TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Alejandro Aparicio MD Director	1.0	X		0	0	0
(2) Carolyn Smeltzer Director	1.0	X		0	0	0
(3) Clarence Nixon Jr PhD Director	1.0	X		0	0	0
(4) David Anderson Director	1.0	X		0	0	0
(5) James H Skogsbergh President and CEO, Director	40.0	X	X	2,996,848	0	1,871,377
(6) John Dossey Director	1.0	X		0	0	0
(7) John Timmer Director	1.0	X		0	0	0
(8) Jose Elizondo MD Director	1.0	X		0	213,460	34,868
(9) Laurie Meyer Director	1.0	X		0	0	0
(10) Lynn Crump-Caine Chairperson, Director	1.0	X		0	0	0
(11) Mark Harris Vice Chairperson, Director	1.0	X		0	0	0
(12) Michele Baker Richardson Director	1.0	X		0	0	0
(13) Rev Dr Donald Hallberg Director	1.0	X		0	0	0
(14) Ronald Mallicoat Jr Director	1.0	X		0	0	0
(15) Ben Grigaliunas SVP, Human Resources	40.0		X	1,195,003	0	567,060
(16) Bruce D Smith SVP, Chief Info. Officer	40.0		X	973,356	0	462,744
(17) Dominic J Nakis SVP, Chief Financial Officer	40.0		X	1,356,004	0	830,562

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Gail D Hasbrouck SVP, Gen Counsel & Corp Sec	40.0	X				1,009,794	437,916
(19) James Dan MD Pres of Phys & Ambulatory Svcs	40.0	X				866,376	723,196
(20) James Doheny VP Finance & Corp Controller	40.0	X				429,264	152,134
(21) Kelly Jo Golson SVP, Public Affairs & Mktg	40.0	X				428,268	214,506
(22) Lee B Sacks MD Exec VP, Chief Medical Officer	40.0	X				1,521,814	826,265
(23) Rev Jerry Wagenknecht SVP, Mission & Spiritual Care	40.0	X				521,075	238,882
(24) Scott Powder SVP, Strat. Planning & Growth	40.0	X				510,321	276,407
(25) William P Santulli Executive Vice President, COO	40.0	X				1,745,563	1,103,134
(26) Anthony Armada President, Lutheran Gen. Hosp.	40.0		X			561,241	287,710
(27) David Fox President, Good Samaritan Hosp	40.0		X			853,870	491,402
(28) Jonathan Bruss President, Trinity Hospital	40.0		X			602,730	300,508
(29) Karen Lambert President, Good Shepherd Hosp.	40.0		X			726,014	406,178
(30) Kenneth Lukhard Market President, Christ Med C	40.0		X			1,102,555	699,435
(31) Lena Dobbs-Johnson President, Bethany Hosp	40.0		X			574,360	875,068
(32) Michael Englehart President, South Suburban Hosp	40.0		X			369,929	254,544
(33) Roger Hunt President, BroMenn Medical Ctr	40.0		X			1,127,861	90,515
(34) Caleb Lippman Attending Physician	40.0			X		792,987	51,184
(35) James Keller Physician-Perinatology	40.0			X		669,902	46,131
(36) Kenneth Rojek President, ACL	40.0			X		742,555	476,301
(37) Kevin Waldron Attending Physician	40.0			X		719,244	46,726
(38) Manoj Shah Physician-General Surgery	40.0			X		723,372	42,604
(39) Wilfredo Ramos Fmr Sr VP Comm & Govt Rel					X	127,597	28,170
(40) Bruce Campbell Fmr Pres, Adv Lutheran Hosp					X	666,660	162,455

(A) Name and business address	(B) Description of services	(C) Compensation
HLS WHEELING LLC 45 W Hintz Rd WHEELING,IL600906073	Laundry Services	11,677,463
POWER CONSTRUCTION COMPANY 2360 N Palmer Dr SCHAUMBURG,IL601733818	CONSTRUCTION	8,763,423
INO THERAPEUTICS LLC PO Box 642509 PITTSBURGH,PA152642509	PHARM THERAPY SVCS	3,540,811
MEDQUIST TRANSCRIPTIONS LTD PO Box 10832 NEWARK,NJ071930832	TRASCRIPTION SVCS	3,173,868
CASSIDAY SCHADE LLP 20 N Wacker Drive Suite 1040 CHICAGO,IL60606	Legal Services	2,215,273
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 109

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	83,479,818	83,479,818
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	19,472,246	5,790,963	13,681,283
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	1,227,332,241	1,135,331,732	91,726,632	273,877
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	44,854,552	41,280,122	3,564,405	10,025
9	Other employee benefits .......	183,712,057	170,109,838	13,561,197	41,022
10	Payroll taxes ...........	78,336,419	72,514,646	5,804,281	17,492
11	Fees for services (non-employees):
a	Management ......	184,188	184,188
b	Legal .........	1,601,042	248,607	1,352,435
c	Accounting ...........	623,967	145,586	478,381
d	Lobbying ...........	283,942	15,348	268,594
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	8,724,111	8,724,111
g	Other ..........	84,647,399	81,070,713	3,576,686
12	Advertising and promotion ....	7,866,080	3,258,917	4,607,163
13	Office expenses .......	26,699,291	24,002,402	2,696,885	4
14	Information technology ......	108,532,613	86,093,799	22,438,814
15	Royalties ..	0
16	Occupancy ...........	56,724,687	56,277,091	447,596
17	Travel ............	4,880,482	3,387,045	1,493,437
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	3,268,718	2,525,215	743,503
20	Interest ...........	41,759,002	41,759,002	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	125,158,253	107,513,472	17,644,781
23	Insurance ..............	20,629,197	19,820,051	809,146
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	Medical Supplies	453,015,299	453,436,007	-420,708
b	Bad Debt	142,139,179	142,139,179
c	Contracted Services General	117,609,019	100,295,935	17,313,084
d	Public Assessment fees	82,230,391	82,230,391
e	Maintenance General	55,707,071	49,052,503	6,654,568
f	All other expenses	22,774,987	13,724,808	8,732,440	317,739
25	Total functional expenses. Add lines 1 through 24f	3,002,246,251	2,784,411,489	217,174,603	660,159
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	809,175	1	1,715,011
2	Savings and temporary cash investments .......	344,430,786	2	416,994,502
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	254,796,452	4	297,866,547
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	66,388,571	7	395,126
8	Inventories for sale or use ..............	40,766,087	8	40,639,410
9	Prepaid expenses and deferred charges ............	42,034,175	9	45,147,107
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,721,191,803
b	Less: accumulated depreciation. .....	10b	1,547,709,539	1,034,843,456	10c	1,173,482,264
11	Investments—publicly traded securities ..........	1,938,063,934	11	2,640,389,697
12	Investments—other securities. See Part IV, line 11 ......	239,510,330	12	455,473,044
13	Investments—program-related. See Part IV, line 11 ..	2,765,525	13	2,966,910
14	Intangible assets .........	633,011	14	1,207,588
15	Other assets. See Part IV, line 11 ...........	257,617,001	15	155,306,878
16	Total assets. Add lines 1 through 15 (must equal line 34)...	4,222,658,503	16	5,231,584,084
	17	Accounts payable and accrued expenses .	378,822,000	17	515,173,296
18	Grants payable ..........		18
19	Deferred revenue ..........	3,871,419	19	3,348,852
20	Tax-exempt bond liabilities ..........	914,448,045	20	997,077,344
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	173,490	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	10,500,000	24	0
25	Other liabilities. Complete Part X of Schedule D.....	1,064,897,998	25	1,153,441,598
26	Total liabilities. Add lines 17 through 25.....	2,372,712,952	26	2,669,041,090
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	1,849,145,466	27	2,561,493,582
28	Temporarily restricted net assets .....	800,085	28	1,049,412
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	1,849,945,551	33	2,562,542,994
34	Total liabilities and net assets/fund balances .....	4,222,658,503	34	5,231,584,084

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

Advocate Health And Hospitals Corp

Employer identification number

36-2169147

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

Advocate Health And Hospitals Corp

Employer identification number

36-2169147

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization Advocate Health And Hospitals Corp
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization Advocate Health And Hospitals Corp
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
Advocate Health And Hospitals Corp

Employer identification number

36-2169147

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Advocate Health And Hospitals Corp

Employer identification number

36-2169147

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Yes

16,743

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

185,668

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

641,101

Total. lines 1c through 1i ...................................

843,512

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
SUPPLEMENTAL LOBBYING INFORMATION	PART II-B, LINE 1A	ADVOCATE HEALTH AND HOSPITALS CORPORATION SPONSORS A NURSE ADVOCACY COUNCIL, COMPRISED OF NURSES EMPLOYED BY THE SYSTEM. THIS GROUP PROVIDES LEGISLATIVE FORUMS AND EDUCATION SUMMITS TO APPRISE AND EDUCATE LEGISLATORS OF THE ISSUES FACING THE NURSING PROFESSION AND HOW CHANGES IN LEGISLATION AFFECT PATIENT CARE. SCHEDULE C, PART II-B, LINE 1I ADVOCATE HEALTH AND HOSPITALS CORPORATION 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 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 ATTRIBUTABLE TO THESE LOBBYING ACTIVITIES. ADVOCATE ALSO ENGAGES CERTAIN FIRMS TO LOBBY ON ITS BEHALF REGARDING ISSUES AND POLICIES THAT AFFECT HEALTHCARE SUCH AS QUALITY, AFFORDABILITY AND PATIENT ACCESS. ADVOCATE ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE ENDEAVORS TO IDENTIFY THE PORTION OF DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Advocate Health And Hospitals Corp

Employer identification number

36-2169147

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	36,173,279	37,800,978		73,974,257
b	Buildings ................		1,584,048,607	774,542,341	809,506,266
c	Leasehold improvements ............		35,268,833	18,893,831	16,375,002
d	Equipment ................		924,280,824	722,902,212	201,378,612
e	Other .................		103,619,281	31,371,154	72,248,127
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........					1,173,482,264

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests	455,473,044	F
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)	455,473,044

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes		0
SELF INSURANCE LIABILITY		682,926,785
3RD PARTY SETTLEMENTS		165,522,983
OBLIGATION TO RETURN COLLATERAL		191,082,921
PENSION PLAN BENEFITS		13,422,714
EXECUTIVE PENSION LIABILITY		38,196,740
INTEREST RATE SWAP MTM SERIES		44,080,392
REMEDIATION COST ACCRUAL		13,649,331
UNFUNDED HRA/DRA		2,852,847
DEFERRED COMPENSATION		897,385
DEACONESS RESIDENCE LIABILITY		809,500
Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		1,153,441,598
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization
Advocate Health And Hospitals Corp

Employer identification number

36-2169147

Part I

General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of the grants or

assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award

the grants or assistance? ...................................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.

