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ALEXIAN BROTHERS SPECIALTY GROUP: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ALEXIAN BROTHERS SPECIALTY GROUP (EIN 80-0710751)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-07
IRS object ID
201541279349301764
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-07T14:31:18-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Wacker DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN800710751EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Alexian Brothers Specialty GroupBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlALEXBusinessNameControlTxt
Phone8478185100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13040 West Salt Creek LaneAddressLine1
CityArlington HeightsCity
StateILState
ZIP Code600051069ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMark FreyPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone8478185100PhoneNum
Signature2015-05-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLaura GillespiePreparerPersonNm
PTINP00855604PTIN
Phone3124861000PhoneNum
Preparation2015-04-27PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerFredPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13040 West Salt Creek LaneAddressLine1
CityArlington HeightsCity
StateILState
ZIP Code600051069ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$12,048,912GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.alexianbrothershealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionSpecialty physician group in Catholic health system.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$12,325,894PYProgramServiceRevenueAmt
CY Program Service Revenue$12,048,912CYProgramServiceRevenueAmt
PY Investment Income$461,072PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$12,786,966PYTotalRevenueAmt
CY Total Revenue$12,048,912CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,048,418PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,928,275CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,340,830PYOtherExpensesAmt
CY Other Expenses$4,548,887CYOtherExpensesAmt
PY Total Expenses$18,389,248PYTotalExpensesAmt
CY Total Expenses$18,477,162CYTotalExpensesAmt
PY Revenues Less Expenses-$5,602,282PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,428,250CYRevenuesLessExpensesAmt
Total Assets BOY$1,915,140TotalAssetsBOYAmt
Total Assets EOY$1,834,408TotalAssetsEOYAmt
Total Liabilities BOY$12,348,968TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,696,486TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$10,433,828NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$16,862,078NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAlexian 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$16,795,829ExpenseAmt
Revenue$12,048,912RevenueAmt
DescAlexian Brothers Specialty Group (ABSG) is a cardiology focused employed physician group of Alexian Brothers Health System. There are nearly 20 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 Alexian Brothers Health System acute care hospitals, offer flexible access and prompt treatment for cardiology related issues. About the Alexian Brothers Health SystemAlexian Brothers Specialty Group is a member of the Alexian Brothers Health System, a comprehensive and diversified healthcare organization headquartered (See Schedule O.)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 also has an enduring commitment to identifying and developing an effective response to the unique health and housing needs of older adults through a dynamic senior ministries program that operates an array of residential, retirement and community resources.These 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.Desc
Total Program Service Expenses$16,795,829TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Fred NelsonBusinessNameLine1
FieldValueIRS element (for citing)
Phone8478185100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13040 West Salt Creek LaneAddressLine1
CityArlington HeightsCity
StateILState
ZIP Code600051069ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Mark Frey
Director/Chairperson/President1.0050.00Yes (X)Yes (X)$0$1,498,371$49,865
Tracy Rogers
Director/Vice President1.0050.00Yes (X)Yes (X)$0$654,056$58,907
Paul Belter
Director/Secretary/Treasurer1.0050.00Yes (X)Yes (X)$0$540,392$60,474
Beth Tze
Vice President1.0050.00Yes (X)$0$368,859$55,197
Donna Gauthier
Assistant Secretary1.0040.00Yes (X)$0$74,489$15,715
Fred Nelson start 413
Chief Financial Officer25.0025.00Yes (X)$0$128,874$7,600
Jack Chamberlin
Cardiologist50.000.00$0$774,076$27,315Yes (X)
Mohammed Khan
Cardiologist50.000.00$0$927,482$27,247Yes (X)
Andrei Pop
Cardiologist50.000.00$0$697,965$26,644Yes (X)
Daniel Sauri
Cardiologist50.000.00$0$844,755$22,152Yes (X)
Scott Tomasik
Cardiologist50.000.00$0$608,641$26,644Yes (X)
Jim Lewandowski end 1112
Former Key Employee0.000.00$0$722,305$15,727Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,840,265TotReportableCompRltdOrgAmt
Total Other Compensation$393,487TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Svcs Rev.621110$11,914,701$11,914,701
Intercompany Affiliate900099$134,211$134,211
FieldValueIRS element (for citing)
Total Program Service Revenue$12,048,912TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,048,912TotalRevenueColumnAmt
Related Or Exempt Func Income$12,048,912RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,422,601TotalAmt
Program Services$12,422,601ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$529,445TotalAmt
