2019-11-15T21:57:33-06:00 2018-12-31 990 2018-01-01 362913108 EHS HOME HEALTH CARE SERVICES INC EHSH 6305729393 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 RACHEL HALVERSON VP TAX & ACCTG SVCS 6305729393 2019-11-15 168.235.62.145 2019-11-15 19:39:58 CS P 7E530C01EC0DBF1FFF79A5BAD1379F9D370DED1E 934115C41A372782CAA2C37E99928821B09BF6A8 2018 2020-03-31 21:24:44Z DENISE M KEEFE 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 88470779 0 X WWW.ADVOCATEHEALTH.COM X 1977 IL TO PROVIDE QUALITY MEDICAL HOME HEALTH CARE SERVICES AND EDUCATION TO VARIOUS COMMUNITIES IN THE CHICAGOLAND AREA REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. 9 0 711 0 2908268 92420 58183 222239 66358627 67122669 1474752 1156328 5457438 5638203 73349000 74139439 3800 4500 0 0 47377201 48561919 0 0 0 18079104 18757943 65460105 67324362 7888895 6815077 43101662 48672777 19949752 19225007 23151910 29447770 EHS HOME HEALTH CARE SERVICE, INC.'S (EHSHHC) MISSION IS TO PROVIDE QUALITY MEDICAL HOME HEALTH SERVICES AND EDUCATION TO VARIOUS COMMUNITIES IN THE CHICAGOLAND AREA REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. 0 0 50712531 4500 69852604 IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, EHSHHC, INC. PROVIDES THE FOLLOWING SERVICES WHERE THERE IS A NEED, REGARDLESS OF THE PATIENTS' ABILITY TO PAY: - FREE CARE AND/OR SUBSIDIZED CARE- CARE TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT BELOW COST- HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY SUCH AS NUTRITIONAL COUNSELING AND MATERIAL CHILD PROGRAMS.EHSHHC MADE 334,958 HOME CARE VISITS DURING 2018. THESE VISITS CONSISTED OF 176,337 NURSING VISITS, 117,368 PHYSICAL THERAPY VISITS, 27,925 OCCUPATIONAL THERAPY VISITS, 6,258 HOME HEALTH AID VISITS, 4,302 SPEECH THERAPY VISITS AND 2,768 MEDICAL SOCIAL WORKER VISITS. 50712531 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 40 0 1 711 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 0 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ADVOCATE AURORA HEALTH INC 6309296057 3075 HIGHLAND PKWY SUITE 600 DOWNERS GROVE IL 60515 DENISE M KEEFE CHAIRPERSON, DIRECTOR 55.00 1.00 X X 1096864 0 47095 DONALD CALCAGNO DIRECTOR 1.00 55.00 X 0 1470397 47187 KAREN LAMBERT DIRECTOR 1.00 55.00 X 0 1432738 64475 MARY MATTHEWS ASSISTANT SECRETARY, DIRECTOR 1.00 55.00 X X 0 278118 58781 MEGHAN WOLTMAN DIRECTOR 1.00 55.00 X 0 325923 46289 RICHARD HEIM DIRECTOR 1.00 55.00 X 0 1281165 48029 SCOTT POWDER DIRECTOR 1.00 55.00 X 0 1379724 50432 VINCENT BUFALINO MD DIRECTOR 1.00 55.00 X 0 1886580 52227 WILLIAM P SANTULLI DIRECTOR 1.00 55.00 X 0 3965389 50170 CHRISTINE RICKER VP, BUSINESS DEVELOPMENT 55.00 0.00 X 249268 0 43570 DAWN DOE VP, POST ACUTE NETWORK OPERATIONS 1.00 55.00 X 0 194027 31410 EARL J BARNES II SECRETARY 1.00 55.00 X 0 1960426 152495 ELIZABETH CALBY VP, HUMAN RESOURCES 1.00 55.00 X 0 247839 49769 HUGH ROBINSON VP, FINANCIAL OPERATIONS 55.00 1.00 X 188682 0 40244 JAMES DOHENY TREASURER 1.00 55.00 X 0 518656 53871 MICHAEL KERNS SECRETARY 1.00 55.00 X 0 420969 60850 MICHELLE WARSZALEK VP, ADVOCATE AT HOME 1.00 55.00 X 0 153654 20597 RAY DARCEY OPERATIONS LEADER 1.00 55.00 X 0 407719 25914 CHERYL PICKETT PHYSICAL THERAPIST 55.00 0.00 X 151479 