270412 256667 9585507 9312542 480876 149795 306562195 116316885 192290467 190245310 0 0 0 0 105685 426070 198571627 59943821 489548392 329743952 28818714 28496884 0 0 3228145 2977913 0 0 0 0 0 0 0 0 0 0 211899282 107373109 243946141 138847906 X 245602251 190896046 0 0 0 0 245602251 190896046 489548392 329743952 X 10914427 -65620632 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 209117 209117 207527 1590 209117 207527 207527 207527 207527 207527 207527 0.0 1.0 0.0 false true true 10100000 10100000 208162977 59019456 149143521 2118583 973061 1145522 80827700 55684977 25142723 5352935 639391 4713544 190245310 Due from Affiliates 56463250 Other Receivables 2357418 Estimated 3rd Party Payor Settlements 803153 Physician Guarantee Asset 320000 59943821 0 Due to Affiliates 66366368 Other Liabilities 1876973 Estimated 3rd Party Payor Settlement 36970996 Recovery Tail Liability 1190976 Accrued Tax Liability 786063 Deposit Liability Physician Guarantee Liability 181733 107373109 X Schedule D, Part V, Line 4 Intended uses of endowment funds The endowment funds are used to support charitable efforts within the Alexian Brothers Health System. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2019. true true X true X true X 600 true true true false true true 10163367 10163367 0.0212 66336153 47156633 19179520 0.0400 0 0.0 0 0 76499520 47156633 29342887 0.0612 121550 121550 0.0003 1183410 1183410 0.0025 551800 551800 0.0012 0 0.0 18200 18200 0.0000 0 0 1874960 0 1874960 0.0039 0 0 78374480 47156633 31217847 0.0651 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 3998167 0 222783933 247583071 -24799138 X true true 1 1 Alexian Brothers Medical Center 800 Biesterfield Road Elk Grove Village IL 600073397 https://www.amitahealth.org/locations/hospitals/elk-grove-village 0002238 X X X X Alexian Brothers Medical Center 1 false false true X X X X X X X X X 18 true true true true X WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/ALEXIAN-BROTHERS-ELK-GROVE-VILLAGE X true 18 true WWW.AMITAHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/ALEXIAN-BROTHERS-ELK-GROVE-VILLAGE false true X 200.0 600.0 X X X X true true X X X true X https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/ X https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/ X https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/ X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E To better target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER. FOR THE FISCAL YEAR 2019 CHNA, AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER AND MEMBERS OF THE ALLIANCE FOR HEALTH EQUITY, A COLLABORATIVE OF OVER 30 HOSPITALS, 6 HEALTH DEPARTMENTS, AND 100 COMMUNITY PARTNERS, WORKED TOGETHER OVER THE 12 MONTHS (MARCH 2018-MARCH 2019) TO BUILD A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN CHICAGO AND COOK COUNTY. USING THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL FOR THE CHNA, THE ALLIANCE ENGAGED DIVERSE GROUPS OF COMMUNITY RESIDENTS AND STAKEHOLDERS FOR SURVEYS AND FOCUS GROUPS AS WELL AS GATHERED ROBUST DATA FROM VARIOUS PERSPECTIVES ABOUT HEALTH STATUS AND HEALTH BEHAVIORS. PRIMARY DATA FOR THE CHNA WAS COLLECTED THROUGH FOUR METHODS: COMMUNITY INPUT SURVEYS; COMMUNITY RESIDENT FOCUS GROUPS AND LEARNING MAP SESSIONS; HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS; AND TWO STAKEHOLDER ASSESSMENTS LED BY PARTNER HEALTH DEPARTMENTS-FORCES OF CHANGE ASSESSMENT AND HEALTH EQUITY CAPACITY ASSESSMENT. SECONDARY DATA WAS COLLECTED FROM THE FOLLOWING SOURCES: PEER-REVIEWED LITERATURE AND WHITE PAPERS; EXISTING ASSESSMENTS AND PLANS FOCUSED ON KEY TOPIC AREAS; LOCALIZED DATA COMPILED BY SEVERAL AGENCIES INCLUDING CHICAGO DEPARTMENT OF PLANNING AND DEVELOPMENT, CHICAGO METROPOLITAN AGENCY FOR PLANNING, HOUSING AUTHORITY OF COOK COUNTY, AND STATE AND LOCAL POLICE DEPARTMENTS; LOCALIZED DATA COMPILED BY COMMUNITY-BASED ORGANIZATIONS INCLUDING GREATER CHICAGO FOOD DEPOSITORY AND VOICES OF CHILD HEALTH IN CHICAGO; HOSPITALIZATION AND EMERGENCY DEPARTMENT RATES (COMPDATA) PROVIDED BY ILLINOIS HEALTH AND HOSPITAL ASSOCIATION AND ANALYZED BY THE CONDUENT HEALTHY COMMUNITIES INSTITUTE; DATA COMPILED BY STATE AGENCIES INCLUDING ILLINOIS ENVIRONMENTAL PROTECTION AGENCY, ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES, ILLINOIS DEPARTMENT OF HUMAN SERVICES, ILLINOIS STATE BOARD OF EDUCATION, AND ILLINOIS DEPARTMENT OF PUBLIC HEALTH; DATA FROM FEDERAL SOURCES INCLUDING U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY DATA COMPILED BY CHICAGO DEPARTMENT OF PUBLIC HEALTH AND COOK COUNTY DEPARTMENT OF HEALTH; CENTERS FOR DISEASE CONTROL AND PREVENTION; CENTERS FOR MEDICARE AND MEDICAID SERVICES DATA ACCESSED THROUGH THE DARTMOUTH ATLAS OF HEALTH CARE; HEALTH RESOURCES AND SERVICES ADMINISTRATION; AND UNITED STATES DEPARTMENT OF AGRICULTURE. PARTNERS FORM THE ALEXIAN BROTHERS MEDICAL CENTER SERVICE AREA THAT PROVIDED INPUT AND ENGAGED UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS INCLUDE: KENNETH YOUNG CENTER ELK GROVE TOWNSHIP ELK GROVE BAPTIST CHURCH KEENEYVILLE SCHOOL DISTRICT 20 SCHOOL DISTRICT 54 SCHAUMBURG PUBLIC LIBRARY FEED MY STARVING CHILDREN NORTHWEST CASA JOURNEY'S BUEHLER YMCA STONE COMMUNITY HOUSING SHELTER FOUNDATION GOLDEN CORRIDOR FAMILY YMCA CLARE OAKS SENIOR LIVING ELK GROVE PUBLIC LIBRARY SPRINGWOOD MIDDLE SCHOOL ELK GROVE HIGH SCHOOL ELK GROVE PARK DISTRICT COMMUNITY ALTERNATIVES UNLIMITED HARPER COLLEGE EDUCATION FOUNDATION WINGS PROGRAM, INC. THE BRIDGE YOUTH & FAMILY SERVICES COUNTRYSIDE ASSOCIATION FOR PEOPLE WITH DISABILITIES LITTLE CITY SCHOOL DISTRICT 46 Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER. FOR THE FISCAL YEAR 2019 COLLABORATIVE COOK COUNTY CHNA, AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER PARTNERED WITH THE FOLLOWING HOSPITALS AND HEALTH SYSTEMS: NONPROFIT HOSPITAL MEMBERS: ADVOCATE AURORA CHILDREN'S HOSPITAL, LOYOLA MEDICINE- LOYOLA UNIVERSITY MEDICAL CENTER, ADVOCATE AURORA CHRIST MEDICAL CENTER, LOYOLA MEDICINE- MACNEAL HOSPITAL, ADVOCATE AURORA ILLINOIS MASONIC MEDICAL CENTER, MERCY HOSPITAL & MEDICAL CENTER, ADVOCATE AURORA LUTHERAN GENERAL HOSPITAL, NORTHWESTERN MEMORIAL HOSPITAL, ADVOCATE AURORA SOUTH SUBURBAN HOSPITAL, NORWEGIAN AMERICAN HOSPITAL, ADVOCATE AURORA TRINITY HOSPITAL, PALOS COMMUNITY HOSPITAL, AMITA ADVENTIST MEDICAL CENTER LA GRANGE, ROSELAND COMMUNITY HOSPITAL, RUSH OAK PARK, AMITA HOLY FAMILY MEDICAL CENTER, RUSH UNIVERSITY MEDICAL CENTER, AMITA RESURRECTION MEDICAL CENTER, SINAI HEALTH SYSTEM- HOLY CROSS HOSPITAL, AMITA ST. ALEXIUS MEDICAL CENTER AND ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL, SINAI HEALTH SYSTEM- MOUNT SINAI HOSPITAL, AMITA SAINT FRANCIS HOSPITAL, SINAI HEALTH SYSTEM- SCHWAB REHABILITATION HOSPITAL, AMITA SAINT JOSEPH HOSPITAL, SOUTH SHORE HOSPITAL, AMITA SAINTS MARY AND ELIZABETH MEDICAL CENTER, SWEDISH COVENANT HOSPITAL, ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO, UNIVERSITY OF CHICAGO MEDICINE, THE LORETTO HOSPITAL, UNIVERSITY OF CHICAGO MEDICINE-INGALLS MEMORIAL HOSPITAL, LOYOLA MEDICINE- GOTTLIEB MEMORIAL HOSPITAL PUBLIC HOSPITAL PARTNERS: COOK COUNTY HEALTH- STROGER HOSPITAL, COOK COUNTY HEALTH- PROVIDENT HOSPITAL, UNIVERSITY OF ILLINOIS HOSPITAL AND HEALTH SCIENCES SYSTEM Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER. FOR THE FISCAL YEAR 2019 COLLABORATIVE COOK COUNTY CHNA, AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER PARTNERED WITH THE FOLLOWING HEALTH DEPARTMENTS: CHICAGO DEPARTMENT OF PUBLIC HEALTH EVANSTON HEALTH AND HUMAN SERVICES DEPARTMENT COOK COUNTY DEPARTMENT OF PUBLIC HEALTH VILLAGE OF SKOKIE HEALTH DEPARTMENT Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER - PART I. TOGETHER, AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER AND ITS COLLABORATIVE PARTNERS AND STAKEHOLDERS HAVE IDENTIFIED THE FOLLOWING PRIORITIZED HEALTH NEEDS IN OUR COMMUNITY ON THE FISCAL YEAR 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH, INCLUDING POLICIES THAT ADVANCE EQUITY AND PROMOTE PHYSICAL AND MENTAL WELL-BEING, AND CONDITIONS THAT SUPPORT HEALTHY EATING AND ACTIVE LIVING. ACCESS TO CARE, COMMUNITY RESOURCES, AND SYSTEMS IMPROVEMENTS, CONSISTING OF TIMELY LINKAGE TO APPROPRIATE CARE, AND RESOURCES, REFERRALS, COORDINATION, AND CONNECTION TO COMMUNITY-BASED SERVICES. MENTAL HEALTH AND SUBSTANCE USE