ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL (EIN 36-4251848)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-10-30
- IRS object ID
- 201243049349300524
- 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 | 2012-10-30T13:05:32-05:00 | 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 | 364251848 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alexian Brothers Behavioral Health Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ALEX | NameControl |
| Phone | 8478821600 | Phone |
US Address USAddress
| 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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Clayton Ciha | Name |
| Title | Chief Executive Officer | Title |
| Phone | 8477558004 | 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 | Clayton Ciha | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1650 Moon Lake Blvd | AddressLine1 |
| City | Hoffman Est | City |
| State | IL | State |
| ZIP Code | 60169 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 67266035 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| 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 | ABBHH carries out the healing mission of the Catholic Church (See Schedule O)as an Alexian Brothers ministry by identifying and developing effective responses to the health needs of those we are called to serve. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 61802882 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 66856067 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 315532 | OtherRevenuePriorYear |
| Other Revenue Current Year | 409968 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 62118414 | TotalRevenuePriorYear |
| Total Revenue Current Year | 67266035 | 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 | 37479454 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 39154767 | 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 | 26215671 | OtherExpensePriorYear |
| Other Expenses Current Year | 26969692 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 63695125 | TotalExpensesPriorYear |
| Total Expenses Current Year | 66124459 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1576711 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1141576 | RevenuesLessExpensesCY |
| Total Assets BOY | 38047838 | TotalAssetsBOY |
| Total Assets EOY | 42456582 | TotalAssetsEOY |
| Total Liabilities BOY | 12148608 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 15625067 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 25899230 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 26831515 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Alexian Brothers Behavioral Health Hospital ("ABBHH") carries out the healing mission of the Catholic Church as an Alexian Brothers ministry by identifying and developing effective responses to the health needs of those we are called to serve. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 30075381 | Expense |
| Revenue | 38549724 | Revenue |
| Description | Inpatient Programs: In 2011, ABBHH had 6,120 admissions with an average length of stay of 7.7 days. ABBHH provided care to approximately 800 adolescents, 4,245 adults and over 1,070 geriatric patients. ABBHH offers the complete continuum of behavioral health services, from prevention and early intervention to treatment and aftercare. Our goal is to help individuals of all ages learn ways to manage mental health and substance abuse problems. ABBHH is accredited by The Joint Commission and licensed by the Division of Alcohol and Substance Abuse, which means we meet the highest standards of mental health and substance abuse treatment. ABBHH is the first hospital in the nation to have been awarded Disease Specific Care Certification in four separate psychiatric specialities namely: Depression, Chemical Dependency, Eating Disorder and Self Injury. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7019736 | Expense |
| Revenue | 17641001 | Revenue |
| Description | Outpatient Programs: ABBHH offers Partial Hospitalization Programs (PHP), day treatment programs for adolescent and adult patients whose symptoms are stabilized and under control. The PHP programs offer a highly intense treatment regimen over a short period of time in order to help individuals move comfortably back into the community. In 2011, ABBHH served more than 3,370 cases with more than 36,000 visits related to these cases in child/adolescent, adult, eating disorder, self-injury, chemical dependency, obsessive compulsive disorder and school refusal programs. ABBHH also offers Intensive Outpatient Programs (IOP). This low intensity level of care are offered to all age groups for all psychiatric and addiction needs. In 2011, we served 1,675 cases and offered more than 16,600 units of service. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8442083 | Expense |
| Revenue | 7381196 | Revenue |
| Description | Group Practice: A team of experienced psychiatrists, psychologists, social workers and professional counselors, with extensive sub-specialty certifications, provide therapy to individuals, couples and families. ABBHH patients also utilize this outpatient care after discharge. In 2011, there were approximately 87,000 outpatient visits in the Goup Practice. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6029443 | Expense |
| Revenue | 1679638 | Revenue |
| Description | The Access Department at ABBHH offers mental health assessments and level of care screenings free of charge to those in need. In 2011, this department provided more than 16,500 screenings to children, adolescents, adults and older adults. Alexian Brothers Parish Services works to foster healing and wholeness to those who need it through professional counseling, education services and healthcare guidance within the framework of the mission of the Alexian Brothers. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 6029443 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 1679638 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 51566643 | 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 | 1 | 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 | 1 | 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 | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 154 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | 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 | 0 | InvestmentInJointVenture |
