ST ALEXIUS MEDICAL CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ST ALEXIUS MEDICAL CENTER (EIN 36-4251846)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-10-30
- IRS object ID
- 201203049349301100
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-10-30T13:05:53-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 S Wacker Drive | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606064301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364251846 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Alexius Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STAL | NameControl |
| Phone | 8478432000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1555 Barrington Road | AddressLine1 |
| City | Hoffman Estates | City |
| State | IL | State |
| ZIP Code | 60169 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Edward Goldberg | Name |
| Title | VP Finance and CEO | Title |
| Phone | 8478432000 | Phone |
| Date Signed | 2012-10-30 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Laura Gillespie | Name |
| PTIN | P00855604 | PTIN |
| Phone | 3124861000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Sherri L Vincent | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1555 Barrington Road | AddressLine1 |
| City | Hoffman Estates | City |
| State | IL | State |
| ZIP Code | 60169 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 333463356 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.alexianbrothershealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | St. Alexius carries out the healing mission of the Catholic Church (See Schedule O).St. Alexius ("St. Alexius", "SAMC", or "the Organization")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 the those we are called to serve. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 572 | TotalNbrVolunteers |
| Total Gross UBI | 980596 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 427468 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 311897363 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 331214990 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 700 | InvestmentIncomePriorYear |
| Investment Income Current Year | 168638 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1154374 | OtherRevenuePriorYear |
| Other Revenue Current Year | 935675 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 313052437 | TotalRevenuePriorYear |
| Total Revenue Current Year | 332319303 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 122536142 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 128010392 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 166846063 | OtherExpensePriorYear |
| Other Expenses Current Year | 185191980 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 289382205 | TotalExpensesPriorYear |
| Total Expenses Current Year | 313202372 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 23670232 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 19116931 | RevenuesLessExpensesCY |
| Total Assets BOY | 238416375 | TotalAssetsBOY |
| Total Assets EOY | 284290966 | TotalAssetsEOY |
| Total Liabilities BOY | 80103066 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 91155084 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 158313309 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 193135882 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | St. Alexius Medical Center ("St. Alexius", "SAMC", or "the Organization") 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 the those we are called to serve. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 167605543 | Expense |
| Revenue | 149645733 | Revenue |
| Description | St. Alexius Medical CenterSt. Alexius Medical Center (SAMC) is a 339-bed acute care hospital located in Hoffman Estates, Illinois that has provided outstanding healthcare to the residents of the Chicago's northwest suburbs for more than 30 years. Located at 1555 Barrington Road, SAMC is ranked one of the best regional hospitals by U.S. News and World Report.In 2011, SAMC treated 18,500 inpatients, performed 3,400 inpatient surgeries, performed 7,400 outpatient surgeries and delivered 3,100 newborns. Our medical staff includes approximately 1,000 physicians, representing 60 medical and surgical specialties. (See Schedule O for continuation).SAMC is a full-service hospital with a Neurosciences Institute, Cancer Institute, Heart & Vascular Institute, as well as additional specialties in Older Adult, Pediatrics, Bariatric Surgery, Orthopedics and Obstetrics. The Alexian Brothers Women & Children's Hospital is under construction on the campus of SAMC and is expected to open in Spring 2013. SAMC has received Disease Specific Certification from The Joint Commission in Stroke, Heart Failure, and Knee and Hip Joint Replacement. In addition, we are a HealthGrades Top 50 Hospital, and have received the Blue Cross Blue Star of Distinction.SAMC provides care for all, including the financially disadvantaged, uninsured, underinsured, homeless persons and those who receive public aid. In 2011, SAMC provided $9.1 million of charity care at cost. This was in addition to other community benefit services amounting to $2.5 million dollars, $14 million dollars of unreimbursed Medicare costs to patients, $3.4 million dollars of bad debt expense at cost and $8.3 million dollars of unreimbursed Medicaid at cost. About the Alexian Brothers Health SystemSt. Alexius Medical Center is a member hospital of the Alexian Brothers Health System, a comprehensive and diversified healthcare organization headquartered in the northwest suburbs of Chicago, serving more than two million people. The Alexian Brothers Health System 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.Clinical InstitutesCancer InstituteThe Cancer Institute provides comprehensive oncology services across the entire Alexian Brothers Hospital Network. Accredited by the American College of Surgeons as a Comprehensive Community Hospital Program, our Cancer Institute boasts five-year survival rates that exceed the American Cancer Society's national statistics for breast, ovarian, lung and colon cancers. The comprehensive treatment care center at SAMC utilizes cutting-edge technologies, including 64-slice Computed Tomography (CT) Scan, and Breast Magnetic Resonance Imaging (MRI) as diagnostic tools. At SAMC, radiation therapy can be delivered through the following techniques: Cone Beam CT, Intensity Modulated Radiation Therapy, Image Guided Radiotherapy, Rapid Arc, Advanced High Dose Rate Brachytherapy and MammoSite Breast Therapy Treatment. SAMC is accredited by The American College of Surgeons Commission on Cancer as a Comprehensive Community Cancer Center. In addition, the National Accreditation Program for Breast Centers has accredited SAMC.Heart & Vascular Institute The Heart & Vascular Institute offers high-level cardiovascular care. Starting with a community-based screening program, our continuum of care includes a full-range of non-invasive testing for the rapid detection of heart and vascular disease. Services include diagnostic and interventional cardiology, electrocardiograms (EKG), echocardiography, stress tests, holter monitoring, angiograms angioplasty and stent placement, tilt table tests, cardio version and pacemaker insertion.Neurosciences Institute The Neurosciences Institute offers the latest medical advances and technology to help patients with neurological conditions. Our spectrum of care includes advanced diagnostic procedures, treatment strategies, and proven approaches to help patients achieve high quality of life. In addition, we are working to provide scientific insight into how to lower the risk of developing certain neurological diseases. Services include Acute Stroke Care Services, Epilepsy Center, Neurosurgery, Pediatric Neuropsychological Services and Stroke Prevention. SAMC is a Primary Stroke Center.ServicesDiagnostic Services Our diagnostic services include the latest technology and practices, which are accredited by nationally recognized agencies and association, such as The American Diabetes Association, American College of Radiology, The College of American Pathologists and The Joint Commission. Diagnostic services offered include:- Diagnostic imaging (general X-ray, CT, MRI, ultrasound, nuclear medicine)- Breast Care Services (screening and diagnostic mammography, breast biopsy ultrasound, stereotactic breast biopsy, bone densitometry, genetic counseling, MammaCare breast self examination instructions)- Cardiology (cardiac catheterization, electrophysiology, EKG, stress testing, elechocardiography, holter monitoring of arrhythmias)- Pulmonary Diagnostics (arterial blood gas analysis, pulse oximetry, bedside spirometry, peak flow monitoring, ventilator care)- Gastroenterology (gastroscopy, colonoscopy, bronchoscopy)- Laboratory/Pathology (chemistry, microbiology, hematology, histology, cytology, phlebotomy, transfusion services)Emergency ServicesEmergency medical care is provided 24/7 for all ages and types of patients, regardless of the ability to pay for such services. The Emergency Department is designated a Level II Trauma Center. In addition, a helipad allows for rapid transport of critical cases to a Level I facility. Our physicians voluntarily participate on the Emergency Department call roster. It is the belief of the medical staff that physicians who want to serve patients voluntarily will perform to a higher standard than those physicians mandated to do so. In addition, SAMC has established a program called "CN EmergiKids," wherein Board-Certified Pediatric Emergency physicians are available to treat pediatric patients in the Emergency Department. The specialized pediatric treatment area includes child-sized equipment, colorful decoration and toys to provide children with a