Activites per Region. (Use Part V if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees or agents in region or independent contractors	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for region/investments in region
	Central America and the Caribbean	1	1	Program Services	Self-Insurance	21,385,712
	East Asia and the Pacific	0	0	Program Services	Conference	24,330
	Middle East and North Africa	0	0	Program Services	See Part V	36,261
	North America	0	0	Program Services	Conference	2,662
	South America	0	0	Program Services	Conference	40,645
	Central America and the Caribbean	0	0	Investments		260,842,781
	East Asia and the Pacific	0	0	Investments		105,086,808
	Europe (Including Iceland and Greenland)	0	0	Investments		277,240,183
	Middle East and North Africa	0	0	Investments		6,384,822
	North America	0	0	Investments		19,244,668







3a	Sub-total .....	1	1			690,288,872
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1	1			690,288,872

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010

Schedule F (Form 990) 2010

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,

Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet

Use Part V if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ..... MediumBullet

Enter total number of other organizations or entities ........................ MediumBullet

Schedule F (Form 990) 2010

Schedule F (Form 990) 2010Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Use Part V if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2010

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2010

Page 5

Part V

Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.

Identifier	ReturnReference	Explanation
Description of Program Service in Middle East and North Africa	Part I, Line 3, COLUMN E	One of Advocate's sites of care has a large Middle Eastern population in its service area with distinct healthcare needs and risks based on cultural heritage and norms. Attending the Arab Health Conference and other meetings allows the participants to learn more about these risks and the treatments thereof, and allows the associates to develop contacts with the orders who could be consulted in developing programs/treatment for the affected populations. The expenditures reported in Part I, Line 3 are based on the cash paid for these activities.

Schedule F (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization
Advocate Health And Hospitals Corp

Employer identification number

36-2169147

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and e-mail solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.

(i) Name and address of individual or entity (fundraiser)	(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
	(ii) Activity	Yes	No	(iv) Gross receipts from activity		(vi) Amount paid to (or retained by) organization
Total .................

List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2010

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.

		(a) Event #1 TRINITY (event type)	(b) Event #2 CHRIST (event type)	(c) Other Events 3 (total number)	(d) Total Events (Add col. (a) through col. (c))
1	Gross receipts . . .	83,446	58,468	435,154	577,068
2	Less: Charitable contributions . . .		135	387,633	387,768
3	Gross income (line 1 minus line 2) . . .	83,446	58,333	47,521	189,300
4	Cash prizes . . .
5	Non-cash prizes . .
6	Rent/facility costs . .
7	Food and beverages . .			366	366
8	Entertainment . . .
9	Other direct expenses .	99,346	23,732	33,685	156,763
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				157,129
11	Net income summary. Combine lines 3 and 10 in column (d)............				32,171

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (Add col. (a) through col. (c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," Explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," Explain:

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ...........................

YesNo

Schedule G (Form 990 or 990-EZ) 2010

Page 3

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Provide the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)

Identifier	ReturnReference	Explanation

Schedule G (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Advocate Health And Hospitals Corp

Employer identification number

36-2169147

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other 600 %

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	30,695,034	1,439,008	29,256,026	1.020 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	439,130,882	308,053,116	131,077,766	4.580 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....	469,825,916	309,492,124	160,333,792	5.600 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	2,187,194		2,187,194	0.080 %
f Health professions education (from Worksheet 5) ..	72,007,002	20,260,241	51,746,761	1.810 %
g Subsidized health services (from Worksheet 6) ..	39,456,003	19,910,049	19,545,954	0.680 %
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	2,413,610		2,413,610	0.080 %
jTotal Other Benefits ...	116,063,809	40,170,290	75,893,519	2.650 %
kTotal. Add lines 7d and 7j. ..	585,889,725	349,662,414	236,227,311	8.250 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense (at cost).....

44,225,251

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

27,016,330

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

742,714,434

Enter Medicare allowable costs of care relating to payments on line 5.....

829,129,679

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-86,415,245

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?9 Name and address		Other (Describe)
1	CHRIST HOSP INCL HOPE CHILDREN'S HOSP 4440 WEST 95TH ST OAK LAWN,IL60453	X	X	X	X		X
2	LUTHERAN GEN HOSP INCL LUTH GEN CHI HOSP 1775 DEMPSTER ST PARK RIDGE,IL60068	X	X	X	X		X
3	GOOD SAMARITAN HOSPITAL 3815 HIGHLAND AVE DOWNERS GROVE,IL60515	X	X				X
4	GOOD SHEPHERD HOSPITAL 450 w highway 22 BARRINGTON,IL60453	X	X				X
5	SOUTH SUBURBAN HOSPITAL & ICU 17800 S KEDZIE HAZEL CREST,IL60429	X	X				X
6	BROMENN MEDICAL CENTER 1304 FRANKLIN AVENUE NORMAL,IL61761	X	X				X
7	TRINITY HOSPITAL 2320 EAST 93RD ST CHICAGO,IL60617	X	X				X
8	BETHANY HOSPITAL 3434 WEST VAN BUREN CHICAGO,IL60624	X
9	EUREKA HOSPITAL 101 S MAJOR STREET Eureka,IL61530	X	X			X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:CHRIST HOSP INCL HOPE CHILDREN'S HOSP

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:LUTHERAN GEN HOSP INCL LUTH GEN CHI HOSP

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:GOOD SAMARITAN HOSPITAL

Line Number of Hospital Facility (from Schedule H, Part V, Section A):3

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:GOOD SHEPHERD HOSPITAL

Line Number of Hospital Facility (from Schedule H, Part V, Section A):4

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:SOUTH SUBURBAN HOSPITAL & ICU

Line Number of Hospital Facility (from Schedule H, Part V, Section A):5

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:BROMENN MEDICAL CENTER

Line Number of Hospital Facility (from Schedule H, Part V, Section A):6

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:TRINITY HOSPITAL

Line Number of Hospital Facility (from Schedule H, Part V, Section A):7

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:BETHANY HOSPITAL

Line Number of Hospital Facility (from Schedule H, Part V, Section A):8

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:EUREKA HOSPITAL

Line Number of Hospital Facility (from Schedule H, Part V, Section A):9

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?115
Name and address		Type of Facility (Describe)
1	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
2	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
3	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
4	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
5	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
6	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
7	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
8	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
9	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
10	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
11	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
12	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
13	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
14	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
15	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
16	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
17	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
18	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
19	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
20	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
21	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
22	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
23	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
24	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
25	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
26	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
27	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
28	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
29	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
30	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
31	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
32	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
33	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
34	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
35	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
36	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
37	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
38	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
39	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
40	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
41	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
42	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
43	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
44	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
45	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
46	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
47	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
48	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
49	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
50	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
51	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
52	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
53	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
54	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
55	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
56	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
57	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
58	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
59	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
60	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
61	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
62	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
63	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
64	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
65	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
66	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
67	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
68	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
69	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
70	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
71	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
72	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
73	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
74	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
75	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
76	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
77	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
78	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
79	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
80	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
81	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
82	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
83	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
84	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
85	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
86	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
87	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
88	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
89	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
90	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
91	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
92	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
93	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
94	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
95	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
96	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
97	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
98	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
99	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
100	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
101	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
102	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
103	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
104	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
105	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
106	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
107	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
108	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
109	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
110	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
111	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
112	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
113	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
114	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT
115	ABMG TOWN & COUNTRY 105 S MAJOR ST EUREKA,IL61530	PATIENT CARE - OUTPATIENT