0 21961 CYNTHIA KEBLUSEK NURSE CLINICIAN II 55.00 0.00 X 178490 0 37675 KATHY SIWAK VP, CLINICAL SERVICES 55.00 0.00 X 219605 0 38655 SHARON REAMS-HENRY ADMIN DIR BUSINESS OPERATIONS 55.00 0.00 X 160334 0 38076 VIRGINIA TAYLOR NURSE CLINICIAN II 55.00 0.00 X 199186 0 26235 KEVIN BRADY FORMER DIRECTOR 0.00 55.00 X 0 1795882 63605 LOIS ELIA FORMER DIRECTOR 0.00 55.00 X 0 417297 39862 PANKAJ PATEL MD FORMER DIRECTOR 0.00 55.00 X 0 565666 51133 RICK FLOYD FORMER DIRECTOR 0.00 0.00 X 0 881840 24270 SUSAN CAMPBELL FORMER DIRECTOR 0.00 55.00 X 0 2064210 77508 WILLIAM ADAIR MD FORMER DIRECTOR 0.00 25.00 X 0 39200 46 GAIL D HASBROUCK FORMER SECRETARY 0.00 4.00 X 0 430963 46 MICHAEL DZIUBEK ACCOUNT MANAGER 55.00 0.00 X 125152 0 29308 SOMSRI TUNGKHOCHAROEN PHYSICAL THERAPIST 55.00 0.00 X 146765 0 25905 2715825 22118382 1417690 10 1 1 0 TNR STAFFING LLC 150 HARVESTER DR BURR RIDGE IL 60527 STAFFING SERVICES 658112 6 222239 222239 MEDICARE/MEDICAID 621610 41222628 41222628 BLUE CROSS/MGD CARE 621610 25080538 25080538 PATIENT SVC REVENUE 621610 307202 307202 OTHER/COMMERCIAL PAYOR 621610 262913 262913 SELF PAY 621610 249388 249388 67122669 521251 521251 14966417 14331340 635077 635077 635077 MANAGEMENT FEES 541611 3041873 133605 2908268 MISCELLANEOUS 900099 2594944 2594944 CAFETERIA REVENUE 722514 1386 1386 5638203 74139439 69852604 2908268 1156328 X 4500 4500 1534814 1281263 253551 37673095 31452729 6220366 1358538 1048713 309825 5162822 4247789 915033 2832650 2459711 372939 19306 19306 12 12 124332 124332 5939447 5939447 78003 21933 56070 796834 555600 241234 375691 89250 286441 1200218 798633 401585 1250102 1114315 135787 12424 2543 9881 73527 25427 48100 152302 152302 OTHER INTERCOMPANY 4298484 3503985 794499 MEDICAL SUPPLIES 2152821 2149211 3610 BAD DEBT 1513374 1513374 INCOME TAXES 26774 26774 744292 264479 479813 67324362 50712531 16611831 0 1991806 10176525 5154947 3198741 177090 243154 5106768 5002044 160252 104724 34120254 33202305 1497313 1747328 43101662 48672777 9868837 9255019 10080915 9969988 19949752 19225007 X 23151910 29447770 23151910 29447770 43101662 48672777 6815077 -519217 0 X 0 1 X 1 0 X 77963 83296 143150 58183 222239 584831 70731247 74116991 70958822 68908230 69852604 354567894 70809210 74200287 71101972 68966413 70074843 355152725 0 0 0 355152725 190202 438601 602751 481664 521251 2234469 190202 438601 602751 481664 521251 2234469 70999412 74638888 71704723 69448077 70596094 357387194 0.99370 0.99460 0.00630 0.00540 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 12 12 0 PART II-B, LINE 1: SUPPLEMENTAL LOBBYING INFORMATION EHS HOME HEALTH CARE SERVICE, INC. REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. EHS HOME HEALTH CARE SERVICE, INC. ENDEAVORS TO IDENTIFY THE PORTION OF DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 740147 727816 12331 4366621 4274228 92393 104724 DUE TO 3RD PARTY 9969988 9969988 X X X 1 1 0 0 0 0 0 1 0 DENISE M KEEFE CHAIRPERSON, DIRECTOR 490221 0 413667 0 192976 0 25167 0 21928 0 1143959 0 0 0 DONALD CALCAGNO DIRECTOR 0 482975 0 703617 0 283805 0 25167 0 22020 0 1517584 0 0 KAREN LAMBERT DIRECTOR 0 590226 0 564123 0 278389 0 25167 0 39308 0 1497213 0 0 MARY MATTHEWS ASSISTANT SECRETARY, DIRECTOR 