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
2011
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2011 and ending 12-31-2011
BCheck if applicable:
CName of organization
Advocate Health And Hospitals Corp
 
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

36-2169147
E Telephone number

G Gross receipts $ 4,952,817,014
F Name and address of principal officer:
JAMES 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 MediumBullet  
K Form of organization:
 
L Year of formation: 1906
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 13
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 9
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ... 5 25,730
6 Total number of volunteers (estimate if necessary) .... 6 4,276
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 78,496,483
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 1,345,701
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 67,887,622 13,262,417
9 Program service revenue (Part VIII, line 2g) ......... 3,119,941,909 3,223,950,172
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 104,472,162 72,680,183
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 38,104,429 44,669,616
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 3,330,406,122 3,354,562,388
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 83,479,818 3,669,553
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,553,707,515 1,616,450,064
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet552,917    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 1,365,058,918 1,439,355,907
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 3,002,246,251 3,059,475,524
19 Revenue less expenses. Subtract line 18 from line 12....... 328,159,871 295,086,864
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 5,231,584,084 5,420,944,810
21 Total liabilities (Part X, line 26)............. 2,669,041,090 2,813,844,342
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,562,542,994 2,607,100,468
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 use only
Print/type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name Right pointing arrowhead image

Firm's EIN Right pointing arrowhead image
Firm's address Right pointing arrowhead image



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2011)
Form 990 (2011)
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 OF ADVOCATE HEALTH AND HOSPITALS CORPORATION 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 organization’s program service accomplishments for each of its three largest program services, as measured 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 $ 2,251,734,499 including grants of $ 3,669,553 ) (Revenue $ 2,677,798,002 )
SEE SCHEDULE O.
4b (Code:   ) (Expenses $ 251,343,082 including grants of $ 0 ) (Revenue $ 152,598,874 )
SEE SCHEDULE O.
4c (Code:   ) (Expenses $ 77,486,202 including grants of $ 0 ) (Revenue $ 21,007,542 )
SEE SCHEDULE O.
4d Other program services (Describe in Schedule O.)
(Expenses $ 241,474,463 including grants of $ 0 ) (Revenue $ 324,746,735 )
4e Total program service expensesMediumBullet$ 2,822,038,246
Form 990 (2011)
Form 990 (2011)
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 IIClick 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 IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which 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 IClick 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 IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, 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
Yes
 
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
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
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.. Click to see attachment
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.. Click to see attachment
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 IClick to see attachment
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.......... Click to see attachment
18
Yes
 
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................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statement to this return? Note. All Form 990 filers that operated one or more hospitals must attach audited financial statements. Click to see list of attachments
20b
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization 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................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
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
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
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 employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? 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
Yes
 
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
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, 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
35b
Yes
 
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 (2011)
Form 990 (2011)
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
1,550
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
25,730
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 (2011)
Form 990 (2011)
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
If the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
1a
13
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
9
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
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? .................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ............
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
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? ....
10b
Yes
 
