Form 990 for tax year 2023
Filed by ALVERNO PROVENA HOSPITAL LABORATORIES INC.
Totals
- Total revenue
- $194,090,219
- Total expenses
- $194,137,980
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $193,608,074
- Investment income
- $482,145
- Other revenue
- $0
- Total assets, end of year
- $25,578,423
- Total liabilities, end of year
- $25,428,423
- Net assets or fund balances, end of year
- $150,000
- Program services expenses (Part IX)
- $177,466,002
- Management and general expenses
- $16,671,978
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $177,466,002
Program services were 91.4% 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 $193,608,074 · related or exempt $193,608,074
-
3 · Investment income
total $482,145 · excluded $482,145
-
10a · Gross sales of inventory
$1,429,972
-
10b · Cost of goods sold
$1,429,972
-
10c · Net income from sales of inventory
total $0
Functional expenses
Part IX, the statement of functional expenses.
-
11g · Fees: other
total $60,594,922 · program services $57,760,686 · management and general $2,834,236
-
13 · Office expenses
total $984,432 · program services $984,432
-
14 · Information technology
total $76,823 · program services $76,823
-
17 · Travel
total $56,926 · program services $56,926
-
19 · Conferences, conventions and meetings
total $195 · program services $195
-
24a · Other expenses: COMPENSATION PAID BY AC
total $80,029,211 · program services $71,526,502 · management and general $8,502,709
-
24b · Other expenses: MEDICAL SUPPLIES
total $30,208,770 · program services $30,208,770
-
24c · Other expenses: REFERENCE LABORATORY
total $11,257,505 · program services $11,257,505
-
24d · Other expenses: ALL OTHER EXPENSES
total $8,712,638 · program services $3,377,605 · management and general $5,335,033
-
24e · All other expenses
total $2,216,558 · program services $2,216,558
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 $1,566,996 · end of year $7,516,349
-
3 · Pledges and grants receivable
beginning of year $0 · end of year $0
-
4 · Accounts receivable
beginning of year $9,250,745 · end of year $5,098,315
-
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 $255,818 · end of year $453,581
-
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
-
11 · Investments: publicly traded securities
beginning of year $0 · end of year $0
-
12 · Investments: other securities
beginning of year $10,027,709 · end of year $11,382,289
-
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 $1,683,230 · end of year $1,127,889
-
17 · Accounts payable and accrued expenses
beginning of year $12,873,593 · end of year $13,501,162
-
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 $9,760,905 · end of year $11,927,261
-
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 · 2023
Mission
SEE SCHEDULE O
Activities or mission (Part I)
BRINGING CHRIST'S MINISTRY TO THOSE WE SERVE THROUGH TIMELY HIGH-QUALITY LABORATORY TESTING TO OUR 22 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-TWO (22) 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 $177,466,002 · Revenue $193,608,074
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Thomas GryzbekTHOMAS GRYZBEK
CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Doug CarterDOUG CARTER
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Mark Fritsch MDMARK FRITSCH MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Robyn ParkerROBYN PARKER
DIRECTOR (TERM NOV23)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Barbara AndersonBARBARA ANDERSON
DIRECTOR (TERM DEC23)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Jennifer MarionJENNIFER MARION
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Dr Janis AtkinsonDR JANIS ATKINSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Dean HobsonDEAN HOBSON
DIRECTOR (START NOV23)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Dr James CallaghanDR JAMES CALLAGHAN
DIRECTOR (START DEC23)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Robert SumterROBERT SUMTER
DIRECTOR (START JUN23)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Samuel C TereseSAMUEL C TERESE
CEO/PRESIDENT
- Total calculated
- $755,455
- From this org
- $0
- From related orgs
- $722,788
- Other
- $32,667
- Hours/week
- 32 + 8 related
Schedule J breakdown matched by us
- Base
- $0 + $549,837 related
- Bonus
- $0 + $172,951 related
- Other
- $0
- Deferred
- $0 + $13,200 related
- Nontaxable benefits
- $0 + $19,467 related
- Filer's total
- $0 + $755,455 related
-
Steven G WojnickiSTEVEN G WOJNICKI
VP FINANCE
- Total calculated
- $467,450
- From this org
- $0
- From related orgs
- $435,313
- Other
- $32,137
- Hours/week
- 32 + 8 related
Schedule J breakdown matched by us
- Base
- $0 + $350,800 related
- Bonus
- $0 + $84,513 related
- Other
- $0
- Deferred
- $0 + $13,200 related
- Nontaxable benefits
- $0 + $18,937 related
- Filer's total
- $0 + $467,450 related
-
Bernard H HenryBERNARD H HENRY
VP HUMAN RESOURCES
- Total calculated
- $390,840
- From this org
- $0
- From related orgs
- $358,147
- Other
- $32,693
- Hours/week
- 32 + 8 related
Schedule J breakdown matched by us
- Base
- $0 + $289,453 related
- Bonus
- $0 + $68,694 related
- Other
- $0
- Deferred
- $0 + $11,274 related
- Nontaxable benefits
- $0 + $21,419 related
- Filer's total
- $0 + $390,840 related
-
Martha Adame-GarciaMARTHA ADAME-GARCIA
MT COORDINATOR
- Total calculated
- $218,814
- From this org
- $0
- From related orgs
- $200,563
- Other
- $18,251
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $200,413 related
- Bonus
- $0 + $150 related
- Other
- $0
- Deferred
- $0 + $8,134 related
- Nontaxable benefits
- $0 + $10,117 related
- Filer's total
- $0 + $218,814 related
-
Azucena QuevedoAZUCENA QUEVEDO
MED TECH I
- Total calculated
- $187,314
- From this org
- $0
- From related orgs
- $178,781
- Other
- $8,533
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $178,631 related
- Bonus
- $0 + $150 related
- Other
- $0
- Deferred
- $0 + $7,174 related
- Nontaxable benefits
- $0 + $1,359 related
- Filer's total
- $0 + $187,314 related
-
Robin AdesROBIN ADES
REGIONAL LAB DIRECTOR
- Total calculated
- $191,033
- From this org
- $0
- From related orgs
- $170,766
- Other
- $20,267
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $170,616 related
- Bonus
- $0 + $150 related
- Other
- $0
- Deferred
- $0 + $6,968 related
- Nontaxable benefits
- $0 + $13,299 related
- Filer's total
- $0 + $191,033 related
-
Shirley KorenSHIRLEY KOREN
ASSOCIATE REGIONAL LAB DIRECTOR
- Total calculated
- $202,915
- From this org
- $0
- From related orgs
- $168,741
- Other
- $34,174
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $168,591 related
- Bonus
- $0 + $150 related
- Other
- $0
- Deferred
- $0 + $6,970 related
- Nontaxable benefits
- $0 + $27,204 related
- Filer's total
- $0 + $202,915 related
-
Abdelrahman AbdelhadiABDELRAHMAN ABDELHADI
ASSOCIATE REGIONAL LAB DIRECTOR
- Total calculated
- $190,134
- From this org
- $0
- From related orgs
- $156,710
- Other
- $33,424
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $156,560 related
- Bonus
- $0 + $150 related
- Other
- $0
- Deferred
- $0 + $6,494 related
- Nontaxable benefits
- $0 + $26,930 related
- Filer's total
- $0 + $190,134 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.
-
ALVERNO LAB LLC
MANAGEMENT SVCS · IN
-
PROF LAB LLC
MEDICAL SERVICES · IN
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 12 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202413189349302941
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