2014-05-09T15:05:51-05:00 2013-06-30 861065772 Deloitte Tax LLP 111 South Wacker Drive Chicago IL 60606 990 2012-07-01 364484290 Alexian Brothers Senior Ministries ALEX 3147293519 12250 Weber Hill Road No 200 St Louis MO 63127 Gary Mohn 3147293519 2014-05-09 1 Laura Gillespie P00855604 3124861000 2012 2015-11-30 17:44:51Z John Turongian 12250 Weber Hill Road No 200 St Louis MO 63127 2845845 0 0928 X www.alexianbrothershealth.org X 2009 IL Alexian Brothers Senior Ministries is an area member for Catholic health system ministries. 6 5 42 5 0 0 0 0 1096462 2828031 7885 17814 0 0 1104347 2845845 0 0 0 0 976575 2876504 0 0 0 111927 291649 1088502 3168153 15845 -322308 921288 2984279 212840 2582894 708448 401385 Alexian Brothers Senior Ministries ("ABSM") 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 3001684 2828031 ABSM promotes the availability of quality healthcare and housing to all persons by coordinating the activities of the corporations to which it is the area member (including Alexian Village of Tennessee, Alexian Village of Milwaukee, Inc., Alexian Brothers Community Services, Alexian Brothers Lansdowne Village, Alexian Brothers Sherbrooke Village, and Alexian Brothers Senior Neighbors) by the provision of centralized administrative support, including services such as Human Resources, Accounting and Information Technologies. In 2013, these corporations served numerous residents and clients by providing care in nursing homes, retirement communities and Program for All-Inclusive Care of the Elderly ("PACE") programs. 3001684 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 18 0 1 42 1 0 0 0 0 0 0 0 0 0 0 X 6 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Cindy Winters 3147293519 12250 Weber Hill Road Suite 200 St Louis MO 63127 X Br Lawrence Krueger CFA 1.00 0.00 X X 0 0 0 Howard Roddy 1.00 0.00 X X 0 0 0 John Turongian 40.00 0.00 X X 0 339442 50851 Curtis C Gielow 1.00 0.00 X 0 0 0 Br Warren Longo CFA 1.00 0.00 X 0 0 0 Br Daniel McCormick CFA 1.00 0.00 X 0 0 0 Sandra Johnson JD LLM 1.00 0.00 X 0 0 0 Donna Gauthier 0.00 40.00 X 0 71007 15381 DeWayne McMullin 40.00 0.00 X 0 168254 28313 Ken Marx 40.00 0.00 X 0 39053 3243 Jim Lewandowski 0.00 40.00 X 0 468370 805832 Ellen Hardy 40.00 0.00 X 0 162401 20951 Keith Conboy 40.00 0.00 X 0 106696 20224 Gary Mohn 0.00 40.00 X 0 314279 67647 0 1669502 1012442 0 1 1 0 United Healthcare Insurance Company 22561 Network Place Chicago IL 60673 Employee Insurance 116678 1 Shared Services Rev. 541900 2828031 2828031 2828031 17814 17814 2845845 2828031 0 17814 2404343 2355424 48919 30791 24458 6333 274727 218221 56506 166643 132368 34275 3044 3044 5425 5425 65882 65882 106843 92998 13845 266 266 6205 6205 39696 39696 1782 1782 34421 34421 1166 1166 Other Purchased Svcs. 26382 26382 Taxes 537 537 3168153 3001684 166469 0 46844 28617 140217 45349 35272 94868 833802 5370 2860794 921288 2984279 202513 2555068 10327 27826 212840 2582894 X 708448 401385 0 0 708448 401385 921288 2984279 -322308 15245 0 X 0 1 X 1 0 X X X 0 0 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 Sherbrooke Village 431592502 9 1 1 1 0 Alexian Elderly Services Inc 362039667 9 1 1 1 0 Alexian Brothers Lansdowne Village 431470362 9 1 1 1 0 7 0 Schedule A, Part IV, Supplemental Information: ABSM supports the provision of health and housing services at the corporations to which it is a member by the provision of centralized administrative support, including Billing and Collections; IT; Accounting; and Human Resources. Costs of these departments are charged to the members through a management fee. Transactions with members are delineated on Schedule R. 140217 45349 94868 94868 Due From Carondelet Long Term Care Facilities 2658141 Due From Affiliates 39772 Due From Seton Manor 102265 Due From St. Joseph's Ministries 60616 2860794 Due to Affiliates 27826 27826 Part X, Line 2: Alexian Brothers Senior Ministries does not file a separate audit report, but is part of the Alexian Brothers Health System consolidated audit report. There is no ASC 740 (fka FIN 48) footnote for the current year. 0 1 0 0 0 0 0 0 0 John Turongian 0 273039 0 55523 0 10880 0 22993 0 27858 0 390293 0 10880 DeWayne McMullin 0 139587 0 28667 0 0 0 8789 0 19524 0 196567 0 0 Jim Lewandowski 0 328372 0 88552 0 51446 0 779279 0 26553 0 1274202 0 33988 Ellen Hardy 0 142457 0 19944 0 0 0 3328 0 17623 0 183352 0 0 Gary Mohn 0 240396 0 60045 0 13838 0 29691 0 37956 0 381926 0 13838 Part I, Line 3 Alexian Brothers Health System, a related organization of Alexian Brothers Senior Ministries, uses all of the items in Schedule J, Part I, Line 3 to establish the compensation of the organization's CEO. 