ALEXIAN BROTHERS SPECIALTY GROUP: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ALEXIAN BROTHERS SPECIALTY GROUP (EIN 80-0710751)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-15
- IRS object ID
- 201941359349306509
- Schema version
- 2017v2.2
- 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 | 2019-05-15T12:36:35-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800710751 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alexian Brothers Specialty Group | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALEX | BusinessNameControlTxt |
| Phone | 3147338000 | 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 | Tonya Mershon | PersonNm |
| Person Title | Tax Officer | PersonTitleTxt |
| Signature | 2019-05-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mark Frey | BusinessNameLine1Txt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $31,423,337 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | Specialty physician group in Catholic health system to improve the health and well-being of all people in the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 253 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,925 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,436 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $27,319,223 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $31,005,315 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $296,417 | PYOtherRevenueAmt |
| CY Other Revenue | $400,586 | CYOtherRevenueAmt |
| PY Total Revenue | $27,629,565 | PYTotalRevenueAmt |
| CY Total Revenue | $31,423,337 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $37,188,039 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $43,324,865 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,107,144 | PYOtherExpensesAmt |
| CY Other Expenses | $17,006,211 | CYOtherExpensesAmt |
| PY Total Expenses | $52,295,183 | PYTotalExpensesAmt |
| CY Total Expenses | $60,331,076 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$24,665,618 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$28,907,739 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,435,801 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,280,623 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,008,065 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,609,150 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$4,572,264 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$3,328,527 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Alexian Brothers Specialty Group ("ABSG") 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $53,672,511 | ExpenseAmt |
| Revenue | $31,405,081 | RevenueAmt |
| Desc | Alexian Brothers Specialty Group (ABSG) is comprised of specialty focused employed physicians of Alexian Brothers Health System (ABHS). The specialties include cardiology, neurosciences and pediatrics. There are nearly 60 patient-centered, compassionate and expertly-trained providers in ABSG. The multiple, convenient locations of ABSG, in both the community and on the campus of the two ABHS acute care hospitals, offer flexible access and prompt treatment for a wide range of issues. About the Alexian Brothers Health System: Alexian Brothers Specialty Group is a member of the Alexian Brothers Health System, a comprehensive and diversified healthcare organization headquartered in the northwest suburbs of Chicago, serving more than two million people. Alexian Brothers Health System is a Ministry Organization of Ascension Health, the largest Catholic health system in the nation. The Alexian Brothers Health System provides the community with a full range of comprehensive healthcare services and access to the most advanced medical technology. We are passionate about delivering exceptional health care and are proud of the powerful, cutting edge technology our skilled professionals are able to access. In addition, we offer a wide range of community health services, corporate wellness programs, preventive care and education. Our ministries exist to continue the Alexian Brothers mission of caring for the sick, the poor and the dying and promoting the physical, mental, spiritual and social health and well-being of all individuals we serve. 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 Adventist and Catholic identities and mission priorities that define AMH and ABHS, respectively. In April 2015, AMITA Health was announced 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 the new name - AMITA Health. | Desc |
