TY 2013 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Lawrence Herforth........................................................................ Director & Chairperson	1.00 .......................1.00	X	X			0	0
(2) Kathleen Gilmer........................................................................ Director & Vice Chairperson	1.00 .......................1.00	X	X			0	0
(3) Brother Daniel McCormick CFA........................................................................ Director & Secretary	1.00 .......................1.00	X	X			0	0
(4) John Werrbach........................................................................ Ex-Officio Member & President/CEO	50.00 .......................1.00	X	X			563,423	66,440
(5) Dennis Abella MD........................................................................ Director	1.00 .......................0.00	X				0	0
(6) John Furiasse MD........................................................................ Director	1.00 .......................50.00	X				573,993	22,152
(7) Patricia Merryweather........................................................................ Director	1.00 .......................1.00	X				0	0
(8) Thomas R Palmer........................................................................ Director	1.00 .......................1.00	X				0	0
(9) Robert Rao MD........................................................................ Director	1.00 .......................0.00	X				0	0
(10) Barry Glick DO........................................................................ Director	30.00 .......................0.00	X				178,164	0
(11) Dominic Mangone........................................................................ Director (start 5/14)	1.00 .......................1.00	X				0	0
(12) James Mortimer........................................................................ Director (end 8/13)	1.00 .......................1.00	X				0	0
(13) Sherri Vincent........................................................................ Treasurer	25.00 .......................25.00		X			428,847	33,235
(14) Donna Gauthier........................................................................ Assistant Secretary	1.00 .......................40.00		X			74,489	15,715
(15) Scott Peterson........................................................................ Vice President, Human Resources	1.00 .......................50.00			X		342,755	38,484
(16) Jon Rozenfeld........................................................................ Chief Operating Officer	25.00 .......................25.00			X		399,833	47,809
(17) Bryan Bertoglio........................................................................ Neurosurgeon	50.00 .......................0.00				X	841,416	28,157

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
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	134,723,715	128,446,041	6,277,674
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,186,021	4,943,894	242,127
9	Other employee benefits .......	17,000,862	16,208,064	792,798
10	Payroll taxes ...........	9,876,292	9,415,183	461,109
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	321,569		321,569
c	Accounting ...........	140,624	5,348	135,276
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
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) ........	41,704,274	40,617,985	1,086,289
12	Advertising and promotion ....	239,698	159,814	79,884
13	Office expenses .......	10,979,201	9,684,085	1,295,116
14	Information technology ......	96,412	86,771	9,641
15	Royalties ..
16	Occupancy ...........	13,151,846	11,836,662	1,315,184
17	Travel ............	531,991	501,452	30,539
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	73,889	65,029	8,860
20	Interest ...........	7,372,320	6,635,088	737,232
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	15,118,330	13,606,497	1,511,833
23	Insurance ..............	5,467,533	4,920,780	546,753
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	Medical Supplies	74,255,939	74,255,939	0	0
b	ABHN & ABHS Mgt. Fee	57,612,849	57,612,849		0
c	Medicaid Tax	20,193,309	20,193,309	0	0
d	Minority Interest	5,948,605	5,948,605	0	0
e	All other expenses	853,740	574,591	279,149
25	Total functional expenses. Add lines 1 through 24e	420,849,019	405,717,986	15,131,033	0
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 if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	18,672,913	1	26,523,432
2	Savings and temporary cash investments .........		2
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	50,478,705	4	57,146,586
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
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 .............		7
8	Inventories for sale or use ..............	7,549,251	8	8,536,866
9	Prepaid expenses and deferred charges ..........	820,485	9	400,430
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	248,399,742
b	Less: accumulated depreciation .....	10b	38,377,869	211,583,575	10c	210,021,873
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	3,052,048	15	984,880
16	Total assets. Add lines 1 through 15 (must equal line 34)......	292,156,977	16	303,614,067
	17	Accounts payable and accrued expenses .........	19,015,321	17	16,974,110
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............		20
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 ..		23
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....................	94,858,447	25	90,221,757
26	Total liabilities. Add lines 17 through 25.........	113,873,768	26	107,195,867
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	176,874,848	27	196,418,200
28	Temporarily restricted net assets ...........	729,469	28	0
29	Permanently restricted net assets ...........	678,892	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	178,283,209	33	196,418,200
34	Total liabilities and net assets/fund balances ........	292,156,977	34	303,614,067

- TIN:

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.

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 Medical Center

Employer identification number

36-2596381

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

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)		(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)		(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).

Gross receipts from related activities, etc. (see instructions) ..................

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

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

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)		(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)		(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.)..

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

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

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:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

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 Medical Center

Employer identification number

36-2596381

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... 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 Medical Center

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

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 Medical Center

Employer identification number

36-2596381

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

(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

(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

(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

(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:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Alexian Brothers Medical Center

Employer identification number

36-2596381

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

5,348

Total. Add lines 1c through 1i ...............................

5,348

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1:	Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Alexian Brothers Medical Center does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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 Medical Center

Employer identification number

36-2596381

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

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)? .......................................

Yes No

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.

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.

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

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:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

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 ....	678,892	928,892	928,892	928,892	923,617
b	Contributions ........					5,275
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	471,365	250,000
f	Administrative expenses ....
g	End of year balance ......	207,527	678,892	928,892	928,892	928,892

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

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		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	10,100,000		10,100,000
b	Buildings ................	190,680,917	17,768,919	172,911,998
c	Leasehold improvements ............	335,282	180,139	155,143
d	Equipment ................	46,343,461	20,299,543	26,043,918
e	Other .................	940,082	129,268	810,814
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				210,021,873

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther 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
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram 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.)

