2015-05-07T14:31:18-05:00 2014-06-30 861065772 Deloitte Tax LLP 111 S Wacker Drive Chicago IL 60606 990 2013-07-01 363260495 Alexian Brothers Health System ALEX 8478185100 3040 West Salt Creek Lane Arlington Heights IL 60005 Mark Frey President & CEO 8478185100 2015-05-06 1 Laura Gillespie P00855604 3124861000 2015-04-27 2013 2016-02-25 16:41:14Z Mark Frey 3040 West Salt Creek Lane Arlington Heights IL 60005 100958311 0 0928 X www.alexianbrothershealth.org X 1983 IL National member for Catholic Health System 8 7 6998 7 0 0 5812716 5469015 44797719 82930669 10565756 10990416 429243 314316 61605434 99704416 8530983 4729088 0 0 30901335 33343794 0 121647 2335099 15231921 53555252 54664239 91749781 6941195 7954635 496559975 525686857 592370822 588900451 -95810847 -63213594 X Alexian Brothers Health System ("ABHS") carries out the healing mission of the Catholic Church through the Alexian Brothers ministries by identifying and developing effective responses to the health and housing needs of those we are called to serve. 0 0 88089368 4729088 82930669 Ranked among the nation's best-performing health systems, Alexian Brothers Health System (ABHS) is a health care ministry comprised of five hospitals, a center for mental health, clinical institutes, diagnostic imaging facilities and the Alexian Brothers Medical Group, which includes 13 primary care practices, seven immediate care centers, seven occupational health centers and several specialty programs. We serve more than two million people across Chicago's northwest suburbs and beyond with innovative care and world-class medical specialists. (See Schedule O.)ABHS strives to provide a prophetic, holistic approach to health care, rooted in Gospel values and the legacy of the Alexian Brothers, an 800-year-old Congregation that carries out the healing ministry of Jesus Christ in the tradition of the Roman Catholic Church. Through partnerships with our associates, physicians and the community, we identify and develop effective responses to the health and housing needs of those we are called to serve. 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.Locations:- Alexian Brothers Medical Center:Ranked 3rd in the Chicago Metro Area and Illinois by US News & World Report, Alexian Brothers Medical Center (ABMC), is a 387-bed acute care hospital located in Elk Grove Village, Illinois that has been providing outstanding healthcare to the residents of Chicago's northwest suburbs for more than 40 years. Located at 800 Biesterfield Road, ABMC is a full-service hospital with a Neurosciences Institute, Cancer Institute, Heart & Vascular Institute, as well as additional specialties in Older Adult (including an emergency room designed for seniors), Pediatrics, Bariatric Surgery, Orthopedics and Obstetrics. It also includes a 66-bed inpatient rehabilitation hospital. ABMC is a Certified Comprehensive Stroke Center and has received Disease Specific Certification from The Joint Commission in Stroke, Heart Failure, Acute Myocardial Infarction, and Joint Replacement. ABMC is nationally ranked in 2 specialties and high performing in 10 specialties by U.S. News & World Report and has received the Blue Cross Blue Star of Distinction. In addition, ABMC was the recipient of HealthGrades Clinical Excellence recognition in numerous specialties. - St. Alexius Medical Center:Ranked 9th in the Chicago Metro Area and Illinois by US News & World Report, St. Alexius Medical Center (SAMC) is a 339-bed acute care hospital located in Hoffman Estates, Illinois that has provided outstanding healthcare to the residents of Chicago's northwest suburbs for more than 30 years. Located at 1555 Barrington Road, SAMC is nationally ranked in 1 specialty and high performing in 9 specialties by U.S. News & World Report.SAMC is a full-service hospital with a Neurosciences Institute, Cancer Institute, Heart & Vascular Institute, as well as additional specialties in Older Adult, Pediatrics, Bariatric Surgery, Orthopedics and