Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
Advocate Condell Medical Center
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2025 WINDSOR DRIVE
 
Room/suite
City or town, state or country, and ZIP + 4
OAK BROOK, IL60523
D Employer identification number

26-2525968
E Telephone number

G Gross receipts $ 314,084,263
F Name and address of principal officer:
JAMES H SKOGSBERGH
2025 WINDSOR DRIVE
OAK BROOK,IL60523
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.ADVOCATEHEALTH.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet9395
K Form of organization:
 
L Year of formation: 2008
M State of legal domicile: IL
Part I
Summary
Activities  & Governance 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 MediumBullet
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 2,405
6 Total number of volunteers (estimate if necessary) .... 6 329
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 1,340,678
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 369,108 179,791
9 Program service revenue (Part VIII, line 2g) ......... 271,179,559 308,390,426
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -23,267 -1,366,349
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,253,015 2,134,107
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 273,778,415 309,337,975
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,744 15,018,479
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) 123,678,111 123,163,838
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 164,478,865 172,152,486
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 288,158,720 310,334,803
19 Revenue less expenses. Subtract line 18 from line 12...... -14,380,305 -996,828
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 357,825,872 387,763,486
21 Total liabilities (Part X, line 26)............ 118,981,711 149,887,132
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 238,844,161 237,876,354
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signature
Big Right Arrow
Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4
Big Right Arrow




EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: THE MISSION IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 271,414,656 including grants of $ 15,018,479 ) (Revenue $ 300,029,646 )
SEE SCHEDULE O.
4b (Code:   ) (Expenses $ 7,785,642 including grants of $   ) (Revenue $ 4,384,310 )
SEE SCHEDULE O.
4c (Code:   ) (Expenses $ 24,184,236 including grants of $   ) (Revenue $ 3,976,470 )
SEE SCHEDULE O.
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 303,384,534
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I
Click to see attachment
.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
177
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
2,405
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
14
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
IL
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
JAMES H SKOGSBERGH
2025 WINDSOR DRIVE
OAK BROOK,IL60523
(630) 990-5155
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(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 & CEO, Director
1.0 X   X       0 2,996,848 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 M 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
1.0     X       0 1,195,003 567,060
(16) Bruce D Smith
SVP, CIO
1.0     X       0 973,356 462,744
(17) Dominic J Nakis
SVP, CFO
1.0     X       0 1,356,004 830,562
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Gail D Hasbrouck
SVP, Gen Counsel, Corp Sec
1.0     X       0 1,009,794 437,916
(19) James Dan MD
Pres Phys & Amb Svcs and AMG
1.0     X       0 866,376 723,196
(20) James Doheny
VP, Finance & Corp Controller
1.0     X       0 429,264 152,134
(21) Kelly Jo Golson
SVP, Public Affairs & Mktg
1.0     X       0 428,268 214,506
(22) Lee B Sacks MD
Exec VP, Chief Medical Officer
1.0     X       0 1,521,814 826,265
(23) Rev Jerry A Wagenknecht
SVP, Mission & Spiritual Care
1.0     X       0 521,075 238,882
(24) Scott Powder
SVP, Strategic Plan & Growth
1.0     X       0 510,321 276,407
(25) William P Santulli
Exec VP, COO
1.0     X       0 1,745,563 1,103,134
(26) Dr Ann Errichetti
President-Condell Medical Cntr
40.0       X     856,598 0 523,484
(27) David Cartwright
V.P. Finance
40.0         X   219,880 0 81,117
(28) Gwenn Leschke
V.P. Human Resources
40.0         X   267,572 0 81,878
(29) Joan Boomsma
V.P. Medical Management
40.0         X   442,587 0 119,220
(30) Mary Hillard
V.P. Patient Care
40.0         X   186,467 0 62,156
(31) Timothy Wadman
V.P. Operations
40.0         X   197,060 0 25,844
(32) Dennis Millirons
Fmr President-Condell Med Cntr
            X 728,000 0 0
(33) Wilfredo Ramos
Fmr Sr VP Comm & Govt Rel
            X 0 127,597 28,170
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 2,898,164 13,894,743 8,660,920
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet116
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
IMPACT ADVISORS LLC
931 W 75th St
NAPERVILLE,IL60565
Consulting Services 2,911,751
HLS WHEELING LLC
45 W Hintz Rd
WHEELING,IL600906073
Laundry Services 1,306,266
MAXIT HEALTHCARE LLC
129 Penn St
WESTFIELD,IN46074
Consulting Services 479,219
US SIGNAL COMPANY LLC
201 Ionia Ave SW
GRAND RAPIDS,MI49503
IT SERVICES 393,600
SMITH NEPHEW CAPITAL
5201 Eden Ave Suite 180
EDINA,MN55436
Orthopedic Services 254,565
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 MediumBullet14
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 129,352
e Government grants (contributions)1e 50,439
f All other contributions, gifts, grants, and
similar amounts not included above
1f
 
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 179,791
 Program Service Revenue Business Code
2a ROUTINE REVENUE 621,990 153,462,449 153,462,449    
b INPATIENT REVENUE 621,990 534,459,926 534,459,926    
c OUTPATIENT REVENUE 621,400 466,718,606 466,718,606    
d 3RD PARTY ALLOWANCE/FREE CARD/MEDICAID ASSESSMENT 621,990 -854,488,514 -854,488,514    
e MEMBERSHIP REVENUE 621,990 4,261,489 4,261,489    
f All other program service revenue . 3,976,470 2,155,337   1,821,133
g Total. Add lines 2a–2f........MediumBullet 308,390,426
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 37,267     37,267
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents 539,891  
b Less: rental expenses    
c Rental income or (loss) 539,891  
d Net rental income or (loss).......MediumBullet 539,891 37,580   502,311
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   3,342,672
b Less: cost or other basis and sales expenses   4,746,288
c Gain or (loss)   -1,403,616
d Net gain or (loss)..........MediumBullet -1,403,616     -1,403,616
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
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...MediumBullet 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..MediumBullet 0      
Miscellaneous Revenue Business Code
11a DAY CARE SERVICES 624,410 1,132,865   1,132,865  
b MASSAGE SERVICES 812,900 102,379   102,379  
c PHYSICIAN SERVICES 621,110 98,807   98,807  
d All other revenue .... 260,165   6,627 253,538
e Total. Add lines 11a–11d ......MediumBullet 1,594,216
12 Total revenue. See Instructions....MediumBullet 309,337,975 306,606,873 1,340,678 1,210,633
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
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 15,018,479 15,018,479
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 .... 856,598 856,598    
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 95,019,675 92,027,863 2,991,812  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 5,221,301 5,058,371 162,930  
9 Other employee benefits ....... 15,248,314 15,096,678 151,636  
10 Payroll taxes ........... 6,817,950 6,669,816 148,134  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 8,934   8,934  
c Accounting ........... 55,051   55,051  
d Lobbying ........... 34,361   34,361  
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 6,953   6,953  
g Other .......... 6,838,291 6,260,720 577,571  
12 Advertising and promotion .... 305,608 291,404 14,204  
13 Office expenses ....... 2,554,631 2,177,395 377,236  
14 Information technology ...... 3,861,527 3,795,904 65,623  
15 Royalties .. 0      
16 Occupancy ........... 8,760,974 8,760,974    
17 Travel ............ 65,726 42,331 23,395  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 8,650 8,615 35  
20 Interest ........... 2,541,941 2,541,941    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 15,458,362 13,568,615 1,889,747  
23 Insurance .............. 941,095 941,095    
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 49,895,937 49,737,183 158,754  
b BAD DEBT 33,301,566 33,301,566    
c MISCELLANEOUS 13,223,745 13,020,681 203,064  
d CONTRACTUAL SERVICES GENERAL 11,823,577 11,818,248 5,329  
e PUBLIC AID ASSESSMENT FEE 9,589,284 9,589,284    
f All other expenses 12,876,273 12,800,773 75,500  
25 Total functional expenses. Add lines 1 through 24f 310,334,803 303,384,534 6,950,269 0
26 Joint costs. Check here MediumBullet 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
       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 266,665 1 354,330
2 Savings and temporary cash investments ....... 52,225,090 2 41,583,478
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 19,111,061 4 27,765,051
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 .............   7  
8 Inventories for sale or use .............. 4,384,955 8 4,419,779
9 Prepaid expenses and deferred charges ............ 1,253,532 9 6,128,403
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 330,674,984
b Less: accumulated depreciation. ..... 10b 31,866,046 270,704,245 10c 298,808,938
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 9,880,324 15 8,703,507
16 Total assets. Add lines 1 through 15 (must equal line 34)... 357,825,872 16 387,763,486
Liabilities 17 Accounts payable and accrued expenses . 46,472,388 17 62,045,329
18 Grants payable ..........   18  
19 Deferred revenue .......... 66,392 19 88,120
20 Tax-exempt bond liabilities ..........   20  
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 .. 31,877,543 23 31,552,168
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 40,565,388 25 56,201,515
26 Total liabilities. Add lines 17 through 25..... 118,981,711 26 149,887,132
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 238,844,161 27 237,876,354
28 Temporarily restricted net assets .....   28  
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet 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 ..... 238,844,161 33 237,876,354
34 Total liabilities and net assets/fund balances ..... 357,825,872 34 387,763,486
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
309,337,975
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
310,334,803
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
-996,828
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
238,844,161
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
29,021
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
237,876,354
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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.
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 Condell Medical Center
 
