﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2010v3.4">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-11-15T08:33:05-05:00</Timestamp>
    <TaxPeriodEndDate>2010-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>ERNST &amp; YOUNG US LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>155 NORTH WACKER DRIVE</AddressLine1>
        <City>CHICAGO</City>
        <State>IL</State>
        <ZIPCode>60606</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>362913108</EIN>
      <Name>
        <BusinessNameLine1>EHS Home Health Care Service inc</BusinessNameLine1>
      </Name>
      <NameControl>EHSH</NameControl>
      <Phone>6309905155</Phone>
      <USAddress>
        <AddressLine1>2025 Windsor Drive</AddressLine1>
        <City>Oak Brook</City>
        <State>IL</State>
        <ZIPCode>605231586</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>JAMES DOHENY</Name>
      <Title>TREASURER</Title>
      <DateSigned>2011-11-10</DateSigned>
    </Officer>
    <Preparer>
      <Phone>3128792000</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="9">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <DoingBusinessAs>
        <BusinessNameLine1>Advocate Home Health Services</BusinessNameLine1>
      </DoingBusinessAs>
      <NameOfPrincipalOfficerPerson>DENISE M KEEFE</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
        <City>OAK BROOK</City>
        <State>IL</State>
        <ZIPCode>60523</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>52508741</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>www.advocatehealth.com</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1977</YearFormation>
      <StateLegalDomicile>IL</StateLegalDomicile>
      <ActivityOrMissionDescription>TO PROVIDE QUALITY MEDICAL HOME HEALTH CARE SERVICES AND EDUCATION TO VARIOUS COMMUNITIES IN THE CHICAGOLAND AREA REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>8</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>0</NbrIndependentVotingMembers>
      <TotalNbrEmployees>492</TotalNbrEmployees>
      <TotalNbrVolunteers>0</TotalNbrVolunteers>
      <TotalGrossUBI>4090500</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>4890</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>30572</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>37578528</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>45290195</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>46620</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>60261</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>5415457</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>6297867</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>43045495</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>51678895</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>25956432</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>29844316</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>17149138</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>18961991</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>43105570</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>48806307</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-60075</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>2872588</RevenuesLessExpensesCY>
      <TotalAssetsBOY>10132581</TotalAssetsBOY>
      <TotalAssetsEOY>14898484</TotalAssetsEOY>
      <TotalLiabilitiesBOY>12111456</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>13873737</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>-1978875</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>1024747</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>EHS HOME HEALTH CARE SERVICES, INC. (EHSHHC) MISSION IS TO PROVIDE QUALITY MEDICAL HOME HEALTH CARE SERVICES AND EDUCATION TO VARIOUS COMMUNITIES IN THE CHICAGOLAND AREA REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>37478370</Expense>
      <Revenue>45290195</Revenue>
      <Description>SEE SCHEDULE O</Description>
      <TotalProgramServiceExpense>37478370</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="IRS990ScheduleC">false</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="IRS990ScheduleC">true</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="IRS990ScheduleD">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="IRS990ScheduleD">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="IRS990ScheduleD">true</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">false</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction referenceDocumentId="IRS990ScheduleL">false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="IRS990ScheduleL">false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="IRS990ScheduleL">false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="IRS990ScheduleL">false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="IRS990ScheduleL">false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="IRS990ScheduleL">false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="IRS990ScheduleL">true</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="IRS990ScheduleR">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity>true</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="IRS990ScheduleR">false</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="IRS990ScheduleR">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>36</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>492</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>true</UnrelatedBusinessIncome>
      <Form990-TFiled>true</Form990-TFiled>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>8</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>0</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>true</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>true</MembersOrStockholders>
      <ElectionOfBoardMembers>true</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>true</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>JAMES DOHENY</NamePerson>
        <TelephoneNumber>6309905155</TelephoneNumber>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <InfoInScheduleOPartVII>X</InfoInScheduleOPartVII>
      <Form990PartVIISectionA>
        <NamePerson>Ben Grigaliunas</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>1195003</ReportableCompFromRelatedOrgs>
        <OtherCompensation>567060</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Denise M Keefe</NamePerson>
        <Title>President &amp; Chairperson</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>600230</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>295388</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Dr Mark Shields</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>507448</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>136002</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gail D Hasbrouck</NamePerson>
        <Title>Secretary and Director</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>1009794</ReportableCompFromRelatedOrgs>
        <OtherCompensation>437916</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Karen Lambert</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>726014</ReportableCompFromRelatedOrgs>