| Total Program Service Expenses | $53,672,511 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | 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 | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 253 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| 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 | Yes (true) | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | 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 | Jeannie Justie | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2242730515 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 Navistar Dr Bld 4 FL 2-Finance | AddressLine1Txt |
| City | Lisle | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60532 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MARK FREY | ||||||||||
| CHAIRPERSON; CEO, AMITA HEALTH | 0.0 | 0.0 | Yes (X) | Yes (X) | $0 | $1,730,719 | $47,458 | |||
| PATRICIA CASSIDY | ||||||||||
| VICE PRESIDENT; CSO, AMITA HEALTH | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $657,439 | $36,704 | |||
| PAUL BELTER | ||||||||||
| SECRETARY/TREASURER; CFO, AMITA HEALTH | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $882,328 | $41,906 | |||
| DONNA GAUTHIER | ||||||||||
| ASSISTANT SECRETARY | 1.0 | 39.0 | Yes (X) | $0 | $90,398 | $24,526 | ||||
| JUSTIN JOHNSON | ||||||||||
| CFO, AHMG | 17.0 | 33.0 | Yes (X) | $0 | $268,355 | $36,306 | ||||
| BETH TZE | ||||||||||
| VICE PRESIDENT; CEO, ABAG | 13.0 | 37.0 | Yes (X) | $0 | $610,625 | $43,452 | ||||
| JOHN A BACCHETTI | ||||||||||
| COO, AHMG | 17.0 | 33.0 | $0 | $322,140 | $18,004 | Yes (X) | ||||
| SZYMON ROSENBLATT MD | ||||||||||
| NEUROSURGEON | 50.0 | 0 | $975,880 | $0 | $35,810 | Yes (X) | ||||
| TIMOTHY MALISCH MD | ||||||||||
| INTERVENTIONAL NEURO RADIOLOGIST | 50.0 | 0 | $929,852 | $0 | $25,922 | Yes (X) | ||||
| WILLIAM J GRIES MD | ||||||||||
| CARDIOLOGIST | 50.0 | 0 | $908,968 | $0 | $36,677 | Yes (X) | ||||
| JOHN G FURIASSE MD | ||||||||||
| CARDIOLOGIST | 50.0 | 0 | $870,317 | $0 | $30,489 | Yes (X) | ||||
| PAUL J GRUNEWALD MD | ||||||||||
| CARDIOLOGIST | 50.0 | 0 | $836,478 | $0 | $38,400 | Yes (X) | ||||
| KIMBERLY ZIMMERMANN | ||||||||||
| COO, AHMG (END 6/2017) | 0.0 | 0.0 | $0 | $378,711 | $33,485 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,521,495 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,940,715 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $449,138 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 63 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CARDIOVASCULAR MANAGEMENT OF ILLINOIS | |||||
| 900 S FRONTAGE RD STE 325 | WOODRIDGE | IL | 60517 | MEDICAL SERVICES | $1,938,938 |
| CARDIOTHORACIC & VASCULAR SURGICAL ASSO | |||||
| 4400 W 95TH ST STE 205 | OAK LAWN | IL | 60453 | MEDICAL SERVICES | $588,144 |
| LOYOLA UNIVERSITY MEDICAL CENTER | |||||
| 2160 S 1ST AVE | MAYWOOD | IL | 60153 | MEDICAL SERVICES | $298,620 |
| AMIR TURAYHI | |||||
| 2950 ORANGE BRACE RD | RIVERWOODS | IL | 60015 | MEDICAL SERVICES | $142,172 |
| KATHY KUJAWA MD | |||||
| 1230 ISABELLA ST | WILLMETTE | IL | 60091 | PHYSICIAN SERVICES | $125,970 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $17,436 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Total Contributions | $17,436 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621990 | $30,090,772 | $30,090,772 |
| Services to Affiliates | 561000 | $669,036 | $669,036 |
| Contracted Services Revenue | 900099 | $141,199 | $141,199 |
| Rental Income from Affiliates | 531120 | $1,166 | $1,166 |
| Government Incentives | 900099 | $396 | $396 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $102,746 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $102,746 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $31,005,315 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Medical Records Fees | 900099 | $820 | $820 | |