comforting environment.ObstetricsSAMC's caring obstetrical team has the experience and expertise to address the needs of the families we serve. Our highly trained staff includes a multi-lingual group of board certified obstetricians and OB/GYNs who offer expert prenatal and post-delivery care, and lactation educators who are specialists in breastfeeding. As a state-designated Level III Neonatology Intensive Care Unit, SAMC offers 24-hour coverage by board certified neonatologists - a pediatrician with special training in the care of healthy newborns as well as those with special needs. The new Alexian Brothers Women & Children's Hospital will feature an expanded level three Neonatal Intensive Care Unit, Labor and Delivery and Mother Baby Units as well as 8 Pediatric Intensive Care Beds, 4 step down, 20 pediatric beds and 16 Neonatal Intensive Care Beds.Older AdultOur Older Adult Services are designed to provide an innovative, seamless continuum of care for older adults from wellness, to early detection of disease, through inpatient and post-acute care. Our overall goal is to optimize the quality of life, addressing the physical, emotional, social and spiritual needs of older adults. OrthopedicsRecognized as one of the leading centers for orthopedics in the Midwest, our Orthopedic Services enlists a comprehensive leading-edge approach to the prevention, assessment, treatment and rehabilitation of musculoskeletal injuries, including aching backs, arthritis pain, sports injuries, and work injuries. We offer treatment and services for Emergency Fractures, Foot and Ankle, Hand and Upper Extremity, Wrist, Shoulder and Elbow, Partial Joint Replacements with Alternative Options, Sports Medicine, Surgical Spine Procedures, Pediatric Care and Total Joint Replacement and Reconstruction. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 115459620 | Expense |
| Revenue | 180588661 | Revenue |
| Description | Outpatient Services performed in 2011:7,416 outpatient surgeries129,212 Diagnostic images including general X-ray, CT, MRI, Mammography, Ultrasound, and Nuclear Medicine798,594 laboratory tests54,780 Emergency Room visitsThe complete description of Alexian Brothers Medical Center Outpatient Programs is included with the Inpatient Programs in line 4a. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 283065163 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 373 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deborah L Mau | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8475902671 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3040 West Salt Creek Lane | AddressLine1 |
| City | Arlington Heights | City |
| State | IL | State |
| ZIP Code | 600051069 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Calvin H Fischer DO | |||||||||
| Director | 1.00 | X | X | 23075 | 251096 | 28880 | |||
| Kathleen Gilmer | |||||||||
| Vice Chairperson | 1.00 | X | X | 0 | 0 | 0 | |||
| Lawrence Herforth | |||||||||
| Chairperson | 1.00 | X | X | 0 | 0 | 0 | |||
| Brother Daniel McCormick CFA | |||||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | |||
| Patricia Merryweather | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| James Mortimer | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| James Pawlikowski MD | |||||||||
| Director | 1.00 | X | 20725 | 12088 | 0 | ||||
| Thomas Palmer | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Arthur Nazarian MD | |||||||||
| Director | 1.00 | X | 12575 | 4125 | 0 | ||||
| Brother Theodore Loucks CFA | |||||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | |||
| Edward Goldberg | |||||||||
| President/CEO | 40.00 | X | 0 | 628028 | 170831 | ||||
| James Sances | |||||||||
| Treasurer | 1.00 | X | 0 | 642540 | 143947 | ||||
| Virginia Golembiewski | |||||||||
| Assistant Secretary | 1.00 | X | 0 | 69801 | 16144 | ||||
| Robin Chopp | |||||||||
| Vice President, Finance | 40.00 | X | 0 | 332750 | 47626 | ||||
| Jim Lewandowski | |||||||||
| Vice President, Human Resources | 1.00 | 0 | 372210 | 66995 | X | ||||
| Linda Baker | |||||||||
| Vice President, Human Resources | 20.00 | 0 | 204857 | 61442 | X | ||||
| Konstantinikov Denev | |||||||||
| Pediatric Intensivist | 40.00 | 0 | 297119 | 21000 | X | ||||
| Robert Arensman | |||||||||
| Pediatric Surgeon | 40.00 | 0 | 503735 | 24314 | X | ||||
| Robert Maganini | |||||||||
| Breast Surgeon | 40.00 | 0 | 396491 | 16689 | X | ||||
| Scott Neeley | |||||||||
| Intensivist | 40.00 | 0 | 431634 | 20259 | X | ||||
| Erik Iversen | |||||||||
| Intensivist | 40.00 | 0 | 290525 | 21019 | X | ||||
| Patrice Marks | |||||||||
| Vice President | 1.00 | 0 | 136004 | 30367 | X | ||||
| Christine Budzinsky | |||||||||
| Vice President | 1.00 | 0 | 280057 | 67572 | X | ||||
| Linda Gump | |||||||||
| Vice President | 1.00 | 0 | 231993 | 390392 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 56375 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5085053 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1127477 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Sodexho Inc & Affiliates | |||||
| 9801 Washington Blvd Suite 7174 | Gaithersburg | MD | 208780000 | Dietary Services | 2832108 |
| Medical Staffing Network | |||||
| 3139 Paysphere Circle | Chicago | IL | 606740000 | Staffing Services | 1421466 |
| HLS Wheeling | |||||
| 45 W Hintz | Wheeling | IL | 600900000 | Linen and Laundry services | 917148 |
| Xanitos | |||||
| PO Box 95000-3290 | Philadelphia | PA | 191950000 | Enviromental Services | 722278 |
| Executive Health Resources | |||||
| 15 Campus Boulevard | Newton Square | PA | 190730000 | Consulting Services | 626285 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 24 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| General Hospital Svcs | 622110 | 206867269 | 206867269 | |
| Medicare & Medicaid | 622110 | 120776884 | 120776884 | |
| Capitation | 900099 | 1040162 | 1040162 | |
| Laboratory Services | 621500 | 980596 | 980596 | |
| Restr. Funds Utilized | 900099 | 195007 | 195007 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1355072 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1355072 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 331214990 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 168638 | TotalRevenueColumn |
| Exclusion | $168,638 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2079728 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1144053 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 935675 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 935675 | TotalRevenueColumn |
| Exclusion | $935,675 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 332319303 | TotalRevenueColumn |
| Related Or Exempt Function Income | 330234394 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 980596 | UnrelatedBusinessRevenue |
| Exclusion | $1,104,313 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56375 | Total |
| Management And General | 56375 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105188218 | Total |
| Program Services | 97315996 | ProgramServices |
| Management And General | 7872222 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3904340 | Total |
| Program Services | 3610207 | ProgramServices |
| Management And General | 294133 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11537197 | Total |
| Program Services | 10668043 | ProgramServices |
| Management And General | 869154 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7324262 | Total |
| Program Services | 6772489 | ProgramServices |
| Management And General | 551773 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 369187 | Total |
| Management And General | 369187 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62537 | Total |
| Management And General | 62537 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27590538 | Total |
| Program Services | 25805851 | ProgramServices |
| Management And General | 1784687 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113892 | Total |
| Program Services | 75888 | ProgramServices |
| Management And General | 38004 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8994762 | Total |
| Program Services | 4481041 | ProgramServices |
| Management And General | 4513721 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13511 | Total |
| Program Services | 12160 | ProgramServices |
| Management And General | 1351 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13410942 | Total |
| Program Services | 12069848 | ProgramServices |
| Management And General | 1341094 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 496297 | Total |
| Program Services | 459412 | ProgramServices |
| Management And General | 36885 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191852 | Total |
| Program Services | 126096 | ProgramServices |
| Management And General | 65756 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7371814 | Total |
| Program Services | 6634633 | ProgramServices |
| Management And General | 737181 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11598747 | Total |
| Program Services | 10438872 | ProgramServices |
| Management And General | 1159875 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8660489 | Total |
| Program Services | 7794440 | ProgramServices |
| Management And General | 866049 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Medical Supplies | 44718883 | 44718883 | 0 | 0 |
| ABHS/ABHN Managm't Fee | 34696589 | 25192842 | 9503747 | 0 |
| Bad Debt Expense | 16239784 | 16239784 | 0 | 0 |
| Medicaid Tax | 8747464 | 8747464 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1914692 | Total |
| Program Services | 1901214 | ProgramServices |
| Management And General | 13478 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 313202372 | Total |
