ST ALEXIUS MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: ST ALEXIUS MEDICAL CENTER (EIN 36-4251846)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-08
IRS object ID: 201143129349300019
Schema version: 2010v3.4
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
Form 990
Schedule A
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-08T10:42:58-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	364251846	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Alexius Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STAL	NameControl
Phone	8478432000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1555 Barrington Road	AddressLine1
City	Hoffman Estates	City
State	IL	State
ZIP Code	60169	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Edward Goldberg	Name
Title	President & Chief Executive Officer	Title
Phone	8478432000	Phone
Date Signed	2011-11-08	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Laura Gillespie	Name
Phone	3124861000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Edward M Goldberg	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1555 Barrington Road	AddressLine1
City	Hoffman Ests	City
State	IL	State
ZIP Code	60194	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	314145978	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.alexianbrothershealth.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	St. Alexius carries out the healing mission of the Catholic Church (See Schedule O).St. Alexius Medical Center ("St. Alexius" or "the Organization") carries out the healing mission of the Catholic Church as an Alexian Brothers ministry by identifying and developing effective responses to the health needs of the those we are called to serve.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	2301	TotalNbrEmployees
Total Nbr Volunteers	657	TotalNbrVolunteers
Total Gross UBI	1099627	TotalGrossUBI
Net Unrelated Business Txbl Income	506219	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	306804251	ProgramServiceRevenuePriorYear
Program Service Revenue CY	311897363	ProgramServiceRevenueCY
Investment Income Prior Year	159122	InvestmentIncomePriorYear
Investment Income Current Year	700	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1516771	OtherRevenuePriorYear
Other Revenue Current Year	1154374	OtherRevenueCurrentYear
Total Revenue Prior Year	308480144	TotalRevenuePriorYear
Total Revenue Current Year	313052437	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	123214391	SalariesEtcPriorYear
Salaries Etc Current Year	122536142	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	160618787	OtherExpensePriorYear
Other Expenses Current Year	166846063	OtherExpensesCurrentYear
Total Expenses Prior Year	283833178	TotalExpensesPriorYear
Total Expenses Current Year	289382205	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	24646966	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	23670232	RevenuesLessExpensesCY
Total Assets BOY	214770176	TotalAssetsBOY
Total Assets EOY	238416375	TotalAssetsEOY
Total Liabilities BOY	62996176	TotalLiabilitiesBOY
Total Liabilities EOY	80103066	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	151774000	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	158313309	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	St. Alexius Medical Center ("St. Alexius" or "the Organization") carries out the healing mission of the Catholic Church as an Alexian Brothers ministry by identifying and developing effective responses to the health needs of the those we are called to serve.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	165322717	Expense
Revenue	161593644	Revenue
Description	For more than seven hundred years, the Alexian Brothers have cared for the sick, the aged, the poor and the dying. The basic Judeo-Christian beliefs that inspired the founders of this Catholic religious congregation sustain its ministry today. This heritage is espoused by governance, management and the entire health care team throughout Alexian Brothers Health System in their mutual commitment to promote the physical, mental, spiritual and social well being of all individuals served through the health care ministry. (See Schedule O)As a member hospital of the Alexian Brothers Health System, St. Alexius strives to direct the provision of health care in its community in accordance with the respected values of the Alexian Brothers:- Compassion- Dignity of the person- Care of the poor- Holism- PartnershipInpatient Acute Medical and Surgical ServicesSt. Alexius has more than 1,000 physicians on staff, representing more than 60 medical and surgical specialties. In 2010 St. Alexius treated over 18,000 inpatients, performed 3,399 inpatient surgeries and delivered 3,104 newborns. St. Alexius has Clinical Institutes for Neurosciences, Oncology, Cardiovascular, and Orthopedics, with additional specialties in Older Adult, Pediatrics, Bariatric Surgery, and Obstetrics. St. Alexius has received Disease Specific Certification from the Joint Commission in Stroke, Heart Failure, and Knee and Hip Joint Replacement. In addition, St. Alexius is also a Healthgrades Top 50 Hospital, and has received the Blue Cross Blue Star of Distinction.The Neurosciences Clinical Institute services include Acute Stroke Care Services, the Epilepsy Center, Neurosurgery, Pediatric Neuropsychological Services, and Stroke Prevention. St. Alexius is a Primary Stroke Center.The Oncology Clinical Institute is a comprehensive treatment care center utilizing cutting-edge technologies including 64-slice Computed Tomography (CT) Scan, and Breast Magnetic Resonance Imaging (MRI) as diagnostic tools. Through the services available at St. Alexius radiation can be delivered through the following techniques: Cone Beam CT (CBCT), Intensity Modulated Radiation Therapy (IMRT), Image Guided Radiotherapy (IGRT), Rapid Arc, Advanced High Dose Rate Brachytherapy (HDR), and Mammosite Breast Therapy Treatment. The American College of Surgeons Commission on Cancer has accredited St. Alexius as a Comprehensive Community Cancer Center. In addition, the National Accreditation Program for Breast Centers (NAPBC) has accredited St. Alexius.Cardiovascular services are available at St. Alexius. Services include diagnostic and interventional cardiology, electrocardiograms (EKG), echocardiography, stress tests, holter monitoring, angiograms angioplasty and stent placement, tilt table tests, cardio version and pacemaker insertion.The Orthopedic Clinical Institute includes services for Emergency Fractures, Foot and Ankle, Hand and Upper Extremity, Wrist, Shoulder and Elbow, Partial Joint Replacements with Alternative Options, Sports Medicine, Surgical Spine Procedures, Pediatric Care and Total Joint Replacement and Reconstruction. In 2010, the Bariatric Surgery Program served 139 inpatients. The American Society for Bariatric Surgery (ASBS), the largest society for this specialty, has named St. Alexius's bariatric surgery program as a nationally designated "Center of Excellence." The Blue Cross Blue Shield Association identified St. Alexius as a Designated Center for Bariatric Surgery.The Pediatrics program includes more than 60 pediatric sub-specialists covering a wide range of medicine that are dedicated to providing the best care for children by physicians, nurses and staff with expertise in pediatric medical care. The staff of Pediatricians represent many Pediatric Sub-Specialists that are Board-Certified and fellowship trained in their specialty. Child Life Specialists help children and their families adjust to the hospital setting. The Pediatric Intensive Care Unit (PICU) is ready and equipped for critical situations. Hospital Intensivists, who are Board-Certified Pediatricians with additional training in the care of severely ill children, work with the child's Pediatrician or Family Practitioner to provide care for the patient while in the PICU. In 2010, there were 1,402 inpatients served. Women deserve a special approach to healthcare that considers their unique needs. At St. Alexius we provide a wide range of services that address our inpatients' total health. St. Alexius' caring team has the experience and expertise to address the needs of its patients. More than 3,100 women gave birth at St. Alexius in 2010. St. Alexius' highly trained staff includes a multi-lingual group of board-certified obstetricians and OB/GYNs who offer expert prenatal and post-delivery care, and lactation educators who are specialists in breastfeeding. As a state-designated Level III Neonatology Intensive Care Unit, St. Alexius offers 24-hour coverage by Board-Certified Neonatologists - a pediatrician with special training in the care of healthy newborns as well as those with special needs.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	103148865	Expense
