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        <Explanation>ADVOCATE CONDELL MEDICAL CENTER IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION, AND THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND IN CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS, AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTIBLE TO LOBBYING ACTIVITIES. ADVOCATE CONDELL MEDICAL CENTER ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE CONDELL MEDICAL CENTER ENDEAVORS TO IDENTIFY THE PORTION OF OUR DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTIBLE TO LOBBYING ACTIVITIES.</Explanation>
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      <OtherLiabilities>
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        <CostToChargeRatio>X</CostToChargeRatio>
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      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
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          <BusinessNameLine1>NONE</BusinessNameLine1>
        </NameOfEntity>
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        <FacilityNumber>1</FacilityNumber>
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          <BusinessNameLine1>ADVOCATE CONDELL MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>801 S MILWAUKEE AVENUE</AddressLine1>
          <City>LIBERTYVILLE</City>
          <State>IL</State>
          <ZIPCode>60048</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
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        <HospitalFacilityName>
          <BusinessNameLine1>ADVOCATE CONDELL MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
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      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>17</NumberOfOtherFacilities>
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          <Name>
            <BusinessNameLine1>Condell Medical Center - Mungo BLDG</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>804 E Park Ave STE 10610711111</AddressLine1>
            <City>Libertyville</City>
            <State>IL</State>
            <ZIPCode>60048</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Condell Medical Center - Office BLDG</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2 East Rollins Rd Sts 101 105 1</AddressLine1>
            <City>Round Lake Beach</City>
            <State>IL</State>
            <ZIPCode>60073</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Condell Medical Center - Office BLDG</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>6 Phillips Road Suite 1109</AddressLine1>
            <City>Vernon Hills</City>
            <State>IL</State>
            <ZIPCode>60061</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Condell Immediate Care Building</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>150 Half Day Road Suite 207</AddressLine1>
            <City>Buffalo Grove</City>
            <State>IL</State>
            <ZIPCode>60089</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Condell Immediate Care Building</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>6440 Grand Ave Suite 105</AddressLine1>
            <City>Gurnee</City>
            <State>IL</State>
            <ZIPCode>60031</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Condell Medical Center - Office BLDG</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1170 E Belvidere Rd Various Suite</AddressLine1>
            <City>Grayslake</City>
            <State>IL</State>
            <ZIPCode>60030</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Condell Medical Center - Office BLDG</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>550-560 Midlothian Road</AddressLine1>
            <City>Mundelein</City>
            <State>IL</State>
            <ZIPCode>60060</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Condell Medical Center - Office BLDG</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>345-347 Milwaukee</AddressLine1>
            <City>Libertyville</City>
            <State>IL</State>
            <ZIPCode>60048</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Condell Medical Center - Gurnee POB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1445 Hunt Club Suite 203</AddressLine1>
            <City>Gurnee</City>
            <State>IL</State>
            <ZIPCode>60031</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Condell Medical Center - Gurnee Imaging</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1435 N Hunt Club</AddressLine1>
            <City>Gurnee</City>
            <State>IL</State>
            <ZIPCode>60031</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Condell Medical Center - Office BLDG</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1425 Hunt Club STE 102103203304</AddressLine1>
            <City>Gurnee</City>
            <State>IL</State>
            <ZIPCode>60031</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Condell Medical Center - Centre Club</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>200 West Golf Rd</AddressLine1>
            <City>Libertyville</City>
            <State>IL</State>
            <ZIPCode>60048</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Condell Medical CTR - Inter Gen Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>700 S Garfield</AddressLine1>
            <City>Libertyville</City>
            <State>IL</State>
            <ZIPCode>60048</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Condell Medical Center - AMBI Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>890 Garfield</AddressLine1>
            <City>Libertyville</City>
            <State>IL</State>
            <ZIPCode>60048</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Condell Medical Center - Office BLDG</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>755 Milwaukee Ave Various STE</AddressLine1>
            <City>Libertyville</City>
            <State>IL</State>
            <ZIPCode>60048</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Condell Med Ctr-Radiation Therapy</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>880 Garfield Ave</AddressLine1>
            <City>Libertyville</City>
            <State>IL</State>
            <ZIPCode>60048</ZIPCode>
          </Address>
          <FacilityType>Patient Care - OutPatient</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CONDELL MEDICAL CENTER - CENTRE CLUB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1405 HUNT CLUB ROAD</AddressLine1>
            <City>GURNEE</City>
            <State>IL</State>
            <ZIPCode>60031</ZIPCode>
          </Address>
          <FacilityType>PATIENT CARE - OUTPATIENT</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI, Line 1 - Description for Part I, Line 3c</Identifier>
