Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011
BCheck if applicable:
CName of organization
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
3350 WEST SALT CREEK LANE
 
Room/suite
City or town, state or country, and ZIP + 4
ARLINGTON HEIGHTS, IL600051089
D Employer identification number

36-3045007
E Telephone number

G Gross receipts $ 8,233,254
F Name and address of principal officer:
SCOTT BURGESS
3350 WEST SALT CREEK LANE
ARLINGTON HEIGHTS,IL600051089
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.ALEXIANCENTER.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1979
M State of legal domicile: IL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH ("ABCMH") CARRIES OUT THE HEALING MISSION OF THE CATHOLIC CHURCH AS AN ALEXIAN BROTHERS MINISTRY.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 8
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 6
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 0
6 Total number of volunteers (estimate if necessary) .... 6 24
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 3,377,399 3,865,733
9 Program service revenue (Part VIII, line 2g) ......... 1,708,728 1,706,472
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 77,757 55,311
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 8,800 4,167
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 5,172,684 5,631,683
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 89,261 107,467
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 3,492,574 3,717,863
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 1,134,274 1,242,202
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 4,716,109 5,067,532
19 Revenue less expenses. Subtract line 18 from line 12...... 456,575 564,151
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 3,600,367 4,150,029
21 Total liabilities (Part X, line 26)............ 928,391 880,131
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 2,671,976 3,269,898
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH ("ABCMH") CARRIES OUT THE HEALING MISSION OF THE CATHOLIC CHURCH AS AN ALEXIAN BROTHERS MINISTRY BY IDENTIFYING AND DEVELOPING EFFECTIVE RESPONSES TO THE HEALTH AND HOUSING NEEDS OF THOSE WE ARE CALLED TO SERVE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,862,205 including grants of $ 46,871 ) (Revenue $ 417,312 )
OUTPATIENT THERAPY MENTAL HEALTH SERVICES AT ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH PROVIDE INTERVENTION TO THOSE WITH MENTAL HEALTH NEEDS. INDIVIDUAL AND GROUP THERAPY/COUNSELING IS PROVIDED TO REDUCE SYMPTOMS AND ENHANCE TECHNIQUES IN ORDER TO MAXIMIZE WELLNESS AND PERSONAL POTENTIAL. THERAPY SERVICES ARE AVAILABLE FOR ALL AGE GROUPS (CHILDREN, ADOLESCENTS, YOUNG ADULTS, ADULTS, SENIORS). SOME EXAMPLES OF OUR GROUPS INCLUDE: ANGER MANAGEMENT, OVERCOMING ANXIETY AND DIALECTICAL BEHAVIORAL THERAPY (DBT). OUR YOUNG ADULT GROUP IS FOR 18-25 YEAR OLD INDIVIDUALS TO HELP THEM GAIN THE SKILLS, CONFIDENCE AND EDUCATION NEEDED TO SUCCEED IN A VARIETY OF LIFE DOMAINS INCLUDING ACADEMIC, VOCATIONAL AND INDEPENDENT LIVING SITUATIONS. OUTPATIENT GROUPS ASSISTED CLIENTS A TOTAL OF 15,480 HOURS FOR FISCAL 2011. OUR SCHOOL BASED MENTAL HEALTH SPECIALISTS SERVE AS LIAISONS IN LOCAL HIGH SCHOOLS TO ASSIST STUDENTS AND STAFF WITH MENTAL HEALTH TOPICS.
4b (Code:   ) (Expenses $ 880,964 including grants of $ 53,743 ) (Revenue $ 85,508 )