Revenue	149214093	Revenue
Description	Outpatient ServicesSt. Alexius provides outpatient services in many service categories and locations. Diagnostic services utilize modern diagnostic techniques and practices, which are accredited by nationally recognized agencies and associations (e.g. The American Diabetes Association, American College of Radiology, The College of American Pathologists, and Joint Commission.) (See Schedule O)Diagnostic services offered at St. Alexius include the following: - Diagnostic imaging (including General X-Ray, CT, MRI, Ultrasound, Nuclear Medicine and Others) served 121,000 outpatients in 2010.- Breast Care Services (including, screening and diagnostic mammography, breast biopsy ultrasound, stereotactic breast biopsy, bone densitometry (DEXA), genetic counseling and Free MammaCare breast self examination instructions).- Cardiology (including cardiac catherization, electrophysiology, EKG, stress testing, elechocardiography, holter monitoring of arrhythmias and others)- Pulmonary Diagnostics (including arterial blood gas analysis, pulse oximetry, bedside spirometry, peak flow monitoring and ventilator care)- Gastroenterology (including gastroscopy, colonoscopy and bronchoscopy)- Laboratory/Pathology (including chemistry, Microbiology, Hematology, Histology, Cytology, Phlebotomy and transfusion services) over 1,150,000 tests were performed for outpatients in 2010.In 2010, 7,447 outpatient surgeries were performed in a state-of-the-art surgery facility. The procedures performed include orthopedic, gynecology, urology, general surgery, podiatry, ear, nose and throat, pain management, neurosurgery, cosmetic surgery, oral/maxillofacial, and ophthalmology.Special services: Emergency medical care is provided around the clock at St. Alexius for all ages and types of patients, regardless of the ability to pay for such services. The emergency department is designated a Level II Trauma Center, which treated nearly 53,000 residents in 2010. In addition, a helipad allows for rapid transport of critical cases to a Level I facility. At St. Alexius, physicians voluntarily participate on the Emergency Department call roster. It is the belief of the medical staff that physicians who want to serve patients voluntarily will perform to a higher standard than those physicians mandated to do so. This is only one of the attributes of St. Alexius, which separates this hospital from its contemporaries.In addition, St. Alexius has established a program called "Emergikids" wherein Board-Certified Pediatric Emergency physicians are available to treat pediatric patients in the Emergency Department. The specialized pediatric treatment area includes child-sized equipment, colorful decoration and toys to provide children with a comforting environment.Some of the other special outpatient services offered by St. Alexius include the following:- Cancer Program (including diagnostics, chemotherapy and surgery)- Community outreach (including health education classes and programs, and health screenings)- Diabetes program (including treatment and education)- Outpatient Rehabilitation - Hospice services- Sleep Lab- Asthma Education Program- Procedure clinic (which accommodates patients undergoing procedures requiring a short hospital stay, typically no more than 12 hours-procedures include blood transfusions, arteriogram, outpatient chemotherapy, antibiotic therapy, pain management and other treatments)- Rehabilitation services (for physical, occupational and speech therapy)- Physician referral service- Volunteer services program- Golden Circle (a program to address lifestyle and social issues for adults age 50 and over)During 2010, St. Alexius provided $7.2 million of charity care at cost; other community benefits of $2.7 million dollars; $17 million dollars of unreimbursed Medicare costs to patients; $2.9 million dollars of bad debt expense at cost; and $4.4 million dollars of unreimbursed Medicaid at cost. These are explained in detail in schedule H.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	268471582	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
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	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	0	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	360	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2301	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
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	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Deborah L Mau	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8475902671	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3040 West Salt Creek Lane	AddressLine1
City	Arlington Heights	City
State	IL	State
ZIP Code	600051069	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Calvin H Fisher DO
Director	1.00	X	30800	250245	28517
Thomas Palmer
Director	1.00	X	0	0	0
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
Director	1.00	X	0	0	0
Patricia Merryweather
Director	1.00	X	0	0	0
James Mortimer
Director	1.00	X	0	0	0
James Pawlikowski MD
Director	1.00	X	34175	4238	0
Teodoro A Alvia MD
Director	1.00	X	52188	0	0
Edward Goldberg
President	40.00	X	0	627398	168077	X
Robin Chopp
Chief Financial Officer	40.00		0	318744	44574	X
James Sances
Treasurer	1.00		0	622253	134046	X
Virginia Golembiewski
Assistant Secretary	1.00		0	67752	15425	X
James Lewandowski
Vice President	1.00		0	358777	63763		X
Linda Baker
Vice President	20.00		0	199893	51856		X
Konstantinikov Denev
Medical Director PICU	40.00		0	310653	26683			X
Martin Kelly
Medical Dir Neonatology	40.00		0	185770	15876			X
Robert Maganini
Breast Surgeon	40.00		0	396273	13660			X
Robert Rosenbloom
General Surgeon	40.00		0	247605	27168			X
Allen Saxon
General Surgeon	40.00		0	248881	20677			X
Christine Budzinsky
Former Officer	0.00		0	266000	70027				X
Linda Gump
Former Officer	0.00		0	228072	52778				X
Patrice Marks
Former Officer	0.00		132484	0	29733				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	249647	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	4332554	TotalReportableCompFrmRltdOrgs
Total Other Compensation	762860	TotalOtherCompensation
Number Individuals GT100 K	89	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
Proteus Group LLC
223 West Erie Street Suite 6W	Chicago	IL	606100000	Architects	4821294
Sodexho Inc & Affiliates
9801 Washington Blvd Ste 7174	Gaithersburg	MD	208780000	Dietary services	3794860
HLS Wheeling
45 W Hintz	Wheeling	IL	600900000	Laundry and linen services	1304038
Xanitos
PO Box 95000-3290	Philadelphia	PA	191950000	Enviromental Services	815912
Medical Staffing Network
3139 Paysphere Circle	Chicago	IL	606740000	Staffing Services	810700

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	30	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
General Hospital Svcs	622110	196097019	196097019
Medicare & Medicaid	622110	113149896	113149896
Laboratory Services	621500	1099527		1099527
Capitation	900099	424938	424938
Rest. Funds Utilized	900099	99942	99942

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1026041	TotalRevenueColumn
Related Or Exempt Function Income	1025941	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	100	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	311897363	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	450	TotalRevenueColumn
Exclusion	$450	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2247915	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1093541	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1154374	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1154374	TotalRevenueColumn
Exclusion	$1,154,374	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	250	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	250	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	250	TotalRevenueColumn
Exclusion	$250	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	313052437	TotalRevenueColumn