| Program Services | 283065163 | ProgramServices |
| Management And General | 30137209 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15140975 | BOY |
| EOY | 28208956 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31883614 | BOY |
| EOY | 40046643 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1492390 | BOY |
| EOY | 797856 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4374049 | BOY |
| EOY | 4013144 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 719700 | BOY |
| EOY | 778830 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 315920125 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 140850828 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153074985 | BOY |
| EOY | 175069297 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22000000 | BOY |
| EOY | 25000000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9730662 | BOY |
| EOY | 10376240 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 238416375 | BOY |
| EOY | 284290966 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20170376 | BOY |
| EOY | 16073232 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59932690 | BOY |
| EOY | 75081852 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80103066 | BOY |
| EOY | 91155084 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 157973575 | BOY |
| EOY | 192473359 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 339734 | BOY |
| EOY | 662522 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 158313310 | BOY |
| EOY | 193135882 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 238416375 | BOY |
| EOY | 284290966 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 19116931 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 15705641 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11000000 | OtherCostOrOtherBasis |
| Book Value | 11000000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 96306896 | OtherCostOrOtherBasis |
| Depreciation | 29949172 | Depreciation |
| Book Value | 66357724 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12792672 | OtherCostOrOtherBasis |
| Depreciation | 3963073 | Depreciation |
| Book Value | 8829599 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 101544492 | OtherCostOrOtherBasis |
| Depreciation | 83046456 | Depreciation |
| Book Value | 18498036 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 94276065 | OtherCostOrOtherBasis |
| Depreciation | 23892127 | Depreciation |
| Book Value | 70383938 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 175069297 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Beneficial Interest in Alexian Brothers Health System, Inc. Investment Trust | Description |
| Book Value | 25000000 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 25000000 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Third Party Payors | $32,861,882 |
| Due to Affiliates | $32,296,943 |
| Reserve for Outstanding Insurance Losses | $9,768,142 |
| Other Current Liabilities | $154,885 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 75081852 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X: | ReturnReference |
| Explanation | St. Alexius 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 (ASC740) in the December 31, 2011 audit report. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 600.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4266 | PersonsServed |
| Total Community Benefit Expense | 9142038 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 9142038 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03080 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 48492 | PersonsServed |
| Total Community Benefit Expense | 56940379 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 48567626 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8372753 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02820 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 52758 | PersonsServed |
| Total Community Benefit Expense | 66082417 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 48567626 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17514791 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05900 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 14068 | PersonsServed |
| Total Community Benefit Expense | 369861 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 550 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 369311 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 1503 | PersonsServed |
| Total Community Benefit Expense | 844441 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 500 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 843941 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00280 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 553 | PersonsServed |
| Total Community Benefit Expense | 1265201 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1265201 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00430 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 250 | PersonsServed |
| Total Community Benefit Expense | 516 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 516 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 17 | NumberOfActivitiesOrPrograms |
| Persons Served | 16374 | PersonsServed |
| Total Community Benefit Expense | 2480019 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1050 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2478969 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00830 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 17 | NumberOfActivitiesOrPrograms |
| Persons Served | 69132 | PersonsServed |
| Total Community Benefit Expense | 68562436 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 48568676 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19993760 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06730 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 430 | PersonsServed |
| Total Community Building Expense | 6251 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 6251 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 70 | PersonsServed |
| Total Community Building Expense | 5349 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5349 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 36729 | PersonsServed |
| Total Community Building Expense | 19473 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 19473 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 500 | PersonsServed |
| Total Community Building Expense | 703 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 703 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 37729 | PersonsServed |
| Total Community Building Expense | 31776 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 31776 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $3,448,000 | BadDebtExpenseAmount |
| Amount Attributable To | 2520000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 87677218 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 101753955 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -14076737 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 Hoffman Estates Surgery Center LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Ancilliary Surgery Center | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.40000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.60000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Alexius Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1555 Barrington Road | AddressLine1 |
| City | Hoffman Estates | City |
| State | IL | State |
| ZIP Code | 60169 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Alexius Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 600.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| St Alexius Outpatient Center | ||||
| 347 W Golf Road | Schaumburg | IL | 60195 | Diagnostic imaging services and Physical Therapy Rehabilitation Services |
| St Alexius Breast Care Center Bartlett | ||||
| 864 W Stearns | Bartlett | IL | 60103 | Mammography and Dexa bone scan imaging services |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 16239784. | |
| Part I, Line 3c: Every uninsured person, regardless of income receives an automatic 15% discount off of charges. Persons who earn less than 600% of federal poverty guidelines are given more significant discounts, depending on their individual situations.Federal Poverty Level - Patient Discount Uninsured:0-200% 100%201-300% 75%301-400% 67.5%401-500% 67.5%501-600% 67.5%>600% 15%Part I, Line 6a: Alexian Brothers Hospital Network ("ABHN") prepares and files the Annual Non-Profit Hospital Community Benefit Plan Report with the Attorney General's Office of the State of Illinois. This report is prepared on a consolidated basis and includes data for Alexian Brothers Medical Center ("ABMC"), St. Alexius Medical Center ("St. Alexius") and Alexian Brothers Behavioral Health Hospital ("ABBHH").Part I, Line 7 - The following costing methodologies were used:- Charity at cost - a cost to charge methodology based on the filed Medicare cost report was used to calculate costs.- Unreimbursed Medicaid - costs are calculated using the 2011 filed Medicaid cost report.