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Nonprofiteer
← ALEXIAN BROTHERS OF SAN JOSE INC

Form 990 for tax year 2022

Filed by ALEXIAN BROTHERS OF SAN JOSE INC.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$1,771,111
Net assets or fund balances, end of year
-$1,771,111
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$0

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.

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 11g · Fees: other

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 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

  • 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 $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    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

  • 25 · Other liabilities

    beginning of year $2,323,106 · end of year $1,771,111

  • 27 · Net assets without donor restrictions

    beginning of year -$2,323,106 · end of year -$1,771,111

Mission and programs · 2022

Mission

ROOTED IN THE LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS.

Activities or mission (Part I)

To improve the health and well-being of all people in the communities we serve.

  • THE FILING ORGANIZATION IS A PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY. ASCENSION IS A FAITH-BASED HEALTHCARE ORGANIZATION THAT DELIVERS PERSONALIZED, COMPASSIONATE CARE TO ALL, ESPECIALLY TO THOSE WHO NEED IT THE MOST. PRIOR TO THE SALE OF A MAJORITY OF THE ASSETS AND LIABILITIES, THE CORPORATION OPERATED A CATHOLIC NOT-FOR-PROFIT ACUTE CARE HOSPITAL PROVIDING INPATIENT AND OUTPATIENT SERVICES. THE CORPORATION IS IN THE PROCESS OF WINDING DOWN ITS AFFAIRS.

As filed on the 2022 return.

Listed in Part VII

  • BROTHER DANIEL MCCORMICK CFA

    PRESIDENT, CEO

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • POLLY DAVENPORT

    CHAIR

    Total calculated
    $969,871
    From this org
    $0
    From related orgs
    $930,340
    Other
    $39,531
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $577,186 related
    Bonus
    $0 + $288,300 related
    Other
    $0 + $64,854 related
    Deferred
    $0 + $13,003 related
    Nontaxable benefits
    $0 + $26,528 related
    Filer's total
    $0 + $969,871 related

  • RICHARD DOUGLAS CARTER

    VICE PRESIDENT/TREASURER/CFO, ASCENSION ILLINOIS

    Total calculated
    $1,278,048
    From this org
    $0
    From related orgs
    $1,229,668
    Other
    $48,380
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $687,862 related
    Bonus
    $0 + $467,600 related
    Other
    $0 + $74,206 related
    Deferred
    $0 + $11,495 related
    Nontaxable benefits
    $0 + $36,885 related
    Filer's total
    $0 + $1,278,048 related

  • CARMEN L PHILLIPS

    SECRETARY

    Total calculated
    $102,749
    From this org
    $0
    From related orgs
    $82,023
    Other
    $20,726
    Hours/week
    0 + 50 related

  • EARL J BARNES II

    FORMER OFFICER (END 4/2022)

    Total calculated
    $330,877
    From this org
    $0
    From related orgs
    $304,129
    Other
    $26,748
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $265,324 related
    Bonus
    $0
    Other
    $0 + $38,805 related
    Deferred
    $0 + $12,115 related
    Nontaxable benefits
    $0 + $14,633 related
    Filer's total
    $0 + $330,877 related

  • KEITH A PARROTT

    FORMER OFFICER (END 6/2022)

    Total calculated
    $2,367,708
    From this org
    $0
    From related orgs
    $2,328,253
    Other
    $39,455
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $805,710 related
    Bonus
    $0 + $1,079,325 related
    Other
    $0 + $443,218 related
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $30,305 related
    Filer's total
    $0 + $2,367,708 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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4a Severance or change-of-control payment
THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING CALENDAR YEAR 2022: KEITH A PARROTT - $243,000
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

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.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

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.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
9 May 2024
IRS schema version
2022v5.0
Source object
202421309349303657

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