Related Or Exempt Function Income	310797736	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1099627	UnrelatedBusinessRevenue
Exclusion	$1,155,074	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	117163	Total
Program Services	117163	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	98855613	Total
Program Services	93439066	ProgramServices
Management And General	5416547	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4197791	Total
Program Services	3968056	ProgramServices
Management And General	229735	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	12360606	Total
Program Services	11684139	ProgramServices
Management And General	676467	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7004969	Total
Program Services	6621604	ProgramServices
Management And General	383365	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	241407	Total
Management And General	241407	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	93992	Total
Management And General	93992	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	25250181	Total
Program Services	23884475	ProgramServices
Management And General	1365706	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	261909	Total
Program Services	68880	ProgramServices
Management And General	193029	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	9278839	Total
Program Services	7888851	ProgramServices
Management And General	1389988	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	10330	Total
Program Services	9297	ProgramServices
Management And General	1033	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	12285064	Total
Program Services	11056558	ProgramServices
Management And General	1228506	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	509258	Total
Program Services	433573	ProgramServices
Management And General	75685	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	249312	Total
Program Services	136887	ProgramServices
Management And General	112425	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6939804	Total
Program Services	6245824	ProgramServices
Management And General	693980	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	11073784	Total
Program Services	9966406	ProgramServices
Management And General	1107378	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	9114189	Total
Program Services	8202770	ProgramServices
Management And General	911419	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	43369167	43369167	0
ABHS/ABHN Mgmt Fee	24570824	17958225	6612599
Bad Debt Expense	12626301	12626301	0
Medicaid Tax	8747429	8747429	0
Food	1058285	1058285

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1165988	Total
Program Services	988626	ProgramServices
Management And General	177362	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	289382205	Total
Program Services	268471582	ProgramServices
Management And General	20910623	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3878748	BOY
EOY	15140975	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	32513295	BOY
EOY	31883614	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1377590	BOY
EOY	1492390	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4425040	BOY
EOY	4374049	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1011449	BOY
EOY	719700	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	281520554	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	128445569	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	144040146	BOY
EOY	153074985	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	22000000	BOY
EOY	22000000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5523908	BOY
EOY	9730662	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	214770176	BOY
EOY	238416375	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	20953661	BOY
EOY	20170376	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	42042515	BOY
EOY	59932690	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	62996176	BOY
EOY	80103066	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	151216000	BOY
EOY	157973575	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	558000	BOY
EOY	339734	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	151774000	BOY
EOY	158313309	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	214770176	BOY
EOY	238416375	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	23670232	ReconcilationRevenueExpenses
Reconcilation Other Changes	-17279733	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11000000	OtherCostOrOtherBasis
Book Value	11000000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	140413024	OtherCostOrOtherBasis
Depreciation	40759451	Depreciation
Book Value	99653573	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12773802	OtherCostOrOtherBasis
Depreciation	3057194	Depreciation
Book Value	9716608	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	94906041	OtherCostOrOtherBasis
Depreciation	78373313	Depreciation
Book Value	16532728	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	22427687	OtherCostOrOtherBasis
Depreciation	6255611	Depreciation
Book Value	16172076	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	153074985	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	Beneficial Interest in Alexian Brothers Health System, Inc. Investment Trust	Description
Book Value	22000000	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	22000000	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Due to third party payors	$41,819,837
Due to affiliates	$9,543,130
Reserve for outstanding insurance losses	$8,412,622
Other current liabilities	$157,101

Field	Value	IRS element (for citing)
Total Of Amounts	59932690	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Description of Uncertain Tax Positions Under FIN 48:	Identifier
Return Reference	Part X:	ReturnReference
Explanation	St. Alexius does not file a separate audit report, but is part of the Alexian Brothers Health System consolidated audit report. The text of the FIN 48 (ASC 740) footnote in this audit report is as follows: On January 1, 2008, the Corporations adopted Interpretation No. 48, Accounting for Uncertainty in Income Taxes, included in FASB ASC Subtopic 740-10, Income Taxes - Overall. ASC Subtopic 740 addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the consolidated financial statements. Under ASC Subtopic 740-10, the Corporations must recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. ASC Subtopic 740-10 also provides guidance on derecognition, classification, interest and penalties on income taxes, and accounting in interim periods and requires increased disclosures. As of December 31, 2010 and 2009, the Corporations do not have a liability for unrecognized tax benefits.	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	10231	PersonsServed
Total Community Benefit Expense	7190106	TotalCommunityBenefitExpense
Net Community Benefit Expense	7190106	NetCommunityBenefitExpense
Percent Of Total Expense	0.02600	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	44952	PersonsServed
Total Community Benefit Expense	48715139	TotalCommunityBenefitExpense
Direct Offsetting Revenue	44343049	DirectOffsettingRevenue
Net Community Benefit Expense	4372090	NetCommunityBenefitExpense
Percent Of Total Expense	0.01580	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	55183	PersonsServed
Total Community Benefit Expense	55905245	TotalCommunityBenefitExpense
Direct Offsetting Revenue	44343049	DirectOffsettingRevenue
Net Community Benefit Expense	11562196	NetCommunityBenefitExpense
Percent Of Total Expense	0.04180	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	27	NumberOfActivitiesOrPrograms
Persons Served	70578	PersonsServed
Total Community Benefit Expense	584382	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23569	DirectOffsettingRevenue
Net Community Benefit Expense	560813	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	773	PersonsServed
Total Community Benefit Expense	740120	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1255	DirectOffsettingRevenue
Net Community Benefit Expense	738865	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	1231	PersonsServed
Total Community Benefit Expense	1356221	TotalCommunityBenefitExpense
Net Community Benefit Expense	1356221	NetCommunityBenefitExpense
Percent Of Total Expense	0.00490	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	686	PersonsServed