Obstetrics. The Alexian Brothers Women & Children's Hospital opened in April 2013. SAMC has received Disease Specific Certification from The Joint Commission in Stroke, Heart Failure, and Knee and Hip Joint Replacement. In addition, SAMC was the recipient of HealthGrades Clinical Excellence recognition in numerous specialties. - Alexian Brothers Behavioral Health Hospital:Alexian Brothers Behavioral Health Hospital (ABBHH), located at 1650 Moon Lake Boulevard in Hoffman Estates, Illinois, provides comprehensive inpatient and outpatient behavioral health services. ABBHH offers the complete continuum of behavioral health services, from prevention and early intervention to treatment and aftercare. ABBHH offers inpatient and outpatient services, as well as clinical psychiatric research. Our goal is to help individuals of all ages to learn ways to manage mental health and substance abuse problems.- Alexian Rehabilitation Hospital:Alexian Rehabilitation Hospital (ARH), part of Alexian Brothers Medical Center in Elk Grove Village, Illinois, is a 66-bed inpatient rehabilitation facility. Its physicians, nurses and therapists are experts in every aspect of rehabilitation medicine. ARH is a joint venture between the Health System and the Rehabilitation Institute of Chicago; the parties work together through a team approach to meet the physical, emotional and spiritual needs of patients and families. The ARH staff strives to provide each patient with the best possible care by recognizing that every patient's needs and goals are different. - Alexian Brothers Center for Mental Health:The Alexian Brothers Center for Mental Health offers a wide spectrum of high quality and innovative mental health services. Located at 3436 North Kennicott Avenue in Arlington Heights, Illinois, its primary service area spans the 10 towns that comprise Palatine and Wheeling Townships.Services and programming include: therapy and psychiatry services for all ages, case management, psychosocial rehabilitation, community support services, vocational rehabilitation, supported education, crisis services, supported residential services, school-based mental health services, a Partial Hospitalization Program and more.- Alexian Brothers Ambulatory Group d/b/a Alexian Brothers Medical Group:Alexian Brothers Medical Group provides primary care, immediate care, and occupational health services at eleven locations. Sites are staffed by physicians trained to provide chronic and acute care for all illnesses and injuries, including work and sports-related injuries. Primary care involves the widest scope of healthcare and includes patients of all ages seeking to maintain optimal health and manage chronic conditions, such as high blood pressure, high cholesterol, diabetes, and back pain. Immediate care is for the treatment of patients with an injury or illness that requires immediate attention but is not serious enough to warrant a visit to a hospital emergency room. No appointment is needed for either adults or children. Occupational health medicine is primarily for the treatment and prevention of work-related illness and injury. No appointment is needed.- Alexian Brothers Bonaventure House d/b/a Alexian Brothers Housing and Health Alliance:Alexian Brothers Housing and Health Alliance (ABHHA) has been serving people impacted by HIV/AIDS and related co-morbidities in the Chicago metropolitan region for more than 20 years, providing housing, comprehensive services, and spiritual care. With services located at The Harbor in Waukegan, Illinois, Bonaventure House on the North Side of Chicago, on the South Side of Chicago and at scattered sites throughout the Chicago metro area, ABHHA strives to transform the lives of people who are homeless and living with HIV/AIDS within a supportive, compassionate community.Clinical Institutes:- Cancer Institute:The Cancer Institute provides comprehensive oncology services across the entire Alexian Brothers Health System. Accredited by the American College of Surgeons as a Comprehensive Community Hospital Program, our Cancer Institute boasts five-year survival rates that exceed the American Cancer Society's national statistics for breast, ovarian, lung and colon cancers. - Heart & Vascular Institute:The Heart & Vascular Institute offers high-level cardiovascular care. Our cardiac team includes some of the most highly respected cardiologists and cardiovascular surgeons in the area, many who are regionally and nationally known.