THE TRANSITIONAL LIVING PROGRAM (TLP), HOMELESS MENTALLY ILL SUPPORTED HOUSING PROGRAM (HUD), AND COMMUNITY INTEGRATED LIVING ARRANGEMENT (CILA) ARE RESIDENTIAL SERVICES THAT PROVIDE INDIVIDUALS A SUPPORTIVE ENVIRONMENT IN THE COMMUNITY WHERE THEY CAN DEVELOP THE SKILLS AND CONFIDENCE NEEDED TO LIVE IN THE LEAST RESTRICTIVE ENVIRONMENT POSSIBLE. ALL PROGRAMS OFFER CASE MANAGEMENT SERVICES, THERAPEUTIC GROUPS, MEDICATION SERVICES, BUDGETING ASSISTANCE AND ASSISTANCE WITH DAILY LIVING SKILLS. FOR TLP, THE AVERAGE LENGTH OF STAY IS 12.84 MONTHS WITH A CAPACITY FOR 28 CLIENTS. THIS IS NOT A LONG TERM PERMANENT HOUSING PROGRAM BUT RATHER A SKILLS-BUILDING TREATMENT PROGRAM DESIGNED TO ASSIST CLIENTS IN OBTAINING THE SKILLS NECESSARY TO MOVE INTO AN INDEPENDENT LIVING SITUATION. THE CILA PROGRAM IS A LONG-TERM PERMANENT HOUSING MODEL DESIGNED TO PROVIDE 24 HOUR CARE TO INDIVIDUALS WHO NEED THAT LEVEL OF TREATMENT; CILA HAS A CAPACITY OF TO SERVE UP TO 8 CLIENTS. TLP AND CILA COMBINED OFFER 13,140 DAYS AND NIGHTS OF CARE ANNUALLY. THE HUD PROJECT IS A JOINT EFFORT BETWEEN CATHOLIC CHARITIES AND THE ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH DESIGNED TO PROVIDE PERMANENT SUPPORTIVE HOUSING (THAT IS, SUBSIDIZED HOUSING ACCOMPANIED BY SUPPORTIVE SERVICES) FOR HOMELESS INDIVIDUALS WITH DISABILITIES WISHING TO LIVE IN THE NORTHWEST SUBURBS OF COOK COUNTY. THIS PROJECT ASSISTS 19 INDIVIDUALS, PROVIDING 6,935 DAYS AND NIGHTS OF CARE ANNUALLY.
4c (Code:   ) (Expenses $ 288,365 including grants of $ 0 ) (Revenue $ 71,139 )
THE CASE MANAGEMENT PROGRAM IS DESIGNED TO PROVIDE SERVICES TO ADDRESS SPECIFIC CLIENT NEEDS WITH THE INTENT TO FOSTER TREATMENT SUCCESS, COMMUNITY INTEGRATION AND INDEPENDENCE. STAFF PROVIDE: INTENSIVE, COMMUNITY-BASED SUPPORTIVE SERVICES TO AID CLIENTS DEVELOP DAILY LIVING SKILLS, GENERAL CASE MANAGEMENT SUPPORT SUCH AS ASSISTING IN OBTAINING SOCIAL SECURITY DISABILITY AND PUBLIC AID BENEFITS ASSISTANCE, LINKAGE OF CLIENTS TO NEEDED SERVICES AFTER BEING DISCHARGED FROM THE HOSPITAL. WE CAN ALSO ASSIST CLIENTS IN OBTAINING APPROPRIATE CLINICAL SERVICES, MEDICATIONS AND TRANSPORTATION. CASE MANAGEMENT PROVIDED 2,862 HOURS OF CASE MANAGEMENT SERVICES TO CLIENTS IN FISCAL 2011.
(Code:   ) (Expenses $ 1,069,914 including grants of $ 6,853 ) (Revenue $ 1,136,380 )
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH HAS DEVELOPED AN ARRAY OF QUALITY AND INNOVATIVE MENTAL HEALTH SERVICES. THESE INCLUDE: THERAPY AND PSYCHIATRY SERVICES FOR THE WHOLE AGE SPECTRUM, CASE MANAGEMENT, PSYCHOSOCIAL REHABILITATION, COMMUNITY SUPPORT SERVICES, VOCATIONAL REHABILITATION, SUPPORTED EDUCATION, CRISIS SERVICES, SUPPORTED RESIDENTIAL SERVICES, SCHOOL-BASED MENTAL HEALTH SERVICES, A PARTIAL AND INTENSIVE HOSPITALIZATION PROGRAM. ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH'S PRIMARY SERVICE AREA COVERS THE 10 TOWNS THAT COMPRISE PALATINE AND WHEELING TOWNSHIPS. THEY SERVE THE FINANCIALLY DISADVANTAGED, THE UNINSURED, THE UNDERINSURED, HOMELESS PERSONS AND PUBLIC AID CLIENTS. THEY ALSO SERVE PRIVATE PAY AND INSURED CLIENTS AND THOSE SEEKING SPECIALTY SERVICES THROUGHOUT THE NORTHWEST SUBURBS, INCLUDING PARTS OF DUPAGE, LAKE AND MCHENRY COUNTIES. ABCMH SERVICED OVER 3,200 CLIENTS DURING FISCAL YEAR 2011.THE PSYCHOSOCIAL REHABILITATION PROGRAM (PSR) PROVIDES A HIGH INTENSITY, RECOVERY BASED, CONSUMER DRIVEN, SKILL BUILDING TREATMENT ENVIRONMENT FOR ADULTS DIAGNOSED WITH A MENTAL ILLNESS. THIS IS A PREDOMINANTLY GROUP-BASED PROGRAM THAT OPERATES FROM 9:30AM - 3:00PM DAILY AND ALSO OFFERS SUPPORTIVE, SOCIAL GROUP PROGRAMMING ON TUESDAYS FROM 3:00PM - 6:00PM AND SATURDAYS FROM 10:00AM - 1:00PM. PSR SUPPORTS INDIVIDUALS IN THEIR EFFORTS TO ACHIEVE A GREATER LEVEL OF SELF-SUFFICIENCY AND COMMUNITY FUNCTIONING. THE PSR PROGRAM PROVIDED 16,597 HOURS OF CLIENT ASSISTANCE DURING FISCAL 2011.THE PARTIAL HOSPITALIZATION PROGRAM IS A SHORT TERM (2-4 WEEK) PROGRAM THAT PROVIDES SUPPORT AND TREATMENT FOR ADULTS AND SENIORS EXPERIENCING AN INCREASE IN PSYCHIATRIC SYMPTOMS, BUT DO NOT NEED AN OVERNIGHT, INPATIENT STAY. THE GOAL IS TO PROVIDE STRUCTURED AND COMPREHENSIVE TREATMENT FOR INDIVIDUALS STEPPING DOWN FROM AN INPATIENT SETTING, THOSE LOOKING