| 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 | Bernadette B Herrera | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8475902502 | 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 | 600053557 | 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 | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Patricia Merryweather | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| James Mortimer | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Thomas Palmer | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Delia Aldridge MD | |||||||||
| Director | 40.00 | X | 0 | 164025 | 23152 | ||||
| Gregory Teas MD | |||||||||
| Director | 40.00 | X | 0 | 352422 | 29163 | ||||
| Anthony D'Agostino MD | |||||||||
| Director | 40.00 | X | 0 | 316564 | 47738 | X | |||
| Lawrence Herforth | |||||||||
| Chairperson | 1.00 | X | 0 | 0 | 0 | X | |||
| Kathleen Gilmer | |||||||||
| Vice Chairperson | 1.00 | X | 0 | 0 | 0 | X | |||
| Br Theodore Loucks CFA | |||||||||
| Secretary | 1.00 | X | 0 | 0 | 0 | X | |||
| Br Daniel McCormick CFA | |||||||||
| Secretary | 1.00 | 0 | 0 | 0 | X | ||||
| Francine McGouey | |||||||||
| President and CEO | 40.00 | 0 | 378929 | 62061 | X | ||||
| Clayton Ciha | |||||||||
| President and CEO | 40.00 | 0 | 226829 | 47746 | X | ||||
| David Jones | |||||||||
| Chief Financial Officer | 40.00 | 0 | 195115 | 43051 | X | ||||
| Virginia Golembiewski | |||||||||
| Assistant Secretary | 1.00 | 0 | 69801 | 16144 | X | ||||
| James Sances | |||||||||
| Treasurer | 1.00 | 0 | 642540 | 143948 | X | ||||
| Clifton Saper | |||||||||
| Executive Director | 40.00 | 0 | 149180 | 33343 | X | ||||
| Jim Lewandowski | |||||||||
| Vice President | 1.00 | 0 | 372210 | 66995 | X | ||||
| Christopher Novak | |||||||||
| COO | 40.00 | 0 | 154893 | 25788 | X | ||||
| Mark Lerman | |||||||||
| Medical Director of Research | 40.00 | 0 | 626995 | 31161 | X | ||||
| Michael Brilliant | |||||||||
| Staff Psychiatrist | 40.00 | 0 | 470984 | 30832 | X | ||||
| Mumtaz Raza | |||||||||
| Staff Psychiatrist | 40.00 | 0 | 388814 | 35337 | X | ||||
| Syed Salahuddin | |||||||||
| Staff Psychiatrist | 40.00 | 0 | 285422 | 20440 | X | ||||
| Christopher D'Agostino | |||||||||
| Staff Psychiatrist | 40.00 | 0 | 271536 | 54974 | X | ||||
| Mark Frey | |||||||||
| Former Officer | 1.00 | 0 | 867276 | 184992 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5933535 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 896865 | 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 Operations LLC | |||||
| 4880 Paysphere Circle | Chicago | IL | 60674 | Dietary and Environmental Services | 2220792 |
| Comprehensive Pharmacy Services | |||||
| 6409 Quail Hollow Road | Memphis | TN | 38120 | Pharmacy Service | 839809 |
| Heartland's Cross Culture Interpreters | |||||
| 4753 North Broadway 400 | Chicago | IL | 60640 | Interpreters/ Translation Service | 405772 |
| HLS-Wheeling LLC | |||||
| 45 W Hintz Road | Wheeling | IL | 60090 | Laundry and Linen Service | 147628 |
| Mr David's Carpet Service Ltd | |||||
| 865 W Irving park | Itasca | IL | 60143 | Repairs and Maintenance | 136710 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Patient Service Rev | 622210 | 38329246 | 38329246 | |
| Medicare/Medicaid Rev | 622210 | 18010396 | 18010396 | |
| Group Practice | 624190 | 7381196 | 7381196 | |
| Research Revenue | 541900 | 1858872 | $1,858,872 | |
| School Reimbursements | 900099 | 598576 | 598576 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 677781 | TotalRevenueColumn |
| Related Or Exempt Function Income | 677781 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 66856067 | TotalProgramServiceRevenue |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| Cafeteria Revenue | 900099 | 155604 | $155,604 | |
| Restricted Fund Utiliz | 900099 | 131904 | 131904 | |
| Course & Workshop Fees | 900099 | 76674 | 76674 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 45786 | TotalRevenueColumn |
| Related Or Exempt Function Income | 45786 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 409968 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 67266035 | TotalRevenueColumn |
| Related Or Exempt Function Income | 65251559 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,014,476 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32718710 | Total |
| Program Services | 27331748 | ProgramServices |
| Management And General | 5386962 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1008171 | Total |
| Program Services | 855764 | ProgramServices |
| Management And General | 152407 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3273395 | Total |
| Program Services | 2778551 | ProgramServices |
| Management And General | 494844 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2154491 | Total |
| Program Services | 1851060 | ProgramServices |
| Management And General | 303431 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 207321 | Total |
| Management And General | 207321 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60015 | Total |
| Management And General | 60015 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6395958 | Total |
| Program Services | 5066360 | ProgramServices |
| Management And General | 1329598 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104334 | Total |
| Program Services | 104334 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 628829 | Total |
| Program Services | 222140 | ProgramServices |
| Management And General | 406689 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62 | Total |
| Management And General | 62 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1826215 | Total |
| Program Services | 1327277 | ProgramServices |
