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 private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 07-01-2013 , 2013, and ending 06-30-2014
BCheck if applicable:
CName of organization
Alexian Brothers Health System
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
3040 West Salt Creek Lane
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Arlington Heights, IL60005
D Employer identification number

36-3260495
E Telephone number

G Gross receipts $ 100,958,311
F Name and address of principal officer:
Mark Frey
3040 West Salt Creek Lane
Arlington Heights,IL60005
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.alexianbrothershealth.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:
 
L Year of formation: 1983
M State of legal domicile: IL
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: National member for Catholic Health System
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 7
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 6,998
6 Total number of volunteers (estimate if necessary) ............. 6 7
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) ......... 5,812,716 5,469,015
9 Program service revenue (Part VIII, line 2g) ......... 44,797,719 82,930,669
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 10,565,756 10,990,416
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 429,243 314,316
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 61,605,434 99,704,416
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 8,530,983 4,729,088
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) 30,901,335 33,343,794
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 121,647
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet2,335,099    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 15,231,921 53,555,252
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 54,664,239 91,749,781
19 Revenue less expenses. Subtract line 18 from line 12....... 6,941,195 7,954,635
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 496,559,975 525,686,857
21 Total liabilities (Part X, line 26)............. 592,370,822 588,900,451
22 Net assets or fund balances. Subtract line 21 from line 20..... -95,810,847 -63,213,594
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 Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: Alexian Brothers Health System ("ABHS") carries out the healing mission of the Catholic Church through the Alexian Brothers ministries 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 organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 88,089,368 including grants of $ 4,729,088 ) (Revenue $ 82,930,669 )
Ranked among the nation's best-performing health systems, Alexian Brothers Health System (ABHS) is a health care ministry comprised of five hospitals, a center for mental health, clinical institutes, diagnostic imaging facilities and the Alexian Brothers Medical Group, which includes 13 primary care practices, seven immediate care centers, seven occupational health centers and several specialty programs. We serve more than two million people across Chicago's northwest suburbs and beyond with innovative care and world-class medical specialists. (See Schedule O.)ABHS strives to provide a prophetic, holistic approach to health care, rooted in Gospel values and the legacy of the Alexian Brothers, an 800-year-old Congregation that carries out the healing ministry of Jesus Christ in the tradition of the Roman Catholic Church. Through partnerships with our associates, physicians and the community, we identify and develop effective responses to the health and housing needs of those we are called to serve. Alexian Brothers Health System is a Ministry Organization of Ascension Health, the largest Catholic health system in the nation. The Alexian Brothers Health System provides the community with a full range of comprehensive healthcare services and access to the most advanced medical technology. We are passionate about delivering exceptional health care and are proud of the powerful, cutting edge technology our skilled professionals are able to access. In addition, we offer a wide range of community health services, corporate wellness programs, preventive care and education. Our ministries exist to continue the Alexian Brothers mission of caring for the sick, the poor and the dying and promoting the physical, mental, spiritual and social health and well-being of all individuals we serve.Locations:- Alexian Brothers Medical Center:Ranked 3rd in the Chicago Metro Area and Illinois by US News & World Report, Alexian Brothers Medical Center (ABMC), is a 387-bed acute care hospital located in Elk Grove Village, Illinois that has been providing outstanding healthcare to the residents of Chicago's northwest suburbs for more than 40 years. Located at 800 Biesterfield Road, ABMC is a full-service hospital with a Neurosciences Institute, Cancer Institute, Heart & Vascular Institute, as well as additional specialties in Older Adult (including an emergency room designed for seniors), Pediatrics, Bariatric Surgery, Orthopedics and Obstetrics. It also includes a 66-bed inpatient rehabilitation hospital. ABMC is a Certified Comprehensive Stroke Center and has received Disease Specific Certification from The Joint Commission in Stroke, Heart Failure, Acute Myocardial Infarction, and Joint Replacement. ABMC is nationally ranked in 2 specialties and high performing in 10 specialties by U.S. News & World Report and has received the Blue Cross Blue Star of Distinction. In addition, ABMC was the recipient of HealthGrades Clinical Excellence recognition in numerous specialties. - St. Alexius Medical Center:Ranked 9th in the Chicago Metro Area and Illinois by US News & World Report, St. Alexius Medical Center (SAMC) is a 339-bed acute care hospital located in Hoffman Estates, Illinois that has provided outstanding healthcare to the residents of Chicago's northwest suburbs for more than 30 years. Located at 1555 Barrington Road, SAMC is nationally ranked in 1 specialty and high performing in 9 specialties by U.S. News & World Report.SAMC is a full-service hospital with a Neurosciences Institute, Cancer Institute, Heart & Vascular Institute, as well as additional specialties in Older Adult, Pediatrics, Bariatric Surgery, Orthopedics and Obstetrics. The Alexian Brothers Women & Children's Hospital opened in April 2013. SAMC has received Disease Specific Certification from The Joint Commission in Stroke, Heart Failure, and Knee and Hip Joint Replacement. In addition, SAMC was the recipient of HealthGrades Clinical Excellence recognition in numerous specialties. - Alexian Brothers Behavioral Health Hospital:Alexian Brothers Behavioral Health Hospital (ABBHH), located at 1650 Moon Lake Boulevard in Hoffman Estates, Illinois, provides comprehensive inpatient and outpatient behavioral health services. ABBHH offers the complete continuum of behavioral health services, from prevention and early intervention to treatment and aftercare. ABBHH offers inpatient and outpatient services, as well as clinical psychiatric research. Our goal is to help individuals of all ages to learn ways to manage mental health and substance abuse problems.