        <OtherCompensation>406178</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lois Elia</NamePerson>
        <Title>Vice President, Advocate Care</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>361493</ReportableCompFromRelatedOrgs>
        <OtherCompensation>101477</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Marty Manning</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>715511</ReportableCompFromRelatedOrgs>
        <OtherCompensation>360235</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rowena Brown-Evans</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>145772</ReportableCompFromRelatedOrgs>
        <OtherCompensation>16380</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James Doheny</NamePerson>
        <Title>Treasurer</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>429264</ReportableCompFromRelatedOrgs>
        <OtherCompensation>152134</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kathy Fife</NamePerson>
        <Title>VP, Human Resources</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>101242</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>34402</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Keith Rancine</NamePerson>
        <Title>VP, Financial Operations</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>168381</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>51746</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mary Matthews</NamePerson>
        <Title>Assistant Secretary</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>247933</ReportableCompFromRelatedOrgs>
        <OtherCompensation>58305</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Christine Ricker</NamePerson>
        <Title>VP Business Development, HCD</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>156671</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>56159</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kathy Siwak</NamePerson>
        <Title>VP, Clinical Services</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>195510</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>68320</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael Imbrogno</NamePerson>
        <Title>Director, Information Systems</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>128404</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>42614</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michelle Warszalek</NamePerson>
        <Title>Admin Intermitten Ops/CNE</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>146261</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>40370</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Thomas Mathew</NamePerson>
        <Title>Physical Therapist</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>122191</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>374</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2126338</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>4830784</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>2825060</TotalOtherCompensation>
      <NumberIndividualsGT100K>9</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>MISYS HEALTHCARE SYSTEMS LLC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>8529 SIX FORKS RD</AddressLine1>
            <City>RALEIGH</City>
            <State>NC</State>
            <ZIPCode>27615</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SOFTWARE</DescriptionOfServices>
        <Compensation>212937</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>CARECENTRIC NATIONAL LLC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2839 PACES FERRY RD STE 900</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>30339</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HOME HLTHCARE SFTWAR</DescriptionOfServices>
        <Compensation>104528</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>2</NumberOfContractorsGT100K>
      <RelatedOrganizations>30572</RelatedOrganizations>
      <TotalContributions>30572</TotalContributions>
      <ProgramServiceRevenue>
        <Description>MEDICARE</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>24504431</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>24504431</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PRIVATE INSURANCE</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>13976995</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>13976995</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEDICAID</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>1075673</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1075673</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>SELF PAY</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>1127287</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1127287</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OTHER / COMMERCIAL PAYORS</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>4605809</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4605809</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>45290195</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>36870</TotalRevenueColumn>
        <ExclusionAmount>36870</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossAmountSalesAssets>
        <Securities>853237</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>803078</Securities>
        <Other>26768</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>50159</Securities>
        <Other>-26768</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>23391</TotalRevenueColumn>
        <ExclusionAmount>23391</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>MANAGEMENT FEES</Description>
        <BusinessCode>541610</BusinessCode>
        <TotalRevenueColumn>4090500</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>4090500</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>ADMINISTRATIVE FEES</Description>
        <BusinessCode>561000</BusinessCode>
        <TotalRevenueColumn>2189700</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2189700</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MEDICAL RECORDS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>5007</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>5007</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>12660</TotalRevenueColumn>
        <ExclusionAmount>12660</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>6297867</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>51678895</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>47484902</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>4090500</UnrelatedBusinessRevenue>
        <ExclusionAmount>72921</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1377301</Total>
        <ManagementAndGeneral>1377301</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>22845815</Total>
        <ProgramServices>18089030</ProgramServices>
        <ManagementAndGeneral>4756785</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>777929</Total>
        <ProgramServices>559975</ProgramServices>
