STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ADVOCATE HEALTH CARE NETWORK: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ADVOCATE HEALTH CARE NETWORK (EIN 26-2525968)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201343189349307089
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T16:47:03-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1155 NORTH WACKER DRIVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN262525968EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Advocate Condell Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JAMES H SKOGSBERGHInCareOfName
Name ControlADVONameControl
Phone6305729393Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13075 HIGHLAND PARKWAYAddressLine1
Address Line2Suite 600AddressLine2
CityDOWNERS GROVECity
StateILState
ZIP Code60515ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES W DOHENYName
TitleVP FIN/CONTROLLERTitle
Date Signed2013-11-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3128792000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES W DOHENYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13075 HIGHLAND PKWY STE 600AddressLine1
CityDOWNERS GROVECity
StateILState
ZIP Code60515ZIPCode
FieldValueIRS element (for citing)
Gross Receipts333847419GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number9395GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.ADVOCATEHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2008YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees2414TotalNbrEmployees
Total Nbr Volunteers489TotalNbrVolunteers
Total Gross UBI1411149TotalGrossUBI
Contributions Grants Prior Year118636ContributionsGrantsPriorYear
Contributions Grants Current Year1513302ContributionsGrantsCurrentYear
Program Service Revenue Prior Year326199807ProgramServiceRevenuePriorYear
Program Service Revenue CY322570846ProgramServiceRevenueCY
Investment Income Prior Year-1857285InvestmentIncomePriorYear
Investment Income Current Year1078694InvestmentIncomeCurrentYear
Other Revenue Prior Year1993382OtherRevenuePriorYear
Other Revenue Current Year1987851OtherRevenueCurrentYear
Total Revenue Prior Year326454540TotalRevenuePriorYear
Total Revenue Current Year327150693TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year203613GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY92060GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year134976384SalariesEtcPriorYear
Salaries Etc Current Year132969564SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year178569304OtherExpensePriorYear
Other Expenses Current Year165404213OtherExpensesCurrentYear
Total Expenses Prior Year313749301TotalExpensesPriorYear
Total Expenses Current Year298465837TotalExpensesCurrentYear
Revenues Less Expenses Prior Year12705239RevenuesLessExpensesPriorYear
Revenues Less Expenses CY28684856RevenuesLessExpensesCY
Total Assets BOY400004420TotalAssetsBOY
Total Assets EOY402401536TotalAssetsEOY
Total Liabilities BOY149422827TotalLiabilitiesBOY
Total Liabilities EOY141333832TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY250581593NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY261067704NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense257073875Expense
Grants92060Grants
Revenue310226992Revenue
DescriptionProviding Inpatient and Outpatient healthcare services to the community regardless of the patients' ability to pay. Included in this program service are the provision of Charity care and Trauma care. As part of its community benefits strategy and its mission, Advocate Condell is committed to promoting initiatives that enhance access to health care for the uninsured and underinsured. An example of this is Advocate Condell's provision of charity care. Advocate Condell offers a very generous charity care program - requiring no payments from the patients most in need, and providing discounts to uninsured patients earning up to six times the federal poverty level and to insured patients earning up to four times the poverty level. A patient's extenuating circumstances are considered when qualifying patients for charity care and in certain cases, Advocate Condell Medical Center uses Advocate or public records to determine a patient's eligibility ("presumptive eligibility"). Although Advocate Condell's Charity Care Policy is very generous, Advocate Condell Medical Center continues to review and refine its policy in an ongoing effort to ensure that financial assistance is available to those who need help when they need it. The medical center maintains highly visible signage and brochures in multiple languages to inform patients of the availability of financial help and financial counselors. Information about Advocate Condell's charity care program and charity applications is provided to all uninsured patients during registration and as an insert in all uninsured patients' bills. In the area of Trauma care - Advocate Condell is dedicated to providing expert emergency care - today and in the future. Advocate Condell's Level I Trauma Center cares for the most seriously injured people in its service area. As is the case with all Illinois Level I Trauma Centers, Advocate Condell's trauma center is staffed by on-site, 24-hour-a-day trauma surgeons; features 24-hour surgical and nonsurgical services, such as radiology and anesthesia; and can accommodate helicopter transports.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7635922Expense
Grants0Grants
Revenue4236686Revenue
DescriptionHealth care and fitness services provided by physicians, nurses, clinicians and other associates employed by Advocate Condell. Advocate Condell clinicians provide care to the community for minor injuries and illnesses through its immediate care centers regardless of the patients' ability to pay. Exercise physiologists and physical therapists also provide sports medicine consultations at local high schools and colleges. Physicians, nurses and other clinicians lead prenatal/childbirth and parenting education classes and diabetes education classes as well as support groups for diabetes education, heart disease, breast and other cancers, lactation/breast feeding, bereavement/loss and caregivers. Advocate Condell partners with the Lake County Health Department/Community Health Center to provide imaging services at rates significantly below cost. Fitness and wellness classes and services are provided at the Advocate Condell Centre Clubs, which provides sliding scale membership rates.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense27565285Expense
Grants0Grants
Revenue6406649Revenue
DescriptionDescription of Advocate Condell Medical Center Serving the community since 1928, Advocate Condell Medical Center is a 273-bed non-profit acute care hospital based in Libertyville, Illinois. As the largest health care provider in Lake County, Advocate Condell provides a full spectrum of medical services - from obstetrics, radiology services and rehabilitation to open heart surgery, neurosurgery and oncology. Advocate Condell Medical Center's Emergency Department provides Level I Trauma care and has the ability to accommodate growing numbers of patients. In 2012, the hospital experienced 1,869 trauma care visits. Advocate Condell also provides a dedicated pediatric emergency department - the first and only in Lake County - consisting of a team of doctors and nurses dedicated to and specially trained in pediatric emergency medicine. In addition, Condell is an accredited Chest Pain Center and offers a continuum of diagnostic and cardiology treatment services-including open heart surgery. More than 650 physicians and 2,100 associates comprise the team of medical experts known for excellence. In addition to services located on its Libertyville campus, Advocate Condell operates three immediate care centers throughout the County and two medically based fitness centers. Advocate Condell is the Resource hospital for Region 10 Emergency Medical Services, which demonstrates the commitment to efficiently and effectively manage emergency services in a disaster. Advocate Condell also provides community outreach through health fairs, wellness programs and other services in support of its MVP (mission, values and philosophy). The mission of Advocate Condell Medical Center is to serve the health needs of individuals, families and communities through a holistic philosophy rooted in the fundamental understanding of human beings as created in the image of God. The values of Advocate Condell Medical Center serve as an internal compass to guide relationships and actions. They include equality, compassion, excellence, partnership, and stewardship. The philosophy of Advocate Condell Medical Center is grounded in the principles of human ecology, faith and community-based health care. These principles arise from an understanding of human beings as whole persons in light of their relationships with God, themselves, their families and the society in which they live. Through our actions we affirm these principles. Population Served Advocate Condell Medical Center provides quality health care to individuals regardless of race, creed, national origin, age or ability to pay. In 2012, Condell served 213,709 patients, including 18,253 inpatient admissions and 195,456 outpatient visits, delivering 2,515 babies. Commitment to the Community Even in the face of low reimbursements, Advocate Condell Medical Center is dedicated to maintaining a strong presence within its community and continues to monitor these expenditures to make certain that the programs and services supported are in direct response to community need. In 2012, Condell reported approximately $35.8 million in charity care and other services. These services are comprised of many community health programs focused on improving access to care, addressing special needs and improving overall community health. In addition to Medicare/Medicaid and Bad Debt losses, Advocate Condell treats many air force military personnel and Veterans Administration