        <Explanation>N/A Part VI, Line 1 - Description for Part I, Line 6a A system-wide community benefit report is filed by: Advocate Health Care Network 2025 Windsor Drive, Oak Brook, IL 60523 EIN 36-2167779 Part VI, Line 1 - Description for Part I, Line 7 A cost-to-charge ratio, derived from Schedule H Instructions, Worksheet 2, Ratio of Patient Care Cost to Charges, was used to calculate the amounts reported in the table for Part I, Line 7a. Schedule H Instructions Worksheet 3, Unreimbursed Medicaid and Other Means-Tested Government Programs, was used to calculate the amounts reported in the table for Part I, Line 7b. A cost accounting system was used to determine the amounts reported in the table for Part I, Lines 7e, 7f, 7g, and 7i. Part VI, Line 1 - Description for Part I, Line 7h Advocate Condell Medical Center conducts numerous research activities for the advancement of medical and health care services. However, the unreimbursed cost of such research activities is not readily determinable and no amount is being reported for purposes of the 2010 Form 990, Schedule H. Part VI, Line 1 - Description for Part I, Line 7, column (f) $33,301,566 of bad debt expense was included on Form 990, Part IX, line 25, column (A) but was removed from the denominator for purposes of Schedule H, Part I, Line 7, column (f). Part VI, Line 1 - Description for Part II N/A Part VI, Line 1 - Description for Part III, Line 4 The footnotes to Advocate Health Care Network and Subsidiaries' Audited Financial Statements do not specifically address bad debt expense; rather, the footnote describes Advocate's patient accounts receivable policy. Patient accounts receivable are stated at net realizable value. Advocate Condell Medical Center evaluates the collectability of its accounts receivable based on the length of time the receivable is outstanding, payer class, historical collection experience, and trends in health care insurance programs. Accounts receivable are charged to the allowance for uncollectible accounts when they are deemed uncollectible. The costing methodology used in determining the amounts reported on lines 2 and 3 is based on the ratio of patient care cost to charges. The unreimbursed cost of bad debt was calculated by applying the organization's cost to charge ratio from the Medicare cost reports (CMS 2252-96 Worksheet C, Part 1, PPS Inpatient Ratios) to the organization's bad debt provision per generally accepted accounting principles, less any patient or third party payor payments received. Advocate Condell Medical Center makes every effort to identify those patients who are eligible for charity care or other financial assistance by strictly adhering to its Charity Care policy. We believe that Advocate has a population of patients who are uninsured or underinsured but who do not complete the charity care assessment. The estimated amount of bad debt expense (at cost) which could be reasonably attributable to patients who would likely qualify for financial assistance under the organization's charity care policy, if sufficient information had been available to make a determination of their eligibility, was based upon self pay patient accounts which had amounts written off to bad debts. Our method was to use the cost to charge ratio multiplied by the amount of bad debt attributable to self pay accounts. This cost was then reduced by any payments posted to these accounts subsequent to year end. We believe this process, although it may understate the charity care, is a reasonable basis for our estimate. As we are only considering self-pay accounts written off to bad debt for this estimate, this estimate does not include the immediate 20% discount to charges which is applied to all self-pay patients. It also does not include account balances or co-pays of non-self pay accounts which are written off to bad debt when the patient has no other financial resources to pay these amounts and the patient does not apply for charity care. Bad debt amounts have been excluded from other community benefit amounts reported throughout Schedule H. Part VI, Line 1 - Description for Part III, Line 8 The shortfall of $6,302,529 on Part III, Line 7 is the unreimbursed cost of providing services for Medicare patients and should be treated as community benefit because providing these services without reimbursement lessens the burdens of government or other charities that would otherwise be needed to serve the community. For Advocate Condell Medical Center's hospital operations, the unreimbursed cost of Medicare was calculated by applying the organization's cost to charge ratio from the Medicare cost reports (CMS 2252-96 Worksheet C, Part 1, PPS Inpatient Ratios) and for non-hospital operations the cost to charge ratio calculated on worksheet 2 Ratio of Patient Care Cost to Charges to the organization's Medicare, less any patient or third party payor payments and/or contributions received that were designated for the payment of Medicare patient bills. Part VI, Line 1 - Description for Part III, Line 9b Advocate Condell Medical Center maintains both written Charity Care and Bad Debt/Collection policies. The Bad Debt/Collection policy does not apply to those patients known to qualify for charity care or other financial assistance, therefore such patients are not subject to collection practices.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI-2-Needs Assessment</Identifier>
        <Explanation>In an effort to help determine what types of programs and services would best fit the needs of the diverse communities Advocate Condell Medical Center serves, several data sources are examined annually, including inpatient hospitalization trends, prevalence of key risk factors and behaviors associated with the leading causes of death and hospitalization, and mortality rates associated with the highest volume of inpatient hospitalizations. A. Inpatient Hospitalization Trends An examination of inpatient hospitalizations by diagnosis identified the top ten services based on volume across the Advocate System: obstetrics, cardiac medicine, gastroenterology, orthopedics, pediatrics, pulmonary, general surgery, neurology, cardiac surgery, and nephrology/urology. These services represent the highest patient demand across the Advocate System and directly relate to diseases that are among the most prevalent in the country, according to national statistics. These services comprised nearly 86 percent of the total six-county metropolitan area discharges from Advocate facilities in 2010. By comparison, the same services comprise the majority of hospitalizations across the metropolitan area with only the order of ranking varying slightly. B. Mortality Rates and Prevalence Next, mortality rates and prevalence were examined. Heart disease and cancer are the top two causes of death among Illinois residents. These two disease categories annually account for 61 percent of all deaths in the six-county metropolitan Chicago area. The risk factor prevalence indicators have been shown to directly impact many diseases, including heart disease and cancer. While many of the diseases are a result of controllable behaviors (smoking, poor diet, lack of exercise), others are hereditary and manageable with access to a health care professional and proper treatment. Reducing the risk factors has been shown to be significant in eliminating health disparities, and improving the health status and quality of life. For this reason, Advocate's community screening programs are directed specifically at improving healthy behaviors as well as encouraging prevention, early diagnosis and treatment of leading health problems, such as stroke, heart disease, colon and lung cancers, and diabetes.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI, Line 3 - Patient Education of Eligibility for Assistance</Identifier>