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









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

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
Due to Third Party Payors		42,638,911
Due to Affiliates		33,649,289
Other Current Liabilities		1,677,042
Other Long Term Liabilities		4,236,022
Reserve for Outstanding Insurance Losses		8,020,493




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		90,221,757
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

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 Medical Center: 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.

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 Medical Center: 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:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (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 Medical Center

Employer identification number

36-2596381

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other 60000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..		1,992	9,479,901		9,479,901	2.250 %
b	Medicaid (from Worksheet 3, column a) ....		22,189	56,267,922	36,735,636	19,532,286	4.640 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .		24,181	65,747,823	36,735,636	29,012,187	6.890 %
Other Benefits		5	7,087	433,649	26,269	407,380	0.100 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	5	7,087	433,649	26,269	407,380	0.100 %
f	Health professions education (from Worksheet 5) ..	2	607	923,343	281,819	641,524	0.150 %
g	Subsidized health services (from Worksheet 6) ..	3	737	688,264		688,264	0.160 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	1	11,059	141,159		141,159	0.030 %
j	Total. Other Benefits ..	11	19,490	2,186,415	308,088	1,878,327	0.440 %
k	Total. Add lines 7d and 7j .	11	43,671	67,934,238	37,043,724	30,890,514	7.330 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members	1	265	12,704	12,704	0 %
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other	1	1,078	4,649	4,649	0 %
10	Total	2	1,343	17,353	17,353

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

3,053,974

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

305,397

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

172,640,673

Enter Medicare allowable costs of care relating to payments on line 5.....

202,490,487

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-29,849,814

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number
1	Alexian Brothers Medical Center 800 Biesterfield Road Elk Grove Village,IL600073397 www.alexianbrothershealth.org/abmc 0002238	X	X	X	X

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Alexian Brothers Medical Center
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.alexianbrothershealth.org/abmc