Employer identification number

26-2525968
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
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)
 
 
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(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?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
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).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
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.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
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:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
Advocate Condell Medical Center
 
Employer identification number

26-2525968
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




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—
Special Rules
......................... 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)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
Advocate Condell Medical Center
 
Employer identification number

26-2525968
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




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
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 II
Name of organization
Advocate Condell Medical Center
 
Employer identification number

26-2525968
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 Condell Medical Center
 
Employer identification number

26-2525968
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
(c)
Use 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
(c)
Use 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
(c)
Use 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
(c)
Use 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:  
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 Condell Medical Center
 
Employer identification number

26-2525968
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
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.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
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

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
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
Organization's
Totals
(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? ......................................

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


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
No
(b)
Amount
1
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:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
34,361
j
Total. lines 1c through 1i ...................................
34,361
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
No
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
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”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
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).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
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 SCHEDULE C PART II-B, LINE 1i ADVOCATE CONDELL MEDICAL CENTER IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION, AND THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND IN CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS, AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTIBLE TO LOBBYING ACTIVITIES. ADVOCATE CONDELL MEDICAL CENTER ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE CONDELL MEDICAL CENTER ENDEAVORS TO IDENTIFY THE PORTION OF OUR DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTIBLE TO LOBBYING ACTIVITIES.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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 Condell Medical Center
 
Employer identification number

26-2525968
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 .......    
5
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? ............
6
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. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
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)? ....................................
9
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.
1a
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.
b
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 $  
2
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:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
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 ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, 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 .................   53,100,000 53,100,000
b Buildings ................   158,289,076 14,061,447 144,227,629
c Leasehold improvements ............   443,185 100,607 342,578
d Equipment ................   40,596,183 17,647,588 22,948,595
e Other .................   78,246,540 56,404 78,190,136
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 298,808,938
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other 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    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program 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.)Small Bullet  
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.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
THIRD PARTY SETTLEMENTS 38,375,244
PENSION PLAN BENEFITS 17,675,416
REMEDIATION COST ACCRUAL 121,831
EXECUTIVE PENSION LIABILITY 29,024





Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 56,201,515
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

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:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet 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 Condell Medical Center
 
Employer identification number

26-2525968
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
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:
3a
Yes
 
b
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: .....
3b
Yes
 
c
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.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
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?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (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) ..
    4,627,830 1,329,816 3,298,014 1.190 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) .
    41,231,946 36,134,092 5,097,854 1.840 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs .....
    45,859,776 37,463,908 8,395,868 3.030 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
    46,687   46,687 0.020 %
f Health professions education
(from Worksheet 5) ..
    1,579,457   1,579,457 0.570 %
g Subsidized health services
(from Worksheet 6) ..
    7,853,601 6,888,671 964,930 0.350 %
h Research (from Worksheet 7)            
i Cash and in-kind contributions
to community groups
(from Worksheet 8) ..
    84,844   84,844 0.030 %
jTotal Other Benefits ...     9,564,589 6,888,671 2,675,918 0.970 %
kTotal. Add lines 7d and 7j. ..     55,424,365 44,352,579 11,071,786 4.000 %
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
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense (at cost).....
2
6,838,136
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
5,261,019
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
86,687,185
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
92,989,714
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-6,302,529
8
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:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
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......
9b
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 %
1NONE
 