patients at a rate below cost. Community Benefits Plan, Goals & Examples of Program Service Accomplishments Advocate Condell Medical Center's community benefits efforts are aligned with Advocate's community benefits plan. The Advocate Health Care plan was developed to establish strategies for improving access to care and positively affecting the health of the communities served by the hospital. Included in the community benefits plan are not only planned goals and objectives focused on addressing needs as identified through a hospital-specific community health needs assessment, but also other community benefits such as charity care, unreimbursed Medicaid and Medicare, that are ongoing community benefits programs. The plan sets the course for strengthening existing partnerships and building new ones with individuals and organizations within Condell's service area in order to leverage and maximize the impact of its programs. Advocate Condell Medical Center has set four goals and multiple objectives to accomplish this strategy. The goals and some corresponding examples of services Condell offers are provided below. Goal 1: Undertake or support initiatives that enhance access to health and wellness services within the diverse communities Advocate serves. Charity Care - Advocate Condell Medical Center offers a very generous charity care program - requiring no payments from the patients most in need, and providing discounts to uninsured patients earning up to six times the federal poverty level and to insured patients earning up to four times the poverty level. A patient's extenuating circumstances are considered when qualifying patients for charity care and in certain cases, Advocate Condell Medical Center uses Advocate or public records to determine a patient's eligibility ("presumptive eligibility"). Advocate Condell supports the services of the Lake County department of Public Health by providing radiology services to patients treated by the health department. Goal 2: Positively affect the health status and quality of life of individuals and populations in communities served by Advocate through programs and practices that reflect Advocate's wholistic philosophy. School-based health programming -- Advocate Condell is working closely with several area school districts on wellness initiatives, including health education programming and sponsorship of fitness activities. Advocate Condell is poised to take this effort to the next level by offering the Coordinated Approach to Child Health in two area school districts. Diabetes Education -- During Advocate Condell's pursuit to establish a certified diabetes education program, most diabetes education classes and one-on-one counseling sessions were offered free of charge to the public. Plans include expanding these services via a Diabetes Prevention and Management program to potentially four locations: Free clinics in Mundelein and Waukegan; a group of faith organizations serving the Antioch area, and at Round Lake High School as part of a school-based health clinic. Falls Prevention -- Falls among seniors (65+) are a significant health risk and a leading cause of Emergency Department admissions to Advocate Condell Medical Center. In 2012, through its Matter of Balance program, the hospital continued to see success in key areas which have been proven to contribute to falls, including lack of exercise and fear of falling. Looking ahead, Advocate Condell plans to expand the program both onsite and offsite through a partnership with the Libertyville Senior Center and providers in our post-acute care network. Sexual Assault Nurse Examiner Program -- Advocate Condell Medical Center's Sexual Assault Nurse Examiner (SANE) program opened in 2011, and remains the only Lake County program with certified sexual assault nurse examiners available 24 hours, 7 days a week. These highly trained practitioners not only provide compassionate care to victims, but also are able to collect forensic evidence, counsel the victim, and testify in court-helping the victim through the entire process. In addition, the SANE program coordinator works closely with local rape advocates, law enforcement and prosecutors to assure victims of sexual assault in Lake County receive the best care possible. In 2012, Advocate Condell's SANE coordinator, Jennifer Slominski, received the Justice Award from Lake County State's Attorney Michael J. Waller for her role in helping the prosecution of sexual assault cases. She also was recognized for her advocacy work in the community. Jennifer and her team have trained more than 350 law-enforcement members about sexual assault, the importance of a SANE nurse and how to use medical evidence to prosecute a case. They also have educated emergency medical responders on how to talk to victims. The Illinois Coalition Against Sexual Assault (ICASA) has called the hospital's center an "exemplary example" of how a hospital and community can work together to respond to sexual assaults. Advocate Illinois Masonic Medical Center, on Chicago's north side, also has a SANE program. Condell Day Center's Adult Day Care Program - Advocate Condell Day Center's Adult Day Care program fills a gap in continuity of care for clients who are unable to live independently. Condell's program combines adult day care with therapeutic and personal care services. Given that the program is located adjacent to other hospital services, clients can receive physical, speech and occupational therapy from a licensed therapist. In addition, bathing assistance, beautDescription
FieldValueIRS element (for citing)
Total Program Service Expense292275082TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096155NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2414NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicestrueIndoorTanningServices
Form720 FiledtrueForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJAMES H SKOGSBERGHNamePerson
Telephone Number6309295543TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13075 HIGHLAND PKWY SUITE 600AddressLine1
CityDOWNERS GROVECity
StateILState
ZIP Code60515ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
James Skogsbergh
EXEC VP, COO, DIRECTOR1.040.0XX03593725698886
Mark Harris
Chairperson, Director1.00.0X000
Michele Baker Richardson
Vice Chairperson, Director1.00.0X000
David Anderson
Director1.00.0X000
Alejandro Aparicio MD
Director1.00.0X000
Lynn Crump-Caine
Director1.00.0X000
John Dossey
Director - July '121.00.0X000
Ron Greene
Director1.00.0X000
Ronald Mallicoat Jr
Director1.00.0X000
Laurie Meyer
Director1.00.0X000
Clarence Nixon Jr PhD
Director1.00.0X000
Carolyn Smeltzer
Director1.00.0X000
Gary Stuck MD
Director1.00.0X000
William P Santulli
President & CEO1.040.0X02114342422797
Lee B Sacks MD
Exec VP, Chief Medical Officer1.040.0X01697139320165
James Dan MD
Pres Physician & Amb Services1.040.0X01612175243190
James Doheny
VP, Finance & Corp Controller1.040.0X042249758003
Kelly Jo Golson
SVP, Public Affairs & Mktg1.040.0X0737569111309
Kevin Brady
SVP, Human Resources1.040.0X0676224238837
Gail D Hasbrouck
SVP, Gen Counsel, Corp Sec1.040.0X01036460177664
Dominic J Nakis
SVP, CFO1.040.0X01574547320057
Scott Powder
SVP, Strategic Plan & Growth1.040.0X0631022127603
Bruce D Smith
SVP, CIO1.040.0X01027935192158
Rev K Bender Schwich
SVP, Mission & Spiritual Care1.040.0X0223292219264
Ann Errichetti MD
President-Condell Med Ctr-7/1240.00.0960307031385X
Dominica Tallarico
President-Condell Medical Cntr40.00.0185941294490133780X
Debra Susie-Lattner
VP, Medical Management40.00.0276393029180X
Gwenn Leschke
VP, Human Resources40.00.0276042022635X
David Cemate
VP, Operations40.00.0248161050169X
Mary Hillard
VP, Patient Care40.00.0226172049955X
David Cartwright
VP, Finance40.00.0221043047743X
Jose Elizondo MD
Director - Dec '110.040.0023122237874X
Ben Grigaliunas
SVP, Human Resources- Dec '110.00.001094321141404X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2394059TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs16966960TotalReportableCompFrmRltdOrgs
Total Other Compensation3674058TotalOtherCompensation
Number Individuals GT100 K143NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CROTHALL LAUNDRY SERVICE
45 W HINTZ RDWHEELINGIL600906073Laundry Services1390584
IMPACT ADVISORS LLC
931 W 75TH STNAPERVILLEIL60565CONSULTING SERVICES1234716
MMODAL SERVICES LTD
PO BOX 102467ATLANTAGA30368TRANSCRIPTION SVCS550827
KRAUSE CONSTRUCTION LLC
3330 EDISON AVEBLUE ISLANDIL60406CONSTR CONTRACTOR357013
CASSIDAY SCHADE LLP
20 N WACKER DRIVE SUITE 1040CHICAGOIL606062901LEGAL SERVICES267956
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Related Organizations931211RelatedOrganizations
Government Grants582091GovernmentGrants
Total Contributions1513302TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ROUTINE REVENUE6221104352895143528951
INPATIENT REVENUE622110139210865139210865
OUTPATIENT REVENUE622110126912241126912241
MEMBERSHIP REVENUE62199040251224025122
MEANINGFUL USE621990786500786500

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column8107167TotalRevenueColumn
Related Or Exempt Function Income6406649RelatedOrExemptFunctionIncome
Exclusion$1,700,518ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue322570846TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column715543TotalRevenueColumn
Exclusion$715,543ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real579027Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real579027Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column579027TotalRevenueColumn
Unrelated Business Revenue2325UnrelatedBusinessRevenue
Exclusion$576,702ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6112121Securities
Other947756Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities5641930Securities
Other1054796Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities470191Securities
Other-107040Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column363151TotalRevenueColumn