11a
Has the organization provided a complete 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
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done ....................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did 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 15a or 15b, 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
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
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 made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
JAMES DOHENY
2025 WINDSOR DRIVE
OAK BROOK,IL60523
(630) 990-5155
Form 990 (2011)
Form 990 (2011)
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 (do not check more than one box, unless person is both an officer and a director/trustee) 		(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) James Skogsbergh
President & CEO, Director
 40.0 X   X       3,316,797 0 732,783
(2) Mark Harris
Chairperson, Director
 1.0 X           0 0 0
(3) Michele Baker Richardson
Vice Chairperson, Director
 1.0 X           0 0 0
(4) David Anderson
Director
 1.0 X           0 0 0
(5) Alejandro Aparicio MD
Director
 1.0 X           0 0 0
(6) Lynn Crump-Caine
Director
 1.0 X           0 0 0
(7) John Dossey
Director
 1.0 X           0 0 0
(8) Jose Elizondo MD
Director
 1.0 X           0 223,764 36,897
(9) Ronald Mallicoat Jr
Director
 1.0 X           0 0 0
(10) Laurie Meyer
Director
 1.0 X           0 0 0
(11) Clarence Nixon Jr PhD
Director
 1.0 X           0 0 0
(12) Carolyn Smeltzer
Director
 1.0 X           0 0 0
(13) John Timmer
Director
 1.0 X           0 0 0
(14) William P Santulli
Exec VP, COO
 40.0     X       1,959,394 0 442,689
(15) Lee B Sacks MD
Exec VP, Chief Medical Officer
 40.0     X       1,588,058 0 332,580
(16) James Dan MD
Pres Physician/Ambulatory Svcs
 40.0     X       948,547 0 385,468
(17) James Doheny
VP, Finance & Corp Controller
 40.0     X       387,814 0 54,221
Form 990 (2011)
Form 990 (2011)
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 (do not check more than one box, unless person is both an officer and a director/trustee) 		(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) Kelly Jo Golson
SVP, Public Affairs/Marketing
 40.0     X       491,779 0 291,770
(19) Ben Grigaliunas
SVP, Human Resources
 40.0     X       1,256,726 0 1,588,637
(20) Gail D Hasbrouck
SVP, Gen Counsel, Corp Sec
 40.0     X       977,032 0 180,561
(21) Dominic J Nakis
SVP, CFO
 40.0     X       1,461,311 0 330,850
(22) Scott Powder
SVP, Strategic Plan & Growth
 40.0     X       580,687 0 123,888
(23) Bruce D Smith
SVP, CIO
 40.0     X       963,557 0 195,285
(24) Rev Jerry Wagenknecht
SVP, Mission & Spiritual Care
 40.0     X       238,846 0 6,627
(25) Rev K Bender Schwich
SVP, Mission & Spiritual Care
 40.0     X       119,548 0 88,215
(26) Anthony Armada
President, Lutheran Gen Hosp
 40.0       X     765,931 0 612,450
(27) Jonathan Bruss
President, Trinity Hospital
 40.0       X     640,389 0 150,285
(28) Michael Englehart
President, South Suburban Hosp
 40.0       X     515,208 0 212,441
(29) David Fox
President, Good Samaritan Hosp
 40.0       X     917,065 0 218,708
(30) Colleen Kannaday
President, BroMenn Medical Ctr
 40.0       X     393,819 0 280,333
(31) Karen Lambert
President, Good Shepherd Hosp
 40.0       X     780,875 0 186,734
(32) Kenneth Lukhard
Mkt President, Christ Med ctr
 40.0       X     1,410,211 0 318,214
(33) Jonathon Somers MD
Physician- Cardiovascular Surg
 40.0         X   804,849 0 59,320
(34) Caleb Lippman MD
Attending Physician
 40.0         X   793,527 0 43,985
(35) James Keller MD
Physician- Perinatology
 40.0         X   757,749 0 45,732
(36) Geetha Bhat MD
Physician-Cardiology
 40.0         X   767,382 0 30,349
(37) Kevin Waldron MD
Attending Physician
 40.0         X   719,186 0 41,282
(38) ROGER HUNT
FMR PRESIDENT, BroMenn Med Ctr
 0.0           X 295,285 0 40,035
(39) LENA DOBBS-JOHNSON
FMR PRESIDENT, BETHANY HOSP
 0.0           X 553,383 0 33,643
(40) BRUCE CAMPBELL
FMR PRES, LUTHERAN GEN HOSP
 0.0           X 300,342 0 607
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 24,705,297 223,764 7,064,589
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet1,840
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
CROTHALL LAUNDRY SERVICE
45 W HINTZ RD
WHEELING,IL60090 		Laundry Services 11,246,360
POWER CONSTRUCTION COMPANY
2360 N PALMER DR
SCHAUMBURG,IL60173 		CONSTRUCTION 8,444,318
INO THERAPEUTICS LLC
P O BOX 642509
PITTSBURGH,PA15264 		PHARM THERAPY SVCS 4,325,038
KRAUSE CONSTRUCTION LLC
3330 EDISON AVE
BLUE ISLAND,IL60406 		CONSTRUCTION 3,357,666
MMODAL SERVICES LTD
PO BOX 102467
ATLANTA,GA30368 		TRANSACTION SVCS 3,053,338
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet110
Form 990 (2011)
Form 990 (2011)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 358,180
d Related organizations...1d 8,053,012
e Government grants (contributions)1e 3,614,515
f All other contributions, gifts, grants, and
similar amounts not included above1f 		1,236,710
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 13,262,417
Program Service Revenue Business Code
2a PROGRAM SERVICE REVENUE 621,990 1,254,333,114 1,254,333,114    
b MEDICARE/MEDICAID PAYMENTS 621,990 1,055,293,660 1,055,293,660    
c PHARMACY 621,990 874,852,905 866,524,379 8,328,526  
d LAB 446,110 39,470,493   39,470,493  
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 3,223,950,172
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 10,588,291   -419,513 11,007,804
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 10,474,560  
b Less: rental expenses 10,088,625  
c Rental income or (loss) 385,935  
d Net rental income or (loss).......MediumBullet 385,935     385,935
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 1,647,796,459 2,365,472
b Less: cost or other basis and sales expenses 1,586,271,496 1,798,543
c Gain or (loss) 61,524,963 566,929
d Net gain or (loss)..........MediumBullet 62,091,892     62,091,892
8a Gross income from fundraising events (not including
$ 358,180
of contributions reported on line 1c). See Part IV, line 18 ...
a 154,839
b Less: direct expenses ...b 95,962
c Net income or (loss) from fundraising events..MediumBullet 58,877   58,877
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 CAFETERIA REVENUE 722,210 9,581,285   17,639 9,563,646
b PARKING REVENUE 453,220 2,721,518     2,721,518
c GIFT SHOP REVENUE 812,093 822,663     822,663
d All other revenue .... 31,099,338   31,099,338  
e Total. Add lines 11a–11d ......MediumBullet 44,224,804
12 Total revenue. See Instructions....MediumBullet 3,354,562,388 3,176,151,153 78,496,483 86,652,335
Form 990 (2011)
Form 990 (2011)
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).
Check if Schedule O contains a response to any question in this Part IX. .........
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 United States. See Part IV, line 21 3,669,553 3,669,553
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. 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 .... 0      
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 1,286,190,482 1,185,050,824 100,922,893 216,765
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 53,276,468 44,463,950 8,803,539 8,979
9 Other employee benefits ....... 189,301,097 177,055,402 12,213,792 31,903
10 Payroll taxes ........... 87,682,017 81,344,766 6,322,474 14,777
11 Fees for services (non-employees):        
a Management ...... 189,928 189,928    
b Legal ......... 1,624,079 318,322 1,305,757  
c Accounting ........... 552,490 87,004 465,486  
d Lobbying ........... 583,134 294,914 288,220  
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 10,302,851 10,302,851    
g Other .......... 82,881,891 76,737,550 6,144,341  
12 Advertising and promotion .... 14,956,999 1,855,067 13,101,932  
13 Office expenses ....... 26,708,048 23,868,308 2,839,740  
14 Information technology ...... 112,797,209 86,074,504 26,722,705  
15 Royalties .. 0      
16 Occupancy ........... 75,993,450 74,767,337 1,226,113  
17 Travel ............ 5,505,072 3,911,309 1,593,763  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 4,472,750 3,204,561 1,268,189  
20 Interest ........... 41,984,092 41,984,092    
21 Payments to affiliates ....... -104,925 -104,925    
22 Depreciation, depletion, and amortization ..... 129,078,692 110,185,793 18,892,899  
23 Insurance .............. 72,920,646 72,119,385 801,261  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a MEDICAL SUPPLIES 468,583,652 468,563,338 20,314  
b BAD DEBT 156,272,399 156,272,399    
c CONTRACTUAL SERVICES GENERAL 129,468,410 109,953,182 19,515,228  
d PUBLIC ASSESSMENT FEES 82,150,939 82,150,939    
e
f All other expenses 22,434,101 7,717,893 14,435,715 280,493
25 Total functional expenses. Add lines 1 through 24f 3,059,475,524 2,822,038,246 236,884,361 552,917
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2011)
Form 990 (2011)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 1,715,011 1 2,494,276
2 Savings and temporary cash investments ....... 416,994,502 2 161,615,312
3 Pledges and grants receivable, net ......... 0 3 0
4 Accounts receivable, net ......... 297,866,547 4 373,497,109
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L .......... 0 5 0
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 .......... 0 6 0
7 Notes and loans receivable, net ............. 395,126 7 349,598
8 Inventories for sale or use .............. 40,639,410 8 42,487,379
9 Prepaid expenses and deferred charges ............ 45,147,107 9 49,493,150
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,918,320,841
b Less: accumulated depreciation. ..... 10b 1,668,348,518 1,173,482,264 10c 1,249,972,323
11 Investments—publicly traded securities .......... 2,640,389,697 11 2,657,502,961
12 Investments—other securities. See Part IV, line 11 ...... 455,473,044 12 698,107,046
13 Investments—program-related. See Part IV, line 11 .. 2,966,910 13 2,958,387
14 Intangible assets ......... 1,207,588 14 2,215,532
15 Other assets. See Part IV, line 11 ........... 155,306,878 15 180,251,737
16 Total assets. Add lines 1 through 15 (must equal line 34)... 5,231,584,084 16 5,420,944,810
Liabilities 17 Accounts payable and accrued expenses . 515,173,296 17 565,762,061
18 Grants payable .......... 0 18 0
19 Deferred revenue .......... 3,348,852 19 2,705,188
20 Tax-exempt bond liabilities .......... 997,077,344 20 1,180,836,010
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D..... 1,153,441,598 25 1,064,541,083
26 Total liabilities. Add lines 17 through 25..... 2,669,041,090 26 2,813,844,342
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 ..... 2,561,493,582 27 2,606,078,034
28 Temporarily restricted net assets ..... 1,049,412 28 1,022,434
29 Permanently restricted net assets ..... 0 29 0
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 ..... 2,562,542,994 33 2,607,100,468
34 Total liabilities and net assets/fund balances ..... 5,231,584,084 34 5,420,944,810
Form 990 (2011)
Form 990 (2011)
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
3,354,562,388
2
Total expenses (must equal Part IX, column (A), line 25) ....
2
3,059,475,524
3
Revenue less expenses. Subtract line 2 from line 1 ...
3
295,086,864
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
2,562,542,994
5
Other changes in net assets or fund balances (explain in Schedule O) ...
5
-250,529,390
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
2,607,100,468
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
Yes
 