TO AVOID A HIGHER LEVEL OF CARE (HOSPITALIZATION), AND/OR THOSE REQUIRING CLOSER MONITORING DUE TO RECENT PSYCHOTROPIC MEDICATION CHANGES. THE HOURS FOR THIS PROGRAM ARE 9:15AM - 3:00PM MONDAY THROUGH FRIDAY. IN ADDITION, THE PROGRAM ALSO OFFERS AN INTENSIVE OUTPATIENT (IOP) OPTION FOR INDIVIDUALS THAT ARE CLINICALLY READY TO STEP DOWN TO A REDUCED SCHEDULE AS THEY PREPARE TO DISCHARGE FROM THE PROGRAM. PHP SERVICED 188 CLIENTS DURING FISCAL 2011. PSYCHIATRIC/NURSING SERVICES ARE AVAILABLE TO ASSESS AND TREAT THOSE INDIVIDUALS WHO REQUIRE PSYCHIATRIC EVALUATION AS WELL AS MEDICATION MANAGEMENT AND MONITORING. PSYCHIATRIC AND NURSING SERVICES ASSISTED CLIENTS A TOTAL OF 3,141 HOURS DURING FISCAL 2011. THE VOCATIONAL PROGRAM AT ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH IS DESIGNED TO ASSIST INDIVIDUALS WITH A VARIETY OF MENTAL HEALTH NEEDS IN OBTAINING AND MAINTAINING EMPLOYMENT IN THE COMMUNITY. SERVICES WERE PROVIDED TO 59 CLIENTS DURING 2011. TWENTY-TWO CLIENTS WERE PLACED INTO COMPETITIVE COMMUNITY EMPLOYMENT, 7 CLIENTS PARTICIPATED IN OUR COMMUNITY-BASED TEAMWORK GROUP VOCATIONAL PROGRAM AND 50 OTHER CLIENTS ARE CURRENTLY ENGAGED IN THE PROGRAM AND WORKING TO BE PLACED IN A COMMUNITY JOB.OUR SCHOOL BASED MENTAL HEALTH SPECIALISTS SERVED 5,697 STUDENTS, STAFF AND PARENTS FOR THE SCHOOL YEAR ENDED JUNE 2011. STAFF PRESENTED SCHOOL WIDE PRESENTATIONS TO 2,570 STUDENTS ON ANTI-BULLYING, SUICIDE PREVENTION AND SUBSTANCE ABUSE AWARENESS. STAFF PROVIDED CLASSROOM INSTRUCTION ON SIGNS OF DEPRESSION AND MENTAL HEALTH 101 TO 1,909 STUDENTS. TRAINING WAS PROVIDED FOR MENTAL HEALTH WARNING SIGNS AND "WHAT TO DO" TO 537 SCHOOL STAFF AND 290 PARENTS. STAFF PROVIDED CRISIS SERVICES TO 80 STUDENTS, INDIVIDUAL AND GROUP COUNSELING TO 255 STUDENTS AND LINKED MANY STUDENTS TO COMMUNITY BASED TREATMENT PROGRAMS. SUPPORTED EDUCATION SERVICES ARE AVAILABLE TO PROVIDE ASSISTANCE TO CLIENTS WITH SPECIAL NEEDS IN OBTAINING AND MAINTAINING SECONDARY EDUCATIONAL PURSUITS. SUPPORTED EDUCATION PROVIDES GUIDANCE, SUPPORT, TUITION ASSISTANCE AND TRANSPORTATION ASSISTANCE TO CLIENTS WHO WANT TO FURTHER THEIR EDUCATION. SUPPORTED EDUCATION PROVIDED SERVICE TO 32 CLIENTS IN DURING FISCAL 2011.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 1,069,914 including grants of $ 6,853 ) (Revenue $ 1,136,380 )
4e Total program service expensesMediumBullet$ 4,101,448
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II.........................
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
18
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
8
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
6
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
IL
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
JULIANNE CLEVEN
3040 WEST SALT CREEK
ARLINGTON HEIGHTS,IL600051089
(847) 250-2505
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) BROTHER ROBERT CLARK CFA
DIRECTOR
 1.00 X           0 0 0
(2) FRED CRESPO
DIRECTOR
 1.00 X           0 0 0
(3) MARK DORUFF
DIRECTOR
 1.00 X           0 0 0
(4) SPENCER H HEINE
DIRECTOR
 1.00 X           0 0 0
(5) ROBERT E KRAWISZ
CHAIRPERSON
 1.00 X   X       0 0 0
(6) FRANCINE MCGOUEY
VICE CHAIR PERSON/ PRESIDE
 1.00 X   X       0 340,517 71,916
(7) KAROLE COLANGELO
DIRECTOR
 1.00 X           0 0 0
(8) KATHRYN ROSSETTO JUZWIN PSYD
DIRECTOR
 1.00 X           0 17,497 0
(9) VIRGINIA GOLEMBIEWSKI
ASSISTANT SECRETARY
 1.00     X       0 67,752 15,425
(10) DAVID JONES
SECRETARY/TREASURER
 1.00     X       0 185,090 42,361
(11) JIM LEWANDOWSKI
VICE PRESIDENT
 1.00       X     0 358,777 63,763
(12) MAXIM CHASANOV
PHYSICIAN
 40.00         X   0 107,482 23,998
(13) DEEPAK KAPOOR
PSYCHIATRIST
 40.00         X   0 110,202 1,755
(14) SCOTT BURGESS
EXECUTIVE DIRECTOR
 40.00         X   0 115,522 26,682






Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 0 1,302,839 245,900
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet0
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a 3,200
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 100
e Government grants (contributions)1e 2,720,382
f All other contributions, gifts, grants, and
similar amounts not included above1f 		1,142,051
g Noncash contributions included in lines 1a-1f:$ 26,875
h Total. Add lines 1a-1f.......MediumBullet 3,865,733
Program Service Revenue Business Code
2a CLIENT FEES 900,099 1,463,108 1,463,108    
b FEES FOR OTHER SERVICE 900,099 157,855 157,855    
c TRANS LIVING PRGRM REN 900,099 57,419 57,419    
d CILA 24 HR RENT 900,099 28,090 28,090    
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,706,472
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 24,382     24,382
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 300  
b Less: rental expenses    
c Rental income or (loss) 300  
d Net rental income or (loss).......MediumBullet 300     300
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 2,630,000 2,500
b Less: cost or other basis and sales expenses 2,601,571  
c Gain or (loss) 28,429 2,500
d Net gain or (loss)..........MediumBullet 30,929     30,929
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a OUTPATIENT MEDICAL REC 900,099 3,867 3,867    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 3,867
12 Total revenue. See Instructions....MediumBullet 5,631,683 1,710,339 0 55,611
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21    
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 107,467 107,467
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees ....        
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 3,034,562 2,530,474 504,088  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....        
9 Other employee benefits ....... 465,234 330,755 134,479  
10 Payroll taxes ........... 218,067 183,304 34,763  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 68,304   68,304  
c Accounting ........... 20,302 16,242 4,060  
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 210,349 139,309 71,040  
12 Advertising and promotion ....        
13 Office expenses ....... 65,145 56,953 8,192  
14 Information technology ...... 125,752 103,620 22,132  
15 Royalties ..        
16 Occupancy ........... 418,644 370,466 48,178  
17 Travel ............ 30,619 28,003 2,616  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 4,169 3,267 902  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 18,781 15,211 3,570  
23 Insurance .............. 56,687 54,464 2,223  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PROVISION FOR BAD DEBTS 82,057 82,025 32  
b SUPPLIES 56,420 34,806 21,614  
c MISCELLANEOUS 33,878 14,440 19,438  
d IN-KIND EXPENSES 26,875 10,840 16,035  
e BANK AND CREDIT CARD FE 11,763 10,343 1,420  
f All other expenses 12,457 9,459 2,998  
25 Total functional expenses. Add lines 1 through 24f 5,067,532 4,101,448 966,084 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 148,099 1 319,621
2 Savings and temporary cash investments .......   2  
3 Pledges and grants receivable, net ......... 108,825 3 109,755
4 Accounts receivable, net ......... 1,654,582 4 1,851,086
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges ............ 39,782 9 50,989
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,237,349
b Less: accumulated depreciation. ..... 10b 1,073,120 167,069 10c 164,229
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ...... 1,234,270 12 1,064,428
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 247,740 15 589,921
16 Total assets. Add lines 1 through 15 (must equal line 34)... 3,600,367 16 4,150,029
Liabilities 17 Accounts payable and accrued expenses . 488,854 17 459,523
18 Grants payable ..........   18  
19 Deferred revenue .......... 89,829 19 75,000
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 349,708 25 345,608
26 Total liabilities. Add lines 17 through 25..... 928,391 26 880,131
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 2,347,424 27 2,622,498
28 Temporarily restricted net assets ..... 324,552 28 647,400
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 2,671,976 33 3,269,898
34 Total liabilities and net assets/fund balances ..... 3,600,367 34 4,150,029
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
5,631,683
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
5,067,532
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
564,151
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
2,671,976
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
33,771
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
3,269,898
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
 