- Neurosciences Institute: The Neurosciences Institute offers the latest medical advances and technology to help patients with neurological conditions. Our spectrum of care includes advanced diagnostic procedures, treatment strategies, and proven approaches to help patients achieve high quality of life. In addition, we are working to provide scientific insight into how to lower the risk of developing certain neurological diseases. (continued from Part III, Line 4a) Charity Care and Community Benefits: The amounts and types of charity care and community benefits provided in the entire Alexian Brothers Health System are as follows:Charity Care at Cost - $21,397,164Language Assistant Services - $638,260Excess of Government Sponsored Health Care Cost Over Reimbursement - Medicaid - $44,099,925 Donations - $145,028Education - $2,546,552Subsidized Health Services - $2,225,984Other Community Benefits - $7,490,327 Total Charity Care and Community Benefits - $78,543,240Excess of Government Sponsored Health Care Cost Over Reimbursement - Medicare - $51,883,429 Bad Debt Expense at Cost - $10,141,843 88089368 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 1 1 1 0 1 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 X 856 0 1 6998 1 0 0 0 0 0 1 1 0 0 0 0 X 8 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 IL X Jeannie Justie 8478185100 3040 West Salt Creek Lane Arlington Hts IL 60005 Brother James Classon CFA Chairperson (end 3/14) 1.00 1.00 X X 0 0 0 Jerry Capizzi Governor 1.00 0.00 X 0 0 0 Richard Fischer Governor 1.00 0.00 X 0 0 0 Brother John Howard CFA Governor (end 4/14) 1.00 0.00 X 0 0 0 Brother Richard Lowe CFA Governor 1.00 0.00 X 0 0 0 Larry Singer Governor 1.00 0.00 X 0 0 0 Karen S Wells Governor 1.00 0.00 X 0 0 0 Bruce Wolfe Governor 1.00 0.00 X 0 0 0 Luke Knecht Governor (start 1/14) 1.00 0.00 X 0 0 0 Mark Frey Ex-Officio Director & Pres/CEO 50.00 1.00 X X 1498371 0 49865 Peg Wendell Secretary 50.00 0.00 X 344619 0 43203 Tracy Rogers Sr. Vice Pres. & COO 50.00 1.00 X 654056 0 58907 Paul Belter Sr. Vice Pres. & Treasurer 50.00 1.00 X 540392 0 60474 Donna Gauthier Assistant Secretary 40.00 1.00 X 74489 0 15715 Scott Peterson Vice President, HR 50.00 1.00 X 342755 0 38484 Mary Ann Magnifico Vice President, Construction 50.00 0.00 X 307693 0 61998 Patricia Cassidy Sr. Vice Pres. & Chief Strat. Offcr 50.00 0.00 X 456818 0 42943 Melanie Furlan Vice President, Dvlpmnt 50.00 0.00 X 349052 0 47651 Jeannie Justie Vice President, Finance 50.00 0.00 X 288387 0 57353 Gary Breuer Vice President, Revenue Cycle 50.00 0.00 X 300314 0 50455 Jim Lewandowski Former Key Employee 0.00 0.00 X 722305 0 15727 5879251 0 542775 505 1 1 0 Touchpoint Services 4721 Morrison Dr Suite 300 Mobile AL 36609 Cafeteria and Environmental Services 31832049 McKesson One Post Street San Francisco CA 94104 Medical Supply Company 29969666 Owens and Minor Distribution Inc 437 Tower Blvd Carol Stream IL 60188 Medical Equipment Distribution 18423807 TriMedx PO Box 636129 Cincinnati OH 45263 Clinical Engineering 12016128 Efficiency Media 3616 Winnetka Rd Glenview IL 60026 Media Planning Buying Service 4116532 209 619829 4849186 5469015 Management Fees 561000 75338417 75338417 Leased Empl. Benefits 900099 7157983 7157983 Rent Non I/C 532000 23062 23062 411207 411207 82930669 10990416 10990416 1280608 827025 453583 453583 453583 262792 619829 420487 -157695 -157695 24811 6383 18428 18428 99704416 82930669 0 11304732 4729088 4729088 24335070 22969254 1365816 1827482 