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
Yes
 
Form 990 (2011)
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
2011
Open to Public
Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2011

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
2011
Name of organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





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 on line H of its
Form 990-EZ or on Part I, 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) (2011)

Page 2
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
Advocate Health And Hospitals Corp
  		Employer identification number

36-2169147
Part I
Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total 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)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




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

     
 
   

$  




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

     
 
   

$  




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

     
 
   

$  




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

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
Advocate Health And Hospitals Corp
  		Employer identification number

36-2169147
Part II
Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
     
(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) (2011)

Page 4
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
Advocate Health And Hospitals Corp
  		Employer identification number

36-2169147
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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 $  
Use duplicate copies of Part III if additional space is needed
(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) (2011)

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
2011
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, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities 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 function 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) 2011

Schedule C (Form 990 or 990-EZ) 2011
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 expenses, and share of excess lobbying expenditures).
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) 2008 (b) 2009 (c) 2010 (d) 2011 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2011


Schedule C (Form 990 or 990-EZ) 2011
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)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(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? .........................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
11,341
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? ........
Yes
 
341,086
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
587,955
j
Total. Add lines 1c through 1i ...............................
940,382
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? .......
 
 
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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible 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, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
SUPPLEMENTAL LOBBYING INFORMATION SCHEDULE C, PART II-B, LINE 1A ADVOCATE HEALTH AND HOSPITALS CORPORATION SPONSORS A NURSE ADVOCACY COUNCIL, COMPRISED OF NURSES EMPLOYED BY THE SYSTEM. THIS GROUP PROVIDES LEGISLATIVE FORUMS AND EDUCATION SUMMITS TO APPRISE AND EDUCATE LEGISLATORS OF THE ISSUES FACING THE NURSING PROFESSION AND HOW CHANGES IN LEGISLATION AFFECT PATIENT CARE. SCHEDULE C, PART II-B, LINE 1I ADVOCATE HEALTH AND HOSPITALS CORPORATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION AND THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO THESE LOBBYING ACTIVITIES. ADVOCATE ALSO ENGAGES CERTAIN FIRMS TO LOBBY ON ITS BEHALF REGARDING ISSUES AND POLICIES THAT AFFECT HEALTHCARE SUCH AS QUALITY, AFFORDABILITY AND PATIENT ACCESS. ADVOCATE ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE ENDEAVORS TO IDENTIFY THE PORTION OF DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.
Schedule C (Form 990 or 990EZ) 2011

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
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 can 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 through 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 (ASC 958), 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 (ASC 958), 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 (ASC 958), 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) 2011

Schedule D (Form 990) 2011
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 Net investment earnings, gains, and 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 (line 1g) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
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
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ................. 36,032,871 42,849,978 78,882,849
b Buildings ................   1,630,786,014 835,461,100 795,324,914
c Leasehold improvements ............   39,118,325 21,791,634 17,326,691
d Equipment ................   1,013,834,777 777,239,809 236,594,968
e Other .................   155,698,875 33,855,974 121,842,901
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 1,249,972,323
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
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 698,107,046 F
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 698,107,046
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) must 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) must 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) Book value
Federal Income Taxes 0
SELF INSURANCE LIABILITY 658,164,238
3RD PARTY SETTLEMENTS 154,104,700
OBLIGATION TO RETURN CAPITAL 19,410,100
PENSION PLAN BENEFITS 75,687,458
EXECUTIVE PENSION LIABILITY 46,991,218
INTEREST RATE SWAP MTM SERIES 89,091,554
REMEDIATION COST ACCRUAL 13,995,583
UNFUNDED HRA/DRA 5,669,325
DEFERRED COMPENSATION 716,208
DEACONESS RESIDENCE LIABILITY 710,699
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,064,541,083
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) 2011

Schedule D (Form 990) 2011
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 through 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 must 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 must 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) 2011

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants
and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ..............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other
assistance outside the United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
Central America and the Caribbean 1 1 Program Services SELF-INSURANCE 18,837,997
Central America and the Caribbean 0 0 Program Services CONFERENCE 3,989
East Asia and the Pacific 0 0 Program Services CONFERENCE 33,480
Europe (Including Iceland and Greenland) 0 0 Program Services CONFERENCE 7,661
Middle East and North Africa 0 0 Program Services SEE PART V 51,166
North America 0 0 Program Services CONFERENCE 7,689
South America 0 0 Program Services CONFERENCE 43,698
South Asia 0 0 Program Services CONFERENCE 5,687
Central America and the Caribbean 0 0 Investments   496,732,730
East Asia and the Pacific 0 0 Investments   89,517,200
Europe (Including Iceland and Greenland) 0 0 Investments   312,866,079
Middle East and North Africa 0 0 Investments   3,025,886
North America 0 0 Investments   18,850,775
           
           
           
           
3a Sub-total ..... 1 1 939,984,037
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 1 1 939,984,036
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
DESCRIPTION OF PROGRAM SERVICE IN MIDDLE EAST AND NORTH AFRICA PART I, LINE 3 (5), COLUMN E One of Advocate's sites of care has a large Middle Eastern population in its service area with distinct healthcare needs and risks based on cultural heritage and norms. Attending the Arab Health Conference and other meetings allows the participants to learn more about these risks and the treatments thereof, and allows the associates to develop contacts with the orders who could be consulted in developing programs/treatment for the affected populations. The expenditures reported in Part I, Line 3 are based on the cash paid for these activities.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2011
Additional Data


Software ID:  
Software Version:  



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,or if the organization entered more than $15,000 on Form 990-EZ, line 6a.right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2011
Schedule G (Form 990 or 990-EZ) 2011
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

PURS/JEWLR SALE
(event type) 		(b) Event #2

LOBBY SALES
(event type) 		(c) Other Events

21
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 75,722 15,980 63,137 154,839
2 Less: Charitable
contributions . . . 		       
3 Gross income (line 1
minus line 2) . . . 		75,722 15,980 63,137 154,839
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages . .        
8 Entertainment . . .        
9 Other direct expenses . 71,839 160 23,963 95,962
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 95,962
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow 58,877
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
Schedule G (Form 990 or 990-EZ) 2011
Schedule G (Form 990 or 990-EZ) 2011
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2011
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
2011
Open to Public Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the
following was the family income limit for eligibility for discounted care: ............
3b
Yes
 
c
If the organization did 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 used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance 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 discountedcare to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year?...........
6a
Yes
 