Employer identification number

36-3045007
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... 2,573,294 2,423,877 3,331,349 3,377,399 3,865,733 15,571,652
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3.. 2,573,294 2,423,877 3,331,349 3,377,399 3,865,733 15,571,652
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.           15,571,652
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4.. 2,573,294 2,423,877 3,331,349 3,377,399 3,865,733 15,571,652
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 129,394 46,283 49,237 42,374 24,682 291,970
9 Net income from unrelated business activities, whether or not the business is regularly carried on.. 96,018 51,881 23,784     171,683
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..     114,159 6,760 3,867 124,786
11 Total support (Add lines 7 through 10).           16,160,091
12
12
8,034,203
13
Section C. Computation of Public Support Percentage
14
14
96.360 %
15
15
94.960 %
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
 
Employer identification number

36-3045007
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
  		Employer identification number

36-3045007
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
  		Employer identification number

36-3045007
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
  		Employer identification number

36-3045007
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
 
Employer identification number

36-3045007
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................   400,293 248,201 152,092
c Leasehold improvements ............   70,558 65,644 4,914
d Equipment ................   728,663 721,440 7,223
e Other .................   37,835 37,835 0
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 164,229
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) SHARE IN ALEXIAN BROTHERS HEALTH SYSTEM, INC. INVESTMENT TRUST 		1,064,428 F








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 1,064,428
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) OTHER ASSETS 589,921








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 589,921
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
INSURANCE CLAIM ACCRUAL 68,953
DUE TO UNCONSOLIATED RELATED PARTIES 276,655







Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 345,608
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 5,631,683
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 5,067,532
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 564,151
4 Net unrealized gains (losses) on investments .......................... 4 33,771
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 33,771
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 597,922
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 5,793,807
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 33,771
b Donated services and use of facilities ......... 2b 128,353
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e 162,124
3 Subtract line 2e from line 1..................... 3 5,631,683
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 5,631,683
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 5,195,885
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a 128,353
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e 128,353
3 Subtract line 2e from line 1..................... 3 5,067,532
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 5,067,532
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH (ABCMH) IS TREATED AS A TAX-EXEMPT CORPORATION AS PERMITTED BY SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ABCMH FOLLOWS THE AUTHORITATIVE GUIDANCE ISSUED BY FASB THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS NOT BEEN MET. THIS GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. ABCMH CONDUCTS BUSINESS SOLELY IN THE U.S. AND, AS A RESULT, FILES INCOME TAX AND INFORMATION RETURNS FOR THE U.S. AND ILLINOIS. IN THE NORMAL COURSE OF BUSINESS, ABCMH IS SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. ABCMH'S INFORMATION RETURNS FOR YEARS SUBSEQUENT TO FISCAL 2007 ARE OPEN, BY STATUTE, FOR REVIEW BY AUTHORITIES. HOWEVER, AT PRESENT, THERE ARE NO ONGOING INCOME TAX AUDITS OR UNRESOLVED DISPUTES WITH THE VARIOUS TAX AUTHORITIES THAT ABCMH CURRENTLY FILES OR HAS FILED WITH.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
 
Employer identification number
36-3045007
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance






















2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
 
3
Enter total number of other organizations ................................ . Bullet Image
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) SUPPORTED EDUCATION 32 4,892   FMV  
(2) CLIENT LIVING EXPENSE 103 102,575   FMV  











Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
OTHER INFORMATION: PART IV: RECORDS ARE MAINTAINED FOR EACH PERSON RECEIVING ASSISTANCE BY TYPE OF EXPENSE ON A MONTHLY BASIS.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
 
Employer identification number

36-3045007
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) FRANCINE MCGOUEY (i)
(ii)		 0
242,424 		0
63,810 		0
34,283 		0
54,784 		0
17,132 		0
412,433 		0
31,363
(2) DAVID JONES (i)
(ii)		 0
148,537 		0
25,000 		0
11,553 		0
18,834 		0
23,527 		0
227,451 		0
7,894
(3) JIM LEWANDOWSKI (i)
(ii)		 0
272,185 		0
50,985 		0
35,607 		0
32,953 		0
30,810 		0
422,540 		0
12,292













Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  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: FRANCINE MCGOUEY - $7,814 JIM LEWANDOWSKI - $4,547
SUPPLEMENTAL INFORMATION PART III PART I, LINE 3: ABCMH 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. 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.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
 