- Other benefits - costs are determined by activity reported in accordance with guidelines published by the Catholic Health Association; costs could include the value of hourly wages, costs of materials, value of space loaned to community groups for meetings, and indirect costs where applicable.Part I, Line 7g: St. Alexius has not included costs attributable to a physician clinic as part of subsidized health services.Part II: In 2011, St. Alexius concentrated most of its resources in other areas of community benefit that were not "community building" as described by the Catholic Health Association.Part III, Line 4: At the ABHN hospitals, including St. Alexius, management manually reviews all self-pay accounts greater than $5,000 (where the patient has chosen not to cooperate with our charity process) prior to placing the accounts for bad debt. Through this process, we examine credit data and then proactively grant an average of 80% charity to these accounts prior to placing the accounts in bad debt. Approximately $9,264,745 of accounts with balances less than $5,000 are placed annually into bad debt without going through this labor intensive process. We believe the larger accounts represent an adequate sample population which could be extrapolated to the $9.3 million. Therefore, we assume that 80% or $7,411,796 at charges ($2,520,011 at cost) of our bad debt likely would meet the criteria of our charity program if we allocated the resources to manually review the accounts prior to bad debt placement.Discounts and payments are not included in bad debt expense in the financial statements for St. Alexius unless the payment is a recovery of amounts previously written off as bad debt. Recoveries are classified as a decrease to bad debt expense.St. Alexius is part of the Alexian Brothers Health System (ABHS) consolidated audit. There is no footnote specific to bad debt expense in the audit. St. Alexius' share of bad debt expense for ABHS in 2011 was $16,239,784 at charges ($3,448,000 at cost). Cost is determined in the same manner as charity at cost.Part III, Line 8: Medicare costs are allocated by cost center in accordance with Medicare regulations.The question of whether or not Medicare reimbursement below cost should be treated as a community benefit has been debated for a number of years, pre and post healthcare reform. Some argue that most hospitals find it very difficult to achieve the required level of efficiency in a labor intensive service to provide for a positive margin. Others claim that positive margin or not, Medicare is essential to the overall financial health of hospitals due to the necessary volumes it supplies for a positive return, and therefore benefits the hospital as much as the community. Our view of the future status of Medicare is that regardless of reimbursement, St. Alexius, as part of ABHN, will serve this part of our community with the same compassion and responsiveness to need as we always have done. In our opinion, a systematic degradation of reimbursement that is already less than the cost of providing the service for the vast majority of hospitals is an expectation on the part of the federal government to provide a substantial community benefit to a population that is growing and requiring more resources. It is for these reasons that we believe that the cost over reimbursement of Medicare should be considered community benefit. Part III, Line 9b: It is the policy of ABHN, including St. Alexius, to offer patients a payment plan and/or charity assistance when it becomes known or even suspected that a patient needs financial assistance. Financial counselors are notified and every attempt is made to contact and work with the patient or their family to help them complete an application with compassion and dignity. Financial counselors work with patients to help determine if there are any third party payers which may be available to help the patient meet their obligations. We work with the patient to determine if they are eligible for federal programs including Medicaid, state funded programs including crime victims, alternative insurance including COBRA, Worker's Compensation and/or other specialized grant programs such as our mammography grant program for low income women. In the event no third party programs are identified, we then work with the patient to help them apply for charity discounts and payment plans. At St. Alexius, three full-time financial counselors each work with approximately 7,500 patients per year. In addition, all bills and statements include information regarding charity. | |
| Part V, Section B, Line 13g: All bills and statements include information regarding charity. The front of our statements includes this message: "If you are an uninsured Illinois resident and meet certain income requirements, you may qualify for a discount through our Alexian Assistance program in accordance with the Hospital Uninsured Patient Discount Act (effective April 1, 2009). For additional information, please contact us at 866-690-3370 or AlexianAssistance@alexian.net".The back of our statement includes this message: "If paying this bill presents a financial hardship, you may be eligible for financial assistance. Alexian Brothers Hospital Network provides assistance to patients in need of financial aid to help pay for their hospital bills. You may obtain an application by calling our staff at the number below or you may download the forms from the internet at www.alexianbrotherhealth.org."In addition, all uninsured patients receive a letter from our Patient Financial services once we complete a process of attempting to identify alternative coverage for uninsured patients. This letter is sent at the beginning of our statement cycle for each uninsured patient. The text of the letter is:"Thank you for choosing St. Alexius Medical Center as your healthcare provider. Your account currently has a balance of $xx; additional charges may be pending.We have no record that you have health insurance to help in paying your bill. If you have insurance, please provide the necessary information by filling out the stub above and faxing a copy of your insurance card to 847-483-7058, Attn: Correspondence Team.If you had insurance that ended within the last 60 days, you may be eligible for COBRA coverage from a former employer. Please contact your former employer to determine if you are eligible.Our staff accepts payment by major credit card over the phone, cash payments through a registrar at the hospital, or payment by check or credit card using the payment coupon above.If you are unable to pay the total amount at this time, please call us. We are happy to accept a reasonable monthly payment plan to resolve your balance. Our payment plans carry no interest charges or pre-payment penalties.If paying this bill presents a financial hardship, you may be eligible for financial assistance. Alexian Brothers Hospital Network provides assistance to patients in need of financial aid to help pay their hospital bills. You may obtain an application by calling our staff at the number below or you may download the forms from the internet at www.alexianbrothershealth.org." | St. Alexius Medical Center |
| Part V, Section B, Line 19d: St. Alexius Medical Center uses the State of Illinois, Hospital Uninsured Patient Discount Act guidelines which specify that eligible patients should be charged 135% of hospital costs which for SAMC approximates 32% of charges. | St. Alexius Medical Center |
| Part V, Section A: In Part V of Schedule H, St. Alexius reports that it has one licensed hospital (an acute care medical/surgical hospital) and one emergency room. | |
| Part VI, Line 2: | |
| Part VI, Line 3: | |
| Part VI, Line 4: | |
| Part VI, Line 5: | |
| Part VI, Line 6: | |
| Part VI, Line 2: As part of ABHN, St. Alexius has been performing Community Health Assessments for our primary and secondary service areas since 2002. The first document was produced internally and contained secondary data only (data collected by local, state and federal agencies). The following two Community Health Assessments for the years 2006 and 2009 have been performed by an outside research firm in order to capture secondary and primary data (original date compiled in this case via telephone survey).In identifying priorities for community action and designing strategies for implementation, a variety of criteria are applied to the consideration process, including:Impact - The degree to which the issue affects or excerbates other quality of life and health-related issues. Example, poor nutrition leads to overweight and Type II diabetes.Magnitude - The number of persons affected, also taking into account variance from benchmark data. Example, number of adults diagnosed with asthma in our region still below national benchmarks, but much higher compared to our own benchmarks.Seriousness - The degree to which the problem leads to death, disability or impairs one's life.Feasibility - The ability of organizations to reasonably impact the issue, given available resources.Consequences of Inaction - The risk of exacerbating the problem by not addressing it at the earliest opportunity.The 2009 Community Health Assessment surveyed fifty-six zip codes representing a total population of more than 1,800,000 persons. Primary research was conducted by telephone survey of 1,000 households. This is a very robust sample size and the sample was stratified and weighted to assure that the maximum rate of error was +/-3% at the 95% confidence level. Secondary data was gathered from the Census Update, Claritas population projections, the National Center for Health Statistics, Illinois Department of Public Health, Department of Health and Human Services and County Health Departments.St. Alexius has a long tradition of providing continuing education to those healthcare professionals in the community with whom we collaborate to provide the highest quality, most seamless healthcare possible. One such example is the training of Emergency Medical Service personnel, or EMS providers. Heart attack and stroke are the number 1 and number 3 respectively most common causes of death in the St. Alexius service area (2009 Community Health Analysis, Alexian Brothers Hospital Network). The chance of surviving a heart attack or stroke can be markedly increased if EMS providers are trained in the identification, early treatment and field communication with hospital personnel. St. Alexius hosts