b
If "Yes," did 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
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance
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 Financial Assistance at cost
(from Worksheet 1) .. 		    69,736,939 0 69,736,939 2.400 %
b Medicaid (from Worksheet 3, column a) .....     452,040,392 299,667,304 152,373,088 5.250 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .     0 0 0 0 %
dTotal Financial Assistance and
Means-Tested Government Programs ..... 		    521,777,331 299,667,304 222,110,027 7.650 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    2,718,256 0 2,718,256 0.090 %
f Health professions education
(from Worksheet 5) .. 		    77,486,202 21,007,542 56,478,660 1.950 %
g Subsidized health services
(from Worksheet 6) .. 		    36,039,541 20,741,505 15,298,036 0.530 %
h Research (from Worksheet 7)     0 0 0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....     2,459,603 0 2,459,603 0.080 %
jTotal Other Benefits ...     118,703,602 41,749,047 76,954,555 2.650 %
kTotal. Add lines 7d and 7j. ..     640,480,933 341,416,351 299,064,582 10.300 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(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
Did 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........
2
156,272,399
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....
3
23,339,307
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
762,606,438
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
860,770,946
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-98,164,508
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
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures
(see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest)
How many hospital facilities did the organization operate during the tax year?8
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 CHRIST HOSP INCL HOPE CHILDREN'S HOSP
4440 WEST 95TH ST
OAK LAWN,IL60453 		X X X X     X    
2 LUTHERAN GEN HOSP INCL LUTH GEN CHI HOSP
1775 DEMPSTER ST
PARK RIDGE,IL60068 		X X X X     X    
3 GOOD SAMARITAN HOSPITAL
3815 HIGHLAND AVE
DOWNERS GROVE,IL60515 		X X         X    
4 GOOD SHEPHERD HOSPITAL
450 w highway 22
BARRINGTON,IL60010 		X X         X    
5 SOUTH SUBURBAN HOSPITAL & ICU
17800 S KEDZIE
HAZEL CREST,IL60429 		X X         X    
6 BROMENN MEDICAL CENTER
1304 FRANKLIN AVENUE
NORMAL,IL61761 		X X         X    
7 TRINITY HOSPITAL
2320 EAST 93RD ST
CHICAGO,IL60617 		X X         X    
8 EUREKA HOSPITAL
101 S MAJOR STREET
Eureka,IL61530 		X X     X   X    
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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)
CHRIST HOSP INCL HOPE CHILDREN'S HOSP
Name of Hospital Facility:  
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 2011)
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 the community health 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 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 Participation in the development of a community-wide community benefit plan
d Participation in the execution of a 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 Needs Assessment
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 and 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 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 600.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
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 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted 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 (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
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)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
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   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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)
LUTHERAN GEN HOSP INCL LUTH GEN CHI HOSP
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
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 the community health 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 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 Participation in the development of a community-wide community benefit plan
d Participation in the execution of a 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 Needs Assessment
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 and 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 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 600.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
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 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted 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 (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
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)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
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   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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)
GOOD SAMARITAN HOSPITAL
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):3

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
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 the community health 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 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 Participation in the development of a community-wide community benefit plan
d Participation in the execution of a 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 Needs Assessment
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 and 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 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 600.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
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 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted 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 (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
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)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
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   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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)
GOOD SHEPHERD HOSPITAL
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):4

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
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 the community health 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 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 Participation in the development of a community-wide community benefit plan
d Participation in the execution of a 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 Needs Assessment
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 and 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 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 600.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
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 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted 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 (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16    
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
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)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
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   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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)
SOUTH SUBURBAN HOSPITAL & ICU
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):5

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
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 the community health 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 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 Participation in the development of a community-wide community benefit plan
d Participation in the execution of a 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 Needs Assessment
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 and 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 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 600.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
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 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted 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 (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
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)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
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   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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)
BROMENN MEDICAL CENTER
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):6

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
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 the community health 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 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 Participation in the development of a community-wide community benefit plan
d Participation in the execution of a 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 Needs Assessment
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 and 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 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 600.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
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 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted 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 (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
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)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
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   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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)
TRINITY HOSPITAL
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):7

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
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 the community health 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 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 Participation in the development of a community-wide community benefit plan
d Participation in the execution of a 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 Needs Assessment
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 and 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 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 600.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
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 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted 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 (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
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)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
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   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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)
EUREKA HOSPITAL
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):8