| Management And General | 498938 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 333818 | Total |
| Program Services | 245711 | ProgramServices |
| Management And General | 88107 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95436 | Total |
| Program Services | 22932 | ProgramServices |
| Management And General | 72504 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1196616 | Total |
| Management And General | 1196616 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1237339 | Total |
| Program Services | 989871 | ProgramServices |
| Management And General | 247468 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1563670 | Total |
| Program Services | 1260168 | ProgramServices |
| Management And General | 303502 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Management Fees | 6653040 | 2935871 | 3717169 |
| Medicaid Tax | 3827226 | 3827226 | |
| Provision for Bad Debt | 1687154 | 1687154 | |
| Medical Supplies | 1051449 | 1051449 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101210 | Total |
| Program Services | 9027 | ProgramServices |
| Management And General | 92183 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66124459 | Total |
| Program Services | 51566643 | ProgramServices |
| Management And General | 14557816 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1147962 | BOY |
| EOY | 5456355 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6887650 | BOY |
| EOY | 6869087 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153140 | BOY |
| EOY | 114724 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93757 | BOY |
| EOY | 89014 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 35974922 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 11343160 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24656729 | BOY |
| EOY | 24631762 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5000000 | BOY |
| EOY | 5000000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108600 | BOY |
| EOY | 295640 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38047838 | BOY |
| EOY | 42456582 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5217649 | BOY |
| EOY | 4138725 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6762 | BOY |
| EOY | 83520 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6924197 | BOY |
| EOY | 11402822 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12148608 | BOY |
| EOY | 15625067 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25845615 | BOY |
| EOY | 26754979 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53615 | BOY |
| EOY | 76536 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25899230 | BOY |
| EOY | 26831515 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38047838 | BOY |
| EOY | 42456582 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1141576 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -209291 | 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 | 1400000 | OtherCostOrOtherBasis |
| Book Value | 1400000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26542396 | OtherCostOrOtherBasis |
| Depreciation | 6004050 | Depreciation |
| Book Value | 20538346 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 192502 | OtherCostOrOtherBasis |
| Depreciation | 140458 | Depreciation |
| Book Value | 52044 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7021632 | OtherCostOrOtherBasis |
| Depreciation | 4768125 | Depreciation |
| Book Value | 2253507 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 818392 | OtherCostOrOtherBasis |
| Depreciation | 430527 | Depreciation |
| Book Value | 387865 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 24631762 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Beneficial interest in Alexian Brothers Health System, Inc. Investment Trust | Description |
| Book Value | 5000000 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 5000000 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Est Payables Under 3rd Party Reimbursement | $3,277,031 |
| Accounts Receivable Credit Balance | $409,754 |
| Due to Affiliates | $5,805,251 |
| Other Current Liabilities | $9,887 |
| Reserve for Outstanding Insurance Losses | $1,900,899 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 11402822 | TotalOfAmounts |
| Total Revenue | 67266035 | TotalRevenue |
| Total Expenses | 66124459 | TotalExpenses |
| Excess Or Deficit For Year | 1141576 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1087 | NetUnrealizedGLOnInvestments |
| Donated Services And Facilities | 21834 | DonatedServicesAndFacilities |
| Other | -$232,212 | OtherAmount |
| Total Adjustments | -209291 | TotalAdjustments |
| Excess Or Deficit Per FS | 932285 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 0 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 0 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 0 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 66124459 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 66124459 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 66124459 | TotalExpensesPerForm990 |
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 | Alexian Brothers Behavioral Health Hospital 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 | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 712 | PersonsServed |
| Total Community Benefit Expense | 638379 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 638379 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00990 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1177 | PersonsServed |
| Total Community Benefit Expense | 7549606 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3957705 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3591901 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05570 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1889 | PersonsServed |
| Total Community Benefit Expense | 8187985 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3957705 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4230280 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06560 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Persons Served | 52701 | PersonsServed |