1827482 6000396 5593329 407067 1180846 1093954 86892 1164086 1164086 161228 161228 121647 121647 2070503 1806469 264034 166984 161710 5274 1672799 1621377 51422 32057129 32053817 3312 8064521 8064521 233815 209027 24788 24640 23715 925 203161 203161 373871 373871 Ascension System Office 4896978 4896978 CHAN Audit fees 805872 805872 Food Expense 7580 4858 2722 Spirit Commit. Activity 3863 3863 1648222 1647022 1200 91749781 88089368 1325314 2335099 2913392 1279557 0 877685 791001 6626617 326143 368693 1062327 11174047 1665935 9608005 9508112 277165532 307413494 2981300 2129500 196018751 203176723 496559975 525686857 39230342 32869027 157000000 153710000 8883705 7594889 387256775 394726535 592370822 588900451 X -95810847 -70292065 6870944 207527 -95810847 -63213594 496559975 525686857 X 7954635 17010743 7631875 X 0 1 X 1 0 X X X 0 0 0 ABHS Inc Investment Trust 363801585 11 III-FI 1 1 1 0 Alexian Brothers of San Jose Inc 941530037 11 III-FI 1 1 1 0 Alexian Brothers Services Inc 431295333 9 1 1 1 0 Alexian Village of Milwaukee Inc 391351584 9 1 1 1 0 Alexian Brothers Community Services 364344423 9 1 1 1 0 Alexian Brothers Senior Neighbors 620646376 7 1 1 1 0 Alexian Village of Tennessee 621136742 9 1 1 1 0 Alexian Brothers Senior Ministries 364484290 11 III-FI 1 1 1 0 Alexian Elderly Services Inc 392039667 9 1 1 1 0 Alexian Brothers Lansdowne Village 431470362 9 1 1 1 0 Alexian Brothers Hospital Network 363276552 11 III-FI 1 1 1 0 Alexian Brothers Center for Mental 363045007 9 1 1 1 0 Alexian Brothers Behavioral Health Hospital 364251848 3 1 1 1 0 St Alexius Medical Center 364251846 3 1 1 1 0 Alexian Brothers Ambulatory Group 364336931 3 1 1 1 0 Alexian Brothers Sherbrooke Village 431592502 9 1 1 1 0 Alexian Brothers Specialty Group 800710751 3 1 1 1 0 Savelli Properties Inc 363308965 N/A 1 1 1 0 Alexian Brothers Bonaventure House 363527899 9 1 1 1 0 Alexian Brothers Medical Center 362596381 3 1 1 1 0 20 0 Schedule A: ABHS supports the provision of healthcare services at the corporations to which it is the National Member by the provision of centralized administrative support, including services such as Mission Integration, Accounting, Accounts Payable, Treasury (including Cash, Investment and Debt Management), Insurance, Payroll, Human Resources, Compliance, Legal, Education, Wellness, and Patient Safety and Quality. All costs of ABHS are charged to the members through a management fee. Transactions with each member are delineated on Schedule R. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 646998 455871 191127 3202680 250 -44617 2511315 646998 3293690 10825 1553 103388 3202680 3409815 8594 70761 194481 999 3293690 3466340 5275 135915 197715 3409815 1.00000 0 0 2123775 2123775 6626889 613831 6013058 2006888 798933 1207955 399695 236371 163324 16800 16800 0 9508112 Flex Plan Capital Accum 637205 C Investment Deposit Other 1694099 C Interest in Investments Held by Ascension 289676578 C Trustee Held 15405612 C 307413494 Other Assets-Miscellaneous 5790902 Land Held for Future Development 1523600 Cash Surrender Value 6095632 Less Split Dollar incl on line 5 -791003 Due from Affiliates 190557592 203176723 Supplemental Employee Retirement Plan Liab 496910 Unclaimed Property/Execu-flex Accumulation 821930 Negative Cash 51154682 Health/Dental Liability 7398649 Intercompany Debt to Ascension Health 4575750 Swap LT Liability 1933781 LT Pension Liability 9955696 Due to Affiliates 2537347 Miscellaneous 315851790 394726535 X Part V, Line 4: The endowment funds are used to support charitable efforts within the Alexian Brothers Health System. Part X, Line 2: From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Alexian Brothers Health System: 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, 2014. X X X X X X 1 Harris Connects 1400-A Crossways Blvd Chesapeake VA 23220 Telephone Solicitation 0 58067 121647 -63580 58067 121647 -63580 IL 2014 Ball de Fleur 603615 423284 180331 0 0 56681 114647 24340 107856 2013 Golf Classic 152000 114800 37200 0 450 29406 16294 0 13927 5 127006 81745 45261 0 0 11182 26957 0 18747 882621 619829 262792 450 97269 157898 24340 140530 420487 -157695 24811 1800 4583 0 24811 1800 4583 6383 18428 IL 1 0 1 0 0.50000 0.50000 Julie Baker 3040 Salt Creek Lane Arlington Heights IL 60005 0 Julie Baker 1713 See Part IV. X 1 18428 Schedule G, Part III, Line 16, Description of Services Provided: Julie Baker manages Foundation Fundraising events and raffles held at events. Two percent of her (fully-loaded) salary has been estimated to be compensation directly related to raffle management. 