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
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 the community health 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 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 Participation in the development of a community-wide community benefit plan
d Participation in the execution of a 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 Needs Assessment
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 and 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 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 600.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
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 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted 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 (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
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)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
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   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?103
Name and address Type of Facility (describe)
1 ABMCAEH HEALTH SERVICE BLDG
202 E LOCUST ST
BLOOMINGTON,IL61701 		PATIENT CARE - OUTPATIENT
2 ADVANCED MRI
2204 EASTLAND DRIVE SUITE 200
BLOOMINGTON,IL61701 		PATIENT CARE - OUTPATIENT
3 ABMCAEH POB BUILDING
1300 FRANKLIN AVE
NORMAL,IL61761 		PATIENT CARE - OUTPATIENT
4 ABMCAEH MEDICAL OFFICE BUILDING
1302 FRANKLIN
NORMAL,IL61761 		PATIENT CARE - OUTPATIENT
5 ABMCAEH HOME HEALTHHOSPICECOMM HEALTH
407 E VERNON
NORMAL,IL61761 		PATIENT CARE - OUTPATIENT
6 ABMCAEH COMM CANCER CTR (CYBERKNIFE)
407 E VERNON
NORMAL,IL61761 		PATIENT CARE - OUTPATIENT
7 ABMCAEH FRANKLIN AVENUE BUILDING
900 FRANKLIN AVE
NORMAL,IL61761 		PATIENT CARE - OUTPATIENT
8 ABMCAEH COMMUNITY HEALTHCARE CLINIC
902 FRANKLIN AVE
NORMAL,IL61761 		PATIENT CARE - OUTPATIENT
9 ABMCAEH IL HEART & LUNG ASSOC
1302 FRANKLIN AVE MOB 4500
NORMAL,IL61761 		PATIENT CARE - OUTPATIENT
10 ABMCAEH GRIDLEY MED OFFICE BLDG
RT 24
GRIDLEY,IL61744 		PATIENT CARE - OUTPATIENT
11 ABMCAEH PHYSICIAN OFFICE BUILDING
3004 GENERAL ELECTRIC ROAD SUITE 1
BLOOMINGTON,IL61704 		PATIENT CARE - OUTPATIENT
12 ACL LAB SERVICE CENTER - PARKSIDE CTR
1875 DEMPSTER ST SUITE 504
PARK RIDGE,IL60068 		PATIENT CARE - OUTPATIENT
13 ACL LAB SERVICE CENTER
3048 N WILTON LAB
CHICAGO,IL60657 		PATIENT CARE - OUTPATIENT
14 ACL LAB SERVICE CENTER
1775 BALLARD ROAD LL
PARK RIDGE,IL60068 		PATIENT CARE - OUTPATIENT
15 ACL LAB SERVICE CENTER
1870 WEST GALENA BLVD
AURORA,IL60506 		PATIENT CARE - OUTPATIENT
16 ADVOCATE IMAGING SPEC - WILMETTE
114 SKOKIE BLVD
WILMETTE,IL60091 		PATIENT CARE - OUTPATIENT
17 ADVOCATE MEDICAL GROUP
701 LEE STREET STE 100 110 300
DES PLAINES,IL60116 		PATIENT CARE - OUTPATIENT
18 AMG GRAND OAKS HEALTH CTR HOLLISTER GR
1800 HOLLISTER DRIVE SUITE G2
LIBERTYVILLE,IL60048 		PATIENT CARE - OUTPATIENT
19 AMG PEDS - DEERFIELD
720 OSTERMAN AVENUE 103
DEERFIELD,IL60015 		PATIENT CARE - OUTPATIENT
20 AMG FAMILY PRACTICE - ARLINGTON HEIGHTS
825 EAST GOLF ROAD
ARLINGTON HEIGHTS,IL60005 		PATIENT CARE - OUTPATIENT
21 AMG INTERNAL MEDICINE - BUFFALO GROVE
214 MCHENRY ROAD SUITES B19B20
BUFFALO GROVE,IL60089 		PATIENT CARE - OUTPATIENT
22 AMG GREAT LAKES REIT (GLR) INTERNAL MED
27790 WEST HIGHWAY 22 BLDG 1 STE
BARRINGTON,IL60010 		PATIENT CARE - OUTPATIENT
23 AMG OLYMPIA FIELDS
4001 VOLLMER ROAD
OLYMPIA FIELDS,IL60461 		PATIENT CARE - OUTPATIENT
24 AMG OLYMPIA FIELDS CORP & PHYS THERAPY
20110 GOVERNORS HIGHWAY
OLYMPIA FIELDS,IL60461 		PATIENT CARE - OUTPATIENT
25 AMG BOURBONNAIS
595 WILLIAM LATHAM SR DRIVE
BOURBONNAIS,IL60914 		PATIENT CARE - OUTPATIENT
26 AMG ORLAND PARK CLINIC & SURGICAL CTR
9550 W 167TH STREET
ORLAND PARK,IL60467 		PATIENT CARE - OUTPATIENT
27 AMG LIBERTYVILLE OFFICE BUILDING
716 S MILWAUKEE ROAD
LIBERTYVILLE,IL60048 		PATIENT CARE - OUTPATIENT
28 AMG MEDICAL OFFICE BUILDING
3000 NORTH HALSTED STREET VAR SUI
CHICAGO,IL60657 		PATIENT CARE - OUTPATIENT
29 AMG DOCTORS OFFICE
3040 NORTH WILTON
CHICAGO,IL60657 		PATIENT CARE - OUTPATIENT
30 AMG GARTNER DENTISTRY BUILDING
811 WEST WELLINGTON AVENUE
CHICAGO,IL60657 		PATIENT CARE - OUTPATIENT
31 AMG LAKEVIEW SCHOOL BASED HEALTH CENTER
4015 N ASHLAND AVENUE RM 103
CHICAGO,IL60657 		PATIENT CARE - OUTPATIENT
32 AMG AMUNDSEN SCHOOL BASED HEALTH CENTER
5110 NORTH DAMEN AVENUE RM 307
CHICAGO,IL60625 		PATIENT CARE - OUTPATIENT
33 AMG RAVENSWOOD OBGYN PRACTICE
1945 WEST WILSON AVENUE SUITE 2100
CHICAGO,IL60640 		PATIENT CARE - OUTPATIENT
34 AMG MILLENNIUM PARK
111 N WABASH AVENUE SUITE 1710
CHICAGO,IL60602 		PATIENT CARE - OUTPATIENT
35 AMG IVY PHYSICIANS GROUP
2437 N SOUTHPORT AVENUE 1ST FLOOR
CHICAGO,IL60614 		PATIENT CARE - OUTPATIENT
36 AMG FAMILY PRACTICE AT RAVENSWOOD
4600 N RAVENSWOOD AVENUE
CHICAGO,IL60640 		PATIENT CARE - OUTPATIENT
37 AMG RAVENSWOOD MEDICAL GROUP
1945 W WILSON AVENUE 4TH FLOOR
CHICAGO,IL60640 		PATIENT CARE - OUTPATIENT
38 AMG ILLINOIS MASONIC PHYSICIAN GROUP
4211 N CICERO SUITE 300
CHICAGO,IL60641 		PATIENT CARE - OUTPATIENT
39 AMG CHICAGO (MEDICINE & SURGERY)
11250 S WESTERN
CHICAGO,IL60643 		PATIENT CARE - OUTPATIENT
40 AMG OLYMPIA FIELDS CANCER CARE INSTITUTE
3700 W 203RD STREET
OLYMPIA FIELDS,IL60461 		PATIENT CARE - OUTPATIENT
41 ADVOCATE MEDICAL GROUP - GLENVIEW
1225 MILWAUKEE ROAD
GLENVIEW,IL60025 		PATIENT CARE - OUTPATIENT
42 ADVOCATE MEDICAL GROUP - PARKSIDE CENTER
1875 W DEMPSTER STREET SUITE 525
PARK RIDGE,IL60068 		PATIENT CARE - OUTPATIENT