Exclusion$363,151ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenue
DAY CARE SERVICES62441012759581275958
MASSAGE SERVICES8121904082840828
PHYSICIAN SERVICES6211108873388733

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3305TotalRevenueColumn
Unrelated Business Revenue3305UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue1408824TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column327150693TotalRevenueColumn
Related Or Exempt Function Income320870328RelatedOrExemptFunctionIncome
Unrelated Business Revenue1411149UnrelatedBusinessRevenue
Exclusion$3,355,914ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total92060Total
Program Services92060ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1274497Total
Program Services1274497ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total98567823Total
Program Services95696742ProgramServices
Management And General2871081ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9477187Total
Program Services9204244ProgramServices
Management And General272943ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16457502Total
Program Services16303700ProgramServices
Management And General153802ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7192555Total
Program Services7028197ProgramServices
Management And General164358ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15181Total
Management And General15181ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total212370Total
Management And General212370ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total70797Total
Management And General70797ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total78305Total
Management And General78305ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total23318186Total
Program Services22954417ProgramServices
Management And General363769ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total111237Total
Program Services96537ProgramServices
Management And General14700ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2214371Total
Program Services1928597ProgramServices
Management And General285774ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total15957532Total
Program Services15769113ProgramServices
Management And General188419ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1330846Total
Program Services1329124ProgramServices
Management And General1722ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total121023Total
Program Services85640ProgramServices
Management And General35383ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total87035Total
Program Services81580ProgramServices
Management And General5455ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2513622Total
Program Services2513622ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16359901Total
Program Services15363523ProgramServices
Management And General996378ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4162437Total
Program Services4162437ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES, DRUGS AND FOOD4514410644906594237512
BAD DEBT1611544216115442
CONTRACTUAL SERVICES GENERAL11891001118889612040
PUBLIC ASSESSMENT FEE95892849589284

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total16111537Total
Program Services15890771ProgramServices
Management And General220766ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total298465837Total
Program Services292275082ProgramServices
Management And General6190755ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY147281BOY
EOY162392EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY55016535BOY
EOY37128157EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY37748546BOY
EOY31791395EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4146306BOY
EOY4845908EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6058582BOY
EOY1276775EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis346335981LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec64246287LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY290467274BOY
EOY282089694EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY37905320EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6419896BOY
EOY7201895EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY400004420BOY
EOY402401536EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY54456494BOY
EOY41507662EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY31253453BOY
EOY31032903EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY63712880BOY
EOY68793267EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY149422827BOY
EOY141333832EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY250581593BOY
EOY261067704EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY250581593BOY
EOY261067704EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY400004420BOY
EOY402401536EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses28684856ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1801255ReconciliationUnrealizedInvest
Reconcilation Other Changes20000000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$70,797OtherActivitiesAmount
Total Lobbying Expenditures IIB70797TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL LOBBYING INFORMATIONIdentifier
Return ReferenceSCHEDULE C PART II-B, LINE 1IReturnReference
ExplanationADVOCATE CONDELL MEDICAL CENTER IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION, AND THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND IN CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS, AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTIBLE TO LOBBYING ACTIVITIES. ADVOCATE CONDELL MEDICAL CENTER ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE CONDELL MEDICAL CENTER ENDEAVORS TO IDENTIFY THE PORTION OF OUR DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTIBLE TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis49200000OtherCostOrOtherBasis
Book Value49200000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis235594879OtherCostOrOtherBasis
Depreciation31459251Depreciation
Book Value204135628BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis646120OtherCostOrOtherBasis
Depreciation226845Depreciation
Book Value419275BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis54211887OtherCostOrOtherBasis
Depreciation31954350Depreciation
Book Value22257537BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6683095OtherCostOrOtherBasis
Depreciation605841Depreciation
Book Value6077254BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings282089694TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY SETTLEMENTS$35,399,670
PENSION PLAN BENEFITS$32,749,268
REMEDIATION COST ACCRUAL$119,072
EXECUTIVE PENSION LIABILITY$46,990
IBNR PROV. INSURANCE LOSS$478,267
FieldValueIRS element (for citing)
Total Of Amounts68793267TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense12111312TotalCommunityBenefitExpense
Net Community Benefit Expense12111312NetCommunityBenefitExpense
Percent Of Total Expense0.04290PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense43639886TotalCommunityBenefitExpense
Direct Offsetting Revenue33074133DirectOffsettingRevenue
Net Community Benefit Expense10565753NetCommunityBenefitExpense
Percent Of Total Expense0.03740PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense55751198TotalCommunityBenefitExpense
Direct Offsetting Revenue33074133DirectOffsettingRevenue
Net Community Benefit Expense22677065NetCommunityBenefitExpense
Percent Of Total Expense0.08030PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense516613TotalCommunityBenefitExpense
Net Community Benefit Expense516613NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1480622TotalCommunityBenefitExpense
Net Community Benefit Expense1480622NetCommunityBenefitExpense
Percent Of Total Expense0.00520PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6761702TotalCommunityBenefitExpense
Direct Offsetting Revenue5727502DirectOffsettingRevenue
Net Community Benefit Expense1034200NetCommunityBenefitExpense
Percent Of Total Expense0.00370PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense373610TotalCommunityBenefitExpense
Net Community Benefit Expense373610NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense9132547TotalCommunityBenefitExpense
Direct Offsetting Revenue5727502DirectOffsettingRevenue
Net Community Benefit Expense3405045NetCommunityBenefitExpense
Percent Of Total Expense0.01200PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense64883745TotalCommunityBenefitExpense
Direct Offsetting Revenue38801635DirectOffsettingRevenue
Net Community Benefit Expense26082110NetCommunityBenefitExpense
Percent Of Total Expense0.09230PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$16,115,442BadDebtExpenseAmount
Amount Attributable To1404954AmountAttributableTo
Amount Reimbursed By Medicare92928842AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare97558207CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-4629365MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1NONEBusinessNameLine1
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1CONDELL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1801 S MILWAUKEE AVENUEAddressLine1
CityLIBERTYVILLECity
StateILState
ZIP Code60048ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CONDELL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent600.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities17NumberOfOtherFacilities

Other Facilities OtherFacilities (17 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111LibertyvilleIL60048Patient Care - OutPatient
Condell Medical Center - Office BLDG
2 East Rollins Rd Sts 101 105 1Round Lake BeachIL60073Patient Care - OutPatient
Condell Medical Center - Office BLDG
6 Phillips Road Suite 1109Vernon HillsIL60061Patient Care - OutPatient
Condell Immediate Care Building
150 Half Day Road Suite 207Buffalo GroveIL60089Patient Care - OutPatient
Condell Immediate Care Building
6440 Grand Ave Suite 105GurneeIL60031Patient Care - OutPatient
Condell Medical Center - Office BLDG
1170 E Belvidere Rd Various SuiteGrayslakeIL60030Patient Care - OutPatient