        <Explanation>Advocate Condell Medical Center assists patients with enrollment in government-supported programs for which they are eligible and in securing reimbursement from available third party resources. Financial counseling is provided to help patients identify and obtain payment from third parties, including Illinois Medicaid, Illinois Crime Victims Fund, etc., as well as to determine eligibility under Advocate Condell Medical Center's Hospital Charity Care policy. Condell utilizes a financial screening software program to help identify public assistance programs for which the patient may be eligible or Condell's charity care at the time of registration or as soon as practicable thereafter. In addition, HealthAdvisor, Condell's education registration and physician referral telephone center, serves as a community resource providing referrals to government-funded and other programs via telephone from 8 a.m. to 6 p.m., Monday through Friday. Advocate Condell Medical Center assists patients with applying for Condell's own financial assistance/charity care services, if patients are not eligible for government-supported programs. Condell communicates the availability of charity care in the applicable languages of the hospital community. Means of communication include: 1. The health care consent that is signed upon registration for hospital services includes a statement that financial counseling, including charity care consideration, is available upon request. 2. Signs are clearly and conspicuously posted in locations that are visible to the public, including, but not limited to hospital patient access, registration, emergency department, cashier, and business office locations. 3. Brochures are placed in hospital patient access, registration, emergency department, cashier, and business office locations, and will include guidance on how a patient may apply for Medicare, Medicaid, All Kids, Family Care etc., and the hospital's charity care program. A hospital contact and telephone number for financial assistance is included. 4. A handout summarizing Condell's charity care policy and charity care application is given to uninsured patients who receive medically necessary hospital services at the earliest practical time of service. 5. Condell's Website posts notice in a prominent place that financial assistance is available, with an explanation of the charity care application process, and enable printing of the charity care application. 6. Hospital bills to uninsured patients include a request that the patient inform the hospital of any available health insurance coverage, and include a summary of Condell's charity care policy, a charity care application, and a telephone number to request financial assistance.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI, Line 4 - Community Information</Identifier>
        <ReturnReference>Line 4</ReturnReference>
        <Explanation>Advocate Health Care Network's primary service area covers the six-county, Chicago metropolitan area. These counties include Cook, DuPage, Kane, Lake, McHenry, and Will. Advocate Condell Medical Center primarily serves the community of Lake County. The population in Advocate's service area is described by the following demographic characteristics: total population, population by group, race/ethnic distribution and key socio-economic indicators. The 65+ age group is expected to have the largest increase in population (14.3%) from 2010 to 2015, followed by the 45-64 age group (5.1%). The 18-44 age group is expected to decline 3.2%, while the population aged 0-17 is expected to decrease slightly (0.1%). While these are trends across the overall metro area, the trends vary in great degree by county. A wide range of diversity exists among the communities served by each of our hospitals. The following table displays the racial/ethnic distribution of the population of the metro area. Asians and Hispanics are projected to continue to be the two fastest growing race/ethnic groups from 2010 to 2015 (12.7% and 11.4% growth expected, respectively). 2010 Race/Ethnic Population Distribution County Asian African-American Hispanic Caucasian Other Cook 5.6% 25.6% 23.3% 43.5% 2.0% DuPage 9.5% 4.3% 12.6% 71.7% 1.8% Kane 3.3% 5.1% 30.0% 60.1% 1.6% Lake 6.0% 6.2% 19.4% 66.6% 1.9% McHenry 2.7% 1.1% 11.2% 83.9% 1.1% Will 3.8% 9.9% 15.7% 68.8% 1.7% Six-County 5.7% 18.0% 21.0% 53.4% 1.9% Source: Claritas, Thomson Reuters The socio-economic status of the Chicago area also varies by county (see following table). In Cook County, nearly 18 percent of the households have a household income under the federal poverty level with annual incomes below the $20,000 threshold. In the collar counties, seven to nine percent of the households are subsisting on less than $20,000 a year. Overall, the number of people (as well as the percent of total population) on Medicaid and uninsured has increased across the metropolitan area from 2007 to 2010. In households that are struggling economically, access to health care can be limited either because of a lack of services available within the market or because an individual's financial challenges deter that person from seeking care. Lack of preventive care or care for chronic illnesses brings more acutely ill patients to the hospital. Socio-Economic Indicators 2010 County %Total Households % Pop. Medicaid %Pop. Uninsured w/income &lt;$20K/year Recipients Cook 17.6% 22.3% 17.1% DuPage 7.3% 7.8% 5.5% Kane 9.4% 16.5% 8.4% Lake 8.1% 9.8% 7.0% McHenry 7.2% 6.6% 5.2% Will 8.4% 9.6% 7.0% Six-County 14.1% 17.6% 13.0% Source: Claritas, Thomson Reuters Advocate provides quality medical health care to various communities in the Chicagoland area regardless of race, creed, national origin, age or ability to pay. Advocate annually serves over 4.3 million people. In 2010, Advocate experienced 170,847 inpatient admissions, 4,100,863 outpatient visits and 20,009 deliveries.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI, Line 5 - Promotion of community health</Identifier>
        <ReturnReference>Line 5</ReturnReference>