43 ADVOCATE MEDICAL GROUP - RICHTON PARK
4511 SAUK TRAIL
RICHTON PARK,IL60471 		PATIENT CARE - OUTPATIENT
44 ADVOCATE MEDICAL GROUP - OAK LAWN
4712 W 103RD STREET
OAK LAWN,IL60453 		PATIENT CARE - OUTPATIENT
45 ADVOCATE MEDICAL GROUP - WAUCONDA
224 BROWN STREET
WAUCONDA,IL60522 		PATIENT CARE - OUTPATIENT
46 ADVOCATE MEDICAL GROUP - HYDE PARK
1301 E 47TH STREET UNIT 2
CHICAGO,IL60615 		PATIENT CARE - OUTPATIENT
47 ADVOCATE MEDICAL GROUP - SOUTHEAST
2301 E 93RD STREET SUITE 213
CHICAGO,IL60617 		PATIENT CARE - OUTPATIENT
48 AMG - MUNDELEIN INTERNAL MEDICINE
550 N LAKE STREET
MUNDELEIN,IL60060 		PATIENT CARE - OUTPATIENT
49 AMG - LOCKPORT PRIMARY CARE
1206 E 9TH STREET SUITE 210
LOCKPORT,IL60441 		PATIENT CARE - OUTPATIENT
50 ADVOCATE MEDICAL GROUP - HYDE PARK
1515 E 52ND PLACE UNIT 5
CHICAGO,IL60615 		PATIENT CARE - OUTPATIENT
51 ADVOCATE MEDICAL GROUP
3118 N ASHLAND AVENUE
CHICAGO,IL60657 		PATIENT CARE - OUTPATIENT
52 ASASC - TINLEY WOODS SURGERY CENTER
18210 SOUTH LAGRANGE ROAD
TINLEY PARK,IL60487 		PATIENT CARE - OUTPATIENT
53 BETHANY POB BUILDING
414 SOUTH HOMAN
CHICAGO,IL60624 		PATIENT CARE - OUTPATIENT
54 BETHANY POB BUILDING
3410 WEST VAN BUREN
CHICAGO,IL60624 		PATIENT CARE - OUTPATIENT
55 CHRIST PHYSICIAN'S OFFICES
11745 SOUTHWEST HIGHWAY
PALOS HEIGHTS,IL60463 		PATIENT CARE - OUTPATIENT
56 CHRIST PHYSICIAN'S OFFICES
4151 NAPERVILLE ROAD
LISLE,IL60532 		PATIENT CARE - OUTPATIENT
57 CHRIST HIGH TECH OFFICES
11800 SOUTHWEST HIGHWAY
PALOS HEIGHTS,IL60463 		PATIENT CARE - OUTPATIENT
58 CHRIST DEVELOPMENT CENTER
4546 WEST 95TH STREET
OAK LAWN,IL60453 		PATIENT CARE - OUTPATIENT
59 CHRIST PHYSICIAN'S OFFICES
9848 SOUTH ROBERTS ROAD
PALOS HEIGHTS,IL60465 		PATIENT CARE - OUTPATIENT
60 CHRIST FAMILY PRACTICE
4140 WEST SOUTHWEST HIGHWAY
HOMETOWN,IL60456 		PATIENT CARE - OUTPATIENT
61 CHRIST POB BUILDING
4400 WEST 95TH STREET VAR SUITES
OAK LAWN,IL60453 		PATIENT CARE - OUTPATIENT
62 CHRIST WOMEN'S HEALTH CENTER
18200 SOUTH LAGRANGE ROAD SUITE 20
TINLEY PARK,IL60477 		PATIENT CARE - OUTPATIENT
63 CHRIST OUTPATIENT CENTER LOCKPORT
1206 E 9TH ST STE 110170250270
LOCKPORT,IL60441 		PATIENT CARE - OUTPATIENT
64 CHRIST ADVOCATE PTOT
12340-50 S HARLEM AVENUE
PALOS HEIGHTS,IL60463 		PATIENT CARE - OUTPATIENT
65 CHRIST BREAST HEALTH CENTER
4545 W 103RD STREET
OAK LAWN,IL60453 		PATIENT CARE - OUTPATIENT
66 CHRIST HOSPITAL OUTPATIENT LOCATION
11824 SOUTHWEST HWY STE 13514015
PALOS HEIGHTS,IL60463 		PATIENT CARE - OUTPATIENT
67 GOOD SAMARITAN NORTH PAVILION
3743 HIGHLAND AVENUE
DOWNERS GROVE,IL60515 		PATIENT CARE - OUTPATIENT
68 GOOD SAMIRITAN WELLNESS CENTER
3551 HIGHLAND AVENUE
DOWNERS GROVE,IL60515 		PATIENT CARE - OUTPATIENT
69 MIDWEST CENTER FOR DAY SURGERY
3811 HIGHLAND AVENUE
DOWNERS GROVE,IL60515 		PATIENT CARE - OUTPATIENT
70 GOOD SAMARITAN POB TOWER 1
3825 HIGHLAND AVENUE VAR SUITES
DOWNERS GROVE,IL60515 		PATIENT CARE - OUTPATIENT
71 GOOD SAMARITAN POB TOWER 2
3825 HIGHLAND AVENUE VAR SUITES
DOWNERS GROVE,IL60515 		PATIENT CARE - OUTPATIENT
72 GOOD SAMARITAN WOODRIDGE IMAGING CENTER
7530 WOODWARD AVENUE
WOODRIDGE,IL60517 		PATIENT CARE - OUTPATIENT
73 GOOD SAM LEMONT WALK-IN CLINRADIOLOGY
15900 W 127TH STREET STS 100131
LEMONT,IL60439 		PATIENT CARE - OUTPATIENT
74 GOOD SAMARITAN HOSPITAL OUTPATIENT CTR
6840 MAIN STREET 1ST FLOOR SUITE
DOWNERS GROVE,IL60515 		PATIENT CARE - OUTPATIENT
75 GOOD SHEPHERD HEALTH & FITNESS CENTER
1301 SOUTH BARRINGTON ROAD
BARRINGTON,IL60005 		PATIENT CARE - OUTPATIENT
76 GOOD SHEPHERD NORTH SUBURBAN CLINIC
2575 ALGONQUIN ROAD
ALGONQUIN,IL60102 		PATIENT CARE - OUTPATIENT
77 GOOD SHEPHERD POB BUILDING 1
27790 WEST HIGHWAY 22 VAR SUITES
BARRINGTON,IL60010 		PATIENT CARE - OUTPATIENT
78 GOOD SHEPHERD POB BUILDING 2
27790 WEST HIGHWAY 22 VAR SUITES
BARRINGTON,IL60010 		PATIENT CARE - OUTPATIENT
79 GOOD SHEPHERD BRIARWOOD BUILDING
2772 COUNTY LINE RD STE 100-400
ALGONQUIN,IL60102 		PATIENT CARE - OUTPATIENT
80 GOOD SHEPHERD REHABILITATION CENTER
5150 NORTHWEST HIGHWAY
CRYSTAL LAKE,IL60014 		PATIENT CARE - OUTPATIENT
81 GOOD SHEPHERD OUTPATIENT CENTER
525 CONGRESS PARKWAY 1ST FLOOR 2
CRYSTAL LAKE,IL60014 		PATIENT CARE - OUTPATIENT
82 GOOD SHEPHERD BREAST IMAGING CENTER
350 SURRYSE ROAD SUITES 14015025
LAKE ZURICH,IL60047 		PATIENT CARE - OUTPATIENT
83 GOOD SHEPHERD IMAGING CENTER
2284 W COUNTY LINE ROAD
ALGONQUIN,IL60014 		PATIENT CARE - OUTPATIENT
84 LUTHERAN GENERAL PARKSIDE CENTER
1875 DEMPSTER STREET
PARK RIDGE,IL60068 		PATIENT CARE - OUTPATIENT
85 LUTHERAN GENERAL EAST PAVILLION
1775 WESTERN AVENUE
PARK RIDGE,IL60068 		PATIENT CARE - OUTPATIENT
86 LUTH GEN YACKTMAN CHILDREN'S PAVILLION
1675 DEMPSTER STREET
PARK RIDGE,IL60068 		PATIENT CARE - OUTPATIENT
87 LUTHERAN GENERAL NESSET HEALTH CENTER
1775 WEST BALLARD ROAD
PARK RIDGE,IL60068 		PATIENT CARE - OUTPATIENT
88 LUTH GEN CENTER FOR ADVANCED CARE
1700 LUTHERAN LANE
PARK RIDGE,IL60068 		PATIENT CARE - OUTPATIENT
89 LUTHERAN GENERALGOLF SURGICAL CENTER
8901 GOLF ROAD
DES PLAINES,IL60016 		PATIENT CARE - OUTPATIENT
90 LUTHERAN GENERAL CARDIAC RISK
8820 DEMPSTER STREET
PARK RIDGE,IL60068 		PATIENT CARE - OUTPATIENT
91 LUTHERAN GENERAL CLINIC (ADULT DOWNS)
1610 LUTHER LANE
PARK RIDGE,IL60068 		PATIENT CARE - OUTPATIENT
92 SOUTH SUBURBAN FRANKFORT MEDICAL OFFICE
20325 SOUTH GRACELAND LANE
FRANKFORT,IL60423 		PATIENT CARE - OUTPATIENT
93 SOUTH SUB TINLEY PARK MEDICAL OFFICE
16750 SOUTH 80TH AVENUE
TINLEY PARK,IL60477 		PATIENT CARE - OUTPATIENT