- Alexian Rehabilitation Hospital:Alexian Rehabilitation Hospital (ARH), part of Alexian Brothers Medical Center in Elk Grove Village, Illinois, is a 66-bed inpatient rehabilitation facility. Its physicians, nurses and therapists are experts in every aspect of rehabilitation medicine. ARH is a joint venture between the Health System and the Rehabilitation Institute of Chicago; the parties work together through a team approach to meet the physical, emotional and spiritual needs of patients and families. The ARH staff strives to provide each patient with the best possible care by recognizing that every patient's needs and goals are different. - Alexian Brothers Center for Mental Health:The Alexian Brothers Center for Mental Health offers a wide spectrum of high quality and innovative mental health services. Located at 3436 North Kennicott Avenue in Arlington Heights, Illinois, its primary service area spans the 10 towns that comprise Palatine and Wheeling Townships.Services and programming include: therapy and psychiatry services for all ages, case management, psychosocial rehabilitation, community support services, vocational rehabilitation, supported education, crisis services, supported residential services, school-based mental health services, a Partial Hospitalization Program and more.- Alexian Brothers Ambulatory Group d/b/a Alexian Brothers Medical Group:Alexian Brothers Medical Group provides primary care, immediate care, and occupational health services at eleven locations. Sites are staffed by physicians trained to provide chronic and acute care for all illnesses and injuries, including work and sports-related injuries. Primary care involves the widest scope of healthcare and includes patients of all ages seeking to maintain optimal health and manage chronic conditions, such as high blood pressure, high cholesterol, diabetes, and back pain. Immediate care is for the treatment of patients with an injury or illness that requires immediate attention but is not serious enough to warrant a visit to a hospital emergency room. No appointment is needed for either adults or children. Occupational health medicine is primarily for the treatment and prevention of work-related illness and injury. No appointment is needed.- Alexian Brothers Bonaventure House d/b/a Alexian Brothers Housing and Health Alliance:Alexian Brothers Housing and Health Alliance (ABHHA) has been serving people impacted by HIV/AIDS and related co-morbidities in the Chicago metropolitan region for more than 20 years, providing housing, comprehensive services, and spiritual care. With services located at The Harbor in Waukegan, Illinois, Bonaventure House on the North Side of Chicago, on the South Side of Chicago and at scattered sites throughout the Chicago metro area, ABHHA strives to transform the lives of people who are homeless and living with HIV/AIDS within a supportive, compassionate community.Clinical Institutes:- Cancer Institute:The Cancer Institute provides comprehensive oncology services across the entire Alexian Brothers Health System. Accredited by the American College of Surgeons as a Comprehensive Community Hospital Program, our Cancer Institute boasts five-year survival rates that exceed the American Cancer Society's national statistics for breast, ovarian, lung and colon cancers. - Heart & Vascular Institute:The Heart & Vascular Institute offers high-level cardiovascular care. Our cardiac team includes some of the most highly respected cardiologists and cardiovascular surgeons in the area, many who are regionally and nationally known.- Neurosciences Institute: The Neurosciences Institute offers the latest medical advances and technology to help patients with neurological conditions. Our spectrum of care includes advanced diagnostic procedures, treatment strategies, and proven approaches to help patients achieve high quality of life. In addition, we are working to provide scientific insight into how to lower the risk of developing certain neurological diseases.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
(continued from Part III, Line 4a) Charity Care and Community Benefits: The amounts and types of charity care and community benefits provided in the entire Alexian Brothers Health System are as follows:Charity Care at Cost - $21,397,164Language Assistant Services - $638,260Excess of Government Sponsored Health Care Cost Over Reimbursement - Medicaid - $44,099,925 Donations - $145,028Education - $2,546,552Subsidized Health Services - $2,225,984Other Community Benefits - $7,490,327 Total Charity Care and Community Benefits - $78,543,240Excess of Government Sponsored Health Care Cost Over Reimbursement - Medicare - $51,883,429 Bad Debt Expense at Cost - $10,141,843
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet88,089,368
Form 990 (2013)
Form 990 (2013)
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 (see instructions)? 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, or have a section 501(h) election in effect during the tax year? 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 for which 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 for escrow or custodial account liability; 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 temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
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, line 10?
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 VIIClick 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 VIIIClick 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 IXClick 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 XClick 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 XClick 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 and XII Click to see attachment.................
12a
 