        <ManagementAndGeneral>217954</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>3104311</Total>
        <ProgramServices>2091778</ProgramServices>
        <ManagementAndGeneral>1012533</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1738960</Total>
        <ProgramServices>1338640</ProgramServices>
        <ManagementAndGeneral>400320</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>927808</Total>
        <ProgramServices>614668</ProgramServices>
        <ManagementAndGeneral>313140</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>12787</Total>
        <ManagementAndGeneral>12787</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>138353</Total>
        <ManagementAndGeneral>138353</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>4037</Total>
        <ManagementAndGeneral>4037</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>3987</Total>
        <ManagementAndGeneral>3987</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>6675470</Total>
        <ProgramServices>6455153</ProgramServices>
        <ManagementAndGeneral>220317</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>198100</Total>
        <ProgramServices>3276</ProgramServices>
        <ManagementAndGeneral>194824</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>4821169</Total>
        <ProgramServices>4377625</ProgramServices>
        <ManagementAndGeneral>443544</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>698561</Total>
        <ProgramServices>29201</ProgramServices>
        <ManagementAndGeneral>669360</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>1405059</Total>
        <ProgramServices>908333</ProgramServices>
        <ManagementAndGeneral>496726</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>931943</Total>
        <ProgramServices>802909</ProgramServices>
        <ManagementAndGeneral>129034</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>21573</Total>
        <ProgramServices>6615</ProgramServices>
        <ManagementAndGeneral>14958</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>469393</Total>
        <ProgramServices>313654</ProgramServices>
        <ManagementAndGeneral>155739</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>161587</Total>
        <ProgramServices>161587</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>1545393</Total>
        <ProgramServices>1545393</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MINOR EQUIPMENT</Description>
        <Total>717794</Total>
        <ProgramServices>91066</ProgramServices>
        <ManagementAndGeneral>626728</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER EXPENSES</Description>
        <Total>143565</Total>
        <ProgramServices>81853</ProgramServices>
        <ManagementAndGeneral>61712</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EMPLOYEE EXPENSES</Description>
        <Total>85412</Total>
        <ProgramServices>7614</ProgramServices>
        <ManagementAndGeneral>77798</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>48806307</Total>
        <ProgramServices>37478370</ProgramServices>
        <ManagementAndGeneral>11327937</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1700</BOY>
        <EOY>1500</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>3656644</BOY>
        <EOY>5349318</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>1686026</BOY>
        <EOY>2150699</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>166724</BOY>
        <EOY>227274</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>4672273</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>3209863</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1772613</BOY>
        <EOY>1462410</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>1266252</BOY>
        <EOY>1435316</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>1582622</BOY>
        <EOY>4271967</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>10132581</BOY>
        <EOY>14898484</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>4109816</BOY>
        <EOY>5043744</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>8001640</BOY>
        <EOY>8829993</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>12111456</BOY>
        <EOY>13873737</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-1978875</BOY>
        <EOY>1024747</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-1978875</BOY>
        <EOY>1024747</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>10132581</BOY>
        <EOY>14898484</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>2872588</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>131034</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>26397</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>34882</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1016906</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4890</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>30572</CurrentTaxYear>
        <Total>1113647</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>26095893</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>28021590</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>30973835</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>39542562</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>47484902</CurrentTaxYear>
        <Total>172118782</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>26122290</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>28056472</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>31990741</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>39547452</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>47515474</CurrentTaxYear>
        <Total>173232429</Total>
      </Total509>
      <PublicSupportTotal509>173232429</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>169581</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>167968</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>43995</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>65680</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>36870</CurrentTaxYear>
        <Total>484094</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>169581</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>167968</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>43995</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>65680</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>36870</CurrentTaxYear>
        <Total>484094</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>805</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1553</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>571</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12660</CurrentTaxYear>
        <Total>15589</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>26291871</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>28225245</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>32036289</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>39613703</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>47565004</CurrentTaxYear>