       
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
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?1
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 ADVOCATE CONDELL MEDICAL CENTER
801 S MILWAUKEE AVENUE
LIBERTYVILLE,IL60048
X X         X    
Schedule H (Form 990) 2010
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:ADVOCATE CONDELL MEDICAL CENTER
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
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
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
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?17
Name and address Type of Facility (Describe)
1 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
2 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
3 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
4 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
5 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
6 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
7 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
8 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
9 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
10 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
11 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
12 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
13 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
14 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
15 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
16 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
17 Condell Medical Center - Mungo BLDG
804 E Park Ave STE 10610711111
Libertyville,IL60048
Patient Care - OutPatient
Schedule H (Form 990) 2010
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 7h Advocate Condell Medical Center conducts numerous research activities for the advancement of medical and health care services. However, the unreimbursed cost of such research activities is not readily determinable and no amount is being reported for purposes of the 2010 Form 990, Schedule H. Part VI, Line 1 - Description for Part I, Line 7, column (f) $33,301,566 of bad debt expense was included on Form 990, Part IX, line 25, column (A) but was removed from the denominator for purposes of Schedule H, Part I, Line 7, column (f). Part VI, Line 1 - Description for Part II N/A Part VI, Line 1 - Description for Part III, Line 4 The footnotes to Advocate Health Care Network and Subsidiaries' Audited Financial Statements do not specifically address bad debt expense; rather, the footnote describes Advocate's patient accounts receivable policy. Patient accounts receivable are stated at net realizable value. Advocate Condell Medical Center evaluates the collectability of its accounts receivable based on the length of time the receivable is outstanding, payer class, historical collection experience, and trends in health care insurance programs. Accounts receivable are charged to the allowance for uncollectible accounts when they are deemed uncollectible. The costing methodology used in determining the amounts reported on lines 2 and 3 is based on the ratio of patient care cost to charges. The unreimbursed cost of bad debt was calculated by applying the organization's cost to charge ratio from the Medicare cost reports (CMS 2252-96 Worksheet C, Part 1, PPS Inpatient Ratios) to the organization's bad debt provision per generally accepted accounting principles, less any patient or third party payor payments received. Advocate Condell Medical Center makes every effort to identify those patients who are eligible for charity care or other financial assistance by strictly adhering to its Charity Care policy. We believe that Advocate has a population of patients who are uninsured or underinsured but who do not complete the charity care assessment. The estimated amount of bad debt expense (at cost) which could be reasonably attributable to patients who would likely qualify for financial assistance under the organization's charity care policy, if sufficient information had been available to make a determination of their eligibility, was based upon self pay patient accounts which had amounts written off to bad debts. Our method was to use the cost to charge ratio multiplied by the amount of bad debt attributable to self pay accounts. This cost was then reduced by any payments posted to these accounts subsequent to year end. We believe this process, although it may understate the charity care, is a reasonable basis for our estimate. As we are only considering self-pay accounts written off to bad debt for this estimate, this estimate does not include the immediate 20% discount to charges which is applied to all self-pay patients. It also does not include account balances or co-pays of non-self pay accounts which are written off to bad debt when the patient has no other financial resources to pay these amounts and the patient does not apply for charity care. Bad debt amounts have been excluded from other community benefit amounts reported throughout Schedule H. Part VI, Line 1 - Description for Part III, Line 8 The shortfall of $6,302,529 on Part III, Line 7 is the unreimbursed cost of providing services for Medicare patients and should be treated as community benefit because providing these services without reimbursement lessens the burdens of government or other charities that would otherwise be needed to serve the community. For Advocate Condell Medical Center's hospital operations, the unreimbursed cost of Medicare was calculated by applying the organization's cost to charge ratio from the Medicare cost reports (CMS 2252-96 Worksheet C, Part 1, PPS Inpatient Ratios) and for non-hospital operations the cost to charge ratio calculated on worksheet 2 Ratio of Patient Care Cost to Charges to the organization's Medicare, less any patient or third party payor payments and/or contributions received that were designated for the payment of Medicare patient bills. Part VI, Line 1 - Description for Part III, Line 9b Advocate Condell Medical Center maintains both written Charity Care and Bad Debt/Collection policies. The Bad Debt/Collection policy does not apply to those patients known to qualify for charity care or other financial assistance, therefore such patients are not subject to collection practices.
Part VI-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 Condell Medical Center serves, several data sources are examined annually, including inpatient hospitalization trends, prevalence of key risk factors and behaviors associated with the leading causes of death and hospitalization, and mortality rates associated with the highest volume of inpatient hospitalizations. A. Inpatient Hospitalization Trends An examination of inpatient hospitalizations by diagnosis identified the top ten services based on volume across the Advocate System: obstetrics, cardiac medicine, gastroenterology, orthopedics, pediatrics, pulmonary, general surgery, neurology, cardiac surgery, and nephrology/urology. These services represent the highest patient demand across the Advocate System and directly relate to diseases that are among the most prevalent in the country, according to national statistics. These services comprised nearly 86 percent of the total six-county metropolitan area discharges from Advocate facilities in 2010. By comparison, the same services comprise the majority of hospitalizations across the metropolitan area with only the order of ranking varying slightly. B. Mortality Rates and Prevalence Next, mortality rates and prevalence were examined. Heart disease and cancer are the top two causes of death among Illinois residents. These two disease categories annually account for 61 percent of all deaths in the six-county metropolitan Chicago area. The risk factor prevalence indicators have been shown to directly impact many diseases, including heart disease and cancer. While many of the diseases are a result of controllable behaviors (smoking, poor diet, lack of exercise), others are hereditary and manageable with access to a health care professional and proper treatment. Reducing the risk factors has been shown to be significant in eliminating health disparities, and improving the health status and quality of life. For this reason, Advocate's community screening programs are directed specifically at improving healthy behaviors as well as encouraging prevention, early diagnosis and treatment of leading health problems, such as stroke, heart disease, colon and lung cancers, and diabetes.
Part VI, Line 3 - Patient Education of Eligibility for Assistance   Advocate Condell Medical Center assists patients with enrollment in government-supported programs for which they are eligible and in securing reimbursement from available third party resources. Financial counseling is provided to help patients identify and obtain payment from third parties, including Illinois Medicaid, Illinois Crime Victims Fund, etc., as well as to determine eligibility under Advocate Condell Medical Center's Hospital Charity Care policy. Condell utilizes a financial screening software program to help identify public assistance programs for which the patient may be eligible or Condell's charity care at the time of registration or as soon as practicable thereafter. In addition, HealthAdvisor, Condell's education registration and physician referral telephone center, serves as a community resource providing referrals to government-funded and other programs via telephone from 8 a.m. to 6 p.m., Monday through Friday. Advocate Condell Medical Center assists patients with applying for Condell's own financial assistance/charity care services, if patients are not eligible for government-supported programs. Condell communicates the availability of charity care in the applicable languages of the hospital community. Means of communication include: 1. The health care consent that is signed upon registration for hospital services includes a statement that financial counseling, including charity care consideration, is available upon request. 2. Signs are clearly and conspicuously posted in locations that are visible to the public, including, but not limited to hospital patient access, registration, emergency department, cashier, and business office locations. 3. Brochures are placed in hospital patient access, registration, emergency department, cashier, and business office locations, and will include guidance on how a patient may apply for Medicare, Medicaid, All Kids, Family Care etc., and the hospital's charity care program. A hospital contact and telephone number for financial assistance is included. 4. A handout summarizing Condell's charity care policy and charity care application is given to uninsured patients who receive medically necessary hospital services at the earliest practical time of service. 5. Condell's Website posts notice in a prominent place that financial assistance is available, with an explanation of the charity care application process, and enable printing of the charity care application. 6. Hospital bills to uninsured patients include a request that the patient inform the hospital of any available health insurance coverage, and include a summary of Condell's charity care policy, a charity care application, and a telephone number to request financial assistance.