No
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 and XII 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, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
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 (see instructions).... Click to see attachment
17
Yes
 
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............ Click to see attachment
18
Yes
 
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................... Click to see attachment
19
Yes
 
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or 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
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 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 lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
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
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
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........ Click to see attachment
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................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
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 .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
..................... Click to see attachment
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 direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
...........................
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, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, 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
35b
Yes
 
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
Yes
 
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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
856
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
6,998
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
Yes
 
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” to line 3b, 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, securities account, or other financial 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 as charitable contributions?...
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
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
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.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
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 or note to any line 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
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
7
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
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
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
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did 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
 
No
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, 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," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take 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 made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletJeannie Justie3040 West Salt Creek LaneArlington HtsIL60005 (847) 818-5100
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Brother James Classon CFA........................................................................
Chairperson (end 3/14)
1.00
.......................1.00
X   X       0 0 0
(2) Jerry Capizzi........................................................................
Governor
1.00
.......................0.00
X           0 0 0
(3) Richard Fischer........................................................................
Governor
1.00
.......................0.00
X           0 0 0
(4) Brother John Howard CFA........................................................................
Governor (end 4/14)
1.00
.......................0.00
X           0 0 0
(5) Brother Richard Lowe CFA........................................................................
Governor
1.00
.......................0.00
X           0 0 0
(6) Larry Singer........................................................................
Governor
1.00
.......................0.00
X           0 0 0
(7) Karen S Wells........................................................................
Governor
1.00
.......................0.00
X           0 0 0
(8) Bruce Wolfe........................................................................
Governor
1.00
.......................0.00
X           0 0 0
(9) Luke Knecht........................................................................
Governor (start 1/14)
1.00
.......................0.00
X           0 0 0
(10) Mark Frey........................................................................
Ex-Officio Director & Pres/CEO
50.00
.......................1.00
X   X       1,498,371 0 49,865
(11) Peg Wendell........................................................................
Secretary
50.00
.......................0.00
    X       344,619 0 43,203
(12) Tracy Rogers........................................................................
Sr. Vice Pres. & COO
50.00
.......................1.00
    X       654,056 0 58,907
(13) Paul Belter........................................................................
Sr. Vice Pres. & Treasurer
50.00
.......................1.00
    X       540,392 0 60,474
(14) Donna Gauthier........................................................................
Assistant Secretary
40.00
.......................1.00
    X       74,489 0 15,715
(15) Scott Peterson........................................................................
Vice President, HR
50.00
.......................1.00
      X     342,755 0 38,484
(16) Mary Ann Magnifico........................................................................
Vice President, Construction
50.00
.......................0.00
        X   307,693 0 61,998
(17) Patricia Cassidy........................................................................
Sr. Vice Pres. & Chief Strat. Offcr
50.00
.......................0.00
        X   456,818 0 42,943
Form 990 (2013)
Form 990 (2013)
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 (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Melanie Furlan........................................................................
Vice President, Dvlpmnt
50.00
.......................0.00
        X   349,052 0 47,651
(19) Jeannie Justie........................................................................
Vice President, Finance
50.00
.......................0.00
        X   288,387 0 57,353
(20) Gary Breuer........................................................................
Vice President, Revenue Cycle
50.00
.......................0.00
        X   300,314 0 50,455
(21) Jim Lewandowski........................................................................
Former Key Employee
0.00
.......................0.00
          X 722,305 0 15,727


















1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 5,879,251 0 542,775
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet505
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
Yes
 
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
Touchpoint Services4721 Morrison Dr Suite 300MobileAL36609 Cafeteria and Environmental Services 31,832,049
McKessonOne Post StreetSan FranciscoCA94104 Medical Supply Company 29,969,666
Owens and Minor Distribution Inc437 Tower BlvdCarol StreamIL60188 Medical Equipment Distribution 18,423,807
TriMedxPO Box 636129CincinnatiOH45263 Clinical Engineering 12,016,128
Efficiency Media3616 Winnetka RdGlenviewIL60026 Media Planning Buying Service 4,116,532
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet209
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 619,829
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
4,849,186
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 5,469,015
 Program Service RevenueAmt Business Code
2a Management Fees 561000 75,338,417 75,338,417    
b Leased Empl. Benefits 900099 7,157,983 7,157,983    
c Rent Non I/C 532000 23,062 23,062    
d
e
f All other program service revenue . 411,207 411,207    
g Total. Add lines 2a–2f........MediumBullet 82,930,669
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 10,990,416     10,990,416
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 1,280,608  
b Less: rental expenses 827,025  
c Rental income or (loss) 453,583  
d Net rental income or (loss).......MediumBullet 453,583     453,583
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet        
8a Gross income from fundraising events (not including
$ 619,829
of contributions reported on line 1c). See Part IV, line 18 ..
a 262,792
b Less: direct expenses ...b 420,487
c Net income or (loss) from fundraising events..MediumBullet -157,695   -157,695
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 24,811
b Less: direct expenses ...b 6,383
c Net income or (loss) from gaming activities...MediumBullet 18,428     18,428
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            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See Instructions......MediumBullet 99,704,416 82,930,669 0 11,304,732
Form 990 (2013)
Form 990 (2013)
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).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 United States. See Part IV, line 21 4,729,088 4,729,088
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. 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 24,335,070 22,969,254   1,365,816
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 1,827,482 1,827,482    
9 Other employee benefits ....... 6,000,396 5,593,329   407,067
10 Payroll taxes ........... 1,180,846 1,093,954   86,892
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,164,086   1,164,086  
c Accounting ........... 161,228   161,228  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17 121,647 121,647
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 2,070,503 1,806,469   264,034
12 Advertising and promotion .... 166,984 161,710   5,274
13 Office expenses ....... 1,672,799 1,621,377   51,422
14 Information technology ...... 32,057,129 32,053,817   3,312
15 Royalties ..        
16 Occupancy ........... 8,064,521 8,064,521    
17 Travel ............ 233,815 209,027   24,788
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 24,640 23,715   925
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 203,161 203,161    
23 Insurance .............. 373,871 373,871    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Ascension System Office 4,896,978 4,896,978    
b CHAN Audit fees 805,872 805,872    
c Food Expense 7,580 4,858   2,722
d Spirit Commit. Activity 3,863 3,863    
e All other expenses 1,648,222 1,647,022   1,200
25 Total functional expenses. Add lines 1 through 24e 91,749,781 88,089,368 1,325,314 2,335,099
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing .............   1  
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ........... 2,913,392 3 1,279,557
4 Accounts receivable, net .............   4 0
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
877,685 5 791,001
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net ............. 6,626,617 7 326,143
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 368,693 9 1,062,327
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 11,174,047
b Less: accumulated depreciation ..... 10b 1,665,935 9,608,005 10c 9,508,112
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ..... 277,165,532 12 307,413,494
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ............... 2,981,300 14 2,129,500
15 Other assets. See Part IV, line 11 ........... 196,018,751 15 203,176,723
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 496,559,975 16 525,686,857
Liabilities 17 Accounts payable and accrued expenses ......... 39,230,342 17 32,869,027
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities ............. 157,000,000 20 153,710,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other 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 .. 8,883,705 23 7,594,889
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 387,256,775 25 394,726,535
26 Total liabilities. Add lines 17 through 25......... 592,370,822 26 588,900,451
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. -95,810,847 27 -70,292,065
28 Temporarily restricted net assets ...........   28 6,870,944
29 Permanently restricted net assets ...........   29 207,527
Organizations that do not follow SFAS 117 (ASC 958), 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 ........... -95,810,847 33 -63,213,594
34 Total liabilities and net assets/fund balances ........ 496,559,975 34 525,686,857
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
99,704,416
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
91,749,781
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
7,954,635
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
-95,810,847
5
Net unrealized gains (losses) on investments ...............
5
17,010,743
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
7,631,875
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
-63,213,594
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Alexian Brothers Health System
 