Employer identification number

36-3045007
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		X 20,065 ESTIMATED
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ... X 54 6,810 RETAIL VALUE
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
 
Employer identification number

36-3045007
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6   ABCMH 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 ABCMH.
FORM 990, PART VI, SECTION A, LINE 7B   ALEXIAN BROTHERS HEALTH SYSTEM ("ABHS") HAS PRINCIPAL AUTHORITY WITH RESPECT TO THE FOLLOWING MATTERS: ADOPTION OR AMENDMENT OF THE ARTICLES OF INCORPORATION AND 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, DISSOLUTION, SALE OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ABCMH; THE ANNUAL CAPITAL AND OPERATING BUDGET AND THE STRATEGIC PLAN OF ABCMH; AND OTHER CERTAIN RESERVED POWERS WHICH ABHS MAY DESIGNATE.
FORM 990, PART VI, SECTION B, LINE 11   ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH 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. ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH'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 CENTER FOR MENTAL HEALTH'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 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 ABHS BOARD OF GOVERNORS. THIS COMMITTEE REVIEWS THE COMPENSATION DISCLOSURES FOR ALL ENTITIES IN THE SYSTEM. ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH'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 2011 FORM 990 FOR ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH.
  FORM 990, PART VI, SECTION B, LINE 12C ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH COLLECTS ANNUAL ATTESTATIONS FROM BOARD MEMBERS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. THE ATTESTATIONS ARE REVIEWED BY THE ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH COMPLIANCE OFFICER AND ANY CONFLICTS ARE SHARED WITH THE ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH CHIEF EXECUTIVE OFFICER. THE CONFLICTS ARE ALSO REVIEWED BY THE SYSTEM'S VICE PRESIDENT OF COMPLIANCE AND INTERNAL 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 15 ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH FOLLOWS THE REQUIREMENTS SET FORTH IN THE IRS REBUTTABLE PRESUMPTION OF REASONABLENESS IN DETERMINING COMPENSATION OF THE CEO AND OTHER OFFICERS AND EXECUTIVES OF THE CORPORATION. THIS FUNCTION IS PERFORMED BY THE COMPENSATION COMMITTEE OF THE BOARD OF GOVERNORS OF ABHS, WHICH IS COMPOSED OF INDEPENDENT BOARD MEMBERS. THE PROCESS INCLUDES REVIEW OF COMPARABILITY DATA, RETENTION OF AN OUTSIDE COMPENSATION CONSULTANT, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION THROUGH DETAILED MINUTES OF THE COMPENSATION COMMITTEE.
  FORM 990, PART VI, SECTION C, LINE 19 ABCMH'S FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE OFFICE OF THE ILLINOIS ATTORNEY GENERAL. CONFLICTS OF INTEREST AND ABCMH'S GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
  FORM 990, PART VII, COLUMNS E AND F: DISCLOSURE FOR ESTIMATED HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS FOR WHICH COMPENSATION WAS REPORTED: - FRANCINE MCGOUEY AND DAVID JONES WORKED 40 HOURS PER WEEK FOR ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL; - 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 OTHER OFFICERS DEVOTE 100% OF THEIR TIME TO ABCMH.
  PART VII, COLUMN E (REASONABLE EFFORTS): 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 SALARY.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 33,771.
  SCHEDULE R, PART V, LINE 2: ABCMH TRACKS ALL TRANSACTIONS WITH RELATED ORGANIZATIONS IN THE GENERAL LEDGER OR SUBSIDIARY SCHEDULES TO THE LEDGER. AMOUNTS ARE VALUED BASED ON THE FAIR MARKET VALUE OF THE TRANSACTION.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH
 
Employer identification number

36-3045007
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) ALEXIAN BROTHERS OF AMERICA INC

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
36-2606768 		RELIGIOUS ORDER OF ROMAN CATHOLIC MEN TX 501(C)(3) LINE 1 N/A
 
No
(2) BROTHERS OF ST ALEXIUS HEALTH AND WELFARE FUND

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
36-2976617 		PROVIDES FOR HEALTH & WELFARE PAYMENTS FOR RELIGIOUS SPONSOR TX 501(C)(3) LINE 1 ALEXIAN BROTHERS OF AMERICA INC
 
 
No
(3) ALEXIAN BROTHERS BONAVENTURE HOUSE

825 WELLINGTON AVE

CHICAGO,IL60657
36-3527899 		HOUSING AND SUPPORTIVE CARE SERVICES FOR PERSONS WITH HIV/AIDS IL 501(C)(3) LINE 9 ALEXIAN BROTHERS OF AMERICA INC
 