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. The amount paid in calendar 2012 was included in income in Schedule J for the following individual: Jim Lewandowski - $19,123 Form 990, Part VI, Section A, line 2 Donna Gauthier, Jim Lewandowski, John Turongian, DeWayne McMullin and Ken Marx have a business relationship due to joint employment by a common health system entity. Form 990, Part VI, Section A, line 6 Alexian Brothers Senior Ministries has one member, Alexian Brothers Health System (the "National Member"). Form 990, Part VI, Section A, line 7a Alexian Brothers Health System has the authority to appoint and remove Directors and Executive Officers of Alexian Brothers Senior Ministries. Form 990, Part VI, Section A, line 7b All decisions that have a material impact to Alexian Brothers Senior Ministries 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 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 Member's 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 15 In determining compensation of the organization's CEO, Executive Director, or top management official, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee of the Board of Governors of Alexian Brothers Health System reviewed and approved the compensation. In the review of the compensation, the CEO, Executive Director, or top management were compared to other similarly situated organizations that hold the same or a similar title. During the review and approval of the compensation, the documentation of the decision was recorded in the Compensation 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 Senior Ministries are available through the National Reporting Municipal Services Information Repository (NRMSIR). Conflict of Interest statements and the governing documents of Alexian Brothers Senior Ministries are not made available to the public. Form 990, Part VII, Section A: Officers and key employees for Alexian Brothers Senior Ministries provide services to Alexian Brothers Health System (the National Member) and its subsidiaries. Hours worked are not tracked on an entity by entity basis, and a 40 hour work week is used as a proxy for all individuals listed on Part VII if employed by the filing organization or a related organization (even though more hours may be worked on average). Therefore, all officers, directors, trustees, and key employees hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees represent aggregate hours worked per week for all entities. Form 990, Part XII, Line 2b - Audit Disclosure: The financial statements of Alexian Brothers Senior Ministries 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. Part VIII, Line 3; Part X, Line 12: The amount reflected as dividends and interest reflects Alexian Brothers Senior Ministries share of interest, dividends and realized gains/losses from Alexian Brothers Senior Ministries beneficial share in the Alexian Brothers Health System, Inc. Investment Trust (ABHSIT). ABHSIT is a related entity whose purpose is to pool the investments of the not-for-profit entities in ABHS and acts as an internal mutual fund. Details of gains and losses are shown on the Form 990 of ABHSIT. 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 Health System 3040 W Salt Creek Lane Arlington Heights IL 60005 363260495 Supports provision of healthcare services for related corporations IL Section 501(c)(3) Schedule A, Line 11c Ascension Health 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 Health System Inc Investment Trust 3040 W Salt Creek Lane Arlington Heights IL 60005 363801585 Manages pooled investments of related not-for-profit entities IL Section 501(c)(3) Schedule A, Line 11c 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 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 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 Alexian Brothers of St Louis Inc 3040 W Salt Creek Lane Arlington Heights IL 60005 430653236 Acute care hospital (sponsorship transferred in 1997) MO Section 501(c)(3) Schedule A, Line 11c 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 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 7 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 Workplace Solutions LLC 1100 E Woodfield Road Schaumburg IL 60173 364095007 Provision of EAP services IL N/A Bonaventure Medical Foundation LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 363978153 Manages managed care contracts DE N/A 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 363266316 Owns/leases property; joint venture partner IL N/A C 0 Alexian Brothers Health Providers Association Inc 3040 W Salt Creek Lane Arlington Heights IL 60005 363853286 Messenger model IPA IL N/A C 0 Alexian Brothers Corpus Christi Housing Project LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 943465394 Tax credit financed housing IL N/A C 0 Alexian Village of Elk Grove 3040 W Salt Creek Lane Arlington Heights IL 60005 352211303 Tax credit financed housing IL N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 Alexian Brothers Hospital Network P 1939014 FMV Alexian Brothers Lansdowne Village P 227765 FMV Alexian Brothers Community Services Q 1922491 FMV Alexian Village of Tennessee Q 113482 FMV Alexian Village of Milwaukee Inc Q 496408 FMV Alexian Brothers Sherbrooke Village Q 119078 FMV Alexian Brothers Health System S 1878336 FMV