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 600.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
Alexian Brothers Medical Center	Part V, Section B, Line 3: As part of the Community Health Needs Assessment, four focus groups were held in June, 2012. The focus groups were distributed geographically throughout the region, including three groups with county-level focus, and another focusing on the needs of residents specifically in North Cook County. In total, 31 key informants took part, including physicians, other health professionals, social service providers and community leaders. Each of the county-level groups also included representatives with expertise in public health. The focus groups provided qualitative as opposed to quantitative data and were designed to gather input from participants regarding their informed opinions and perceptions of the health of the residents in the area.
Alexian Brothers Medical Center	Part V, Section B, Line 4: The other hospital facilities with which the reporting hospital conducted its CHNA include:Adventist Midwest Health- Adventist La Grange Memorial Hospital- Adventist Glen Oaks Hospital- Adventist Hinsdale HospitalAlexian Brothers Health System- Alexian Brothers Behavioral Health Hospital- Alexian Brothers Medical Center- St. Alexius Medical CenterCadence Health- Central DuPage HospitalEdward HospitalElmhurst Memorial HospitalFranciscan St. James HospitalIngalls Health System- Ingalls Memorial HospitalLa Rabida Children's HospitalLittle Community of Mary Hospital & Health Care CentersNorthwest Community HospitalNorthwestern Lake Forest HospitalPalos Community HospitalPresence Health- Holy Family Medical Center- Our Lady of the Resurrection Medical Center- Resurrection Medical Center- Saint Francis Hospital- Saint Joseph Hospital- Saints Mary and Elizabeth Medical CenterRush University Medical Center- Rush Health- Rush Oak Park HospitalSaint Anthony HospitalSaint Bernard Hospital and Health CenterSwedish Covenant HospitalThorek Memorial HospitalUniversity of Chicago Medical CenterUniversity of Illinois Hospital & Health SystemVanguard Health SystemsMacNeal HospitalWeiss Memorial HospitalWestlake HospitalWest Suburban Medical Center
Alexian Brothers Medical Center	Part V, Section B, Line 5d: The Implementation Strategy was also made widely available at the following link:http://www.alexianbrothershealth.org/CommunityNeeds
Alexian Brothers Medical Center	Part V, Section B, Line 7: Disproportionate Unmet Community Health Needs Identified:- Access to Health Care Services -under and uninsured, cost of medication, lack of access to specialty care- Prevalence of Cancer - Chronic Kidney Disease- Diabetes - Heart Disease/Stroke - Low Birth Weight - Mental Health & Mental Disorders - Nutrition and Obesity- Oral Health - Pneumonia/Influenza Deaths Related to, caused by or exacerbated by Type II DiabetesMental Health and Access to Services were consistently the major issues for our community. These observations validated our own community experience and the quantitative data within the study. Mental Health access is being addressed through Alexian Brothers Behavioral Health Hospital (ABBHH). Access to healthcare will be improved through the Affordable Care Act, but there is still a need to support access through the provision of specialty physician care in partnership with Federally Qualified Health Centers.Type II Diabetes was selected as a high priority by Alexian Brothers Medical Center (ABMC) and St. Alexius Medical Center (St. Alexius) because many of the other community needs are directly or indirectly related. Chronic kidney disease, heart disease and stroke, nutrition and weight status are affected or even caused by Type II Diabetes. In our Emergency Department, many low income and Hispanic patients seek care for untreated diabetes and have no medical home (access to health services issue). Additionally, persons with Type II Diabetes complicated by co-morbidities are unable to access specialty endocrinologist care as such specialists generally will not accept the very low reimbursement offered by Medicaid. Low birth weight is being addressed via partnerships with the March of Dimes. Oral health is beginning to be provided by Federally Qualified Health Centers and did not meet feasibility criteria related to financial or clinical resources. Regarding cancer, one issue in the Community Health Analysis was a reduction in the number of women receiving mammograms. This is likely an artifact of confusion regarding screening recommendations and will be monitored to determine if there is a trend. The other issue is prevalence of cancer overall. This is likely due to the aging population in some parts of our service area; therefore, the number of existing cases may rise as people live longer with these cancers. This issue will require further investigation and trending to understand if this is actually a negative finding or just an artifact.Pneumonia and influenza vaccines are given a high priority in quality and outcome measures in our Accountable Care Organization and employed physician practices. In addition, all Alexian employees are required to have a vaccination for influenza to protect our patients. A Pneumonia vaccine is made available to all geriatric inpatients and all those over 18 are offered a flu vaccine.
Alexian Brothers Medical Center	Part V, Section B, Line 14g: All bills and statements include information regarding charity. The front of our statement includes this message: "If you are an uninsured Illinois resident and meet certain income requirements, you may qualify for a discount through our Alexian Assistance program in accordance with the Hospital Uninsured Patient Discount Act (effective April 1, 2009). For additional information, please contact us at 866-690-3370 or AlexianAssistance@alexian.net".The back of our statement includes this message: "If paying this bill presents a financial hardship, you may be eligible for financial assistance. Alexian Brothers Hospital Network provides assistance to patients in need of financial aid to help pay for their hospital bills. You may obtain an application by calling our staff at the number below or you may download the forms from the internet at www.alexianbrothershealth.org".In addition, all uninsured patients receive a letter from our Patient Financial services department once we complete a process of attempting to identify alternative coverage for uninsured patients. This letter is sent at the beginning of our statement cycle for each uninsured patient. The text of the letter is:"Thank you for choosing Alexian Brothers Medical Center as your healthcare provider. Your account currently has a balance of $xx; additional charges may be pending.We have no record that you have health insurance to help in paying your bill. If you have insurance, please provide the necessary information by filling out the stub above and faxing a copy of your insurance card to 847-483-7058, Attn: Correspondence Team.If you had insurance that ended within the last 60 days, you may be eligible for COBRA coverage from a former employer. Please contact your former employer to determine if you are eligible."ABMC uses multiple methods of communicating its mission of providing care to all who need it regardless of ability to pay. Signs posted at registration clearly point out that charity care or financial assistance is available. Alexian Brothers Health System's (ABHS) website, the main website for all System hospitals, including ABMC, features information on how to apply for charity care on-line. In the hospital setting, we employ four financial counselors who are available to work with patients and we also have Medicaid application specialists to assist patients that may qualify. In addition, all bills and statements include information regarding charity.
Alexian Brothers Medical Center	Part V, Section B, Line 20d: Alexian Brothers Medical Center uses the State of Illinois, Hospital Uninsured Patient Discount Act guidelines which specify that eligible patients should be charged 135% of hospital costs which for Alexian Brothers Medical Center approximates 32% of charges.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?5
Name and address		Type of Facility (describe)
1	Alexian Rehabilitation Hospital 955 Beisner Road Elk Grove Village,IL600073397	Healthcare Services
2	Alexian Brothers Hospice Residence 1000 Martha Street Elk Grove Village,IL60007	Healthcare Services
3	ABMC Diagnostic Imaging 1339 West Lake Street Addison,IL60101	Diagnostic Imaging Services
4	ABMC Cardiovascular Imaging 1555 Barrington Road Hoffman Estates,IL60169	Diagnostic Imaging Services
5	ABMC Diagnostic Imaging 1060 South Elmhurst Road Mount Prospect,IL60056	Diagnostic Imaging Services
6
7
8
9
10