 
No
(4) ALEXIAN BROTHERS HEALTH SYSTEM

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
36-3260495 		SUPPORTS THE PROVISION OF HEALTHCARE SERVICES FOR RELATED CORPS AS A MEMBER IL 501(C)(3) LINE 11C, III-FI ALEXIAN BROTHERS OF AMERICA INC
 
 
No
(5) ALEXIAN BROTHERS HEALTH SYSTEM INC INVESTMENT TRUST

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
36-3801585 		MANAGES POOLED INVESTMENTS OF RELATED NOT-FOR-PROFIT ENTITIES IL 501(C)(3) LINE 11C, III-FI ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(6) ALEXIAN BROTHERS OF AMERICA INVESTMENT TRUST

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
36-4390471 		MANAGES POOLED INVESTMENTS OF RELATED NOT-FOR-PROFIT ENTITIES IL 501(C)(3) LINE 11C, III-FI ALEXIAN BROTHERS OF AMERICA INC
 
 
No
(7) THE ALEXIAN BROTHERS HOSPITAL SCHOOL OF NURSES

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
 INACTIVE CORPORATION IL 501(C)(3) LINE 9 ALEXIAN BROTHERS OF AMERICA INC
 
 
No
(8) ALEXIAN BROTHERS OF CHICAGO

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
 INACTIVE CORPORATION IL 501(C)(3) LINE 9 ALEXIAN BROTHERS OF AMERICA INC
 
 
No
(9) ALEXIAN BROTHERS OF SAN JOSE INC

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
94-1530037 		ACUTE CARE HOSPITAL (SOLD IN 1998) TX 501(C)(3) LINE 3 ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(10) ALEXIAN BROTHERS SERVICES INC

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
43-1295333 		HUD HOUSING MO 501(C)(3) LINE 9 ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(11) ALEXIAN VILLAGE OF MILWAUKEE INC

9301 N 76TH ST

MILWAUKEE,WI53223
39-1351584 		CONTINUING CARE RETIREMENT COMMUNITY WI 501(C)(3) LINE 9 ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(12) ALEXIAN BROTHERS COMMUNITY SERVICES

425 CUMBERLAND STREET SUITE 110

CHATTANOOGA,TN37404
36-4344423 		PROVIDES COMPREHENSIVE AND COORDINATED COMMUNITY BASED SERVICES IL 501(C)(3) LINE 9 ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(13) ALEXIAN BROTHERS SENIOR NEIGHBORS

250 EAST 10TH STREET

CHATTANOOGA,TN37402
62-0646376 		SUPPORTS PROVISION OF COMMUNITY SERVICES FOR SENIOR CITIZENS TN 501(C)(3) LINE 7 ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(14) ALEXIAN VILLAGE OF TENNESSEE

437 ALEXIAN WAY

SIGNAL MOUNTAIN,TN37377
62-1136742 		CONTINUING CARE RETIREMENT COMMUNITY TN 501(C)(3) LINE 9 ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(15) ALEXIAN BROTHERS SENIOR MINISTRIES

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
36-4484290 		SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(C)(3) LINE 11C, III-FI ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(16) ALEXIAN ELDERLY SERVICES INC

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
39-2039667 		COMMUNITY OUTREACH WI 501(C)(3) LINE 9 ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(17) ALEXIAN BROTHERS LANSDOWNE VILLAGE

4624 LANSDOWNE

ST LOUIS,MO63116
43-1470362 		SKILLED NURSING FACILITY MO 501(C)(3) LINE 9 ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(18) ALEXIAN BROTHERS SHERBROOKE VILLAGE

4005 RIPA AVENUE

ST LOUIS,MO63125
43-1592502 		SKILLED NURSING FACILITY MO 501(C)(3) LINE 9 ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(19) ALEXIAN BROTHERS HOSPITAL NETWORK

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
36-3276552 		SUPPORTS PROVISION OF HEALTHCARE SERVICES FOR RELATED CORPORATIONS IL 501(C)(3) LINE 11C, III-FI ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(20) ALEXIAN BROTHERS MEDICAL CENTER

800 BIESTERFIELD RD

ELK GROVE VILLAGE,IL60007
36-2596381 		ACUTE CARE HOSPITAL TX 501(C)(3) LINE 3 ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(21) SAVELLI PROPERTIES INC

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
36-3308965 		OWNS OR LEASES PROPERTIES WHERE HEALTHCARE SERVICES ARE DELIVERED IL 501(C)(2) N/A ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(22) ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL

1650 MOON LAKE BLVD

HOFFMAN ESTATES,IL60194
36-4251848 		BEHAVIORAL HEALTH HOSPITAL IL 501(C)(3) LINE 3 ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(23) ST ALEXIUS MEDICAL CENTER

1555 BARRINGTON ROAD

HOFFMAN ESTATES,IL60194
36-4251846 		ACUTE CARE HOSPITAL IL 501(C)(3) LINE 3 ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(24) ALEXIAN BROTHERS AMBULATORY GROUP