| Total Community Benefit Expense | 1503766 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 295394 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1208372 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01880 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 3478 | PersonsServed |
| Total Community Benefit Expense | 264593 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7885 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 256708 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 108 | PersonsServed |
| Total Community Benefit Expense | 23555 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 23555 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 56287 | PersonsServed |
| Total Community Benefit Expense | 1791914 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 303279 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1488635 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02320 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 58176 | PersonsServed |
| Total Community Benefit Expense | 9979899 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4260984 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5718915 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08880 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 285 | PersonsServed |
| Total Community Building Expense | 4899 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4899 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 285 | PersonsServed |
| Total Community Building Expense | 4899 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4899 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $654,000 | BadDebtExpenseAmount |
| Amount Attributable To | 16000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 16803573 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 15596293 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1207280 | 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 |
| 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 | Alexian Brothers Behavioral Health Hosp | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Hospital 1650 Moon Lake Boulevard | AddressLine1 |
| City | Hoffman Estates | City |
| State | IL | State |
| ZIP Code | 601691010 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Other | Psychiatric Facility | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alexian Brothers Behavioral Health Hosp | 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 | 0 | NondiscrimEmergencyCarePolicy |
| Other Reason | X | OtherReason |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| 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 Uninsured0-200% 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 2011 filed Medicare cost report was used to calculate cost.- 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: ABBHH has not included costs attributable to a physician clinic as part of subsidized health services. | |
| Part I, L7 Col(f): Part II: In 2011, ABBHH 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: Management works very closely with individuals to determine if they qualify for charity. However, not everyone who is eligible for charity completely cooperates with the process, and as a result, management cannot identify all charity cases with 100% certainty. Based on a sample of accounts reviewed that were originally classified as bad debt expense, management believes that 5% of the accounts, or $16,000 at cost, of our bad debt expense would meet the criteria of our charity program if patients shared their financial condition.Discounts and payments are not included in bad debt expense in the financial statements for ABBHH unless the payment is a recovery of amounts previously written off as bad debt. Recoveries are classified as a decrease to bad debt expense.ABBHH is part of the Alexian Brothers Health System ("ABHS") consolidated audit. There is no footnote specific to bad debt expense in the audit.ABBHH's share of bad debt expense for ABHS in 2011 was $1,687,154 at charges ($654,000 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, ABBHH, as part of Alexian Brothers Hospital Network, will serve this part of our community with the same compassion and responsiveness to need as it always has 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 ABBHH, to offer patients a payment plan and/or charity assistance when it becomes known or even suspected that a patient needs financial assistance. The registration staff works with patients during their course of treatment to determine if the patient qualifies for charity. The staff will help patients fill out the necessary paperwork to apply for charity at that time. The Business Office staff also works with patients after discharge if it is determined that they need charity subsequent to discharge. 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 Alexian Brothers Behavioral Health Hospital 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." | Alexian Brothers Behavioral Health Hosp. |
| Part V, Section B, Line 18c: Alexian Brothers Behavioral Health Hospital is a psychiatric facility which does not operate a typical medical surgical emergency room. Patients may arrive at the psychiatric hospital seeking an assessment or treatment for concerns ranging from danger to self or others to traditional outpatient mental health services. For those patients that do arrive in crisis, the hospital is capable of accepting and treating these patients. Factors that will determine whether a patient can be admitted include occupancy levels and bed availability. The hospital does follow the federal IMD exclusion regulation, which does not allow the hospital to treat patients covered under Medicaid that are of an Adult age (19-64). Patients that meet the requirements for admission to the psychiatric facility are admitted regardless of their insurance coverage or the ability to make payment. | Alexian Brothers Behavioral Health Hosp. |