Employer identification number

36-3260495
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 supported organization? ................
11g(i)
 
No
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
Provide the following information about the supported organization(s).
(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 monetary support
Yes No Yes No Yes No
(A) ABHS Inc Investment Trust
 
363801585 11 III-FI Yes   Yes   Yes   0
(B) Alexian Brothers of San Jose Inc
 
941530037 11 III-FI Yes   Yes   Yes   0
(C) Alexian Brothers Services Inc
 
431295333 9 Yes   Yes   Yes   0
(D) Alexian Village of Milwaukee Inc
 
391351584 9 Yes   Yes   Yes   0
(E) Alexian Brothers Community Services
 
364344423 9 Yes   Yes   Yes   0
(F) Alexian Brothers Senior Neighbors
 
620646376 7 Yes   Yes   Yes   0
(G) Alexian Village of Tennessee
 
621136742 9 Yes   Yes   Yes   0
(H) Alexian Brothers Senior Ministries
 
364484290 11 III-FI Yes   Yes   Yes   0
(I) Alexian Elderly Services Inc
 
392039667 9 Yes   Yes   Yes   0
(J) Alexian Brothers Lansdowne Village
 
431470362 9 Yes   Yes   Yes   0
(K) Alexian Brothers Hospital Network
 
363276552 11 III-FI Yes   Yes   Yes   0
(L) Alexian Brothers Center for Mental
 
363045007 9 Yes   Yes   Yes   0
(M) Alexian Brothers Behavioral Health Hospital
 
364251848 3 Yes   Yes   Yes   0
(N) St Alexius Medical Center
 
364251846 3 Yes   Yes   Yes   0
(O) Alexian Brothers Ambulatory Group
 
364336931 3 Yes   Yes   Yes   0
(P) Alexian Brothers Sherbrooke Village
 
431592502 9 Yes   Yes   Yes   0
(Q) Alexian Brothers Specialty Group
 
800710751 3 Yes   Yes   Yes   0
(R) Savelli Properties Inc
 
363308965 N/A Yes   Yes   Yes   0
(S) Alexian Brothers Bonaventure House
 
363527899 9 Yes   Yes   Yes   0
(T) Alexian Brothers Medical Center
 
362596381 3 Yes   Yes   Yes   0
Total 0

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
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            
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.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

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.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
Alexian Brothers Health System
 
Employer identification number

36-3260495
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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
Alexian Brothers Health System
 
Employer identification number

36-3260495
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
Alexian Brothers Health System
 
Employer identification number

36-3260495
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
Alexian Brothers Health System
 
Employer identification number

36-3260495
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(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) (2013)

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Alexian Brothers Health System
 
Employer identification number

36-3260495
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 can 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 through 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 (ASC 958) 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 646,998 3,202,680 3,293,690 3,409,815 3,466,340
b Contributions ........   250 10,825 8,594 5,275
c Net investment earnings, gains, and losses   -44,617 1,553 70,761 135,915
d Grants or scholarships ..... 455,871 2,511,315 103,388 194,481 197,715
e Other expenditures for facilities
and programs ........
      999  
f Administrative expenses ....          
g End of year balance ...... 191,127 646,998 3,202,680 3,293,690 3,409,815
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
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)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   2,123,775 2,123,775
b Buildings ................   6,626,889 613,831 6,013,058
c Leasehold improvements ............   2,006,888 798,933 1,207,955
d Equipment ................   399,695 236,371 163,324
e Other .................   16,800 16,800 0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 9,508,112
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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) Flex Plan Capital Accum
637,205 C

(B) Investment Deposit Other
1,694,099 C

(C) Interest in Investments Held by Ascension
289,676,578 C

(D) Trustee Held
15,405,612 C





Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 307,413,494
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) Other Assets-Miscellaneous 5,790,902
(2) Land Held for Future Development 1,523,600
(3) Cash Surrender Value 6,095,632
(4) Less Split Dollar incl on line 5 -791,003
(5) Due from Affiliates 190,557,592




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 203,176,723
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
Supplemental Employee Retirement Plan Liab 496,910
Unclaimed Property/Execu-flex Accumulation 821,930
Negative Cash 51,154,682
Health/Dental Liability 7,398,649
Intercompany Debt to Ascension Health 4,575,750
Swap LT Liability 1,933,781
LT Pension Liability 9,955,696
Due to Affiliates 2,537,347
Miscellaneous 315,851,790
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 394,726,535
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
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 XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
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 XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Part V, Line 4: The endowment funds are used to support charitable efforts within the Alexian Brothers Health System.
Part X, Line 2: From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Alexian Brothers Health System: The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2014.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Alexian Brothers Health System
 
Employer identification number

36-3260495
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
 
Harris Connects
1400-A Crossways Blvd
 
Chesapeake, VA23220
Telephone Solicitation   No 58,067 121,647 -63,580
             
             
             
             
             
             
             
             
             
Total .................right arrow 58,067 121,647 -63,580
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
IL
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

