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ALEXIAN BROTHER LANSDOWNE VILLAGE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ALEXIAN BROTHER LANSDOWNE VILLAGE (EIN 43-1470362)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-09
IRS object ID
201421299349302412
Schema version
2012v2.1
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)
Timestamp2014-05-09T15:06:59-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 S Wacker DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code606064301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN431470362EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Alexian Brothers Lansdowne VillageBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALEXNameControl
Phone3143516888Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14624 LansdowneAddressLine1
CitySt LouisCity
StateMOState
ZIP Code63116ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePierre SmithName
TitlePresidentTitle
Phone3143516888Phone
Date Signed2014-05-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLaura GillespieName
PTINP00855604PTIN
Phone3124861000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPierre SmithNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14624 LansdowneAddressLine1
CitySt LouisCity
StateMOState
ZIP Code63116ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11967070GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.alexianbrothershealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionSkilled nursing facilityActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees212TotalNbrEmployees
Total Nbr Volunteers26TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4759ContributionsGrantsPriorYear
Contributions Grants Current Year5966ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5765765ProgramServiceRevenuePriorYear
Program Service Revenue CY11358322ProgramServiceRevenueCY
Investment Income Prior Year381263InvestmentIncomePriorYear
Investment Income Current Year580738InvestmentIncomeCurrentYear
Other Revenue Prior Year10247OtherRevenuePriorYear
Other Revenue Current Year22044OtherRevenueCurrentYear
Total Revenue Prior Year6162034TotalRevenuePriorYear
Total Revenue Current Year11967070TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2735429SalariesEtcPriorYear
Salaries Etc Current Year4811195SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2838329OtherExpensePriorYear
Other Expenses Current Year6712369OtherExpensesCurrentYear
Total Expenses Prior Year5573758TotalExpensesPriorYear
Total Expenses Current Year11523564TotalExpensesCurrentYear
Revenues Less Expenses Prior Year588276RevenuesLessExpensesPriorYear
Revenues Less Expenses CY443506RevenuesLessExpensesCY
Total Assets BOY18104257TotalAssetsBOY
Total Assets EOY19013571TotalAssetsEOY
Total Liabilities BOY781759TotalLiabilitiesBOY
Total Liabilities EOY875200TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17322498NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18138371NetAssetsOrFundBalancesEOY
Mission DescriptionAlexian Brothers Lansdowne Village ("ABLV") carries out the healing mission of the Catholic Church as an Alexian Brothers ministry by identifying and developing effective responses to the health and housing needs of those we are called to serve.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9520602Expense
Revenue11358322Revenue
DescriptionSkilled Nursing Facility - Inspired by the healing mission of the Alexian Brothers to the elderly, ABLV provides a continuum of care to residents that maximizes dignity and independence. Rooted in the Catholic tradition of caring, the staff is committed to promoting the well-being of those we serve through the delivery of quality care. The facility has 145 beds with an average capacity of 133.7 in 2013, 20,780 days of care were provided to Medicaid recipients, 7,489 days of care were provided to Medicare recipients. The cost of charity care provided was $132,213, and community benefits of $3,171 were provided in 2013. The excess of Medicaid cost over reimbursement was $107,052.Description
Total Program Service Expense9520602TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109632NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees212NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Cindy WintersBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3147293500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112250 Weber Hill Road Suite 200AddressLine1
CitySt LouisCity
StateMOState
ZIP Code63127ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Alec Blanc
Director & Chairperson1.000.00XX000
Patricia Yaeger
Director & Treasurer (end 7/12)1.000.00XX000
Charles Gulas
Director & Treasurer (start 7/12)1.000.00XX000
Pierre Smith
Ex-Off Dir & President(start 11/12)40.000.00XX0182680
John Turongian
Director & Secretary0.0040.00XX033944250851
Barbara Prosser
Director & Vice President1.000.00XX000
Daniel Stricker
Ex-Off Dir & President (end 11/12)40.000.00XX018564127219
Mark Frey
Ex Officio Director0.0040.00X01434790179527
Brother Jeffrey Callander CFA
Director1.000.00X000
Donna Gauthier
Assistant Secretary0.0040.00X07100715381
Jim Lewandoski
Vice President0.0040.000468370805832X
Peggy Randell
Director of Finance40.000.00010753010449X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2625048TotalReportableCompFrmRltdOrgs
Total Other Compensation1089259TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TouchPoint Support Services
PO Box 102289AtlantaGA303682289Dietary/Environmental Services1436200
SSM Rehab
2455C McMullen Booth RdClearwaterFL33759Therapy Services1093302
Interlock Pharmacy
345 Dunn RdSt LouisMO63031Pharmaceuticals642649
United Healthcare Insurance Company
22561 Network PlaceChicagoIL60673Employee Insurance247940
Midwest Medical Supply
PO Box 955588St LouisMO631955588Medical Supplies179246
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Related Organizations5966RelatedOrganizations
Total Contributions5966TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medicare & Medicaid62300078522357852235