1 Alexian Brothers Medical Center 800 Biesterfield Road Elk Grove Village IL 60007 362596381 Section 501(c)(3) 1332434 General Support St Alexius Medical Center 1555 Barrington Road Hoffman Estates IL 60194 364251846 Section 501(c)(3) 883017 General Support Alexian Brothers Behavioral Health Hospital 1650 Moon Lake Blvd Hoffman Estates IL 60194 364251848 Section 501(c)(3) 258793 General Support Alexian Brothers Lansdowne Village 4624 Lansdowne St Louis MO 63116 431470362 Section 501(c)(3) 25089 General Support Alexian Brothers Center for Mental Health 3436 N Kennicott Avenue Arlington Heights IL 60004 363045007 Section 501(c)(3) 1109697 General Support Alexian Brothers Sherbrooke Village 4005 Ripa Avenue St Louis MO 63125 431592502 Section 501(c)(3) 38752 General Support Alexian Brothers Bonaventure House 825 W Wellington Avenue Chicago IL 60657 363527899 Section 501(c)(3) 972170 General Support Alexian Brothers Hospital Network 3040 W Salt Creek Lane Arlington Heights IL 60005 363276552 Section 501(c)(3) 7033 General Support Alexian Village of Tennessee 437 Alexian Way Signal Mountain TN 37377 621136742 Section 501(c)(3) 44140 General Support Alexian Brothers Health System 3040 West Salt Creek Lane Arlington Heights IL 60005 363260495 Section 501(c)(3) 56437 General Support 10 0 Part I, Line 2: Grant funds reported are disbursed to entities owned by Alexian Brothers Health System (ABHS). The disbursement of the funds is centralized within ABHS. The entity requesting funds must fill out a form that describes the use of the funds. The form must be approved by an operational Vice President in the requesting entity prior to submission. The form is then reviewed by and signed off on by executives in the ABHS Foundation and in ABHS Finance prior to approval. No funds are disbursed without going through this intensive process. 1 1 0 0 0 0 0 1 0 Mark Frey Ex-Officio Director & Pres/CEO 712178 0 693941 0 92252 0 14702 0 35163 0 1548236 0 74752 0 Peg Wendell Secretary 279892 0 55320 0 9407 0 21132 0 22071 0 387822 0 9407 0 Tracy Rogers Sr. Vice Pres. & COO 490446 0 142500 0 21110 0 30990 0 27917 0 712963 0 21110 0 Paul Belter Sr. Vice Pres. & Treasurer 420392 0 120000 0 0 0 25845 0 34629 0 600866 0 0 0 Scott Peterson Vice President, HR 302795 0 39960 0 0 0 14311 0 24173 0 381239 0 0 0 Mary Ann Magnifico Vice President, Construction 246974 0 49612 0 11107 0 40685 0 21313 0 369691 0 11107 0 Patricia Cassidy Sr. Vice Pres. & Chief Strat. Offcr 363318 0 93500 0 0 0 13899 0 29044 0 499761 0 0 0 Melanie Furlan Vice President, Dvlpmnt 279401 0 54883 0 14768 0 25723 0 21928 0 396703 0 14768 0 Jeannie Justie Vice President, Finance 229894 0 46538 0 11955 0 29525 0 27828 0 345740 0 11955 0 Gary Breuer Vice President, Revenue Cycle 240570 0 48655 0 11089 0 23571 0 26884 0 350769 0 11089 0 Jim Lewandowski Former Key Employee 0 0 0 0 722305 0 0 0 15727 0 738032 0 722305 0 Part I, Line 3 Ascension Health, a related organization of Alexian Brothers Health System, uses the following methods to establish the compensation of the organization's CEO: - Compensation Committee, - Independent compensation consultant, - Form 990 of other organizations, - Written employment contract, - Compensation survey or study, and - Approval by the Board or Compensation Committee. Part I, Line 4a: The following individuals listed in Schedule J received the referenced amount of change