Total Community Benefit Expense	3441	TotalCommunityBenefitExpense
Net Community Benefit Expense	3441	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	37	NumberOfActivitiesOrPrograms
Persons Served	73268	PersonsServed
Total Community Benefit Expense	2684164	TotalCommunityBenefitExpense
Direct Offsetting Revenue	24824	DirectOffsettingRevenue
Net Community Benefit Expense	2659340	NetCommunityBenefitExpense
Percent Of Total Expense	0.00960	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	37	NumberOfActivitiesOrPrograms
Persons Served	128451	PersonsServed
Total Community Benefit Expense	58589409	TotalCommunityBenefitExpense
Direct Offsetting Revenue	44367873	DirectOffsettingRevenue
Net Community Benefit Expense	14221536	NetCommunityBenefitExpense
Percent Of Total Expense	0.05140	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	4387	PersonsServed
Total Community Building Expense	7228	TotalCommunityBuildingExpense
Net Community Building Expense	7228	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	1323	PersonsServed
Total Community Building Expense	39052	TotalCommunityBuildingExpense
Net Community Building Expense	39052	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	5710	PersonsServed
Total Community Building Expense	46280	TotalCommunityBuildingExpense
Net Community Building Expense	46280	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$2,917,000	BadDebtExpenseAmount
Amount Attributable To	495000	AmountAttributableTo
Amount Reimbursed By Medicare	80070294	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	97134207	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-17063913	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 Hoffman Estates Surgery Center LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Ancilliary Surgery Center	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.40000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.60000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Alexius Medical Center	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1555 Barrington Road	AddressLine1
City	Hoffman Estates	City
State	IL	State
ZIP Code	60169	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (4 entries)

ExplanationExplanation
Part I, Line 3c: Every uninsured person, regardless of income receives an automatic 15% discount off of charges. Persons who earn less than 600% of federal poverty guidelines are given more significant discounts, depending on their individual situations.Federal Poverty Level - Patient Discount Uninsured:0-200% 100%201-300% 75%301-400% 67.5%401-500% 67.5%501-600% 67.5%>600% 15%Part I, Line 6a: Alexian Brothers Hospital Network ("ABHN") prepares and files the Annual Non-Profit Hospital Community Benefit Plan Report with the Attorney General's Office of the State of Illinois. This report is prepared on a consolidated basis and includes data for Alexian Brothers Medical Center ("ABMC"), St. Alexius Medical Center ("St. Alexius") and Alexian Brothers Behavioral Health Hospital ("ABBHH").Part I, Line 7 - The following costing methodologies were used:- Charity at cost - a cost to charge methodology based on the filed Medicare cost report was used to calculate costs.- Unreimbursed Medicaid - costs are calculated using the 2010 filed Medicaid cost report.- Other benefits - costs are determined by activity reported in accordance with guidelines published by the Catholic Health Association; costs could include the value of hourly wages, costs of materials, value of space loaned to community groups for meetings, and indirect costs where applicable.Part I, Line 7g: St. Alexius has not included costs attributable to a physician clinic as part of subsidized health services.Part I, Line 7, Column (f): The amount of bad debt expense included in Part IX, Line 25, column (A) that was removed from the calculation was $12,626,301.Part II: In 2010, St. Alexius concentrated most of its resources in other areas of community benefit that were not "community building" as described by the Catholic Health Association.Part III, Line 4: At the ABHN hospitals, including St. Alexius, management manually reviews all self-pay accounts greater than $5,000 (where the patient has chosen not to cooperate with our charity process) prior to placing the accounts for bad debt. Through this process, we examine credit data and then proactively grant an average of 61.5% charity to these accounts prior to placing the accounts in bad debt. Approximately $3,486,000 of accounts with balances less than $5,000 are placed annually into bad debt without going through this labor intensive process. We believe the larger accounts represent an adequate sample population which could be extrapolated to the $3.5 million. Therefore, we assume that 61.5% or $2,144,000 at charges ($495,000 at cost) of our bad debt likely would meet the criteria of our charity program if we allocated the resources to manually review the accounts prior to bad debt placement.Discounts and payments are not included in bad debt expense in the financial statements for St. Alexius unless the payment is a recovery of amounts previously written off as bad debt. Recoveries are classified as a decrease to bad debt expense.St. Alexius is part of the Alexian Brothers Health System (ABHS) consolidated audit. The footnote that references bad debt expense in the 2010 ABHS consolidated audit is as follows:"The corporations also provide a significant amount of uncompensated care to their uninsured and underinsured patients, which is reported as provision for bad debts, and not included in the amounts reported above. During the years ended December 31, 2010 and 2009, the corporations reported provision for bad debts of $29,843,000 and $29,969,000, respectively, at charges which equate to $7,020,000 and $7,502,000 at cost (based on an overall cost to charge ratio)."St. Alexius' share of bad debt expense for ABHS in 2010 was $12,626,000 at charges ($2,917,000 at cost).Part III, Line 8: Medicare costs are allocated by cost center in accordance with Medicare regulations.The question of whether or not Medicare reimbursement below cost should be treated as a community benefit has been debated for a number of years, pre and post healthcare reform. Some argue that most hospitals find it very difficult to achieve the required level of efficiency in a labor intensive service to provide for a positive margin. Others claim that positive margin or not, Medicare is essential to the overall financial health of hospitals due to the necessary volumes it supplies for a positive return, and therefore benefits the hospital as much as the community. Our view of the future status of Medicare is that regardless of reimbursement, St. Alexius, as part of ABHN, will serve this part of our community with the same compassion and responsiveness to need as we always have done. In our opinion, a systematic degradation of reimbursement that is already less than the cost of providing the service for the vast majority of hospitals is an expectation on the part of the federal government to provide a substantial community benefit to a population that is growing and requiring more resources. It is for these reasons that we believe that the cost over reimbursement of Medicare should be considered community benefit. Part III, Line 9b: It is the policy of ABHN, including St. Alexius, to offer patients a payment plan and/or charity assistance when it becomes known or even suspected that a patient needs financial assistance. Financial counselors are notified and every attempt is made to contact and work with the patient or their family to help them complete an application with compassion and dignity. Financial counselors work with patients to help determine if there are any third party payers which may be available to help the patient meet their obligations. We work with the patient to determine if they are eligible for federal programs including Medicaid, state funded programs including crime victims, alternative insurance including COBRA, Worker's Compensation and/or other specialized grant programs such as our mammography grant program for low income women. In the event no third party programs are identified, we then work with the patient to help them apply for charity discounts and payment plans. At St. Alexius, three full-time financial counselors each work with