        <Explanation>In addition to providing quality inpatient and outpatient services at its sites of care, Advocate Condell Medical Center reaches beyond its walls and into the community through a wide array of activities and programs designed and delivered to promote health and improve the quality of life throughout the communities it serves. - Advocate Condell Medical Center collaborates with Emergency Medical Service providers to share best practice information throughout Advocate sites as well as other medical providers. Condell is a resource hospital for Illinois Region 10, which requires Condell to coordinate ongoing training in emergency response to a mass casualty situation or other disaster. These education programs and training exercises involve every emergency provider, including other facilities within the Advocate Health Care Network, as well as the Lake County Health Department and other regional organizations as appropriate. In 2010, Advocate Condell Medical Center's nurses provided CPR education to community healthcare providers, and Condell physicians and nurses provided EMT training to community members pursuing emergency medicine technicians (EMT) certification. - Advocate Condell Day Center's Adult Day Care program fills a gap in continuity of care for clients who are unable to live independently. Condell's program combines adult day care with therapeutic and personal care services. Given that the program is located adjacent to other hospital services, clients can receive physical, speech and occupational therapy from a licensed therapist. In addition, bathing assistance, beautician/barber and podiatry care are available as a service to the client and caregiver. Comprehensive adult day care allows the caregiver to remain employed and/or receive much needed respite, thus allowing clients with frailties or dementia to remain in the community and avoid or delay the additional expense of long-term care. Condell's program accepts clients with a higher acuity than other local programs, caring for patients in the later part of middle-stage Alzheimer's. Condell also works with the Veteran's Administration to provide services for their patients under the care of an on-site registered nurse. - Advocate Condell Medical Center's PACT (Pediatric Alternatives in Creative Therapy) program is a unique medical support service in Lake County for children and teens with neuromuscular disorders, such as spina bifida, cerebral palsy, head trauma and spinal cord injuries, as well as those with developmental delay and speech-language disorders. PACT also treats children with genetic and congenital anomalies, structural abnormalities, such as cleft palate, and hearing/vision problems, sensory integration dysfunction and those receiving radiation or chemotherapy treatments. PACT's interdisciplinary team of professionals, including physical therapists, occupational therapists, speech-language pathologist, partners with the families, schools, physicians and community to provide comprehensive intervention, as well as an individualized treatment program for each child. - Advocate Condell Medical Center's Mission and Spiritual Care office provides clinical chaplains who offer support and services to the individuals and families that Advocate serves. The office also develops partnerships with communities and congregations to help address local health care needs. In 2010, Condell participated with other Advocate sites of care in working to address public concern regarding the H1N1 virus. In addition to mailing and widely dispersing system-developed education materials throughout its service area, Condell's Mission and Spiritual Care office held a summit designed to support community faith leaders' efforts to provide education, reduce public anxiety and to direct people to appropriate sites of care to prevent the spread of the H1N1 virus. - Throughout 2010, Condell's physicians provided free and partially subsidized care to the community for minor injuries and illnesses through its Immediate Care Centers in Gurnee, Buffalo Grove, Round Lake, and Vernon Hills. Physicians, exercise physiologists, and physical therapists also provided free sports medicine consultations at the local high schools and colleges. Physicians, nurses, and other clinicians led prenatal/childbirth and parenting education classes and diabetes education classes as well as support groups for diabetes, heart disease, breast and other cancers, lactation/breast feeding, hospice bereavement/loss and caregivers. Condell nurses provided free flu shots at Condell Immediate Care centers and reduced-fee child immunizations through a partnership with the Lake County Department of Public Health. Other community benefits include: - Care that is provided free, subsidized or without full reimbursement from Medicare, Medicaid or other government insurance programs. - Volunteer services provided by hospital employees who volunteer in their communities and community members who volunteer at hospitals. - Language-assistance services, such as interpreters and translation for signage, forms, brochures, patient education materials and other information in languages other than English. - Donations of meeting and clinic space, as well as other assistance to community groups. A majority of Advocate Condell Medical Center's Board members reside in its primary service area, and are neither employees nor independent contractors nor family members of Advocate Condell Medical Center. Advocate Condell Medical Center extends medical staff privileges to all qualified physicians in its community for some or all of its departments. Advocate Condell Medical Center applies surplus funds to improvements in patient care, medical education, and research. Through careful and thoughtful financial planning, Advocate has developed plans which allow it to reinvest in the health care of the communities it serves by providing health care regardless of the patients ability to pay, providing programs which are not profitable to Advocate but for which there is a community need, through the purchase of new patient care equipment and providing improved and new facilities for patient care. This planning also allows Advocate to train physicians, nurses, radiology technicians, physical therapists, EMTs, clinical pastors and a host of other highly skilled health care professionals and to share research with persons outside of the organization on health care delivery, un-reimbursed studies on therapeutic protocols, evaluation of innovative treatments, and research papers prepared by staff for professional journals. Environmental Improvements 1. Mentoring and Education Advocate Health Care is committed to protecting and promoting the health of the communities it is privilege to serve. In an effort to reduce the burden of health care costs, Advocate has committed resources to sharing its best practices in waste reduction, and energy and water management. Reducing waste and conserving energy and water use has a direct benefit on the health of local communities via cleaner communities, reduced green house gases, and preservation of natural resources. Advocate shares best practices for water management with other nonprofit hospitals locally and nationally. In 2010, Advocate staff time in mentoring and educating community members through presentations such as 'Hospital Energy Efficiency as a Culture', to teach its community about strategies to achieve reduction in health care costs and improve environmental and human health via energy efficiency, design and operations measures. Advocate Health Care demonstrated its commitment as a regional health care leader focused on reducing its environmental impact by pledging to participate in the Chicago Green Health Care Initiative (CGHI) on behalf of Advocate Trinity Hospital and Advocate Illinois Masonic Medical Center in 2010. The CGHI is a coalition of Chicago-based hospitals participating in a strategy to provide access to resources, education, and incentive opportunities to support the reduction of green house gas emissions, increase energy efficiency, and reduce waste overall. An essential element of Advocate Health Care's system-wide strategic energy plan is measurement and benchmarking utilizing the EPA's Energy Portfolio Manager and a disciplined approach to energy systems operations and management. Advocate created and shared a two hundred item checklist for energy management operations and maintenance with the CGHI hospitals to evaluate operational efficiencies related to facilities operations, thereby reducing burden on the local energy demand. 2. Commuter Benefits for Associates Advocate Health Care provides a Commuter Benefits Program to all Advocate associates to purchase public transportation passes, fare cards, and/or vouchers for buses and trains with pre-tax dollars, and to encourage the use of public transportation.</Explanation>