DISORDERS, ESPECIALLY REDUCING STIGMA, INCREASING THE REACH AND COORDINATION OF BEHAVIORAL HEALTH SERVICES, AND ADDRESSING THE OPIOID EPIDEMIC. CHRONIC CONDITION PREVENTION AND MANAGEMENT, FOCUSING ESPECIALLY ON METABOLIC DISEASES SUCH AS DIABETES, HEART DISEASE, AND HYPERTENSION, AND ON ASTHMA, CANCER, AND COMPLEX CHRONIC CONDITIONS. SUMMARY OF IMPLEMENTATION STRATEGY SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH, ACCESS TO CARE COMMUNITY RESOURCES AND SYSTEMS IMPROVEMENTS STRATEGY: AUNT BERTHA (SEARCH & CONNECT): THROUGH THIS PUBLIC DIRECTORY PROVIDERS, STAFF, THE PUBLIC AND COMMUNITY PARTNERS ARE ABLE TO SEARCH A VETTED AND UPDATED DIRECTORY OF SOCIAL SERVICES ON OUR WEBSITE, CONNECTING TO (I.E. FOOD, HOUSING, TRANSPORTATION, HEALTH, ETC.). THIS DIRECTORY PROVIDES A NEED BASED CUSTOMIZED LIST OF SERVICES FOR PATIENTS AND PROVIDE THE HOSPITALS WITH VARIOUS REPORTS RELATED TO THE NEEDS. ADDITIONALLY, THE TOOL HELPS TO ADDRESS THE SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH SUCH AS POVERTY, ACCESS TO COMMUNITY RESOURCES, EDUCATION AND HOUSING THAT ARE UNDERLYING ROOT CAUSES OF HEALTH INEQUITIES. RESOURCES & COLLABORATION: AMITA HEALTH COMMUNITY RESOURCE DIRECTORY; AUNT BERTHA, COMMUNITY BASED ORGANIZATION, FAITH BASED ORGANIZATIONS, FRONT LINE ASSOCIATES ANTICIPATED IMPACT: INCREASE THE NUMBER OF DIRECT REFERRALS BETWEEN PATIENTS AND COMMUNITY ORGANIZATIONS TO REDUCE PATIENT/COMMUNITY SOCIAL DETERMINANTS OF HEALTH. MENTAL HEALTH AND SUBSTANCE USE DISORDERS STRATEGY: MENTAL HEALTH FIRST AID: IN RESPONSE TO A DEMONSTRATED SYSTEM AND STATE-WIDE NEED OF ADDRESSING BARRIERS TO ACCESSING AND UTILIZING MENTAL HEALTH SERVICES, AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER ELK GROVE VILLAGE AND ITS COMMUNITY PARTNERS IMPLEMENTED AN EVIDENCE-BASED PROGRAM, MENTAL HEALTH FIRST AID (MHFA), TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL ILLNESS AND IMPROVE THE COORDINATION OF MENTAL HEALTH CARE. MHFA TRAINS COMMUNITY RESIDENTS AND FIRST RESPONDERS TO RECOGNIZE, RESPOND, AND SEEK ASSISTANCE FOR SIGNS OF MENTAL ILLNESS AND SUBSTANCE ABUSE. RESOURCES & COLLABORATION: AMERICORPS, COMMUNITY-BASED ORGANIZATIONS (CBOS), FAITH-BASED ORGANIZATIONS (FBOS), FIRST RESPONDERS/LAW ENFORCEMENT, MENTAL HEALTH FIRST AID USA, TRILOGY, LINDEN OAKS, KENNETH YOUNG CENTER ANTICIPATED IMPACT: A REDUCTION IN SELF-REPORTER POOR MENTAL HEALTH DAYS AS A RESULT OF GREATER IDENTIFICATION OF THOSE IN NEED OF HELP. CHRONIC CONDITION PREVENTION AND MANAGEMENT STRATEGY: DIABETIC PROGRAMS (SELF-MANAGEMENT & PREVENTION): IN RESPONSE TO CONTINUED NEED TO REDUCE THE NUMBER OF INDIVIDUALS WITH TYPE II DIABETES AS WELL AS TO LOWER THE HOSPITALIZATION RATE OF THOSE DIAGNOSED WITH TYPE II DIABETES, AMITA HEALTH IS COMMITTED TO PROVIDING ADDITIONAL PROGRAMMING FOR DIABETIC PROGRAMMING IN THE COMMUNITY. RESOURCES & COLLABORATION: COMMUNITY-BASED ORGANIZATIONS (CBOS), FAITH-BASED ORGANIZATIONS (FBOS), TOUCHPOINT, YMCAS ANTICIPATED IMPACT: DECREASE PREVALENCE OF TYPE 2 DIABETES; DECREASE THOSE WITH UNMANAGED DIABETES. NEEDS THAT WILL NOT BE ADDRESSED AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER ELK GROVE VILLAGE WILL NOT DIRECTLY ADDRESS THE FOLLOWING FOCUS AREAS/PRIORITIES IDENTIFIED IN THE FISCAL YEAR 2019 CHNA: - ECONOMIC VITALITY AND WORKFORCE DEVELOPMENT - EDUCATION AND YOUTH DEVELOPMENT - HOUSING, TRANSPORTATION, AND NEIGHBORHOOD ENVIRONMENT - VIOLENCE AND COMMUNITY SAFETY, INJURY, INCLUDING VIOLENCE-RELATED INJURY - TRAUMA-INFORMED CARE - MATERNAL AND CHILD HEALTH WHILE CRITICALLY IMPORTANT TO OVERALL COMMUNITY HEALTH, THESE SPECIFIC PRIORITIES DID NOT MEET INTERNALLY DETERMINED CRITERIA THAT PRIORITIZED ADDRESSING NEEDS BY EITHER CONTINUING OR EXPANDING CURRENT PROGRAMS, SERVICES, AND INITIATIVES TO STEWARD RESOURCES AND ACHIEVE THE GREATEST COMMUNITY IMPACT. FOR THESE AREAS NOT CHOSEN, THERE ARE SERVICE PROVIDERS IN THE COMMUNITY BETTER RESOURCED TO ADDRESS THESE PRIORITIES. AMITA HEALTH WILL WORK COLLABORATIVELY WITH AND SUPPORT THESE ORGANIZATIONS AS APPROPRIATE TO ENSURE SERVICE COORDINATION AND UTILIZATION. ACTIONS TAKEN ON THE TAX YEAR 2016 CHNA: ISSUE: CANCER AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER RUNS A COMPREHENSIVE CANCER INSTITUTE IN THE IMMEDIATE SERVICE AREA. AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER PARTNERED WITH THE CANCER INSTITUTE BOUTIQUE IN ELK GROVE VILLAGE, IL, WHICH OFFERS PRIVATE CONSULTATIONS AND FITTINGS FOR WIGS, POST-SURGICAL GARMENTS AND PROSTHESES. FREE SUPPORT GROUPS THAT FOCUS ON EDUCATION, SUPPORT AND POSITIVE COPING WERE PROVIDED TO PATIENTS AND COMMUNITY MEMBERS. THE SUPPORT GROUPS WERE LED BY LICENSED PROFESSIONALS THAT FACILITATE THE SESSIONS, WHICH WERE DESIGNED TO PROVIDE AN OPEN, SAFE AND ENCOURAGING ENVIRONMENT FOR THE SHARING OF COMMON EXPERIENCES, TIPS AND LAUGHTER. SUPPORT GROUPS WERE FOCUSED ON THE FOLLOWING: -BREAST CANCER SUPPORT GROUP - CONNECTING WITH OTHERS PROVIDES AN OUTLET TO LEARN HELPFUL TIPS FOR COPING WITH TREATMENT SIDE EFFECTS AND SHARE LAUGHTER AND ENCOURAGEMENT. THIS GROUP WAS FOR ANYONE AFFECTED BY BREAST CANCER, FROM A NEW DIAGNOSIS THROUGH SURVIVORSHIP. ADDITIONALLY, RELAXATION AND STRESS REDUCTIONS CLASSES OR SESSIONS WERE OFFERED FOR FREE OF CHARGE OR NOMINAL FEE SUCH AS RELAX AND FEEL GREAT; TAI CHI; ENERGY THERAPY. SPECIAL PROGRAMS FOR SURVIVORS, FAMILY, FRIENDS AND CAREGIVERS PROVIDED AT NO CHARGE OR FOR A NOMINAL FEE: -LOOK GOOD...FEEL BETTER - WOMEN AND MEN LEARN FROM VOLUNTEER BEAUTY PROFESSIONALS HOW TO DEAL WITH THE APPEARANCE-RELATED SIDE EFFECTS OF CANCER TREATMENT. -BREAST SELF-EXAM COMMUNITY OR ONE-ON-ONE SESSIONS MAMMACARE - WOMEN LEARN HOW TO GIVE THEMSELVES A BREAST SELF-EXAM (BSE) USING THE MAMMACARE METHOD IN EITHER A COMMUNITY SETTING WITH OTHER WOMEN OR IN A ONE-ON-ONE SESSION. WOMEN LEARNED BY PRACTICING ON LIFE-LIKE BREAST MODELS THAT TEACH THE DIFFERENCE BETWEEN NORMAL BREAST TISSUE AND LUMPS. ISSUE: CHRONIC KIDNEY DISEASE OUR EFFORTS AT ADDRESSING CHRONIC KIDNEY DISEASE CONTINUE TO BE INCLUDED IN ALL OF OUR EDUCATION, PREVENTION, SCREENING AND TREATMENT OF TYPE II DIABETES. ISSUE: HIV/AIDS ALEXIAN BROTHERS HEALTH SYSTEM, CORPORATE MEMBER OF AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER , CONTINUES TO BE A PERMANENT, VOTING MEMBER OF THE CATHOLIC CHARITIES HIV/AIDS TASK FORCE FOR THE CHICAGO ARCHDIOCESE AND IS AN HIV/AIDS PROGRAM SERVICES ADVISORY COMMITTEE. THIS TASK FORCE COLLABORATES WITH AGENCIES, INSTITUTIONS AND INDIVIDUALS WHO PROVIDE HIV/AIDS SERVICES, EDUCATION AND MINISTRY IN THE CHICAGO AREA TO CARRY OUT THE HEALING MISSION OF THE CATHOLIC CHURCH. THIS APPROACH BEGINS WITH HOUSING, THE CORNERSTONE OF HEALTHCARE AND AN INTEGRAL PART OF ALEXIAN BROTHERS HEALTH SYSTEM. STABLE HOUSING PROVIDES A FOUNDATION FOR PEOPLE TO GET A FRESH START. IT PROVIDES A PLACE TO RECEIVE COUNSELING, CARE, AND TO RECONNECT WITH FAMILY. IT'S A PLACE TO BE PART OF A SUPPORTIVE COMMUNITY THAT OFFERS COMPREHENSIVE SERVICES. ALEXIAN BROTHERS HEALTH SYSTEM OFFERS CLIENTS A WIDE ARRAY OF SUPPORTIVE SERVICES. INDIVIDUAL SESSIONS AND GROUP SERVICES WERE PROVIDED IN ALL AREAS, INCLUDING SPIRITUAL CARE, LIFE SKILLS, AND PSYCHOSOCIAL SUPPORT GROUPS SUCH AS HIV SUPPORT AND SUBSTANCE USE COUNSELING. THE PROGRAMS WERE FOCUSED ON TREATING THE WHOLE INDIVIDUAL, THROUGH A HOLISTIC RANGE OF SERVICES FOCUSED ON RECOVERY AND SUPPORT. THESE INCLUDE THE FOLLOWING: COMPREHENSIVE CASE MANAGEMENT; SUBSTANCE USE COUNSELING; OCCUPATIONAL THERAPY; SPIRITUAL CARE; AND, AFTER CARE. ALEXIAN BROTHERS HEALTH SYSTEM REPRESENTS CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) ON ISSUES RELATED TO HIV/AIDS. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER - PART II. ISSUE: IMMUNIZATION AND INFECTIOUS DISEASES OUR INFECTION PREVENTIONISTS LED FREE BACK-TO-SCHOOL PRESENTATIONS REGARDING THE IMPORTANCE OF VACCINES FOR INFLUENZA, PNEUMONIA AND SHINGLES. ISSUE: INFANT HEALTH AND FAMILY PLANNING A VARIETY OF PROGRAMS WERE OFFERED TO PATIENTS, FAMILY AND CAREGIVERS AT NO CHARGE OR FOR A NOMINAL FEE. THEY INCLUDE. -A 3-HOUR BREASTFEEDING CLASS OFFERED TO NEW PARENTS. -SIBLINGS AND GRANDPARENTS PREPARATION CLASS OFFERED TO FAMILY MEMBERS. -CAR SEAT SAFETY CLASS OFFERED TO EXPECTING PARENTS. -PREPARED CHILDBIRTH CLASS PROVIDED TO NEW PARENTS THAT COVER LABOR AND DELIVERY, OBSTETRIC INTERVENTIONS, MEDICATIONS, CESAREAN, DELIVERY, NEWBORN CARE AND FEELINGS. -GESTATIONAL DIABETES CLASS OFFERED TO PREGNANT WOMEN TO MONITOR GLUCOSE, EATING CORRECTLY AND MANAGE MEDICATION. ISSUES: INJURY AND VIOLENCE, POTENTIALLY DISABLING CONDITIONS - EMERGENCY ROOMS AT AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER HAVE BEEN TRAINED ON IDENTIFYING AND SUPPORTING HUMAN TRAFFICKING SURVIVORS. A SURVEY CONDUCTED BY THE COALITION TO ABOLISH SLAVERY AND TRAFFICKING (CAST) FOUND OVER HALF OF LABOR AND SEX TRAFFICKING SURVIVORS SURVEYED HAD ACCESSED HEALTH CARE AT LEAST ONCE WHILE BEING TRAFFICKED. THIS SHOWS AN OPPORTUNITY FOR EMERGENCY DEPARTMENTS, FIRST RESPONDERS AND EMT STAFF TO DETECT POTENTIAL SITUATIONS. - AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER PROVIDED FREE SURVIVORS SUPPORT GROUP TO THOSE WHO HAVE EXPERIENCED A STROKE, HEAD INJURY OR OTHER NEUROLOGICAL INJURY. FAMILIES, FRIENDS AND CAREGIVERS WERE ALL WELCOME TO ATTEND AT NO CHARGE. ISSUES: MENTAL HEALTH, SUBSTANCE ABUSE AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER INITIATED A THREE-YEAR (3) PLAN WITH KENNETH YOUNG CENTER, A COMMUNITY HEALTH CENTER TO FUND A CLINICIAN ON THE CHILD TEAM SERVING CHILDREN (PRIMARILY 14 OR YOUNGER). FUNDING FROM AMITA HEALTH SERVED PEDIATRIC PATIENTS AND PROVIDED ADDITIONAL HOURS OF THERAPY, AS WELL AS LINKED PATIENTS TO KYC'S FULL SUITE OF BEHAVIORAL SUPPORT SERVICES. SUBSTANCE ABUSE PROGRAMMING IS DISSEMINATED THROUGH ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL, A HOSPITAL AFFILIATED WITH AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER. ISSUES: NUTRITION, PHYSICAL ACTIVITY AND WEIGHT AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER ALONG WITH ITS MEMBER HOSPITAL, AMITA HEALTH ST. ALEXIUS MEDICAL CENTER (SAMC), OFFER THE GONOODLE PROGRAMMING TO THE SCHAUMBURG AND ELGIN AREA SCHOOL DISTRICTS. GONOODLE IS AN ONLINE SUITE OF PROGRAMS DESIGNED TO IMPROVE CHILDREN'S PHYSICAL ACTIVITY AND NUTRITION. THIS INCLUDES OVER 50 SCHOOLS WITH AN AVERAGE OF 14,000 STUDENTS PARTICIPATING IN GONOODLE ACTIVITIES ON A MONTHLY BASIS. GONOODLE CREATES AN ENGAGING AND FUN ENVIRONMENT WHERE CHILDREN MOVE AROUND THE CLASSROOM, INCREASING THEIR PHYSICAL ACTIVITY TIME WHILE LEARNING THEIR CURRICULUM MATERIAL. NATIONALLY, THE UTILIZATION OF GONOODLE SHOWED 23% GREATER IMPROVEMENT IN READING SCORES, 50% GREATER IMPROVEMENT IN MATH SCORES AND 13% IMPROVEMENT IN CHILDHOOD WEIGHT (AS MEASURED BY BMI) COMPARED TO CHILDREN WHO DIDN'T PLAY GONOODLE. ISSUES: TYPE II DIABETES, HEART DISEASE AND STROKE AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER ALONG WITH ITS MEMBER HOSPITAL, AMITA HEALTH ST. ALEXIUS MEDICAL CENTER, PARTNERED WITH GOLDEN CORRIDOR FAMILY YMCA IN ELGIN AND SCHAUMBURG TO LAUNCH THE DIABETES PREVENTION PROGRAM (DPP) FOR THE AT-RISK POPULATION AND THOSE WHO WERE UNDERINSURED. THE GOAL OF THE DPP PROGRAM IS FOR PARTICIPANTS TO LOSE 5-7% OF BODY WEIGHT (2% BMI DECREASE) DURING THE PROGRAM AND MAINTAIN THE WEIGHT AFTER THE PROGRAM. THE PROGRAM ALSO AIMS TO INCREASE PHYSICAL ACTIVITY OF PARTICIPANTS TO 150 MINUTES PER WEEK. BOTH HOSPITALS OFFER FINANCIAL SUPPORT IN INITIATING THE DPP PROGRAM WHILE OFFERING FINANCIAL AID TO THE PARTICIPANTS THUS TARGETING PARTICIPANTS WHOM WERE UNDERINSURED. OFFERING DIABETES CARE AND CHRONIC MANAGEMENT SERVICES IN THE COMMUNITIES BATTLING HIGH RATES OF THESE DISEASES IMPROVES ACCESS TO HEALTH CARE. ISSUE: CHRONIC DISEASE PREVENTION AS A PREVENTION METHOD, AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER'S SENIOR & COMMUNITY RESOURCE CENTER OFFERED EDUCATIONAL AND OUTREACH SERVICES TO THE SENIORS OF THE COMMUNITY AT NO CHARGE. THESE COMMUNITY PROGRAMS INCLUDE BLOOD SCREENING, CHOLESTEROL SCREENING, OSTEOPOROSIS SCREENING, MEMORY SCREENING. THESE SERVICES WERE OFFERED AT VARIOUS LOCATIONS SUCH AS THE LOCAL LIBRARY, AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER, THE SENIOR CENTER AND LOCAL YMCA TO MAKE SURE THE SERVICES REACH THE ONES WITH NEED IN THE COMMUNITY. THESE COMMUNITY HEALTH SCREENINGS HAVE PROVIDED FREE EDUCATIONAL CARE TO OVER 2,000 COMMUNITY MEMBERS. REGISTERED NURSES FROM AMITA HEALTH PROVIDE MONTHLY, FREE BLOOD PRESSURE SCREENINGS. AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER OFFERED BI-MONTHLY BLOOD PRESSURE SCREENINGS TO PREVENT HYPERTENSION-RELATED HEALTH RISKS TO THE COMMUNITY. THE HOSPITAL PROVIDED BLOOD PRESSURE SCREENING TO OVER HUNDREDS PEOPLE IN THE COMMUNITY. ISSUE: RESPIRATORY DISEASES AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER RUNS A TOP-OF-THE-LINE LUNG DIAGNOSTIC CENTER, WHICH PROVIDES ADVANCED DIAGNOSTIC TESTING SERVICES, INCLUDING PULMONARY FUNCTION TESTING, INTEGRATED CARDIOPULMONARY EXERCISE TESTING AND UPPER AIRWAY EVALUATION FOR VOCAL CORD DYSFUNCTION SYNDROME. A NEWLY DEVELOPED CT LUNG CANCER SCREENING PROGRAM HAS SERVED HUNDREDS OF PATIENTS AND INCLUDES SPIROMETRY SCREENING FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD). ISSUE: SEXUALLY TRANSMITTED DISEASES AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER DOES NOT PROVIDE SPECIFIC PROGRAMMING FOR THIS ISSUE BUT PROVIDES REFERRALS TO PRIMARY CARE FOR ANY COMMUNITY MEMBER NEEDING ASSISTANCE. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - ALEXIAN BROTHERS MEDICAL CENTER. ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING CHARITY. THE FRONT OF OUR STATEMENT INCLUDES THIS MESSAGE: "IF YOU ARE AN UNINSURED ILLINOIS RESIDENT AND MEET CERTAIN INCOME REQUIREMENTS, YOU MAY QUALIFY FOR A DISCOUNT THROUGH OUR ALEXIAN ASSISTANCE PROGRAM IN ACCORDANCE WITH THE STATE OF ILLINOIS, HOSPITAL UNINSURED PATIENT DISCOUNT ACT (EFFECTIVE APRIL 1, 2009). FOR ADDITIONAL INFORMATION, PLEASE CONTACT US AT 866-690-3370 OR ALEXIANASSISTANCE@ALEXIAN.NET". THE BACK OF OUR STATEMENT INCLUDES THIS MESSAGE: "IF PAYING THIS BILL PRESENTS A FINANCIAL HARDSHIP, YOU MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALEXIAN BROTHERS HOSPITAL NETWORK PROVIDES ASSISTANCE TO PATIENTS IN NEED OF FINANCIAL AID TO HELP PAY FOR HIS/HER HOSPITAL BILLS. YOU MAY OBTAIN AN APPLICATION BY CALLING OUR STAFF AT THE NUMBER BELOW OR YOU MAY DOWNLOAD THE FORMS FROM THE INTERNET AT WWW.ALEXIANBROTHERSHEALTH.ORG". IN ADDITION, ALL UNINSURED PATIENTS RECEIVE A LETTER FROM OUR PATIENT FINANCIAL SERVICES DEPARTMENT ONCE WE COMPLETE A PROCESS OF ATTEMPTING TO IDENTIFY ALTERNATIVE COVERAGE FOR UNINSURED PATIENTS. THIS LETTER IS SENT AT THE BEGINNING OF OUR STATEMENT CYCLE FOR EACH UNINSURED PATIENT. THE TEXT OF THE LETTER IS: "THANK YOU FOR CHOOSING [HOSPITAL NAME] AS YOUR HEALTHCARE PROVIDER. YOUR ACCOUNT CURRENTLY HAS A BALANCE OF $XX; ADDITIONAL CHARGES MAY BE PENDING. WE HAVE NO RECORD THAT YOU HAVE HEALTH INSURANCE TO HELP IN PAYING YOUR BILL. IF YOU HAVE INSURANCE, PLEASE PROVIDE THE NECESSARY INFORMATION BY FILLING OUT THE STUB ABOVE AND FAXING A COPY OF YOUR INSURANCE CARD TO 847-483-7058, ATTN: CORRESPONDENCE TEAM. IF YOU HAD INSURANCE THAT ENDED WITHIN THE LAST 60 DAYS, YOU MAY BE ELIGIBLE FOR COBRA COVERAGE FROM A FORMER EMPLOYER. PLEASE CONTACT YOUR FORMER EMPLOYER TO DETERMINE IF YOU ARE ELIGIBLE." ALEXIAN BROTHERS HEALTH SYSTEM USES MULTIPLE METHODS OF COMMUNICATING ITS MISSION OF PROVIDING CARE TO ALL WHO NEED IT REGARDLESS OF ABILITY TO PAY. SIGNS POSTED AT REGISTRATION CLEARLY POINT OUT THAT CHARITY CARE OR FINANCIAL ASSISTANCE IS AVAILABLE. ALEXIAN BROTHERS HEALTH SYSTEM'S WEBSITE, THE MAIN WEBSITE FOR ALL SYSTEM HOSPITALS, FEATURES INFORMATION ON HOW TO APPLY FOR CHARITY CARE ON-LINE. IN THE HOSPITAL SETTING, WE EMPLOY TWO FINANCIAL COUNSELORS WHO ARE AVAILABLE TO WORK WITH PATIENTS AND WE ALSO HAVE MEDICAID APPLICATION SPECIALISTS TO ASSIST PATIENTS THAT MAY QUALIFY. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING CHARITY. 