Condell Medical Center - Office BLDG
550-560 Midlothian RoadMundeleinIL60060Patient Care - OutPatient
CONDELL MEDICAL CENTER - CENTRE CLUB
1405 HUNT CLUB ROADGURNEEIL60031PATIENT CARE - OUTPATIENT
Condell Medical Center - Gurnee POB
1445 Hunt Club Suite 100 103 203GurneeIL60031Patient Care - OutPatient
Condell Medical Center - Gurnee Imaging
1435 N Hunt ClubGurneeIL60031Patient Care - OutPatient
Condell Medical Center - Office BLDG
1425 Hunt Club STE 102103203304GurneeIL60031Patient Care - OutPatient
Condell Medical Center - Centre Club
200 West Golf RdLibertyvilleIL60048Patient Care - OutPatient
Condell Medical CTR - Inter Gen Center
700 S GarfieldLibertyvilleIL60048Patient Care - OutPatient
Condell Medical Center - AMBI Center
890 GarfieldLibertyvilleIL60048Patient Care - OutPatient
Condell Medical Center - Office BLDG
755 Milwaukee Ave Various STELibertyvilleIL60048Patient Care - OutPatient
Condell Med Ctr-Radiation Therapy
880 Garfield AveLibertyvilleIL60048Patient Care - OutPatient
CONDELL HOME HEALTH SVCS & HOSPICE
115 W CHURCH STREETLIBERTYVILLEIL60048PATIENT CARE - OUTPATIENT

Form990 Schedule H Part VI Form990ScheduleHPartVI (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Part VI, Line 1 - Description for Part I, Line 3cN/A Part VI, Line 1 - Description for Part I, Line 6a A SYSTEM-WIDE COMMUNITY BENEFIT REPORT IS FILED BY: ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY, DOWNERS GROVE, IL 60515 EIN 36-2167779 PART VI, LINE 1 DESCRIPTION FOR PART I, LINE 7 A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I. PART VI, LINE 1 DESCRIPTION FOR PART I, LINE 7E Advocate Condell Medical Center (ACMC) provides Community Health Improvement services to the communities in which it serves. ACMC provides language services to all those in need in order to provide better access to care for all community members. In addition, other programs are carried out with the express purpose of improving community health, access to health services and general health knowledge. These services do not generate patient bills, however, certain programs or services may have nominal fees. These services and programs include cancer support groups. These groups focus on educating the newly diagnosed and providing information on better living for survivors. Colorectal cancer screening are also provided; various programs regarding joint pain and replacement including treatment options and information on pain relief; various women and baby, breastfeeding, multiples, childbirth and parenting and sibling classes; various educational programs and support groups to raise awareness of heart disease. diabetes and stroke risk factors and treatment options and education for living with the disease; there are various programs regarding health eating; CPR training is offered to the community as well as various other wellness and screening programs and health fairs are offered throughout the year. Adult day care is provided to the community as well. PART VI, LINE 1 DESCRIPTION FOR PART I, LINE 7G ACMC provides subsidized health services to the community. These services are provided despite creating a financial loss for ACMC. These services are provided because they meet an identified community need. If ACMC did not provide the clinical service, it is reasonable to conclude that these services would not be available to the community. The services included are both inpatient and outpatient programs for chemical dependency health services, orthopedic and hospice services. PART VI, LINE 1 DESCRIPTION FOR PART I, LINE 7H ACMC CONDUCTS NUMEROUS RESEARCH ACTIVITIES FOR THE ADVANCEMENT OF MEDICAL AND HEALTH CARE SERVICES. HOWEVER, THE UNREIMBURSED COST OF SUCH RESEARCH ACTIVITIES IS NOT READILY DETERMINABLE AND NO AMOUNT IS BEING REPORTED FOR PURPOSES OF THE 2012 FORM 990, SCHEDULE H. PART VI, LINE 1 DESCRIPTION FOR PART I, LINE 7, COLUMN (F) $16,115,442 OF BAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS REMOVED FROM THE DENOMINATOR FOR PURPOSES OF SCHEDULE H, PART I, LINE 7, COLUMN (F). PART VI, LINE 1 DESCRIPTION FOR Part II N/A PART VI, LINE 1 DESCRIPTION FOR Part III, Line 4 THE FOOTNOTES TO ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES' AUDITED FINANCIAL STATEMENTS DO NOT SPECIFICALLY ADDRESS BAD DEBT EXPENSE; RATHER, THE FOOTNOTE DESCRIBES ADVOCATE'S PATIENT ACCOUNTS RECEIVABLE POLICY AND THE PERCENTAGE OF ACCOUNTS RECEIVABLE THAT THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERS (SEE PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS). FOR 2012, FOR ADVOCATE CONDELL, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 35.51% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. ACMC EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYER CLASS, HISTORICAL COLLECTION EXPERIENCE, AND TRENDS IN HEALTH CARE INSURANCE PROGRAMS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 IS BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES. THE UNREIMBURSED COST OF BAD DEBT WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) TO THE ORGANIZATION'S BAD DEBT PROVISION PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS RECEIVED. ADVOCATE MAKES EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BY STRICTLY ADHERING TO ITS FINANCIAL ASSISTANCE POLICY. WE BELIEVE THAT ADVOCATE HAS A POPULATION OF PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT WHO DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THE SELF-PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD CHARITY APPLICATIONS PENDING AT THE TIME OF SERVICE. THIS COST WAS THEN REDUCED BY CHARGES IDENTIFIED AS TRUE BAD DEBT EXPENSE, INCLUDING COPAYS FOR PATIENTS WHO QUALIFIED FOR LESS THAN 100% FINANCIAL ASSISTANCE, AND CHARGES FOR PATIENTS WHO APPLIED FOR FINANCIAL ASSISTANCE AND WERE DENIED. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE REMAINING CHARGES, TO DETERMINE THE VALUE (AT COST) OF PATIENT ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT. WE BELIEVE THIS PROCESS IS A REASONABLE BASIS FOR OUR ESTIMATE. AS WE ARE ONLY CONSIDERING SELF-PAY ACCOUNTS WRITTEN OFF TO BAD DEBT FOR THIS ESTIMATE, THIS ESTIMATE DOES NOT INCLUDE THE IMMEDIATE 20% DISCOUNT TO CHARGES WHICH IS APPLIED TO ALL SELF-PAY PATIENTS. IT ALSO DOES NOT INCLUDE ACCOUNT BALANCES OR CO-PAYS OF NON-SELF PAY ACCOUNTS WHICH ARE WRITTEN OFF TO BAD DEBT WHEN THE PATIENT HAS NO OTHER FINANCIAL RESOURCES TO PAY THESE AMOUNTS AND THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE. BAD DEBT AMOUNTS HAVE BEEN EXCLUDED FROM OTHER COMMUNITY BENEFIT AMOUNTS REPORTED THROUGHOUT SCHEDULE H. PART VI, LINE 1 DESCRIPTION FOR Part III, Line 8 THE SHORTFALL OF $4,629,365 ON PART III, LINE 7 IS THE UNREIMBURSED COST OF PROVIDING SERVICES FOR MEDICARE PATIENTS AND SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE PROVIDING THESE SERVICES WITHOUT REIMBURSEMENT LESSENS THE BURDENS OF GOVERNMENT OR OTHER CHARITIES THAT WOULD OTHERWISE BE NEEDED TO SERVE THE COMMUNITY. FOR ACMC'S HOSPITAL OPERATIONS, THE UNREIMBURSED COST OF MEDICARE WAS CALCULATED BY APPLYING THE ORGANIZATIONS COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) AND FOR NON-HOSPITAL OPERATIONS THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES TO THE ORGANIZATIONS MEDICARE, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF MEDICARE PATIENT BILLS. PART VI, LINE 1 DESCRIPTION FOR Part III, Line 9b ACMC MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, THEREFORE SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES. PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES.
Part VI, Line 1 - Description for Part V, Sec B, Line 12HOTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, INFANTS AND CHILDREN (WIC), WHY WAIT AND WISE WOMEN PROGRAMS); COUNTY HEALTH CLINIC PATIENTS, LEGAL ASSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUBSIDIZED HOUSING; INCARCERATED INDIVIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., SUBSTANCE ABUSE, PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS. Part VI, Line 1 - Description for Part V, Sec B, Line 14g ACMC COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE: 1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST. 2. SIGNAGE IS CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS. 3. BROCHURES ARE PLACED IN HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS, AND INCLUDE GUIDANCE ON HOW A PATIENT MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND A FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE. 5. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION. 6. HOSPITAL BILLS TO ALL UNINSURED PATIENTS INCLUDE A REQUEST THAT THE PATIENT INFORM THE HOSPITAL OF ANY AVAILABLE HEALTH INSURANCE COVERAGE; AND INCLUDE A SUMMARY OF ADVOCATE'S FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE. Part VI, Line 1 - Description for Part V, Sec B, Line 17 ACMC DOES NOT PERFORM ACTIONS SUCH AS THOSE LISTED IN LINES 17 UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE A PATIENT'S FAP ELIGIBILITY. Part VI, Line 1 - Description for Part V, Sec B, Line 18E ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDS A SERIES OF LETTERS AND ATTEMPTS TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL" AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM. Part VI, Line 1 - Description for Part V, Sec B, Line 20D THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO AN FAP-ELIGIBLE PATIENT FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS BASED ON A SLIDING SCALE PERCENTAGE OF ANNUAL FAMILY INCOME WHICH IS TIED TO THE FPG FAMILY INCOME LIMIT APPLICABLE TO THE PATIENT. FOR A FAMILY WITH INCOME BETWEEN TWO AND THREE TIMES THE FEDERAL POVERTY LEVEL, THE MAXIMUM EXPECTED PAYMENT IS 5% OF ANNUAL FAMILY INCOME. FOR A FAMILY WITH INCOME BETWEEN THREE AND FOUR TIMES THE FEDERAL POVERTY LEVEL, THE MAXIMUM EXPECTED PAYMENT IS 10% OF ANNUAL FAMILY INCOME. FOR AN UNINSURED FAMILY WITH INCOME BETWEEN FOUR AND SIX TIMES THE FEDERAL POVERTY LEVEL, THE MAXIMUM EXPECTED PAYMENT IS 25% OF ANNUAL FAMILY INCOME.