2014 Ball de Fleur
(event type)
(b) Event #2

2013 Golf Classic
(event type)
(c) Other events

5
(total number)
(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 603,615 152,000 127,006 882,621
2 Less: Contributions . . 423,284 114,800 81,745 619,829
3 Gross income (line 1
minus line 2) . . .
180,331 37,200 45,261 262,792
VerticalDirectExpenses 4 Cash prizes . . . 0 0 0  
5 Noncash prizes . . 0 450 0 450
6 Rent/facility costs . . 56,681 29,406 11,182 97,269
7 Food and beverages . 114,647 16,294 26,957 157,898
8 Entertainment . . . 24,340 0 0 24,340
9 Other direct expenses . 107,856 13,927 18,747 140,530
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 420,487
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow -157,695
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .     24,811 24,811
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .     1,800 1,800
4 Rent/facility costs . . .        
5 Other direct expenses . .     4,583 4,583
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow 6,383
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow 18,428
9
Enter the state(s) in which the organization operates gaming activities: IL
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
50.000 %
b
An outside facility ........................
13b
50.000 %
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Julie Baker
Address right arrow
3040 Salt Creek Lane
Arlington Heights,IL60005
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Julie Baker
Gaming manager compensation right arrow $ 1,713
Description of services provided right arrow
See Part IV.
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$ 18,428
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G, Part III, Line 16, Description of Services Provided: Julie Baker manages Foundation Fundraising events and raffles held at events. Two percent of her (fully-loaded) salary has been estimated to be compensation directly related to raffle management.
Schedule G (Form 990 or 990-EZ) 2013
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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
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Alexian Brothers Health System
 
Employer identification number
36-3260495
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. Part II can be duplicated if additional space is needed.
(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
(1) Alexian Brothers Medical Center
800 Biesterfield Road
Elk Grove Village,IL60007
36-2596381 Section 501(c)(3) 1,332,434       General Support
(2) St Alexius Medical Center
1555 Barrington Road
Hoffman Estates,IL60194
36-4251846 Section 501(c)(3) 883,017       General Support
(3) Alexian Brothers Behavioral Health Hospital
1650 Moon Lake Blvd
Hoffman Estates,IL60194
36-4251848 Section 501(c)(3) 258,793       General Support
(4) Alexian Brothers Lansdowne Village
4624 Lansdowne
St Louis,MO63116
43-1470362 Section 501(c)(3) 25,089       General Support
(5) Alexian Brothers Center for Mental Health
3436 N Kennicott Avenue
Arlington Heights,IL60004
36-3045007 Section 501(c)(3) 1,109,697       General Support
(6) Alexian Brothers Sherbrooke Village
4005 Ripa Avenue
St Louis,MO63125
43-1592502 Section 501(c)(3) 38,752       General Support
(7) Alexian Brothers Bonaventure House
825 W Wellington Avenue
Chicago,IL60657
36-3527899 Section 501(c)(3) 972,170       General Support
(8) Alexian Brothers Hospital Network
3040 W Salt Creek Lane
Arlington Heights,IL60005
36-3276552 Section 501(c)(3) 7,033       General Support
(9) Alexian Village of Tennessee
437 Alexian Way
Signal Mountain,TN37377
62-1136742 Section 501(c)(3) 44,140       General Support
(10) Alexian Brothers Health System
3040 West Salt Creek Lane
Arlington Heights,IL60005
36-3260495 Section 501(c)(3) 56,437       General Support




2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
10
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
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.
Part III can be duplicated 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












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Part I, Line 2: Grant funds reported are disbursed to entities owned by Alexian Brothers Health System (ABHS). The disbursement of the funds is centralized within ABHS. The entity requesting funds must fill out a form that describes the use of the funds. The form must be approved by an operational Vice President in the requesting entity prior to submission. The form is then reviewed by and signed off on by executives in the ABHS Foundation and in ABHS Finance prior to approval. No funds are disbursed without going through this intensive process.
Schedule I (Form 990) 2013


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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, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Alexian Brothers Health System
 
Employer identification number

36-3260495
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 or provision of all of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
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
Yes
 
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
Yes
 
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 Regulations 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)Mark FreyEx-Officio Director & Pres/CEO (i)
(ii)
712,178
0
693,941
0
92,252
0
14,702
0
35,163
0
1,548,236
0
74,752
0
(2)Peg WendellSecretary (i)
(ii)
279,892
0
55,320
0
9,407
0
21,132
0
22,071
0
387,822
0
9,407
0
(3)Tracy RogersSr. Vice Pres. & COO (i)
(ii)
490,446
0
142,500
0
21,110
0
30,990
0
27,917
0
712,963
0
21,110
0
(4)Paul BelterSr. Vice Pres. & Treasurer (i)
(ii)
420,392
0
120,000
0
0
0
25,845
0
34,629
0
600,866
0
0
0
(5)Scott PetersonVice President, HR (i)
(ii)
302,795
0
39,960
0
0
0
14,311
0
24,173
0
381,239
0
0
0
(6)Mary Ann MagnificoVice President, Construction (i)
(ii)
246,974
0
49,612
0
11,107
0
40,685
0
21,313
0
369,691
0
11,107
0
(7)Patricia CassidySr. Vice Pres. & Chief Strat. Offcr (i)
(ii)
363,318
0
93,500
0
0
0
13,899
0
29,044
0
499,761
0
0
0
(8)Melanie FurlanVice President, Dvlpmnt (i)
(ii)
279,401
0
54,883
0
14,768
0
25,723
0
21,928
0
396,703
0
14,768
0
(9)Jeannie JustieVice President, Finance (i)
(ii)
229,894
0
46,538
0
11,955
0
29,525
0
27,828
0
345,740
0
11,955
0
(10)Gary BreuerVice President, Revenue Cycle (i)
(ii)
240,570
0
48,655
0
11,089
0
23,571
0
26,884
0
350,769
0
11,089
0
(11)Jim LewandowskiFormer Key Employee (i)
(ii)
0
0
0
0
722,305
0
0
0
15,727
0
738,032
0
722,305
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
Part I, Line 3 Ascension Health, a related organization of Alexian Brothers Health System, uses the following methods to establish the compensation of the organization's CEO: - Compensation Committee, - Independent compensation consultant, - Form 990 of other organizations, - Written employment contract, - Compensation survey or study, and - Approval by the Board or Compensation Committee.
Part I, Line 4a: The following individuals listed in Schedule J received the referenced amount of change in control payments in calendar year 2013. The payments under a change-of-control arrangement are made in connection with retirement that changed the terms of employment resulting from a change in control of the organization: Jim Lewandowski - $689,832 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 purpose of the plan is to restore retirement benefits that are restricted because of compensation limits for the executives. Neither contributions to nor distributions from the supplemental nonqualified retirement plan were made in the current year. Part I, Line 7: Alexian Brothers Health System provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the Compensation Committee of the Board of Governors.
Schedule J (Form 990) 2013