5 Alexian Rehabilitation Hospital 955 Beisner Road Elk Grove Village IL 600073397 Healthcare Services Alexian Brothers Hospice Residence 1000 Martha Street Elk Grove Village IL 60007 Healthcare Services ABMC Diagnostic Imaging 1339 West Lake Street Addison IL 60101 Diagnostic Imaging Services ABMC Cardiovascular Imaging 1555 Barrington Road Hoffman Estates IL 60169 Diagnostic Imaging Services ABMC Diagnostic Imaging 1060 South Elmhurst Road Mount Prospect IL 60056 Diagnostic Imaging Services Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG AT A MINIMUM, PATIENTS WITH INCOMES ABOVE 250% OF THE FPL BUT NOT EXCEEDING 400% OF THE FPL WILL RECEIVE A SLIDING SCALE DISCOUNT ON THAT PORTION OF THE CHARGES FOR SERVICES PROVIDED FOR WHICH THE PATIENT IS RESPONSIBLE FOLLOWING PAYMENT BY AN INSURER, IF ANY. A PATIENT ELIGIBLE FOR THE SLIDING SCALE DISCOUNT WILL NOT BE CHARGED MORE THAN THE CALCULATED AGB CHARGES. Schedule H, Part VI, Line 7 State of Filing for Community Benefit Alexian Brothers Hospital Network ("ABHN") prepares and files the Annual Non-Profit Hospital Community Benefit Plan Report with the Attorney General's Office of the State of Illinois. This report is prepared on a consolidated basis and includes data for Alexian Brothers Medical Center ("ABMC"), St. Alexius Medical Center ("SAMC") and Alexian Brothers Behavioral Health Hospital ("ABBHH"). Schedule H, Part I, Line 6a NAME OF RELATED ORGANIZATION THAT PREPARED COMMUNITY BENEFIT REPORT ALEXIAN BROTHERS HOSPITAL NETWORK (ABHN), EIN#36-327655 Schedule H, Part I, Line 7g Subsidized Health Services THIS HOSPITAL HAS NOT INCLUDED COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC AS PART OF SUBSIDIZED HEALTH SERVICES. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE FOLLOWING COSTING METHODOLOGIES WERE USED: -CHARITY AT COST - A COST TO CHARGE METHODOLOGY BASED ON THE FILED 2018 MEDICARE COST REPORT WAS USED TO CALCULATE COSTS . -UNREIMBURSED MEDICAID - COSTS ARE CALCULATED USING THE 2018 FILED MEDICAID COST REPORT. -OTHER BENEFITS - COSTS ARE DETERMINED BY ACTIVITY REPORTED IN ACCORDANCE WITH GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION; COSTS COULD INCLUDE THE VALUE OF HOURLY WAGES, COSTS OF MATERIALS, VALUE OF SPACE LOANED TO COMMUNITY GROUPS FOR MEETINGS, AND INDIRECT COSTS WHERE APPLICABLE Schedule H, Part II Community Building Activities THE COMMUNITY BUILDING EFFORTS INCLUDE ECONOMIC DEVELOPMENT OPPORTUNITIES WITH CHAMBERS OF COMMERCE; PROVIDING INTERNSHIPS AND SCHOLARSHIPS TO LOCAL COLLEGES; AND SPONSORING FUND RAISERS FOR COMMUNITY ORGANIZATIONS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2019 WAS $ 19,816,877 AT CHARGES, ($3,998,167 AT COST). Schedule H, Part III, Line 3 Bad Debt Expense Methodology ALEXIAN BROTHERS MEDICAL CENTER has a very robust financial assistance program; therefore, no estimate is made for bad debt attributable to financial assistance eligible patients. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THE BAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 18-20. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE EXPENSE TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IT IS THE POLICY OF ABHS TO OFFER PATIENTS A PAYMENT PLAN AND/OR CHARITY ASSISTANCE WHEN IT BECOMES KNOWN OR EVEN SUSPECTED THAT A PATIENT NEEDS FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS ARE NOTIFIED AND EVERY ATTEMPT IS MADE TO CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP THEM COMPLETE AN APPLICATION WITH COMPASSION AND DIGNITY. FINANCIAL COUNSELORS WORK WITH PATIENTS TO HELP DETERMINE IF THERE ARE ANY THIRD PARTY PAYERS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS. WE WORK WITH THE PATIENT TO DETERMINE IF THEY ARE ELIGIBLE FOR FEDERAL PROGRAMS INCLUDING MEDICAID, STATE FUNDED PROGRAMS INCLUDING CRIME VICTIMS, ALTERNATIVE INSURANCE INCLUDING COBRA, WORKER'S COMPENSATION AND OR OTHER SPECIALIZED GRANT PROGRAMS SUCH AS OUR MAMMOGRAPHY GRANT PROGRAM FOR LOW INCOME WOMEN. IN THE EVENT NO THIRD PARTY PROGRAMS ARE IDENTIFIED, WE THEN WORK WITH THE PATIENT TO HELP THEM APPLY FOR CHARITY DISCOUNTS AND PAYMENT PLANS. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING CHARITY. Schedule H, Part V, Section B, Line 16a FAP website - Alexian Brothers Medical Center: Line 16a URL: https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - Alexian Brothers Medical Center: Line 16b URL: https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Alexian Brothers Medical Center: Line 16c URL: https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment EXISTING SECONDARY DATA SOURCES WERE CONSULTED TO COMPLEMENT THE RESEARCH QUALITY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. DATA WERE OBTAINED FROM THE FOLLOWING SOURCES: *CENTER FOR APPLIED RESEARCH AND ENVIRONMENTAL SYSTEMS (CARES) *CENTERS FOR DISEASE CONTROL & PREVENTION, OFFICE OF INFECTIOUS DISEASE, NATIONAL CENTER FOR HIV/AIDS, VIRAL HEPATITIS, STD, AND TB PREVENTION *CENTERS FOR DISEASE CONTROL & PREVENTION, OFFICE OF PUBLIC HEALTH SCIENCE SERVICES, CENTER FOR SURVEILLANCE, EPIDEMIOLOGY AND LABORATORY SERVICES, DIVISION OF HEALTH INFORMATICS AND SURVEILLANCE (DHIS) *CENTERS FOR DISEASE CONTROL & PREVENTION, OFFICE OF PUBLIC HEALTH SCIENCE SERVICES, NATIONAL CENTER FOR HEALTH STATISTICS *COMMUNITY COMMONS *CONNECTICUT DEPARTMENT OF PUBLIC HEALTH *ESRI ARCGIS MAP GALLERY *NATIONAL CANCER INSTITUTE, STATE CANCER PROFILES *OPENSTREETMAP (OSM) *US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY *US CENSUS BUREAU, COUNTY BUSINESS PATTERNS *US CENSUS BUREAU, DECENNIAL CENSUS *US DEPARTMENT OF AGRICULTURE, ECONOMIC RESEARCH SERVICE *US DEPARTMENT OF HEALTH & HUMAN SERVICES *US DEPARTMENT OF HEALTH & HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) *US DEPARTMENT OF JUSTICE, FEDERAL BUREAU OF INVESTIGATION *US DEPARTMENT OF LABOR, BUREAU OF LABOR STATISTICS SECONDARY DATA INDICATORS REFLECT COUNTY-LEVEL DATA FOR COOK, LAKE, AND DUPAGE COUNTIES. WHILE THIS ASSESSMENT IS QUITE COMPREHENSIVE, IT CANNOT MEASURE ALL POSSIBLE ASPECTS OF HEALTH IN THE COMMUNITY, NOR CAN IT ADEQUATELY REPRESENT ALL POSSIBLE POPULATIONS OF INTEREST. IT MUST BE RECOGNIZED THAT THESE INFORMATION GAPS MIGHT IN SOME WAYS LIMIT THE ABILITY TO ASSESS ALL OF THE COMMUNITY'S HEALTH NEEDS. FOR EXAMPLE, CERTAIN POPULATION GROUPS - SUCH AS THE HOMELESS, INSTITUTIONALIZED PERSONS, OR THOSE WHO ONLY SPEAK A LANGUAGE OTHER THAN ENGLISH OR SPANISH - ARE NOT REPRESENTED IN THE SURVEY DATA. OTHER POPULATION GROUPS - FOR EXAMPLE, PREGNANT WOMEN, LESBIAN/GAY/BISEXUAL/TRANSGENDER RESIDENTS, UNDOCUMENTED RESIDENTS, AND MEMBERS OF CERTAIN RACIAL/ETHNIC OR IMMIGRANT GROUPS - MIGHT NOT BE IDENTIFIABLE OR MIGHT NOT BE REPRESENTED IN NUMBERS SUFFICIENT FOR INDEPENDENT ANALYSES. IN TERMS OF CONTENT, THIS ASSESSMENT WAS DESIGNED TO PROVIDE A COMPREHENSIVE AND BROAD PICTURE OF THE HEALTH OF THE OVERALL COMMUNITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance MULTIPLE METHODS ARE USED AT ALEXIAN BROTHERS HEALTH SYSTEM TO COMMUNICATE ITS MISSION OF PROVIDING CARE TO ALL WHO NEED IT REGARDLESS OF ABILITY TO PAY. SIGNS POSTED AT REGISTRATION CLEARLY POINT OUT THAT CHARITY CARE OR FINANCIAL ASSISTANCE IS AVAILABLE. ALEXIAN BROTHERS HEALTH SYSTEM'S (ABHS) WEBSITE, THE MAIN WEBSITE FOR ALL SYSTEM HOSPITALS, FEATURES INFORMATION ON HOW TO APPLY FOR CHARITY CARE ON-LINE. IN THE HOSPITAL SETTING, WE EMPLOY FINANCIAL COUNSELORS WHO ARE AVAILABLE TO WORK WITH PATIENTS AND TAKE MEDICAID APPLICATIONS TO ASSIST PATIENTS THAT MAY QUALIFY. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING CHARITY. Schedule H, Part VI, Line 4 Community information IN THE alexian brothers medical center (abmc) SERVICE AREA, THE POPULATION IS SLIGHTLY OLDER WITH 15.4% OF RESIDENTS OVER AGE 65 AS COMPARED TO 13.9% IN ILLINOIS. 