in control payments in calendar year 2013. The payments under a change-of-control arrangement are made in connection with retirement that changed the terms of employment resulting from a change in control of the organization: Jim Lewandowski - $689,832 Part I, Line 4b: Alexian Brothers Health System offers a Supplemental Employee Retirement Plan to all employees who participate in the executive benefits program and whose compensation exceeds the IRS allowable limit for a qualified pension plan. The purpose of the plan is to restore retirement benefits that are restricted because of compensation limits for the executives. Neither contributions to nor distributions from the supplemental nonqualified retirement plan were made in the current year. Part I, Line 7: Alexian Brothers Health System provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the Compensation Committee of the Board of Governors. A Illinois Finance Authority 861091967 45200BQD3 2005-08-11 255795000 Partial refund 1999 Series, issued 1/15/99 0 0 0 B Illinois Finance Authority 861091967 45200FFH7 2008-04-23 44028000 Construct a Facility 0 0 0 C Illinois Finance Authority 861091967 45200FY94 2010-04-21 134586814 Partial refunding issue 08/11/05 and construction 0 0 0 A 171310000 255795000 1612171 7020188 247162641 0 1 1 1 B 41925000 44028000 788514 43239485 2009 0 0 1 1 C 67250000 134787913 12264485 59307 1904465 50145550 70420000 2012 1 0 1 1 B 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 1 Bank America Merrill Lynch 0 1 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 Date Rebate Computation Performed Issuer Name: Illinois Finance Authority Date the Rebate Computation was Performed: 07/16/2009 Issuer Name: Illinois Finance Authority Date the Rebate Computation was Performed: 03/14/2013 Part I, Column (C) and Part II, Line 3: Differences between the issue price shown on Part I, column (e) and the total proceeds shown on Part II, line 3 are due to investment earnings. Part II, Line 4: Only amounts constituting debt service reserve funds are included on line 4. In addition, ABHS has the following amounts at June 30, 2014 in debt service funds: $2,271,632 for Series 2005; $42,281 for Series 2008; $826,940 for Series 2010. Part II, Line 4, Column (B): At issuance, sale proceeds of the Series 2008 bonds funded a $4,500,000 debt service reserve fund. The reserve was subsequently replaced by a $4,500,000 letter of credit, and the proceeds expended on the project. Part III, Column (A): Part III is not required for the 2005 bonds, column A, as they refunded pre-2003 issues. Part IV, Line 3, Column (A): While all currently outstanding 2005 bonds actually bear fixed rates, taken in its entirety Series 2005 constitutes a variable yield issue for tax purposes. Part IV, Line 4c, Column (A): The following three swaps were entered into by ABHS, the counterparty being BOA Merrill Lynch: A) $87,425,000 receiving variable rate, paying fixed rate, terminated on 5/28/2008 (actual term 2.8 years). B) $87,425,000 receiving variable rate, paying fixed rate, terminated on 5/28/2008 (actual term 2.8 years). C) $80,945,000 receiving variable rate, paying fixed rate, schedule termination on 1/1/2018 (scheduled term 12.4 years). Part IV, Line 4e, Column (A): Swaps A and B were terminated on May 28, 2008. Swap C remains open. Part IV, Line 6, Column (A): This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the bonds. Jeannie Justie Vice President Split dollar life insurance X 109053 109053 0 1 1 Gary Breuer Vice President Split dollar life insurance X 103841 103841 0 1 1 Tracy Rogers Senior Vice President & COO Split dollar life insurance X 119074 119074 0 1 1 Paul Belter Senior Vice President & Treasurer Split dollar life insurance X 61721 61721 0 1 1 Mary Ann Magnifico Vice President Split dollar life insurance X 133786 133786 0 1 1 Peg Wendell Officer - Secretary Split dollar life insurance X 64104 64104 0 1 1 Melanie Furlan Vice President Split dollar life