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Nonprofiteer
← ALVERNO PROVENA HOSPITAL LABORATORIES INC

Form 990 for tax year 2022

Filed by ALVERNO PROVENA HOSPITAL LABORATORIES INC.

Totals

Total revenue
$199,008,778
Total expenses
$198,982,904
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$198,869,421
Investment income
$139,357
Other revenue
$0
Total assets, end of year
$22,784,498
Total liabilities, end of year
$22,634,498
Net assets or fund balances, end of year
$150,000
Program services expenses (Part IX)
$183,194,782
Management and general expenses
$15,788,122
Fundraising expenses
$0
Program service expenses (Part III)
$183,194,782

Program services were 92.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: LAB SERVICES FOR PATRON HOSPITALS

    total $198,869,421 · related or exempt $198,869,421

  • 3 · Investment income

    total $139,357 · excluded $139,357

  • 10a · Gross sales of inventory

    $1,100,641

  • 10b · Cost of goods sold

    $1,100,641

  • 10c · Net income from sales of inventory

    total $0

Functional expenses

Part IX, the statement of functional expenses.

  • 11g · Fees: other

    total $57,176,395 · program services $54,492,557 · management and general $2,683,838

  • 13 · Office expenses

    total $1,447,695 · program services $1,447,695

  • 14 · Information technology

    total $59,415 · program services $59,415

  • 16 · Occupancy

    total $839 · management and general $839

  • 17 · Travel

    total $60,895 · program services $60,895

  • 19 · Conferences, conventions and meetings

    total $75 · program services $75

  • 24a · Other expenses: COMPENSATION PAID BY AC

    total $80,591,134 · program services $72,539,620 · management and general $8,051,514

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $38,608,320 · program services $38,608,320

  • 24c · Other expenses: REFERENCE LABORATORY

    total $10,691,663 · program services $10,691,663

  • 24d · Other expenses: ALL OTHER EXPENSES

    total $8,191,427 · program services $3,139,496 · management and general $5,051,931

  • 24e · All other expenses

    total $2,155,046 · program services $2,155,046

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $9,898,016 · end of year $1,566,996

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $7,968,650 · end of year $9,250,745

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $434,819 · end of year $255,818

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $77,592 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $8,871,517 · end of year $10,027,709

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $1,683,230

  • 17 · Accounts payable and accrued expenses

    beginning of year $13,457,689 · end of year $12,873,593

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $13,642,905 · end of year $9,760,905

  • 27 · Net assets without donor restrictions

    beginning of year $150,000 · end of year $150,000

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

SEE SCHEDULE O

Activities or mission (Part I)

BRINGING CHRIST'S MINISTRY TO THOSE WE SERVE THROUGH TIMELY HIGH-QUALITY LAB TESTING TO OUR 24 NOT-FOR-PROFIT HOSPITALS AND AFFILIATES LOCATED THROUGHOUT ILLINOIS AND INDIANA.

  • ALVERNO PROVENA HOSPITAL LABORATORIES, INC.'S (APHL) PRIMARY FUNCTION IS TO PROVIDE LABORATORY TESTING SERVICES TO ITS TWENTY-FOUR (24) AFFILIATED NOT-FOR-PROFIT HOSPITALS AND AFFILIATES LOCATED THROUGHOUT ILLINOIS AND INDIANA. THE ORGANIZATION MAINTAINS A STRATEGIC PLAN THAT IS STRUCTURED ON THE FOLLOWING FIVE AREAS: STEWARDSHIP, PEOPLE, SERVICE, GROWTH, AND QUALITY. (CONTINUED IN SCHEDULE O)

    Expenses $183,194,782 · Revenue $198,869,421

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • THOMAS GRYZBEK

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DOUG CARTER

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MARK FRITSCH MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ROBYN PARKER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • BARBARA ANDERSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JENNIFER MARION

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DR JANIS ATKINSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DR RICHARD SCOTT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SAMUEL C TERESE