19.2% OF THE POPULATION IS HISPANIC, A HIGHER PERCENTAGE AS COMPARED TO 16.7% IN ILLINOIS AND 17.4% IN THE US. THE COMMUNITY'S SOCIAL DETERMINANTS ARE FAIRLY AVERAGE, EXCEPT THAT THERE ARE 7.6% OF RESIDENTS THAT IS CONSIDERED "LINGUISTICALLY ISOLATED" IE DO NOT SPEAK ENGLISH. NEARLY 15% OF THE POPULATION LIVES AT OR BELOW 100% OF THE POVERTY LEVEL AND 32.3% ARE AT OR BELOW THE 200% OF THE POVERTY LEVEL, REPRESENTING 2,174,865 INDIVIDUALS. IN THE ASSESSMENT, IT IS MOST OFTEN THESE INDIVIDUALS THAT HAVE DIFFICULTY ACCESSING SERVICES AND HAVE POORER OVERALL HEALTH, AND SO OUR EFFORTS TO PROVIDE THE COMMUNITY WITH NEEDED SERVICES SHOULD BE DIRECTED IN MOST CASES TOWARDS THIS POPULATION. Schedule H, Part VI, Line 5 Promotion of community health alexian brother medical center's (abmc) GOVERNING BODY IS THE HOSPITAL BOARD OF DIRECTORS. THE BOARD OF DIRECTORS REPORT UP THROUGH THE ALEXIAN BROTHERS HEALTH SYSTEM BOARD OF GOVERNORS. THE MAJORITY OF THE BOARD OF DIRECTORS MEMBERS LIVE AND WORK IN THE COMMUNITY AND SERVE TO SUPPORT THE MISSION AND VALUES OF THE ALEXIAN BROTHERS. alexian brother medical center EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY AND ENDEAVORS TO PROVIDE THEM WITH THE SAFEST AND MOST TECHNOLOGICALLY ADVANCED ENVIRONMENT POSSIBLE THROUGH THE EFFECTIVE USE OF SURPLUS FUNDS. SOME OF OUR SURPLUS FUNDS HAVE BEEN USED TO PURCHASE TECHNOLOGY FOR NON-INVASIVE BRAIN MAPPING AND NON-INVASIVE TECHNOLOGY FOR TREATING BRAIN TUMORS IN PRIOR YEARS. AS NECESSARY, alexian brother medical center RECRUITS MEDICAL SPECIALISTS AND SUBSPECIALISTS WHO PROVIDE THE EXPERTISE FOR EMERGING TECHNOLOGIES THAT ADVANCE PATIENT CARE. alexian brother medical center STRIVES TO FULLY SERVE THE COMMUNITY THROUGH PARTICIPATION IN GOVERNMENT SPONSORED HEALTHCARE PROGRAMS SUCH AS MEDICARE, MEDICAID, CHAMPUS AND TRICARE. alexian brother medical center ALSO PARTICIPATES IN RESEARCH AND EDUCATION. Schedule H, Part VI, Line 6 Affiliated health care system ALEXIAN BROTHERS MEDICAL CENTER IS A MEMBER HOSPITAL OF ALEXIAN BROTHERS HEALTH SYSTEM (ABHS), A COMPREHENSIVE AND DIVERSIFIED HEALTHCARE ORGANIZATION LOCATED IN ARLINGTON HEIGHTS, ILLINOIS, A COMMUNITY IN CHICAGO'S NORTHWESTERN SUBURBS. A MINISTRY ORGANIZATION OF ASCENSION, THE LARGEST CATHOLIC HEALTH SYSTEM IN THE NATION, ABHS CONSISTS OF TWO ACUTE-CARE HOSPITALS, THREE SPECIALTY HOSPITALS, A COMMUNITY MENTAL HEALTH CENTER, CLINICAL INSTITUTES, DIAGNOSTIC IMAGING FACILITIES AND THE ALEXIAN BROTHERS AMBULATORY GROUP, D/B/A ALEXIAN BROTHERS MEDICAL GROUP, WHICH IS PART OF THE AMITA HEALTH MEDICAL GROUP. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN MORE THAN 20 OF THE STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. AMITA HEALTH (WWW.AMITAHEALTH.ORG) IS A JOINT OPERATING COMPANY FORMED BY ASCENSION HEALTH AND ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION OF WHICH ADVENTIST MIDWEST HEALTH, AND ALEXIAN BROTHERS HEALTH SYSTEM, ARE THE MEMBERS. AMITA HEALTH WELCOMED PRESENCE HEALTH TO THE ORGANIZATION IN MARCH 2018, MAKING AMITA HEALTH THE LARGEST HEALTH SYSTEM IN ILLINOIS. THROUGH ITS MEMBERS, AMITA HEALTH HAS OVER 25,000 ASSOCIATES COMMITTED TO DELIVERING THE MOST EFFICIENT, HIGHEST QUALITY, FAITH-BASED CARE AT NINETEEN ACUTE AND SPECIALTY CARE HOSPITALS AND AT MORE THAN 200 AMBULATORY/CLINIC LOCATIONS. AMITA HEALTH HAS AN EXTENSIVE PROVIDER NETWORK OF OVER 7,000 HOSPITAL-AFFILIATED PHYSICIANS, AND THE AMITA HEALTH MEDICAL GROUP CONSISTS OF OVER 800 MULTI-SPECIALTY EMPLOYED PHYSICIANS AND ASSOCIATE PRACTITIONERS, RANKING IT AMONG THE LARGEST REGIONAL MEDICAL GROUPS. AMITA HEALTH'S MISSION IS TO EXTEND THE HEALING MINISTRY OF JESUS BY RESPECTING THE FAITH TRADITIONS OF THE MANY INDIVIDUALS AND FAMILIES IT SERVES ACROSS SUBURBAN CHICAGO. WITH A SACRED MISSION OF EXTENDING THE HEALING MINISTRY OF CHRIST, ADVENT HEALTH (WWW.ADVENTHEALTH.COM) IS A CONNECTED SYSTEM OF CARE FOR EVERY STAGE OF LIFE AND HEALTH. MORE THAN 80,000 SKILLED AND COMPASSIONATE CAREGIVERS IN PHYSICIAN PRACTICES, HOSPITALS, OUTPATIENT CLINICS, SKILLED NURSING FACILITIES, HOME HEALTH AGENCIES AND HOSPICE CENTERS PROVIDE INDIVIDUALIZED, HOLISTIC CARE. A CHRISTIAN MISSION, SHARED VISION, COMMON VALUES, FOCUS ON WHOLE-PERSON HEALTH AND COMMITMENT TO MAKING COMMUNITIES HEALTHIER UNIFY THE SYSTEM'S 45 HOSPITAL CAMPUSES AND HUNDREDS OF CARE SITES IN DIVERSE MARKETS THROUGHOUT NINE STATES. THE COVERED AFFILIATES WITHIN AMITA HEALTH PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTHCARE SERVICES AND ACCESS TO THE MOST ADVANCED MEDICAL TECHNOLOGY. THEIR HEALTHCARE PROFESSIONALS ARE PASSIONATE ABOUT DELIVERING EXCEPTIONAL HEALTHCARE AND ARE PROUD OF THE POWERFUL, CUTTING-EDGE TECHNOLOGY OFFERED BY THE SYSTEM. THE COVERED AFFILIATES WITHIN AMITA HEALTH ALSO OFFER A WIDE RANGE OF COMMUNITY HEALTH SERVICES, CORPORATE WELLNESS PROGRAMS, PREVENTIVE CARE AND EDUCATION. AS CHARITABLE ORGANIZATIONS, THEY RECOGNIZE THAT NOT EVERYONE CAN AFFORD ESSENTIAL MEDICAL SERVICES AND THAT THEIR MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH AMITA HEALTH'S COMMITMENT TO SERVING 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 AND MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES INCLUDING, BUT NOT LIMITED TO, EDUCATIONAL AFFILIATIONS, HEALTH SCREENINGS, COUNSELING PROGRAMS, CONTINUING MEDICAL EDUCATION (CME) PROGRAMS AND DONATIONS TO COMMUNITY GROUPS. Schedule H, Part VI, Line 7 State filing of community benefit report IL true SCHOLARSHIPS 11 23000 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The AMITA Health Alexian Brothers Medical Center Scholarship Committee reviews applications and awards the scholarships. Tuition payments are remitted directly to the school, not to the individual. false true false false false false false false false JOHN WERRBACH EX-OFFICIO/PRESIDENT & CEO (END 1/2019) 0 449625 0 135990 0 22675 0 0 0 1696 0 609986 0 0 MARK A FREY CEO, AMITA HEALTH 0 1063441 0 924173 0 217435 0 17875 0 23017 0 2245941 0 0 HENRY ZEISEL TREASURER 0 283300 0 0 0 14433 0 0 0 1109 0 298842 0 0 DIANA WOYTKO SECRETARY 0 286610 0 135000 0 8903 0 0 0 1093 0 431606 0 0 LAURENCE R DRY III FORMER KEY EMPLOYEE (END 12/2017) 0 274175 0 0 0 11996 0 0 0 1065 0 287236 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A related organization of the filing organization, uses the following methods to establish the compensation of the organization's CEO: - Compensation committee - Independent compensation consultant - Form 990 of other organizations - Compensation survey or study - Approval by the Compensation Committee 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 PAYMENTS WERE MADE TO LISTED PERSONS IN PART VII UNDER THE THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING CALENDAR YEAR 2018. Form 990, Part IV, Line 20b AUDITED Financial Statements The activity of Alexian Brothers Medical Center is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Alexian Brothers Medical Center is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Alexian Brothers Medical Center. 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 IS PERFORMED BY A RELATED ORGANIZATION. THE PROCESS INCLUDES REVIEW AND APPROVAL BY INDEPENDENT PERSONS OF THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE, USE OF COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. THE COMPENSATION COMMITTEE IS CHARGED WITH OVERSEEING THE PROCESS IN A MANNER DESIGNED 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 OTHER OFFICERS OR KEY EMPLOYEES IS PERFORMED BY A RELATED ORGANIZATION. THE PROCESS INCLUDES REVIEW AND APPROVAL BY INDEPENDENT PERSONS OF THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE, USE OF COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. THE COMPENSATION COMMITTEE IS CHARGED WITH OVERSEEING THE PROCESS IN A MANNER DESIGNED 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 4 Significant changes to organizational documents THE ORGANIZATION'S BYLAWS WERE AMENDED EFFECTIVE JUNE 19, 2019 TO DESIGNATE ASCENSION HEALTH AS ITS FISCAL AGENT TO CONTROL ITS FINANCES AND FINANCIAL POLICIES AND CONDUCT CERTAIN OF ITS BUSINESS ACTIVITIES. Form 990, Part VI, Line 6 Classes of members or stockholders ALEXIAN BROTHERS MEDICAL CENTER HAS ONE CORPORATE MEMBER. ALEXIAN BROTHERS HEALTH SYSTEM IS THE CORPORATE MEMBER OF EACH OF ITS SUBSIDIARIES. THE INSTITUTE MEMBER OF ALEXIAN BROTHERS HEALTH SYSTEM IS ASCENSION HEALTH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Subject to the ratification of the Board of Alexian Brothers-AHS Midwest Region Health, Co., Alexian Brothers Health System has the authority to appoint and remove Directors and Executive Officers of Alexian Brothers Medical Center. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ALEXIAN BROTHERS MEDICAL CENTER FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY THE CORPORATE MEMBER, ALEXIAN BROTHERS HEALTH SYSTEM, SUBJECT TO THE APPROVAL OF ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX, 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, Part VIII, Line 2f Other Program Service Revenue Other Program Revenue - Total Revenue: 7616, Related or Exempt Function Revenue: 7616, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Late Penalty Fees - Total Revenue: 190, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 190; Medical Records Fees - Total Revenue: 817, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 817; Miscellaneous Revenue - Total Revenue: 532323, Related or Exempt Function Revenue: 36653, Unrelated Business Revenue: 134916, Revenue Excluded from Tax Under Sections 512, 513, or 514: 360754; Research Revenues - Total Revenue: 25875, Related or Exempt Function Revenue: 25875, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Medical Staff Dues - Total Revenue: 61000, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 61000; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers with ALPHA - -65620632; Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant ALEXIAN BROTHERS MEDICAL CENTER is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole. Form 990, Page 1, Box C D/B/A NAMES Alexian Brothers Medical Center has the following d/b/a names: - Alexian Brothers Home Health - Alexian Brothers Hospice - AMITA Health Alexian Brothers Medical Center, Elk Grove Village - AMITA Health Alexian Brothers Rehabilitation Hospital, Elk Grove Village, in Partnership with Rehabilitation Institute of Chicago AFFINITY HEALTH SYSTEM 1506 Oneida St Appleton WI 54915 391568866 HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC true AGAPE COMMUNITY CENTER OF MILWAUKEE INC 6100 NORTH 42ND STREET MILWAUKEE WI 53209 391641846 COMMUNITY CENTER WI 501(c)(3) 7 MINISTRY HEALTH CARE INC true ALABAMA PROVIDENCE HEALTHCARE SERVICES 6801 AIRPORT BLVD MOBILE AL 36608 462847744 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM true Alexian Brothers - AHS Midwest Region Health Co 2601 Navistar Drive Lisle IL 60532 472360513 Joint Operating Company IL 501(c)(3) Type II NA false Alexian Brothers Ambulatory Group 2601 Navistar Drive Lisle IL 60532 364336931 Physician services IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Behavioral Health Hospital 1650 Moon Lake Blvd Hoffman Estates IL 60169 364251848 Behavioral health hospital IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Bonaventure House 825 Wellington Avenue Chicago IL 60657 363527899 Housing and supportive care services for persons with HIV/AIDS IL 501(c)(3) 10 Alexian Brothers Health System true Alexian Brothers Center for Mental Health 3436 N Kennicott Avenue Arlington Heights IL 60004 363045007 Outpatient community mental health services IL 501(c)(3) 10 Alexian Brothers Health System true Alexian Brothers Community Services 12250 Weber Hill Rd Ste 200 St Louis MO 63127 364344423 PACE- Comprehensive & Coordinated Community Based Services IL 501(c)(3) 10 Ascension Health Senior Care true Alexian Brothers Health System 200 South Wacker Drive Chicago IL 60606 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 true Alexian Brothers Hospital Network 2601 Navistar Drive Lisle IL 60532 363276552 Supports the provision of healthcare services for related corporations IL 501(c)(3) Type III-FI Alexian Brothers Health System true ALEXIAN BROTHERS LANSDOWNE VILLAGE 12250 Weber Hill Rd Ste 200 ST LOUIS MO 63127 431470362 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true Alexian Brothers Medical Care Group NFP 2601 Navistar Drive Lisle IL 60532 471930457 Physician services IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Medical Group Specialty Care 2601 Navistar Drive Lisle IL 60532 811110738 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 ALEXIAN BROTHERS HEALTH SYSTEM true Alexian Brothers of San Jose Inc 2601 Navistar Drive Lisle IL 60532 941530037 Acute care hospital (sold in 1998) TX 501(c)(3) Type I Alexian Brothers Health System true Alexian Brothers Senior Ministries 12250 Weber Hill Rd Ste 200 ST LOUIS MO 63127 364484290 Supports the provision of healthcare for related corporations IL 501(c)(3) Type II Alexian Brothers Health System true Alexian Brothers Services Inc 3040 W Salt Creek Ln Arlington Heights IL 60005 431295333 HUD housing MO 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS SHERBROOKE VILLAGE 12250 Weber Hill Rd Ste 200 St Louis MO 63127 431592502 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true Alexian Brothers Specialty Group 2601 Navistar Drive Lisle IL 60532 800710751 Specialty physician practice group IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN VILLAGE OF MILWAUKEE INC 12250 Weber Hill Rd Ste 200 St Louis MO 63127 391351584 CONTINUING CARE RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN VILLAGE OF TENNESSEE 12250 Weber Hill Rd Ste 200 St Louis MO 63127 621136742 CONTINUING CARE RETIREMENT COMMUNITY TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALVERNO PROVENA HOSPITAL LABORATORIES INC 2434 Interstate Plaza Drive Hammond IN 46234 203238867 HEALTH CARE IN 501(c)(3) 3 Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITAL S NETWORK true AMERICAN SPORTS MEDICINE INSTITUTE 2660 10TH AVENUE SOUTH NO 505 BIRMINGHAM AL 35205 630952490 SPORTS MEDICINE AL 501(c)(3) 7 ST VINCENT'S BIRMINGHAM true ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME 1190 E 2900 N ROAD CLIFTON IL 60927 362841358 RETIREMENT COMMUNITY IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true ASCENSION MICHIGAN CMG 28000 DEQUINDRE ROAD WARREN MI 48092 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION ALL SAINTS HOSPITAL INC 3801 SPRING STREET RACINE WI 53405 391264986 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ARIZONA 2202 N FORBES BLVD TUCSON AZ 85745 860455920 HOSPITAL AZ 501(c)(3) 3 ASCENSION HEALTH true ASCENSION BORGESS FOUNDATION 1521 GULL ROAD KALAMAZOO MI 49048 237222558 FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION BORGESS HOSPITAL true ASCENSION BORGESS HOSPITAL 1521 GULL ROAD KALAMAZOO MI 49048 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS LEE FOUNDATION 420 W HIGH STREET DOWAGIAC MI 49047 382860459 FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION BORGESS-LEE HOSPITAL true ASCENSION BORGESS-LEE HOSPITAL 420 WEST HIGH STREET DOWAGIAC MI 49047 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BRIGHTON CENTER FOR RECOVERY 12851 GRAND RIVER BRIGHTON MI 48116 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION CALUMET HOSPITAL INC 614 MEMORIAL DRIVE CHILTON WI 53014 390905385 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true Ascension Care Management Insurance Holdings (FKA Global Health Partnership ) 101 South Hanley Ste 450 St Louis MO 63105 461121862 Health care MO 501(c)(3) 7 Ascension Health Alliance true ASCENSION EAGLE RIVER HOSPITAL INC 201 HOSPITAL ROAD EAGLE RIVER WI 54521 390985690 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION EASTWOOD BEHAVIORAL HEALTH 28000 DEQUINDRE ROAD WARREN MI 48092 381958763 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION GENESYS FOUNDATION ONE GENESYS PARKWAY GRAND BLANC MI 484398065 383591148 FOUNDATION MI 501(c)(3) Type I GENESYS HEALTH SYSTEM true ASCENSION GENESYS HOSPITAL ONE GENESYS PARKWAY GRAND BLANC MI 484398065 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION GOOD SAMARITAN HOSPITAL INC 601 SOUTH CENTER AVENUE MERRILL WI 54452 390808503 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION HEALTH - IS INC PO BOX 45998 ST LOUIS MO 63145 651257719 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST 4600 EDMUNDSON RD ST LOUIS MO 63134 367046706 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH GLOBAL MISSION 101 SOUTH HANLEY SUITE 450 ST LOUIS MO 63105 651205990 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH SENIOR CARE 12250 Weber Hill Road St Louis MO 63127 431227406 PARENT COMPANY MO 501(c)(3) Type I ASCENSION HEALTH true ASCENSION WELFARE BENEFITS TRUST PO BOX 46944 ST LOUIS MO 63146 431601369 TRUST MO 501(c)(9) ASCENSION HEALTH true ASCENSION LIVING - LAKESHORE AT SIENA INC 12250 Weber Hill Rd Ste 200 ST LOUIS MO 63127 824710412 RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION MACOMB OAKLAND HOSPITAL 28000 DEQUINDRE ROAD WARREN MI 48092 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION MEDICAL GROUP MICHIGAN 28000 Dequnidre Rd WARREN MI 48092 383494637 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION MEDICAL GROUP PROMED 1521 GULL ROAD KALAMAZOO MI 49048 383193801 HEALTHCARE SERVICES MI 501(c)(3) 10 BORGESS HEALTH ALLIANCE INC true ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC 1570 APPLETON RD MENASHA WI 54952 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC 824 ILLINOIS AVENUE STEVENS POINT WI 54481 391965593 MEDICAL GROUP WI 501(c)(3) Type III-FI MINISTRY HEALTH CARE INC true ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391791586 MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION MICHIGAN 28000 DEQUINDRE ROAD WARREN MI 48092 382631907 HEALTH CARE MI 501(c)(3) Type I ASCENSION HEALTH true ASCENSION MINISTRY AND MISSION FUND PO BOX 45998 ST LOUIS MO 63145 273174701 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION NE WISCONSIN INC 1506 S ONEIDA STREET APPLETON WI 54915 390816818 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION OUR LADY OF VICTORY HOSPITAL INC 1120 PINE STREET STANLEY WI 54768 390807065 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION PROVIDENCE 6901 MEDICAL PARKWAY WACO TX 76712 741109636 HEALTHCARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION PROVIDENCE FOUNDATION 22101 MOROSS DETROIT MI 48236 383526629 FUNDRAISING MI 501(c)(3) Type III-FI ST JOHN PROVIDENCE true ASCENSION PROVIDENCE HOSPITAL 16001 WEST NINE MILE ROAD SOUTHFIELD MI 48037 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION PROVIDENCE ROCHESTER FOUNDATION FKA CRITTENTON HOSPITAL MEDICAL C ENTER FOUNDATION 1101 WEST UNIVERSITY DR ROCHESTER MI 48307 382627336 SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL true ASCENSION PROVIDENCE ROCHESTER HOSPITAL 1101 W UNIVERSITY DR ROCHESTER MI 48307 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL 4100 RIVER ROAD EAST CHINA MI 48054 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION SACRED HEART-STMARY'S HOSPITALS INC PO BOX 347 STEVENS POINT WI 54481 391390638 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION SE WISCONSIN HOSPITAL INC 5000 WEST CHAMBERS STREET MILWAUKEE WI 53210 390816857 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION SETON 1345 PHILOMENA STREET AUSTIN TX 78723 741109643 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH 28000 DEQUINDRE ROAD WARREN MI 48092 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ASCENSION ST CLARE'S HOSPITAL INC 3400 MINISTRY PARKWAY WESTON WI 54476 721531917 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION ST FRANCIS HOSPITAL INC 3237 SOUTH 16TH STREET MILWAUKEE WI 53215 390907740 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ST JOHN FOUNDATION 22101 MOROSS DETROIT MI 48236 202961579 FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION ST JOHN HOSPITAL 28000 DEQUINDRE ROAD WARREN MI 48092 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH FOUNDATION 200 HEMLOCK ROAD TAWAS CITY MI 48763 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH'S HOSPITAL true ASCENSION ST JOSEPH'S HOSPITAL 200 HEMLOCK ROAD TAWAS CITY MI 48763 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MARY'S FOUNDATION 800 S WASHINGTON AVENUE SAGINAW MI 48601 382246366 FUNDRAISING MI 501(c)(3) Type II ASCENSION ST MARY'S HOSPITAL true ASCENSION ST MARY'S HOSPITAL 800 S WASHINGTON AVENUE SAGINAW MI 48601 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MICHAEL'S HOSPITAL INC 900 ILLINOIS AVENUE STEVENS POINT WI 54481 390808443 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION STANDISH HOSPITAL 805 WEST CEDEAR STREET STANDISH MI 48658 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION TEXAS 1345 PHILOMENA STREET AUSTIN TX 78723 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION VIA CHRISTI HEALTH PARTNERS INC 8200 E THORN DRIVE WICHITA KS 67226 480958974 MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HEALTH INC 8200 E THORN DRIVE WICHITA KS 67226 481172107 HEALTH SYSTEM PARENT KS 501(c)(3) Type III-FI ASCENSION HEALTH true ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC 1823 COLLEGE AVENUE MANHATTAN KS 66502 481186704 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC 1 MT CARMEL WAY PITTSBURG KS 66762 480543778 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL WICHITA ST TERESA INC 14800 W ST TERESA WICHITA KS 67235 271965272 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITALS WICHITA INC 929 N SAINT FRANCIS WICHITA KS 67214 481172106 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI PROPERTY SERVICES INC 8200 E THORN DRIVE WICHITA KS 67226 480948571 PROPERTY MANAGEMENT KS 501(c)(4) ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC 1151 N ROCK ROAD WICHITA KS 67206 481158274 REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION WISCONSIN LABORATORIES INC 3237 SOUTH 16TH STREET MILWAUKEE WI 53215 391701402 LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION WISCONSIN PHARMACYINC 19525 WEST NORTH AVENUE BROOKFIELD WI 53005 391613624 PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true BAPTIST HEALTH CARE AFFILIATES INC 2000 CHURCH STREET NASHVILLE TN 37236 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC 2000 CHURCH STREET NASHVILLE TN 37236 581861378 INACTIVE TN 501(c)(3) Type I SAINT THOMAS MIDTOWN HOSPITAL true BLUE LADIES MINERALS INC 1345 PHILOMENA STREET AUSTIN TX 78723 742971975 OWN OIL AND MINERAL RIGHTS, REAL ESTATE TX 501(c)(3) Type III-FI SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC true BORGESS AMBULATORY CARE CORPORATION 1521 GULL ROAD KALAMAZOO MI 49048 382468823 HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true BORGESS HEALTH ALLIANCE INC 1521 GULL ROAD KALAMAZOO MI 49048 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) Type III-FI ASCENSION MICHIGAN true BORGESS NURSING HOME INC 12250 Weber Hill Rd Ste 200 ST LOUIS MO 63127 382555589 SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true CARONDELET FOUNDATION INC 2202 N FORBES BLVD TUSCON AZ 85716 860749574 FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA true CARONDELET HEALTH 1000 CARONDELET DRIVE KANSAS CITY MO 63145 431276738 HEALTH SYSTEM PARENT MO 501(c)(3) Type III-FI ASCENSION HEALTH true CARONDELET HEART & VASCULAR INSTITUTE 2202 N FORBES BLVD TUCSON AZ 85745 561943271 INACTIVE HOSPITAL AZ 501(c)(3) 3 ASCENSION ARIZONA true CARONDELET LONG-TERM CARE FACILITIES INC 12250 Weber Hill Rd Ste 200 ST LOUIS MO 63127 742505427 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CARONDELET REGIONAL MEDICAL PC 427 GUY PARK AVE AMSTERDAM NY 12010 814769136 MEDICAL GROUP NY 501(c)(3) 3 ST MARY'S HEALTHCARE true CATALPA HEALTH INC N4642 COUNTY N APPLETON WI 54914 454681563 BEHAVIORAL HEALTH SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true CENTER FOR GERONTOLOGY 5455 ALI DRIVE DEPT200 GRAND BLANC MI 484395195 382514708 ADULT DAY CARE MI 501(c)(3) Type I GENESYS AMBULATORY HEALTH SERVICES true CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC 2001 W 86TH STREET INDIANAPOLIS IN 46260 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true CMC FOUNDATION OF CENTRAL TEXAS 1345 PHILOMENA STREET AUSTIN TX 78723 200468031 FUNDRAISING TX 501(c)(3) Type I ASCENSION TEXAS true COLUMBIA COLLEGE OF NURSING Inc 4425 NORTH PORT WASHINGTON ROAD GLENDALE WI 53212 391596986 COLLEGE WI 501(c)(3) 2 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC true COLUMBIA ST MARY'S FOUNDATION INC 400 W RIVER WOODS PKWY GLENDALE WI 53212 391494981 FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC 4425 NORTH PORT WASHINGTON ROAD GLENDALE WI 53212 390806315 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC 4425 NORTH PORT WASHINGTON ROAD GLENDALE WI 53212 390807063 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391834639 HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH true CORNERSTONE ASSISTED LIVING INC 2622 W Central Suite 100 Wichita KS 67203 481241079 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true CRITTENTON CANCER CENTER 1101 WEST UNIVERSITY DR ROCHESTER MI 48307 383239057 CANCER TREATMENT MI 501(c)(3) 10 ASCENSION PROVIDENCE ROCHESTER HOSPITAL true DELL CHILDREN'S MEDICAL GROUP 1345 PHILOMENA STREET AUSTIN TX 78723 742800601 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true DR KATE NEWCOMB CONVALESCENT CENTER INC PO BOX 829 WOODRUFF WI 54568 391357365 NURSING/ASSISTED LIVING SERVICES WI 501(c)(3) 10 HOWARD YOUNG HEALTH CARE INC true FIELD NEUROSCIENCES INSTITUTE 800 S WASHINGTON AVENUE SAGINAW MI 48601 382790703 MEDICAL RESEARCH ORGANIZATION MI 501(c)(3) 10 ASCENSION ST MARY'S HOSPITAL true FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC 3400 MINISTRY PARKWAY WESTON WI 54476 753193633 FOUNDATION WI 501(c)(3) Type I ASCENSION ST CLARE'S HOSPITAL INC true FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD Inc 611 SAINT JOSEPH AVENUE MARSHFIELD WI 54449 391684957 FOUNDATION WI 501(c)(3) Type I SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC true GENESYS AMBULATORY HEALTH SERVICES 5455 ALI DR DEPT 200 GRAND BLANC MI 484395195 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS CONVALESCENT CENTER 8481 HOLLY ROAD GRAND BLANC MI 484391812 382317364 CONVALESCENT CENTER MI 501(c)(3) 3 GENESYS AMBULATORY HEALTH SERVICES true GENESYS HEALTH SYSTEM ONE GENESYS PARKWAY GRAND BLANC MI 484398065 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GLOBAL SOLIDARITY FUND 101 SOUTH HANLEY SUITE 200 ST LOUIS MO 63105 831078006 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC 601 SOUTH CENTER AVENUE MERRILL WI 54452 391627755 FOUNDATION WI 501(c)(3) Type I ASCENSION GOOD SAMARITAN HOSPITAL INC true GULF COAST HEALTH SYSTEM 6801 AIRPORT BLVD MOBILE AL 36608 630934712 HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM true HAVEN OF OUR LADY OF PEACE INC 5151 N 9TH AVENUE PENSACOLA FL 32504 593620346 NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM true HEALTHCARE COLLABORATIVE 1345 PHILOMENA STREET AUSTIN TX 78723 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true HOWARD YOUNG FOUNDATION INC 240 MAPLE STREET WOODRUFF WI 54568 391521169 CHARITABLE FOUNDATION WI 501(c)(3) 7 HOWARD YOUNG HEALTH CARE INC true HOWARD YOUNG HEALTH CARE INC 240 MAPLE STREET WOODRUFF WI 54568 391499115 HOME OFFICE WI 501(c)(3) Type II MINISTRY HEALTH CARE INC true JANE PHILLIPS MEMORIAL MEDICAL CENTER 3500 E FRANK PHILLIPS BLVD BARTLESVILLE OK 74006 730606129 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true JANE PHILLIPS NOWATA HOSPITAL INC 237 SOUTH LOCUST NOWATA OK 74048 731440267 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true LaVerna Terrace Housing Corporation 18927 HICKORY CREEK DRIVE SUITE 300 MOKENA IL 60448 363438977 LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true LOURDES FOUNDATION 520 NORTH 4TH AVENUE PASCO WA 99301 911528577 FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO true Lourdes Realty Corporation Inc 169 Riverside Drive Binghamton NY 13905 222873637 Rental of Health Care Facilities NY 501(c)(2) Our Lady of Lourdes Memorial Hospital Inc true MEDICAL SERVICES ENHANCEMENT INC 427 GUY PARK AVE AMSTERDAM NY 12010 141776546 MEDICAL OFFICE BUILDING NY 501(c)(25) ST MARY'S HEALTHCARE true MEDICARE VALUE PARTNERS 2380 E Dempster Street DES PLAINES IL 60016 363495969 HEALTH CARE IL 501(c)(3) 10 Presence Health Partners Services true MERCY HEALTH FOUNDATION INC PO BOX 3370 OSHKOSH WI 54903 237140261 FOUNDATION WI 501(c)(3) 10 AFFINITY HEALTH SYSTEM true METRO PHYSICIANS INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 943436893 Medical Group WI 501(c)(3) 3 ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC true MINISTRY HEALTH CARE INC 10925 W LAKE PARK DR STE 100 MILWAUKEE WI 53224 391490371 PARENT CORPORATION WI 501(c)(3) Type II ASCENSION HEALTH true MINISTRY WEIGHT MANAGEMENT INC 2251 NORTH SHORE DRIVE RHINELANDER WI 54501 391829015 SPECIALTY HEALTH SERVICES WI 501(c)(3) 3 ASCENSION SACRED HEART-STMARY'S HOSPITALS INC true OUR LADY OF LOURDES HOSPITAL AT PASCO 520 NORTH 4TH AVENUE PASCO WA 99301 910349750 HEALTHCARE WA 501(c)(3) 3 ASCENSION HEALTH true OUR LADY OF LOURDES MEMORIAL HOSPITAL INC 169 RIVERSIDE DRIVE BINGHAMTON NY 13905 150532221 HOSPITAL NY 501(c)(3) 3 ASCENSION HEALTH true OUR LADY OF PEACE INC 5285 Lewiston Road Lewiston NY 14092 161608735 SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true OWASSO MEDICAL FACILITY INC 1923 SOUTH UTICA AVENUE TULSA OK 74104 203700131 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true PRESENCE AMBULATORY SERVICES 2380 E Dempster Street DES PLAINES IL 60016 364286236 HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation true PRESENCE BEHAVIORAL HEALTH 1820 SOUTH 25TH AVENUE BROADVIEW IL 60155 362709982 HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation true PRESENCE CARE HOME 18927 HICKORY CREEK DR 300 MOKENA IL 60448 460483587 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE TRANSFORMATION CORPORATION 200 South Wacker Drive Chicago IL 60606 363366652 MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System true PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK 200 South Wacker Drive Chicago IL 60606 364195126 HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation true PRESENCE CHICAGO HOSPITALS NETWORK 200 SOUTH WACKER DRIVE CHICAGO IL 60606 362235165 HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation true PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES 200 SOUTH WACKER DRIVE CHICAGO IL 60606 363330929 FUNDRAISING IL 501(c)(3) 7 Alexian Brothers Health System true PRESENCE HEALTH PARTNERS SERVICES 2380 E DEMPSTER AVE STE 236 DES PLAINES IL 60016 362644178 HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System true PRESENCE HEALTHCARE SERVICES 2380 E Dempster Street DES PLAINES IL 60016 363330928 HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation true PRESENCE HOME CARE 18927 HICKORY CREEK DR 300 MOKENA IL 60448 460483581 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE LIFE CONNECTIONS 18927 HICKORY CREEK DRIVE 300 MOKENA IL 60448 371127787 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRESENCE SENIOR SERVICES CHICAGOLAND 100 NORTH RIVER ROAD DES PLAINES IL 60016 237061646 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRIMARY PHYSICIAN NETWORK LLC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 208775914 DORMANT IN 501(c)(3) 10 ST MARY'S HEALTH INC true PROVIDENCE BUILDING CORPORATION 6801 AIRPORT BLVD MOBILE AL 36608 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION 6801 AIRPORT BLVD MOBILE AL 36608 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION INC 6901 MEDICAL PARKWAY WACO TX 76712 742683112 SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE TX 501(c)(3) Type I ASCENSION PROVIDENCE true PROVIDENCE HEALTH ALLIANCE 6901 MEDICAL PARKWAY WACO TX 76712 742696970 PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE true PROVIDENCE HEALTH FOUNDATION INC 1150 VARNUM STREET NE WASHINGTON DC 20017 521275583 FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HEALTH SERVICES INC 1150 VARNUM STREET NE WASHINGTON DC 20017 521275587 PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HOSPITAL 6801 AIRPORT BLVD MOBILE AL 36608 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM true PROVIDENCE HOSPITAL 1150 VARNUM STREET NE WASHINGTON DC 20017 530196636 HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH true PROVIDENCE PARK INC 300 W Highway 6 Waco TX 76712 611759304 SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true RAINBOW HOSPICE AND PALLIATIVE CARE 1550 BISHOP COURT MOUNT PROSPECT IL 60056 363296367 HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation true SACRED HEART FOUNDATION INC 5151 N 9TH AVENUE PENSACOLA FL 32504 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM true SACRED HEART HEALTH SYSTEM INC 5151 N 9TH AVENUE PENSACOLA FL 32504 590634434 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SACRED HEART HEALTH VENTURES INC 5151 N 9TH AVENUE PENSACOLA FL 32504 571183283 INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM true SACRED HEART REHABILITATION INSTITUTE Inc 4425 NORTH PORT WASHINGTON ROAD GLENDALE WI 53212 390902199 REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true SAINT ELIZABETH'S HOSPITAL OF WABASHA INC 1200 GRANT BLVD WEST WABASHA MN 55981 410693877 HOSPITAL MN 501(c)(3) 3 MINISTRY HEALTH CARE INC true SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC 611 SAINT JOSEPH AVENUE MARSHFIELD WI 54449 390847631 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC 900 ILLINOIS AVENUE STEVENS POINT WI 54481 391657410 FOUNDATION WI 501(c)(3) Type I ASCENSION ST MICHAEL'S HOSPITAL INC true SAINT THOMAS HEALTH 4220 HARDING ROAD NASHVILLE TN 37205 581716804 SYSTEM PARENT TN 501(c)(3) Type III-FI ASCENSION HEALTH true SAINT THOMAS HEALTH FOUNDATIONS PO BOX 380 NASHVILLE TN 37202 581663055 OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK true SAINT THOMAS HICKMAN HOSPITAL 135 EAST SWAN STREET CENTERVILLE TN 37033 581737573 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS HOME HEALTH 135 EAST SWAN STREET CENTERVILLE TN 37033 621836937 HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL true SAINT THOMAS MEDICAL PARTNERS 2000 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