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        <CompReportPrior990RelatedOrgs>101120</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Scott Powder</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>243126</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>157381</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>109814</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>255514</DeferredCompRelatedOrgs>
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        <TotalCompensationRelatedOrgs>786728</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>157381</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Timothy Wadman</NamePerson>
        <BaseCompensationFilingOrg>96180</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>28133</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>72747</OtherCompensationFilingOrg>
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        <DeferredCompFilingOrg>18269</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>7575</NontaxableBenefitsFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>28133</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>William P Santulli</NamePerson>
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        <CompBasedOnRelatedOrgs>642025</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Wilfredo Ramos</NamePerson>
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        <BonusRelatedOrgs>57917</BonusRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>126972</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Part 1</Identifier>
        <Explanation>PART I, LINE 1A HOUSING ALLOWANCE/SOCIAL CLUB DUES/PERSONAL SERVICES ANN ERRICHETTI RECEIVED A REIMBURSEMENT FOR RELOCATION EXPENSES WHICH INCLUDED A GROSS UP FOR INCOME TAXES. RELOCATION EXPENSES AGREED TO AS PART OF THE TERMS OF INITIAL EMPLOYMENT ARE ELIGIBLE FOR GROSS UP PAYMENTS UNDER ADVOCATE'S POLICY. PART I, LINE 4A SEVERANCE PAYMENTS WILFREDO RAMOS, FORMER SENIOR VICE PRESIDENT, COMMUNICATIONS AND GOVERNMENT RELATIONS, TERMINATED HIS EMPLOYMENT WITH AHHC IN 2009 AND RECEIVED SEVERANCE OF $73,405 IN 2010. THIS AMOUNT WAS REPORTED ON A PRIOR FORM 990 AS DEFERRED COMPENSATION AND IS LISTED AS A COMPONENT OF COLUMN (F). DENNIS MILLIRONS, FORMER PRESIDENT OF CONDELL MEDICAL CENTER, TERMINATED HIS EMPLOYMENT WITH CONDELL IN 2008 AND RECEIVED SEVERANCE OF $728,000 IN 2010. THIS AMOUNT WAS REPORTED ON A PRIOR FORM 990 AS DEFERRED COMPENSATION AND IS LISTED AS A COMPONENT OF COLUMN (F). PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN BEN GRIGALIUNAS, SENIOR VICE PRESIDENT-HUMAN RESOURCES, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH, ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. GAIL HASBROUCK, SENIOR VICE PRESIDENT-GENERAL COUNSEL AND CORPORATED SECRETARY, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. 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: JAMES SKOGSBERGH, BEN GRIGALIUNAS, BRUCE SMITH, DOMINIC NAKIS, GAIL HASBROUCK, JAMES DAN M.D., JAMES DOHENY, KELLY JO GOLSON, LEE SACKS M.D., SCOTT POWDER, WILLIAM SANTULLI, ANN ERRICHETTI. 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>High Technology Inc</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SHARED BOARD MEMBER</Relationship>
        <AmountOfTransaction>103890</AmountOfTransaction>
        <DescriptionOfTransaction>EXPENSE ALLOCATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>EVANGELICAL SERVICES CORPORATION</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SHARED BOARD MEMBER</Relationship>
        <AmountOfTransaction>203378139</AmountOfTransaction>
        <DescriptionOfTransaction>EXPENSE REIMBURSEMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>EVANGELICAL SERVICES CORPORATION</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SHARED BOARD MEMBER</Relationship>
        <AmountOfTransaction>393118</AmountOfTransaction>
        <DescriptionOfTransaction>EXPENSE REIMBURSEMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>CERTUS INDEMNITY COMPANY LTD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SHARED BOARD MEMBER</Relationship>
        <AmountOfTransaction>4481612</AmountOfTransaction>
        <DescriptionOfTransaction>ALLOCATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>A2CL LABORATORY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SHARED BOARD MEMBER</Relationship>
        <AmountOfTransaction>2695512</AmountOfTransaction>
        <DescriptionOfTransaction>LAB SERVICES PAID</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990, PART III, LINE 4A</Identifier>
        <Explanation>Providing Inpatient and Outpatient healthcare services to the community regardless of the patients' ability to pay. Included in this program service are the provision of charity care and Trauma care. As part of its community benefits strategy and its mission, Advocate Condell is committed to promoting initiatives that enhance access to health care for the uninsured and underinsured. An example of this is Advocate Condell's provision of charity care. Advocate Condell offers a very generous charity care program - requiring no payments from the patients most in need, and providing discounts to uninsured patients earning up to six times the federal poverty level and to insured patients earning up to four times the poverty level. Although Advocate Condell's Charity Care Policy is very generous, Advocate Condell continues to review and refine its policy in an ongoing effort to ensure that financial assistance is available to those who need help when they need it. Advocate Condell hospital maintains highly visible signage and brochures in multiple languages to inform patients of the availability of financial help and financial counselors. Information about Advocate Condell's charity care program and charity applications is provided to all uninsured patients during registration and as an insert in all uninsured patients' bills. In the area of Trauma care - Advocate Condell is dedicated to providing expert emergency care - today and in the future. Advocate Condell's Level I Trauma Center cares for the most seriously injured people in its service area. As is the case with all Illinois Level I Trauma Centers, Advocate Condell's trauma center is staffed