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
Part VI, Line 1 - Description for Part I, Line 3c		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 7g Advocate owns and operates various physician clinics which provide subsidized health services including the Adult Down Syndrome program, school based health clinics, a Cystic Fibrosis clinic, and addiction treatment services. These clinics serve a wide range of patients without regard to their ability to pay. As these clinics are wholly owned by Advocate the cost of the subsidized health care they provide is included in Part 1, line 7g. The net community benefit included for physician clinic subsidized health services is $891,636. Part VI, Line 1 - Description for Part I, Line 7h Advocate Health and Hospitals Corporation 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) $142,139,179 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 Health and Hospitals Corporation 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 Health and Hospitals Corporation 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 $86,415,245 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 Health and Hospitals Corporation'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 Health and Hospitals Corporation 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. Part VI, Line 2 - Needs Assessment In an effort to help determine what types of programs and services would best fit the needs of the diverse communities Advocate Health and Hospitals Corporation 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, pulmonary, orthopedics, pediatrics, general surgery, nephrology/urology, neurology, and cardiac surgery. 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 85.6 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, as well as residents of the six-county metropolitan area. These two disease categories annually account for 61 percent of all deaths in the six-county 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.
Part VI, Line 3 - Patient Education of Eligibility for Assistance		Advocate Health and Hospitals Corporation 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 Health and Hospitals Corporation's Hospital Charity Care policy. Advocate utilizes a financial screening software program to help identify public assistance programs for which the patient may be eligible or Advocate's charity care at the time of registration or as soon as practicable thereafter. In addition, HealthAdvisor, Advocate's education registration and physician referral telephone center, serves as a community resource providing referrals to government-funded and other programs via telephone from 8 a.m. to 6 p.m., Monday through Friday. Advocate Health and Hospitals Corporation assists patients with applying for Advocate's own financial assistance/charity care services, if patients are not eligible for government-supported programs. Advocate Health and Hospitals Corporation 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 Advocate'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. Advocate'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 Advocate's charity care policy, a charity care application, and a telephone number to request financial assistance. Part VI, Line 4 - Community Information Advocate Health and Hospitals Corporation's primary service area covers the six-county, Chicago metropolitan area. These counties include Cook, DuPage, Kane, Lake, McHenry, and Will. 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 5.7% 24.8% 23.6% 43.8% 2.1% DuPage 9.8% 4.6% 13.0% 70.7% 1.9% Kane 3.1% 5.0% 29.1% 61.2% 1.6% Lake 5.9% 6.3% 20.3% 65.6% 1.9% McHenry 2.7% 1.2% 11.8% 83.2% 1.2% Will 4.0% 10.7% 15.6% 67.9% 1.8% Six-County 5.8% 17.7% 21.4% 53.2% 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 2 percent of the households have a household income under the federal poverty level with annual incomes below the $25,000 threshold. In the collar counties, eight to twelve percent of the households are subsisting on less than $25,000 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 w/income % Pop. Medicaid Pop. Uninsured <$20K/year Recipients Cook 21.7% 22.3% 17.1% DuPage 9.7% 7.8% 5.5% Kane 12.8% 16.5% 8.4% Lake 10.8% 9.8% 7.0% McHenry 8.4% 6.6% 5.2% Will 8.4% 9.6% 7.0% Six-County 17.6% 17.5% 13.0% Source: Claritas, Thomson Reuters Advocate Health and Hospitals Corporation 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
Part VI, Line 5 - Promotion of Community Health		In addition to serving individuals in the acute care setting in 2010, AHHC provided community outreach to thousands of people through health fairs, wellness programs and other outreach services designed and delivered to promote the health of the communities it serves. Promote initiatives that enhance access to health care for the uninsured and underinsured. - Advocate is one of the largest providers of health care services to Medicaid and Medicare patients in Chicago and the surrounding suburbs. - In partnership with the DuPage County Health Department, Advocate Good Samaritan Hospital provides underprivileged women access to breast and pelvic exams, pap smears, routine and diagnostic mammograms, and biopsies/surgery when indicated. In 2010, 746 services were administered through the hospital's support. - Advocate has a partnership with a Federally Qualified Health Center through Advocate South Suburban Hospital to improve access to primary care services for uninsured and underinsured individuals in those areas. In addition, Advocate Good Shepherd Hospital has partnered with the Family Health Partnership Clinic in Woodstock, Illinois - a free clinic. Working with other area hospitals, Advocate Good Samaritan Hospital supports and provides services to sustain the Access DuPage organization - a community collaboration that provides low-cost primary medical care services to 10,000 uninsured residents of DuPage County each year. In 2010, Advocate provided 21.6% of the total overall funding provided by the county's hospitals. Advocate Christ Medical Center has a partnership with the Access to Care organization and provides diagnostic radiology services, such as mammograms. Advocate Good Shepherd Hospital has partnered with the Lake County Health Department to provide free diagnostic services, such as colonoscopies, radiology exams, MRIs, CT scans and biopsies to the uninsured and underserved residents of Lake County. Positively impact the health status and quality of life of individuals living in the communities served by AHHC in a manner consistent with its mission. - In 2006, Advocate established the Advocate Bethany Community Health Fund to support local not-for-profit organizations as they build, promote and sustain healthy communities on the West Side of Chicago. In 2010, the Fund awarded more than $800,000 in continuation grants to 38 West Side organizations aimed at strengthening these organizations. This support represents Advocate's belief that transformational philanthropy involves not only funding successful programs, but also providing opportunities for organizations to develop their overall capacity. To that end, the Fund Board also partnered with Goodcity - a West Side community organization - to implement the Bethany Fund Capacity Building Initiative. Through this pilot program, an additional $50,000 was awarded to provide intensive and individualized capacity-building services to select grantees over a one-year period. Grantees received one-on-one coaching in areas such as board development, grant writing and other fundraising, strategic planning, budgeting and marketing. Since the Board's installation in 2007, it has awarded more than $3 million to organizations that promote health and wellness and address health disparities for community residents. - Although many of the region's programs have disappeared due to lack of funding, in line with its mission, Advocate Medical Group's Autism Treatment Program continues to serve 150 children with autism at home, at the center, in groups, or in individual therapies. The bilingual program, offered in both English and Spanish, evaluates and provides a diagnosis for 32 children a month, about half of whom are from low income families. A key strength of the program is involving children in socialization groups at the earliest age possible, which results in their being more active in school and with others outside of the treatment setting. To that end, the center has implemented the Busy Bees program providing state-of-the-art intensive intervention for children between 2 and 3 years of age based on the most cutting-edge literature available regarding early intervention. - When Maine Township District 207 was faced with more than 30 percent of its Maine East High School students not meeting state-mandated physical and immunization requirements due to their families not having any or having inadequate medical insurance, the district established a school-based health center to provide medical services to these students. The school district then collaborated with Advocate Medical Group and Advocate Lutheran General Hospital to provide these uninsured/underinsured students with access to vital health care services. The center provides free or low cost services, including physicals, immunizations, emergent care, behavioral health treatment, nutritional counseling and educational programs. The center's medical director and staff have had more than 15,000 student contacts since the facility's inception in March 2003. - In 2010, Advocate Good Samaritan Hospital reached out to second through ninth grade children and their families who were referred by their physicians to address health issues or concerns. During the 10-week program, 61% of the participants exhibited improvement in self-esteem, 77% of the participants reported improvement in their nutritional habits, and 98% of the participants showed improvement in their physical fitness. Through an arrangement with Advocate Good Samaritan Health and Wellness Center, all of the parents were invited to attend multiple free educational lectures on living a healthier lifestyle. - The Advocate Childhood Trauma Treatment Program (CTTP) offers hope and healing to children who have experienced maltreatment, psychological trauma and sexual abuse. Clinicians work with a child's entire support network - parents, the school and more - to help foster a safe environment for the child. CTTP is one of just a handful of programs in the state that specializes in mental health for children. In 2010, CTTP served 380 children and adolescents. In addition, the program has partnered with "Darkness to Light", a nationally recognized Sexual Abuse Prevention Program. As a result of this partnership, the CTTP has launched a major adult education program called "Stewards of Children/7 Steps to Protect a Child". The education program has educated 600 adults at schools, churches, law enforcement agencies, child welfare agencies and civic organizations. - The Level III (state's highest level) Neonatal Intensive Care Unit (NICU) at Advocate Lutheran General Children's Hospital cared for 651 NICU infants in 2010, 104 of which were transferred from other hospitals. The hospital's comprehensive Neonatal Development Follow-up Program brings together a team of specialists to monitor infants' progress after they leave the NICU. Advocate Christ Medical Center and Advocate Good Samaritan Hospital also have Level III NICUs. - Advocate Good Shepherd Hospital expanded its partnership from two to four local school districts in 2010 to help establish fitness programs for youth to combat the escalating obesity dilemma. To date, the program includes 1,560 children. Partnering schools have made significant improvements to their environment to encourage healthy behaviors among students. In addition, the Barrington school district provides education to Hispanic families. There are an additional eight schools on the horizon as well. - Motor vehicle crashes are the leading cause of death for youths under the age of 20. Operation Click is a seat belt compliance program which has been sponsored by Advocate Good Shepherd Hospital since its inception in 1998. The program began in three high schools in District 155 (Crystal Lake and Cary Grove) and it has proven to increase compliance rates for seat belt usage. Operation Click has expanded to 31 schools in the 2010 - 2011 school year with 3,931 students signing commitment forms to wear and have their passengers wear seat belts, and the program is expected to continue expanding in 2011. Build strong relationships with the faith community, elected officials, and community organizations to enhance community outreach efforts. - The Advocate Lutheran General Hospital's Adult Down Syndrome Clinic was established in the early 1990's through a partnership between the hospital and the National Association for Down Syndrome (NADS), and it is the largest center of its kind in the world. The Clinic provides crucial psychosocial and medical services to individuals with Down syndrome living in all areas of Illinois and across the Midwest. Many in this unique population are on public assistance and, in most instances, there are few sources of reimbursement for these much-needed services. The Clinic's multidisciplinary approach to comprehensive medical care, with a strong emphasis on preventive medicine, provides practical approaches to health education and

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
Advocate Health And Hospitals Corp