Part VI, Line 2 - Needs assessmentIN JANUARY 2011, ACMC IMPLEMENTED A NEW COMMUNITY HEALTH ACCOUNTABILITY STRUCTURE. THE OVERALL GOAL WAS TO MORE STRATEGICALLY FOCUS THE HOSPITALS COMMUNITY HEALTH PROGRAMMING TO ENSURE KEY COMMUNITY NEEDS ARE BEING ADDRESSED AND THAT THE PROGRAMS, WHETHER DEVELOPED OR SUSTAINED, MEASURABLY IMPROVE COMMUNITY HEALTH. A COMMUNITY HEALTH COMMITTEE WAS ESTABLISHED TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT USING A STANDARDIZED APPROACH. REPRESENTATIVES FROM THE HOSPITALS EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY DEPARTMENTS, LED BY THE HOSPITALS COMMUNITY HEALTH LEADER, MET REGULARLY DURING THE FIRST HALF OF THE YEAR. IN ADDITION, A GOVERNING COUNCIL REPRESENTATIVE FROM THE COMMUNITY WAS INVITED TO SERVE AS AN ACTIVE PARTICIPANT ON THE COMMUNITY HEALTH COMMITTEE. ADDITIONAL HOSPITAL CLINICAL TEAM MEMBERS WILL BE ADDED TO THE COMMITTEE FOR THEIR DISEASE-SPECIFIC PROGRAM EXPERTISE, AS WILL OTHER COMMUNITY REPRESENTATIVES WITH SPECIAL KNOWLEDGE OR EXPERTISE IN KEY FOCUS AREAS. THE COMMITTEE WILL CONTINUE TO MEET EACH YEAR AS PART OF THE HOSPITALS ONGOING ASSESSMENT PROCESS. DURING 2011, COMMUNITY HEALTH COMMITTEE MEMBERS ATTENDED THREE CHNA WORKSHOPS DESIGNED TO LAUNCH THE CHNA PROCESS BY EDUCATING THEM ON HOW TO CONDUCT AN ASSESSMENT, INCLUDING CUTTING EDGE THINKING ON ADDRESSING COMMUNITY NEED. USING BOTH PRIMARY AND SECONDARY COMMUNITY HEALTH DATA, THE HOSPITAL COMMITTEE IDENTIFIED ITS SERVICE AREAS KEY HEALTH NEEDS AND THEN EMPLOYED A STANDARDIZED PRIORITY SETTING PROCESS TO DETERMINE KEY HEALTH NEEDS ON WHICH TO FOCUS. DURING THE PROCESS, THE HOSPITALS AND COMMUNITYS KEY CHALLENGES AND ASSETS WERE EXAMINED, AND HOSPITAL REPRESENTATIVES ENGAGED EXTERNAL KEY INFORMANTS IN DISCUSSIONS TO DETERMINE THE POTENTIAL FOR PARTNERING WITH OTHER ORGANIZATIONS AND SHARING RESOURCES TO ADDRESS COMMUNITY NEED. CHNA RESULTS WERE SHARED AND THE SELECTED PRIORITIES WERE ENDORSED BY ACMCS PRESIDENT AND FULL GOVERNING COUNCIL. IN 2012 THE HOSPITAL'S HEALTH LEADERS WORKED TO DEEPEN THEIR ASSESSMENTS AND UNDERSTANDING OF THE ROOT CAUSE OF THEIR COMMUNITIES NEEDS THROUGH DISCUSSION WITH COMMUNITY EXPERTS AND OTHER SELECTED COMMUNITY PARTNERS. EACH YEAR THE HOSPITAL PLAN IS REVIEWED AND APPROVED BY THE HOSPITAL PRESIDENT. THE HOSPITAL PLANS ARE THEN SHARED WITH AND ENDORSED BY THE GOVERNING COUNCIL. AS ONE OF TEN HOSPITALS IN THE ADVOCATE HEALTH CARE SYSTEM, ACMCS PLAN SUMMARY WILL BE SHARED PERIODICALLY WITH THE SYSTEM LEVEL EXECUTIVE MANAGEMENT TEAM AND WITH ADVOCATE HEALTH CARES MISSION AND SPIRITUAL CARE COMMITTEE OF THE BOARD, WHICH HAS SYSTEM LEVEL OVERSIGHT OF COMMUNITY HEALTH PLANNING.
Part VI, Line 3 - Patient education of eligibility for assistanceACMC ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD PARTY RESOURCES. FINANCIAL COUNSELING IS PROVIDED TO HELP PATIENTS IDENTIFY AND OBTAIN PAYMENT FROM THIRD PARTIES, INCLUDING ILLINOIS MEDICAID, ILLINOIS CRIME VICTIMS FUND, ETC., AS WELL AS TO DETERMINE ELIGIBILITY UNDER ACMCS FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE OR ADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 8 A.M. TO 6 P.M., MONDAY THROUGH FRIDAY. ACMC ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ACMC COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE: 1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST. 2. SIGNS ARE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS. 3. BROCHURES ARE PLACED IN HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS, AND WILL INCLUDE GUIDANCE ON HOW A PATIENT MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPITALS FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATES FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE. 5. ADVOCATES WEBSITE POSTS NOTICE IN A PROMINENT PLACE THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS, AND ENABLE PRINTING OF THE FINANCIAL ASSISTANCE APPLICATION. 6. HOSPITAL BILLS TO UNINSURED PATIENTS INCLUDE A REQUEST THAT THE PATIENT INFORM THE HOSPITAL OF ANY AVAILABLE HEALTH INSURANCE COVERAGE, AND INCLUDE A SUMMARY OF ADVOCATES FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION, AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE.
Part VI, Line 4 - Community InformationADVOCATE HEALTH CARE NETWORKS PRIMARY SERVICE AREA COVERS THE SIX-COUNTY, CHICAGO METROPOLITAN AREA. THESE COUNTIES INCLUDE COOK, DUPAGE, KANE, LAKE, MCHENRY, AND WILL. ACMC PRIMARILY SERVES THE COMMUNITY OF LAKE COUNTY. THE POPULATION IN ADVOCATES SERVICE AREA IS DESCRIBED BY THE FOLLOWING DEMOGRAPHIC CHARACTERISTICS: TOTAL POPULATION, POPULATION BY GROUP, RACE/ETHNIC DISTRIBUTION AND KEY SOCIO-ECONOMIC INDICATORS. THE CHICAGO METROPOLITAN AREA IS EXPECTED TO CONTINUE TO GROW FROM 2012 TO 2016, WITH THE POPULATION REACHING NEARLY 8.48 MILLION PEOPLE BY 2017. WHILE THE OVERALL AREA IS EXPECTED TO GROW 1.5%, SEVERAL OF THE COLLAR COUNTIES WILL EXPERIENCE HIGHER GROWTH INCLUDING KANE COUNTY (7.6%) AND WILL COUNTY (9.1%). THE 65+ AGE GROUP IS EXPECTED TO HAVE THE LARGEST INCREASE IN POPULATION (13.3%) FROM 2012 TO 2017, FOLLOWED BY THE 45-64 AGE GROUP (5.1%). THE 18-44 AGE GROUP IS EXPECTED TO DECLINE 3.4%, WHILE THE POPULATION AGES 0-17 IS EXPECTED TO INCREASE SLIGHTLY (.1%). WHILE THESE ARE THE TRENDS ACROSS THE OVERALL METRO AREA, THE TRENDS VARY IN GREAT DEGREE BY COUNTY. A WIDE RANGE OF DIVERSITY EXISTS AMONG THE COMMUNITIES SERVED BY EACH OF OUR HOSPITALS. ASIANS AND HISPANICS ARE PROJECTED TO CONTINUE TO BE THE TWO FASTEST GROWING RACE/ETHNIC GROUPS FROM 2012 TO 2017 (12.6% AND 10.7% GROWTH EXPECTED, RESPECTIVELY). THE SOCIO-ECONOMIC STATUS OF THE CHICAGO AREA ALSO VARIES BY COUNTY. IN COOK COUNTY, NEARLY 23 PERCENT OF THE HOUSEHOLDS HAVE A HOUSEHOLD INCOME UNDER THE FEDERAL POVERTY LEVEL WITH ANNUAL INCOMES BELOW THE $25,000 THRESHOLD. IN THE COLLAR COUNTIES, TEN TO THIRTEEN PERCENT OF THE HOUSEHOLDS ARE SUBSISTING ON LESS THAN $25,000 A YEAR. OVERALL, THE NUMBER OF PEOPLE ON MEDICAID HAS INCREASED FROM 2011 TO 2012 AND THE NUMBER OF UNINSURED INDIVIDUALS HAS INCREASED FROM 2011 TO 2012 BY 0.3%. IN HOUSEHOLDS THAT ARE STRUGGLING ECONOMICALLY, ACCESS TO HEALTH CARE CAN BE LIMITED EITHER BECAUSE OF A LACK OF SERVICES AVAILABLE WITHIN THE MARKET OR BECAUSE AN INDIVIDUALS FINANCIAL CHALLENGES DETER THAT PERSON FROM SEEKING CARE. LACK OF PREVENTIVE CARE OR CARE FOR CHRONIC ILLNESSES BRINGS MORE ACUTELY ILL PATIENTS TO THE HOSPITAL. ACMC PROVIDES QUALITY MEDICAL HEALTH CARE TO VARIOUS COMMUNITIES IN THE CHICAGOLAND AREA REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2012, ADVOCATE CONDELL EXPERIENCED 118,253 INPATIENT ADMISSIONS, 4,195,456 OUTPATIENT VISITS.