| Part V, Section B, Line 19d: Alexian Brothers Behavioral Health Hospital 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 ABBHH approximates 32% of charges. | Alexian Brothers Behavioral Health Hosp. |
| 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, ABBHH has been performing Community Health Assessments for its primary and secondary service areas since 1998. The first document was produced internally and contained secondary data only (data collected by local, state and federal agencies). The following three Community Health Assessments for the years 2002, 2006 and 2009 have been performed by an outside research firm in order to capture secondary and primary data (original data 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 exacerbates 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 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.ABBHH utilizes the community health assessment to track data regarding the incidence and prevalence of widespread chronic disease such as depression in the community as well as access to treatment. However, to effectively respond to some issues the community health assessment must be combined with input and data from other agenices such as schools, police departments, and social service providers. One such instance is in regards to depression amongst teens. In 2011, ABBHH was contacted by multiple school districts in its service area for help with suicide prevention amongst students. Based upon data collected from the schools it became clear that the root cause was bullying. The media is filled with stories across the country about bullying in our schools, communities, the workplace, and even families. Recent studies support the notion that bullying and violence have serious consequences (Espelage and Horn (2007) School Bullying prevention: From research-based explanations to empirically based solutions. In S. Brown and R. Lent (Eds.) Handbook of Counseling Psychology, Hoboken N.J. Wiley). Statistics suggest that 30% of all children have been bullied. In our community, we are finding that by middle school, 88% of students have been victimized and our local middle schools are reporting that bullying is worse in middle schools than in high school. There have been recent increases in cyber bullying. All too frequently, such bullying has led to suicide attempts or completed suicides.In our own programming at ABBHH, we are seeing an unprecedented degree of reported school and community violence, intimidation of those with special needs, sexual orientation issues, weight problems/eating disorders, or from minority groups. Over the years we have treated the bullies, the victims, and the bystanders in our programs, as well as provided consultation to families, schools, workplaces, and communities impacted by such violence. Because bullying is such a serious and growing problem, ABBHH created a coalition of providers from across the community known as the Community Coalition Against Violence (Alternatives to Bullying and Suicide). The coalition includes police departments, social service agencies, school districts, psychologists, psychiatrists, parents and school age children 12-18 years. The "products" that have been developed or will be developed are as follows: 1. A Resource Center/Clearinghouse with materials integral to the coalitian including articles, books, DVDs, and interactive software to be utilized by internal staff and external community agencies. 2. Establish an "Academy for Violence Prevention & Upstander Development" which involves collaboration with internal and external groups to achieve the following research based goals. a. To destigmatize the request for help in situations where bullying, depression, suicidal thinking or other mental health concerns occur. b. To decrease access to potentially dangerous or lethal means to harm oneself or others (including weapons in schools, internet programs used for cyber bullying, unsafe railroad crossings, access to potentially lethal over-the-counter medications, etc.). c. To Support the training of "upstanders" - teaching community members to not merely be bystanders, but to "take a stand", "make a difference", empathize with the struggles and despair of others, and be proactive. 3. Refine the "Upstander" modules we use in ABBHH treatment of adolescents/teens programs and measure short and long term effectiveness for our patients, families and staff so generalizations of these techniques in the community is a possibility. 4. Provide needs assessments to schools that are interested in utilizing our expertise in designing anti-bullying, anti-suicide, "diversity acceptance training", or anti-violence programs in their facilities to meet recent state guidelines. Following the assessment , we can tailor appropriate student, teacher, and parent educational programs for the school depending on programs it already provides, the culture of the school, and gaps in service. 5. Provide program evaluation and follow up tools to schools and agencies to measure effectiveness of initiatives. | |
| Part VI, Line 3: ABBHH 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 ABBHH, features information on how to apply for charity care on-line. In the hospital setting, we employ individuals who are available to work with patients to help them apply for charity with dignity. In addition, Alexian Brothers Center for Mental Health ("ABCMH") employs an individual who works for both ABCMH and ABBHH who helps the families of our child and adolescent patients apply for Medicaid when appropriate. In addition, all bills and statements include information regarding charity care options.Part VI, Line 4: ABBHH, 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 Area60007 Elk Grove Village 60004 Arlington Heights 60010 Barrington 60005 Arlington Heights60018 Des Plaines 60008 Rolling Meadows60056 Mount Prospect 60013 Cary60067 Palatine 60014 Crystal Lake60101 Addison 60016 Des Plaines60103 Bartlett 60047 Lake Zurich60106 Bensenville 60050 McHenry60107 Streamwood 