        <Total>173732112</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99712</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99601</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00279</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00398</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>4037</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>4037</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>SUPPLEMENTAL LOBBYING INFORMATION</Identifier>
        <ReturnReference>Schedule C, Part II-B, 1i</ReturnReference>
        <Explanation>EHS Home Health Care Service, Inc. reimburses various associates for dues paid to various professional organizations and also for educational expenses provided by professional and membership organizations. EHS Home Health Care Service, Inc. endeavors to identify the portion of dues or fees paid to these organizations which are attributible to lobbying activities.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land />
      <Buildings />
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>764034</OtherCostOrOtherBasis>
        <Depreciation>501525</Depreciation>
        <BookValue>262509</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>3908239</OtherCostOrOtherBasis>
        <Depreciation>2708338</Depreciation>
        <BookValue>1199901</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>1462410</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
        <BookValue>4271967</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>4271967</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO 3RD PARTY</Description>
        <Amount>5796287</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>3033706</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>8829993</TotalOfAmounts>
      <TotalRevenue>51678895</TotalRevenue>
      <TotalExpenses>48806307</TotalExpenses>
      <ExcessOrDeficitForYear>2872588</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>91144</NetUnrealizedGLOnInvestments>
      <OtherAmount>39890</OtherAmount>
      <TotalAdjustments>131034</TotalAdjustments>
      <ExcessOrDeficitPerFS>3003622</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>51805942</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>91144</NetUnrealizedGainsInvestments>
      <OtherRevenues>39890</OtherRevenues>
      <RevenueNotRptdF990>131034</RevenueNotRptdF990>
      <RevenueSubtotal>51674908</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>3987</InvestmentExpensesNotIncluded>
      <RevenueNotRptdOnFinStmt>3987</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>51678895</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>48802320</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>48802320</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>3987</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>3987</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>48806307</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Schedule D, Part XI, Line 8</ReturnReference>
        <Explanation>Beginning Balance Adjustment for BroMenn Home Health Care: $39,890.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Schedule D, Part XII, Line 2d</ReturnReference>
        <Explanation>Fair Value of Net Asset Acquired: $39,890.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Ben Grigaliunas</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>439084</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>328516</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>427403</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>541470</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>25590</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1762063</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>328516</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Christine Ricker</NamePerson>
        <BaseCompensationFilingOrg>136856</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>18024</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1791</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>33459</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>22700</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>212830</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>18024</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Denise M Keefe</NamePerson>
        <BaseCompensationFilingOrg>281218</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>150659</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>168353</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>268872</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>26516</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>895618</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>150659</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dr Mark Shields</NamePerson>
        <BaseCompensationFilingOrg>338316</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>101070</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>68062</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>117807</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18195</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>643450</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>101070</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Gail D Hasbrouck</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>394416</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>256147</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>359231</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>415133</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>22783</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1447710</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>256147</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>James Doheny</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>244522</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>102255</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>82487</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>119079</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>33055</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>581398</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>102255</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Karen Lambert</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>318900</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>210333</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>196781</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>375669</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>30509</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1132192</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>210333</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kathy Siwak</NamePerson>
        <BaseCompensationFilingOrg>132424</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>26255</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>36831</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>43147</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>25173</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>263830</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>26255</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Keith Rancine</NamePerson>