Employer identification number
36-2169147

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) ACCESS COMMUNITY HEALTH NETWORK222 N CANAL STREET SUITE M CHICAGO,IL60606	36-3317058	501 c 3	28,882	SUPPORT TREATMENT PROGRAM
(2) ACCESS DUPAGEDUPAGE HEALTH COALITION511 THORNEHILL DRIVE SUITE M CAROL STREAM,IL60188	36-4448208	501 c 3	690,068	SUPPORT EXEMPT MISSION
(3) ADVOCATE CHARITABLE FOUNDATION2025 WINDSOR DRIVE OAK BROOK,IL60523	36-3297360	501 c 3	8,000,000	CAPITAL CONTRIBUTION
(4) ADVOCATE HEALTH CARE NETWORK2025 WINDSOR DRIVE OAK BROOK,IL60523	36-2167779	501 c 3	75,000,000	CAPITAL CONTRIBUTION
(5) ALZHEIMERS ASSOC OF GREATER ILL8430 W BRYN MAWR SUITE 500 CHICAGO IL,IL60631	36-3102348	501 c 3	5,050	MEMORY WALK
(6) AMERICAN CANCER SOCIETY1114 N ARLINGTON HEIGHTS ROAD ARLINGTON HEIGHTS,IL60004	36-2167721	501 c 3	17,500	RELAY FOR LIFE
(7) AMERICAN CANCER SOCIETY17060 OAK PARK AVENUE TINLEY PARK,IL60477	36-2167721	501 c 3	61,000	RELAY FOR LIFE
(8) AMERICAN CANCER SOCIETY1801 MEYERS RD SUITE 100 OAKBROOK TERRACE,IL60181	36-2167721	501 c 3	59,800	BLACK AND WHITE BALL/RELAY FOR LIFE
(9) AMERICAN DIABETES ASSOCIATION30 N MICHIGAN AVENUE SUITE 2015 CHICAGO,IL60602	13-1623888	501 c 3	5,902	TOUR DE CURE
(10) AMERICAN HEART ASSOCIATION208 S LASALLE SUITE 1500 CHICAGO,IL60604	13-5613797	501 c 3	8,956	GO RED FOR WOMEN
(11) AMERICAN HEART ASSOCIATION460 N LINDBERGH BLVD ST LOUIS,MO63141	13-5613797	501 c 3	23,500	AHA HEART BALL
(12) AMERICAN LUNG ASSOCIATION55 W WACKER DRIVE SUITE 800 CHICAGO,IL60601	20-4392201	501 c 3	12,150	SUPPORT 2010 LUNG WALK/FIGHT FOR AIR CLUB
(13) ASSOC OF PAKISTANI PHYSICIANS6414 S CASS AVE WESTMONT,IL60559	36-0291079	501 c 3	10,000	FLOOD RELIEF
(14) BARRINGTON AREA COUNCIL6000 GARLANDS LANE SUITE 100 BARRINGTON,IL60010	36-3337705	501 c 3	9,860	SUPPORT OF EXEMPT MISSION
(15) BETHANY CHRISTIAN SERV OF ILL6660 W COLLEGE DR SUITE 207 PALOS HEIGHTS,IL60463	36-0030230	501 c 3	25,000	SAFE POLICES
(16) CEAL55 E MONROE SUITE 1930 CHICAGO,IL60603	13-2890752	501 c 3	10,000	WORKFORCE CHICAGO
(17) COLLEGE OF DUPAGE FOUNDATION425 FAWELL BLVD SRC2073 GLEN ELLYN,IL60137	23-7011835	501 c 3	50,000	SUPPORT HEALTHCARE INITATIVE
(18) COMMUNITY HEALTH2611 WEST CHICAGO AVE CHICAGO,IL60622	36-3831793	501 c 3	29,320	SUPPORT EXEMPT MISSION/HEALTH GALA
(19) COURAGE PROGRAM9711 SOUTH KOLIN AVE OAK LAWN,IL60453	36-6094703	501 c 3	10,000	FAMILY ASSISTANCE
(20) CRISIS CENTER SO SUBURBIA CORPPO BOX 39 TINLEY PARK,IL60477	36-3039964	501 c 3	9,280	HEART TO HEART EVENT
(21) CURESEARCH NCCF4600 EAST WEST HIGHWAY SUITE 600 BETHESDA,MA20814	95-4132414	501 c 3	11,000	CURESEARCH WALK
(22) EDUCATION FOUNDATION OF DISTRICT 582001 BUTTERFIELD RD SUITE 205 DOWNERS GROVE,IL60515	30-0101074	501 c 3	10,000	SUPPORT EXEMPT MISSION
(23) FAMILY SHELTER SERVICES605 E ROOSEVELT RD WHEATON,IL60187	36-2883552	501 c 3	16,666	BUILDING SAFE CONNECTIONS
(24) FOX VALLEY HOSPICE INC200 WHITFIELD DR GENEVA,IL60134	36-3111451	501 c 3	7,500	MEDICAL SUPPLIES & EQUIPMENT
(25) HEALTH CARE WITHOUT HARM12355 SUNRISE VALLEY SUITE 680 RENTON,VA20191	52-2358837	501 c 3	64,875	HEALTHIER HOSPITAL INITATIVE
(26) ILLINOIS CHAPTER ACADEMY PEDIATRICS1400 W HUBBARD SUITE 100 CHICAGO,IL60642	51-0183494	501 c 3	238,864	SUPPORT EXEMPT MISSION
(27) ILLINOIS HOSP RESEARCH EDUCATION FND11 S WHITE ST LIBERTYVILLE,IL60566	36-2352486	501 c 3	1,462,782	SUPPORT ILLINOIS HOSPITALS
(28) ILLINOIS PUBLIC HEALTH INSTITUTE954 W WASHINGTON BLVD SUITE 405 MB 10 CHICAGO,IL60607	26-2757523	501 c 3	19,780	PREVENT OBESITY ACTION SUMMIT
(29) ILLINOIS STATE UNIVERSITYCAMPUS BOX 5810 NORMAL,IL61790	37-6014070	501 c 3	31,114	BROMENN ENDOWED PROFESSOR
(30) ILLINOIS SYMPHONY ORCHESTRA524 1/2 EAST CAPITAL AVE SPRINGFIELD,IL62701	37-1312674	501 c 3	5,830	POPS IN THE PARK
(31) INSITUTO DEL PROGRESO LATINO2570 S BLUE ISLAND AVE CHICAGO,IL60608	36-2937375	501 c 3	10,000	SUPPORT EXEMPT MISSION
(32) KOHL CHILDRENS MUSEUM2100 PATRIOT BLVD GLENVIEW,IL60026	36-3706878	501 c 3	103,750	SUPPORT OF EXHIBIT
(33) LINCOLN FOUNDATION FOR EXCELLANCE1415 W DIEHL RD MS 514 NAPERVILLE,IL60563	36-3952696	501 c 3	28,750	SUPPORT EXEMPT MISSION
(34) LUTHERAN SOCIAL SERVICES ILLINOIS1001 E TOUHY AVE SUITE 50 DES PLAINES,IL60018	36-2584799	501 c 3	12,090	SUPPORT EXEMPT MISSION
(35) MARCH OF DIMES111 W JACKSON BLVD SUITE 2200 CHICAGO,IL60604	13-1846366	501 c 3	10,000	MARCH FOR BABIES
(36) MCHC SERVICE CORP222 S REVERSIDE PLAZA SUITE 1900 CHICAGO,IL60606	36-3404171	501 c 3	216,473	HEALTH INFORMATION EXCHANGE
(37) MIDWEST HEART FOUNDATION1901 S MEYERS RD SUITE 350 OAKBROOK TERRACE,IL60181	36-3602197	501 c 3	70,780	SUPPORT EXEMPT MISSION/CARDIAC SCREENINGS
(38) MIDWEST HEART FOUNDATION1919 S HIGHLAND AVE SUITE 201 LOMBARD,IL60148	36-3602197	501 c 3	30,000	CARDIAC SCREENINGS
(39) MOORINGS HEALTH CENTER3200 GRANT SREET BUILDING B SUITE 201 EVANSTON,IL60201	36-2167832	501 c 3	82,733	SUPPORT EXEMPT MISSION
(40) MOSQUE FOUNDATION7360 95TH ST BRIDGEVIEW,IL60455	36-2693172	501 c 3	10,000	FOOD PANTRY COSTS
(41) OPERATION BLESSING OF SW CHICAGO4330 MIDLOTHIAN TURNPIKE CRESTWOOD,IL60445	36-3247132	501 c 3	10,000	FOOD PANTRY COSTS
(42) OUR SAVIORS LUTHERAN CHURCH8607 S NARRAGANSETT AVE BURBANK,IL60459	36-2523565	501 c 3	10,000	FOOD PANTRY COSTS
(43) PASS PREGNANCY CARE CENTER17214 OAK PARK AVE TINLEY PARK,IL60477	36-3345840	501 c 3	30,000	FUNDRAISING BANQUET
(44) PILGRAM FAITH UNITED CHURCH9411 SOUTH 51ST AVENUE OAK LAWN,IL60453	26-2182011	501 c 3	10,000	FOOD PANTRY COSTS
(45) RAINBOW HOSPICE444 N NORTHWEST HWY SUITE 145 PARK RIDGE,IL60068	36-3296367	501 c 3	6,460	SPONSOR EVENT
(46) RONALD MCDONALD HOUSE CHARITY1900 SPRING RD SUITE 310 OAK BROOK,IL60523	36-3532553	501 c 3	7,938	SUPPORT EXEMPT MISSION
(47) SOUTHSIDE PREGNANCY CENTER5450 W 95TH STREET OAK LAWN,IL60453	36-3367445	501 c 3	30,000	FUNDRAISING BANQUET
(48) SOUTHWEST CHICAGO PADS3121 W 71ST ST CHICAGO,IL60629	36-3925529	501 c 3	10,000	FOOD PANTRY COSTS
(49) SPECIAL OLYMPICS CHICAGO800 ROOSEVELT RD BLDG B SUITE 420 GLEN ELLYN,IL60137	36-2922811	501 c 3	8,250	INSPIRE GREATNESS GALA
(50) SUSAN G KOMEN FOR THE CURE8765 W HIGGINS ROAD SUITE 401 CHICAGO,IL60631	75-1835298	501 c 3	9,630	SUPPORT RACE FOR THE CURE
(51) TRINITY INTL UNIVERSITY2065 HALF DAY ROAD DEERFIELD,IL60015	36-2216176	501 c 3	25,000	ETHICS CONFERENCE
(52) TRINITY UNITED CHURCH OF CHRIST400 W 95TH STREET CHICAGO,IL60628	36-2879287	501 c 3	10,000	FOOD PANTRY COSTS
(53) UNITED WAY OF MCHENRY COUNTY4508 PRIME PARKWAY MCHENRY,IL60050	36-6147909	501 c 3	10,000	SUPPORT EXEMPT MISSION
(54) WORLD BUSINESS CHICAGO177 N STATE ST STE 500 CHICAGO,IL60601	36-4313685	501 c 3	25,000	SUPPORT EXEMPT MISSION

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
Form 990, Schedule I	PART 1 LINE 1	ADVOCATE HEALTH AND HOSPITALS CORPORATION SUPPORTS ONLY NON PROFIT ORGANIZATIONS THAT ARE TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THAT ARE CONSISTENT WITH AND COMPLIMENTARY TO THE MISSION AND CHARITABLE, TAX-EXEMPT PURPOSES OF ADVOCATE HEALTH AND HOSPITALS CORPORATION. CASH CONTRIBUTIONS ARE NOT MADE TO INDIVIDUALS, FOR PROFIT BUSINESSES, OR PRIVATE PROVIDERS.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Advocate Health And Hospitals Corp

Employer identification number

36-2169147

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) Anthony Armada	(i) (ii)	453,419 0	0 0	107,822 0	262,486 0	25,224 0	848,951 0	0
(2) Ben Grigaliunas	(i) (ii)	439,084 0	328,516 0	427,403 0	541,470 0	25,590 0	1,762,063 0	328,516 0
(3) Bruce D Smith	(i) (ii)	393,407 0	267,100 0	312,849 0	431,864 0	30,880 0	1,436,100 0	267,100 0
(4) Caleb Lippman	(i) (ii)	792,747 0	0 0	240 0	29,484 0	21,700 0	844,171 0	0
(5) David Fox	(i) (ii)	367,516 0	275,651 0	210,703 0	454,411 0	36,991 0	1,345,272 0	275,651 0
(6) Dominic J Nakis	(i) (ii)	478,656 0	490,823 0	386,525 0	801,607 0	28,955 0	2,186,566 0	490,823 0
(7) Gail D Hasbrouck	(i) (ii)	394,416 0	256,147 0	359,231 0	415,133 0	22,783 0	1,447,710 0	256,147 0
(8) James Dan MD	(i) (ii)	411,164 0	358,210 0	97,002 0	700,855 0	22,341 0	1,589,572 0	358,210 0
(9) James Keller	(i) (ii)	468,652 0	199,130 0	2,120 0	22,684 0	23,447 0	716,033 0	0
(10) James H Skogsbergh	(i) (ii)	1,030,507 0	1,106,277 0	860,064 0	1,840,703 0	30,674 0	4,868,225 0	1,106,277 0
(11) James Doheny	(i) (ii)	244,522 0	102,255 0	82,487 0	119,079 0	33,055 0	581,398 0	102,255 0
(12) Jonathan Bruss	(i) (ii)	277,161 0	128,024 0	197,546 0	277,750 0	22,758 0	903,238 0	96,105 0
(13) Jose Elizondo MD	(i) (ii)	0 183,452	0 29,648	0 360	0 20,021	0 14,847	0 248,328	0 0
(14) Karen Lambert	(i) (ii)	318,900 0	210,333 0	196,781 0	375,669 0	30,509 0	1,132,192 0	210,333 0
(15) Kelly Jo Golson	(i) (ii)	297,146 0	84,700 0	46,422 0	210,272 0	4,234 0	642,774 0	0
(16) Kenneth Lukhard	(i) (ii)	471,581 0	393,570 0	237,404 0	669,885 0	29,550 0	1,801,990 0	393,570 0
(17) Kenneth Rojek	(i) (ii)	362,435 0	206,785 0	173,335 0	460,995 0	15,306 0	1,218,856 0	156,785 0
(18) Kevin Waldron	(i) (ii)	719,004 0	0 0	240 0	28,676 0	18,050 0	765,970 0	0
(19) Lee B Sacks MD	(i) (ii)	576,655 0	490,823 0	454,336 0	801,607 0	24,658 0	2,348,079 0	490,823 0
(20) Lena Dobbs-Johnson	(i) (ii)	280,010 0	122,272 0	172,079 0	853,035 0	22,033 0	1,449,428 0	104,381 0
(21) Manoj Shah	(i) (ii)	669,563 0	48,538 0	5,271 0	22,684 0	19,920 0	765,976 0	0
(22) Michael Englehart	(i) (ii)	253,807 0	44,709 0	71,413 0	229,290 0	25,254 0	624,473 0	43,544 0
(23) Rev Jerry Wagenknecht	(i) (ii)	67,892 0	101,120 0	352,063 0	174,448 0	64,434 0	759,957 0	101,120 0
(24) Roger Hunt	(i) (ii)	464,275 0	0 0	663,586 0	62,269 0	28,246 0	1,218,376 0	0 0
(25) Scott Powder	(i) (ii)	243,126 0	157,381 0	109,814 0	255,514 0	20,893 0	786,728 0	157,381 0
(26) William P Santulli	(i) (ii)	642,025 0	642,415 0	461,123 0	1,070,485 0	32,649 0	2,848,697 0	642,415 0
(27) Wilfredo Ramos	(i) (ii)	0 0	57,917 0	69,680 0	13,113 0	15,057 0	155,767 0	126,972 0
(28) Bruce Campbell	(i) (ii)	0 0	210,878 0	455,782 0	148,021 0	14,434 0	829,115 0	652,878 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Supplemental Compensation Information		PART I, LINE 1A HOUSING ALLOWANCE/SOCIAL CLUB DUES/PERSONAL SERVICES REV. JERRY WAGENKNECHT, SENIOR VICE PRESIDENT-MISSION AND SPIRITUAL CARE, RECEIVED AN ANNUAL HOUSING ALLOWANCE OF $50,000 FROM ADVOCATE HEALTH AND HOSPITALS CORPORATION. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION IS A MEMBER OF SEVERAL LUNCHEON CLUBS WHERE HE CONDUCTS BUSINESS MEETINGS ON BEHALF OF AHHC. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, RECEIVES AS PART OF HIS BENEFITS PACKAGE FINANCIAL PLANNING SERVICES. RELOCATION EXPENSES AGREED TO AS PART OF TERMS OF INITIAL EMPLOYMENT ARE ELIGIBLE FOR GROSSED-UP PAYMENTS. ANTHONY ARMADA RECEIVED REIMBURSEMENT FOR RELOCATION. 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). BRUCE CAMPBELL, FORMER PRESIDENT OF ADVOCATE LUTHERAN GENERAL HOSPITAL, TERMINATED HIS EMPLOYMENT WITH AHHC IN 2008 AND RECEIVED SEVERANCE OF $455,782 IN 2010. THIS AMOUNT WAS REPORTED ON A PRIOR FORM 990 AS DEFERRED COMPENSATION AND IS LISTED AS A COMPONENT OF COLUMN (F). LENA DOBBS-JOHNSON, FORMER PRESIDENT OF ADVOCATE BETHANY HOSPITAL, TERMINATED HER EMPLOYMENT WITH AHHC IN 2010 AND WILL RECEIVE SEVERANCE IN 2011 AND BEYOND WHICH IS INCLUDED IN COLUMN (C). 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, ANTHONY ARMADA, DAVID FOX, JONATHON BRUSS, KAREN LAMBERT, KENNETH LUKHARD, LENA DOBBS-JOHNSON, MICHAEL ENGLEHART AND KENNETH ROJEK. 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.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
Advocate Health And Hospitals Corp