two distinct programs dedicated to the training and continuing education of first responders. The first program is as host of a clinical site for Basic Emergency Medical Technicians (EMT-Bs) and for Emergency Medical Technician-Paramedics (EMT-Paramedics). EMT-Bs are required to perform 16 hours of clinical training in a hospital setting during a 10 week period. Typically, there are 40 to 60 students in each group. The EMT-Bs are individually paired with a nursing assistant preceptor for every hour of training. The EMTs are taught basic clinical assessments, learning to take vital signs, administering oxygen, wound care and other skills that are performed by basic first responders. In 2011, St. Alexius rotated 140 EMTs through their clinical training at approximately 8 hours per student. EMT-Paramedics have a separate education track at a higher clinical level than the EMT-Bs. The Paramedics are precepted by Registered Nurses or Physicians as required. The Paramedics are taught advanced, life saving clinical skills such as intubation, emergency obstetrics, cardiac defibrillation, and similar education for pediatric patients via St. Alexius's pediatric emergency room physicians. Overall, St. Alexius provided 187 students with 3,783 hours of education at no cost to the community or the students. The second program provided by St. Alexius is continuing education for Emergency Medical personnel at their physical site. Every month dedicated Registered Nurses from St. Alexius provide 18 classes or 45 hours of continuing education at four fire stations in our community. These nurses work with the regional emergency services coordinator to teach, train and test every first responder on a continual basis so that every person in our community has the best possible chance at surviving a medical emergency. This program is also provided at no charge to the municipalities or the participants. In fact, St. Alexius donates the cost of the administration of the tests (paid to the regional coordinating hospital) for 6 classes per month. In total, the Registered Nurses provided 165 classes or 412 hours of continuing education for the benefit of the community in 2011. In addition to the in-hospital support, there is also Advisory Board membership.- Two St. Alexius administrators are on the Harper College School of Nursing Advisory Board.- A St. Alexius administrator chairs the Elgin Community College School of Nursing Advisory Board.Since 2002, the National Breast Cancer Foundation has provided funding to St. Alexius for the purpose of providing mammogram screenings to under-insured and uninsured women who could not otherwise afford the service. In 2011, over 887 screenings and referrals as necessary were provided, resulting in community benefit of about $123,000. St. Alexius organized a group of providers in four counties that would accept referrals for further treatment as necessary at no cost. This program has grown each year with both new and repeat patients availing themselves of this important early detection screening.The number of uninsured persons in our community has risen to almost 14%, up from 9.3% in 2006. Lack of access to preventive screenings can lead to late diagnosis of serious disease such as colon cancer. St. Alexius Medical Center collaborated with Hanover Township and staff physicians to offer free colonoscopies for uninsured persons at high risk for the disease including those over 60, of African American descent or those with a family history. Hanover Township served as the referral source for all patients seen. St. Alexius provided the facilities while two gastroenterologists, an anesthesiologist, a nurse anesthetist and several staff associates all volunteered their time. Most patients were cancer free, but one man had a cancerous lesion which was asymptomatic and removed. Part VI, Line 3: St. Alexius uses multiple methods of communicating its mission of providing care to all who need it regardless of ability to pay. Signs posted at registration clearly point out that charity care or financial assistance is available. ABHS's website, the main website for all System hospitals, including St. Alexius, features information on how to apply for charity care on-line. In the hospital setting, we employ three financial counselors who are available to work with patients and we also have Medicaid application specialists to assist patients that may qualify. A Community Outreach Director is employed by ABHN to serve patients who need help understanding and accessing community health services. This individual works with patients at St. Alexius and the other ABHN hospitals. In addition, all bills and statements include information regarding charity.Part VI, Line 4: St. Alexius, a member hospital of the ABHN, serves Chicago's northwest suburbs spanning the counties of McHenry, Lake, Kane, DuPage and Cook. With more than 1.8 million residents overall, the primary service area alone is comprised of nearly 20 communities with a diverse demographic and ethnic base.The zip codes/communities served include:Primary Service Area Center:60007 Elk Grove Village 60010 Barrington60018 Des Plaines 60056 Mount Prospect60067 Palatine 60101 Addison60103 Bartlett 60106 Bensenville60107 Streamwood 60108 Bloomingdale60110 Carpentersville 60120 Elgin60133 Hanover Park 60139 Glendale Heights60143 Itasca 60169 Hoffman Estates60172 Roselle 60173 Schaumburg60191 Wood Dale 60192 Hoffman Estates60193 Schaumburg 60194 Schaumburg60195 Schaumburg 60004 Arlington Heights60005 Arlington Heights 60008 Rolling Meadows60013 Cary 60014 Crystal Lake60016 Des Plaines 60047 Lake Zurich60050 McHenry 60073 Round Lake60074 Palatine 60089 Buffalo Grove60090 Wheeling 60098 Woodstock60102 Algonquin 60118 Dundee | |
| 60123 Elgin 60124 Elgin60126 Elmhurst 60136 Gilberts60137 Glen Ellyn 60140 Hampshire60142 Huntley 60148 LombardSecondary Service Area:60156 Lake in the Hills 60157 Medinah60175 St. Charles 60177 South Elgin60181 Villa Park 60185 West Chicago60187 Wheaton 60188 Carol Stream60634 Chicago 60707 Elmwood ParkThe primary not-for-profit community hospitals that also serve this area include: Northwest Community Hospital, Sherman Hospital, Provena Saint Joseph Hospital, Central DuPage Hospital, Elmhurst Memorial Hospital, Advocate Good Shepherd Hospital and Advocate Lutheran General Hospital. ABHN has referral arrangements with academic medical centers including: Children's Memorial Hospital, Loyola University Medical Center, University of Chicago Medical Center and Rush University Medical Center.St. Alexius' racial/ethnic distribution for 2008 (Claritas) within its service area is as follows:Race Population PercentageWhite 1,300,192 69.2%Hispanic 337,866 18.0%Asian 155,757 8.3%Black 53,787 2.9%Two Plus 26,776 1.4%Indian 2,298 0.1%Other 1,653 0.1%Pacific Is 568 0.0% Total: 1,878,897 100.0%The median age for 2008 was 37.1 years.Overall median age: 37.1Median Age Male: 36.0Median Age Female: 38.2The average annual household income for 2008 was $74,160.The communities ABHN serves enjoy a relatively positive health status. In comparison to the whole of Illinois and the nation, incidence of heart disease, stroke, cancers and most other diseases are favorable. However, access to care, insurance status and other health indicators are trending negatively. For example, ABHN's 2009 Community Health Assessment Survey found that one in every ten community residents is having difficulty getting an appointment to see a doctor for primary care. Summary highlights from the survey included the following additional points of concern/interest.Access to Care- Among respondents 18 to 64, 13.6% have no health insurance. This is a sharp rise from 2002 at 7.3% and 9.3% in 2006.- A total of 11.9% of adults in the service area said that cost prevented them from seeing a physician, a steep increase from 5.8% in 2002.The northwest suburban area is home to the corporate headquarters for AT&T, Motorola and Sears, and has a significant manufacturing and industrial base. It is thought that due to the recent economic recession, a significant number of community residents may have lost their jobs and subsequently their insurance coverage thereby worsening the trend. 8.1% of community residents are currently reporting being (one or more years) out of work. As mentioned previously, ABHN provides assistance to patients to help patients take advantage of the various benefits and services available through ABHN. As access to health insurance expands because of new legislation, we will help to support and guide patients as appropriate.Part VI, Line 5: St. Alexius's governing body is the Quality Council. The Quality Council reports up through the Alexian Brothers Health System Board of Governors. The majority of the Quality Council members live and work in the community and serve to support the mission and values of the Alexian Brothers. St. Alexius extends medical staff privileges to all qualified physicians in our community and endeavors to provide them with the safest and most technologically advanced environment possible through the effective use of surplus funds. As necessary, St. Alexius recruits medical specialists and subspecialists who provide the expertise for emerging technologies that advance patient care.St. Alexius strives to fully serve the community through participation in government sponsored healthcare programs such as Medicare, Medicaid, CHAMPUS, and Tricare. Community members also use St. Alexius as a conduit for volunteering as evidenced by almost 700 volunteers (comprising almost 60,000 hours of service) who assist with patient services, administration and the gift shop.Part VI, Line 6: St. Alexius is an affiliate of Alexian Brothers Health System ("ABHS"). ABHS is the national member and ultimate parent