by on-site, 24-hour-a-day trauma surgeons; features 24-hour surgical and nonsurgical services, such as radiology and anesthesia; and can accommodate helicopter transports. FORM 990, PART III, LINE 4B Health care and fitness services and facilities provided by physicians, nurses, clinicians and other associates employed by Advocate Condell. Advocate Condell clinicians provide care to the community for minor injuries and illnesses through its immediate care centers regardless of the patients' ability to pay. Exercise physiologists and physical therapists also provide sports medicine consultations at local high schools and colleges. Physicians, nurses and other clinicians lead prenatal/childbirth and parenting education classes and diabetes education classes as well as support groups for diabetes education, heart disease, breast and other cancers, lactation/breast feeding, bereavement/loss and caregivers. Advocate Condell partners with the Lake County department of Public Health to provide imaging services at rates significantly below cost, as well as hosts monthly reduced-fee child immunizations. Fitness and wellness classes and services are provided at the Advocate Condell Centre Clubs, which provides sliding scale membership rates.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART III, LINE 4C</Identifier>
        <ReturnReference>DESCRIPTION OF ADVOCATE CONDELL MEDICAL CENTER</ReturnReference>
        <Explanation>Serving the community since 1928, Advocate Condell Medical Center is a 281-bed non-profit acute care hospital based in Libertyville, Illinois. As the largest health care provider in Lake County, Advocate Condell provides a full spectrum of medical services - from obstetrics, radiology services and rehabilitation to open heart surgery, neurosurgery and oncology. Advocate Condell Medical Center's Emergency Department provides Level I Trauma care and has the ability to accommodate growing numbers of patients. Advocate Condell provides a dedicated pediatric emergency department - the first and only in Lake County - consisting of a team of doctors and nurses dedicated to and specially trained in pediatric emergency medicine. In addition, Condell is an accredited Chest Pain Center and offers the continuum of diagnostic and cardiology treatment services, including open heart surgery. More than 650 physicians and 2,100 associates comprise the team of medical experts known for excellence. In addition to services located on its Libertyville campus, Advocate Condell operates three immediate care centers throughout the County and two medically-based fitness centers. Advocate Condell is the Resource hospital for Region 10 Emergency Medical Services, which demonstrates the commitment to efficiently and effectively manage emergency services in a disaster. Advocate Condell also provides community outreach through health fairs, wellness programs and other services in support of its MVP (mission, values and philosophy). The mission of Advocate Condell Medical Center is to serve the health needs of individuals, families and communities through a wholistic philosophy rooted in the fundamental understanding of human beings as created in the image of God. The values of Advocate Condell Medical Center serve as an internal compass to guide relationships and actions. They include equality, compassion, excellence, partnership, and stewardship. The philosophy of Advocate Condell Medical Center is grounded in the principles of human ecology, faith and community-based health care. These principles arise from an understanding of human beings as whole persons in light of their relationships with God, themselves, their families and the society in which they live. Through our actions we affirm these principles. Population Served Advocate Condell Medical Center provides quality health care to individuals regardless of race, creed, national origin, age or ability to pay. In 2010, Condell served 220,000 patients, including 17,261 inpatient admissions and 201,148 outpatient visits, delivering 2,164 babies. Commitment to the Community Even in the face of low reimbursements, Advocate Condell Medical Center is dedicated to maintaining a strong presence within its community and continues to monitor these expenditures to make certain that the programs and services supported are in direct response to community need. In 2010, Condell reported approximately $38.5 million in charitable care and services. These services are comprised of many community health programs focused on improving access to care, addressing special needs and improving overall community health. In addition to Medicare/Medicaid and Bad Debt losses, Advocate Condell treats many air force military personnel and Veterans Administration patients at a rate below cost. Community Benefits Plan, Goals &amp; Examples of Program Service Accomplishments Advocate Condell Medical Center's community benefits efforts are aligned with Advocate's community benefits plan. The plan was developed to establish strategies for improving access to care and positively affecting the health of the communities served by Advocate Health Care. The plan sets the course for strengthening existing partnerships and building new ones with individuals and organizations within Advocate Condell's service area in order to leverage and maximize the impact of its programs. The plan sets forth goals and objectives to accomplish this strategy. The goals and some corresponding examples of services Condell provides are included below. Goal # 1 - Promote initiatives that enhance access to health care for the uninsured and underinsured. Charity Care - Advocate Condell Medical Center offers a very generous charity care program - requiring no payments from the patients most in need, and providing discounts to uninsured patients earning up to six times the federal poverty level and to insured patients earning up to four times the poverty level. Advocate Condell supports the services of the Lake County department of Public Health by providing radiology services to patients treated by the health department. Goal # 2 - Positively impact the health status and quality of life of individuals living in the communities served by Advocate Condell Medical Center in a manner consistent with its mission. Examples of Advocate Condell's efforts include: Condell Day Center's Adult Day Care Program - Advocate Condell Day Center's Adult Day Care program fills a gap in continuity of care for clients who are unable to live independently. Condell's program combines adult day care with therapeutic and personal care services. Given that the program is located adjacent to other hospital services, clients can receive physical, speech and occupational therapy from a licensed therapist. In addition, bathing assistance, beautician/barber and podiatry care are available as a service to the client and caregiver. Comprehensive adult day care allows the caregiver to remain employed and/or receive much needed respite, thus allowing clients with frailties or dementia to remain in the community and avoid or delay the additional expense of long-term care. Condell's program accepts clients with a higher acuity