60073 Round Lake60108 Bloomingdale 60074 Palatine60110 Carpentersville 60089 Buffalo Grove60120 Elgin 60090 Wheeling60133 Hanover Park 60098 Woodstock60139 Glendale Heights 60102 Algonquin60143 Itasca 60118 Dundee60169 Hoffman Estates 60123 Elgin60172 Roselle 60124 Elgin60173 Schaumburg 60126 Elmhurst60191 Wood Dale 60136 Gilberts60192 Hoffman Estates 60137 Glen Ellyn60193 Schaumburg 60140 Hampshire60194 Schaumburg 60142 Huntley60195 Schaumburg 60148 LombardABBHH is the largest, most comprehensive Behavioral Health Hospital in our area. There are a number of for-profit facilities but services are limited to adolescent Medicaid only. Most state hospitals have significantly reduced operations and staffed beds, so ABBHH accepts referrals as opposed to referring to other institutions.ABBHH's 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: ABBHH'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. ABBHH extends medical staff privileges to interested and qualified psychiatrists in our community and endeavors to provide them with the safest and most advanced psychiatrists interventions available.ABBHH strives to fully serve the community through participation in government as well as sponsored healthcare programs such as Medicare, Medicaid, and Tricare, and participating in research and education.Pharmaceutical based research includes the persistent disorders of schizophrenia, bipolar disorder and major depressive disorder, as well as research in the disorders of adolescents and childhood. ABBHH also operates a center for evidence based practice which researches the efficacy of treatment through outcomes based measurement. On average, ABBHH has 15-20 research trials at any given time.Part VI, Line 6: ABBHH is an affiliate of ABHS. ABHS is the national member and ultimate parent of ABBHH. 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 community, 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 and philanthropy and is subsidized by ABHS. 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, ABHS remains committed to this program and the members of the community that it serves.Another program offered to the community through ABBHH is Alexian Brothers Parish Services (ABPS, formerly Interfaith Parish Support Services/IPSS). ABPS was created in response to the faith communities' 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 ofthe partnerships ABPS has with parishes: School Social Worker or 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, providing 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 2300 hours of therapy have been offered in four languages: English, Polish, Spanish and Tagalog. Services are offered for a fee and and a sliding fee scale may be available based upon financial need.ABBHH subsidized ABPS $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 ABBHH. 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 consisting 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 10,500 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 - $2,384,921Subsidized Health Services - $1,669,456Other Community Benefit Programs - $3,887,754 Total 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 requirements 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.St. Alexius Medical Center - An acute care hospital located in Hoffman Estates, Illinois that provides inpatient, outpatient and emergency services, including specialties in the areas of cardiology, neurosciences, orthopedics, oncology, bariatrics and pediatrics.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, nursing home programs and traditional psychotherapy and medication management.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; 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. - HUD housing project in St. Louis, Missouri.Part VI, Line 7: 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 ABMC, St. Alexius and 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 (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Delia Aldridge MD | |||||||||||||
| 0 | 164025 | 0 | 0 | 0 | 0 | 0 | 6699 | 0 | 16453 | 0 | 187177 | 0 | 0 |
| Gregory Teas MD | |||||||||||||
| 0 | 324273 | 0 | 4207 | 0 | 23942 | 0 | 14864 | 0 | 14299 | 0 | 381585 | 0 | 0 |
| Anthony D'Agostino MD | |||||||||||||
| 0 | 316564 | 0 | 0 | 0 | 0 | 0 | 34300 | 0 | 13438 | 0 | 364302 | 0 | 0 |
| Francine McGouey | |||||||||||||
| 0 | 280473 | 0 | 63789 | 0 | 34667 | 0 | 49603 | 0 | 12458 | 0 | 440990 | 0 | 34667 |
| Clayton Ciha | |||||||||||||
| 0 | 199344 | 0 | 23297 | 0 | 4188 | 0 | 11220 | 0 | 36526 | 0 | 274575 | 0 | 0 |
| David Jones | |||||||||||||
| 0 | 152585 | 0 | 26063 | 0 | 16467 | 0 | 17669 | 0 | 25382 | 0 | 238166 | 0 | 11027 |
| James Sances | |||||||||||||
| 0 | 477155 | 0 | 136544 | 0 | 28841 | 0 | 115746 | 0 | 28202 | 0 | 786488 | 0 | 28841 |
| Clifton Saper | |||||||||||||
| 0 | 139180 | 0 | 10000 | 0 | 0 | 0 | 19274 | 0 | 14069 | 0 | 182523 | 0 | 0 |
| Jim Lewandowski | |||||||||||||
| 0 | 280338 | 0 | 56701 | 0 | 35171 | 0 | 35309 | 0 | 31686 | 0 | 439205 | 0 | 12354 |
| Christopher Novak | |||||||||||||
| 0 | 150609 | 0 | 0 | 0 | 4284 | 0 | 3976 | 0 | 21812 | 0 | 180681 | 0 | 0 |
| Mark Lerman | |||||||||||||
| 0 | 626995 | 0 | 0 | 0 | 0 | 0 | 10349 | 0 | 20812 | 0 | 658156 | 0 | 0 |
| Michael Brilliant | |||||||||||||
| 0 | 470984 | 0 | 0 | 0 | 0 | 0 | 14240 | 0 | 16592 | 0 | 501816 | 0 | 0 |
| Mumtaz Raza | |||||||||||||
| 0 | 349140 | 0 | 39674 | 0 | 0 | 0 | 14268 | 0 | 21069 | 0 | 424151 | 0 | 0 |
| Syed Salahuddin | |||||||||||||
| 0 | 285422 | 0 | 0 | 0 | 0 | 0 | 6400 | 0 | 14040 | 0 | 305862 | 0 | 0 |
| Christopher D'Agostino | |||||||||||||
| 0 | 264686 | 0 | 6850 | 0 | 0 | 0 | 34300 | 0 | 20674 | 0 | 326510 | 0 | 0 |
| Mark Frey | |||||||||||||
| 0 | 617468 | 0 | 172499 | 0 | 77309 | 0 | 145072 | 0 | 39920 | 0 | 1052268 | 0 | 39114 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 3 | Schedule J, Part I, Line 3: ABBHH 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 Jim Lewandowski - $5,297 Mark Frey - $77,808 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jonathan D' Agostino | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Son of Officer | Relationship |