approximately 7,500 patients per year. In addition, all bills and statements include information regarding charity. Part V, Section A: In Part V of Schedule H, St. Alexius reports that it has one licensed hospital (an acute care medical/surgical hospital) and one emergency room.Part VI, Line 2: As part of ABHN, St. Alexius has been performing Community Health Assessments for our primary and secondary service areas since 2002. The first document was produced internally and contained secondary data only (data collected by local, state and federal agencies). The following two Community Health Assessments for the years 2006 and 2009 have been performed by an outside research firm in order to capture secondary and primary data (original 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 it at the earliest opportunity.The 2009 Community Health Assessment surveyed fifty-six zip codes representing a total population of more than 1,800,000 persons. Primary research was conducted by telephone survey of 1,000 households. This is a very robust sample size and the sample was stratified and weighted to assure that the maximum rate of error was +/-3% at the 95% confidence level. Secondary data was gathered from the Census Update, Claritas population projections, the National Center for Health Statistics, Illinois Department of Public Health, Department of Health and Human Services and County Health Departments.St. Alexius has a long tradition of providing continuing education to those healthcare professionals in the community with whom we collaborate to provide the highest quality, most seamless healthcare possible. One such example is the training of Emergency Medical Service personnel, or EMS providers. Heart attack and stroke are the number 1 and number 3 respectively most common causes of death in the St. Alexius service area (2009 Community Health Analysis, Alexian Brothers Hospital Network). The chance of surviving a heart attack or stroke can be markedly increased if EMS providers are trained in the identification, early treatment and field communication with hospital personnel. St. Alexius hosts two distinct programs dedicated to the training and continuing education of first responders. The first program is as host of a clinical site for Basic Emergency Medical Technicians (EMT-Bs) and for Emergency Medical Technician-Paramedics (EMT-Paramedics). EMT-Bs are required to perform 16 hours of clinical training in a hospital setting during a 10 week period. Typically, there are 40 to 60 students in each group. The EMT-Bs are individually paired with a nursing assistant preceptor for every hour of training. The EMTs are taught basic clinical assessments, learning to take vital signs, administering oxygen, wound care and other skills that are performed by basic first responders. In 2010, St. Alexius rotated 140 EMTs through their clinical training at approximately 8 hours per student. EMT-Paramedics have a separate education track at a higher clinical level than the EMT-Bs. The Paramedics are precepted by Registered Nurses or Physicians as required. The Paramedics are taught advanced, life saving clinical skills such as intubation, emergency obstetrics, cardiac defibrillation, and similar education for pediatric patients via St. Alexius's pediatric emergency room physicians. Overall, St. Alexius provided 187 students with 3,783 hours of education at no cost to the community or the students. The second program provided by St. Alexius is continuing education for Emergency Medical personnel at their physical site. Every month dedicated Registered Nurses from St. Alexius provide 18 classes or 45 hours of continuing education at four fire stations in our community. These nurses work with the regional emergency services coordinator to teach, train and test every first responder on a continual basis so that every person in our community has the best possible chance at surviving a medical emergency. This program is also provided at no charge to the municipalities or the participants. In fact, St. Alexius donates the cost of the administration of the tests (paid to the regional coordinating hospital) for 6 classes per month. In total, the Registered Nurses provided 165 classes or 412 hours of continuing education for the benefit of the community in 2010. In addition to the in-hospital support, there is also Advisory Board membership.- Two St. Alexius administrators are on the Harper College School of Nursing Advisory Board.- A St. Alexius administrator chairs the Elgin Community College School of Nursing Advisory Board.Since 2002, the National Breast Cancer Foundation has provided funding to St. Alexius for the purpose of providing mammogram screenings to under insured and uninsured women who could not otherwise afford the service. In 2010, over 900 screenings and referrals as necessary were provided, resulting in community benefit of about $123,000. St. Alexius organized a group of providers in four counties that would accept referrals for further treatment as necessary at no cost. This program has grown each year with both new and repeat patients availing themselves of this important early detection screening.Part VI, Line 3: St. Alexius uses multiple methods of communicating its mission of providing care to all who need it regardless of ability to pay. Signs posted at registration clearly point out that charity care or financial assistance is available. ABHS's website, the main website for all System hospitals, including St. Alexius, features information on how to apply for charity care on-line. In the hospital setting, we employ three financial counselors who are available to work with patients and we also have Medicaid application specialists to assist patients that may qualify. A Community Outreach Director is employed by ABHN to serve patients who need help understanding and accessing community health services. This individual works with patients at St. Alexius and the other ABHN hospitals. In addition, all bills and statements include information regarding charity.Part VI, Line 4: St. Alexius, a member hospital of the ABHN, serves Chicago's northwest suburbs spanning the counties of McHenry, Lake, Kane, DuPage and Cook. With more than 1.8 million residents overall, the primary service area alone is comprised of nearly 20 communities with a diverse demographic and ethnic base.The zip codes/communities served include:Primary Service Area Center:60007 Elk Grove Village 60010 Barrington60018 Des Plaines 60056 Mount Prospect60067 Palatine 60101 Addison60103 Bartlett 60106 Bensenville60107 Streamwood 60108 Bloomingdale60110 Carpentersville 60120 Elgin60133 Hanover Park 60139 Glendale Heights60143 Itasca 60169 Hoffman Estates60172 Roselle 60173 Schaumburg60191 Wood Dale 60192 Hoffman Estates60193 Schaumburg 60194 Schaumburg60195 Schaumburg 60004 Arlington Heights60005 Arlington Heights 60008 Rolling Meadows60013 Cary 60014 Crystal Lake60016 Des Plaines 60047 Lake Zurich60050 McHenry 60073 Round Lake60074 Palatine 60089 Buffalo Grove60090 Wheeling 60098 Woodstock60102 Algonquin 60118 Dundee60123 Elgin 60124 Elgin60126 Elmhurst 60136 Gilberts60137 Glen Ellyn 60140 Hampshire60142 Huntley 60148 LombardSecondary Service Area:60156 Lake in the Hills 60157 Medinah60175 St. Charles 60177 South Elgin60181 Villa Park 60185 West Chicago60187 Wheaton 60188 Carol Stream60634 Chicago 60707 Elmwood ParkThe primary not-for-profit community hospitals that also serve this area include: Northwest Community Hospital, Sherman Hospital, Provena Saint Joseph Hospital, Central DuPage Hospital, Elmhurst Memorial Hospital, Advocate Good Shepherd Hospital and Advocate Lutheran General Hospital. ABHN has referral arrangements with academic medical centers including: Children's Memorial Hospital, Loyola University Medical Center, University of Chicago Medical Center and Rush University Medical Center.St. Alexius' racial/ethnic distribution for 2008 (Claritas) within its service area is as follows:Race Population PercentageWhite 1,300,192 69.2%Hispanic 337,866 18.0%Asian 155,757 8.3%Black 53,787 2.9%Two Plus 26,776 1.4%Indian 2,298 0.1%Other 1,653 0.1%Pacific Is 568 0.0% Total: 1,878,897 100.0%The median age for 2008 was 37.1 years.Overall median age: 37.1Median Age Male: 36.0Median Age Female: 38.2The average annual household income for 2008 was $74,160.