Program Services$529,445ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$518,702TotalAmt
Program Services$518,702ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$457,527TotalAmt
Program Services$457,527ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,909TotalAmt
Management And General$2,909ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,854TotalAmt
Management And General$6,854ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,143,612TotalAmt
Program Services$1,145,621ProgramServicesAmt
Management And General$997,991ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,003TotalAmt
Program Services$3,003ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$364,629TotalAmt
Program Services$294,214ProgramServicesAmt
Management And General$70,415ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$44,392TotalAmt
Program Services$44,392ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$658,166TotalAmt
Program Services$652,435ProgramServicesAmt
Management And General$5,731ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$92,221TotalAmt
Program Services$92,221ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$14,230TotalAmt
Program Services$14,230ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$82,846TotalAmt
Program Services$82,846ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$331,188TotalAmt
Program Services$328,633ProgramServicesAmt
Management And General$2,555ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Management Fees$649,346$59,993$589,353
Dues$70,476$64,951$5,525
Medical Supplies$58,863$58,863

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$26,152TotalAmt
Program Services$26,152ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,477,162TotalAmt
Program Services$16,795,829ProgramServicesAmt
Management And General$1,681,333ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$109,374BOYAmt
EOY$91,099EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,020,816BOYAmt
EOY$999,154EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$33,866BOYAmt
EOY$63,459EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$809,431LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$206,727LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$685,550BOYAmt
EOY$602,704EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$65,534BOYAmt
EOY$77,992EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,915,140BOYAmt
EOY$1,834,408EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,567,348BOYAmt
EOY$2,351,816EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,781,620BOYAmt
EOY$16,344,670EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,348,968BOYAmt
EOY$18,696,486EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$10,433,828BOYAmt
EOY-$16,862,078EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$10,433,828BOYAmt
EOY-$16,862,078EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,915,140BOYAmt
EOY$1,834,408EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$6,428,250ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part I, Line 3:FormAndLineReferenceDesc
ExplanationThe 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.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$304,888OtherCostOrOtherBasisAmt
Depreciation$76,060DepreciationAmt
Book Value$228,828BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$504,543OtherCostOrOtherBasisAmt
Depreciation$130,667DepreciationAmt
Book Value$373,876BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$602,704TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to Affiliates$16,202,829
Reserve for Outstanding Insurance Losses$141,841
FieldValueIRS element (for citing)
Total Liability$16,344,670TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationFrom the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Alexian Brothers Specialty Group: 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mark Frey
Director/Chairperson/President$0$712,178$0$693,941$0$92,252$0$14,702$0$35,163$0$1,548,236$0$74,752
Tracy Rogers
Director/Vice President$0$490,446$0$142,500$0$21,110$0$30,990$0$27,917$0$712,963$0$21,110
Paul Belter
Director/Secretary/Treasurer$0$420,392$0$120,000$0$0$0$25,845$0$34,629$0$600,866$0$0
Beth Tze
Vice President$0$274,214$0$76,836$0$17,809$0$27,864$0$27,333$0$424,056$0$17,809
Jack Chamberlin
Cardiologist$0$774,076$0$0$0$0$0$5,100$0$22,215$0$801,391$0$0
Mohammed Khan
Cardiologist$0$927,482$0$0$0$0$0$5,100$0$22,147$0$954,729$0$0
Andrei Pop
Cardiologist$0$697,965$0$0$0$0$0$5,100$0$21,544$0$724,609$0$0
Daniel Sauri
Cardiologist$0$844,755$0$0$0$0$0$5,100$0$17,052$0$866,907$0$0
Scott Tomasik
Cardiologist$0$608,641$0$0$0$0$0$5,100$0$21,544$0$635,285$0$0
Jim Lewandowski end 1112
Former Key Employee$0$0$0$0$0$722,305$0$0$0$15,727$0$738,032$0$722,305

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Alexian Brothers Health System, a related organization of Alexian Brothers Specialty Group, 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 Board or Compensation Committee
Part I, Line 4a:The following individual listed in Schedule J received the referenced amount of change in control payments in calendar 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 1a:Alexian Brothers Health System, a related organization of Alexian Brothers Specialty Group, 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 2Mark Frey, Tracy Rogers, Beth Tze, Paul Belter, Donna Gauthier and Fred Nelson have a business relationship due to joint employment by a common health system entity.