| Amount Of Transaction | 34304 | AmountOfTransaction |
| Description Of Transaction | Cash | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | Alexian Brothers Behavioral Health Hospital has 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 Alexian Brothers Behavioral Health Hospital. | |
| 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 the 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, dissolution, sale or lease of all or substantially all of the assets of the Alexian Brothers Behavioral Health Hospital; - The annual capital and operating budget and the Strategic Plan of the Alexian Brothers Behavioral Health Hospital; and - Other certain reserved powers which Alexian Brothers Health System may designate. | |
| Form 990, Part VI, Section B, line 11 | Alexian Brothers Behavioral Health Hospital is an affiliate of Alexian Brothers Health System, ("ABHS" or "the System"), which is a Catholic health system. Alexian Brothers Health System is the National Member and ultimate parent for each entity within the System. Alexian Brothers Behavioral Health Hospital'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 Alexian Brothers Behavioral Health Hospital's financial officer and the CEO. 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 Alexian Brothers Health System reviews all compensation disclosures for each entity in Alexian Brothers Health System. These reviews were conducted before the Form 990 was signed and filed with the IRS. In addition, there is also a Compensation Committee that reports to the Alexian Brothers Health System Board of Governors. This Committee reviews the Compensation disclosures for all entities in the System. The Alexian Brothers Behavioral Health Hospital board reports to the Alexian Brothers Health System Board of Governors, which has ultimate oversight of the activities of all entities within the System. The Audit Committee of the Alexian Brothers Health System 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 on as requested. It then reports back to the Alexian Brothers Health System 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 Alexian Brothers Behavioral Health Hospital. | |
| Form 990, Part VI, Section B, line 12c | Alexian Brothers Behavioral Health Hospital collects annual attestations from board members, officers, directors and key employees. The attestations are reviewed by the Alexian Brothers Behavioral Health Hospital compliance officer and any conflicts are shared with the Alexian Brothers Behavioral Health Hospital Chief Executive Officer. The conflicts are also reviewed by the System's Vice President, Corporate Responsibility Officer. The Audit Committee of the Alexian Brothers Health System Board of Governors monitors and receives reports on the completion of this process. | |
| Form 990, Part VI, Section B, line 15 | Alexian Brothers Behavioral Health Hospital 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 Alexian Brothers Health System, 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 | Alexian Brothers Behavioral Health Hospital's financial statements are available through the Office of the Illinois Attorney General. Conflicts of Interest and the Alexian Brothers Behavioral Health Hospital'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: Disclosure for estimated hours per week devoted to related organizations for which compensation was reported: Mark Frey worked 40 hours per week for Alexian Brothers Health System; James Sances worked 40 hours per week for Alexian Brothers Health System; Virginia Golembiewski worked 40 hours per week for Alexian Brothers Health System; Jim Lewandowski worked 40 hours per week for Alexian Brothers Health System. All others listed in Part VII devote 100% of their time to Alexian Brothers Behavioral Health Hospital. | |
| Form 990, Part XI, line 5: | Net unrealized gains on investments: 1,087. Donated services and use of facilities: 21,834. Working Capital Transfer: -232,212. Total to Form 990, Part XI, Line 5: -209,291. | Changes in Net Assets or Fund Balances: |
| Form 990, Part VII, Column E: | 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. | Reasonable efforts made to obtain compensation from related organizations: |
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 | 600051069 | 362606768 | Religious order of Roman Catholic men | TX | Section 501(c)(3) | 1 | N/A | 0 | |
| Brothers of St Alexius Health and Welfare Fund Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 362976617 | Provides for health & welfare payments for religious sponsor | TX | Section 501(c)(3) | 1 | 1 | Alexian Brothers of America Inc | |
| Alexian Brothers Bonaventure House | |||||||||||
| 825 Wellington Avenue | Chicago | IL | 60657 | 363527899 | Housing and supportive care services for persons with HIV/AIDS | IL | Section 501(c)(3) | 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Health System | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 363260495 | Supports provision of healthcare services for related corporations | IL | Section 501(c)(3) | 11, III-FI | 1 | Alexian Brothers of America Inc | |
| Alexian Brothers Health System Inc Inv Trust | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 363801585 | Manages pooled investments of related not-for-profit entities | IL | Section 501(c)(3) | 11, III-FI | 1 | Alexian Brothers Health System | |
| Alexian Brothers of America Investment Trust | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 364390471 | Manages pooled investments of related not-for-profit entities | IL | Section 501(c)(3) | 11, III-FI | 1 | Alexian Brothers of America Inc | |
| Alexian Brothers Specialty Group | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 800710751 | Specialty physician practice group | IL | Section 501(c)(3) | 3 | 1 | Alexian Brothers of America Inc | |