The communities ABHN serves enjoy a relatively positive health status. In comparison to the whole of Illinois and the nation, incidence of heart disease, stroke, cancers and most other diseases are favorable. However, access to care, insurance status and other health indicators are trending negatively. For example, ABHN's 2009 Community Health Assessment Survey found that one in every ten community residents is having difficulty getting an appointment to see a doctor for primary care. Summary highlights from the survey included the following additional points of concern/interest.Access to Care- Among respondents 18 to 64, 13.6% have no health insurance. This is a sharp rise from 2002 at 7.3% and 9.3% in 2006.- A total of 11.9% of adults in the service area said that cost prevented them from seeing a physician, a steep increase from 5.8% in 2002.The northwest suburban area is home to the corporate headquarters for AT&T, Motorola and Sears, and has a significant manufacturing and industrial base. It is thought that due to the recent economic recession, a significant number of community residents may have lost their jobs and subsequently their insurance coverage thereby worsening the trend. 8.1% of community residents are currently reporting being (one or more years) out of work. As mentioned previously, ABHN provides assistance to patients to help patients take advantage of the various benefits and services available through ABHN. As access to health insurance expands because of new legislation, we will help to support and guide patients as appropriate.Part VI, Line 5: St. Alexius's governing body is the Quality Council. The Quality Council reports up through the Alexian Brothers Health System Board of Governors. The majority of the Quality Council members live and work in the community and serve to support the mission and values of the Alexian Brothers. St. Alexius extends medical staff privileges to all qualified physicians in our community and endeavors to provide them with the safest and most technologically advanced environment possible through the effective use of surplus funds. As necessary, St. Alexius recruits medical specialists and subspecialists who provide the expertise for emerging technologies that advance patient care.St. Alexius strives to fully serve the community through participation in government sponsored healthcare programs such as Medicare, Medicaid, CHAMPUS, and Tricare. Community members also use St. Alexius as a conduit for volunteering as evidenced by almost 700 volunteers (comprising almost 60,000 hours of service) who assist with patient services, administration and the gift shop.Part VI, Line 6: St. Alexius is an affiliate of Alexian Brothers Health System ("ABHS"). ABHS is the national member and ultimate parent of St. Alexius. ABHS, with its corporate offices located in Arlington Heights, Illinois, is sponsored by Alexian Brothers of America, Inc., a Roman Catholic religious order of men committed to caring for the sick, the aged, the poor and the dying for more than seven centuries. The basic Judeo-Christian beliefs that inspired the founders of this worldwide Catholic religious congregation sustain its ministry today; to promote the physical, mental, spiritual and social well-being of individuals of all creeds, races, nationalities and socioeconomic levels served through this health care ministry.ABHS carries out its exempt purposes by coordinating and managing the activities of the regional corporations for which it is the National Member. Through these regional corporations, ABHS provides healthcare and other services to communities in suburban Chicago, Illinois; St. Louis, Missouri; Milwaukee, Wisconsin; and Signal Mountain and Chattanooga, Tennessee. As a charitable organization, it is recognized that not all individuals possess the ability to purchase essential medical services and further that our mission is to serve the community with respect to providing healthcare services and healthcare education. Therefore, in keeping with ABHS' commitment to serve all members of its communities, free care and/or subsidized care, care to persons covered by government programs at or below cost, and health activities and programs to support the community are considered and provided when appropriate. These activities include wellness programs, community education programs, special programs for the elderly and medically underserved, and a variety of broad community support activities including but not limited to educational affiliations, health screenings, counseling programs, continuing medical education (CME) programs and donations to community groups.For example, ABHN owns and operates a community mental health center that serves primarily lower income, uninsured or underinsured or Medicaid recipients. This facility treats the chronically mentally ill with counseling, medication and social support. The center is supported through state grants, philanthropy and is subsidized by ABHN. Because of the uptick in depression, we have experienced more demand for services combined with less support from the state which has strained our resources. However, ABHN remains committed to this program and the members of the community that it serves.Another program offered to the community through ABHN is Interfaith Parish Support Services (IPSS). IPPS was created to provide a bridge between faith communities and our healthcare ministry. We have active partnerships with 70 churches, synagogues and places of worship. The following are examples of ongoing IPSS programs:- School Social Worker and Counselor: IPSS provides school social workers and counselors in parochial schools that provide on-site care not usually available in this setting. The children would not receive on site services through the public schools due to cut backs and financial restraints. These services are provided to 18 schools with nearly 7,000 students collectively. During the school year, preventive programs are given such as anti-bullying, drug avoidance, mental health awareness, and preparing for high school. Resource teachers are provided for five schools where children are failing academically. In every case, the school has reached out to IPSS with the request for services.- With support from congregations, IPSS provides faith based counseling services in ten local churches. In 2010, over 2,675 hours of therapy have been offered in four languages: Tagalog, Spanish, English and Polish. Because the church donates the space and phone, we are able to offer these services at a fraction of normal costs. Alexian Brothers Hospital Network subsidized IPSS at $381,000 in 2010. This subsidy allows IPSS to continue to grow its ministry and serve the community in more locations. By addressing both the medical and spiritual dimensions of healthcare, we are offering the resources the community needs to help children, adults and families live healthy lives. One of our most valuable community services is performed by the Alexian Brothers Behavioral Health Hospital. Twenty-four hours a day, seven days per week, a crisis intervention service is available to anyone in the community either by phone or in person. Master's prepared clinicians provide, on average, a 35 minute screening 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 12,000 screenings in 2010 and is considered invaluable by regional mental health professionals and first responders.
Net community benefits expense for ABHS in 2010 is as follows:Charity Care at Cost - $16,000,775Language Assistant Services - $398,760Excess of Government Sponsored Health Care Cost Over Reimbursement - Medicaid - $23,111,389Donations - $188,677Education - $2,080,725Government-Sponsored Program Services - $25,512Subsidized Health Services - $4,390,443Other Community Benefit Programs - $2,271,155Total Charity Care and Community Benefits - $48,467,436Information has been included for all exempt entities in ABHS. The information for the hospitals included has been calculated on a basis consistent with the requirement for the Illinois Attorney General Community Benefit report.In addition, ABHS reported bad debt expense (at cost) of $8,766,221 in 2009 and excess of Medicare costs over reimbursement of $53,562,576 in 2009.Certain affiliated entities within ABHS and the services they provide, are described below:Alexian Brothers Medical Center - An acute care hospital located in Elk Grove Village, Illinois that provides inpatient, outpatient and emergency services, including specialties in the areas of cardiology, neurosciences/stroke, orthopedics, oncology, bariatrics, hospice and home health services.Alexian Brothers Behavioral Health Hospital - A behavioral health hospital located in Hoffman Estates, Illinois that provides inpatient and outpatient psychiatric services, including specialties in chemical dependency, eating disorders and self-injury programs.Alexian Brothers Center for Mental Health - Provides community mental health services in northwest suburban Chicago, including vocational training programs, transitional living programs, partial hospital programs and nursing home programs.Alexian Brothers 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 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 senior 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 Alexian Brothers Medical Center, St. Alexius and Alexian Brothers Behavioral Health Hospital.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Calvin H Fisher DO
0	238811	0	11434	30800	0	0	8575	0	19942	30800	278762	0	0
Edward Goldberg
0	447687	0	132840	0	46871	0	107837	0	60240	0	795475	0	17183
Robin Chopp
0	253425	0	43912	0	21407	0	27698	0	16876	0	363318	0	4907
James Sances
0	462621	0	132244	0	27388	0	111754	0	22292	0	756299	0	27388
James Lewandowski
0	272185	0	50985	0	35607	0	32953	0	30810	0	422540	0	12292
Linda Baker
0	160945	0	29603	0	9345	0	26571	0	25285	0	251749	0	5409
Konstantinikov Denev
0	310653	0	0	0	0	0	6601	0	20082	0	337336	0	0
Martin Kelly
0	185770	0	0	0	0	0	5667	0	10209	0	201646	0	0
Robert Maganini
0	396273	0	0	0	0	0	7254	0	6406	0	409933	0	0
Robert Rosenbloom
0	247605	0	0	0	0	0	7134	0	20034	0	274773	0	0
Allen Saxon
0	248881	0	0	0	0	0	7101	0	13576	0	269558	0	0
Christine Budzinsky
0	214275	0	36363	0	15362	0	45034	0	24993	0	336027	0	11209
Linda Gump
0	183427	0	31436	0	13209	0	25748	0	27030	0	280850	0	9613
Patrice Marks
115592	0	15061	0	1831	0	14326	0	15407	0	162217	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Supplemental Information	Identifier
Return Reference	Part III	ReturnReference
Explanation	Part I, Line 3: St. Alexius follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation of the CEO and other officers and executives of the Corporation. This function is performed by the Compensation Committee of the Board of Governors of ABHS, which is composed of independent board members. The process includes review of comparability data, retention of an outside compensation consultant, and contemporaneous substantiation of the deliberation and decision through detailed minutes of the Compensation Committee. All of the items in Schedule J, Part I, Line 3 are used by the Committee to establish compensation for the CEO of the organization. Part I, Line 4b: Alexian Brothers Health System offers a Supplemental Employee Retirement Plan to all employees who participate in the executive benefits program and whose compensation exceeds the IRS allowable limit for a qualified pension plan. The amount accrued in 2010 was included in income in Schedule J for the following individuals: James Sances - $48,808 Ed Goldberg - $55,217 Robin Chopp - $4,543 Christine Budzinsky - $1,648 Jim Lewandowski - $4,547	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section A, line 4	Effective as of November 1, 2010, the Bylaws of St. Alexius were amended to streamline governance of the Hospital operations, facilitate the objectives of the Alexian Brothers Health System Strategic Plan, enhance the governance focus on the patient safety, quality of patient care, medical staff affairs, accreditation and compliance matters at each Hospital, and to consolidate those reserved powers for the governance authorities for Hospital operations at Alexian Brothers Health System as the National Member.