Form 990, Part VI, Section A, line 6Alexian Brothers Specialty Group has two classes of corporate members, Alexian Brothers Health System (the "National Member") and Alexian Brothers Hospital Network (the "Area Member").
Form 990, Part VI, Section A, line 7aAlexian Brothers Health System has the authority to appoint and remove Directors and Executive Officers of Alexian Brothers Specialty Group.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to Alexian Brothers Specialty Group's financial information or corporation as a whole are subject to approval by the National Member, Alexian Brothers Health System.
Form 990, Part VI, Section B, line 11Management, 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 12cThe 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, Section B, line 15In determining the compensation of the organization's CEO, the process, performed by Ascension Health, 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 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 organization's 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 19The financial statements of Alexian Brothers Specialty Group are available through the Office of the Illinois Attorney General. Conflict of Interest statements and the governing documents of Alexian Brothers Specialty Group are not made available to the public.
Form 990, Part IX, line 11gPurchased Services - Billing: Program service expenses 2,862. Management and general expenses 993,966. Fundraising expenses 0. Total expenses 996,828. Purchased Services: Program service expenses 982,635. Management and general expenses 0. Fundraising expenses 0. Total expenses 982,635. Other fees-for-service: Program service expenses 160,124. Management and general expenses 4,025. Fundraising expenses 0. Total expenses 164,149.
Form 990, Part XII, Line 2b - Audit Disclosure:The financial statements of Alexian Brothers Specialty Group were audited on a consolidated basis. The Audit Committee of the Board of Governors of Alexian Brothers Health System has been delegated the responsibility to oversee the audited financial statements and the selection of the independent accountants that audit the financial statements.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
Ascension Health
PO Box 45998St LouisMO63145311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11aAscension Health Alliance0
Alexian Brothers Health System
3040 W Salt Creek LaneArlington HeightsIL60005363260495Supports provision of healthcare services for related corporationsILSection 501(c)(3)Schedule A, Line 11cAscension Health0
Alexian Brothers Bonaventure House
825 Wellington AvenueChicagoIL60657363527899Housing and supportive care services for persons with HIV/AIDSILSection 501(c)(3)Schedule A, Line 9Alexian Brothers Health SystemYes (1)
Alexian Brothers Health System Inc Investment Trust
3040 W Salt Creek LaneArlington HeightsIL60005363801585Manages pooled investments of related not-for-profit entitiesILSection 501(c)(3)Schedule A, Line 11cAlexian Brothers Health SystemYes (1)
Alexian Brothers of San Jose Inc
3040 W Salt Creek LaneArlington HeightsIL60005941530037Acute care hospital (sold in 1998)TXSection 501(c)(3)Schedule A, Line 11cAlexian Brothers Health SystemYes (1)
Alexian Brothers Senior Ministries
3040 W Salt Creek LaneArlington HeightsIL60005364484290Supports the provision of healthcare services for related corporationsILSection 501(c)(3)Schedule A, Line 11cAlexian Brothers Health SystemYes (1)
Alexian Brothers Services Inc
3040 W Salt Creek LaneArlington HeightsIL60005431295333HUD housingMOSection 501(c)(3)Schedule A, Line 9Alexian Brothers Health SystemYes (1)
Alexian Brothers Hospital Network
3040 W Salt Creek LaneArlington HeightsIL60005363276552Supports the provision of healthcare services for related corporationsILSection 501(c)(3)Schedule A, Line 11cAlexian Brothers Health SystemYes (1)
Alexian Village of Milwaukee Inc