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Alexian Brothers Health System
 
Employer identification number
36-3260495
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A Illinois Finance Authority
 
86-1091967 45200BQD3 08-11-2005 255,795,000 Partial refund 1999 Series, issued 1/15/99   X   X   X
B Illinois Finance Authority
 
86-1091967 45200FFH7 04-23-2008 44,028,000 Construct a Facility   X   X   X
C Illinois Finance Authority
 
86-1091967 45200FY94 04-21-2010 134,586,814 Partial refunding issue 08/11/05 and construction   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 171,310,000 41,925,000 67,250,000  
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 255,795,000 44,028,000 134,787,913  
4 Gross proceeds in reserve funds . . . . . . . . . . . . 12,264,485   12,264,485  
5 Capitalized interest from proceeds . . . . . . . . . . . 59,307   59,307  
6 Proceeds in refunding escrows . . . . . . . . . . . .        
7 Issuance costs from proceeds . . . . . . . . . . . . 1,612,171 788,514 1,904,465  
8 Credit enhancement from proceeds . . . . . . . . . . . 7,020,188      
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 43,239,485 43,239,485 50,145,550  
11 Other spent proceeds . . . . . . . . . . . . . . 247,162,641   70,420,000  
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2009 2009 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X   X X      
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X   X    
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X      
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X      
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X        
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X        
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X          
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X          
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X          
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 % 0 %    
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 %    
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 %    
7 Does the bond issue meet the private security or payment test? . . . . .   X   X        
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X        
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X          
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X    
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X X      
b Exception to rebate? . . . . . . . .   X   X   X    
c No rebate due? . . . . . . . . X   X     X    
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X     X   X    
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X   X    
b Name of provider . . . . . . . . . Bank America
Merrill Lynch
 
 
 
 
 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .   X            
e Was the hedge terminated? . . . . . . X              
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X    
b Name of provider . . . . . . . . .  
 
 
 
 
 
 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X    
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X      
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X      
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Date Rebate Computation Performed Issuer Name: Illinois Finance Authority Date the Rebate Computation was Performed: 07/16/2009 Issuer Name: Illinois Finance Authority Date the Rebate Computation was Performed: 03/14/2013
Part I, Column (C) and Part II, Line 3: Differences between the issue price shown on Part I, column (e) and the total proceeds shown on Part II, line 3 are due to investment earnings.
Part II, Line 4: Only amounts constituting debt service reserve funds are included on line 4. In addition, ABHS has the following amounts at June 30, 2014 in debt service funds: $2,271,632 for Series 2005; $42,281 for Series 2008; $826,940 for Series 2010.
Part II, Line 4, Column (B): At issuance, sale proceeds of the Series 2008 bonds funded a $4,500,000 debt service reserve fund. The reserve was subsequently replaced by a $4,500,000 letter of credit, and the proceeds expended on the project.
Part III, Column (A): Part III is not required for the 2005 bonds, column A, as they refunded pre-2003 issues.
Part IV, Line 3, Column (A): While all currently outstanding 2005 bonds actually bear fixed rates, taken in its entirety Series 2005 constitutes a variable yield issue for tax purposes.
Part IV, Line 4c, Column (A): The following three swaps were entered into by ABHS, the counterparty being BOA Merrill Lynch: A) $87,425,000 receiving variable rate, paying fixed rate, terminated on 5/28/2008 (actual term 2.8 years). B) $87,425,000 receiving variable rate, paying fixed rate, terminated on 5/28/2008 (actual term 2.8 years). C) $80,945,000 receiving variable rate, paying fixed rate, schedule termination on 1/1/2018 (scheduled term 12.4 years).
Part IV, Line 4e, Column (A): Swaps A and B were terminated on May 28, 2008. Swap C remains open.
Part IV, Line 6, Column (A): This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the bonds.
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Alexian Brothers Health System
 
Employer identification number

36-3260495
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
(1) Jeannie Justie Vice President Split dollar life insurance   X 109,053 109,053   No Yes   Yes  
(2) Gary Breuer Vice President Split dollar life insurance   X 103,841 103,841   No Yes   Yes  
(3) Tracy Rogers Senior Vice President & COO Split dollar life insurance   X 119,074 119,074   No Yes   Yes  
(4) Paul Belter Senior Vice President & Treasurer Split dollar life insurance   X 61,721 61,721   No Yes   Yes  
(5) Mary Ann Magnifico Vice President Split dollar life insurance   X 133,786 133,786   No Yes   Yes  
(6) Peg Wendell Officer - Secretary Split dollar life insurance   X 64,104 64,104   No Yes   Yes  
(7) Melanie Furlan Vice President Split dollar life insurance   X 80,483 80,483   No Yes   Yes  
(8) Scott Peterson Vice President, Human Resources Split dollar life insurance   X 73,816 73,816   No Yes   Yes  
(9) Patricia Cassidy Vice President Split dollar life insurance   X 45,123 45,123   No Yes   Yes  
Total ......Small Bullet $ 791,001
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2013

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.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Alexian Brothers Health System
 