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Alexian Brothers Medical Center	Part V, Section B, Line 3: As part of the Community Health Needs Assessment, four focus groups were held in June, 2012. The focus groups were distributed geographically throughout the region, including three groups with county-level focus, and another focusing on the needs of residents specifically in North Cook County. In total, 31 key informants took part, including physicians, other health professionals, social service providers and community leaders. Each of the county-level groups also included representatives with expertise in public health. The focus groups provided qualitative as opposed to quantitative data and were designed to gather input from participants regarding their informed opinions and perceptions of the health of the residents in the area.
Alexian Brothers Medical Center	Part V, Section B, Line 4: The other hospital facilities with which the reporting hospital conducted its CHNA include:Adventist Midwest Health- Adventist La Grange Memorial Hospital- Adventist Glen Oaks Hospital- Adventist Hinsdale HospitalAlexian Brothers Health System- Alexian Brothers Behavioral Health Hospital- Alexian Brothers Medical Center- St. Alexius Medical CenterCadence Health- Central DuPage HospitalEdward HospitalElmhurst Memorial HospitalFranciscan St. James HospitalIngalls Health System- Ingalls Memorial HospitalLa Rabida Children's HospitalLittle Community of Mary Hospital & Health Care CentersNorthwest Community HospitalNorthwestern Lake Forest HospitalPalos Community HospitalPresence Health- Holy Family Medical Center- Our Lady of the Resurrection Medical Center- Resurrection Medical Center- Saint Francis Hospital- Saint Joseph Hospital- Saints Mary and Elizabeth Medical CenterRush University Medical Center- Rush Health- Rush Oak Park HospitalSaint Anthony HospitalSaint Bernard Hospital and Health CenterSwedish Covenant HospitalThorek Memorial HospitalUniversity of Chicago Medical CenterUniversity of Illinois Hospital & Health SystemVanguard Health SystemsMacNeal HospitalWeiss Memorial HospitalWestlake HospitalWest Suburban Medical Center
Alexian Brothers Medical Center	Part V, Section B, Line 5d: The Implementation Strategy was also made widely available at the following link:http://www.alexianbrothershealth.org/CommunityNeeds
Alexian Brothers Medical Center	Part V, Section B, Line 7: Disproportionate Unmet Community Health Needs Identified:- Access to Health Care Services -under and uninsured, cost of medication, lack of access to specialty care- Prevalence of Cancer - Chronic Kidney Disease- Diabetes - Heart Disease/Stroke - Low Birth Weight - Mental Health & Mental Disorders - Nutrition and Obesity- Oral Health - Pneumonia/Influenza Deaths Related to, caused by or exacerbated by Type II DiabetesMental Health and Access to Services were consistently the major issues for our community. These observations validated our own community experience and the quantitative data within the study. Mental Health access is being addressed through Alexian Brothers Behavioral Health Hospital (ABBHH). Access to healthcare will be improved through the Affordable Care Act, but there is still a need to support access through the provision of specialty physician care in partnership with Federally Qualified Health Centers.Type II Diabetes was selected as a high priority by Alexian Brothers Medical Center (ABMC) and St. Alexius Medical Center (St. Alexius) because many of the other community needs are directly or indirectly related. Chronic kidney disease, heart disease and stroke, nutrition and weight status are affected or even caused by Type II Diabetes. In our Emergency Department, many low income and Hispanic patients seek care for untreated diabetes and have no medical home (access to health services issue). Additionally, persons with Type II Diabetes complicated by co-morbidities are unable to access specialty endocrinologist care as such specialists generally will not accept the very low reimbursement offered by Medicaid. Low birth weight is being addressed via partnerships with the March of Dimes. Oral health is beginning to be provided by Federally Qualified Health Centers and did not meet feasibility criteria related to financial or clinical resources. Regarding cancer, one issue in the Community Health Analysis was a reduction in the number of women receiving mammograms. This is likely an artifact of confusion regarding screening recommendations and will be monitored to determine if there is a trend. The other issue is prevalence of cancer overall. This is likely due to the aging population in some parts of our service area; therefore, the number of existing cases may rise as people live longer with these cancers. This issue will require further investigation and trending to understand if this is actually a negative finding or just an artifact.Pneumonia and influenza vaccines are given a high priority in quality and outcome measures in our Accountable Care Organization and employed physician practices. In addition, all Alexian employees are required to have a vaccination for influenza to protect our patients. A Pneumonia vaccine is made available to all geriatric inpatients and all those over 18 are offered a flu vaccine.
Alexian Brothers Medical Center	Part V, Section B, Line 14g: All bills and statements include information regarding charity. The front of our statement includes this message: "If you are an uninsured Illinois resident and meet certain income requirements, you may qualify for a discount through our Alexian Assistance program in accordance with the Hospital Uninsured Patient Discount Act (effective April 1, 2009). For additional information, please contact us at 866-690-3370 or AlexianAssistance@alexian.net".The back of our statement includes this message: "If paying this bill presents a financial hardship, you may be eligible for financial assistance. Alexian Brothers Hospital Network provides assistance to patients in need of financial aid to help pay for their hospital bills. You may obtain an application by calling our staff at the number below or you may download the forms from the internet at www.alexianbrothershealth.org".In addition, all uninsured patients receive a letter from our Patient Financial services department once we complete a process of attempting to identify alternative coverage for uninsured patients. This letter is sent at the beginning of our statement cycle for each uninsured patient. The text of the letter is:"Thank you for choosing Alexian Brothers Medical Center as your healthcare provider. Your account currently has a balance of $xx; additional charges may be pending.We have no record that you have health insurance to help in paying your bill. If you have insurance, please provide the necessary information by filling out the stub above and faxing a copy of your insurance card to 847-483-7058, Attn: Correspondence Team.If you had insurance that ended within the last 60 days, you may be eligible for COBRA coverage from a former employer. Please contact your former employer to determine if you are eligible."ABMC uses multiple methods of communicating its mission of providing care to all who need it regardless of ability to pay. Signs posted at registration clearly point out that charity care or financial assistance is available. Alexian Brothers Health System's (ABHS) website, the main website for all System hospitals, including ABMC, features information on how to apply for charity care on-line. In the hospital setting, we employ four financial counselors who are available to work with patients and we also have Medicaid application specialists to assist patients that may qualify. In addition, all bills and statements include information regarding charity.
Alexian Brothers Medical Center	Part V, Section B, Line 20d: Alexian Brothers Medical Center uses the State of Illinois, Hospital Uninsured Patient Discount Act guidelines which specify that eligible patients should be charged 135% of hospital costs which for Alexian Brothers Medical Center approximates 32% of charges.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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 Medical Center

Employer identification number

36-2596381

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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....

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? ..