Part VI, Line 4 - Community Information Line 4 Advocate Health Care Network's primary service area covers the six-county, Chicago metropolitan area. These counties include Cook, DuPage, Kane, Lake, McHenry, and Will. Advocate Condell Medical Center primarily serves the community of Lake County. The population in Advocate's service area is described by the following demographic characteristics: total population, population by group, race/ethnic distribution and key socio-economic indicators. The 65+ age group is expected to have the largest increase in population (14.3%) from 2010 to 2015, followed by the 45-64 age group (5.1%). The 18-44 age group is expected to decline 3.2%, while the population aged 0-17 is expected to decrease slightly (0.1%). While these are trends across the overall metro area, the trends vary in great degree by county. A wide range of diversity exists among the communities served by each of our hospitals. The following table displays the racial/ethnic distribution of the population of the metro area. Asians and Hispanics are projected to continue to be the two fastest growing race/ethnic groups from 2010 to 2015 (12.7% and 11.4% growth expected, respectively). 2010 Race/Ethnic Population Distribution County Asian African-American Hispanic Caucasian Other Cook 5.6% 25.6% 23.3% 43.5% 2.0% DuPage 9.5% 4.3% 12.6% 71.7% 1.8% Kane 3.3% 5.1% 30.0% 60.1% 1.6% Lake 6.0% 6.2% 19.4% 66.6% 1.9% McHenry 2.7% 1.1% 11.2% 83.9% 1.1% Will 3.8% 9.9% 15.7% 68.8% 1.7% Six-County 5.7% 18.0% 21.0% 53.4% 1.9% Source: Claritas, Thomson Reuters The socio-economic status of the Chicago area also varies by county (see following table). In Cook County, nearly 18 percent of the households have a household income under the federal poverty level with annual incomes below the $20,000 threshold. In the collar counties, seven to nine percent of the households are subsisting on less than $20,000 a year. Overall, the number of people (as well as the percent of total population) on Medicaid and uninsured has increased across the metropolitan area from 2007 to 2010. In households that are struggling economically, access to health care can be limited either because of a lack of services available within the market or because an individual's financial challenges deter that person from seeking care. Lack of preventive care or care for chronic illnesses brings more acutely ill patients to the hospital. Socio-Economic Indicators 2010 County %Total Households % Pop. Medicaid %Pop. Uninsured w/income <$20K/year Recipients Cook 17.6% 22.3% 17.1% DuPage 7.3% 7.8% 5.5% Kane 9.4% 16.5% 8.4% Lake 8.1% 9.8% 7.0% McHenry 7.2% 6.6% 5.2% Will 8.4% 9.6% 7.0% Six-County 14.1% 17.6% 13.0% Source: Claritas, Thomson Reuters Advocate provides quality medical health care to various communities in the Chicagoland area regardless of race, creed, national origin, age or ability to pay. Advocate annually serves over 4.3 million people. In 2010, Advocate experienced 170,847 inpatient admissions, 4,100,863 outpatient visits and 20,009 deliveries.
Part VI, Line 5 - Promotion of community health Line 5 In addition to providing quality inpatient and outpatient services at its sites of care, Advocate Condell Medical Center reaches beyond its walls and into the community through a wide array of activities and programs designed and delivered to promote health and improve the quality of life throughout the communities it serves. - Advocate Condell Medical Center collaborates with Emergency Medical Service providers to share best practice information throughout Advocate sites as well as other medical providers. Condell is a resource hospital for Illinois Region 10, which requires Condell to coordinate ongoing training in emergency response to a mass casualty situation or other disaster. These education programs and training exercises involve every emergency provider, including other facilities within the Advocate Health Care Network, as well as the Lake County Health Department and other regional organizations as appropriate. In 2010, Advocate Condell Medical Center's nurses provided CPR education to community healthcare providers, and Condell physicians and nurses provided EMT training to community members pursuing emergency medicine technicians (EMT) certification. - Advocate Condell Day Center's Adult Day Care program fills a gap in continuity of care for clients who are unable to live independently. Condell's program combines adult day care with therapeutic and personal care services. Given that the program is located adjacent to other hospital services, clients can receive physical, speech and occupational therapy from a licensed therapist. In addition, bathing assistance, beautician/barber and podiatry care are available as a service to the client and caregiver. Comprehensive adult day care allows the caregiver to remain employed and/or receive much needed respite, thus allowing clients with frailties or dementia to remain in the community and avoid or delay the additional expense of long-term care. Condell's program accepts clients with a higher acuity than other local programs, caring for patients in the later part of middle-stage Alzheimer's. Condell also works with the Veteran's Administration to provide services for their patients under the care of an on-site registered nurse. - Advocate Condell Medical Center's PACT (Pediatric Alternatives in Creative Therapy) program is a unique medical support service in Lake County for children and teens with neuromuscular disorders, such as spina bifida, cerebral palsy, head trauma and spinal cord injuries, as well as those with developmental delay and speech-language disorders. PACT also treats children with genetic and congenital anomalies, structural abnormalities, such as cleft palate, and hearing/vision problems, sensory integration dysfunction and those receiving radiation or chemotherapy treatments. PACT's interdisciplinary team of professionals, including physical therapists, occupational therapists, speech-language pathologist, partners with the families, schools, physicians and community to provide comprehensive intervention, as well as an individualized treatment program for each child. - Advocate Condell Medical Center's Mission and Spiritual Care office provides clinical chaplains who offer support and services to the individuals and families that Advocate serves. The office also develops partnerships with communities and congregations to help address local health care needs. In 2010, Condell participated with other Advocate sites of care in working to address public concern regarding the H1N1 virus. In addition to mailing and widely dispersing system-developed education materials throughout its service area, Condell's Mission and Spiritual Care office held a summit designed to support community faith leaders' efforts to provide education, reduce public anxiety and to direct people to appropriate sites of care to prevent the spread of the H1N1 virus. - Throughout 2010, Condell's physicians provided free and partially subsidized care to the community for minor injuries and illnesses through its Immediate Care Centers in Gurnee, Buffalo Grove, Round Lake, and Vernon Hills. Physicians, exercise physiologists, and physical therapists also provided free sports medicine consultations at the local high schools and colleges. Physicians, nurses, and other clinicians led prenatal/childbirth and parenting education classes and diabetes education classes as well as support groups for diabetes, heart disease, breast and other cancers, lactation/breast feeding, hospice bereavement/loss and caregivers. Condell nurses provided free flu shots at Condell Immediate Care centers and reduced-fee child immunizations through a partnership with the Lake County Department of Public Health. Other community benefits include: - Care that is provided free, subsidized or without full reimbursement from Medicare, Medicaid or other government insurance programs. - Volunteer services provided by hospital employees who volunteer in their communities and community members who volunteer at hospitals. - Language-assistance services, such as interpreters and translation for signage, forms, brochures, patient education materials and other information in languages other than English. - Donations of meeting and clinic space, as well as other assistance to community groups. A majority of Advocate Condell Medical Center's Board members reside in its primary service area, and are neither employees nor independent contractors nor family members of Advocate Condell Medical Center. Advocate Condell Medical Center extends medical staff privileges to all qualified physicians in its community for some or all of its departments. Advocate Condell Medical Center applies surplus funds to improvements in patient care, medical education, and research. Through careful and thoughtful financial planning, Advocate has developed plans which allow it to reinvest in the health care of the communities it serves by providing health care regardless of the patients ability to pay, providing programs which are not profitable to Advocate but for which there is a community need, through the purchase of new patient care equipment and providing improved and new facilities for patient care. This planning also allows Advocate to train physicians, nurses, radiology technicians, physical therapists, EMTs, clinical pastors and a host of other highly skilled health care professionals and to share research with persons outside of the organization on health care delivery, un-reimbursed studies on therapeutic protocols, evaluation of innovative treatments, and research papers prepared by staff for professional journals. Environmental Improvements 1. Mentoring and Education Advocate Health Care is committed to protecting and promoting the health of the communities it is privilege to serve. In an effort to reduce the burden of health care costs, Advocate has committed resources to sharing its best practices in waste reduction, and energy and water management. Reducing waste and conserving energy and water use has a direct benefit on the health of local communities via cleaner communities, reduced green house gases, and preservation of natural resources. Advocate shares best practices for water management with other nonprofit hospitals locally and nationally. In 2010, Advocate staff time in mentoring and educating community members through presentations such as 'Hospital Energy Efficiency as a Culture', to teach its community about strategies to achieve reduction in health care costs and improve environmental and human health via energy efficiency, design and operations measures. Advocate Health Care demonstrated its commitment as a regional health care leader focused on reducing its environmental impact by pledging to participate in the Chicago Green Health Care Initiative (CGHI) on behalf of Advocate Trinity Hospital and Advocate Illinois Masonic Medical Center in 2010. The CGHI is a coalition of Chicago-based hospitals participating in a strategy to provide access to resources, education, and incentive opportunities to support the reduction of green house gas emissions, increase energy efficiency, and reduce waste overall. An essential element of Advocate Health Care's system-wide strategic energy plan is measurement and benchmarking utilizing the EPA's Energy Portfolio Manager and a disciplined approach to energy systems operations and management. Advocate created and shared a two hundred item checklist for energy management operations and maintenance with the CGHI hospitals to evaluate operational efficiencies related to facilities operations, thereby reducing burden on the local energy demand. 2. Commuter Benefits for Associates Advocate Health Care provides a Commuter Benefits Program to all Advocate associates to purchase public transportation passes, fare cards, and/or vouchers for buses and trains with pre-tax dollars, and to encourage the use of public transportation.
Part VI, Line 6 - Affiliated health care system   Recognized as one of the nation's top 10 health systems, Advocate Health Care is the largest integrated health care system in Illinois. Advocate Health Care provides a continuum of care through its acute care hospitals, primary and specialty physician services, outpatient centers, physician office buildings, home health and hospice care to the communities it serves. Advocate makes operating and financial decisions on a System-wide basis and provides for complete financial integration of the System. Overall management of the System is centralized which allows for a streamlines decision-making process and the ability of the System to respond to community needs.
Part VI, Line 7 - State Filing of Community Benefit Report Illinois  
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
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 Condell Medical Center
 