Part VI, Line 5 - Promotion of community healthIn addition to providing quality inpatient and outpatient services at its multiple sites of care, ACMC reaches beyond its walls and into communities through a wide array of activities and programs designed and delivered to benefit the communities it serves. These community benefits include: *Care that is provided free, subsidized or without full reimbursement from Medicare, Medicaid or other government insurance programs. *Services responding to unique community needs, such as trauma services, emergency care, neonatal intensive care, behavioral health services, parish nursing and congregational health ministries, as well as health screenings, immunization programs, school-based health care and other community outreach programs. *Education to train physicians, nurses, radiology technicians, physical therapists, EMTs, clinical pastors and a host of other highly skilled health care professionals. *Volunteer services provided by hospital employees who volunteer in their communities and community members who volunteer at hospitals. *Language-assistance services, such as interpreters and translation services for signage, forms, brochures, patient health education materials and other information in languages other than English. *Donations by Advocate hospitals of meeting and clinic space, used medical supplies and equipment, as well as other assistance to community groups. Through Advocate's own programs and services, as well as its participation in the community, Advocate promotes a shared approach to community benefits. Examples include: *Advocate Health Care is dedicated to providing expert emergency care to the most critically injured people in Chicago - today and in the future. Advocate's five Level I Trauma Centers and two Level II Trauma Centers provide care to nearly 20 percent of Chicagoland's trauma patients. In 2012, Advocate Christ Medical Center in Oak Lawn, Advocate Good Samaritan Hospital in Downers Grove, ACMC in Libertyville, Advocate Illinois Masonic Medical Center on Chicago's North Side and Advocate Lutheran General Hospital in Park Ridge handled a total of 303,625 visits, including 10,461 trauma cases. Advocate's Level II Trauma Centers - Advocate BroMenn Medical Center in Normal and Advocate Good Shepherd Hospital in Barrington - together provided care for 69,947 emergency department visits. *Since 1995, Advocate Health Care's Office for Mission and Spiritual Care has provided clinical chaplains and ethicists who offer support and services to individuals and families facing medical crisis. In addition, through its Congregational Health Partnerships and Parish Nurse Ministry programs, Advocate extends its reach into the community, working with churches, social service organizations, governmental agencies and other community partners to address community needs. Advocate's spiritual leaders also oversee a nationally accredited Clinical Pastoral Education program. Training 100 students each year, this program is one of the largest in the country, providing opportunities for seminary students and local health leaders to grow and develop spiritual care ministry skills. *Senior Advocate, a free membership program for adults ages 65 and older, offers services throughout the year to help keep older adults healthy and active. Flu shots and health lectures, as well as health insurance counseling to help with hospital billing paperwork (available at several Advocate hospitals), are a few of the benefits received by Senior Advocate members. A few examples of Advocate's leadership in serving uninsured and underinsured individuals and families are: *Advocate offers a very generous charity care program - requiring no payments from the patients most in need, and providing discounts to uninsured patients earning up to six times the federal poverty level and to insured patients earning up to four times the poverty level. Advocate considers an individual's extenuating circumstances to qualify patients for charity care and, in certain cases, determines a patient's eligibility using Advocate or public records ("presumptive eligibility"). Advocate is also one of the largest providers of health care services to Medicaid and Medicare patients in Chicago and the surrounding suburbs. *ACMC COLLABORATES WITH EMERGENCY MEDICAL SERVICE PROVIDERS TO SHARE BEST-PRACTICE INFORMATION THROUGHOUT ADVOCATE SITES AS WELL AS OTHER NON-ADVOCATE MEDICAL PROVIDERS. ACMC IS A RESOURCE HOSPITAL FOR ILLINOIS REGION 10, WHICH REQUIRES ACMC TO COORDINATE ONGOING TRAINING IN EMERGENCY RESPONSE TO A MASS CASUALTY SITUATION OR OTHER DISASTER. THESE EDUCATION PROGRAMS AND TRAINING EXERCISES INVOLVE EVERY EMERGENCY PROVIDER IN THE AREA, BOTH INSIDE AND OUTSIDE OF ADVOCATE, AS WELL AS THE LAKE COUNTY HEALTH DEPARTMENT AND OTHER REGIONAL ORGANIZATIONS AS APPROPRIATE. ACMC ALSO OFFERS EDUCATIONAL TRAINING COURSES FOR INDIVIDUALS TO EARN PARAMEDIC CERTIFICATION. *ACMC CLINICIANS PROVIDE CARE TO THE COMMUNITY FOR MINOR INJURIES AND ILLNESSES THROUGH ACMC'S IMMEDIATE CARE CENTERS REGARDLESS OF THE PATIENT'S ABILITY TO PAY. EXERCISE PHYSIOLOGISTS AND PHYSICAL THERAPISTS ALSO PROVIDE SPORTS MEDICINE CONSULTATIONS AT LOCAL HIGH SCHOOLS AND COLLEGES. PHYSICIANS, NURSES AND OTHER CLINICIANS LEAD PRENATAL/CHILDBIRTH AND PARENTING EDUCATION CLASSES AND DIABETES EDUCATION CLASSES AS WELL AS SUPPORT GROUPS FOR DIABETES EDUCATION, HEART DISEASE, BREAST AND OTHER CANCERS, LACTATION/BREAST FEEDING, BEREAVEMENT/LOSS AND CAREGIVERS. ACMC PARTNERS WITH THE LAKE COUNTY DEPARTMENT OF PUBLIC HEALTH TO PROVIDE IMAGING SERVICES AT RATES SIGNIFICANTLY BELOW COST, AS WELL AS HOSTS MONTHLY REDUCED-FEE CHILD IMMUNIZATION CLINICS. Advocate is focusing on community health programs and initiatives that improve the quality of life throughout the Chicago region. Examples include: *ACMC'S DAY CENTER ADULT DAY CARE PROGRAM FILLS A GAP IN CONTINUITY OF CARE FOR CLIENTS WHO ARE UNABLE TO LIVE INDEPENDENTLY. ACMC'S PROGRAM COMBINES ADULT DAY CARE WITH THERAPEUTIC AND PERSONAL CARE SERVICES. GIVEN THAT THE PROGRAM IS LOCATED ADJACENT TO OTHER HOSPITAL SERVICES, CLIENTS CAN RECEIVE PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY FROM A LICENSED THERAPIST. IN ADDITION, BATHING ASSISTANCE, BEAUTICIAN/BARBER AND PODIATRY CARE ARE AVAILABLE AS A SERVICE TO THE CLIENT AND CAREGIVER. COMPREHENSIVE ADULT DAY CARE ALLOWS THE CAREGIVER TO REMAIN EMPLOYED AND/OR RECEIVE MUCH NEEDED RESPITE, THUS ALLOWING CLIENTS WITH FRAILTIES OR DEMENTIA TO REMAIN IN THE COMMUNITY AND AVOID OR DELAY THE ADDITIONAL EXPENSE OF LONG-TERM CARE. ACMC'S PROGRAM ACCEPTS CLIENTS WITH A HIGHER ACUITY THAN OTHER LOCAL PROGRAMS, CARING FOR PATIENTS IN THE LATER PART OF MIDDLE-STAGE ALZHEIMER'S. ACMC ALSO WORKS WITH THE VETERAN'S ADMINISTRATION TO PROVIDE SERVICES FOR THEIR PATIENTS UNDER THE CARE OF AN ON-SITE REGISTERED NURSE. *ACMC'S PACT (PEDIATRIC ALTERNATIVES IN CREATIVE THERAPY) PROGRAM IS A UNIQUE MEDICAL SUPPORT SERVICE IN LAKE COUNTY FOR CHILDREN AND TEENS WITH NEUROMUSCULAR DISORDERS, SUCH AS SPINA BIFIDA, CEREBRAL PALSY, HEAD TRAUMA AND SPINAL CORD INJURIES, AS WELL AS THOSE WITH DEVELOPMENTAL DELAY AND SPEECH-LANGUAGE DISORDERS. PACT