        <BaseCompensationFilingOrg>148216</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>19133</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1032</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>36312</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15434</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>220127</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>19133</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Lois Elia</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>263035</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>71775</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>26683</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>90353</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>11124</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>462970</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>71775</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Marty Manning</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>330568</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>193229</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>191714</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>329360</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>30875</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1075746</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>193229</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mary Matthews</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>162423</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>32043</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>53467</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>55731</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>2574</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>306238</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>32043</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Michael Imbrogno</NamePerson>
        <BaseCompensationFilingOrg>111485</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>15253</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1666</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>28009</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14605</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>171018</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>15253</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Michelle Warszalek</NamePerson>
        <BaseCompensationFilingOrg>126706</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>19003</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>552</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>32326</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8044</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>186631</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>19003</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Rowena Brown-Evans</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>127578</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>17642</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>552</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>16380</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>162152</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>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 CORPORATE SECRETARY, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH, ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. IN 2010, ADVOCATE IMPLEMENTED A TARGET REPLACEMENT SENIOR EXECUTIVE RETIREMENT PLAN. THE CONTRIBUTIONS TO THIS PLAN ARE TAXABLE AFTER FIVE YEARS OF SERVICE. THE FOLLOWING EMPLOYEES PARTICIPATE IN THE PLAN: BEN GRIGALIUNAS, GAIL HASBROUCK, JAMES DOHENY, KAREN LAMBERT, MARTIN MANNING, LOIS ELLA AND DENISE KEEFE. 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>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ADVOCATE HEALTH CENTERS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SHARED BOARD MEMBER</Relationship>
        <AmountOfTransaction>140575</AmountOfTransaction>
        <DescriptionOfTransaction>EXPENSE REIMBURSED</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>EVANGELICAL SERVICES CORPORATION</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SHARED BOARD MEMBER</Relationship>
        <AmountOfTransaction>32950716</AmountOfTransaction>
        <DescriptionOfTransaction>EXPENSE REIMBURSED</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ADVOCATE HOME CARE PRODUCTS INC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SHARED BOARD MEMBER</Relationship>
        <AmountOfTransaction>168243</AmountOfTransaction>
        <DescriptionOfTransaction>PROPERTY RENT RECEIVED</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ADVOCATE HOME CARE PRODUCTS INC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SHARED BOARD MEMBER</Relationship>
        <AmountOfTransaction>4090500</AmountOfTransaction>
        <DescriptionOfTransaction>ADMINISTRATIVE SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ADVOCATE HOME CARE PRODUCTS INC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SHARED BOARD MEMBER</Relationship>
        <AmountOfTransaction>1532773</AmountOfTransaction>
        <DescriptionOfTransaction>EXPENSE REIMBURSED</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ADVOCATE HOME CARE PRODUCTS INC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SHARED BOARD MEMBER</Relationship>
        <AmountOfTransaction>953256</AmountOfTransaction>
        <DescriptionOfTransaction>TRANSFER PATIENT PAYMENTS</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Form 990, Part I, Line 4</Identifier>
        <Explanation>Advocate Health Care is an integrated delivery system including not-for-profit community hospitals, which have community boards. EHS Home Health Care Service, Inc. is a home health care organization, who supports Advocate Health Care and its affiliates. The EHSHHCS board is comprised mostly of Advocate employees. This board structure has not changed significantly since the organization applied for exempt status. EHSHHCS is subject to the policies and procedures of Advocate Health Care and oversight by the Advocate Health Care Network community board members. Program Service Accomplishments Form 990, Part III, Question 4A IN KEEPING WITH ITS COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, EHSHHC, INC. PROVIDES THE FOLLOWING SERVICES WHERE THERE IS A NEED, REGARDLESS OF THE PATIENTS' ABILITY TO PAY: - FREE CARE AND/OR SUBSIDIZED CARE - CARE TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT BELOW COST - HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY SUCH AS NUTRITIONAL COUNSELING AND MATERNAL CHILD PROGRAMS. EHSHHC MADE 265,884 HOME CARE VISITS DURING 2010. THESE VISITS CONSISTED OF 151,245 NURSING VISITS, 92,770 PHYSICAL THERAPY VISITS, 9,931 OCCUPATIONAL THERAPY VISITS, 8,132 HOME HEALTH AID VISITS, 2,121 SPEECH THERAPY VISITS, AND 1,685 MEDICAL SOCIAL WORKER VISITS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part IV, Line 2</Identifier>