| Research Revenue | 900099 | $220,622 | $220,622 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $179,144 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $179,144 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $400,586 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,423,337 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $31,405,081 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $820 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,641,870 | TotalAmt |
| Program Services | $39,371,515 | ProgramServicesAmt |
| Management And General | $270,355 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $527,738 | TotalAmt |
| Program Services | $524,139 | ProgramServicesAmt |
| Management And General | $3,599 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,629,628 | TotalAmt |
| Program Services | $1,618,514 | ProgramServicesAmt |
| Management And General | $11,114 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,525,629 | TotalAmt |
| Program Services | $1,515,224 | ProgramServicesAmt |
| Management And General | $10,405 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,382 | TotalAmt |
| Program Services | $21,382 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140 | TotalAmt |
| Management And General | $140 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,878,596 | TotalAmt |
| Program Services | $2,878,049 | ProgramServicesAmt |
| Management And General | $547 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,433 | TotalAmt |
| Program Services | $10,433 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $308,769 | TotalAmt |
| Program Services | $294,574 | ProgramServicesAmt |
| Management And General | $14,195 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,687 | TotalAmt |
| Program Services | $46,687 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,088,015 | TotalAmt |
| Program Services | $2,091,927 | ProgramServicesAmt |
| Management And General | -$3,912 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,705 | TotalAmt |
| Program Services | $65,533 | ProgramServicesAmt |
| Management And General | $172 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,097 | TotalAmt |
| Program Services | $186,318 | ProgramServicesAmt |
| Management And General | $779 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,651 | TotalAmt |
| Program Services | $202,651 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,429,943 | TotalAmt |
| Program Services | $1,503,950 | ProgramServicesAmt |
| Management And General | -$74,007 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Services | $2,416,815 | $2,402,946 | $13,869 |
| Professional Fee to Affiliate | $6,423,303 | $24,099 | $6,399,204 |
| Medical Supplies | $500,435 | $489,490 | $10,945 |
| Minor Equipment | $242,254 | $242,254 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,986 | TotalAmt |
| Program Services | $182,826 | ProgramServicesAmt |
| Management And General | $1,160 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,331,076 | TotalAmt |
| Program Services | $53,672,511 | ProgramServicesAmt |
| Management And General | $6,658,565 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $376 | BOYAmt |
| EOY | $123 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,311,534 | BOYAmt |
| EOY | $4,122,799 | 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 |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,000 | BOYAmt |
| EOY | $82,796 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,053,624 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,085,857 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,114,857 | BOYAmt |
| EOY | $1,967,767 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| 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 |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,949,034 | BOYAmt |
| EOY | $3,107,138 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,435,801 | BOYAmt |
| EOY | $9,280,623 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,218,692 | BOYAmt |
| EOY | $4,710,706 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,789,373 | BOYAmt |
| EOY | $7,898,444 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,008,065 | BOYAmt |
| EOY | $12,609,150 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,572,264 | BOYAmt |