| Alexian Brothers of Chicago | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | Inactive Corporation | IL | Section 501(c)(3) | 9 | 1 | Alexian Brothers of America Inc | ||
| Alexian Brothers of San Jose Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 941530037 | Acute care hospital (sold in 1998) | TX | Section 501(c)(3) | 3 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Services Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 431295333 | HUD housing | MO | Section 501(c)(3) | 9 | 1 | Alexian Brothers Health System | |
| Alexian Village of Milwaukee Inc | |||||||||||
| 9301 N 76th Street | Milwaukee | WI | 53223 | 391351584 | Continuing care retirement community | WI | Section 501(c)(3) | 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Community Services | |||||||||||
| 425 Cumberland Street Suite 110 | Chattanooga | TN | 37404 | 364344423 | Provides comprehensive & coordinated community based services | IL | Section 501(c)(3) | 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 | Section 501(c)(3) | 7 | 1 | Alexian Brothers Health System | |
| Alexian Village of Tennessee | |||||||||||
| 437 Alexian Way | Signal Mountain | TN | 37377 | 621136742 | Continuing care retirement community | TN | Section 501(c)(3) | 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Senior Ministries | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 364484290 | Supports the provision of healthcare services for related corporations | IL | Section 501(c)(3) | 11, III-FI | 1 | Alexian Brothers Health System | |
| Alexian Elderly Services Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 392039667 | Community outreach | WI | Section 501(c)(3) | 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Lansdowne Village | |||||||||||
| 4624 Lansdowne | St Louis | MO | 63116 | 431470362 | Skilled nursing facility | MO | Section 501(c)(3) | 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Sherbrooke Village | |||||||||||
| 4005 Ripa Avenue | St Louis | MO | 63125 | 431592502 | Skilled nursing facility | MO | Section 501(c)(3) | 9 | 1 | Alexian Brothers Health System | |
| Alexian Brothers of St Louis Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 430653236 | Acute care hospital (sponsorship transferred in 1997) | MO | Section 501(c)(3) | 3 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Hospital Network | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 363276552 | Supports the provision of healthcare services for related corporations | IL | Section 501(c)(3) | 11, III-FI | 1 | Alexian Brothers Health System | |
| Savelli Properties Inc | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 363308965 | Owns or leases properties where healthcare services are delivered | IL | Section 501(c)(2) | N/A | 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 | Section 501(c)(3) | 7 | 1 | Alexian Brothers Health System | |
| St Alexius Medical Center | |||||||||||
| 1555 Barrington Road | Hoffman Estates | IL | 60194 | 364251846 | Acute care hospital | IL | Section 501(c)(3) | 3 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Ambulatory Group | |||||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 364336931 | Physician services | IL | Section 501(c)(3) | 3 | 1 | Alexian Brothers Health System | |
| Alexian Brothers Medical Center | |||||||||||
| 800 Biesterfield Road | Elk Grove Village | IL | 60007 | 362596381 | Acute care hospital | TX | Section 501(c)(3) | 3 | 1 | Alexian Brothers Hospital Network | |
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 |
|---|---|---|---|---|---|---|---|
| Alexian Rehabilitation Services LLC | |||||||
| 935 Beisner Road | Elk Grove Village | IL | 60007 | 300221481 | Rehabilitation hospital | IL | N/A |
| Illinois NeuroMeg Center LLC | |||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 870783164 | Provision of NeuroMeg services | IL | N/A |
| Elk Grove MOB Ltd Partnership | |||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 363853289 | Medical office building | IL | N/A |
| Workplace Solutions LLC | |||||||
| 1100 E Woodfield Road | Schaumburg | IL | 60173 | 364095007 | Provision of EAP services | IL | N/A |
| Bonaventure Medical Foundation LLC | |||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 60005 | 363978153 | Manages managed care contracts | DE | N/A |
| Neurosciences Equipment LLC | |||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 861115516 | Ownership of Gamma Knife | IL | N/A |
| St Alexius Center for Sleep Health LLC | |||||||
| 665 W North Avenue | Lombard | IL | 60148 | 205876371 | Operation of sleep lab | IL | N/A |
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 | 600051069 | 363266316 | Owns/leases property; joint venture partner | IL | N/A | C | |
| Edessa Insurance Company Ltd | |||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | Captive insurer located in Bermuda | N/A | C | BD | ||
| Alexian Brothers Health Providers Association Inc | |||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 363853286 | Messenger model IPA | IL | N/A | C | |
| Alexian Brothers Corpus Christi Housing Project LLC | |||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 943465394 | Tax credit financed housing | IL | N/A | C | |
| Alexian Village of Elk Grove | |||||||||
| 3040 W Salt Creek Lane | Arlington Heights | IL | 600051069 | 352211303 | 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 | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | 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 | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Alexian Brothers Health System | ||
| O | 2312080 | FMV |
| Alexian Brothers Hospital Network | ||
| O | 5245140 | FMV |
| Alexian Brothers Health System | ||
| O | 1196616 | FMV |
| Alexian Brothers Health System | ||
| R | 232212 | FMV |
| Alexian Brothers Health System | ||
| O | 4593084 | FMV |
| Alexian Brothers Health System | ||
| J | 551720 | FMV |
| Alexian Brothers Medical Center | ||
| P | 571132 | FMV |
| Alexian Brothers Medical Center | ||
| O | 74104 | FMV |
| St Alexius Medical Center | ||
| P | 1468740 | FMV |
| St Alexius Medical Center | ||
| O | 703182 | FMV |