Skilled Nursing Svcs62300035060873506087
FieldValueIRS element (for citing)
Total Program Service Revenue11358322TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column580738TotalRevenueColumn
Exclusion$580,738ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Barber/Beauty90009913880$13,880
Guest & Employee Meals7222106800$6,800
Vending Revenue900099693$693

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column671TotalRevenueColumn
Exclusion$671ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue22044TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11967070TotalRevenueColumn
Related Or Exempt Function Income11358322RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$602,782ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4051487Total
Program Services3747103ProgramServices
Management And General304384ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total58589Total
Program Services54080ProgramServices
Management And General4509ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total408031Total
Program Services373398ProgramServices
Management And General34633ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total293088Total
Program Services270199ProgramServices
Management And General22889ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total528429Total
Management And General528429ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total133Total
Management And General133ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10200Total
Management And General10200ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total702Total
Program Services702ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1520061Total
Program Services1467130ProgramServices
Management And General52931ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total205444Total
Program Services166407ProgramServices
Management And General39037ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total236047Total
Management And General236047ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total317798Total
Program Services317798ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total18693Total
Program Services1153ProgramServices
Management And General17540ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total13115Total
Program Services5949ProgramServices
Management And General7166ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total472056Total
Program Services400858ProgramServices
Management And General71198ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total108181Total
Management And General108181ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Purchased Serv-Medical11973641174364230000
Medical Supplies82591982591900
Taxes-NFRA/Medicaid60425860425800
Bad Debt27000002700000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total383969Total
Program Services111284ProgramServices
Management And General272685ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11523564Total
Program Services9520602ProgramServices
Management And General2002962ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY23096BOY
EOY121384EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1176446BOY
EOY1880906EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY16604BOY
EOY19937EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY85857BOY
EOY60961EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4590978LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec704710LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3948866BOY
EOY3886268EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY12846081BOY
EOY13034182EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7307BOY
EOY9933EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18104257BOY
EOY19013571EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY725565BOY
EOY835543EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY56194BOY
EOY39657EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY781759BOY
EOY875200EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17315462BOY
EOY18131334EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7036BOY
EOY7037EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17322498BOY
EOY18138371EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18104257BOY
EOY19013571EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses443506ReconcilationRevenueExpenses
Reconciliation Unrealized Invest372367ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1741CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1885CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15821CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4759CurrentTaxYearMinus1Year
Current Tax Year5966CurrentTaxYear
Total30172Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11481545CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11526986CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10651288CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5765765CurrentTaxYearMinus1Year
Current Tax Year11358322CurrentTaxYear
Total50783906Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11483286CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11528871CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10667109CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5770524CurrentTaxYearMinus1Year
Current Tax Year11364288CurrentTaxYear
Total50814078Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50950814078PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-450067CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years195797CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years373213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year381263CurrentTaxYearMinus1Year
Current Tax Year580738CurrentTaxYear
Total1080944Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-450067CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years195797CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years373213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year381263CurrentTaxYearMinus1Year
Current Tax Year580738CurrentTaxYear