Employer identification number
26-2525968
Part I
General Information on Grants and Assistance
1
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? ....................................
2
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 (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) AMERICAN CANCER SOCIETY100 TRI-STATE INTERNATIONAL PKWY
SUITE 125
LINCOLNSHIRE,IL60069
36-2167721 501(c)(3) 12,000       RELAY FOR LIFE
(2) SUSAN G KOMEN BREAST CANCERPO BOX 660843
DALLAS,TX75266
75-1835298 501(c)(3) 5,979       BREAST CANCER RESEARCH
(3) ADVOCATE HEALTH & HOSPITALS CORPORATION2025 WINDSOR DRIVE
OAK BROOK,IL60523
36-2169147 501(c)(3) 15,000,000       CAPITAL CONTRIBUTION


















2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
3
3
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

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 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS ADVOCATE CONDELL MEDICAL CENTER SUPPORTS ONLY NONPROFIT ORGANIZATIONS THAT ARE TAX-EXEMPT UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE AND THAT ARE CONSISTENT WITH AND COMPLEMENTARY TO THE MISSION AND CHARITABLE, TAX-EXEMPT PURPOSES OF ADVOCATE CONDELL MEDICAL CENTER. CASH CONTRIBUTIONS ARE NOT MADE TO INDIVIDUALS, FOR PROFIT BUSINESSES OR PRIVATE PROVIDERS.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


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 Condell Medical Center
 
Employer identification number

26-2525968
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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....
1b
Yes
 
2
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? ....
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
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.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
Yes
 
8
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 .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) Ben Grigaliunas (i)
(ii)
0
439,084
0
328,516
0
427,403
0
541,470
0
25,590
0
1,762,063
0
328,516
(2) Bruce D Smith (i)
(ii)
0
393,407
0
267,100
0
312,849
0
431,864
0
30,880
0
1,436,100
0
267,100
(3) David Cartwright (i)
(ii)
158,775
0
51,740
0
9,365
0
57,760
0
23,357
0
300,997
0
32,193
0
(4) Dennis Millirons (i)
(ii)
0
0
0
0
728,000
0
0
0
0
0
728,000
0
728,000
0
(5) Dominic J Nakis (i)
(ii)
0
478,656
0
490,823
0
386,525
0
801,607
0
28,955
0
2,186,566
0
490,823
(6) Dr Ann Errichetti (i)
(ii)
416,251
0
298,946
0
141,402
0
515,998
0
7,486
0
1,380,082
0
298,946
0
(7) Gail D Hasbrouck (i)
(ii)
0
394,416
0
256,147
0
359,231
0
415,133
0
22,783
0
1,447,710
0
256,147
(8) Gwenn Leschke (i)
(ii)
208,884
0
38,937
0
19,751
0
60,276
0
21,602
0
349,450
0
38,787
0
(9) James Dan MD (i)
(ii)
0
411,164
0
358,210
0
97,002
0
700,855
0
22,341
0
1,589,572
0
358,210
(10) James H Skogsbergh (i)
(ii)
0
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
(11) James Doheny (i)
(ii)
0
244,522
0
102,255
0
82,487
0
119,079
0
33,055
0
581,398
0
102,255
(12) Joan Boomsma (i)
(ii)
334,750
0
86,820
0
21,017
0
105,878
0
13,342
0
561,807
0
86,820
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) Kelly Jo Golson (i)
(ii)
0
297,146
0
84,700
0
46,422
0
210,272
0
4,234
0
642,774
0
0
(15) Lee B Sacks MD (i)
(ii)
0
576,655
0
490,823
0
454,336
0
801,607
0
24,658
0
2,348,079
0
490,823
(16) Mary Hillard (i)
(ii)
166,630
0
15,000
0
4,837
0
39,276
0
22,880
0
248,623
0
 
0
(17) Rev Jerry A Wagenknecht (i)
(ii)
0
67,892
0
101,120
0
352,063
0
174,448
0
64,434
0
759,957
0
101,120
(18) Scott Powder (i)
(ii)
0
243,126
0
157,381
0
109,814
0
255,514
0
20,893
0
786,728
0
157,381
(19) Timothy Wadman (i)
(ii)
96,180
0
28,133
0
72,747
0
18,269
0
7,575
0
222,904
0
28,133
0
(20) William P Santulli (i)
(ii)
0
642,025
0
642,415
0
461,123
0
1,070,485
0
32,649
0
2,848,697
0
642,415
(21) Wilfredo Ramos (i)
(ii)
0
0
0
57,917
0
69,680
0
13,113
0
15,057
0
155,767
0
126,972
Schedule J (Form 990) 2010

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
Part 1   PART I, LINE 1A HOUSING ALLOWANCE/SOCIAL CLUB DUES/PERSONAL SERVICES ANN ERRICHETTI RECEIVED A REIMBURSEMENT FOR RELOCATION EXPENSES WHICH INCLUDED A GROSS UP FOR INCOME TAXES. RELOCATION EXPENSES AGREED TO AS PART OF THE TERMS OF INITIAL EMPLOYMENT ARE ELIGIBLE FOR GROSS UP PAYMENTS UNDER ADVOCATE'S POLICY. PART I, LINE 4A SEVERANCE PAYMENTS WILFREDO RAMOS, FORMER SENIOR VICE PRESIDENT, COMMUNICATIONS AND GOVERNMENT RELATIONS, TERMINATED HIS EMPLOYMENT WITH AHHC IN 2009 AND RECEIVED SEVERANCE OF $73,405 IN 2010. THIS AMOUNT WAS REPORTED ON A PRIOR FORM 990 AS DEFERRED COMPENSATION AND IS LISTED AS A COMPONENT OF COLUMN (F). DENNIS MILLIRONS, FORMER PRESIDENT OF CONDELL MEDICAL CENTER, TERMINATED HIS EMPLOYMENT WITH CONDELL IN 2008 AND RECEIVED SEVERANCE OF $728,000 IN 2010. THIS AMOUNT WAS REPORTED ON A PRIOR FORM 990 AS DEFERRED COMPENSATION AND IS LISTED AS A COMPONENT OF COLUMN (F). PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN BEN GRIGALIUNAS, SENIOR VICE PRESIDENT-HUMAN RESOURCES, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH, ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. GAIL HASBROUCK, SENIOR VICE PRESIDENT-GENERAL COUNSEL AND CORPORATED SECRETARY, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. IN 2010 ADVOCATE IMPLEMENTED A TARGET REPLACEMENT SENIOR EXECUTIVE RETIREMENT PLAN. THE CONTRIBUTIONS TO THIS PLAN ARE TAXABLE AFTER FIVE YEARS OF SERVICE. THE FOLLOWING EMPLOYEES PARTICIPATE IN THE PLAN: JAMES SKOGSBERGH, BEN GRIGALIUNAS, BRUCE SMITH, DOMINIC NAKIS, GAIL HASBROUCK, JAMES DAN M.D., JAMES DOHENY, KELLY JO GOLSON, LEE SACKS M.D., SCOTT POWDER, WILLIAM SANTULLI, ANN ERRICHETTI. PART I, LINE 7 INCENTIVE PAYMENTS ARE BASED UPON A FORMULA. THE AMOUNTS ARE CALCULATED AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE ACHIEVED. THE COMPENSATION COMMITTEE CAN EXERCISE DISCRETION OVER WHETHER INCENTIVE COMPENSATION IS PAID OUT ANNUALLY.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Advocate Condell Medical Center
 