| EOY | -$3,328,527 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,572,264 | BOYAmt |
| EOY | -$3,328,527 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,435,801 | BOYAmt |
| EOY | $9,280,623 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$28,907,739 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $30,151,476 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $534,899 | OtherCostOrOtherBasisAmt |
| Depreciation | $343,602 | DepreciationAmt |
| Book Value | $191,297 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,375,409 | OtherCostOrOtherBasisAmt |
| Depreciation | $742,255 | DepreciationAmt |
| Book Value | $633,154 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,143,316 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $1,143,316 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,967,767 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Miscellaneous Assets | |
| Other Current Assets | -$3,119 |
| Due from Affiliates | $2,859,194 |
| Other Receivables | $249,021 |
| Security Deposit | $2,042 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,107,138 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $7,730,942 |
| Deferred Compensation/Retirement/Pension Liability | $167,502 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,898,444 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | 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, 2018. | ExplanationTxt |
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 (12 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 | ||||||||||||||
| CHAIRPERSON; CEO, AMITA HEALTH | $0 | $912,487 | $0 | $678,307 | $0 | $139,925 | $0 | $25,948 | $0 | $21,510 | $0 | $1,778,177 | $0 | $0 |
| PATRICIA CASSIDY | ||||||||||||||
| VICE PRESIDENT; CSO, AMITA HEALTH | $0 | $403,629 | $0 | $230,210 | $0 | $23,599 | $0 | $19,802 | $0 | $16,902 | $0 | $694,142 | $0 | $22,047 |
| PAUL BELTER | ||||||||||||||
| SECRETARY/TREASURER; CFO, AMITA HEALTH | $0 | $525,893 | $0 | $300,827 | $0 | $55,607 | $0 | $18,518 | $0 | $23,388 | $0 | $924,234 | $0 | $53,796 |
| JUSTIN JOHNSON | ||||||||||||||
| CFO, AHMG | $0 | $232,277 | $0 | $35,033 | $0 | $1,045 | $0 | $12,737 | $0 | $23,568 | $0 | $304,661 | $0 | $0 |
| BETH TZE | ||||||||||||||
| VICE PRESIDENT; CEO, ABAG | $0 | $369,554 | $0 | $184,425 | $0 | $56,646 | $0 | $30,725 | $0 | $12,727 | $0 | $654,077 | $0 | $46,408 |
| KIMBERLY ZIMMERMANN | ||||||||||||||
| COO, AHMG (END 6/2017) | $0 | $143,750 | $0 | $109,956 | $0 | $125,005 | $0 | $23,302 | $0 | $10,183 | $0 | $412,196 | $0 | $0 |
| JOHN A BACCHETTI | ||||||||||||||
| COO, AHMG | $0 | $272,140 | $0 | $50,000 | $0 | $0 | $0 | $0 | $0 | $18,004 | $0 | $340,144 | $0 | $0 |
| SZYMON ROSENBLATT MD | ||||||||||||||
| NEUROSURGEON | $950,880 | $0 | $25,000 | $0 | $0 | $0 | $12,168 | $0 | $23,642 | $0 | $1,011,690 | $0 | $0 | $0 |
| TIMOTHY MALISCH MD | ||||||||||||||
| INTERVENTIONAL NEURO RADIOLOGIST | $898,121 | $0 | $31,731 | $0 | $0 | $0 | $11,594 | $0 | $14,328 | $0 | $955,774 | $0 | $0 | $0 |
| WILLIAM J GRIES MD | ||||||||||||||
| CARDIOLOGIST | $643,888 | $0 | $184,000 | $0 | $81,080 | $0 | $11,334 | $0 | $25,343 | $0 | $945,645 | $0 | $0 | $0 |
| JOHN G FURIASSE MD | ||||||||||||||
| CARDIOLOGIST | $596,685 | $0 | $189,000 | $0 | $84,632 | $0 | $10,852 | $0 | $19,637 | $0 | $900,806 | $0 | $0 | $0 |
| PAUL J GRUNEWALD MD | ||||||||||||||
| CARDIOLOGIST | $564,702 | $0 | $62,000 | $0 | $209,776 | $0 | $10,430 | $0 | $27,970 | $0 | $874,878 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | Alexian Brothers - AHS Midwest Region Health Co., 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 4a Severance or change-of-control payment | THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2017: KIMBERLY ZIMMERMANN - $124,435 |