ALSO TREATS CHILDREN WITH GENETIC AND CONGENITAL ANOMALIES, STRUCTURAL ABNORMALITIES, SUCH AS CLEFT PALATE, AND HEARING/VISION PROBLEMS, SENSORY INTEGRATION DYSFUNCTION AND THOSE RECEIVING RADIATION OR CHEMOTHERAPY TREATMENTS. PACT'S INTERDISCIPLINARY TEAM OF PROFESSIONALS, INCLUDING PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, AND SPEECH-LANGUAGE PATHOLOGIST, PARTNERS WITH THE FAMILIES, SCHOOLS, PHYSICIANS AND COMMUNITY TO PROVIDE COMPREHENSIVE INTERVENTION, AS WELL AS AN INDIVIDUALIZED TREATMENT PROGRAM FOR EACH CHILD. Advocate maintains and continues to actively expand its partnerships and relationships with a wide variety of organizations, including religious organizations, neighborhood groups and outreach and resource programs. Examples include: *Advocate sponsors 18 Advocate parish nurses serving 24 congregations and 13 network nurses serving 13 congregations who provide health education, wellness promotion, health screenings, advocacy and spiritual support to faith communities in Advocate's city and suburban hospital service areas. *ACMC's Sexual Assault Nurse Examiner (SANE) program opened in 2011, and remains the only Lake County program with certified sexual assault nurse examiners available 24 hours, 7 days a week. These highly trained practitioners not only provide compassionate care to victims, but also are able to collect forensic evidence, counsel the victim, and testify in court helping the victim through the entire process. In addition, the SANE program coordinator works closely with local rape advocates, law enforcement and prosecutors to assure victims of sexual assault in Lake County receive the best care possible. In 2012, ACMC's SANE coordinator, Jennifer Slominski, received the Justice Award from Lake County State's Attorney Michael J. Waller for her role in helping the prosecution o
STATE FILING OF COMMUNITY BENEFIT REPORTIL,990 SCHEDULE H, PART VI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AMERICAN CANCER SOCIETY
100 TRI-ST INTL PKWYLINCOLNSHIREIL60069131788491501(c)312000RELAY FOR LIFE PROGRAM
HEALTHREACH INC
1800 GRAND AVENUEWAUKEGANIL60085363816410501(c)362500SUPPORT EXEMPT MISSION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule IIdentifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationADVOCATE CONDELL MEDICAL CENTER SUPPORTS ONLY NONPROFIT ORGANIZATIONS THAT ARE TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THAT ARE CONSISTENT WITH AND COMPLEMENTARY TO THE MISSION AND CHARITABLE, TAX-EXEMPT PURPOSES OF ADVOCATE CONDELL MEDICAL CENTER. CASH CONTRIBUTIONS ARE NOT MADE TO INDIVIDUALS, FOR PROFIT BUSINESSES OR PRIVATE PROVIDERS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
James Skogsbergh
EXEC VP, COO, DIRECTOR011668370159756008293280667330031556042926110632803
William P Santulli
President & CEO0728878092671004587540387090035707025371390357548
Lee B Sacks MD
Exec VP, Chief Medical Officer0574877068504404372180295605024560020173040267698
James Dan MD
Pres Physician & Amb Services0451202049852506624480219645023545018553650193028
James Doheny
VP, Finance & Corp Controller02795180108000034979023128034875048050000
Kelly Jo Golson
SVP, Public Affairs & Mktg0322517020137202136800106589047200848878056288
Kevin Brady
SVP, Human Resources0384526016559701261000203335035502091506100
Gail D Hasbrouck
SVP, Gen Counsel, Corp Sec0409858035017902764240153345024319012141240127906
Dominic J Nakis
SVP, CFO0536374068504403531290295605024452018946040267698
Scott Powder
SVP, Strategic Plan & Growth0282344021083701378420961170314860758625071716
Bruce D Smith
SVP, CIO0424675036518402380750158896033262012200930133402
Rev K Bender Schwich
SVP, Mission & Spiritual Care01226900657220348800140301078963044255600
Ann Errichetti MD
President-Condell Med Ctr-7/122702730437902025213202312808257099169201713220
Dominica Tallarico
President-Condell Medical Cntr114743191437500006767921198353748340914462134552245428280533140600
Debra Susie-Lattner
VP, Medical Management26566205000057310143960147840305573000
Gwenn Leschke
VP, Human Resources9035039930022707706546016089029867701971360
David Cemate
VP, Operations2055870432320-6590231280270410298330000
Mary Hillard
VP, Patient Care1916150380090-34520214690284860276127000
David Cartwright
VP, Finance1821810399300-10680208120269310268786000
Jose Elizondo MD
Director - Dec '11019391403403803270021748016126026909600
Ben Grigaliunas
SVP, Human Resources- Dec '11017819045717306193290118300023104012357250629173

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
Return ReferencePART I, LINE 4AReturnReference
ExplanationSEVERANCE PAYMENTS BEN GRIGALIUNIS, SENIOR VICE PRESIDENT, HUMAN RESOURCES, TERMINATED HIS EMPLOYMENT WITH AHHC IN 2011 AND RECEIVED SEVERANCE OF $452,151 IN 2012. THIS AMOUNT WAS REPORTED ON A PRIOR FORM 990 AS DEFERRED COMPENSATION AND IS LISTED AS A COMPONENT OF COLUMN (F). GWENN LESCHKE, VICE PRESIDENT, HUMAN RESOURCES, TERMINATED HER EMPLOYMENT WITH CONDELL IN 2011 AND RECEIVED SEVERANCE OF $197,136 IN 2012. THIS AMOUNT WAS REPORTED ON A PRIOR FORM 990 AS DEFERRED COMPENSATION AND IS LISTED AS A COMPONENT OF COLUMN (F). PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN BEN GRIGALIUNAS, SENIOR VICE PRESIDENT-HUMAN RESOURCES, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. GAIL HASBROUCK, SENIOR VICE PRESIDENT-GENERAL COUNSEL AND CORPORATED SECRETARY, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. 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: JAMES SKOGSBERGH, BEN GRIGALIUNAS, BRUCE SMITH, DOMINIC NAKIS, GAIL HASBROUCK, LEE SACKS M.D., SCOTT POWDER, WILLIAM SANTULLI, JAMES DAN M.D., KELLY JO GOLSON, ANN ERRICHETTI AND DOMINICA TALLARICO. THE FOLLOWING EMPLOYEES HAVE NOT YET VESTED AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS DEFERRED COMPENSATION: KATHIE BENDER SCHWICH. 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.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
EVANGELICAL SERVICES CORPORATION
SHARED BOARD MEMBER160566892EXPENSE ALLOCATIONfalse
EVANGELICAL SERVICES CORPORATION
SHARED BOARD MEMBER862780EXPENSE REIMBURSEMENTfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEEFORM 990, PART VI, SECTION A, LINE 1ATHE ORGANIZATIONS BYLAWS PROVIDE THAT THE EXECUTIVE COMMITTEE HAS AUTHORITY TO ACT ON BEHALF OF THE BOARD. THE EXECUTIVE COMMITTEE HAS THE SAME COMPOSITION AND MEMBERS AS THE EXECUTIVE COMMITTEE OF THE CORPORATE MEMBER. THE CORPORATE MEMBERS EXECUTIVE COMMITTEE HAS NINE MEMBERS, CONSISTING OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE PRESIDENT, THE CHAIRPERSONS OF THE FINANCE, PLANNING, HEALTH OUTCOMES AND MISSION AND SPIRITUAL CARE COMMITTEES, AND TWO OTHER DIRECTORS. THE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS MAY SERVE AS AN EX-OFFICIO MEMBER OF THE COMMITTEE, WITH VOTE. EACH OF THE EXECUTIVE COMMITTEES MEMBERS IS ON THE BOARD. THE SCOPE OF THE EXECUTIVE COMMITTEES AUTHORITY INCLUDES: BE RESPONSIBLE FOR PLANNING EDUCATIONAL PROGRAMS FOR THE BOARD OF DIRECTORS; CONDUCT AN EVALUATION OF THE MEMBERS OF THE BOARD OF DIRECTORS; HAVE SUCH AUTHORITY AS SHALL BE DELEGATED BY THE BOARD OF DIRECTORS; AND ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE IS ACCOUNTABLE AS A BODY TO THE BOARD OF DIRECTORS.