than other local programs, caring for patients in the later part of middle-stage Alzheimer's. Condell also works with the Veteran's Administration to provide services for their patients under the care of an on-site registered nurse. Pediatric Rehabilitation - Advocate Condell Medical Center's PACT (Pediatric Alternatives in Creative Therapy) program is a unique medical support service in Lake County for children and teens with neuromuscular disorders, such as spina bifida, cerebral palsy, head trauma and spinal cord injuries, as well as those with developmental delay and speech-language disorders. PACT also treats children with genetic and congenital anomalies, structural abnormalities, such as cleft palate, and hearing/vision problems, sensory integration dysfunction and those receiving radiation or chemotherapy treatments. PACT's interdisciplinary team of professionals, including physical therapists, occupational therapists, and speech-language pathologists, partners with the families, schools, physicians and community to provide comprehensive intervention, as well as an individualized treatment program for each child. Diabetes Education - During Advocate Condell's pursuit to establish a certified diabetes education program, most diabetes education classes and one-on-one counseling sessions were offered free of charge to the public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART III, LINE 4C (CONTD)</Identifier>
        <ReturnReference>DESCRIPTION OF ADVOCATE CONDELL MEDICAL CENTER</ReturnReference>
        <Explanation>Goal # 3 - Build strong relationships with the faith community, elected officials and community organizations to enhance community outreach efforts. Examples include: Lake County Health Department - Advocate Condell Medical Center partners with the Lake County Department of Public Health to provide medical imaging (radiology) services to Lake County health department clients. These radiology, women's and other services are provided on a heavily discounted, below cost basis to patients served by the public health department. Further, Advocate Condell supports convenient access to preventative vaccines and immunizations by donating monthly Lake County health department immunization clinics on Condell's campus. Event space is donated and services are promoted to all audiences. Mission &amp; Spiritual Care - Advocate Condell Medical Center's Mission and Spiritual Care office provides clinical chaplains who offer support and services 24 hours each day, every day to the individuals and families that Advocate serves. The office also develops partnerships with communities and congregations to help address local health care needs. The risks and symptoms of stroke are an important message to disburse to the community. Throughout 2010, Advocate Condell reached out to a variety of groups to spread awareness of stroke within Condell's service area. Stroke nurse navigators offered educational lectures at senior living communities, senior health fairs and community health fairs. Stroke information with refrigerator magnet was distributed through an Advocate Health Care system-wide initiative, as well as through Condell's contacts in education, business, and community. In addition, stroke education was shared with Condell associates and visitors through on-line teaching modules and handy information available to the public. Mission &amp; Spiritual Care planned a "Stroke Forum" event for the faith leaders to better understand the medical and emotional impact of stroke. The Forum was postponed, however educational information was disseminated to those who expressed interest. Goal # 4 - Promote a system-wide collaborative approach to community benefits, building on existing resources and maximizing Advocate's ability to continue programs to fulfill its mission. Advocate Condell Medical Center collaborates with Emergency Medical Service providers to share best-practice information throughout Advocate sites as well as other non-Advocate medical providers. Condell is a resource hospital for Illinois Region 10, which requires Condell to coordinate ongoing training in emergency response to a mass casualty situation or other disaster. These education programs and training exercises involve every emergency provider in the area - both inside and outside of Advocate - as well as the Lake County Health Department and other regional organizations as appropriate. Condell also offers educational training courses for individuals to earn paramedic certification. FORM 990, PART VI, LINE 2 As Dr. James Dan, Gail Hasbrouck, James Doheny, and Dominic Nakis are either directors or officers of wholly owned Advocate entities, they are deemed to have a business relationship pursuant to the instructions for Form 990. As Dr. James Dan, Gail Hasbrouck, James Doheny, and Scott Powder are either directors or officers of wholly owned Advocate entities, they are deemed to have a business relationship pursuant to the instructions for Form 990. As Dr. James Dan and Dr. Lee Sacks are either directors or officers of wholly owned Advocate entities, they are deemed to have a business relationship pursuant to the instructions for Form 990. As Dr. James Dan, Gail Hasbrouck, James Doheny, Scott Powder, and William Santulli are either directors or officers of wholly owned Advocate entities, they are deemed to have a business relationship pursuant to the instructions for Form 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 6</ReturnReference>
        <Explanation>BY-LAWS PROVIDE FOR CORPORATE MEMBERS. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A THE NOT FOR PROFIT CORPORATIONS OF ADVOCATE HEALTH CARE, WITH THE EXCEPTION OF ADVOCATE HEALTH CARE NETWORK, HAVE CORPORATE MEMBERS WHO ELECT DIRECTORS. ADVOCATE HEALTH CARE NETWORK DOES NOT HAVE ANY MEMBERS, THEREFORE, THE AHCN BOARD ELECTS ITS DIRECTORS. THE FOR PROFIT ORGANIZATIONS HAVE A SOLE SHAREHOLDER WHO ELECTS DIRECTORS. PART VI, SECTION A, LINE 7B YES, THE RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBERS (FOR THE NOT FOR PROFIT CORPORATIONS) AND THE SOLE SHAREHOLDER (FOR THE FOR PROFIT CORPORATIONS). PART VI, SECTION A, LINE 11A AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE FORMS 990 WERE REVIEWED WITH COMMITTEE MEMBERS. A MEMBER OF ACCOUNTING MANAGEMENT AND THE ERNST &amp; YOUNG TAX EXECUTIVE DIRECTOR COORDINATED THE REVIEW. THE FINALIZED FORMS 990 WERE 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 EXECUTIVE MANAGEMENT AND THE AUDIT COMMITEE 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 THE ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS, AND ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS ARE IDENTIFIED AND THE DESIRED LEVEL OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: - A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY - ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION - A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS - AN ACTIVE BOARD REVIEW PROCESS INCLUDING REVIEW BY A COMPENSATION COMMITEE THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ON-GOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND - ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS.</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 FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING SITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) AND EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS). THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENT OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS PER WEEK FOR RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>Form 990, Part VII, SECTION A</ReturnReference>