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

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 .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable 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
(1)John WerrbachEx-Officio Member & President/CEO	(i) (ii)	0 439,800	0 91,375	0 32,248	0 38,835	0 27,605	0 629,863	0 32,248
(2)John Furiasse MDDirector	(i) (ii)	0 573,993	0 0	0 0	0 5,100	0 17,052	0 596,145	0 0
(3)Barry Glick DODirector	(i) (ii)	0 175,001	0 0	0 3,163	0 0	0 0	0 178,164	0 0
(4)Sherri VincentTreasurer	(i) (ii)	0 358,683	0 53,249	0 16,915	0 28,613	0 4,622	0 462,082	0 16,915
(5)Scott PetersonVice President, Human Resources	(i) (ii)	0 302,795	0 39,960	0 0	0 14,311	0 24,173	0 381,239	0 0
(6)Jon RozenfeldChief Operating Officer	(i) (ii)	0 348,324	0 51,509	0 0	0 17,191	0 30,618	0 447,642	0 0
(7)Bryan BertoglioNeurosurgeon	(i) (ii)	0 823,916	0 0	0 17,500	0 6,907	0 21,250	0 869,573	0 0
(8)Timothy MalischInterventional Neuroradiologist	(i) (ii)	0 874,979	0 0	0 17,500	0 10,081	0 22,440	0 925,000	0 0
(9)Szymon RosenblattNeurosurgeon	(i) (ii)	0 989,239	0 0	0 0	0 10,836	0 22,560	0 1,022,635	0 0
(10)Franklin MardenInterventional Neuroradiologist	(i) (ii)	0 694,230	0 0	0 0	0 9,865	0 21,420	0 725,515	0 0
(11)Paul RobisonNeurosurgeon	(i) (ii)	0 391,509	0 0	0 1,475,000	0 0	0 10,534	0 1,877,043	0 0
(12)Kathleen GundersonFormer Key Employee	(i) (ii)	0 227,882	0 35,248	0 14,010	0 46,287	0 16,595	0 340,022	0 14,010
(13)Linda BakerFormer Key Employee	(i) (ii)	0 178,665	0 28,268	0 3,427	0 34,706	0 32,675	0 277,741	0 3,427
(14)Jim LewandowskiFormer Key Employee	(i) (ii)	0 0	0 0	0 722,305	0 0	0 15,727	0 738,032	0 722,305

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

Alexian Brothers Health System, a related organization of Alexian Brothers Medical Center, uses the following methods to establish the compensation of the organization's CEO/Executive Director: - Compensation Committee - Independent compensation consultant - Form 990 of other organizations - Compensation survey or study - Approval by the Board or Compensation Committee

Part I, Line 4a:

The following individual listed in Schedule J was paid the referenced amount of severance in calendar 2013: Paul Robison - $1,475,000 The following individual listed in Schedule J received the referenced amount of change in control payments in calendar 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. The amount paid in calendar 2013 was included in income in Schedule J for the following individual: Kathleen Gunderson- $1,108

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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 Medical Center