Form 990, Part VI, Section A, line 6	There are two classes of members, Alexian Brothers Health System ("the National Member") and Alexian Brothers Hospital Network ("the Area Member").
Form 990, Part VI, Section A, line 7a	Alexian Brothers Health System has the authority to appoint and remove Directors and Executive Officers of St. Alexius.
Form 990, Part VI, Section A, line 7b	Alexian Brothers Health System has principal authority with respect to the following matters: - Adoption or amendment of the Articles of Incorporation; - Amendment of the Bylaws as provided by Statute; - Appointment and removal of Directors and Executive Officers; - Adoption, amendment and repeal of fundamental statements of mission, philosophy, spirit, vision, values, and charity policy, and the sponsorship of apostolic activities; - Any plan of merger, consolidation, dissolutions, sale or lease of all or substantially all of the assets of St. Alexius; - The annual capital and operating budget and the Strategic Plan of St. Alexius; - Other certain reserved powers which Alexian Brothers Health System may designate.
Form 990, Part VI, Section B, line 11	St. Alexius is an affiliate of Alexian Brothers Health System ("ABHS" or "the System"), which is a Catholic health system. ABHS is the National Member and ultimate parent for each entity within the System. St. Alexius's Form 990 goes through an intensive review process at the System's Corporate level prior to being filed with the IRS. The entire Form 990 is reviewed by St. Alexius's financial officer 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 ABHS reviews all compensation disclosures for each entity in ABHS. These reviews are conducted before the Form 990 is signed and filed with the IRS. In addition, there is also a Compensation Committee that reports to the ABHS Board of Governors. This Committee reviews the Compensation disclosures for all entities in the System. St. Alexius's board reports to the ABHS Board of Governors, which has ultimate oversight of the activities of all entities within the System. The Audit Committee of the ABHS Board of Governors has responsibility for and oversight of the Tax Compliance process. The Audit Committee provides oversight for the Form 990 process for the entire System and reviews detailed Forms 990 for the System on a rotating basis. It then reports back to the ABHS Board of Governors on the results of these activities. The Forms 990 not reviewed by the Audit Committee are available to the Audit Committee members upon request. The Audit Committee did not review the 2010 Form 990 for St. Alexius.
	St. Alexius collects annual attestations from board members, officers, directors and key employees. The attestations are reviewed by the St. Alexius compliance officer and any conflicts are shared with the St. Alexius Chief Executive Officer. The conflicts are also reviewed by the System's Vice President of Compliance and Audit. The Audit Committee of the ABHS Board of Governors monitors and receives reports on the completion of this process.	Form 990, Part VI, Section B, line 12c
	St. Alexius follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation of the CEO and other officers and executives of the Corporation. This function is performed by the Compensation Committee of the Board of Governors of ABHS, which is composed of independent board members. The process includes review of comparability data, retention of an outside compensation consultant, and contemporaneous substantiation of the deliberation and decision through detailed minutes of the Compensation Committee.	Form 990, Part VI, Section B, line 15
	St. Alexius's financial statements are available through the office of the Illinois Attorney General. Conflicts of Interest and St. Alexius's governing documents are not made available to the public.	Form 990, Part VI, Section C, line 19
Average hours devoted to related org(s) when related comp is reported:	- James Sances worked 40 hours per week for Alexian Brothers Health System; - James Lewandowski worked 40 hours per week for Alexian Brothers Health System; - Virginia Golembiewski worked 40 hours per week for Alexian Brothers Health System; - Calvin H. Fischer worked 40 hours per week for Alexian Brothers Ambulatory Group; - Linda Baker worked 20 hours per week for Alexian Brothers Medical Center; - All others listed in Part VII devoted 100% of their time to St. Alexius.	Form 990, Part VII:
	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.	Form 990, Part VII, Column E (Reasonable Efforts):
	The amount reflected as dividends and interest reflects St. Alexius's share of interest, dividends and realized gains/losses from St. Alexius's beneficial share in the Alexian Brothers Health System, Inc. Investment Trust (ABHSIT). ABHSIT is a related entity whose purpose is to pool the investments of the not-for-profit entities in ABHS and acts as an internal mutual fund. Details of gains and losses are shown on the Form 990 of ABHSIT.	Form 990, Part VIII, Line 3; Schedule D, Part VII:
Changes in Net Assets or Fund Balances:	Prior period adjustments: 475. Equity Transfers-Alexian Brothers Health System: -18,040,828. Other Net Activity: 760,620. Total to Form 990, Part XI, Line 5: -17,279,733.	Form 990, Part XI, line 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (26 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Alexian Brothers of America Inc
3040 W Salt Creek Lane	Arlington Heights	IL	60005	362606768	Religious order of Roman Catholic men	TX	501(c)(3)	1	N/A	0
Brothers of St Alexius Health and Welfare Fund Inc
3040 W Salt Creek Lane	Arlington Heights	IL	60005	362976617	Provides health & welfare payments for religious sponsor	TX	501(c)(3)	1		1	Alexian Brothers of America Inc
Alexian Brothers Bonaventure House
825 Wellington Ave	Chicago	IL	60657	363527899	Housing and supportive care services for persons with HIV/AIDS	IL	501(c)(3)	9		1	Alexian Brothers of America Inc
Alexian Brothers Health System