        <Explanation>As Gail Hasbrouck and James Doheny are either directors or officers of wholly owned Advocate entities, they are deemed to have a business relationship pursuant to the instructions for Form 990. As Gail Hasbrouck, James Doheny, and Karen Lambert are either directors or officers of wholly owned Advocate entities, they are deemed to have a business relationship pursuant to the instructions for Form 990. As Gail Hasbrouck, James Doheny, and Denise Keefe are either directors or officers of wholly owned Advocate entities, they are deemed to have a business relationship pursuant to the instructions for Form 990. As Gail Hasbrouck, James Doheny, Denise Keefe, and Keith Rancine 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 Stockholders Form 990, Part VI, Question 6 BYLAWS PROVIDE FOR CORPORATE MEMBERS. Description of Classes of Persons and the Nature of Their Rights Form 990, Part VI, Question 7a EHS HOME HEALTH CARE SERVICE, INC. HAS CORPORATE MEMBERS WHO ELECT ITS DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Descr Classes of Persons, Decisions Requiring Appr &amp; Type of Voting Rights</Identifier>
        <ReturnReference>Form 990, Part VI, Question 7b</ReturnReference>
        <Explanation>THERE ARE RESERVE POWERS IDENTIFIED IN THE BYLAWS THAT REQUIRE THE APPROVAL OF THE CORPORATE MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Describe the Process used by Management &amp;/or Governing Body to Review 990</Identifier>
        <ReturnReference>Form 990, Part VI, Question 11B</ReturnReference>
        <Explanation>The Form 990 was reviewed by the senior management team of EHSHHCS. A member of accounting management and the Ernst &amp; Young tax executive director coordinated the review. The finalized Form 990 was posted for the Board of Directors to review prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Description of Process to Monitor Transactions for Conflicts of Interest</Identifier>
        <ReturnReference>Form 990, Part VI, Question 12c</ReturnReference>
        <Explanation>VICE PRESIDENT AND CHIEF COMPLIANCE OFFICER SENDS THE CORPORATION'S CODE OF BUSINESS CONDUCT AND CONFLICT OF INTEREST POLICY TO ITS INTERESTED PERSONS, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS OR GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS AND MEDICAL STAFF MEMBERS. ALL PARTIES ARE REQUIRED TO READ AND PROVIDE A DISCLOSURE STATEMENT TO THE VICE PRESIDENT AND CHIEF COMPLIANCE OFFICER WHO SUMMARIZES THE DISCLOSURES AND PROVIDES A SUMMARY OF THE DISCLOSURES TO THE MANAGEMENT AND AUDIT COMMITTEE FOR REVIEW. THE SUMMARIES ARE THEN PROVIDED TO THE CHIEF EXECUTIVE OFFICER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Offices &amp; Positions for Which Process was Used, &amp; Year Process was Begun</Identifier>
        <ReturnReference>Form 990, Part VI, Question 15a &amp; 15b</ReturnReference>
        <Explanation>EXECUTIVE COMPENSATION AT ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS AND 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 INCLUDING REVIEW BY A COMPENSATION COMMITTEE THAT ENSURES 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Avail of Gov Docs, Conflict of Interest Policy, &amp; Fin Stmts to Gen Public</Identifier>
        <ReturnReference>Form 990, Part VI, Question 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS FINANCIALS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEBSITES: - DACBOND.COM (DIGITIAL ASSURANCE CERTIFICATION LLC) - EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) - THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS PER WEEK FOR RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A</ReturnReference>
        <Explanation>Ben Grigaliunas is an employee of Advocate Health &amp; Hospitals Corporation and is an officer of EHS Home Health Care Service, Inc. He generally works 40 hours per week. Approximately 4 hours of his regular work week are spent providing services to related organizations. Gail D. Hasbrouck is an employee of Advocate Health &amp; Hospitals Corporation and is an officer of EHS Home Health Care Service, Inc. She generally works 40 hours per week. Approximately 5 hours of her regular work week are spent providing services to related organizations. Karen Lambert is an employee of Advocate Health &amp; Hospitals Corporation and is an officer of EHS Home Health Care Service, Inc. She generally works 40 hours per week. Approximately 1 hour of her regular work week is spent providing services to EHS Home Health Care Service, Inc. Lois Elia is an employee of Advocate Health &amp; Hospitals Corporation and is a director of EHS Home Health Care Service, Inc. She generally works 40 hours per week. Approximately 1 hour of her regular work week is spent providing services to EHS Home Health Care Service, Inc. Marty Manning is an employee of Advocate Network Services and is an officer of EHS Home Health Care Service, Inc. He generally works 40 hours per week. Approximately 1 hour of his regular work week is spent providing services to EHS Home Health Care Service, Inc. Rowena Brown-Evans is an employee of Advocate Health &amp; Hospitals Corporation and is an officer of EHS Home Health Care Service, Inc. She generally works 40 hours per week. Approximately 1 hour of her regular work week is spent providing services to EHS Home Health Care Service, Inc. James Doheny is an employee of Advocate Health &amp; Hospitals Corporation and is an officer of EHS Home Health Care Service, Inc. He generally works 40 hours per week. Approximately 7 hours of his regular work week are spent providing services to related organizations. Mary Matthews is an employee of Advocate Health &amp; Hospitals Corporation and is an officer of EHS Home Health Care Service, Inc. She generally works 40 hours per week. Approximately 3 hours of her regular work week are spent providing services to related organizations.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RECONCILIATION OF NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, QUESTION 5</ReturnReference>
        <Explanation>NET UNREALIZED GAIN (LOSS) ON INVESTMENTS $91,144 FAIR VALUE OF NET ASSET ACQUIRED $39,890 ___________ TOTAL $131,034</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ADVOCATE NORTH SIDE HEALTH NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
        <EIN>363196629</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHHC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ADVOCATE CHARITABLE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
        <EIN>363297360</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHCN</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ADVOCATE CONDELL MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
        <EIN>262525968</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHHC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ADVOCATE HEALTH &amp; HOSPITALS CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