Employer identification number
36-2169147

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	ILLINOIS HEALTH FACILITIES AUTHORITY	36-2780046	45200PXH5	10-29-2003	115,000,000	SEE SCHEDULE K, PART V		X		X		X
B	ILLINOIS FINANCE AUTHORITY	86-1091967	45200FAZ2	10-10-2007	348,300,000	SEE SCHEDULE K, PART V		X		X		X
C	illinois finance authority	86-1091967	45200FK65	01-06-2010	243,746,239	SEE SCHEDULE K, PART V		X		X		X
D	illinois finance authority	86-1091967	45200fed7	04-23-2008	153,430,000	SEE SCHEDULE K, PART V		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .	58,900,000		5,030,000				7,920,000
2 Amount of bonds defeased . . . .	0
3 Total proceeds of issue . . . .	116,432,024		352,851,959		243,808,568		154,545,580
4 Gross proceeds in reserve funds . .
5 Capitalized interest from proceeds.
6 Proceeds in refunding escrow. . . . .	0
7 Issuance costs from proceeds . . .	1,034,454		2,331,125		2,992,121		816,617
8 Credit enhancement from proceeds.	3,418,607		3,418,607
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	111,807,084		154,520,722		30,669,896
11 Other spent proceeds . .	192,581,505		192,581,505		127,075,000		152,475,000
12 Other unspent proceeds. . .	31,879,071				31,879,071
13 Year of substantial completion . . .	2005		2009				2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?		X	X			X
15 Were the bonds issued as part of an advance refunding issue?		X		X		X		X
16 Has the final allocation of proceeds been made? . .	X			X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .	X		X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?	X		X		X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X		X		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .		X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .	0.050 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 . . .. . . . . .	0.050 %		0 %		0 %		0 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X		X		X
2 Is the bond issue a variable rate issue?	X		X			X	X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X	X			X		X
b Name of provider .	CitiBank NA		CitiBank NA
c Term of hedge . .	30.5		30.5
d Was the hedge superintegrated? .		X		X
e Was a hedge terminated? .		X		X
4a Were gross proceeds invested in a GIC? .		X	X			X		X
b Name of provider .	Trinity Plus Funding		Trinity Plus Funding
c Term of GIC . .	2.1		2.1
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .	X		X
5 Were any gross proceeds invested beyond an available temporary period? .		X		X		X		X
6 Did the bond issue qualify for an exception to rebate? . . .		X	X		X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
SEE SCHEDULE O

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Advocate Health And Hospitals Corp

Employer identification number

36-2169147

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) ADVOCATE HEALTH CENTERS	SHARED BOARD MEMBER	120,229	PROPERTY RENTAL		No
(2) ADVOCATE HEALTH CENTERS	SHARED BOARD MEMBER	1,362,716	ADMINISTRATIVE SERVICES		No
(3) ADVOCATE HEALTH CENTERS	SHARED BOARD MEMBER	2,997,112	EXPENSE ALLOCATION		No
(4) ADVOCATE HEALTH CENTERS	SHARED BOARD MEMBER	3,813,105	EXPENSE TRANSFER		No
(5) ADVOCATE HEALTH CENTERS	SHARED BOARD MEMBER	7,300,599	MISC SERVICES		No
(6) ADVOCATE HEALTH CENTERS	SHARED BOARD MEMBER	20,662,287	EXPENSE REIMBURSEMENT		No
(7) ADVOCATE HEALTH CENTERS	SHARED BOARD MEMBER	437,152	REIMBURSEMENT		No
(8) BROMENN PHYSICIAN MANAGEMENT CORP	SHARED BOARD MEMBER	1,082,324	EXPENSE ALLOCATION		No
(9) BROMENN PHYSICIAN MANAGEMENT CORP	SHARED BOARD MEMBER	880,353	PROPERTY RENTAL		No
(10) BROMENN PHYSICIAN MANAGEMENT CORP	SHARED BOARD MEMBER	655,435	MISC SERVICES		No
(11) BROMENN PHYSICIAN MANAGEMENT CORP	SHARED BOARD MEMBER	27,253,772	EXPENSE REIMBURSEMENT		No
(12) HIGH TECHNOLOGY INC	SHARED BOARD MEMBER	148,497	MEDICAL SERVICES		No
(13) HIGH TECHNOLOGY INC	SHARED BOARD MEMBER	390,064	EXPENSE ALLOCATION		No
(14) HIGH TECHNOLOGY INC	SHARED BOARD MEMBER	2,222,208	MISC SERVICES		No
(15) HIGH TECHNOLOGY INC	SHARED BOARD MEMBER	2,921,203	EXPENSE REIMBURSEMENT		No
(16) CHICAGO CYBERKNIFE LLC	SHARED BOARD MEMBER	1,956,723	EQUIPMENT RENTAL		No
(17) CHICAGO CYBERKNIFE LLC	SHARED BOARD MEMBER	502,486	MISC SERVICES		No
(18) EVANGELICAL SERVICES CORP	SHARED BOARD MEMBER	312,093	ADMINSTRATIVE SERVICES		No
(19) EVANGELICAL SERVICES CORP	SHARED BOARD MEMBER	2,021,233,415	EXPENSE ALLOCATION		No
(20) EVANGELICAL SERVICES CORP	SHARED BOARD MEMBER	162,997	PROPERTY RENTAL		No
(21) EVANGELICAL SERVICES CORP	SHARED BOARD MEMBER	3,350,067	MISC SERVICES		No
(22) EVANGELICAL SERVICES CORP	SHARED BOARD MEMBER	16,977,252	EXPENSE REIMBURSEMENT		No
(23) ADVOCATE HOME CARE PRODUCTS INC	SHARED BOARD MEMBER	214,432	HOME HEALTH SERVICES		No
(24) ADVOCATE HOME CARE PRODUCTS INC	SHARED BOARD MEMBER	435,006	EXPENSE ALLOCATION		No
(25) ADVOCATE HOME CARE PRODUCTS INC	SHARED BOARD MEMBER	180,386	MISC SERVICES		No
(26) ADVOCATE HOME CARE PRODUCTS INC	SHARED BOARD MEMBER	1,558,414	EXPENSE REIMBURSEMENT		No
(27) ADVOCATE INSURANCE SPC	SHARED BOARD MEMBER	18,172,212	INSURANCE		No
(28) STANDARD FIDELITY ASSURANCE CO LTD	SHARED BOARD MEMBER	2,386,347	INSURANCE		No
(29) A2CL LABORATORY	SHARED BOARD MEMBER	796,973	LAB SERVICES PAYMENT		No
(30) ADVOCATE HEALTH PARTNERS	SHARED BOARD MEMBER	785,478	ACCT MGMT FEE REFUND		No
(31) MIDWEST CENTER FOR DAY SURGERY LLC	SHARED BOARD MEMBER	17,001	EXPENSE REIMBURSEMENT		No
(32) MIDWEST CENTER FOR DAY SURGERY LLC	SHARED BOARD MEMBER	1,596	CLINICAL ENGINEERING		No
(33) MIDWEST CENTER FOR DAY SURGERY LLC	SHARED BOARD MEMBER	53,656	INSURANCE REIMBURSEMENT		No
(34) MIDWEST CENTER FOR DAY SURGERY LLC	SHARED BOARD MEMBER	2,062	RADIOLOGY FEES		No
(35) MIDWEST CENTER FOR DAY SURGERY LLC	SHARED BOARD MEMBER	49,093	MISC SERVICES FEES		No
(36) MIDWEST SURGICAL MANAGEMENT GROUP	SHARED BOARD MEMBER	295	LEGAL FEES		No
(37) MIDWEST SURGICAL MANAGEMENT GROUP	SHARED BOARD MEMBER	6,724	CREDENTIALING SERVICES		No
(38) NAPERVILLE SURGICAL CENTRE LLC	SHARED BOARD MEMBER	1,380	CLINICAL ENGINEERING		No
(39) NAPERVILLE SURGICAL CENTRE LLC	SHARED BOARD MEMBER	46,984	INSURANCE REIMBURSEMENT		No
(40) NAPERVILLE SURGICAL CENTRE LLC	SHARED BOARD MEMBER	13,985	RADIOLOGY FEES		No
(41) TINLEY WOODS SURGERY CENTER	SHARED BOARD MEMBER	31,713	REAL ESTATE TAXES		No
(42) TINLEY WOODS SURGERY CENTER	SHARED BOARD MEMBER	85,890	INSURANCE REIMBURSEMENT		No
(43) TINLEY WOODS SURGERY CENTER	SHARED BOARD MEMBER	6,154	CLINICAL ENGINEERING		No
(44) RULESTER LLC	SHARED BOARD MEMBER	103,500	MEDICAL CONSULTING SERVICES		No
(45) SUBURBAN EMERGENCY PHYSICIANS GROUP	DIRECTOR OWNED>5% PARTNER	207,957	EMERGENCY SERVICES		No
(46) KRISTINE ARIAS	FAMILY MEMBER-JOHN TIMMER	62,811	EMPLOYMENT		No
(47) RAFAEL ARIAS	FAMILY MEMBER-JOHN TIMMER	96,427	EMPLOYMENT		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