Employer identification number

36-3260495
Return Reference Explanation
Form 990, Part V , Line 1a: Alexian Brothers Health System uses a common bank account to compensate all independent contractors within the Health System. The number attributable to each organization is not easily distinguished. The total number of Forms 1099 filed for the entire Health System appears on Part V, Line 1a of the Alexian Brothers Health System Form 990.
Form 990, Part VI, Section A, line 6 Alexian Brothers Health System has a single corporate member, Ascension Health (the "Sponsor").
Form 990, Part VI, Section A, line 7a Alexian Brothers Health System has a single corporate member, Ascension Health, which has the ability to elect members to the governing body of Alexian Brothers Health System.
Form 990, Part VI, Section A, line 7b Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix include the following: new organizations for which Ascension Health will serve as the controlling entity and major transactions; governing documents; appointment/removal of the Chair of the Board and Chief Executive Officer; debt limits; strategic and financial plans; the transfer of assets; and, system policies and procedures. These areas are subject to certain levels of approval by Ascension Health per the system authority matrix.
Form 990, Part VI, Section B, line 11 Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board members are provided the Form 990 and management team members are available to answer any Board Members' questions.
Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Section B, line 15b In determining the compensation of the organization's CEO, the process, performed by Ascension Health, a related organization of Alexian Brothers Health System, included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the committee minutes. The individual was not present when his compensation was decided. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to other similarly situated organizations' employees that hold the same or similar title. During the review and approval of the compensation by the Compensation Committee, documentation of the decision was recorded in the minutes.
Form 990, Part VI, Section C, line 19 The financial statements of Alexian Brothers Health System are available through the Office of the Illinois Attorney General. Conflicts of Interest statements and the governing documents of Alexian Brothers Health System are not made available to the public.
Form 990, Part XI, line 9: Transfers to/from Affiliates 8,154,162. Recognition of Minimum Pension Liability 2,310,815. System Office Fees/Sponsorship Fees -9,317,956. Foundation Contributions/Distribution to Entities -739,927. Foundation Restricted Funds 7,078,471. Net loss from Founation Fundraising/Net Assets Released from Restriction 146,310.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Alexian Brothers Health System
 
Employer identification number

36-3260495
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) 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 entity?
Yes No
(1) Ascension Health Alliance

PO Box 45998

St Louis,MO631455998
45-3358926
National Health System MO Section 501(c)(3) Schedule A, Line 11a N/A
 
No
(2) Ascension Health

PO Box 45998

St Louis,MO63145
31-1662309
National Health System MO Section 501(c)(3) Schedule A, Line 11a Ascension Health Alliance
 
 
No
(3) Alexian Brothers Bonaventure House

825 Wellington Avenue

Chicago,IL60657
36-3527899
Housing and supportive care services for persons with HIV/AIDS IL Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System
 
Yes
 
(4) Alexian Brothers Specialty Group

3040 W Salt Creek Lane

Arlington Heights,IL60005
80-0710751
Specialty physician practice group IL Section 501(c)(3) Schedule A, Line 3 Alexian Brothers Health System
 
Yes
 
(5) Alexian Brothers of San Jose Inc

3040 W Salt Creek Lane

Arlington Heights,IL60005
94-1530037
Acute care hospital (sold in 1998) TX Section 501(c)(3) Schedule A, Line 11c Alexian Brothers Health System
 
Yes
 
(6) Alexian Brothers Senior Ministries

3040 W Salt Creek Lane

Arlington Heights,IL60005
36-4484290
Supports the provision of healthcare services for related corporations IL Section 501(c)(3) Schedule A, Line 11c Alexian Brothers Health System
 
Yes
 
(7) Alexian Brothers Services Inc

3040 W Salt Creek Lane

Arlington Heights,IL60005
43-1295333
HUD housing MO Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System
 
Yes
 
(8) Alexian Brothers Hospital Network

3040 W Salt Creek Lane

Arlington Heights,IL60005
36-3276552
Supports the provision of healthcare services for related corporations IL Section 501(c)(3) Schedule A, Line 11c Alexian Brothers Health System
 
Yes
 
(9) Alexian Village of Milwaukee Inc

9301 N 76th Street

Milwaukee,WI53223
39-1351584
Continuing care retirement community WI Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System
 
Yes
 
(10) Alexian Brothers Community Services

425 Cumberland Street Suite 110

Chattanooga,TN37404
36-4344423
Provides comprehensive & coordinated community based services IL Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System
 
Yes
 
(11) Alexian Brothers Senior Neighbors

250 East 10th Street

Chattanooga,TN37402
62-0646376
Supports the provision of community services for senior citizens TN Section 501(c)(3) Schedule A, Line 7 Alexian Brothers Health System
 
Yes
 
(12) Alexian Village of Tennessee

437 Alexian Way

Signal Mountain,TN37377
62-1136742
Continuing care retirement community TN Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System
 
Yes
 
(13) Alexian Elderly Services Inc

3040 W Salt Creek Lane

Arlington Heights,IL60005
39-2039667
Community outreach WI Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System
 
Yes
 
(14) Alexian Brothers Lansdowne Village

4624 Lansdowne

St Louis,MO63116
43-1470362
Skilled nursing facility MO Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System
 
Yes
 
(15) Alexian Brothers Sherbrooke Village

4005 Ripa Avenue

St Louis,MO63125
43-1592502
Skilled nursing facility MO Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System
 
Yes
 
(16) Savelli Properties Inc

3040 W Salt Creek Lane

Arlington Heights,IL60005
36-3308965
Owns or leases properties where healthcare services are delivered IL Section 501(c)(2) N/A Alexian Brothers Health System
 
Yes
 
(17) Alexian Brothers Center for Mental Health

3436 N Kennicott Avenue

Arlington Heights,IL60004
36-3045007
Outpatient community mental health services IL Section 501(c)(3) Schedule A, Line 9 Alexian Brothers Health System
 
Yes
 
(18) Alexian Brothers Behavioral Health Hospital

1650 Moon Lake Blvd

Hoffman Estates,IL60194
36-4251848
Behavioral health hospital IL Section 501(c)(3) Schedule A, Line 3 Alexian Brothers Health System
 