of St. Alexius. ABHS, with its corporate offices located in Arlington Heights, Illinois, is sponsored by Alexian Brothers of America, Inc., a Roman Catholic religious order of men committed to caring for the sick, the aged, the poor and the dying for more than seven centuries. The basic Judeo-Christian beliefs that inspired the founders of this worldwide Catholic religious congregation sustain its ministry today; to promote the physical, mental, spiritual and social well-being of individuals of all creeds, races, nationalities and socioeconomic levels served through this health care ministry.ABHS carries out its exempt purposes by coordinating and managing the activities of the regional corporations for which it is the National Member. Through these regional corporations, ABHS provides healthcare and other services to communities in suburban Chicago, Illinois; St. Louis, Missouri; Milwaukee, Wisconsin; and Signal Mountain and Chattanooga, Tennessee. As a charitable organization, it is recognized that not all individuals possess the ability to purchase essential medical services and further that our mission is to serve the community with respect to providing healthcare services and healthcare education. Therefore, in keeping with ABHS' commitment to serve all members of its communities, free care and/or subsidized care, care to persons covered by government programs at or below cost, and health activities and programs to support the community are considered and provided when appropriate. These activities include wellness programs, community education programs, special programs for the elderly and medically underserved, and a variety of broad community support activities including but not limited to educational affiliations, health screenings, counseling programs, continuing medical education (CME) programs and donations to community groups.For example, ABHN owns and operates a community mental health center that serves primarily lower income, uninsured or underinsured or Medicaid recipients. This facility treats the chronically mentally ill with counseling, medication and social support. The center is supported through state grants, philanthropy and is subsidized by ABHN. Because of the uptick in depression, we have experienced more demand for services combined with less support from the state which has strained our resources. However, ABHN remains committed to this program and the members of the community that it serves.Another program offered to the community through ABHN is Alexian Brothers Parish Services (ABPS, formerly Interfaith Parish Support Services/IPSS). ABPS was created in response to the faith community's requests for services to support the mental health needs of their parishes, to serve as a bridge between faith communities and our healthcare ministry. ABPS has active partnerships with 70 faith communities. Clinical professionals from ABPS provide consultation around mental health concerns, support group facilitation or consultation, speakers for women's or men's ministries, retreats, labyrinth walks, suicide prevention, pro-social (anti-bullying) programming, staff trainings and congregational health ministry development provided by a Faith Community Nurse. The following are two specific examples of the partnerships ABPS has with parishes:- School Social Worker and Counselor: ABPS partners with parochial schools to provide direct support services to the students, not usually available in a private school setting. There are two programs: school social worker/counselor to assist students with their academic, social, emotional or faith development, and resource teacher to provide special educational support. Students in parochial schools do not have access to supportive services from a public school due to cut backs and financial restraints school districts are facing. In 2011, ABPS had partnerships with 18 different Catholic Schools, poviding 31 days of social work services and 5 days of resource teacher services; collectively serving 7,600 students. During the school year preventative programs are provided on various topics: pro-social skills (anti-bullying), conflict resolution, resilience training, empathy, friendship skills, mental health awareness, drug abuse prevention, personal responsibility, and leadership development. | |
| - Interfaith Counseling Services: ABPS partners with 10 local faith communities to provide spiritually integrated therapy, the parish provides the space (at no charge) and ABPS provides the clinical professional to provide services out in the community. In 2011, over 2,300 hours of therapy have been offered in four languages: English, Polish, Spanish, and Tagalog. Services are offered for a fee and a sliding fee scale may be available based upon financial need.SAMC subsidized ABPS at $364,000 in 2011. This allowance allows ABPS to continue to grow its ministry and serve the community in more locations. By supporting local communities through spiritually integrated therapy, school outreach, and parish support, ABPS seeks to bring healing and hope to individuals and families with their needs, whether physical, mental or spiritual.One of our most valuable community services is performed by the Alexian Brothers Behavioral Health Hospital. Twenty-four hours a day, seven days per week, a crisis intervention service is available to anyone in the community either by phone or in person. Master's prepared clinicians provide, on average, a 35 minute screening conisting of a brief social history and a current functionality determination. The outcome is behavioral health treatment recommendations as well as referrals as needed. This program provided over 16,000 screenings in 2011 and is considered invaluable by regional mental health professionals and first responders.Net community benefits expense for ABHS in 2011 is as follows:Charity Care at Cost - $17,759,062Language Assistant Services - $707,502Excess of Government Sponsored Health Care Cost Over Reimbursement - Medicaid - $27,733,877Donations - $190,093Education - $2,384,921Government Sponsored Program Services - $0Subsidized Health Services - $1,669,456Other Community Benefit Programs - $3,887,754Total Charity Care and Community Benefits - $54,332,665Information has been included for all exempt entities in ABHS. The information for the hospitals included has been calculated on a basis consistent with the requirement for the Illinois Attorney General Community Benefit report.In addition, ABHS reported bad debt expense (at cost) of $10,169,004 in 2011 and excess of Medicare costs over reimbursement of $58,208,836 in 2011.Certain affiliated entities within ABHS and the services they provide, are described below:Alexian Brothers Medical Center - An acute care hospital located in Elk Grove Village, Illinois that provides inpatient, outpatient and emergency services, including specialties in the areas of cardiology, neurosciences/stroke, orthopedics, oncology, bariatrics, hospice and home health services.Alexian Brothers Behavioral Health Hospital - A behavioral health hospital located in Hoffman Estates, Illinois that provides inpatient and outpatient psychiatric services, including specialties in chemical dependency, eating disorders and self-injury programs.Alexian Brothers Center for Mental Health - Provides community mental health services in northwest suburban Chicago, including vocational training programs, transitional living programs, partial hospital programs and nursing home programs.Alexian Brothers Bonaventure House - Provides supportive services and transitional housing for persons that are HIV positive and in active addiction recovery.Alexian Brothers Hospital Network - The area member for Illinois hospitals and related entities, ABHN provides community education classes, health screenings and counseling and other services on a sliding fee scale to surrounding communities and performs research activities geared towards improving the health of those we serve.Alexian Brothers Ambulatory Group - Provides a multitude of ambulatory services to suburban Chicago, including primary care physician services; pediatric physician services; older adult physician services; other specialty physician services; occupational health services; and immediate care services; also provides wellness services through its various locations and practices.Alexian Brothers Specialty Group - Provides cardiology services through employment of cardiologists to suburban Chicago residents.Alexian Village of Milwaukee, Inc. - A continuing care retirement community located in Milwaukee, Wisconsin; provides all levels of care to residents and community members, including skilled nursing care, adult day care services, assisted living and care for those with Alzheimer's disease and dementia.Alexian Village of Tennessee - A continuing care retirement community located in Signal Mountain, Tennessee; provides all levels of care to residents and community members, including skilled nursing care, assisted living and care for those with Alzheimer's disease and dementia.Alexian Brothers Lansdowne Village and Alexian Brothers Sherbrooke Village - Skilled nursing facilities located in St. Louis, Missouri; provides nursing care, assisted living and care for those with Alzheimer's disease and dementia, rehabilitation services and transitional care services (Lansdowne only).Alexian Brothers Community Services - Programs for All Inclusive Care for the Elderly (PACE) located in St. Louis, Missouri and Chattanooga, Tennessee; provides care for frail, elderly, Medicaid eligible individuals; provides primary care, daily activities and transportation services; also coordinates care when hospitalization or placement in a skilled nursing facility is required.Alexian Brothers Senior Neighbors - Provides community based services to seniors in Chattanooga, Tennessee.Alexian Brothers Services, Inc. - Housing and Urban Development (HUD) housing project in St. Louis, Missouri. | |