insurance X 80483 80483 0 1 1 Scott Peterson Vice President, Human Resources Split dollar life insurance X 73816 73816 0 1 1 Patricia Cassidy Vice President Split dollar life insurance X 45123 45123 0 1 1 791001 Form 990, Part V , Line 1a: Alexian Brothers Health System uses a common bank account to compensate all independent contractors within the Health System. The number attributable to each organization is not easily distinguished. The total number of Forms 1099 filed for the entire Health System appears on Part V, Line 1a of the Alexian Brothers Health System Form 990. Form 990, Part VI, Section A, line 6 Alexian Brothers Health System has a single corporate member, Ascension Health (the "Sponsor"). Form 990, Part VI, Section A, line 7a Alexian Brothers Health System has a single corporate member, Ascension Health, which has the ability to elect members to the governing body of Alexian Brothers Health System. Form 990, Part VI, Section A, line 7b Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix include the following: new organizations for which Ascension Health will serve as the controlling entity and major transactions; governing documents; appointment/removal of the Chair of the Board and Chief Executive Officer; debt limits; strategic and financial plans; the transfer of assets; and, system policies and procedures. These areas are subject to certain levels of approval by Ascension Health per the system authority matrix. Form 990, Part VI, Section B, line 11 Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board members are provided the Form 990 and management team members are available to answer any Board Members' questions. Form 990, Part VI, Section B, line 12c 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, Section B, line 15b In determining the compensation of the organization's CEO, the process, performed by Ascension Health, a related organization of Alexian Brothers Health System, 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 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 his compensation was decided. In determining compensation of other officers or key employees of the organization, the process 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 other officers or key employees of the organization were compared to other similarly situated organizations' employees that hold the same or similar title. During the review and approval of the compensation by the Compensation Committee, documentation of the decision was recorded in the minutes. Form 990, Part VI, Section C, line 19 The financial statements of Alexian Brothers Health System are available through the Office of the Illinois Attorney General. Conflicts of Interest statements and the governing documents of Alexian Brothers Health System are not made available to the public. Form 990, Part XI, line 9: Transfers to/from Affiliates 8,154,162. Recognition of Minimum Pension Liability 2,310,815. System Office Fees/Sponsorship Fees -9,317,956. Foundation Contributions/Distribution to Entities -739,927. Foundation Restricted Funds 7,078,471. Net loss from Founation Fundraising/Net Assets Released from Restriction 146,310. Ascension Health Alliance PO Box 45998 St Louis MO 631455998 453358926 National Health System MO Section 501(c)(3) Schedule A, Line 11a N/A 0 Ascension Health PO Box 45998 St Louis MO 63145 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a Ascension Health Alliance 0 Alexian Brothers Bonaventure House 825 Wellington Avenue Chicago IL 60657 363527899 Housing and supportive care services for persons with HIV/AIDS IL Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Brothers Specialty Group 3040 W Salt Creek Lane Arlington Heights IL 60005 800710751 Specialty physician practice group IL Section 501(c)(3) Schedule A, Line 3 Alexian Brothers Health System 1 Alexian Brothers of San Jose Inc 3040 W Salt Creek Lane Arlington Heights IL 60005 941530037 Acute care hospital (sold in 1998) TX Section 501(c)(3) Schedule