Yes
 
(19) St Alexius Medical Center

1555 Barrington Road

Hoffman Estates,IL60194
36-4251846
Acute care hospital IL Section 501(c)(3) Schedule A, Line 3 Alexian Brothers Health System
 
Yes
 
(20) Alexian Brothers Ambulatory Group

3040 W Salt Creek Lane

Arlington Heights,IL60005
36-4336931
Physician services IL Section 501(c)(3) Schedule A, Line 3 Alexian Brothers Health System
 
Yes
 
(21) Alexian Brothers Medical Center

800 Biesterfield Road

Elk Grove Village,IL60007
36-2596381
Acute care hospital TX Section 501(c)(3) Schedule A, Line 3 Alexian Brothers Health System
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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 Road
Elk Grove Village,IL60007
30-0221481
Rehabilitation hospital IL N/A
                 
(2) Illinois NeuroMeg Center LLC

3040 W Salt Creek Lane
Arlington Heights,IL60005
87-0783164
Provision of NeuroMeg services IL N/A
                 
(3) Elk Grove MOB Limited Partnership

3040 W Salt Creek Lane
Arlington Heights,IL60005
36-3853289
Medical office building IL N/A
                 
(4) Bonaventure Medical Foundation LLC

3040 W Salt Creek Lane
Arlington Heights,IL60005
36-3978153
Manages managed care contracts DE Alexian Brothers Health System
 
Related   -6,745,061   No   Yes   50.000 %
(5) Neurosciences Equipment LLC

3040 W Salt Creek Lane
Arlington Heights,IL60005
86-1115516
Ownership of Gamma Knife IL N/A
                 
(6) St Alexius Center for Sleep Health LLC

1300 S Main Street
Lombard,IL60148
20-5876371
Operation of sleep lab IL N/A
                 


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
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Thelen Corporation

3040 W Salt Creek Lane
Arlington Heights,IL60005
36-3266316
Owns/leases property; joint venture partner IL N/A
C         No
(2) 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 -62,768 690,573 100.000 % Yes  
(3) Alexian Brothers Corpus Christi Housing Project LLC

3040 W Salt Creek Lane
Arlington Heights,IL60005
94-3465394
Tax credit financed housing IL N/A
C         No
(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 324,877 2,654,243 100.000 % Yes  






Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
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 related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) Alexian Brothers Senior Ministries

Q 1,730,599 FMV
(2) Alexian Brothers Senior Ministries

R 3,496,317 FMV
(3) Alexian Brothers Lansdowne Village

Q 777,852 FMV
(4) Alexian Brothers Lansdowne Village

R 786,022 FMV
(5) Alexian Brothers Community Services

Q 2,182,416 FMV
(6) Alexian Brothers Community Services

R 2,198,897 FMV
(7) Alexian Village of Tennessee

Q 2,325,468 FMV
(8) Alexian Village of Tennessee

S 2,900,000 FMV
(9) Alexian Village of Tennessee

R 5,142,200 FMV
(10) Alexian Brothers Sherbrooke Village

Q 1,458,001 FMV
(11) Alexian Brothers Sherbrooke Village

R 1,453,613 FMV
(12) Alexian Village of Milwaukee Inc

Q 1,720,049 FMV
(13) Alexian Village of Milwaukee Inc

R 1,721,036 FMV
(14) Alexian Brothers Hospital Network

K 98,571 FMV
(15) Alexian Brothers Hospital Network

R 61,012,097  
(16) Alexian Brothers Hospital Network

S 3,332,551 FMV
(17) Alexian Brothers Behavioral Health Hospital

Q 7,222,603 FMV
(18) Alexian Brothers Behavioral Health Hospital

S 1,000,000 FMV
(19) Alexian Brothers Behavioral Health Hospital

K 776,008 FMV
(20) Alexian Brothers Behavioral Health Hospital

R 14,764,366 FMV
(21) Alexian Brothers Medical Center

Q 39,315,725 FMV
(22) Alexian Brothers Medical Center

R 81,390,367 FMV
(23) Alexian Brothers Medical Center

K 270,983 FMV
(24) Alexian Brothers Medical Center

S 10,000,000 FMV
(25) Alexian Brothers Ambulatory Group

Q 4,417,388 FMV
(26) Alexian Brothers Ambulatory Group

R 14,700,000 FMV
(27) Alexian Brothers Ambulatory Group

K 2,804,927 FMV
(28) Alexian Brothers Ambulatory Group

S 5,762,103 FMV
(29) Alexian Brothers Specialty Group

Q 473,282 FMV
(30) Alexian Brothers Specialty Group

R 6,539,469 FMV
(31) Alexian Brothers Specialty Group

S 327,074 FMV
(32) Savelli Properties Inc

R 2,375,382 FMV
(33) Savelli Properties Inc

K 2,697,390 FMV
(34) St Alexius Medical Center

P 32,867,605 FMV
(35) St Alexius Medical Center

R 12,332,185 FMV
(36) St Alexius Medical Center

S 62,721,813 FMV
(37) Thelen Corporation

R 678,581 FMV
(38) Alexian Brothers Bonaventure House

P 219,771 FMV
(39) Alexian Brothers Bonaventure House

S 730,025 FMV
(40) Alexian Rehabilitation Services LLC

R 3,225,827 FMV
(41) Alexian Brothers of San Jose Inc

S 669,012 FMV
(42) Bonaventure Medical Foundation LLC

R 351,509 FMV
(43) Alexian Brothers Center for Mental Health

P 202,861 FMV
(44) Alexian Brothers Center for Mental Health

R 1,336,637 FMV
(45) Alexian Brothers Center for Mental Health

S 1,600,000 FMV
(46) Neurosciences Equipment LLC

R 362,380 FMV
(47) Illinois NeuroMeg Center LLC

R 195,253 FMV
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(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 Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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