    CEO/PRESIDENT

    Total calculated
    $732,089
    From this org
    $0
    From related orgs
    $700,443
    Other
    $31,646
    Hours/week
    32 + 8 related

    Schedule J breakdown matched by us

    Base
    $0 + $531,856 related
    Bonus
    $0 + $168,587 related
    Other
    $0
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $19,446 related
    Filer's total
    $0 + $732,089 related

  • STEVEN G WOJNICKI

    VP FINANCE

    Total calculated
    $452,288
    From this org
    $0
    From related orgs
    $421,874
    Other
    $30,414
    Hours/week
    32 + 8 related

    Schedule J breakdown matched by us

    Base
    $0 + $339,568 related
    Bonus
    $0 + $82,306 related
    Other
    $0
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $18,214 related
    Filer's total
    $0 + $452,288 related

  • BERNARD H HENRY

    VP HUMAN RESOURCES

    Total calculated
    $377,640
    From this org
    $0
    From related orgs
    $346,902
    Other
    $30,738
    Hours/week
    32 + 8 related

    Schedule J breakdown matched by us

    Base
    $0 + $280,030 related
    Bonus
    $0 + $66,872 related
    Other
    $0
    Deferred
    $0 + $10,895 related
    Nontaxable benefits
    $0 + $19,843 related
    Filer's total
    $0 + $377,640 related

  • MARTHA LAMPMAN

    REGIONAL LAB DIRECTOR

    Total calculated
    $177,024
    From this org
    $0
    From related orgs
    $170,211
    Other
    $6,813
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $169,711 related
    Bonus
    $0 + $500 related
    Other
    $0
    Deferred
    $0 + $6,736 related
    Nontaxable benefits
    $0 + $77 related
    Filer's total
    $0 + $177,024 related

  • AZUCENA QUEVEDO

    MED TECH I

    Total calculated
    $180,389
    From this org
    $0
    From related orgs
    $172,512
    Other
    $7,877
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $172,412 related
    Bonus
    $0 + $100 related
    Other
    $0
    Deferred
    $0 + $6,917 related
    Nontaxable benefits
    $0 + $960 related
    Filer's total
    $0 + $180,389 related

  • MARTHA ADAME-GARCIA

    MT COORDINATOR

    Total calculated
    $190,201
    From this org
    $0
    From related orgs
    $173,296
    Other
    $16,905
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $173,196 related
    Bonus
    $0 + $100 related
    Other
    $0
    Deferred
    $0 + $7,041 related
    Nontaxable benefits
    $0 + $9,864 related
    Filer's total
    $0 + $190,201 related

  • ROBIN ADES

    REGIONAL LAB DIRECTOR

    Total calculated
    $183,912
    From this org
    $0
    From related orgs
    $165,360
    Other
    $18,552
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $164,860 related
    Bonus
    $0 + $500 related
    Other
    $0
    Deferred
    $0 + $6,762 related
    Nontaxable benefits
    $0 + $11,790 related
    Filer's total
    $0 + $183,912 related

  • SHIRLEY KOREN

    ASSOCIATE REGIONAL LAB

    Total calculated
    $172,515
    From this org
    $0
    From related orgs
    $159,560
    Other
    $12,955
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $159,060 related
    Bonus
    $0 + $500 related
    Other
    $0
    Deferred
    $0 + $6,599 related
    Nontaxable benefits
    $0 + $6,356 related
    Filer's total
    $0 + $172,515 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
ALVERNO CLINICAL LABORATORIES, LLC (ACL), A RELATED ORGANIZATION IS THE PAY AGENT FOR ALVERNO PROVENA HOSPITAL LABORATORIES, INC. (APHL). ACL USED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR APHL'S TOP MANAGEMENT OFFICIALS: -INDEPENDENT COMPENSATION CONSULTANT -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE -COMPENSATION COMMITTEE -COMPENSATION SURVEY OR STUDY

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Provenance

Return type
form_990
Tax year
2022
Filed
31 October 2023
IRS schema version
2022v5.0
Source object
202343059349301749

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