9301 N 76th StreetMilwaukeeWI53223391351584Continuing care retirement communityWISection 501(c)(3)Schedule A, Line 9Alexian Brothers Health SystemYes (1)
Alexian Brothers Community Services
425 Cumberland Street Suite 110ChattanoogaTN37404364344423Provides comprehensive & coordinated community based servicesILSection 501(c)(3)Schedule A, Line 9Alexian Brothers Health SystemYes (1)
Alexian Brothers Senior Neighbors
250 East 10th StreetChattanoogaTN37402620646376Supports the provision of community services for senior citizensTNSection 501(c)(3)Schedule A, Line 7Alexian Brothers Health SystemYes (1)
Alexian Village of Tennessee
437 Alexian WaySignal MountainTN37377621136742Continuing care retirement communityTNSection 501(c)(3)Schedule A, Line 9Alexian Brothers Health SystemYes (1)
Alexian Elderly Services Inc
3040 W Salt Creek LaneArlington HeightsIL60005392039667Community outreachWISection 501(c)(3)Schedule A, Line 9Alexian Brothers Health SystemYes (1)
Alexian Brothers Lansdowne Village
4624 LansdowneSt LouisMO63116431470362Skilled nursing facilityMOSection 501(c)(3)Schedule A, Line 9Alexian Brothers Health SystemYes (1)
Alexian Brothers Sherbrooke Village
4005 Ripa AvenueSt LouisMO63125431592502Skilled nursing facilityMOSection 501(c)(3)Schedule A, Line 9Alexian Brothers Health SystemYes (1)
Savelli Properties Inc
3040 W Salt Creek LaneArlington HeightsIL60005363308965Owns or leases properties where healthcare services are deliveredILSection 501(c)(2)N/AAlexian Brothers Health SystemYes (1)
Alexian Brothers Center for Mental Health
3436 N Kennicott AvenueArlington HeightsIL60004363045007Outpatient community mental health servicesILSection 501(c)(3)Schedule A, Line 7Alexian Brothers Health SystemYes (1)
Alexian Brothers Behavioral Health Hospital
1650 Moon Lake BlvdHoffman EstatesIL60194364251848Behavioral health hospitalILSection 501(c)(3)Schedule A, Line 3Alexian Brothers Health SystemYes (1)
St Alexius Medical Center
1555 Barrington RoadHoffman EstatesIL60194364251846Acute care hospitalILSection 501(c)(3)Schedule A, Line 3Alexian Brothers Health SystemYes (1)
Alexian Brothers Ambulatory Group
3040 W Salt Creek LaneArlington HeightsIL60005364336931Physician servicesILSection 501(c)(3)Schedule A, Line 3Alexian Brothers Health SystemYes (1)
Alexian Brothers Medical Center
800 Biesterfield RoadElk Grove VillageIL60007362596381Acute care hospitalTXSection 501(c)(3)Schedule A, Line 3Alexian Brothers Health SystemYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Alexian Rehabilitation Services LLC
935 Beisner RoadElk Grove VillageIL60007300221481Rehabilitation hospitalILN/A
Illinois NeuroMeg Center LLC
3040 W Salt Creek LaneArlington HeightsIL60005870783164Provision of NeuroMeg servicesILN/A
Elk Grove MOB Limited Partnership
3040 W Salt Creek LaneArlington HeightsIL60005363853289Medical office buildingILN/A
Bonaventure Medical Foundation LLC
3040 W Salt Creek LaneArlington HeightsIL60005363978153Manages managed care contractsDEN/A
Neurosciences Equipment LLC
3040 W Salt Creek LaneArlington HeightsIL60005861115516Ownership of Gamma KnifeILN/A
St Alexius Center for Sleep Health LLC
1300 S Main StreetLombardIL60148205876371Operation of sleep labILN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Thelen Corporation
3040 W Salt Creek LaneArlington HeightsIL60005363266316Owns/leases property; joint venture partnerILN/AC0
Alexian Brothers Health Providers Association Inc
3040 W Salt Creek LaneArlington HeightsIL60005363853286Messenger model IPAILN/AC0
Alexian Brothers Corpus Christi Housing Project LLC
3040 W Salt Creek LaneArlington HeightsIL60005943465394Tax credit financed housingILN/AC0
Alexian Village of Elk Grove
3040 W Salt Creek LaneArlington HeightsIL60005352211303Tax credit financed housingILN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Alexian Brothers Health System
P$473,282FMV
Alexian Brothers Hospital Network
P$176,064FMV
Alexian Brothers Health System
S$6,539,469FMV
Alexian Brothers Health System
R$327,074FMV