Employer identification number

26-2525968
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?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
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?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
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
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?
Yes No
(1) High Technology Inc SHARED BOARD MEMBER 103,890 EXPENSE ALLOCATION   No
(2) EVANGELICAL SERVICES CORPORATION SHARED BOARD MEMBER 203,378,139 EXPENSE REIMBURSEMENT   No
(3) EVANGELICAL SERVICES CORPORATION SHARED BOARD MEMBER 393,118 EXPENSE REIMBURSEMENT   No
(4) CERTUS INDEMNITY COMPANY LTD SHARED BOARD MEMBER 4,481,612 ALLOCATION   No
(5) A2CL LABORATORY SHARED BOARD MEMBER 2,695,512 LAB SERVICES PAID   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:  




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 Condell Medical Center
 
Employer identification number

26-2525968
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 Condell is committed to promoting initiatives that enhance access to health care for the uninsured and underinsured. An example of this is Advocate Condell's provision of charity care. Advocate Condell offers a very generous charity care program - requiring no payments from the patients most in need, and providing discounts to uninsured patients earning up to six times the federal poverty level and to insured patients earning up to four times the poverty level. Although Advocate Condell's Charity Care Policy is very generous, Advocate Condell continues to review and refine its policy in an ongoing effort to ensure that financial assistance is available to those who need help when they need it. Advocate Condell hospital maintains highly visible signage and brochures in multiple languages to inform patients of the availability of financial help and financial counselors. Information about Advocate Condell's charity care program and charity applications is provided to all uninsured patients during registration and as an insert in all uninsured patients' bills. In the area of Trauma care - Advocate Condell is dedicated to providing expert emergency care - today and in the future. Advocate Condell's Level I Trauma Center cares for the most seriously injured people in its service area. As is the case with all Illinois Level I Trauma Centers, Advocate Condell's trauma center is staffed by on-site, 24-hour-a-day trauma surgeons; features 24-hour surgical and nonsurgical services, such as radiology and anesthesia; and can accommodate helicopter transports. FORM 990, PART III, LINE 4B Health care and fitness services and facilities provided by physicians, nurses, clinicians and other associates employed by Advocate Condell. Advocate Condell clinicians provide care to the community for minor injuries and illnesses through its immediate care centers regardless of the patients' ability to pay. Exercise physiologists and physical therapists also provide sports medicine consultations at local high schools and colleges. Physicians, nurses and other clinicians lead prenatal/childbirth and parenting education classes and diabetes education classes as well as support groups for diabetes education, heart disease, breast and other cancers, lactation/breast feeding, bereavement/loss and caregivers. Advocate Condell partners with the Lake County department of Public Health to provide imaging services at rates significantly below cost, as well as hosts monthly reduced-fee child immunizations. Fitness and wellness classes and services are provided at the Advocate Condell Centre Clubs, which provides sliding scale membership rates.
FORM 990, PART III, LINE 4C DESCRIPTION OF ADVOCATE CONDELL MEDICAL CENTER Serving the community since 1928, Advocate Condell Medical Center is a 281-bed non-profit acute care hospital based in Libertyville, Illinois. As the largest health care provider in Lake County, Advocate Condell provides a full spectrum of medical services - from obstetrics, radiology services and rehabilitation to open heart surgery, neurosurgery and oncology. Advocate Condell Medical Center's Emergency Department provides Level I Trauma care and has the ability to accommodate growing numbers of patients. Advocate Condell provides a dedicated pediatric emergency department - the first and only in Lake County - consisting of a team of doctors and nurses dedicated to and specially trained in pediatric emergency medicine. In addition, Condell is an accredited Chest Pain Center and offers the continuum of diagnostic and cardiology treatment services, including open heart surgery. More than 650 physicians and 2,100 associates comprise the team of medical experts known for excellence. In addition to services located on its Libertyville campus, Advocate Condell operates three immediate care centers throughout the County and two medically-based fitness centers. Advocate Condell is the Resource hospital for Region 10 Emergency Medical Services, which demonstrates the commitment to efficiently and effectively manage emergency services in a disaster. Advocate Condell also provides community outreach through health fairs, wellness programs and other services in support of its MVP (mission, values and philosophy). The mission of Advocate Condell Medical Center is to serve the health needs of individuals, families and communities through a wholistic philosophy rooted in the fundamental understanding of human beings as created in the image of God. The values of Advocate Condell Medical Center serve as an internal compass to guide relationships and actions. They include equality, compassion, excellence, partnership, and stewardship. The philosophy of Advocate Condell Medical Center is grounded in the principles of human ecology, faith and community-based health care. These principles arise from an understanding of human beings as whole persons in light of their relationships with God, themselves, their families and the society in which they live. Through our actions we affirm these principles. Population Served Advocate Condell Medical Center provides quality health care to individuals regardless of race, creed, national origin, age or ability to pay. In 2010, Condell served 220,000 patients, including 17,261 inpatient admissions and 201,148 outpatient visits, delivering 2,164 babies. Commitment to the Community Even in the face of low reimbursements, Advocate Condell Medical Center is dedicated to maintaining a strong presence within its community and continues to monitor these expenditures to make certain that the programs and services supported are in direct response to community need. In 2010, Condell reported approximately $38.5 million in charitable care and services. These services are comprised of many community health programs focused on improving access to care, addressing special needs and improving overall community health. In addition to Medicare/Medicaid and Bad Debt losses, Advocate Condell treats many air force military personnel and Veterans Administration patients at a rate below cost. Community Benefits Plan, Goals & Examples of Program Service Accomplishments Advocate Condell Medical Center's community benefits efforts are aligned with Advocate's community benefits plan. The plan was developed to establish strategies for improving access to care and positively affecting the health of the communities served by Advocate Health Care. The plan sets the course for strengthening existing partnerships and building new ones with individuals and organizations within Advocate Condell's service area in order to leverage and maximize the impact of its programs. The plan sets forth goals and objectives to accomplish this strategy. The goals and some corresponding examples of services Condell provides are included below. Goal # 1 - Promote initiatives that enhance access to health care for the uninsured and underinsured. Charity Care - Advocate Condell Medical Center offers a very generous charity care program - requiring no payments from the patients most in need, and providing discounts to uninsured patients earning up to six times the federal poverty level and to insured patients earning up to four times the poverty level. Advocate Condell supports the services of the Lake County department of Public Health by providing radiology services to patients treated by the health department. Goal # 2 - Positively impact the health status and quality of life of individuals living in the communities served by Advocate Condell Medical Center in a manner consistent with its mission. Examples of Advocate Condell's efforts include: Condell Day Center's Adult Day Care Program - Advocate Condell Day Center's Adult Day Care program fills a gap in continuity of care for clients who are unable to live independently. Condell's program combines adult day care with therapeutic and personal care services. Given that the program is located adjacent to other hospital services, clients can receive physical, speech and occupational therapy from a licensed therapist. In addition, bathing assistance, beautician/barber and podiatry care are available as a service to the client and caregiver. Comprehensive adult day care allows the caregiver to remain employed and/or receive much needed respite, thus allowing clients with frailties or dementia to remain in the community and avoid or delay the additional expense of long-term care. Condell's program accepts clients with a higher acuity than other local programs, caring for patients in the later part of middle-stage Alzheimer's. Condell also works with the Veteran's Administration to provide services for their patients under the care of an on-site registered nurse. Pediatric Rehabilitation - Advocate Condell Medical Center's PACT (Pediatric Alternatives in Creative Therapy) program is a unique medical support service in Lake County for children and teens with neuromuscular disorders, such as spina bifida, cerebral palsy, head trauma and spinal cord injuries, as well as those with developmental delay and speech-language disorders. PACT also treats children with genetic and congenital anomalies, structural abnormalities, such as cleft palate, and hearing/vision problems, sensory integration dysfunction and those receiving radiation or chemotherapy treatments. PACT's interdisciplinary team of professionals, including physical therapists, occupational therapists, and speech-language pathologists, partners with the families, schools, physicians and community to provide comprehensive intervention, as well as an individualized treatment program for each child. Diabetes Education - During Advocate Condell's pursuit to establish a certified diabetes education program, most diabetes education classes and one-on-one counseling sessions were offered free of charge to the public.