A, Line 11c Alexian Brothers Health System 1 Alexian Brothers Senior Ministries 3040 W Salt Creek Lane Arlington Heights IL 60005 364484290 Supports the provision of healthcare services for related corporations IL Section 501(c)(3) Schedule A, Line 11c Alexian Brothers Health System 1 Alexian Brothers Services Inc 3040 W Salt Creek Lane Arlington Heights IL 60005 431295333 HUD housing MO Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Brothers Hospital Network 3040 W Salt Creek Lane Arlington Heights IL 60005 363276552 Supports the provision of healthcare services for related corporations IL Section 501(c)(3) Schedule A, Line 11c Alexian Brothers Health System 1 Alexian Village of Milwaukee Inc 9301 N 76th Street Milwaukee WI 53223 391351584 Continuing care retirement community WI Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Brothers Community Services 425 Cumberland Street Suite 110 Chattanooga TN 37404 364344423 Provides comprehensive & coordinated community based services IL Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Brothers Senior Neighbors 250 East 10th Street Chattanooga TN 37402 620646376 Supports the provision of community services for senior citizens TN Section 501(c)(3) Schedule A, Line 7 Alexian Brothers Health System 1 Alexian Village of Tennessee 437 Alexian Way Signal Mountain TN 37377 621136742 Continuing care retirement community TN Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Elderly Services Inc 3040 W Salt Creek Lane Arlington Heights IL 60005 392039667 Community outreach WI Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Brothers Lansdowne Village 4624 Lansdowne St Louis MO 63116 431470362 Skilled nursing facility MO Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Brothers Sherbrooke Village 4005 Ripa Avenue St Louis MO 63125 431592502 Skilled nursing facility MO Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Savelli Properties Inc 3040 W Salt Creek Lane Arlington Heights IL 60005 363308965 Owns or leases properties where healthcare services are delivered IL Section 501(c)(2) N/A Alexian Brothers Health System 1 Alexian Brothers Center for Mental Health 3436 N Kennicott Avenue Arlington Heights IL 60004 363045007 Outpatient community mental health services IL Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System 1 Alexian Brothers Behavioral Health Hospital 1650 Moon Lake Blvd Hoffman Estates IL 60194 364251848 Behavioral health hospital IL Section 501(c)(3) Schedule A, Line 3 Alexian Brothers Health System 1 St Alexius Medical Center 1555 Barrington Road Hoffman Estates IL 60194 364251846 Acute care hospital IL Section 501(c)(3) Schedule A, Line 3 Alexian Brothers Health System 1 Alexian Brothers Ambulatory Group 3040 W Salt Creek Lane Arlington Heights IL 60005 364336931 Physician services IL Section 501(c)(3) Schedule A, Line 3 Alexian Brothers Health System 1 Alexian Brothers Medical Center 800 Biesterfield Road Elk Grove Village IL 60007 362596381 Acute care hospital TX Section 501(c)(3) Schedule A, Line 3 Alexian Brothers Health System 1 Alexian Rehabilitation Services LLC 935 Beisner Road Elk Grove Village IL 60007 300221481 Rehabilitation hospital IL N/A Illinois NeuroMeg Center LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 870783164 Provision of NeuroMeg services IL N/A Elk Grove MOB Limited Partnership 3040 W Salt Creek Lane Arlington Heights IL 60005 363853289 Medical office building IL N/A Bonaventure Medical Foundation LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 363978153 Manages managed care contracts DE Alexian Brothers Health System Related -6745061 0 1 0.50000 Neurosciences Equipment LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 861115516 Ownership of Gamma Knife IL N/A St Alexius Center for Sleep Health LLC 1300 S Main Street Lombard IL 60148 205876371 Operation of sleep lab IL N/A Thelen Corporation 3040 W Salt Creek Lane Arlington Heights IL 60005 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