| 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. The following individuals received payment(s) from the supplemental nonqualified retirement plan during the calendar year: PATRICIA CASSIDY - $22,047 PAUL BELTER - $53,796 BETH TZE - $46,408 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, THE PROCESS, PERFORMED BY ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO., A RELATED ORGANIZATION OF ALEXIAN BROTHERS SPECIALTY GROUP, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO. COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES, THE PROCESS PERFORMED BY ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO., A RELATED ORGANIZATION OF ALEXIAN BROTHERS SPECIALTY GROUP, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA THAT HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 4 Significant changes to organizational documents | DIRECTORS SHALL BE APPOINTED BY THE ASCENSION CLASS DIRECTORS OF THE MINISTRY MARKET CORPORATION (THE CORPORATE MEMBER) AND SHALL SERVE FOR THREE (3) THREE-YEAR TERMS AND UNTIL SUCCESSORS ARE DULY APPOINTED AND QUALIFIED UNLESS THEY SHALL SOONER RESIGN OR BE REMOVED. EXCEPT AS OTHERWISE DETERMINED BY THE ASCENSION CLASS DIRECTORS OF THE MINISTRY MARKET CORPORATION, NO PERSON SHALL BE ELIGIBLE FOR APPOINTMENT FOR MORE THAN THREE SUCCESSIVE THREE-YEAR TERMS. FORMERLY, DIRECTORS WOULD SERVE FOR ONE YEAR AND WERE ELIGIBLE FOR EIGHT CONSECUTIVE APPOINTMENTS. THE CORPORATE MEMBER NAME CHANGED AND WORDING WAS EDITED TO READ AS FOLLOWS: THE CORPORATION SHALL HAVE ONE MEMBER: ALEXIAN BROTHERS HEALTH SYSTEM D/B/A PRESENCE ALEXIAN BROTHERS HEALTH SYSTEM, AN ILLINOIS NOT-FOR PROFIT CORPORATION. ADDITIONALLY, RIGHTS OF ASCENSION, ASCENSION HEALTH AND THE JOINT OPERATING COMPANY WERE ADDED TO THE BYLAWS AS FOLLOWS: DECISION MAKING RIGHTS OF ASCENSION SUBJECT TO THE AMITA AFFILIATION AGREEMENT, THE FOLLOWING MATTERS SHALL BE DECIDED BY ASCENSION: MAJOR TRANSACTIONS INVOLVING CORPORATION OR A CORPORATION SUBSIDIARY THAT IS A CREDIT GROUP MEMBER; AND THE INCURRENCE OF DEBT BY CORPORATION OR ANY CORPORATION SUBSIDIARY. DECISION MAKING RIGHTS OF ASCENSION HEALTH SUBJECT TO THE AMITA AFFILIATION AGREEMENT, THE FOLLOWING MATTERS SHALL BE DECIDED BY ASCENSION HEALTH: THE APPOINTMENT, REMOVAL AND PERFORMANCE EVALUATION OF THE PRESIDENT OF THE CORPORATION; CHANGES TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION WHERE SUCH CHANGES ARE NOT CONSISTENT WITH SYSTEM POLICY; THE APPOINTMENT, REMOVAL, AND PERFORMANCE EVALUATION OF THE CORPORATION PRESIDENT; THE FORMATION OF A CORPORATION SUBSIDIARY; AND MAJOR TRANSACTIONS INVOLVING ANY CORPORATION SUBSIDIARY THAT IS NOT A CREDIT GROUP MEMBER. THE DISTRIBUTION OF ASSETS UPON DISSOLUTION WAS AMENDED WHERE FORMERLY ALL ASSETS REMAINING AFTER THE PAYMENT OF ALL LIABILITIES OF THE CORPORATION WOULD BE DISTRIBUTED TO THE CORPORATE MEMBER OR OTHER SUCH EXEMPT ORGANIZATION(S) UNDER SECTION 501(C)(3) OF THE CODE AS DETERMINED BY THE CORPORATE MEMBER, NOW THE BYLAWS STATE: UPON THE DISSOLUTION OF THE CORPORATION, THE DISPOSITION OF ALL THE ASSETS OF THE CORPORATION SHALL BE IN A MANNER AS PROVIDE BY THE BOARD (SUBJECT TO THE PRIOR APPROVAL OF ASCENSION HEALTH) AND IN ACCORDANCE WITH THE FOLLOWING: THE PAYING, OR THE MAKING PROVISION, OF THE PAYMENT OF ALL OF THE LIABILITIES, DIRECT OR INDIRECT, CONTINGENT OR OTHERWISE, INCLUDING WITHOUT LIMITATION, ALL LIABILITIES EVIDENCED IN ALL OUTSTANDING LOAN AGREEMENTS, CREDIT AGREEMENTS, MASTER INDENTURES AND OTHER SIMILAR DOCUMENTS. SUBJECT TO COMPLIANCE WITH THE DISSOLUTION PRINCIPLES OF ASCENSION HEALTH, ALL ASSETS REMAINING AFTER THE PAYMENT OF ALL OF THE LIABILITIES OF THE CORPORATION SHALL BE DISTRIBUTED TO ASCENSION HEALTH OR SUCH OTHER EXEMPT ORGANIZATION(S) UNDER SECTION 501(C)(3) OF THE CODE AS SHALL BE DETERMINED BY ASCENSION. ANY OTHER ASSETS NOT SO DISPOSED OF SHALL BE DISTRIBUTED FOR ONE OR MORE EXEMPT PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE CODE, OR SHALL BE DISTRIBUTED TO THE FEDERAL GOVERNMENT, OR TO A STATE OR LOCAL GOVERNMENT, FOR A PUBLIC PURPOSE. ANY SUCH ASSETS NOT SO DISPOSED OF SHALL BE DISPOSED OF BY A COURT OF COMPETENT JURISDICTION OF THE COUNTY IN WHICH THE PRINCIPAL OFFICE OF THE CORPORATION IS THEN LOCATED, EXCLUSIVELY FOR SUCH PURPOSES OR TO SUCH ORGANIZATION OR ORGANIZATIONS, AS SAID COURT SHALL DETERMINE, WHICH ARE ORGANIZED AND OPERATED EXCLUSIVELY FOR SUCH PURPOSES. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | EFFECTIVE AS OF 3/1/2018, ALEXIAN BROTHERS SPECIALTY GROUP 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., the Alexian Brothers Health System has the authority to appoint and remove Directors and Executive Officers of Alexian Brothers Specialty Group. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ALEXIAN BROTHERS SPECIALTY GROUP 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 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 THE ORGANIZATION'S INTERNAL TAX 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 conflict 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: 102746, Related or Exempt Function Revenue: 102746, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Miscellaneous Revenue - Total Revenue: 179144, Related or Exempt Function Revenue: 179144, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Transfers with affiliate - 45743139; Trasnfers with ALPHA - -15591663; |
| Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS | The activity of ALEXIAN BROTHERS SPECIALTY GROUP is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of ALEXIAN BROTHERS SPECIALTY GROUP is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of ALEXIAN BROTHERS SPECIALTY GROUP. |
| Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant | ALEXIAN BROTHERS SPECIALTY GROUP 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. |
| Schedule A, Part I, Line 3 Hospital organization | The Internal Revenue Service has issued different definitions of a "hospital" for Form 990 Schedules A and H. Although Alexian Brothers Specialty Group qualifies as a hospital for purposes of Schedule A, the organization operates physician care practices but does not operate a state licensed hospital as required for Form 990, Schedule H. Alexian Brothers Specialty Group is not recognized as a hospital by the State of Illinois and, as such, is not required to complete Form 990, Schedule H. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 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 | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health Alliance | ||||||||||||
| PO Box 45998 | St Louis | MO | 631455998 | 453358926 | National Health System | MO | 501(c)(3) | Type I | NA | false | ||
| Ascension Health | ||||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662309 | National Health System | MO | 501(c)(3) | Type I | Ascension Health Alliance | false | ||
| 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 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 | false | ||
| Alexian Brothers Bonaventure House dba Alexian Brothers The Harbor and Alex | ||||||||||||
| 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 | Yes (true) | ian Brothers Housing and Health Alliance | |
| 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 | Yes (true) | ||
| Alexian Brothers Services Inc | ||||||||||||
| 2601 Navistar Drive | Lisle | IL | 60532 | 431295333 | HUD housing | MO | 501(c)(3) | 10 | Alexian Brothers Health System | Yes (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 | Yes (true) | ||
| Alexian Brothers Medical Center | ||||||||||||
| 800 Biesterfield Road | Elk Grove Village | IL | 60007 | 362596381 | Acute care hospital | TX | 501(c)(3) | 3 | Alexian Brothers Health System | Yes (true) | ||
| Savelli Properties Inc | ||||||||||||
| 2601 Navistar Drive | Lisle | IL | 60532 | 363308965 | Owns or leases properties where healthcare services are delivered | IL | 501(c)(2) | Alexian Brothers Health System | Yes (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 | Yes (true) | ||
| St Alexius Medical Center | ||||||||||||
| 1555 Barrington Road | Hoffman Estates | IL | 60194 | 364251846 | Acute care hospital | IL | 501(c)(3) | 3 | Alexian Brothers Health System | Yes (true) | ||
| Alexian Brothers Ambulatory Group | ||||||||||||
| 2601 Navistar Drive | Lisle | IL | 60532 | 364336931 | Physician services | IL | 501(c)(3) | 3 | Alexian Brothers Health System | Yes (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 | Yes (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 | Yes (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 | Yes (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 | Yes (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 | Yes (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 | Yes (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 | Yes (true) | ||
| PRESENCE BEHAVIORAL HEALTH | ||||||||||||