Advocate Health And Hospitals Corp

Employer identification number

36-2169147

Identifier	Return Reference	Explanation
FORM 990 PART III LINE 4A		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 is committed to promoting initiatives that enhance access to health care for the uninsured and underinsured. An example of this is Advocate's provision of charity care. Advocate offers a very generous charity care program - requiring no payments from the patients most in need, and providing discounts to uninsured patients earning up to six times the federal poverty level and to insured patients earning up to four times the poverty level. Although Advocate's Charity Care Policy is very generous, Advocate 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 hospitals maintain highly visible signage and brochures in multiple languages to inform patients of the availability of financial help and financial counselors. Information about Advocate's charity care program and charity applications is provided to all uninsured patients during registration and as an insert in all uninsured patients' bills. Additionally, Advocate is one of the largest providers of health care services to Medicaid and Medicare patients in Chicago and the surrounding suburbs. In the area of Trauma Care - Advocate Health Care is dedicated to providing expert emergency care - today and in the future. Advocate's Level I Trauma Centers care for the most seriously injured people in Chicagoland. Advocate's trauma centers comprise 25% of Illinois' trauma centers having this highest designation level. As is the case with all Illinois Level I Trauma Centers, Advocates trauma centers are staffed by on-site, 24-hour-a-day trauma surgeons; feature 24-hour surgical and nonsurgical services, such as radiology and anesthesia; and can accommodate helicopter transports. FORM 990 PART III LINE 4B Health care services provided by physicians employed by the organization. As part of Advocate's broad array of services and programs designed to meet community health needs, Advocate physicians focus on addressing the most significant issues impacting public health in its service area. Through this focused approach, they also concentrate on providing programs and services that target the unique needs for health care access of uninsured, underinsured, underserved and special needs individuals living in Chicagoland communities. At the Adult Down Syndrome Clinic on the Advocate Lutheran General Hospital campus, for example, Advocate physicians provide crucial psychosocial and medical services to individuals with Down syndrome living in Illinois and the Midwest. Many individuals in this unique population receive public assistance and, in most instances, there are few sources of reimbursement for these much needed services. A community partnership with the Main East High School Health Center places Advocate physicians at the school to provide uninsured and underinsured students with free or low-cost physicals, immunizations, behavioral health treatment, nutritional education and counseling. These services help the students meet state-mandated physical and immunization requirements. In addition to the examples provided above, Advocate physicians also provide year round health education, lectures and screenings at community health events throughout the metropolitan Chicago area.
FORM 990 PART III LINE 4 C		Graduate Medical Education. Advocate is committed to training health care providers in a broad range of specialties. Each year, more than 2,000 medical students complete rotations and 600 residents and fellows receive hands-on training at Advocate's teaching hospitals - Advocate BroMenn Medical Center, Advocate Christ Medical Center and Advocate Lutheran General Hospital. Not included in the above expense and revenue amounts, but important to the organizations role in training health care professionals are nursing residency programs at Advocate Good Samaritan Hospital, as well as programs which train students in respiratory care, radiologic technology, physical therapy and other disciplines at Advocate sites of care.
FORM 990 PART III 4 D	Other program services	Description of Advocate Health Care Advocate Health Care is one of the nation's leading health care delivery networks and is the second largest private-sector employer in the Chicago area. As part of a network with over 250 sites of care, its more than 30,000 associates provide care at ten acute care hospitals and two full-service children's hospitals totaling 3,256 licensed beds--in 2010. Advocate provides expert emergency care to the Chicago area's seriously injured people through its five Level I Trauma Centers which comprise the largest emergency and Level 1 Trauma network in Illinois. The organization is also recognized as having one of the largest home health companies in the state. Of the 6,000 physicians affiliated with Advocate, more than 3,800 belong to Advocate Physician Partners, the system's care management and managed contracting organization and 900 belong to system's affiliated medical groups. Advocate is also committed to training future health care providers in its professional medical education program developed and sustained through an affiliation with the University of Illinois at Chicago Health Sciences Center. Incorporated as Advocate Health Care in January 1995, the system has a long tradition of health care dating back more than 100 years to hospitals founded by predecessor churches of the Evangelical Lutheran Church in America and the United Church of Christ. Advocate's common mission, values, and philosophy (MVP) was developed from the similar mission-oriented histories of both organizations. The Mission of Advocate Health Care is to serve the health needs of individuals, families and communities through a wholistic philosophy rooted in our fundamental understanding of human beings as created in the image of God. The Values of Advocate serve as an internal compass to guide relationships and actions. They include equality, compassion, excellence, partnership' and stewardship. The Philosophy of Advocate 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 society in which they live. Through our actions we affirm these principles. Population Served Advocate Health Care provides quality medical health care to various communities in the Chicagoland area regardless of race, creed, national origin, age or ability to pay. Advocate Health Care annually serves over 4.3 million people. In 2010, Advocate experienced 170,847 inpatient admissions, 4,100,863 outpatient visits and 20,009 deliveries. Advocate Home Health Services had 18,445 admissions and Advocate Hospice reported 93,140 adult patient days. Commitment to the Community In 1997, based on recommendations of the Community Benefits Task Force of the Advocate Health Care Board of Directors, Advocate reaffirmed its commitment to a community benefit program comprised of charity care; cost of unreimbursed care to Medicaid recipients, unreimbursed costs of services and programs addressing community health, wellness and service needs; and donations. That definition was later expanded to include other services, such as language assistance and volunteer services for example, in compliance with the Illinois Community Benefits Act passed by the Illinois State Legislature in 2003. Even in the face of low reimbursements, Advocate is dedicated to maintaining a strong presence within its communities and continues to monitor these expenditures to make certain that the programs and services supported are in direct response to their needs. In 2010, Advocate reported over $473.8 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.
FORM 990 PART III 4 D (CONTD)		Community Benefits Plan, Goals and Examples of Program Service Accomplishments Advocate's Community Benefits Plan was developed to establish strategies for improving access to care and to positively affect the health of the communities that it serves. The Plan sets the course for strengthening existing partnerships and building new ones with individuals and organizations within Advocate's primary service areas in order to leverage and maximize the impact of its programs. In developing its plan, Advocate set four goals and corresponding objectives to accomplish this strategy. Although each goal is supported by multiple programs/projects throughout the Advocate system, only two program examples have been selected as examples of Advocate's working towards each goal. The four goals and corresponding examples are provided below. Goal # 1-Promote initiatives that enhance access to health care for the uninsured and underinsured. Charity Care-Advocate offers a very generous charity care program-requiring no payments from the patients most in need, and providing discounts to uninsured patients earning up to six times the federal poverty level and to insured patients up to four times the poverty level. Advocate is also one of the largest providers of health care services to Medicaid and Medicare patients in Chicago and the surrounding suburbs. Federally Qualified Health Centers (FQHC)-Advocate has a partnership with a Federally Qualified Health Center through Advocate South Suburban Hospital to improve access to primary care services for uninsured and underinsured individuals in those areas. In addition, Advocate Good Shepherd Hospital has partnered with the Family Health Partnership Clinic in Woodstock - a free clinic. Working with other area hospitals, Advocate Good Samaritan Hospital supports and provides services to sustain the Access DuPage organization - a community collaboration designed to provide low-cost primary medical care services to the low-income, medically-uninsured residents of DuPage County. Advocate Christ Medical Center has a partnership with the Access to Care organization and provides diagnostic radiology services, such as mammograms. Advocate Good Shepherd Hospital has partnered with the Lake County Health Department to provide free diagnostic services, such as colonoscopies, radiology exams, MRIs, CT scans and biopsies to the uninsured and underserved residents of Lake County. Advocate BroMenn Medical Center provides a Family Health Clinic, which ensures access and subsidized care to underinsured families, regardless of their ability to pay. Goal #2-Positively impact the health status and quality of life of individuals living in the communities served by Advocate Health Care in a manner consistent with its mission. School-Based Health Center- When Maine Township District 207 was faced with more than 30 percent of its Maine East High School students not meeting state-mandated physical and immunization requirements due to their families not having any or having inadequate medical insurance, the district established a school-based health center to provide medical services to these students. The school district then collaborated with Advocate Medical Group and Advocate Lutheran General Hospital to provide these uninsured/underinsured students with access to vital health care services. The center provides free or low cost services, including physicals, immunizations, emergent care, behavioral health treatment, nutritional counseling and educational programs. The center's medical director and staff have had more than 15,000 student contacts since the facility's inception in March 2003. Wauconda Obesity Project- Advocate Good Shepherd Hospital expanded its partnership from two to four local school districts in 2010 to help establish fitness programs for youth to combat the escalating obesity dilemma. To date, the program includes 1,560 kids. Partnering schools have made significant improvements to their environment to encourage healthy behaviors among students. In addition, the Barrington school district provides education to Hispanic families. There are an additional eight schools on the horizon as well. Operation Click - Motor vehicle crashes are the leading cause of death for youths under the age of 20. Operation Click is a seat belt compliance program which has been sponsored by Advocate Good Shepherd Hospital since its inception in 1998. The program began in three high schools in District 155 (Crystal Lake and Cary Grove) and it has proven to increase compliance rate for seatbelt usage. Operation Click has expanded to 31 schools in the 2010-2011 school year with 3,931 students signing commitment forms to wear and have their passengers wear seat belts, and the program is expected to continue expanding in 2011.
FORM 990, PART III 4 D(CONTD)		Goal #3-Build strong relationships with the faith community, elected officials and community organizations to enhance community outreach efforts. In 2006, Advocate established the Advocate Bethany Community Health Fund to support local not-for-profit organizations as they build, promote and sustain healthy communities on the West Side of Chicago. In 2010, the Fund awarded more than $800,000 in continuation grants to 38 West Side organizations aimed at strengthening these organizations. This support represents Advocate's belief that transformational philanthropy involves not only funding successful programs, but also providing opportunities for organizations to develop their overall capacity. To that end, the Fund Board also partnered with Goodcity - a West Side community organization - to implement the Bethany Fund Capacity Building Initiative. Through this pilot program, an additional $50,000 was awarded to provide intensive and individualized capacity-building services to select grantees over a one-year period. Grantees received one-on-one coaching in areas such as board development, grant writing and other fundraising, strategic planning, budgeting and marketing. Since the Board's installation in 2007, it has awarded more than $3 million to organizations that promote health and wellness and address health disparities for community residents. Advocate Lutheran General's Adult Down Syndrome Center--Established in the early 1990's through a partnership between the hospital and the National Association for Down Syndrome (NADS), Advocate Lutheran General Hospital's Adult Down Syndrome Center is the largest center of its kind in the world. The Center provides crucial psychosocial and medical services to individuals with Down syndrome living in all areas of Illinois and across the Midwest. Many in this unique population are on public assistance and, in most instances, there are few sources of reimbursement for these much-needed services. The Center's multidisciplinary approach to comprehensive medical care, with a strong emphasis on preventive medicine, provides practical approaches to health education and health risk reduction. To date, the clinic's multidisciplinary team has served the health and psychosocial needs of over 5,000 adolescents and adults with Down syndrome. 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. Healthy Steps- Through its Healthy Steps program, Advocate touched nearly 6,000 young children in 2010 through early childhood programs within pediatric/family practice residencies at Advocate Illinois Masonic Medical Center, Advocate Lutheran General and Advocate Hope Children's Hospitals. This system-wide program uses a national model to engage parents as partners with physicians in their children's health. Healthy Steps specialists help bridge the two groups by preparing parents to take an active role in, and physicians to assess and meet more effectively, a range of child development needs. In addition, Healthy Steps is implementing, in collaboration with the Illinois Chapter of the American Academy of Pediatrics, an initiative to train primary care providers across the state to use validated tools for developmental and family risk factor screening (such as post partum depression) and how to refer for follow-up care. During 2010, Advocate trained 709 primary care staff across the state including 303 primary care providers who provide care to 98,200 children between birth and age three in Illinois. Mission and Spiritual Care-Advocate Health Care's Office for Mission and Spiritual Care provides clinical chaplains and ethicists 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. An example of this is Advocate's support/co-sponsorship of 17 Advocate parish nurses serving 20 congregations and 12 network nurses serving 11 congregations who provide health education, wellness promotion, health screenings, advocacy and spiritual support to faith communities in Advocate's city and suburban hospital service areas. 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, Gail Hasbrouck, James Doheny, Scott Powder, 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 Dr. James Dan and Dr. Lee Sacks have a business relationship, are either directors or officers of wholly owned Advocate entities, they are deemed to have a business relationship pursuant to the instructions for Form 990. As Dr. James Dan, Gail Hasbrouck, James Doheny, Scott Powder, and William Santulli are either directors or officers of wholly owned Advocate entities, they are deemed to have a business relationship pursuant to the instructions for Form 990.
Description of Classes of Members or 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 Directors of the Board are Corporate Members of Advocate Health and Hospital Board, which elects the Board of Directors. Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights Form 990, Part VI, Question 7b There are reserve powers indentified in the bylaws that require the approval of the Corporate Members. Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11B The Forms were reviewed by members of the Audit committee. A member of accounting management and the Ernst and Young tax principal coordinated the review. The finalized Form 990s were posted for the Board of Directors to review prior to filing. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12c The 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 to the Executive Management and Audit Committee for review. The summaries are then provided to the Chief Executive.
Offices & Positions for Which Process was Used, & Year Process was Begun	Form 990, Part VI, Question 15a & 15b	Executive compensation at Advocate Health and Hospital Corporation 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 levels 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 assures compliance with the compensation strategy and on-going review of the performance of the organization, and -Active, external review and auditing of compensation by external independent consultants
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public	Form 990, Part VI, Question 19	The organization makes its financial statements available to the public through the following web sites: dacbond.com (Digital Assurance Certification LLC) emma.msrb.org (Electronic Municipal Market Access). The Organization does not make its governing documents or conflicts interest policy available to the public.
OFFICER IS EMPLOYEE OF RELATED CORPORATION	FORM 990, PART VII, SECTION A, LINE 1A	Jose Elizondo, MD is an employee of Advocate North Side Health Network and is a director of Advocate Health & Hospitals Corporation. He generally works 40 hours per week. Approximately 4 hours of his regular work week are spent providing services to related organizations.
Other changes in net assets or fund balances	FORM 990, PART XI, LINE 5	NET UNREALIZED GAIN ON INVESTMENTS $138,095,998 Intercompany Allocations $133,715 FASB 158 ADJUSTMENTS $26,234,449 LIQUIDATION OF AFFILIATED COMPANY $2,386,347 RESTRICTED FUNDS ACQUIRED $240,233 FMV OF NET ASSETS ACQUIRED $217,346,840 OTHER (10)
SCHEDULE K - SUPPLEMENTAL INFORMATION	SCHEDULE K PART 1 LINE A(F)	THE PROCEEDS OF THE ILLINOIS HEALTH FACILITIES AUTHORITY REVENUE BONDS, SERIES 2003A, 2003B AND SERIES 2003C (ADVOCATE HEALTH CARE NETWORK) WERE ISSUED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK. SCHEDULE K PART I LINE B(F) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007B-1, SERIES 2007B-2 AND SERIES 2007B-3 (ADVOCATE HEALTH CARE NETWORK), WERE ISSUED ON OCTOBER 10, 2007 FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING ALL OR A PORTION OF THE ORGANIZATION'S SERIES 1997A BONDS, SERIES 1997B BONDS, SERIES 2003B BONDS AND SERIES 2005 BONDS. THE SERIES 2007B BONDS WERE EXCHANGED FOR THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008C-1, SERIES 2008C-2A, SERIES 2008C-2B, SERIES 2008C-3A, AND SERIES 2008C-3B (ADVOCATE HEALTH CARE NETWORK) ON APRIL 25, 2008. BASED ON THE ADVICE OF BOND COUNSEL, THE ORGANIZATION IS TREATING THE SERIES 2008C BONDS AS THE SAME ISSUE AS THE SERIES 2007B BONDS FOR FEDERAL INCOME TAX PURPOSES. SCHEDULE K PART I LINE C(F) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2010 (ADVOCATE HEALTH CARE NETWORK) WERE ISSUED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING THE ORGANIZATION'S SERIES 2008B-1, SERIES 2008B-2, SERIES 2008B-3, SERIES 2008B-4 AND SERIES 2008B-5 BONDS, OF FINANCING THE COSTS RELATED TO THE MERGER WITH BROMENN HEALTHCARE SYSTEM AND THE COSTS RELATED TO CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE BROMENN MEDICAL CENTER AS WELL AS FINANCING CERTAIN CAPITAL EXPENDITURES AT OTHER HEALTH CARE FACILITIES OF THE ORGANIZATION. THE MERGED ASSETS INCLUDE BROMENN REGIONAL MEDICAL CENTER, A 221-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN BLOOMINGTON, ILLINOIS AND EUREKA COMMUNITY HOSPITAL, A 25-LICENSED BED GENERAL ACUTE CARE HOSPITAL LOCATED IN EUREKA, ILLINOIS. SCHEDULE K PART I LINE D(F) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008A-1, SERIES 2008A-2 AND SERIES 2008A-3 (ADVOCATE HEALTH CARE NETWORK)WERE USED, TOGETHER WITH OTHER AVAILABLE FUNDS, FOR THE PURPOSE OF REFUNDING ALL OF THE ORGANIZATION'S SERIES 2007A BONDS, WHICH WERE ISSUED ON OCTOBER 10, 2007. SCHEDULE K PART I LINE E(F) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008D (ADVOCATE HEALTH CARE NETWORK) WERE ISSUED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COSTS OF PURCHASING ASSETS OF CONDELL MEDICAL CENTER AND THE COSTS OF CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE CONDELL MEDICAL CENTER. THE ACQUIRED ASSETS INCLUDE CONDELL MEDICAL CENTER, A 283-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN LIBERTYVILLE, ILLINOIS. SCHEDULE K PART III LINE 3C INTERNAL COUNSEL REVIEWS ALL MANAGEMENT OR SERVICE CONTRACTS AND RESEARCH AGREEMENTS. THEREFORE, THE ORGANIZATION DOES NOT ROUTINELY ENGAGE OUTSIDE BOND COUNSEL TO REVIEW THE CONTRACTS. BOND COUNSEL DOES REVIEW CONTRACTS RELATED TO THE FINANCED PROPERTY DURING DUE DILIGENCE PRIOR TO A BOND TRANSACTION. SCHEDULE K PART III LINES 4-6 PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY. SCHEDULE K PART III LINE 1 ADVOCATE NORTH SIDE HEALTH NETWORK IS A PARTNER WITH THE REHAB INSTITUTE OF CHICAGO, A 501(C)(3) ORGANIZATION, WHICH PROVIDES REHABILITATION SERVICES AT AN ADVOCATE HOSPITAL. SCHEDULE K PART IV LINE 1 NO ARBITRAGE REBATE PAYMENT WAS DUE, THEREFORE AHHC WAS NOT REQUIRED TO FILE FORM 8038-T.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Advocate Health And Hospitals Corp