0 223611 0 42906 0 11601 0 24621 0 34160 0 336899 0 0 MEGHAN WOLTMAN DIRECTOR 0 262616 0 47720 0 15587 0 24967 0 21322 0 372212 0 0 RICHARD HEIM DIRECTOR 0 519007 0 510825 0 251333 0 25167 0 22862 0 1329194 0 0 SCOTT POWDER DIRECTOR 0 503510 0 610805 0 265409 0 25167 0 25265 0 1430156 0 0 VINCENT BUFALINO MD DIRECTOR 0 581015 0 931954 0 373611 0 25167 0 27060 0 1938807 0 0 WILLIAM P SANTULLI DIRECTOR 0 1073245 0 2114312 0 777832 0 25167 0 25003 0 4015559 0 0 CHRISTINE RICKER VP, BUSINESS DEVELOPMENT 212623 0 26974 0 9671 0 22055 0 21515 0 292838 0 0 0 DAWN DOE VP, POST ACUTE NETWORK OPERATIONS 0 173559 0 15405 0 5063 0 16145 0 15265 0 225437 0 0 EARL J BARNES II SECRETARY 0 222375 0 921732 0 816319 0 116930 0 35565 0 2112921 0 0 ELIZABETH CALBY VP, HUMAN RESOURCES 0 214566 0 33973 0 -700 0 22742 0 27027 0 297608 0 0 HUGH ROBINSON VP, FINANCIAL OPERATIONS 165014 0 25978 0 -2310 0 16865 0 23379 0 228926 0 0 0 JAMES DOHENY TREASURER 0 376465 0 105297 0 36894 0 25167 0 28704 0 572527 0 0 MICHAEL KERNS SECRETARY 0 324582 0 70419 0 25968 0 25167 0 35683 0 481819 0 0 MICHELLE WARSZALEK VP, ADVOCATE AT HOME 0 136892 0 16245 0 517 0 14215 0 6382 0 174251 0 0 RAY DARCEY OPERATIONS LEADER 0 329284 0 75067 0 3368 0 19692 0 6222 0 433633 0 0 CHERYL PICKETT PHYSICAL THERAPIST 147968 0 2621 0 890 0 13486 0 8475 0 173440 0 0 0 CYNTHIA KEBLUSEK NURSE CLINICIAN II 177092 0 2418 0 -1020 0 15217 0 22458 0 216165 0 0 0 KATHY SIWAK VP, CLINICAL SERVICES 187616 0 22531 0 9458 0 18653 0 20002 0 258260 0 0 0 SHARON REAMS-HENRY ADMIN DIR BUSINESS OPERATIONS 153266 0 10910 0 -3842 0 13757 0 24319 0 198410 0 0 0 VIRGINIA TAYLOR NURSE CLINICIAN II 194169 0 2418 0 2599 0 15207 0 11028 0 225421 0 0 0 KEVIN BRADY FORMER DIRECTOR 0 557230 0 893542 0 345110 0 25167 0 38438 0 1859487 0 0 LOIS ELIA FORMER DIRECTOR 0 319676 0 69315 0 28306 0 25167 0 14695 0 457159 0 0 PANKAJ PATEL MD FORMER DIRECTOR 0 204651 0 101711 0 259304 0 33417 0 17716 0 616799 0 0 RICK FLOYD FORMER DIRECTOR 0 0 0 619548 0 262292 0 0 0 24270 0 906110 0 0 SUSAN CAMPBELL FORMER DIRECTOR 0 202493 0 803366 0 1058351 0 61400 0 16108 0 2141718 0 0 WILLIAM ADAIR MD FORMER DIRECTOR 0 0 0 39200 0 0 0 0 0 46 0 39246 0 0 GAIL D HASBROUCK FORMER SECRETARY 0 0 0 420963 0 10000 0 0 0 46 0 431009 0 0 MICHAEL DZIUBEK ACCOUNT MANAGER 118178 0 0 0 6974 0 11192 0 18116 0 154460 0 0 0 SOMSRI TUNGKHOCHAROEN PHYSICAL THERAPIST 143065 0 3276 0 424 0 13090 0 12815 0 172670 0 0 0 SCHEDULE J, PART I, LINE 4A EARL J. BARNES II, FORMER ASSISTANT SECRETARY, RECEIVED A SERVERANCE PAYMENT IN THE AMOUNT OF $116,346 AND A LUMP SUM SEVERANCE PAYMENT OF $507,308. SUSAN CAMPBELL, FORMER DIRECTOR, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $95,192 AND A LUMP SUM SEVERANCE PAYMENT OF $273,658. RICHARD B. FLOYD, FORMER DIRECTOR, AND PANKAJ H. PATEL, FORMER DIRECTOR, BOTH RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $270,000 AND $187,717, RESPECTIVELY. THESE PAYMENTS HAVE ALL BEEN REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III). SCHEDULE J, PART I, LINE 4B ADVOCATE PROVIDES A TARGET REPLACEMENT SENIOR EXECUTIVE RETIREMENT PLAN. THE CONTRIBUTIONS TO THIS PLAN ARE VESTED AND TAXABLE AFTER FIVE YEARS OF