Total1080944Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year10247CurrentTaxYearMinus1Year
Total10247Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11033219CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11724668CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11040322CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6162034CurrentTaxYearMinus1Year
Current Tax Year11945026CurrentTaxYear
Total51905269Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97900PublicSupportPercentage509
Prior Year Support Percentage0.97460PriorYearSupportPercentage
Investment Income Percentage0.02080InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02490PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSchedule A, Part IV, Supplemental Information: Schedule A, Part IV: For the year ended 6/30/12, the organization filed a short period return due to a change of accounting period. Thus, the amounts in column 2011 of Schedule A reflect the tax year 1/1/2012 6/03/2012 activity. Prior balances have been rolled backward.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$702OtherActivitiesAmount
Total Lobbying Expenditures IIB702TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationLobbying expenses represent the portion of dues paid to Leading Age that is specifically allocable to lobbying.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis120000OtherCostOrOtherBasis
Book Value120000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3810477OtherCostOrOtherBasis
Depreciation607088Depreciation
Book Value3203389BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis463804OtherCostOrOtherBasis
Depreciation82887Depreciation
Book Value380917BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis196697OtherCostOrOtherBasis
Depreciation14735Depreciation
Book Value181962BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3886268TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionBeneficial Interest in Alexian Brothers Health System, Inc. Investment TrustDescription
Book Value13034182BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities13034182TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Outstanding Reserve for Insurance Losses$36,286
Due to Affiliates - Alexian Brothers Senior Ministries$3,371
FieldValueIRS element (for citing)
Total Of Amounts39657TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationAlexian Brothers Lansdowne Village does not file a separate audit report, but is part of the Alexian Brothers Health System consolidated audit report. There were no uncertain tax positions, and as a result there was no disclosure related to FIN 48 (ASC 740) in the June 30, 2013 audit report.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John Turongian
Director & Secretary02730390555230108800229930278580390293010880
Daniel Stricker
Ex-Off Dir & President (end 11/12)01449040320810865606617020602021286000
Mark Frey
Ex Officio Director011101380263024061628013795604157101614317044628
Jim Lewandoski
Vice President0328372088552051446077927902655301274202033988

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 3Alexian Brothers Health System, a related organization of Alexian Brothers Lansdowne Village, uses all of the items in Schedule J, Part I, Line 3 to establish the compensation of the organization's CEO.
Part IIIPart 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 - $19,123Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2John Turongian, Daniel Stricker, Pierre Smith, Mark Frey, Donna Gauthier and Jim Lewandowski have a business relationship due to joint employment by a common health system entity.
Form 990, Part VI, Section A, line 6Alexian Brothers Lansdowne Village has two classes of members, Alexian Brothers Health System (the "National Member") and Alexian Brothers Senior Ministries ( 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 Lansdowne Village.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to Alexian Brothers Lansdowne Village 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 Member's 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 compensation of the organization's CEO, 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, was compared to individuals at 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 who 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 Lansdowne Village are available through the National Reporting Municipal Services Information Repository (NRMSIR). Conflict of Interest statements and the governing documents of Alexian Brothers Lansdowne Village are not made available to the public.
Form 990, Part VII, Section A:Officers and certain key employees for Alexian Brothers Lansdowne Village 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 employee hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees represent aggregate hours for worked per week for all entities. Compensation amount for John Turongian represents payments for services rendered to Alexian Brothers Senior Ministries, a related entity and compensation amount for Mark Frey represents payment for services rendered to Alexian Brothers Health System, a related entity. The amounts are not for services as a board member of Alexian Brothers Lansdowne village.
Form 990, Part IX, line 11gDietary and Environmental Purchased Services: Program service expenses 1,314,575. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,314,575. Beautician Services: Program service expenses 12,404. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,404. Other fees-for-service: Program service expenses 140,151. Management and general expenses 52,931. Fundraising expenses 0. Total expenses 193,082.Other Fees
Form 990 Part VIII, Line 3 and Schedule D, Part VII:The amount reflected as dividends and interest reflects Alexian Brothers Lansdowne Village's share of interest, dividends and realized gains/losses from Alexian Brothers Lansdowne Village's 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 Alexian Brothers Health System and acts as an internal mutual fund. Details of gains and losses are shown on the Form 990 of ABHSIT.