3040 W Salt Creek Lane	Arlington Heights	IL	60005	363260495	Supports the provision of healthcare services for related corporations	IL	501(c)(3)	11, III-FI		1	Alexian Brothers of America Inc
Alexian Brothers Health System Inc Investment Trust
3040 W Salt Creek Lane	Arlington Heights	IL	60005	363801585	Manages pooled investments of related not-for-profit entities	IL	501(c)(3)	11, III-FI		1	Alexian Brothers Health System
Alexian Brothers of America Investment Trust
3040 W Salt Creek Lane	Arlington Heights	IL	60005	364390471	Manages pooled investments of related not-for-profit entities	IL	501(c)(3)	11, III-FI		1	Alexian Brothers of America Inc
The Alexian Brothers Hospital School of Nurses
3040 W Salt Creek Lane	Arlington Heights	IL	60005		Inactive Corporation	IL	501(c)(3)	9		1	Alexian Brothers of America Inc
Alexian Brothers of Chicago
3040 W Salt Creek Lane	Arlington Heights	IL	60005		Inactive Corporation	IL	501(c)(3)	9		1	Alexian Brothers of America Inc
Alexian Brothers of San Jose Inc
3040 W Salt Creek Lane	Arlington Heights	IL	60005	941530037	Acute care hospital (sold in 1998)	TX	501(c)(3)	3		1	Alexian Brothers Health System
Alexian Brothers Services Inc
3040 W Salt Creek Lane	Arlington Heights	IL	60005	431295333	HUD housing	MO	501(c)(3)	9		1	Alexian Brothers Health System
Alexian Village of Milwaukee Inc
9301 N 76th Street	Milwaukee	WI	53223	391351584	Continuing care retirement community	WI	501(c)(3)	9		1	Alexian Brothers Health System
Alexian Brothers Community Services
425 Cumberland St Suite 110	Chattanooga	TN	37404	364344423	Provides comprehensive and coordinated community based services	IL	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	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	501(c)(3)	9		1	Alexian Brothers Health System
Alexian Brothers Senior Ministries
3040 W Salt Creek Lane	Arlington Heights	IL	60005	364484290	Supports the provision of healthcare services for related corporations	IL	501(c)(3)	11, III-FI		1	Alexian Brothers Health System
Alexian Elderly Services Inc
3040 W Salt Creek Lane	Arlington Heights	WI	60005	392039667	Community outreach	WI	501(c)(3)	9		1	Alexian Brothers Health System
Alexian Brothers Lansdowne Village
4624 Lansdowne	St Louis	MO	63116	431470362	Skilled nursing facility	MO	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	501(c)(3)	9		1	Alexian Brothers Health System
Alexian Brothers of St Louis Inc
3040 W Salt Creek Lane	Arlington Heights	MO	60005	430653236	Acute care hospital (sponsorship transferred in 1997)	MO	501(c)(3)	3		1	Alexian Brothers Health System
Alexian Brothers Hospital Network
3040 W Salt Creek Lane	Arlington Heights	IL	60005	363276552	Supports the provision of healthcare services for related corporations	IL	501(c)(3)	11, III-FI		1	Alexian Brothers Health System
Alexian Brothers Medical Center
800 Biesterfield	Elk Grove Village	IL	60007	362596381	Acute Care Hospital	TX	501(c)(3)	3		1	Alexian Brothers Health System
Savelli Properties
3040 W Salt Creek Lane	Arlington Heights	IL	60005	363308965	Owns or leases properties where healthcare services are delivered	IL	501(c)(2)	N/A		1	Alexian Brothers Health System
Alexian Brothers Center for Mental Health
3350 W Salt Creek Lane	Arlington Heights	IL	60005	363045007	Outpatient community mental health services	IL	501(c)(3)	7		1	Alexian Brothers Health System
Alexian Brothers Behavioral Health Hospital
1650 Moon Lake Blvd	Hoffman Estates	IL	60194	364251848	Behavioral health hospital	IL	501(c)(3)	3		1	Alexian Brothers Health System
Chicago Catholic Healthcare System Inc
3040 W Salt Creek Lane	Arlington Heights	IL	60005	363693486	Inactive Corporation	IL	501(c)(3)	9		1	Alexian Brothers Hospital Network
Alexian Brothers Ambulatory Group
3040 W Salt Creek Lane	Arlington Heights	IL	60005	364336931	Physician Services	IL	501(c)(3)	3		1	Alexian Brothers Health System

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Code VCodeVAmount
Alexian Rehabilitation Services LLC
935 Beisner Road	Elk Grove Village	IL	60007	300221481	Rehabilitation hospital	IL	N/A	N/A	0	0
Illinois NeuroMeg Center LLC
3040 W Salt Creek Lane	Arlington Heights	IL	60005	870783164	Provision of NeuroMeg services	IL	N/A	N/A	0	0
Elk Grove MOB Limited Partnership
3040 W Salt Creek Lane	Arlington Heights	IL	60005	363853289	Medical office building	IL	N/A	N/A	0	0
Workplace Solutions LLC
1100 E Woodfield Rd	Schaumburg	IL	60173	364095007	Provision of EAP services	IL	N/A	N/A	0	0
Bonaventure Medical Foundation LLC
3040 W Salt Creek Lane	Arlington Heights	IL	60005	363978153	Manages managed care contracts	DE	N/A	N/A	0	0
Neurosciences Equipment LLC
3040 W Salt Creek Lane	Arlington Heights	IL	60005	861115516	Ownership of Gamma Knife	IL	N/A	N/A	0	0
Alexian Cardiovascular Institute Equipment LLC
3040 W Salt Creek Lane	Arlington Heights	IL	60005	300307978	Lease and sub-lease of 64-slice CT equipment	IL	N/A	N/A	0	0
St Alexius Center for Sleep Health LLC
665 W North Avenue	Lombard	IL	60148	205876371	Operation of sleep labs	IL		Related	0	0	St Alexius Medical Center	-19021	229869	$145

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	Percentage OwnershipPercentageOwnership
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 Village of Elk Grove
3040 W Salt Creek Lane	Arlington Heights	IL	600051069	352211303	Tax credit financed housing	IL	N/A	C
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		1.00000

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	1	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	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Alexian Brothers Health System
O	-44669563	Fair Market Value
Alexian Brothers Hospital Network
O	24380275	Fair Market Value
Alexian Brothers Health System
Q	18040828	Fair Market Value
Alexian Brothers Medical Center
P	958774	Fair Market Value
Alexian Brothers Behavioral Health Hospital
P	1476904	Fair Market Value
Alexian Brothers Behavioral Health Hospital
O	-666978	Fair Market Value
Savelli Properties Inc
J	271963	Fair Market Value