Employer identification number

36-2169147

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) HISPANO CARE INC 2025 WINDSOR DRIVE OAK BROOK,IL60523 36-3606486	HEALTH CARE	IL	501(C)(3)	9	ANHN
(2) ADVOCATE CHARITABLE FOUNDATION 2025 WINDSOR DRIVE OAK BROOK,IL60523 36-3297360	FUNDRAISING	IL	501(C)(3)	7	AHCN
(3) ADVOCATE CONDELL MEDICAL CENTER 2025 WINDSOR DRIVE OAK BROOK,IL60523 26-2525968	HEALTH CARE	IL	501(C)(3)	3	AHHC
(4) ADVOCATE HEALTH CARE NETWORK 2025 WINDSOR DRIVE OAK BROOK,IL60523 36-2167779	PARENT CORP	IL	501(C)(3)	11- III-FI	NA
(5) EHS HOME HEALTH CARE SERVICES 2025 WINDSOR DRIVE OAK BROOK,IL60523 36-2913108	HOME CARE	IL	501(C)(3)	9	AHHC
(6) ADVOCATE NORTH SIDE HEALTH NETWORK 2025 WINDSOR DRIVE OAK BROOK,IL60523 36-3196629	HEALTH CARE	IL	501(C)(3)	3	AHHC
(7) MERIDIAN HOSPICE 2025 WINDSOR DRIVE OAK BROOK,IL60523 36-3158667	HOSPICE CARE	IL	501(C)(3)	9	EHSHHCS
(8) RAVENSWOOD HEALTH CARE FOUNDATION 4550 N WINCHESTER AVENUE CHICAGO,IL60640 36-3196628	FUNDRAISING	IL	501(C)(3)	11- II	NA
(9) MASONIC FAMILY HEALTH FOUNDATION 2025 WINDSOR DRIVE OAK BROOK,IL60523 36-4397387	FUNDRAISING	IL	501(C)(3)	11 - I	MFHS

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) DREYER MERCY AMBULATORY SURGERY CENTER 1211 N HIGHLAND AVENUE Aurora,IL60506 36-3890298	Medical Services	IL	NA	C Corp

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) ADVOCATE HEALTH CENTERS INC 2025 WINDSOR DRIVE OAK BROOK,IL60523 36-4217291	MEDICAL SERVICES	IL	NA	C CORP
(2) ADVOCATE HOME CARE PRODUCTS 2025 WINDSOR DRIVE OAK BROOK,IL60523 36-3315416	HEALTH SERVICES	IL	NA	C CORP
(3) DREYER CLINIC INC 1877 W DOWNER PLACE AURORA,IL60506 36-2690329	MEDICAL SERVICES	IL	NA	C CORP
(4) EVANGELICAL SERVICES CORPORATION 2025 WINDSOR DRIVE OAK BROOK,IL60523 36-3208101	MGMT SERVICES	IL	NA	C CORP
(5) HIGH TECHNOLOGY INC 2025 WINDSOR DRIVE OAK BROOK,IL60523 36-3368224	HEALTH SERVICES	IL	NA	C CORP
(6) PARKSIDE CENTER CONDO ASSOCIATION 1775 W DEMPSTER ST PARK RIDGE,IL60068 36-3452486	PROPERTY MGMT	IL	NA	C CORP			85.000 %
(7) CERTUS INDEMNITY CO LTD 23 LIME TREE BAY AVE GOV SQ BLD 3 GRAND CAYMAN CJ 98-0600867	INSURANCE	CJ	AHHC	C CORP	16,089		100.000 %
(8) ADVOCATE INSURANCE SPC 23 LIME TREE BAY AVE GOV SQ BLD 3 GRAND CAYMAN CJ 98-0422925	INSURANCE	CJ	AHHC	C CORP	16,976,893	264,934,594	100.000 %
(9) BROMENN PHYSICIAN MANAGEMENT CORPORATION 2025 WINDSOR DRIVE OAK BROOK,IL60523 37-1313150	MEDICAL SERVICES	IL	NA	C CORP
(10) CENTER FOR ENDOSCOPY 22285 PEPPER ROAD LAKE BARRINGTON,IL60010 26-2387298	HEALTH SERVICES	IL	NA	C CORP
(11) STANDARD FIDELITY ASSURANCE COMPANY LTD 23 LIME TREE BAY AVE GOV SQ BLD 3 GRAND CAYMAN CJ 98-0081315	INSURANCE	CJ	AHHC	C CORP	-16,876		100.000 %