| 1820 SOUTH 25TH AVENUE | BROADVIEW | IL | 60155 | 362709982 | HEALTH CARE | IL | 501(c)(3) | 3 | Presence Care Transformation Corporation | Yes (true) | ||
| PRESENCE AMBULATORY SERVICES | ||||||||||||
| 2380 E Dempster Street | DES PLAINES | IL | 60016 | 364286236 | HEALTH CARE | IL | 501(c)(3) | 10 | Presence Care Transformation Corporation | Yes (true) | ||
| PRESENCE CHICAGO HOSPITALS NETWORK | ||||||||||||
| 200 SOUTH WACKER DRIVE | CHICAGO | IL | 60606 | 362235165 | HEALTH CARE | IL | 501(c)(3) | 3 | Presence Care Transformation Corporation | Yes (true) | ||
| PRESENCE HEALTHCARE SERVICES | ||||||||||||
| 2380 E Dempster Street | DES PLAINES | IL | 60016 | 363330928 | HEALTH CARE | IL | 501(c)(3) | 10 | Presence Care Transformation Corporation | Yes (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 | Yes (true) | ||
| MEDICARE VALUE PARTNERS | ||||||||||||
| 100 NORTH RIVER ROAD | DES PLAINES | IL | 60016 | 363495969 | HEALTH CARE | IL | 501(c)(3) | 10 | Presence Health Partners Services | Yes (true) | ||
| PRESENCE HOME CARE | ||||||||||||
| 18927 HICKORY CREEK DR 300 | MOKENA | IL | 60448 | 460483581 | HEALTH CARE | IL | 501(c)(3) | 10 | PRESENCE CARE TRANSFORMATION CORPORATION | Yes (true) | ||
| PRESENCE CARE HOME | ||||||||||||
| 18927 HICKORY CREEK DR 300 | MOKENA | IL | 60448 | 460483587 | HEALTH CARE | IL | 501(c)(3) | 10 | PRESENCE CARE TRANSFORMATION CORPORATION | Yes (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 | Yes (true) | S NETWORK | |
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 | Lisle | IL | 60532 | 363978153 | Manages managed care contracts | DE | NA | N/A | |
| St Alexius Center for Sleep Health LLC | |||||||||
| 1300 S Main Street | Lombard | IL | 60148 | 205876371 | Operation of sleep lab | IL | NA | N/A | |
| 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 | |
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 | Yes (true) |
| Alexian Brothers Health Providers Association Inc | |||||||||
| 2601 Navistar Drive | Lisle | IL | 60532 | 363853286 | Messenger model IPA | IL | NA | C Corporation | Yes (true) |
| PRESENCE PROPERTIES INC | |||||||||
| 100 NORTH RIVER ROAD | DES PLAINES | IL | 60016 | 363520630 | MEDICAL | IL | NA | C Corporation | Yes (true) |
| PRESENCE SERVICE CORPORATION | |||||||||
| 2380 E DEMPSTER STREET | DES PLAINES | IL | 60016 | 364314354 | MEDICAL | IL | NA | C Corporation | Yes (true) |
| PRESENCE VENTURES INC | |||||||||
| 100 NORTH RIVER ROAD | DES PLAINES | IL | 60016 | 371168085 | MEDICAL | IL | NA | C Corporation | Yes (true) |
| AMITA HEALTH CLINICALLY INTEGRATED NETWORK LLC | |||||||||
| 2601 NAVISTAR DRIVE | LISLE | IL | 60532 | 800967178 | MANAGED CARE | IL | NA | C Corporation | Yes (true) |
| 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (18 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST ALEXIUS MEDICAL CENTER | ||
| K | $627,946 | FAIR MARKET VALUE |
| ST ALEXIUS MEDICAL CENTER | ||
| M | $197,208 | FAIR MARKET VALUE |
| ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL | ||
| L | $60,625 | FAIR MARKET VALUE |
| ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL | ||
| M | $50,279 | FAIR MARKET VALUE |
| ALEXIAN BROTHERS AMBULATORY GROUP | ||
| L | $1,819,944 | FAIR MARKET VALUE |
| ALEXIAN BROTHERS AMBULATORY GROUP | ||
| M | $75,000 | FAIR MARKET VALUE |
| ALEXIAN BROTHERS AMBULATORY GROUP | ||
| Q | $762,023 | FAIR MARKET VALUE |
| ALEXIAN BROTHERS HOSPITAL NETWORK | ||
| L | $2,815,584 | FAIR MARKET VALUE |
| ALEXIAN BROTHERS HOSPITAL NETWORK | ||
| M | $264,865 | FAIR MARKET VALUE |
| ALEXIAN BROTHERS HOSPITAL NETWORK | ||
| Q | $299,940 | FAIR MARKET VALUE |
| THELEN CORPORATION | ||
| J | $147,570 | FAIR MARKET VALUE |
| THELEN CORPORATION | ||
| K | $415,720 | FAIR MARKET VALUE |
| THELEN CORPORATION | ||
| L | $474,860 | FAIR MARKET VALUE |
| THELEN CORPORATION | ||
| Q | $917,054 | FAIR MARKET VALUE |
| ALEXIAN BROTHERS MEDICAL CENTER | ||
| K | $129,644 | FAIR MARKET VALUE |
| ALEXIAN BROTHERS MEDICAL CENTER | ||
| L | $69,791 | FAIR MARKET VALUE |
| ALEXIAN BROTHERS MEDICAL CENTER | ||
| M | $156,683 | FAIR MARKET VALUE |
| ALEXIAN BROTHERS MEDICAL CENTER | ||
| Q | $2,603,387 | FAIR MARKET VALUE |