94 SOUTH SUBURBAN HOSP - CRETE LOCATION
1024-1036 E STEGER ROAD 4 SUITES
CRETE,IL60417 		PATIENT CARE - OUTPATIENT
95 SOUTH SUBURBAN POB BUILDING
17850 SOUTH KEDZIE STE LL 1 2
HAZEL CREST,IL60429 		PATIENT CARE - OUTPATIENT
96 SOUTH SUBURBAN HOSPITAL CANCER CENTER
17750 SOUTH KEDZIE
HAZEL CREST,IL60429 		PATIENT CARE - OUTPATIENT
97 TRINITY POB BUILDING
2301-2315 EAST 93RD ST VAR SUITES
CHICAGO,IL60617 		PATIENT CARE - OUTPATIENT
98 TRINITY SLEEP CENTER
1111 EAST 87TH STREET SUITE 500
CHICAGO,IL60617 		PATIENT CARE - OUTPATIENT
99 AMG - HEART & VASCULAR OF ILLINOIS
5151 W 95TH STREET 2ND FL
OAK LAWN,IL60453 		PATIENT CARE - OUT PATIENT
100 AMG - METRODOCS
431 LAKEVIEW COURT
MOUNT PROSPECT,IL60056 		PATIENT CARE - OUT PATIENT
101 AMG - POSEN
259 W WALTER ZIMNY DRIVE
POSEN,IL60469 		PATIENT CARE - OUT PATIENT
102 SOUTH SUBURBAN MED OFF & SLEEP CENTER
16532 OAK PARK AVENUE SUITE LL1
TINLEY PARK,IL60477 		PATIENT CARE - OUT PATIENT
103 TRINITY WOUND CARE CLINIC
8751 S GREENWOOD SUITE 600
CHICAGO,IL60619 		PATIENT CARE - OUT PATIENT
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions 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, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
PART VI, LINE 1 - DESCRIPTION FOR Part I, Line 3c   N/A PART VI, LINE 1 - DESCRIPTION FOR Part I, Line 6a A SYSTEM-WIDE COMMUNITY BENEFIT REPORT IS FILED BY: ADVOCATE HEALTH CARE NETWORK 2025 WINDSOR DRIVE, OAK BROOK, IL 60523 EIN 36-2167779. PART VI, LINE 1-DESCRIPTION FOR PART I, LINE 7 A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I. PART VI, LINE 1-DESCRIPTION FOR PART I, LINE 7G ADVOCATE OWNS AND OPERATES VARIOUS PHYSICIAN CLINICS WHICH PROVIDE SUBSIDIZED HEALTH SERVICES INCLUDING THE ADULT DOWN SYNDROME PROGRAM, SCHOOL BASED HEALTH CLINICS, A CYSTIC FIBROSIS CLINIC, AND ADDICTION TREATMENT SERVICES. THESE CLINICS SERVE A WIDE RANGE OF PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. AS THESE CLINICS ARE WHOLLY OWNED BY ADVOCATE THE COST OF THE SUBSIDIZED HEALTH CARE THEY PROVIDE IS INCLUDED IN PART 1, LINE 7G. THE NET COMMUNITY BENEFIT INCLUDED FOR PHYSICIAN CLINIC SUBSIDIZED HEALTH SERVICES IS $812,259. PART VI, LINE 1 DESCRIPTION FOR PART I, LINE 7H ADVOCATE HEALTH AND HOSPITALS CORPORATION CONDUCTS NUMEROUS RESEARCH ACTIVITIES FOR THE ADVANCEMENT OF MEDICAL AND HEALTH CARE SERVICES. HOWEVER, THE UNREIMBURSED COST OF SUCH RESEARCH ACTIVITIES IS NOT READILY DETERMINABLE AND NO AMOUNT IS BEING REPORTED FOR PURPOSES OF THE 2011 FORM 990, SCHEDULE H. PART VI, LINE 1 DESCRIPTION FOR PART I, LINE 7, COLUMN (F) $156,272,399 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 MAKES EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BY STRICTLY ADHERING TO ITS FINANCIAL ASSISTANCE POLICY. WE BELIEVE THAT ADVOCATE HAS A POPULATION OF PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT WHO DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THIS COST WAS THEN REDUCED BY CHARGES IDENTIFIED AS TRUE BAD DEBT EXPENSE, INCLUDING COPAYS FOR PATIENTS WHO QUALIFIED FOR LESS THAN 100% FINANCIAL ASSISTANCE, AND CHARGES FOR PATIENTS WHO APPLIED FOR FINANCIAL ASSISTANCE AND WERE DENIED. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE REMAINING CHARGES, TO DETERMINE THE VALUE (AT COST) OF PATIENT ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT. WE BELIEVE THIS PROCESS IS A REASONABLE BASIS FOR OUR ESTIMATE. AS WE ARE ONLY CONSIDERING SELF-PAY ACCOUNTS WRITTEN OFF TO BAD DEBT FOR THIS ESTIMATE, THIS ESTIMATE DOES NOT INCLUDE THE IMMEDIATE 20% DISCOUNT TO CHARGES WHICH IS APPLIED TO ALL SELF-PAY PATIENTS. IT ALSO DOES NOT INCLUDE ACCOUNT BALANCES OR CO-PAYS OF NON-SELF PAY ACCOUNTS WHICH ARE WRITTEN OFF TO BAD DEBT WHEN THE PATIENT HAS NO OTHER FINANCIAL RESOURCES TO PAY THESE AMOUNTS AND THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE. BAD DEBT AMOUNTS HAVE BEEN EXCLUDED FROM OTHER COMMUNITY BENEFIT AMOUNTS REPORTED THROUGHOUT SCHEDULE H. PART VI, LINE 1 - DESCRIPTION Part III, Line 8 THE SHORTFALL OF $98,164,508 ON PART III, LINE 7 IS THE UNREIMBURSED COST OF PROVIDING SERVICES FOR MEDICARE PATIENTS AND SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE PROVIDING THESE SERVICES WITHOUT REIMBURSEMENT LESSENS THE BURDENS OF GOVERNMENT OR OTHER CHARITIES THAT WOULD OTHERWISE BE NEEDED TO SERVE THE COMMUNITY. FOR ADVOCATE HEALTH AND HOSPITAL CORPORATION'S HOSPITAL OPERATIONS, THE UNREIMBURSED COST OF MEDICARE WAS CALCULATED BY APPLYING THE ORGANIZATIONS COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) AND FOR NON-HOSPITAL OPERATIONS THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES TO THE ORGANIZATIONS MEDICARE, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF MEDICARE PATIENT BILLS. PART VI, LINE 1 - DESCRIPTION Part III, Line 9b ADVOCATE HEALTH AND HOSPITALS CORPORATION MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE, THEREFORE SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES.