Employer identification number

36-2596381

Return Reference	Explanation
Form 990, Part III, Line 4a, Program Service Accomplishments	Ranked 7th 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 the 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), a Geropsych unit and a Hospice residence, Pediatrics, Bariatric Surgery, Orthopedics and Obstetrics. It also includes a 72-bed inpatient rehabilitation hospital. ABMC is the first Certified Comprehensive Stroke Center in the Chicago area 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 1 specialty and high performing in 11 specialties by U.S. News & World Report and has received the Blue Cross Blue Star of Distinction. In 2014, ABMC treated more than 17,548 inpatients, performed 4,506 inpatient surgeries, performed 7,456 outpatient surgeries and delivered 1,863 newborns. Our medical staff includes approximately 900 physicians representing more than 80 medical and surgical specialties. ABMC provides care for all, including the financially disadvantaged, uninsured, underinsured, homeless persons and those who receive public aid. In 2014, ABMC provided $9,480,000 of charity care at cost. This was in addition to other community benefits services amounting to $1,878,000, $29,850,000 of unreimbursed Medicare costs to patients, $3,054,000 of bad debt expense at cost and $19,532,000 of unreimbursed Medicaid at cost. About the Alexian Brothers Health System: Alexian Brothers Medical Center is a member hospital of the Alexian Brothers Health System, a comprehensive and diversified healthcare organization headquartered in the northwest suburbs of Chicago, serving more than two million people. Alexian Brothers Health System is a Ministry Organization of Ascension Health, the largest Catholic health system in the nation. The Alexian Brothers Health System has an enduring commitment to identifying and developing an effective response to the unique health and housing needs of older adults through a dynamic senior ministries program that operates an array of residential, retirement and community resources. These ministries exist to continue the Alexian Brothers mission of caring for the sick, the poor and the dying and promoting the physical, mental, spiritual and social health and well-being of all individuals we serve. Clinical Institutes: Cancer Institute The Cancer Institute provides comprehensive oncology services across the entire Alexian Brothers Hospital Network. Accredited by the American College of Surgeons as a Comprehensive Community Hospital Program, our Cancer Institute boasts five-year survival rates that exceed the American Cancer Society's national statistics for breast, ovarian, lung and colon cancers. The comprehensive treatment care center at ABMC utilizes cutting-edge technologies, including 64-slice Computed Tomography (CT) Scan, Positron Emission Tomography (PET) Scan, Digital Mammography and Breast Magnetic Resonance Imaging (MRI) as diagnostic tools. At ABMC, radiation therapy can be delivered through the following techniques: Intensity Modulated Radiation Therapy, Image Guided Radiotherapy Rapid Arc, Low Dose Rate and High Dose Rate Brachytherapy, Savy and MammoSite Breast Therapy Treatment. ABMC is accredited by The American College of Surgeons Commission on Cancer as a Comprehensive Community Cancer Center. In addition, the National Accreditation Program for Breast Centers has accredited ABMC. 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. Open-heart surgery procedures include coronary artery bypass grafts, valve repair and replacement and repair of congenital heart defects performed using minimally invasive techniques, when appropriate. In addition to coronary angioplasty and stenting, services include coronary arthrectomy and embolectomy, stenting for chronic total occlusions, implantation of pacemakers and internal defibrillators to regulate the heart's electrical impulses and implantation of mechanized heart pumps. Ablation therapy, transmyocardial revascularization, endovascular stenting for abdominal aortic aneurysm and carotid artery stenting are also performed. In addition, the interventional areas perform a full array of limb saving complex peripheral arterial and venous procedures. State-of-the-art diagnostic procedures include electrophysiology mapping and intravascular ultrasound with fractional flow reserve. The latest in technological advancements and minimally invasive procedures are contributing to shorter hospital stays, reduced risk of complications and faster recovery. A comprehensive cardiac rehabilitation program follows patients through their recovery, enabling patients to resume their daily activities safely and confidently. 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 a high quality of life. In addition, we are working to provide scientific insight into how to lower the risk of developing certain neurological diseases. Services include the Center for Brain Research, Clinical Research, the Epilepsy Center, Illinois Gamma Knife Center, Illinois Magnetoencephalography (MEG) Center, Interventional Neuroradiology, Memory Disorders Center, Movement Disorders Center, Neuropsychological Services, Neurosurgery, Pediatric Neuropsychological Services, Stroke Prevention, Second Opinion Stroke Clinic, Stroke Rehabilitation and Vertebroplasty for Spinal Compression Fractures. Alexian Brothers is a Certified Comprehensive Stroke Center. Services: Diagnostic Services Our diagnostic services include the latest technology and practices, which are accredited by nationally recognized agencies and associations, such as The American Diabetes Association, American College of Radiology, The College of American Pathologists and The Joint Commission. Diagnostic services offered include: - Diagnostic imaging (general X-ray, CT, MRI, PET, ultrasound, nuclear medicine) - Breast Care Services (screening and 3D diagnostic mammography, breast biopsy ultrasound, stereotactic breast biopsy, bone densitometry, genetic counseling, MammaCare breast self examination instructions) - Cardiology (cardiac catheterization, electrophysiology, EKG, stress testing, elechocardiography, holter monitoring of arrhythmias) - Pulmonary Diagnostics (arterial blood gas analysis) - Gastroenterology (colonoscopy, bronchoscopy) - Laboratory/Pathology (chemistry, microbiology, hematology, histology, cytology, phlebotomy, transfusion services) Emergency Department Emergency medical care is provided 24/7 for all ages and types of patients, regardless of the ability to pay for such services. The emergency department is designated a Level II Trauma Center. In addition, a helipad allows for rapid transport of critical cases to a Level I facility. The Emergency Department has been redesigned to be senior friendly with protocols, amenities and services geared toward our aging population. In addition, ABMC has established a program called "CN EmergiKids", wherein Board-Certified Pediatric Emergency physicians are available to treat pediatric patients in the Emergency Department. The specialized pediatric treatment area includes child-sized equipment, colorful decoration and toys to provide children with a comforting environment. Obstetrics ABMC's caring obstetrical team has the experience and expertise to address the needs of the families we serve. Our highly trained staff includes a multi-lingual group of board certified obstetricians and OB/GYNs who offer expert prenatal and post-delivery care, and lactation educators who are specialists in breastfeeding. As a state-designated Level IIe (exception) Perinatal Center, ABMC offers 24-hour coverage by board certified neonatologists - a pediatrician with special training in the care of healthy newborns as well as those with special needs. A perinatologist is on staff to meet the special needs of mothers whose pregnancies are high risk.