FORM 990, PART III, LINE 4C (CONTD) DESCRIPTION OF ADVOCATE CONDELL MEDICAL CENTER Goal # 3 - Build strong relationships with the faith community, elected officials and community organizations to enhance community outreach efforts. Examples include: Lake County Health Department - Advocate Condell Medical Center partners with the Lake County Department of Public Health to provide medical imaging (radiology) services to Lake County health department clients. These radiology, women's and other services are provided on a heavily discounted, below cost basis to patients served by the public health department. Further, Advocate Condell supports convenient access to preventative vaccines and immunizations by donating monthly Lake County health department immunization clinics on Condell's campus. Event space is donated and services are promoted to all audiences. Mission & Spiritual Care - Advocate Condell Medical Center's Mission and Spiritual Care office provides clinical chaplains who offer support and services 24 hours each day, every day to the individuals and families that Advocate serves. The office also develops partnerships with communities and congregations to help address local health care needs. The risks and symptoms of stroke are an important message to disburse to the community. Throughout 2010, Advocate Condell reached out to a variety of groups to spread awareness of stroke within Condell's service area. Stroke nurse navigators offered educational lectures at senior living communities, senior health fairs and community health fairs. Stroke information with refrigerator magnet was distributed through an Advocate Health Care system-wide initiative, as well as through Condell's contacts in education, business, and community. In addition, stroke education was shared with Condell associates and visitors through on-line teaching modules and handy information available to the public. Mission & Spiritual Care planned a "Stroke Forum" event for the faith leaders to better understand the medical and emotional impact of stroke. The Forum was postponed, however educational information was disseminated to those who expressed interest. Goal # 4 - Promote a system-wide collaborative approach to community benefits, building on existing resources and maximizing Advocate's ability to continue programs to fulfill its mission. Advocate Condell Medical Center collaborates with Emergency Medical Service providers to share best-practice information throughout Advocate sites as well as other non-Advocate medical providers. Condell is a resource hospital for Illinois Region 10, which requires Condell to coordinate ongoing training in emergency response to a mass casualty situation or other disaster. These education programs and training exercises involve every emergency provider in the area - both inside and outside of Advocate - as well as the Lake County Health Department and other regional organizations as appropriate. Condell also offers educational training courses for individuals to earn paramedic certification. FORM 990, PART VI, LINE 2 As Dr. James Dan, Gail Hasbrouck, James Doheny, and Dominic Nakis are either directors or officers of wholly owned Advocate entities, they are deemed to have a business relationship pursuant to the instructions for Form 990. As Dr. James Dan, Gail Hasbrouck, James Doheny, and Scott Powder are either directors or officers of wholly owned Advocate entities, they are deemed to have a business relationship pursuant to the instructions for Form 990. As Dr. James Dan and Dr. Lee Sacks are either directors or officers of wholly owned Advocate entities, they are deemed to have a business relationship pursuant to the instructions for Form 990. As Dr. James Dan, Gail Hasbrouck, James Doheny, Scott Powder, and William Santulli are either directors or officers of wholly owned Advocate entities, they are deemed to have a business relationship pursuant to the instructions for Form 990.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 BY-LAWS PROVIDE FOR CORPORATE MEMBERS. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A THE NOT FOR PROFIT CORPORATIONS OF ADVOCATE HEALTH CARE, WITH THE EXCEPTION OF ADVOCATE HEALTH CARE NETWORK, HAVE CORPORATE MEMBERS WHO ELECT DIRECTORS. ADVOCATE HEALTH CARE NETWORK DOES NOT HAVE ANY MEMBERS, THEREFORE, THE AHCN BOARD ELECTS ITS DIRECTORS. THE FOR PROFIT ORGANIZATIONS HAVE A SOLE SHAREHOLDER WHO ELECTS DIRECTORS. PART VI, SECTION A, LINE 7B YES, THE RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBERS (FOR THE NOT FOR PROFIT CORPORATIONS) AND THE SOLE SHAREHOLDER (FOR THE FOR PROFIT CORPORATIONS). PART VI, SECTION A, LINE 11A AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE FORMS 990 WERE REVIEWED WITH COMMITTEE MEMBERS. A MEMBER OF ACCOUNTING MANAGEMENT AND THE ERNST & YOUNG TAX EXECUTIVE DIRECTOR COORDINATED THE REVIEW. THE FINALIZED FORMS 990 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 VICE PRESIDENT AND CHIEF COMPLIANCE OFFICER SENDS THE CORPORATION'S CODE OF BUSINESS CONDUCT AND CONFLICT OF INTEREST POLICY TO ITS INTERESTED PERSONS, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS OR GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS. ALL PARTIES ARE REQUIRED TO READ AND PROVIDE A DISCLOSURE STATEMENT TO THE VICE PRESIDENT AND CHIEF COMPLIANCE OFFICER WHO SUMMARIZES THE DISCLOSURES AND PROVIDES A SUMMARY OF THE DISCLOSURES TO THE EXECUTIVE MANAGEMENT AND THE AUDIT COMMITEE FOR REVIEW. THE SUMMARIES ARE THEN PROVIDED TO THE CHIEF EXECUTIVE OFFICER.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A & 15B EXECUTIVE COMPENSATION AT THE ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS, AND ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS ARE IDENTIFIED AND THE DESIRED LEVEL OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: - A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY - ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION - A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS - AN ACTIVE BOARD REVIEW PROCESS INCLUDING REVIEW BY A COMPENSATION COMMITEE THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ON-GOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND - ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS.
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 SITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) AND EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS). THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENT OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
HOURS PER WEEK FOR RELATED ORGANIZATIONS Form 990, Part VII, SECTION A JAMES H. SKOGSBERGH IS AN EMPLOYEE OF ADVOCATE HEALTH & HOSPITALS CORPORATION AND IS AN OFFICER AND DIRECTOR OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 10 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. JOSE ELIZONDO, M.D. IS AN EMPLOYEE OF ADVOCATE NORTH SIDE HEALTH NETWORK AND IS A DIRECTOR OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 4 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. BEN GRIGALIUNAS IS AN EMPLOYEE OF ADVOCATE HEALTH & HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 4 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. BRUCE D. SMITH IS AN EMPLOYEE OF ADVOCATE HEALTH & HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 3 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. DOMINIC J. NAKIS IS AN EMPLOYEE OF ADVOCATE HEALTH & HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 4 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. GAIL D. HASBROUCK IS AN EMPLOYEE OF ADVOCATE HEALTH & HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. SHE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 5 HOURS OF HER REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. JAMES DAN, MD IS AN EMPLOYEE OF ADVOCATE HEALTH & HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 3 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. JAMES DOHENY IS AN EMPLOYEE OF ADVOCATE HEALTH & HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 7 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. KELLY JO GOLSON IS AN EMPLOYEE OF ADVOCATE HEALTH & HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. SHE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 3 HOURS OF HER REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. LEE B. SACKS, MD IS AN EMPLOYEE OF ADVOCATE HEALTH & HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 3 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. REV. JERRY WAGENKNECHT IS AN EMPLOYEE OF ADVOCATE HEALTH & HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 3 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. SCOTT POWDER IS AN EMPLOYEE OF ADVOCATE HEALTH & HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 3 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. WILLIAM P. SANTULLI IS AN EMPLOYEE OF ADVOCATE HEALTH & HOSPITALS CORPORATION AND IS AN OFFICER OF ADVOCATE CONDELL MEDICAL CENTER. HE GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 10 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. WILFREDO RAMOS WAS PAID BY ADVOCATE HEALTH & HOSPITALS CORPORATION FOR PRIOR YEAR SERVICES.
RECONCILIATION OF NET ASSETS: OTHER CHANGES IN NET ASSETS OR FUND BALANCE FORM 990, PART XI, QUESTION 5 UNREALIZED LOSS OF $29,022
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:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Advocate Condell Medical Center
 