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved
(1) ADVOCATE NORTH SIDE HEALTH NETWORK	A	3,545,685
(2) EHS HOME HEALTH CARE SERVICES INC	A	151,681
(3) MERIDIAN HOSPICE	A	100,855
(4) ADVOCATE CHARITABLE FOUNDATION	B	8,000,000
(5) ADVOCATE HEALTH CARE NETWORK	B	75,000,000
(6) ADVOCATE NORTH SIDE HEALTH NETWORK	C	30,000,000
(7) ADVOCATE CONDELL MEDICAL CENTER	C	15,000,000
(8) ADVOCATE CHARITABLE FOUNDATION	C	18,722,476
(9) ADVOCATE NORTH SIDE HEALTH NETWORK	D	71,130,356
(10) BROMENN PHYSICIAN MGMT CORP	I	880,353
(11) EVANGELICAL SERVICES CORPORATION	I	162,997
(12) ADVOCATE CHARITABLE FOUNDATION	I	274,823
(13) ADVOCATE HEALTH CENTERS INC	J	120,229
(14) CHICAGO CYBERKNIFE LLC	J	1,956,723
(15) ADVOCATE NORTH SIDE HEALTH NETWORK	K	40,098,367
(16) ADVOCATE HEALTH CENTERS INC	K	7,300,599
(17) BROMENN PHYSICIAN MGMT CORP	K	655,435
(18) ADVOCATE CONDELL MEDICAL CENTER	K	20,542,762
(19) HIGH TECHNOLOGY INC	K	2,222,208
(20) CHICAGO CYBERKNIFE LLC	K	502,486
(21) EVANGELICAL SERVICES CORPORATION	K	3,350,067
(22) ADVOCATE HOME CARE PRODUCTS INC	K	180,386
(23) ADVOCATE CHARITABLE FOUNDATION	K	272,395
(24) EHS HOME HEALTH CARE SERVICES INC	K	1,322,284
(25) MERIDIAN HOSPICE	K	1,552,246
(26) ADVOCATE NORTH SIDE HEALTH NETWORK	L	172,223
(27) ADVOCATE HEALTH CENTERS INC	L	1,362,716
(28) ADVOCATE CONDELL MEDICAL CENTER	L	1,993,680
(29) HIGH TECHNOLOGY INC	L	148,497
(30) CHICAGO CYBERKNIFE LLC	L	80,000
(31) EVANGELICAL SERVICES CORPORATION	L	312,093
(32) ADVOCATE HOME CARE PRODUCTS INC	L	214,432
(33) ADVOCATE NORTH SIDE HEALTH NETWORK	O	44,918,750
(34) ADVOCATE HEALTH CENTERS INC	O	2,997,112
(35) BROMENN PHYSICIAN MGMT CORP	O	1,082,324
(36) ADVOCATE CONDELL MEDICAL CENTER	O	23,382,671
(37) HIGH TECHNOLOGY INC	O	390,064
(38) EVANGELICAL SERVICES CORPORATION	O	2,021,233,415
(39) ADVOCATE HOME CARE PRODUCTS INC	O	435,006
(40) ADVOCATE CHARITABLE FOUNDATION	O	872,766
(41) EHS HOME HEALTH CARE SERVICES INC	O	562,694
(42) MERIDIAN HOSPICE	O	142,672
(43) ADVOCATE NORTH SIDE HEALTH NETWORK	P	74,081,405
(44) ADVOCATE HEALTH CENTERS INC	P	20,662,287
(45) BROMENN PHYSICIAN MGMT CORP	P	27,253,772
(46) ADVOCATE CONDELL MEDICAL CENTER	P	33,172,528
(47) HIGH TECHNOLOGY INC	P	2,921,203
(48) EVANGELICAL SERVICES CORPORATION	P	16,977,252
(49) ADVOCATE HOME CARE PRODUCTS INC	P	1,558,414
(50) ADVOCATE INSURANCE SPC	P	18,172,212
(51) STANDARD FIDELITY ASSURANCE CO LTD	P	2,386,347
(52) ADVOCATE CHARITABLE FOUNDATION	P	2,116,642
(53) EHS HOME HEALTH CARE SERVICES INC	P	5,403,930
(54) MERIDIAN HOSPICE	P	1,358,912
(55) ADVOCATE NORTH SIDE HEALTH NETWORK	Q	2,828,971
(56) ADVOCATE HEALTH CENTERS INC	Q	3,813,105
(57) BROMENN PHYSICIAN MGMT CORP	Q	91,892
(58) EVANGELICAL SERVICES CORPORATION	Q	63,288
(59) ADVOCATE CHARITABLE FOUNDATION	Q	939,564
(60) EHS HOME HEALTH CARE SERVICES INC	Q	1,655,077
(61) MERIDIAN HOSPICE	Q	430,211
(62) ADVOCATE NORTH SIDE HEALTH NETWORK	R	167,026
(63) ADVOCATE HEALTH CENTERS INC	R	437,152
(64) BROMENN PHYSICIAN MGMT CORP	R	84,021
(65) ADVOCATE CHARITABLE FOUNDATION	R	405,623
(66) EHS HOME HEALTH CARE SERVICES INC	R	473,352
(67) MERIDIAN HOSPICE	R	688,987

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: To serve the health needs of individuals, families and communities through a wholistic philosophy rooted in our fundamental understanding of human beings as created in the image of God.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	12
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	25,515
6	Total number of volunteers (estimate if necessary) ....	6	5,023
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	60,357,743
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	1,480,293

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	15,803,411	67,887,622
9	Program service revenue (Part VIII, line 2g) .........	2,709,546,314	3,119,941,909
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	71,563,648	104,472,162
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	57,896,700	38,104,429
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	2,854,810,073	3,330,406,122
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	15,189,774	83,479,818
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,397,886,302	1,553,707,515
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 660,159
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	1,234,038,001	1,365,058,918
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,647,114,077	3,002,246,251
19	Revenue less expenses. Subtract line 18 from line 12......	207,695,996	328,159,871
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	4,222,658,503	5,231,584,084
21	Total liabilities (Part X, line 26)............	2,372,712,952	2,669,041,090
22	Net assets or fund balances. Subtract line 21 from line 20 .....	1,849,945,551	2,562,542,994

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 2,336,704,864 including grants of $ 83,479,818 ) (Revenue $ 2,758,202,938 )
	SEE SCHEDULE O.

4b	(Code: ) (Expenses $ 186,821,449 including grants of $ ) (Revenue $ 116,518,319 )
	SEE SCHEDULE O.

4c	(Code: ) (Expenses $ 54,408,756 including grants of $ ) (Revenue $ 20,260,241 )
	SEE SCHEDULE O.

4d	Other program services. (Describe in Schedule O.)
	(Expenses $ 206,476,420 including grants of $ ) (Revenue $ 189,939,813 )
4e	Total program service expenses$ 2,784,411,489

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	23,914,563	213,460	11,997,982

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		387,768
d	Related organizations...1d		63,722,476
e	Government grants (contributions)1e		3,668,900

f	All other contributions, gifts, grants, and similar amounts not included above1f		108,478
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			67,887,622
			Business Code
2a	Program Services Revenue		621,990	5,799,548,126	5,799,548,126
b	3RD PARTY ALLOW/FREE CARE/MEDICAID		621,990	-4,602,812,926	-4,602,812,926
c	Medicare/Medicaid Payments		621,990	1,041,522,632	1,041,522,632
d	PHARMACY		446,110	842,479,963	841,315,907	1,164,056
e	LAB		621,500	39,204,114	5,347,572	33,856,542
f	All other program service revenue .
g	Total. Add lines 2a–2f........			3,119,941,909
3	Investment income (including dividends, interest
	and other similar amounts).....			20,959,995			20,959,995
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross Rents	9,614,535
b	Less: rental expenses	9,590,502
c	Rental income or (loss)	24,033
d	Net rental income or (loss).......			24,033			24,033
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	1,408,046,902	2,371,271
b	Less: cost or other basis and sales expenses	1,324,253,858	2,652,148
c	Gain or (loss)	83,793,044	-280,877
d	Net gain or (loss)..........			83,512,167			83,512,167
8a	Gross income from fundraising events (not including $ 387,768 of contributions reported on line 1c). See Part IV, line 18 ...
	a		189,300
b	Less: direct expenses ...b		157,129
c	Net income or (loss) from fundraising events..			32,171			32,171
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	Cafeteria Revenue		722,210	9,132,508			9,132,508
b	Parking Revenue		453,220	2,605,105			2,605,105
c	Gift Shop Revenue		812,930	973,467			973,467
d	All other revenue ....			25,337,145		25,337,145
e	Total. Add lines 11a–11d ......			38,048,225
12	Total revenue. See Instructions....			3,330,406,122	3,084,921,311	60,357,743	117,239,446


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			809,175	1	1,715,011
2	Savings and temporary cash investments .......			344,430,786	2	416,994,502
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			254,796,452	4	297,866,547
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			66,388,571	7	395,126
8	Inventories for sale or use ..............			40,766,087	8	40,639,410
9	Prepaid expenses and deferred charges ............			42,034,175	9	45,147,107
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,721,191,803
b	Less: accumulated depreciation. .....	10b	1,547,709,539	1,034,843,456	10c	1,173,482,264
11	Investments—publicly traded securities ..........			1,938,063,934	11	2,640,389,697
12	Investments—other securities. See Part IV, line 11 ......			239,510,330	12	455,473,044
13	Investments—program-related. See Part IV, line 11 ..			2,765,525	13	2,966,910
14	Intangible assets .........			633,011	14	1,207,588
15	Other assets. See Part IV, line 11 ...........			257,617,001	15	155,306,878
16	Total assets. Add lines 1 through 15 (must equal line 34)...			4,222,658,503	16	5,231,584,084
17	Accounts payable and accrued expenses .			378,822,000	17	515,173,296
18	Grants payable ..........				18
19	Deferred revenue ..........			3,871,419	19	3,348,852
20	Tax-exempt bond liabilities ..........			914,448,045	20	997,077,344
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			173,490	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			10,500,000	24	0
25	Other liabilities. Complete Part X of Schedule D.....			1,064,897,998	25	1,153,441,598
26	Total liabilities. Add lines 17 through 25.....			2,372,712,952	26	2,669,041,090
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			1,849,145,466	27	2,561,493,582
28	Temporarily restricted net assets .....			800,085	28	1,049,412
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			1,849,945,551	33	2,562,542,994
34	Total liabilities and net assets/fund balances .....			4,222,658,503	34	5,231,584,084

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................	Yes	No