Older Adult	Our Older Adult Services are designed to provide an innovative, seamless continuum of care for older adults from wellness, to early detection of disease, through inpatient and post-acute care. Our overall goal is to optimize the quality of life, addressing the physical, emotional, social and spiritual needs of older adults. Orthopedics Recognized as one of the leading centers for orthopedics in the Midwest, our Orthopedic Services enlist a comprehensive leading-edge approach to the prevention, assessment, treatment and rehabilitation of musculoskeletal injuries, including aching backs, arthritis pain, sports injuries, and work injuries. We offer treatment and services for Emergency Fractures, Foot and Ankle, Hand and Upper Extremity, Wrist, Shoulder and Elbow, Partial Joint Replacements with Alternative Options, Sports Medicine, Surgical Spine Procedures, Pediatric Care and Total Joint Replacement and Reconstruction. Pediatrics Our pediatric services offer care by physicians, nurses and staff who have expertise in pediatric medical care. Our staff of pediatricians includes sub-specialists covering a wide range of medicine, including many who are board certified and fellowship trained in their specialties. Special Outpatient Services - Cancer Program: Diagnostics, chemotherapy & surgery - Community Outreach: Health education classes/programs & health screenings - Diabetes Program: Treatment and education - Outpatient Rehabilitation (Day Rehab programs) - Home Health Services - Home Infusion Services - Hospice Services - Sleep Lab - Procedure Clinic: For patients undergoing procedures requiring a short hospital stay (no more than 12 hours). Procedures include blood transfusions, CT biopsies, arteriogram, angiograms, outpatient chemotherapy, antibiotic therapy, pain management and other treatments - Rehabilitation: Physical, Occupational & Speech Therapy - Physician Referral - Volunteer Program - Vein Clinic - Wound Clinic (Hyperbaric chamber) Surgical Services Surgical procedures are performed in our state-of-the-art facility. We offer a wide-range of procedures in orthopedic, gynecology, urology, general surgery, podiatry, ear, nose and throat, pain management, neurosurgery, open heart surgery, cosmetic surgery, oral/maxillofacial, and ophthalmology. Weight Management Alexian Brothers Advanced Weight Loss Solutions offers expert medical treatment, behavioral support and surgical interventions for weight loss such as Lap Band, sleeve gastrectomy, and gastric bypass surgery. The American Society for Bariatric Surgery (ASBS), the largest society for this specialty, named the ABMC Bariatric surgery program a nationally designated "Center of Excellence". The Blue Cross Blue Shield Association has also identified ABMC as a Designated Center for Bariatric Surgery. Inpatient Rehabilitation Hospital Alexian Rehabilitation Hospital, part of ABMC, is a 72-bed inpatient rehabilitation facility. Its doctors, nurses and therapists are experts in every aspect of rehabilitation medicine. They work together through a team approach to meet the physical, emotional and spiritual needs of patients and families. The staff strives to provide each patient with the best possible care by recognizing that every patient's needs and goals are different. For many patients, the first phase of rehabilitation can be the most important, requiring the most intensive treatment and the daily care of a physiatrist, a doctor who specializes in physical medicine and rehabilitation. Rehabilitation is an active process, and before being admitted to inpatient care, the patient should be able to do a minimum of three hours of therapy each day. Our Stroke Rehabilitation Program offers a breadth of services along with a highly experienced professional staff to help patients achieve the highest quality of life possible. Treatment is provided for patients recovering from strokes of all types including: Ischemic, Intracerebral and Subarachnoid hemorrhage. Patients learning to walk again after a stroke and neurological injuries are benefiting from a revolutionary new device in the KineAssist Robot, which represents a giant leap forward in effectiveness. The KineAssist Robot applies robotic technology to help patients learn to walk forward and backward, step sideways, climb stairs and regain the balance, strength and mobility to carry on daily activities without the fear of falling. Our professional experience, expertise and team approach to rehabilitation translates into higher rates of patient satisfaction and better overall patient outcomes.
Form 990, Part V, Line 1a:	Alexian Brothers Health System, a related organization of Alexian Brothers Medical Center, 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 2	Jon Rozenfeld, Donna Gauthier, John Werrbach, Sherri Vincent, John Furiasse, M.D., Scott Peterson, and Barry Glick, D.O. have a business relationship due to joint employment by a common health system entity.
Form 990, Part VI, Section A, line 6	Alexian Brothers Medical Center has two classes of corporate members, Alexian Brothers Health System (the "National Member") and Alexian Brothers Hospital Network (the "Area Member").
Form 990, Part VI, Section A, line 7a	Alexian Brothers Health System has the authority to appoint and remove Directors and Executive Officers of Alexian Brothers Medical Center.
Form 990, Part VI, Section A, line 7b	All decisions that have a material impact to Alexian Brothers Medical Center's financial information or corporation as a whole are subject to approval by the National Member, Alexian Brothers Health System.
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 15	In determining compensation of the organization's CEO the process, performed by Alexian Brothers Health System, a related organization of Alexian Brothers Medical Center, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee of the Board of Governors of Alexian Brothers Health System reviewed and approved the compensation. In the review of the compensation, the compensation of the CEO was compared to the compensation of those in positions in other similarly situated organizations that hold the same or a similar title. During the review and approval of the compensation, the documentation of the decision was recorded in the Compensation 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 Medical Center are available through the Office of the Illinois Attorney General. Conflicts of Interest statements and the governing documents of Alexian Brothers Medical Center are not made available to the public.
Form 990, Part XI, line 9:	Transfers to Alexian Brothers Health System -10,755,605. Net activity -829,469.
Form 990, Part XII, Line 2b:	The financial statements of Alexian Brothers Medical Center were audited on a consolidated basis. The Audit Committee of the Board of Governors of Alexian Brothers Health System has been delegated the responsibility to oversee the audited financial statements and the selection of the independent accountants that audit the financial statements.