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
36-4336931 		PHYSICIAN SERVICES IL 501(C)(3) LINE 3 ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(25) ALEXIAN BROTHERS OF ST LOUIS INC

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
43-0653236 		ACUTE CARE HOSPITAL (SPONSORSHIP TRANSFERRED IN 1997) MO 501(C)(3) LINE 3 ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
(26) ALEXIAN BROTHERS SPECIALTY GROUP

3040 W SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
80-0710751 		SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(C)(3) LINE 3 ALEXIAN BROTHERS HEALTH SYSTEM
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) ALEXIAN REHABILITATION SERVICES LLC

935 BEISNER
ELK GROVE VILLAGE,IL60007
30-0221481 		REHABILITATION HOSPITAL IL ALEXIAN BROTHERS HOSPITAL NETWORK
  		N/A       No     No  
(2) ILLINOIS NEUROMEG CENTER LLC

3040 W SALT CREEK LANE
ARLINGTON HEIGHTS,IL60005
87-0783164 		PROVISION OF NEUROMEG SERVICES IL ALEXIAN BROTHERS MEDICAL CENTER
  		N/A       No     No  
(3) ELK GROVE MOB LIMITED PARTNERSHIP

3040 W SALT CREEK LANE
ARLINGTON HEIGHTS,IL60005
36-3853289 		MEDICAL OFFICE BUILDING IL THELEN CORP
  		N/A       No     No  
(4) WORKPLACE SOLUTIONS LLC

1100 E WOODFIELD RD
SCHAUMBURG,IL60173
36-4095007 		PROVISION OF EAP SERVICES IL ALEXIAN BROTHERS MEDICAL CENTER
  		N/A       No     No  
(5) BONAVENTURE MEDICAL FOUNDATION LLC

3040 W SALT CREEK LANE
ARLINGTON HEIGHTS,IL60005
36-3978153 		MANAGES MANAGED CARE CONTRACTS DE ALEXIAN BROTHERS HEALTH SYSTEM
  		N/A       No     No  
(6) NEUROSCIENCE EQUIPMENT LLC

3040 W SALT CREEK LANE
ARLINGTON HEIGHTS,IL60005
86-1115516 		OWNERSHIP OF GAMMA KNIFE IL THELEN CORP
  		N/A       No     No  
(7) ALEXIAN CARDIOVASCULAR INSTITUTE EQUIPMENT LLC

3040 W SALT CREEK LANE
ARLINGTON HEIGHTS,IL60005
30-0307978 		LEASE AND SUBLEASE OF 64- SLICE CT EQUIPMENT IL 50 THELEN 50 CVA
  		N/A       No     No  
(8) ST ALEXIUS CENTER FOR SLEEP HEALTH LLC

665 W NORTH AVE
LOMBARD,IL60148
20-5876371 		OPERATION OF SLEEP LABS IL ST ALEXIUS MEDICAL CENTER
  		N/A       No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) THELEN CORPORATION
3040 W SALT CREEK LANE
ARLINGTON HEIGHTS,IL60005
36-3266316 		OWNS/LEASES PROPERTY; JOINT VENTURE PARTNER IL ALEXIAN BROTHERS HOSPITAL NETWORK
  		C      
(2) EDESSA INSURANCE COMPANY LTD
3040 W SALT CREEK LANE
ARLINGTON HEIGHTS,IL60005
 CAPTIVE INSURER LOCATED IN BERMUDA BD ALEXIAN BROTHERS MEDICAL CENTERS
  		C      
(3) ALEXIAN BROTHERS HEALTH PROVIDERS ASSOCIATION INC
3040 W SALT CREEK LANE
ARLINGTON HEIGHTS,IL60005
36-3853286 		MESSENGER MODEL IPA IL ALEXIAN BROTHERS HEALTH SYSTEM
  		C      
(4) ALEXIAN VILLAGE OF ELK GROVE
3040 W SALT CREEK LANE
ARLINGTON HEIGHTS,IL60005
35-2211303 		TAX CREDIT FINANCED HOUSING IL ALEXIAN BROTHERS HEALTH SYSTEM
  		C      
(5) ALEXIAN BROTHERS CORPUS CHRISTI HOUSING PROJECT LLC
3040 W SALT CREEK LANE
ARLINGTON HEIGHTS,IL60005
94-3465394 		TAX CREDIT FINANCED HOUSING IL ALEXIAN BROTHERS HEALTH SYSTEM
  		C      




Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ALEXIAN BROTHERS HEALTH SYSTEM

 O 3,492,574 CASH AMOUNT
(2) ALEXIAN BROTHERS HOSPITAL NETWORK

 O 129,702 CASH AMOUNT
(3) ALEXIAN BROTHERS HEALTH SYSTEM

 M 226,318 CASH AMOUNT
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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