Employer identification number

26-2525968
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
Yes No
(1) ADVOCATE HEALTH & HOSPITALS CORPORATION

2025 WINDSOR DRIVE

OAK BROOK,IL60523
36-2169147
HEALTH CARE IL 501(C)(3) 3 AHCN
 
 
 
(2) ADVOCATE CHARITABLE FOUNDATION

2025 WINDSOR DRIVE

OAK BROOK,IL60523
36-3297360
FUNDRAISING IL 501(C)(3) 7 AHCN
 
 
 
(3) ADVOCATE HEALTH CARE NETWORK

2025 WINDSOR DRIVE

OAK BROOK,IL60523
36-2167779
PARENT CORP IL 501(C)(3) 11-III-FI NA
 
 
 
(4) EHS HOME HEALTH CARE SERVICE INC

2025 WINDSOR DRIVE

OAK BROOK,IL60523
36-2913108
HOME CARE IL 501(C)(3) 9 AHHC
 
 
 
(5) ADVOCATE NORTH SIDE HEALTH NETWORK

2025 WINDSOR DRIVE

OAK BROOK,IL60523
36-3196629
HEALTH CARE IL 501(C)(3) 3 AHHC
 
 
 
(6) MERIDIAN HOSPICE

2025 WINDSOR DRIVE

OAK BROOK,IL60523
36-3158667
HOSPICE CARE IL 501(C)(3) 9 EHSHHCS
 
 
 
(7) RAVENSWOOD HEALTH CARE FOUNDATION

4550 N WINCHESTER AVENUE

CHICAGO,IL60640
36-3196628
FUNDRAISING IL 501(C)(3) 11-II NA
 
 
 
(8) HISPANO CARE INC

2025 WINDSOR DRIVE

OAK BROOK,IL60523
36-3606486
HEALTH CARE IL 501(C)(3) 9 ANHN
 
 
 
(9) MASONIC FAMILY HEALTH FOUNDATION INC

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
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 V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) DREYER MERCY AMB SURGERY CTR PARTNERSHIP

1221 N HIGHLAND AVENUE
AURORA,IL60506
36-3890298
MEDICAL SERVICES IL N/A
                 












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) BROMENN PHYSICIAN MANAGEMENT CORPORATION
2025 WINDSOR DRIVE
OAK BROOK,IL60523
37-1313150
MEDICAL SERVICES IL NA
 
C CORP      
(3) CENTER FOR ENDOSCOPY LLC
22285 PEPPER ROAD
LAKE BARRINGTON,IL60010
26-2387298
HEALTH SERVICES IL NA
 
C CORP      
(4) STANDARD FIDELITY ASSURANCE COMPANY LTD
2025 WINDSOR DRIVE
OAK BROOK,IL60523
98-0081315
INSURANCE CJ NA
 
C CORP      
(5) ADVOCATE HOME CARE PRODUCTS
2025 WINDSOR DRIVE
OAK BROOK,IL60523
36-3315416
HEALTH SERVICES IL NA
 
C CORP      
(6) DREYER CLINIC INC
1877 W DOWNER PLACE
AURORA,IL60506
36-2690329
MEDICAL SERVICES IL NA
 
C CORP      
(7) ADVOCATE INSURANCE SPC
23 LIME TREE BAY AVE GOV SQ BLDG 4
GRAND CAYMAN, CJ    
CJ
98-0422925
INSURANCE CJ NA
 
C CORP      
(8) EVANGELICAL SERVICES CORPORATION
2025 WINDSOR DRIVE
OAK BROOK,IL60523
36-3208101
MGMT SERVICES IL NA
 
C CORP      
(9) HIGH TECHNOLOGY INC
2025 WINDSOR DRIVE
OAK BROOK,IL60523
36-3368224
MEDICAL SERVICES IL NA
 
C CORP      
(10) PARKSIDE CENTER CONDO ASSOCIATION
 
 
36-3452486
PROPERTY MGMT IL NA
 
C CORP      
(11) CERTUS INDEMNITY COMPANY LTD
 
 
98-0600867
INSURANCE CJ NA
 
C CORP      
Schedule R (Form 990) 2010
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
No
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 . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
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
(d)
Method of determining amount involved
(1) ADVOCATE HEALTH & HOSPITALS CORPORATION

B 15,000,000  
(2) ADVOCATE CHARITABLE FOUNDATION

C 129,352  
(3) ADVOCATE HEALTH & HOSPITALS CORPORATION

K 1,993,680  
(4) ADVOCATE HEALTH & HOSPITALS CORPORATION

L 20,542,762  
(5) ADVOCATE HOME CARE PRODUCTS INC

L 55,160  
(6) ADVOCATE HEALTH & HOSPITALS CORPORATION

O 33,172,528  
(7) HIGH TECHNOLOGY INC

O 103,890  
(8) EVANGELICAL SERVICES CORPORATION

O 203,378,139  
(9) EHS HOME HEALTH CARE SERVICE INC

O 66,641  
(10) ADVOCATE HEALTH & HOSPITALS CORPORATION

P 23,382,671  
(11) EVANGELICAL SERVICES CORPORATION

P 393,118  
(12) CERTUS INDEMNITY COMPANY LTD

P 4,481,612  
(13) MERIDIAN HOSPICE

R 174,000  
Schedule R (Form 990) 2010
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 V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
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


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