Form 990, Part XII, Line 2b - Audit Disclosure:The financial statements of Alexian Brothers Lansdowne Village 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 audits the financial statements.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (22 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
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 11Ascension Health0
Alexian Brothers Bonaventure House
825 Wellington AvenueChicagoIL60657363527899Housing and supportive care services for persons with HIV/AIDSILSection 501(c)(3)Schedule A, Line 11Alexian Brothers Health System1
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 11Alexian Brothers Health System1
Alexian Brothers Specialty Group
3040 W Salt Creek LaneArlington HeightsIL60005800710751Specialty physician practice groupILSection 501(c)(3)Schedule A, Line 3Alexian Brothers Health System1
Alexian Brothers of San Jose Inc
3040 W Salt Creek LaneArlington HeightsIL60005941530037Acute care hospital (sold in 1998)TXSection 501(c)(3)Schedule A, Line 11Alexian Brothers Health System1
Alexian Brothers Services Inc
3040 W Salt Creek LaneArlington HeightsIL60005431295333HUD housingMOSection 501(c)(3)Schedule A, Line 9Alexian Brothers Health System1
Alexian Village of Milwaukee Inc
9301 N 76th StreetMilwaukeeWI53223391351584Continuing care retirement communityWISection 501(c)(3)Schedule A, Line 9Alexian Brothers Health System1
Alexian Brothers Community Services
425 Cumberland Street Suite 110ChattanoogaTN37404364344423Provides comprehensive & coordinated community based servicesILSection 501(c)(3)Schedule A, Line 9Alexian Brothers Health System1
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 System1
Alexian Village of Tennessee
437 Alexian WaySignal MountainTN37377621136742Continuing care retirement communityTNSection 501(c)(3)Schedule A, Line 9Alexian Brothers Health System1
Alexian Brothers Senior Ministries
3040 W Salt Creek LaneArlington HeightsIL60005364484290Supports the provision of healthcare services for related corporationsILSection 501(c)(3)Schedule A, Line 11Alexian Brothers Health System1
Alexian Elderly Services Inc
3040 W Salt Creek LaneArlington HeightsIL60005392039667Community outreachWISection 501(c)(3)Schedule A, Line 9Alexian Brothers Health System1
Alexian Brothers Sherbrooke Village
4005 Ripa AvenueSt LouisMO63125431592502Skilled nursing facilityMOSection 501(c)(3)Schedule A, Line 9Alexian Brothers Health System1
Alexian Brothers of St Louis Inc
3040 W Salt Creek LaneArlington HeightsIL60005430653236Acute care hospital (sponsorship transferred in 1997)MOSection 501(c)(3)Schedule A,Line11 CAlexian Brothers Health System1
Alexian Brothers Hospital Network
3040 W Salt Creek LaneArlington HeightsIL60005363276552Supports the provision of healthcare services for related corporationsILSection 501(c)(3)Schedule A, Line 11Alexian Brothers Health System1
Savelli Properties Inc
3040 W Salt Creek LaneArlington HeightsIL60005363308965Owns or leases properties where healthcare services are deliveredILSection 501(c)(2)N/AAlexian Brothers Health System1
Alexian Brothers Center for Mental Health
3436 N Kennicott AvenueArlington HeightsIL60004363045007Outpatient community mental health servicesILSection 501(c)(3)Schedule A, Line 7Alexian Brothers Health System1
Alexian Brothers Behavioral Health Hospital
1650 Moon Lake BlvdHoffman EstatesIL60194364251848Behavioral health hospitalILSection 501(c)(3)Schedule A, Line 3Alexian Brothers Health System1
St Alexius Medical Center
1555 Barrington RoadHoffman EstatesIL60194364251846Acute care hospitalILSection 501(c)(3)Schedule A, Line 3Alexian Brothers Health System1
Alexian Brothers Ambulatory Group
3040 W Salt Creek LaneArlington HeightsIL60005364336931Physician servicesILSection 501(c)(3)Schedule A, Line 3Alexian Brothers Health System1
Alexian Brothers Medical Center
800 Biesterfield RoadElk Grove VillageIL60007362596381Acute care hospitalTXSection 501(c)(3)Schedule A, Line 3Alexian Brothers Health System1

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
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
Workplace Solutions LLC
1100 E Woodfield RoadSchaumburgIL60173364095007Provision of EAP servicesILN/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

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
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 Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Alexian Brothers Health System
P527727FMV
Alexian Brothers Health System
R521604FMV
Alexian Brothers Senior Ministries
P227765FMV