        <EIN>362169147</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHCN</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ADVOCATE HEALTH CARE NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
        <EIN>362167779</EIN>
        <PrimaryActivities>PARENT CORP</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERIDIAN HOSPICE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
        <EIN>363158667</EIN>
        <PrimaryActivities>HOSPICE CARE</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EHSHHCS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>RAVENSWOOD HEALTH CARE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4550 N WINCHESTER AVENUE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60640</ZIPCode>
        </AddressUS>
        <EIN>363196628</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HISPANO CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
        <EIN>363606486</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ANHN</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MASONIC FAMILY HEALTH FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
        <EIN>364397387</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MFHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DREYER MERCY AMBULATORY SURGERY CTR PSHP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1221 N HIGHLAND AVENUE</AddressLine1>
          <City>AURORA</City>
          <State>IL</State>
          <ZIPCode>60506</ZIPCode>
        </AddressUS>
        <EIN>363890298</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ADVOCATE HOME CARE PRODUCTS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
        <EIN>363315416</EIN>
        <PrimaryActivity>HEALTH SERVICES</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>STANDARD FIDELITY ASSURANCE COMPANY LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <EIN>980081315</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CENTER FOR ENDOSCOPY LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>22285 PEPPER ROAD</AddressLine1>
          <City>LAKE BARRINGTON</City>
          <State>IL</State>
          <ZIPCode>60010</ZIPCode>
        </AddressUS>
        <EIN>262387298</EIN>
        <PrimaryActivity>HEALTH SERVICES</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BROMENN PHYSICIAN MANAGEMENT CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
        <EIN>371313150</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ADVOCATE HEALTH CENTERS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
        <EIN>364217291</EIN>
        <PrimaryActivity>HEALTH SERVICES</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>EVANGELICAL SERVICES CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
        <EIN>363208101</EIN>
        <PrimaryActivity>MGMT SERVICES</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DREYER CLINIC INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1877 W DOWNER PLACE</AddressLine1>
          <City>AURORA</City>
          <State>IL</State>
          <ZIPCode>60506</ZIPCode>
        </AddressUS>
        <EIN>362690329</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HIGH TECHNOLOGY INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
        <EIN>363368224</EIN>
        <PrimaryActivity>HEALTH SERVICES</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PARKSIDE CENTER CONDO ASSOCIATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1775 W DEMPSTER STREET</AddressLine1>
          <City>PARK RIDGE</City>
          <State>IL</State>
          <ZIPCode>60068</ZIPCode>
        </AddressUS>
        <EIN>363452486</EIN>
        <PrimaryActivity>PROPERTY MGMT</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CERTUS INDEMNITY COMPANY LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>23 LIME TREE BAY AVE GOV SQ BLD 3</AddressLine1>
          <City>GRAND CAYMAN</City>
          <Country>CJ</Country>
        </AddressForeign>
        <EIN>980600867</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ADVOCATE INSURANCE SPC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>23 LIME TREE BAY AVE GOV SQ BLD 3</AddressLine1>
          <City>GRAND CAYMAN</City>
          <Country>CJ</Country>
        </AddressForeign>
        <EIN>980422925</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Meridian Hospice</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>156010</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Advocate Home Care Products Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>168243</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Advocate Health and Hospitals Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>151681</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Advocate Home Care Products Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>4090500</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Meridian Hospice</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>2189700</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Advocate Health and Hospitals Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>1322284</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Advocate Health Centers Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>140575</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Advocate Health and Hospitals Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>5403930</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Evangelical Services Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>32747399</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Advocate Home Care Products Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>1959693</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Meridian Hospice</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>68247</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Advocate Condell Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>66641</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Advocate Health and Hospitals Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>562694</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Evangelical Services Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>203317</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Advocate Home Care Products Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>3492466</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Meridian Hospice</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>273247</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Advocate Health and Hospitals Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>473352</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Meridian Hospice</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>1341346</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Advocate Health and Hospitals Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>1655077</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Advocate Home Care Products Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>953256</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Meridian Hospice</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>1189160</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>