        <Explanation>JAMES H. SKOGSBERGH IS AN EMPLOYEE OF ADVOCATE HEALTH &amp; HOSPITALS CORPORATION AND IS AN OFFICER AND DIRECTOR OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 10 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. JOSE ELIZONDO, M.D. IS AN EMPLOYEE OF ADVOCATE NORTH SIDE HEALTH NETWORK AND IS A DIRECTOR OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 4 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. BEN GRIGALIUNAS IS AN EMPLOYEE OF ADVOCATE HEALTH &amp; HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 4 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. BRUCE D. SMITH IS AN EMPLOYEE OF ADVOCATE HEALTH &amp; HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 3 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. DOMINIC J. NAKIS IS AN EMPLOYEE OF ADVOCATE HEALTH &amp; HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. 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 ADVOCATE CONDELL MEDICAL CENTER. SHE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 5 HOURS OF HER REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. JAMES DAN, MD IS AN EMPLOYEE OF ADVOCATE HEALTH &amp; HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 3 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. JAMES DOHENY IS AN EMPLOYEE OF ADVOCATE HEALTH &amp; HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 7 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. KELLY JO GOLSON IS AN EMPLOYEE OF ADVOCATE HEALTH &amp; HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. SHE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 3 HOURS OF HER REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. LEE B. SACKS, MD IS AN EMPLOYEE OF ADVOCATE HEALTH &amp; HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 3 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. REV. JERRY WAGENKNECHT IS AN EMPLOYEE OF ADVOCATE HEALTH &amp; HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 3 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. SCOTT POWDER IS AN EMPLOYEE OF ADVOCATE HEALTH &amp; HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 3 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. WILLIAM P. SANTULLI IS AN EMPLOYEE OF ADVOCATE HEALTH &amp; HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 10 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. WILFREDO RAMOS WAS PAID BY ADVOCATE HEALTH &amp; HOSPITALS CORPORATION FOR PRIOR YEAR SERVICES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RECONCILIATION OF NET ASSETS: OTHER CHANGES IN NET ASSETS OR FUND BALANCE</Identifier>
        <ReturnReference>FORM 990, PART XI, QUESTION 5</ReturnReference>
        <Explanation>UNREALIZED LOSS OF $29,022</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <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 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 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>EHS HOME HEALTH CARE SERVICE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
        <EIN>362913108</EIN>
        <PrimaryActivities>HOME CARE</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHHC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <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>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>HEALTH CARE</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 AMB SURGERY CTR PARTNERSHIP</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>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <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>MEDICAL 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>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>STANDARD FIDELITY ASSURANCE COMPANY LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2025 WINDSOR DRIVE</AddressLine1>
          <City>OAK BROOK</City>
          <State>IL</State>
          <ZIPCode>60523</ZIPCode>
        </AddressUS>
        <EIN>980081315</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ADVOCATE HOME CARE PRODUCTS</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>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>ADVOCATE INSURANCE SPC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>23 LIME TREE BAY AVE GOV SQ BLDG 4</AddressLine1>
          <City>GRAND CAYMAN, CJ</City>
          <Country>CJ</Country>
        </AddressForeign>
        <EIN>980422925</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <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>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>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PARKSIDE CENTER CONDO ASSOCIATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <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>
        <EIN>980600867</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</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>ADVOCATE HEALTH &amp; HOSPITALS CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>15000000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ADVOCATE CHARITABLE FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>129352</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ADVOCATE HEALTH &amp; HOSPITALS CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>1993680</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ADVOCATE HEALTH &amp; HOSPITALS CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>20542762</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ADVOCATE HOME CARE PRODUCTS INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>55160</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ADVOCATE HEALTH &amp; HOSPITALS CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>33172528</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HIGH TECHNOLOGY INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>103890</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>EVANGELICAL SERVICES CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>203378139</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>EHS HOME HEALTH CARE SERVICE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>66641</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ADVOCATE HEALTH &amp; HOSPITALS CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>23382671</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>EVANGELICAL SERVICES CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>393118</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CERTUS INDEMNITY COMPANY LTD</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>4481612</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MERIDIAN HOSPICE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>174000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>