SERVICE. THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: EARL J. BARNES II $161,281, KEVIN R. BRADY $193,428, VINCENT J. BUFALINO $201,425, DONALD E. CALCAGNO $159,221, SUSAN CAMPBELL $524,114, DENISE COMELLA-KEEFE $94,272, RICHARD HEIM $137,063, KAREN A. LAMBERT $152,769, SCOTT A. POWDER $149,513, AND WILLIAM P. SANTULLI $417,996. THE FOLLOWING EMPLOYEES HAVE NOT YET VESTED AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS DEFERRED COMPENSATION: EARL J. BARNES II $108,830 AND SUSAN CAMPBELL $36,733. SCHEDULE J, PART I, LINE 7 INCENTIVE PAYMENTS ARE BASED UPON A FORMULA. THE AMOUNTS ARE CALCULATED AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE ACHIEVED. THE COMPENSATION COMMITTEE CAN EXERCISE DISCRETION OVER WHETHER INCENTIVE COMPENSATION IS PAID OUT ANNUALLY. FORM 990, PART I, LINE 4 ADVOCATE HEALTH CARE IS AN INTEGRATED DELIVERY SYSTEM INCLUDING NOT-FOR-PROFIT COMMUNITY HOSPITALS, WHICH HAVE COMMUNITY BOARDS. EHS HOME HEALTH CARE SERVICE, INC. IS A HOME HEALTH CARE ORGANIZATION, WHICH SUPPORTS ADVOCATE HEALTH CARE AND ITS AFFILIATES. THE EHSHHCS BOARD IS COMPRISED MOSTLY OF ADVOCATE EMPLOYEES. THIS BOARD STRUCTURE HAS NOT CHANGED SIGNIFICANTLY SINCE THE ORGANIZATION APPLIED FOR EXEMPT STATUS. EHSHHCS IS SUBJECT TO THE POLICIES AND PROCEDURES OF ADVOCATE HEALTH CARE AND OVERSIGHT BY THE ADVOCATE HEALTH CARE NETWORK COMMUNITY BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 1 BOARD POWERS THE BYLAWS PROVIDE THAT AN EXECUTIVE COMMITTEE MAY BE APPOINTED. HOWEVER, NO EXECUTIVE COMMITTEE HAS BEEN FORMED NOR DID SUCH A COMMITTEE HOLD AUTHORITY AT ANY TIME DURING 2018. FORM 990, PART VI, SECTION A, LINE 2 DESCRIPTION OF BUSINESS RELATIONSHIPS AS GAIL HASBROUCK, JAMES DOHENY, EARL BARNES, AND KAREN LAMBERT ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. AS GAIL HASBROUCK, JAMES DOHENY, DENISE KEEFE, EARL BARNES AND HUGH ROBINSON ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR SHAREHOLDERS BYLAWS PROVIDE FOR CORPORATE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS EHS HOME HEALTH SERVICE, INC. HAS CORPORATE MEMBERS WHO ELECT ITS DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B RESERVE POWERS THE FOLLOWING RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBER, ADVOCATE HEALTH AND HOSPITALS CORPORATION: THE AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION OR THE BYLAWS; THE MERGER; CONSOLIDATION, DISSOLUTION OR WINDING UP OF THE CORPORATION; THE CONTRACTING OF LOANS OR ISSUING OF EVIDENCES OF INDEBTEDNESS; THE MAKING OF INVESTMENTS; THE SALE OR PURCHASE BY, TRANSFER TO OR BY, OR LEASING TO OR BY THE CORPORATION, OF ASSETS WITH AN AGGREGATE VALUE IN EXCESS OF ONE HUNDRED FIFTY THOUSAND DOLLARS; THE PAYMENT OF A CLAIM OR SETTLEMENT IN EXCESS OF THREE MILLION DOLLARS; THE ADOPTION OF CAPITAL AND OPERATING BUDGETS; ANY OTHER MATTERS WHICH MAY BE SPECIFIED FROM TIME TO TIME BY THE CORPORATE MEMBER BY AMENDMENT TO THE BYLAWS; AND SUCH OTHER MATTERS AS MAY BE REQUIRED BY LAW TO BE SUBMITTED TO THE CORPORATE MEMBER, OR AS TO WHICH THE BOARD OF DIRECTORS DETERMINES BY RESOLUTION THAT SUCH SUBMISSION IS ADVISABLE. FORM 990, PART VI, SECTION B, LINE 11B TAX PREPARATION PROCESS ADVOCATE'S TAX PREPARATION PROCESS INCLUDES OGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARTION, TO ADVISE AND ASSIST WITH PREPARATION OF THE FORM 990. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE, TAX, AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. THE FORM 990 IS REVIEWED BY FINANCE MANAGEMENT, THE TAX MANAGER, THE VP OF FINANCE/CORPORATE CONTROLLER, THE CHIEF FINANCIAL OFFICER, AND ADVOCATE'S OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTOR'S AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATION'S TEAM, INCLUDING ITS ADVISORS, MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED , AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS 'INTERESTED PERSONS'). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE A DISCLOSURE STATEMENT TO THE COMPLIANCE DEPARTMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE, AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON, OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD, OR GOVERNING COUNCIL, OR A COMMITTEE THEREOF, OR A PERSON OF INTEREST, IF IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE, POTENTIALLY INCLUDING RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 OFFICES & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN EXECUTIVE COMPENSATION AT ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS AND EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPENSATIONS ARE IDENTIFIED AND THE DESIRED LEVEL OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATGEY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: - A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY, - ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION, - A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS, - AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ON-GOING REVIEW OF THE PERFORMANCEEEE OF THE ORGANIZATION, AND - ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS. FORM 990, PART VI, SECTION C, LINE 19 AVAIL. OF DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEBSITES: - DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC), - EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS). THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G TEMP HELP: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,322,613. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,322,613. CONSULTING FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 244,566. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 244,566. OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 46,126. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,126. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,325,392. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,325,392. PHYSICIAN CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 750. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 750. ADVOCATE CHARITABLE FOUNDATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363297360 FUNDRAISING IL 501(C)(3) LINE 7 AHCN 0 ADVOCATE CONDELL MEDICAL CENTER 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 262525968 HEALTH CARE IL 501(C)(3) LINE 3 AHHC 0 ADVOCATE HEALTH & HOSPITALS CORPORATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 362169147 HEALTH CARE IL 501(C)(3) LINE 3 AHCN 0 ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 362167779 PARENT CORP IL 501(C)(3) LINE 12C, III-FI N/A 0 ADVOCATE NORTH SIDE HEALTH NETWORK 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363196629 HEALTH CARE IL 501(C)(3) LINE 3 AHHC 0 ADVOCATE SHERMAN HOSPITAL 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 362167920 HEALTH CARE IL 501(C)(3) LINE 3 AHCN 0 HISPANOCARE INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363606486 HEALTH CARE IL 501(C)(3) LINE 10 AHSHN 0 MASONIC FAMILY HEALTH FOUNDATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 364397387 FUNDRAISING IL 501(C)(3) LINE 12A, I MFHS 0 MERIDIAN HOSPICE 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363158667 HOSPICE CARE IL 501(C)(3) LINE 10 EHSHHCS 1 RAVENSWOOD HEALTH CARE FOUNDATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363196628 FUNDRAISING IL 501(C)(3) LINE 12B, II N/A 0 SHERMAN WEST COURT 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363725580 NURSING CARE IL 501(C)(3) LINE 10 ASH 0 ADVOCATE AURORA HEALTH INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 824184596 SUPPORTING OR DE 501(C)(3) LINE 12C, III-FI N/A 0 DMA SURGERY CENTER 2357 SEQUOIA DRIVE AURORA IL 60506 363890298 MEDICAL SERVICES IL N/A 0 0 ADVOCATE HOME CARE PRODUCTS INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363315416 HEALTH SERVICES IL N/A C 0 ADVOCATE HPN NFP 3075 HIGHLAND PARKWAY STE 600 HEALTH IMPRV MGMT IL 60515 810893878 HEALTH IMPR MGMT IL N/A C 0 ADVOCATE INSURANCE SPC 878 WEST BAY ROAD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 980422925 INSURANCE CJ N/A C 0 BROMENN PHYSICIAN MANAGEMENT CORPORATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 371313150 MEDICAL SERVICES IL N/A C 0 DREYER CLINIC INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 362690329 MEDICAL SERVICES IL N/A C 0 EVANGELICAL SERVICES CORPORATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363208101 MANAGEMENT SVCS IL N/A C 0 HIGH TECHNOLOGY INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363368224 MEDICAL SERVICES IL N/A C 0 PARKSIDE CENTER CONDO ASSOCIATION 1775 WEST DEMPSTER STREET PARK RIDGE IL 60515 363452486 PROPERTY MGMT IL N/A C 0 SHERMAN VENTURES INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 364292309 HOLDING COMPANY IL N/A C 0 THE DELPHI GROUP IV INC 1425 N RANDALL ROAD ELGIN IL 60515 364017279 HEALTH COST MGT IL N/A C 0 ADVOCATE HEALTH PARTNERS 1701 WEST GOLF ROAD ROLLING MEADOWS IL 60008 364032117 HEALTH CARE MGMT IL N/A C 0 ADVOCATE PHYSICIAN PARTNERS ACCOUNTABLE 1701 WEST GOLF ROAD ROLLING MEADOWS IL 60008 455498384 HEALTH CARE MGMT IL N/A C 0 ADVOCATE PHYSICIAN PRTNRS RISK PURCHASE 1701 WEST GOLF ROAD ROLLING MEADOWS IL 60008 383914173 GROUP MALPRACTICE IL N/A C 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 MERIDIAN HOSPICE A 259204 COST ADVOCATE CHARITABLE FOUNDATION C 222239 COST MERIDIAN HOSPICE L 2665644 COST MERIDIAN HOSPICE M 82196 COST MERIDIAN HOSPICE Q 804253 COST MERIDIAN HOSPICE S -293279 COST ADVOCATE HEALTH & HOSPITALS CORP A 118989 COST ADVOCATE HEALTH & HOSPITALS CORP L 185689 COST ADVOCATE HEALTH & HOSPITALS CORP M 2057570 COST ADVOCATE HEALTH & HOSPITALS CORP P 10462115 COST ADVOCATE HEALTH & HOSPITALS CORP Q 1920285 COST