| Part VI, Line 7: Alexian Brothers Hospital Network ("ABHN") prepares and files the Annual Non-Profit Hospital Community Benefit Plan Report with the Attorney General's Office of the State of Illinois. This report is prepared on a consolidated basis and includes data for Alexian Brothers Medical Center ("ABMC"), St. Alexius Medical Center ("St. Alexius") and Alexian Brothers Behavioral Health Hospital ("ABBHH"). |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Calvin H Fischer DO | |||||||||||||
| 23075 | 251096 | 0 | 0 | 0 | 0 | 0 | 7926 | 0 | 20953 | 23075 | 279975 | 0 | 0 |
| Edward Goldberg | |||||||||||||
| 0 | 461729 | 0 | 112010 | 0 | 54289 | 0 | 107200 | 0 | 63631 | 0 | 798859 | 0 | 21449 |
| James Sances | |||||||||||||
| 0 | 477155 | 0 | 136544 | 0 | 28841 | 0 | 115746 | 0 | 28202 | 0 | 786488 | 0 | 28841 |
| Robin Chopp | |||||||||||||
| 0 | 262925 | 0 | 43606 | 0 | 26219 | 0 | 29082 | 0 | 18544 | 0 | 380376 | 0 | 9719 |
| Jim Lewandowski | |||||||||||||
| 0 | 280338 | 0 | 56701 | 0 | 35171 | 0 | 35309 | 0 | 31686 | 0 | 439205 | 0 | 12354 |
| Linda Baker | |||||||||||||
| 0 | 164954 | 0 | 28241 | 0 | 11662 | 0 | 28417 | 0 | 33025 | 0 | 266299 | 0 | 5811 |
| Konstantinikov Denev | |||||||||||||
| 0 | 297119 | 0 | 0 | 0 | 0 | 0 | 7264 | 0 | 13736 | 0 | 318119 | 0 | 0 |
| Robert Arensman | |||||||||||||
| 0 | 503735 | 0 | 0 | 0 | 0 | 0 | 10006 | 0 | 14308 | 0 | 528049 | 0 | 0 |
| Robert Maganini | |||||||||||||
| 0 | 396491 | 0 | 0 | 0 | 0 | 0 | 9818 | 0 | 6871 | 0 | 413180 | 0 | 0 |
| Scott Neeley | |||||||||||||
| 0 | 431634 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 20259 | 0 | 451893 | 0 | 0 |
| Erik Iversen | |||||||||||||
| 0 | 290525 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 16119 | 0 | 311544 | 0 | 0 |
| Patrice Marks | |||||||||||||
| 0 | 118969 | 0 | 14642 | 0 | 2393 | 0 | 14134 | 0 | 16234 | 0 | 166372 | 0 | 0 |
| Christine Budzinsky | |||||||||||||
| 0 | 227438 | 0 | 34555 | 0 | 18064 | 0 | 41615 | 0 | 25957 | 0 | 347629 | 0 | 14206 |
| Linda Gump | |||||||||||||
| 0 | 188062 | 0 | 30561 | 0 | 13370 | 0 | 361700 | 0 | 28692 | 0 | 622385 | 0 | 13370 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Part III | ReturnReference |
| Explanation | Part I, Line 3: St. Alexius follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation of the CEO and other officers and executives of the Corporation. This function is performed by the Compensation Committee of the Board of Governors of ABHS, which is composed of independent board members. The process includes review of comparability data, retention of an outside compensation consultant, and contemporaneous substantiation of the deliberation and decision through detailed minutes of the Compensation Committee. All of the items in Schedule J, Part I, Line 3 are used by the Committee to establish compensation for the CEO of the organization. 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 amount accrued in 2011 was included in income in Schedule J for the following individuals: James Sances - $52,060 Edward Goldberg - $55,673 Robin Chopp - $5,201 Christine Budzinsky - $3,047 Jim Lewandowski - $5,297 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Program Service Statement | Form 990, Part III, Line 4a, Program Service Accomplishments (cont'd): | Pediatrics Our pediatric services offer care by physicians, nurses and staff who have expertise in pediatric medical care. Our staff of pediatricians includes more than 60 sub-specialists covering a wide range of medicine, including many who are board certified and fellowship trained in their specialties. Child Life Specialists are available to help children and their families adjust to the hospital setting. The Pediatric Intensive Care Unit (PICU) is ready and equipped for critical situations. Hospital Intensivists, who are board certified pediatricians with additional training in the care of severely ill children, work with each child's pediatrician or family practitioner to provide care for the patient while in the PICU. Special Outpatient Services - Cancer Program: Diagnostics, chemotherapy & surgery - Community Outreach: Health education classes/programs & health screenings - Diabetes Program: Treatment and education - Outpatient Rehabilitation - Hospice Services - Sleep Lab - Asthma Education Program - Procedure Clinic: For patients undergoing procedures requiring a short hospital stay (no more than 12 hours). Procedures include blood transfusions, arteriogram, outpatient chemotherapy, antibiotic therapy and pain management. - Rehabilitation: Physical, Occupational & Speech Therapy - Physician Referral - Volunteer Program - Golden Circle: Lifestyle & social issues for adults age 50 and over Surgical Services Surgical procedures are performed in our state-of-the-art facility. We offer a wide-range of procedures in orthopedic, gynecology, urology, general surgery, podiatry, ear, nose and throat, pain management, neurosurgery, cosmetic surgery, oral/maxillofacial, and ophthalmology. Weight Management Alexian Brothers Advanced Loss Weight Solutions offer expert medical treatment, behavioral support and surgical interventions for weight loss such as Lap Band, sleeve gastrectomy, "Optifast" and gastric bypass surgery. The American Society for Bariatric Surgery (ASBS), the largest society for this specialty, named the SAMC Bariatric surgery program a nationally designated "Center of Excellence." The Blue Cross Blue Shield Association has also identified SAMC as a Designated Center for Bariatric Surgery. |
| Form 990, Part VI, Section A, line 6 | There are two classes of members, Alexian Brothers Health System ("the National Member") and Alexian Brothers Hospital Network ("the Area 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 St. Alexius. | |
| Form 990, Part VI, Section A, line 7b | Alexian Brothers Health System has principal authority with respect to the following matters: - Adoption or amendment of the Articles of Incorporation; - Amendment of the Bylaws as provided by Statute; - Appointment and removal of Directors and Executive Officers; - Adoption, amendment and repeal of fundamental statements of mission, philosophy, spirit, vision, values, and charity policy, and the sponsorship of apostolic activities; - Any plan of merger, consolidation, dissolutions, sale or lease of all or substantially all of the assets of St. Alexius; - The annual capital and operating budget and the Strategic Plan of St. Alexius; - Other certain reserved powers which Alexian Brothers Health System may designate. | |
| Form 990, Part VI, Section B, line 11 | St. Alexius Medical Center ("St. Alexius") is an affiliate of Alexian Brothers Health System ("ABHS" or "the System"), which is a Catholic health system. ABHS is the National Member and ultimate parent for each entity within the System. St. Alexius's Form 990 goes through an intensive review process at the System's Corporate level prior to being filed with the IRS. The entire Form 990 is reviewed by St. Alexius's financial officer. The Form 990 is also reviewed at the System Corporate level by the Chief Accounting Officer for the System. The Vice President and General Counsel for the System reviews all sections of the Form 990 with the exception of the compensation section. The Vice President of Human Resources for ABHS reviews all compensation disclosures for each entity in ABHS. These reviews are conducted before the Form 990 is signed and filed with the IRS. In addition, there is also a Compensation Committee that reports to the ABHS Board of Governors. This Committee reviews the Compensation disclosures for all entities in the System. St. Alexius's board reports to the ABHS Board of Governors, which has ultimate oversight of the activities of all entities within the System. The Audit Committee of ABHS Board of Governors has responsibility for and oversight of the Tax Compliance process. The Audit Committee provides oversight for the Form 990 process for the entire System and reviews detailed Forms 990 for the System as requested. It then reports back to the ABHS Board of Governors on the results of these activities. The Forms 990 not reviewed by the Audit Committee are available to the Audit Committee members upon request. The Audit Committee did review the 2011 Form 990 for St. Alexius. | |
| Form 990, Part VI, Section B, line 12c | St. Alexius Medical Center collects annual attestations from board members, officers, directors and key employees. The attestations are reviewed by the St. Alexius compliance officer and any noted conflicts are shared with the St. Alexius Chief Executive Officer. The conflicts are also reviewed by the System's Vice President, Corporate Responsibility Officer. The Audit Committee of the ABHS Board of Governors monitors and receives reports on the completion of this process. | |
| Form 990, Part VI, Section B, line 15 | St. Alexius follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation of the CEO and other officers and executives of the Corporation. This function is performed by the Compensation Committee of the Board of Governors of ABHS, which is composed of independent board members. The process includes review of comparability data, retention of an outside compensation consultant, and contemporaneous substantiation of the deliberation and decision through detailed minutes of the Compensation Committee. | |
| Form 990, Part VI, Section C, line 19 | St. Alexius's financial statements are available through the office of the Illinois Attorney General. Conflicts of Interest and St. Alexius's governing documents are not made available to the public. | |