DESCRIPTION OF BUSINESS RELATIONSHIPSFORM 990, PART VI, SECTION A, LINE 2AS DR. JAMES DAN, GAIL HASBROUCK, JAMES DOHENY, AND DOMINIC NAKIS 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 DR. JAMES DAN, GAIL HASBROUCK, JAMES DOHENY, AND SCOTT POWDER 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 DR. JAMES DAN AND DR. LEE SACKS 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 DR. JAMES DAN, GAIL HASBROUCK, JAMES DOHENY, SCOTT POWDER, AND WILLIAM SANTULLI 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.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, QUESTION 6BY-LAWS PROVIDE FOR CORPORATE MEMBERS.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, QUESTION 7ATHE NOT FOR PROFIT CORPORATIONS OF ADVOCATE HEALTH CARE, WITH THE EXCEPTION OF ADVOCATE HEALTH CARE NETWORK, HAVE CORPORATE MEMBERS WHO ELECT DIRECTORS. ADVOCATE HEALTH CARE NETWORK DOES NOT HAVE ANY MEMBERS, THEREFORE, THE AHCN BOARD ELECTS ITS DIRECTORS. THE FOR PROFIT ORGANIZATIONS HAVE A SOLE SHAREHOLDER WHO ELECTS DIRECTORS.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, QUESTION 7BTHE FOLLOWING RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK: APPOINT OUTSIDE AUDITORS AND ESTABLISH AND REVISE ALL FINANCIAL CONTROL POLICIES, AND ANY CHANGES TO SUCH POLICIES, BEFORE SUCH POLICIES OR CHANGES BECOME EFFECTIVE; CAUSE THE CORPORATION TO PAY, LOAN OR OTHERWISE TRANSFER PROPERTY AND FUNDS TO OTHER ENTITIES AFFILIATED WITH THE CORPORATE MEMBER; AMEND THE BYLAWS WITHOUT ACTION OR APPROVAL BY THE BOARD OF DIRECTORS (AFTER TEN DAYS NOTICE TO THE CORPORATIONS BOARD OF DIRECTORS OF THE PROPOSED AMENDMENT(S) WITH AN OPPORTUNITY FOR BOARD MEMBERS TO CONSULT WITH THE CORPORATE MEMBER REGARDING THE PROPOSED AMENDMENT; APPROVAL OF THE OVERALL MISSION, PHILOSOPHY AND VALUES STATEMENTS AND ANY AMENDMENTS OR SUPPLEMENTS TO SUCH STATEMENTS; APPROVAL OF THE OVERALL STRATEGIC PLANS; APPROVAL OF ALL OVERALL OPERATING AND CAPITAL BUDGETS BEFORE ANY EXPENDITURE, PURSUANT TO SUCH BUDGETS ARE MADE OR COMMITTED, AND APPROVAL OF ALL EXPENDITURES ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF THE INCURRENCE OR GUARANTEE OF ANY INDEBTEDNESS FOR BORROWED MONEY WHICH HAS NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR WHICH IS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL TRANSFERS OF OWNERSHIP OR DONATIONS OF ASSETS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION BEFORE THEY BECOME EFFECTIVE; APPROVAL OF ANY MERGER, CONSOLIDATION, OR DISSOLUTION; AND APPROVAL OF THE CREATION OF OR AFFILIATION WITH ANY SUBSIDIARY OR AFFILIATE, BEFORE SUCH ENTITY IS CREATED OR THE ENTRANCE INTO ANY JOINT VENTURE IF THE CONTEMPLATED ACTIVITY WILL INVOLVE THE EXPENDITURE OF FUNDS OR THE ASSUMPTION OF OBLIGATIONS WHICH HAVE NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR REQUIRE MEMBER APPROVAL UNDER THE FINANCIAL CONTROL POLICIES.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, QUESTION 11BADVOCATES TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION, TO ADVISE AND ASSIST WITH PREPARATION OF THE FORM 990. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATIONS FINANCE, TAX, AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATIONS 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 ADVOCATES OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTORS AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATIONS 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 ORGANIZATIONS BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, QUESTION 12CTHE 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 PERSONS 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 A RESTRICTION OF THE INDIVIDUALS JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNFORM 990, PART VI, QUESTIONS 15A & 15BEXECUTIVE COMPENSATION AT THE 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 ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS 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 STRATEGY, 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 PERFORMANCE OF THE ORGANIZATION, AND - ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, QUESTION 19THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING SITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) AND EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS). THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENT OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, QUESTION 9 Distribution to AHHC: $20,000,000

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ADVOCATE HEALTH & HOSPITALS CORPORATION
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515362169147HEALTH CAREIL501(C)(3)3AHCNfalse
ADVOCATE CHARITABLE FOUNDATION
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515363297360FUNDRAISINGIL501(C)(3)7AHCNfalse
ADVOCATE HEALTH CARE NETWORK
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515362167779PARENT CORPIL501(C)(3)11-III-FINAfalse
EHS HOME HEALTH CARE SERVICE INC
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515362913108HOME CAREIL501(C)(3)9AHHCtrue
ADVOCATE NORTH SIDE HEALTH NETWORK
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515363196629HEALTH CAREIL501(C)(3)3AHHCtrue
MERIDIAN HOSPICE
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515363158667HOSPICE CAREIL501(C)(3)9EHSHHCSfalse
HISPANO CARE INC
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515363606486HEALTH CAREIL501(C)(3)9ANHNfalse

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1DREYER MERCY AMB SURGERY CNTRBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11221 N HIGHLAND AVEAddressLine1
CityAURORACity
StateILState
ZIP Code60506ZIPCode
FieldValueIRS element (for citing)
EIN363890298EIN
Primary ActivityMEDICAL SERVICESPrimaryActivity
Legal Domicile StateILLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
ADVOCATE HEALTH CENTERS INC
3075 HIGHLAND PARKWAY SUITE 600DOWNERS GROVEIL60515364217291MEDICAL SERVICESILNAC CORP
ADVOCATE HOME CARE PRODUCTS
3075 HIGHLAND PARKWAY SUITE 600DOWNERS GROVEIL60515363315416HEALTH SERVICESILNAC CORP
DREYER CLINIC INC
1877 W DOWNER PLACEAURORAIL60515362690329MEDICAL SERVICESILNAC CORP
ADVOCATE INSURANCE SPC
980422925INSURANCENAC CORP23 LIME TREE BAY AVE GOV SQ BLDG 4GRAND CAYMANCJCJ
EVANGELICAL SERVICES CORPORATION
3075 HIGHLAND PARKWAY SUITE 600DOWNERS GROVEIL60515363208101MGMT SERVICESILNAC CORP
HIGH TECHNOLOGY INC
3075 HIGHLAND PARKWAY SUITE 600DOWNERS GROVEIL60515363368224MEDICAL SERVICESILNAC CORP
PARKSIDE CENTER CONDO ASSOCIATION
1775 WEST DEMPSTER STREETPARK RIDGEIL60068363452486PROPERTY MGMTILNAC CORP
MIDWEST HEART SPECIALISTS LTD
1901 S MEYERS RD SUITE 350OAKBROOK TERRACEIL60181362841923MEDICAL SERVICESILNAC CORP
BROMENN PHYSICIAN MANAGEMENT CORPORATION
371313150MEDICAL SERVICESILNAC CORP
CENTER FOR ENDOSCOPY LLC
22285 PEPPER ROADLAKE BARRINGTONIL60010262387298HEALTH SERVICESILNAC CORP
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ADVOCATE HEALTH & HOSPITALS CORPORATION
B20000000COST
ADVOCATE HEALTH & HOSPITALS CORPORATION
K306694COST
ADVOCATE HEALTH & HOSPITALS CORPORATION
M31238076COST
ADVOCATE HEALTH & HOSPITALS CORPORATION
P51724660COST
ADVOCATE HEALTH & HOSPITALS CORPORATION
R322932COST
ADVOCATE HEALTH & HOSPITALS CORPORATION
L1562211COST
ADVOCATE HEALTH & HOSPITALS CORPORATION
Q14615768COST
ADVOCATE HEALTH & HOSPITALS CORPORATION
S4249559COST