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:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach 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 Medical Center

Employer identification number

36-2596381

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?
(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	Yes	No
(1) Ascension Health Alliance PO Box 45998 St Louis,MO63145 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 Health System 3040 W Salt Creek Lane Arlington Heights,IL60005 36-3260495	Supports provision of healthcare services for related corporations	IL	Section 501(c)(3)	Schedule A, Line 11c	Ascension Health		No
(4) 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
(5) Alexian Brothers Health System Inc Investment Trust 3040 W Salt Creek Lane Arlington Heights,IL60005 36-3801585	Manages pooled investments of related not-for-profit entities	IL	Section 501(c)(3)	Schedule A, Line 11c	Alexian Brothers Health System	Yes
(6) 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
(7) 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
(8) 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
(9) 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
(10) 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
(11) 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
(12) 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
(13) 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
(14) 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
(15) 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
(16) 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
(17) 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
(18) 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
(19) 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
(20) 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
(21) 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
(22) 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

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	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	Alexian Brothers Medical Center	Related	-253,533	318,788		No			No	71.430 %
(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	N/A
(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	(i) Section 512(b)(13) controlled entity?
(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	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	N/A	C				No
(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	N/A	C				No

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

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 . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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 Health System	P	39,315,725	FMV
(2) Alexian Brothers Health System	S	81,390,367	FMV
(3) Alexian Brothers Health System	J	270,983	FMV
(4) Alexian Brothers Health System	R	10,000,000	FMV
(5) Alexian Brothers Hospital Network	P	32,240,470	FMV

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

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

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Acute Care Hospital.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	907
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,782,113
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-1,271,320

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,602,777	1,335,031
9	Program service revenue (Part VIII, line 2g) .........	433,663,337	447,875,650
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	20,072	78,500
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,271,409	1,279,903
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	439,557,595	450,569,084
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
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)	167,748,240	166,786,890
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	242,902,043	254,062,129
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	410,650,283	420,849,019
19	Revenue less expenses. Subtract line 18 from line 12.......	28,907,312	29,720,065
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	292,156,977	303,614,067
21	Total liabilities (Part X, line 26).............	113,873,768	107,195,867
22	Net assets or fund balances. Subtract line 21 from line 20.....	178,283,209	196,418,200

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 222,831,548 including grants of $ ) (Revenue $ 193,359,011 )
	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 the Chicago's northwest suburbs for more than 40 years. Located at 800 Biesterfield Road, ABMC is ranked one of the best regional hospitals by U.S. News and World Report.In 2014, ABMC treated more than 17,548 inpatients, performed 4,506 inpatient surgeries and delivered 1,863 newborns. Our medical staff includes approximately 900 physicians representing more than 80 medical and surgical specialties. (See continuation on Schedule O).

4b	(Code: ) (Expenses $ 153,260,445 including grants of $ ) (Revenue $ 216,845,563 )
	Outpatient Services performed in 2014:- 7,456 outpatient surgeries- 121,145 Diagnostic images including general X-ray, CT, MRI, PET, Ultrasound, Nuclear Medicine and others- 1,133,869 laboratory tests- 48,086 Emergency Room visits.The complete description of Alexian Brothers Medical Center Outpatient Programs is included with the Inpatient Programs in line 4a.

4c	(Code: ) (Expenses $ 29,625,993 including grants of $ ) (Revenue $ 34,248,871 )
	Inpatient Rehabilitation Services performed in 2014:- 1,523 inpatients were treatedThe complete description of Alexian Brothers Medical Center Inpatient Rehabilitation Programs is included with the Inpatient Programs in line 4a.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses405,717,986

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	0	9,055,182	505,718

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(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
(A) Name and Title
(18) Timothy Malisch........................................................................ Interventional Neuroradiologist	50.00 .......................0.00	X		0	892,479	32,521
(19) Szymon Rosenblatt........................................................................ Neurosurgeon	50.00 .......................0.00	X		0	989,239	33,396
(20) Franklin Marden........................................................................ Interventional Neuroradiologist	50.00 .......................0.00	X		0	694,230	31,285
(21) Paul Robison........................................................................ Neurosurgeon	50.00 .......................0.00	X		0	1,866,509	10,534
(22) Kathleen Gunderson........................................................................ Former Key Employee	25.00 .......................25.00		X	0	277,140	62,882
(23) Linda Baker........................................................................ Former Key Employee	0.00 .......................50.00		X	0	210,360	67,381
(24) Jim Lewandowski........................................................................ Former Key Employee	0.00 .......................0.00		X	0	722,305	15,727

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		1,332,434
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		2,597

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			1,335,031
			Business Code
2a	General Hospital Svcs		621990	255,429,493	255,429,493
b	Medicare & Medicaid		621990	181,184,668	181,184,668
c	Meaningful Use		621990	3,653,705	3,653,705
d	Lab Services		621500	2,843,540		2,843,540
e	Outpatient Pharmacy		446110	1,307,746	729,081	578,665
f	All other program service revenue .			3,456,498	3,456,498
g	Total. Add lines 2a–2f........			447,875,650
3	Investment income (including dividends, interest, and other similar amounts).......
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	1,575,694
b	Less: rental expenses	2,035,697
c	Rental income or (loss)	-460,003
d	Net rental income or (loss).......			-460,003			-460,003
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		78,500
b	Less: cost or other basis and sales expenses		0
c	Gain or (loss)		78,500
d	Net gain or (loss)..........			78,500			78,500
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
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..
Miscellaneous Revenue			Business Code
11a	Cafeteria Sales		722210	1,379,998			1,379,998
b	Answering Service		561000	359,908		359,908
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,739,906
12	Total revenue. See Instructions......			450,569,084	444,453,445	3,782,113	998,495


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			18,672,913	1	26,523,432
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			50,478,705	4	57,146,586
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
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 .............				7
8	Inventories for sale or use ..............			7,549,251	8	8,536,866
9	Prepaid expenses and deferred charges ..........			820,485	9	400,430
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	248,399,742
b	Less: accumulated depreciation .....	10b	38,377,869	211,583,575	10c	210,021,873
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			3,052,048	15	984,880
16	Total assets. Add lines 1 through 15 (must equal line 34)......			292,156,977	16	303,614,067
17	Accounts payable and accrued expenses .........			19,015,321	17	16,974,110
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............				20
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 ..				23
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....................			94,858,447	25	90,221,757
26	Total liabilities. Add lines 17 through 25.........			113,873,768	26	107,195,867
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			176,874,848	27	196,418,200
28	Temporarily restricted net assets ...........			729,469	28	0
29	Permanently restricted net assets ...........			678,892	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			178,283,209	33	196,418,200
34	Total liabilities and net assets/fund balances ........			292,156,977	34	303,614,067