| Form 990, Part VII: | Average hours devoted to related organizations when related compensation is reported: -James Sances worked 40 hours per week for Alexian Brothers Health System; -James Lewandowski worked 40 hours per week for Alexian Brothers Health System; -Virginia Golembiewski worked 40 hours per week for Alexian Brothers Health System; -Calvin H. Fischer worked 40 hours per week for Alexian Brothers Ambulatory Group; -Linda Baker worked 20 hours per week for Alexian Brothers Medical Center; -All others listed in Part VII devoted 100% of their time to St. Alexius. | |
| Form 990, Part VII, Column E: | Description of reasonable effort made to obtain compensation from related organization: Payroll records are kept that identify which officers/key employees are paid by a related entity. These documents also show the organization being charged for the officer's/key employee's services. | |
| Changes in Net Assets or Fund Balances: | Form 990, Part XI, line 5: | Equity Transfers-Alexian Brothers Health System: 14,966,150. Contributions to Restricted Funds 938,000. Restricted Funds Released to Operations -198,509. Total to Form 990, Part XI, Line 5: 15,705,641. |
| Part VIII, Line 3; Shedule D, Part VII | The amount reflected as dividends and interest reflects St. Alexius's share of interest, dividends and realized gains/losses from St. Alexius'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 ABHS and acts as an internal mutual fund. Details of gains and losses are shown on the Form 990 of ABHSIT. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (25 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Alexian Brothers of America Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 362606768 | Religious order of Roman Catholic men | TX | 501(c)(3) | Line 1 | N/A | 0 | |
| Brothers of St Alexius Health and Welfare Fund Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 362976617 | Provides for health & welfare payments for religious sponsor | TX | 501(c)(3) | Line 1 | 1 | Alexian Brothers of America Inc | |
| Alexian Brothers Bonaventure House | |||||||||||
| 825 Wellington Ave | Chicago | IL | 60657 | 363527899 | Housing and supportive care services for persons with HIV/AIDS | IL | 501(c)(3) | Line 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Health System | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 363260495 | Supports the provision of healthcare services for related corporations for w | IL | 501(c)(3) | Line 11c, III-FI | 1 | Alexian Brothers of America Inc | |
| 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 | 501(c)(3) | Line 11c, III-FI | 1 | Alexian Brothers Health System | |
| Alexian Brothers of America Investment Trust | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 364390471 | Manages pooled investments of related not-for-profit entities | IL | 501(c)(3) | Line 11c, III-FI | 1 | Alexian Brothers of America Inc | |
| Alexian Brothers of Chicago | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | Inactive Corporation | IL | 501(c)(3) | Line 9 | 1 | Alexian Brothers of America Inc | ||
| Alexian Brothers of San Jose Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 941530037 | Acute care hospital (sold in 1998) | TX | 501(c)(3) | Line 3 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Services Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 431295333 | HUD housing | MO | 501(c)(3) | Line 9 | 1 | Alexian Brothers Health System | |
| Alexian Village of Milwaukee Inc | |||||||||||
| 9301 N 76th Street | Milwaukee | WI | 53223 | 391351584 | Continuing care retirement community | WI | 501(c)(3) | Line 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Community Services | |||||||||||
| 425 Cumberland Street Suite 110 | Chattanooga | TN | 37404 | 364344423 | Provides comprehensive and coordinated community based services | IL | 501(c)(3) | Line 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Senior Neighbors | |||||||||||
| 250 East 10th Street | Chattanooga | TN | 37402 | 620646376 | Supports the provision of community services for senior citizens | TN | 501(c)(3) | Line 7 | 1 | Alexian Brothers Health System | |
| Alexian Village of Tennessee | |||||||||||
| 437 Alexian Way | Signal Mountain | TN | 37377 | 621136742 | Continuing care retirement community | TN | 501(c)(3) | Line 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Senior Ministries | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 364484290 | Supports the provision of healthcare for related corporations | IL | 501(c)(3) | Line 11c, III-FI | 1 | Alexian Brothers Health System | |
| Alexian Elderly Services Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 392039667 | Community outreach | WI | 501(c)(3) | Line 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Lansdowne Village | |||||||||||
| 4624 Lansdowne | St Louis | MO | 63116 | 431470362 | Skilled nursing facility | MO | 501(c)(3) | Line 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Sherbrooke Village | |||||||||||
| 4005 Ripa Avenue | St Louis | MO | 63125 | 431592502 | Skilled nursing facility | MO | 501(c)(3) | Line 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Hospital Network | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 363276552 | Supports the provision of healthcare services for related corporations | IL | 501(c)(3) | Line 11c, III-FI | 1 | Alexian Brothers Health System | |
| Alexian Brothers Medical Center | |||||||||||
| 800 Biesterfield Road | Elk Grove Village | IL | 60007 | 362596381 | Acute care hospital | TX | 501(c)(3) | Line 3 | 1 | Alexian Brothers Health System | |
| Savelli Properties Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 363308965 | Owns or leases properties where healthcare services are delivered | IL | 501(c)(3) | 1 | Alexian Brothers Health System | ||
| Alexian Brothers Behavioral Health Hospital | |||||||||||
| 1650 Moon Lake Blvd | Hoffman Estates | IL | 60194 | 364251848 | Behavioral health hospital | IL | 501(c)(3) | Line 3 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Ambulatory Group | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 364336931 | Physician services | IL | 501(c)(3) | Line 3 | 1 | Alexian Brothers Health System | |
| Alexian Brothers of St Louis Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 430653236 | Acute care hospital (sponsorship transferred in 1997) | MO | 501(c)(3) | Line 3 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Specialty Group | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 800710751 | Specialty physician practice group | IL | 501(c)(3) | Line 3 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Center for Mental Health | |||||||||||
| 3436 N Kennicott Avenue | Arlington Heights | IL | 60004 | 363045007 | Outpatient community mental health services | IL | 501(c)(3) | Line 7 | 1 | Alexian Brothers Health System | |
Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alexian Rehabilitation Services LLC | ||||||||||||||
| 935 Beisner | Elk Grove Village | IL | 60007 | 300221481 | Rehabilitation Hospital | IL | N/A | N/A | 0 | 0 | ||||
| Illinois NeuroMeg Center LLC | ||||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 870783164 | Provision of NeuroMeg services | IL | N/A | N/A | 0 | 0 | ||||
| Elk Grove MOB Limited Partnership | ||||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 363853289 | Medical office Building | IL | N/A | N/A | 0 | 0 | ||||
| Workplace Solutions LLC | ||||||||||||||
| 1100 East Woodfield Rd | Schaumburg | IL | 60173 | 364095007 | Provision of EAP services | IL | N/A | N/A | 0 | 0 | ||||
| Bonaventure Medical Foundation LLC | ||||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | DE | 60005 | 363978153 | Manages managed care contracts | DE | N/A | N/A | 0 | 0 | ||||
| Neurosciences Equipment LLC | ||||||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 861115516 | Ownership of Gamma Knife | IL | N/A | N/A | 0 | 0 | ||||
| St Alexius Center for Sleep Health LLC | ||||||||||||||
| 665 W North Ave | Lombard | IL | 60148 | 205876371 | Operation of sleep labs | IL | Related | 0 | 0 | St Alexius Medical Center | -17529 | 189932 | 0.52500 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|
| Thelen Corporation | |||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 363266316 | Owns/ leases property; joint venture partner | IL | N/A | C | |
| Edessa Insurance Company Ltd | |||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | Captive insurer located in Bermuda | N/A | C | BD | ||
| Alexian Brothers Health Providers Association Inc | |||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 363853286 | Messenger model IPA | IL | N/A | C | |
| Alexian Village of Elk Grove | |||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 352211303 | Tax credit financed housing | IL | N/A | C | |
| 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 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Alexian Brothers Health System | ||
| P | 35822440 | Fair Market Value |
| Alexian Brothers Hospital Network | ||
| O | 28598033 | Fair Market Value |
| Alexian Brothers Health System | ||
| Q | 14943574 | Fair Market Value |
| Alexian Brothers Medical Center | ||
| O | 791927 | Fair Market Value |
| Alexian Brothers Behavioral Health Hospital | ||
| O | 1468740 | Fair Market Value |
| Alexian Brothers Behavioral Health Hospital | ||
| P | 703182 | Fair Market Value |
| Savelli Properties Inc | ||
| L | 273143 | Fair Market Value |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Schedule R, Part V, Line 2: | ReturnReference |
| Explanation | St. Alexius tracks all transactions with related organizations in the general ledger or subsidiary schedules to the general ledger. Amounts are valued based on the fair market value of the transaction. | Explanation |