Part VI, Line 1 - Description for Part V, Sec B, Line 11h   OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, INFANTS AND CHILDREN (WIC), WHY WAIT AND WISE WOMEN PROGRAMS); COUNTY HEALTH CLINIC PATIENTS, LEGAL ASSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUBSIDIZED HOUSING; INCARCERATED INDIVIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., SUBSTANCE ABUSE, PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS. Part VI, Line 1 - Description for Part V, Sec B, Line 13g ADVOCATE HEALTH AND HOSPITALS CORPORATION COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE: 1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST. 2. SIGNAGE IS CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS. 3. BROCHURES ARE PLACED IN HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS, AND INCLUDE GUIDANCE ON HOW A PATIENT MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND A FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE. 5. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION. 6. HOSPITAL BILLS TO ALL UNINSURED PATIENTS INCLUDE A REQUEST THAT THE PATIENT INFORM THE HOSPITAL OF ANY AVAILABLE HEALTH INSURANCE COVERAGE; AND INCLUDE A SUMMARY OF ADVOCATES FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE. Part VI, Line 1 - Description for Part V, Sec B, Line 16e ADVOCATE HEALTH AND HOSPITALS CORPORATION DOES NOT PERFORM ACTIONS SUCH AS THOSE LISTED IN LINES 16A-D UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE A PATIENT'S FAP ELIGIBILITY. Part VI, Line 1 - Description for Part V, Sec B, Line 17e ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTS TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL" AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE CHARITY APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM. Part VI, Line 1 - Description for Part V, Sec B, Line 19d THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO A FAP-ELIGIBLE PATIENT FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS BASED ON A SLIDING SCALE PERCENTAGE OF ANNUAL FAMILY INCOME WHICH IS TIED TO THE FPG FAMILY INCOME LIMIT APPLICABLE TO THE PATIENT. FOR A FAMILY WITH INCOME BETWEEN TWO AND THREE TIMES THE FEDERAL POVERTY LEVEL, THE MAXIMUM EXPECTED PAYMENT IS 5% OF ANNUAL FAMILY INCOME. FOR A FAMILY WITH INCOME BETWEEN THREE AND FOUR TIMES THE FEDERAL POVERTY LEVEL, THE MAXIMUM EXPECTED PAYMENT IS 10% OF ANNUAL FAMILY INCOME. FOR AN UNINSURED FAMILY WITH INCOME BETWEEN FOUR AND SIX TIMES THE FEDERAL POVERTY LEVEL, THE MAXIMUM EXPECTED PAYMENT IS 25% OF ANNUAL FAMILY INCOME. PART VI, LINE 2 - Needs Assessment IN JANUARY 2011, ADVOCATE HEALTH AND HOSPITALS CORPORATION IMPLEMENTED A NEW COMMUNITY HEALTH ACCOUNTABILITY STRUCTURE AT ALL TEN OF ITS HOSPITALS. THE OVERALL GOAL WAS TO MORE STRATEGICALLY FOCUS THE HOSPITALS COMMUNITY HEALTH PROGRAMMING TO ENSURE KEY COMMUNITY NEEDS ARE BEING ADDRESSED AND THAT THE PROGRAMS, WHETHER DEVELOPED OR SUSTAINED, MEASURABLY IMPROVE COMMUNITY HEALTH. COMMUNITY HEALTH COMMITTEES WERE PUT IN PLACE AT EACH HOSPITAL TO CONDUCT COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS USING A STANDARDIZED APPROACH. REPRESENTATIVES FROM THE EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY DEPARTMENTS, LED BY THE HOSPITALS COMMUNITY HEALTH LEADER, MET REGULARLY DURING THE FIRST HALF OF THE YEAR. COMMUNITY REPRESENTATIVES SERVING ON EACH HOSPITALS GOVERNING COUNCIL WERE ALSO RECRUITED AS ACTIVE PARTICIPANTS ON THE COMMITTEE. ADDITIONAL COMMUNITY, CLINICAL AND OTHER HOSPITAL REPRESENTATIVES WILL BE ADDED TO THE COMMITTEE TO ENHANCE PROGRAM PLANNING AND IMPLEMENTATION. THE HOSPITALS COMMUNITY HEALTH COMMITTEE MEMBERS ATTENDED THREE CHNA WORKSHOPS IN 2011 SPONSORED BY THE SYSTEM. THE WORKSHOPS WERE DESIGNED TO LAUNCH THE CHNA PROCESS BY EDUCATING MEMBERS ON HOW TO CONDUCT AN ASSESSMENT, INCLUDING CUTTING EDGE THINKING ON ADDRESSING COMMUNITY NEED. USING BOTH PRIMARY AND SECONDARY COMMUNITY HEALTH DATA, THE HOSPITAL COMMITTEES IDENTIFIED THEIR SERVICE AREAS KEY HEALTH NEEDS AND THEN EMPLOYED A STANDARDIZED PRIORITY SETTING PROCESS TO DETERMINE KEY HEALTH NEEDS ON WHICH TO FOCUS. DURING THE PROCESS, SITES EXAMINED THEIR COMMUNITYS CHALLENGES AND ASSETS, AND HAD DISCUSSIONS WITH EXTERNAL KEY INFORMANTS TO DETERMINE THE POTENTIAL FOR PARTNERING WITH OTHER ORGANIZATIONS AND SHARING RESOURCES TO ADDRESS COMMUNITY NEED. CHNA RESULTS WERE SHARED AND THE SELECTED PRIORITIES WERE ENDORSED BY EACH HOSPITALS PRESIDENT AND ITS FULL GOVERNING COUNCIL. PROGRAM PLANNING BEGAN IN 2011 AND WILL CONTINUE INTO 2012 AS THE HOSPITALS WORK TO PARTNER WITH OTHER ORGANIZATIONS TO ADDRESS THEIR COMMUNITY-SPECIFIC HEALTH CARE NEEDS. HOSPITAL PLANS WILL BE SHARED AND ENDORSED EACH YEAR BY THEIR GOVERNING COUNCILS AND PLAN SUMMARIES WILL BE SHARED PERIODICALLY WITH ADVOCATES MISSION AND SPIRITUAL CARE COMMITTEE OF THE BOARD, WHICH HAS SYSTEM LEVEL OVERSIGHT OF COMMUNITY HEALTH PLANNING. PART VI, LINE 3 - Patient education of eligibility for assistance ADVOCATE HEALTH AND HOSPITALS CORPORATION ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD PARTY RESOURCES. FINANCIAL COUNSELING IS PROVIDED TO HELP PATIENTS IDENTIFY AND OBTAIN PAYMENT FROM THIRD PARTIES, INCLUDING ILLINOIS MEDICAID, ILLINOIS CRIME VICTIMS FUND, ETC., AS WELL AS TO DETERMINE ELIGIBILITY UNDER ADVOCATE HEALTH AND HOSPITAL CORPORATIONS HOSPITAL FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE OR ADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 8 A.M. TO 6 P.M., MONDAY THROUGH FRIDAY. ADVOCATE HEALTH AND HOSPITALS CORPORATION ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ADVOCATE HEALTH AND HOSPITALS CORPORATION COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE: 1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST. 2. SIGNS ARE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUD
PART VI, LINE 4 - COMMUNITY INFORMATION   ADVOCATE HEALTH CARE NETWORKS PRIMARY SERVICE AREA COVERS THE SIX-COUNTY, CHICAGO METROPOLITAN AREA. THESE COUNTIES INCLUDE COOK, DUPAGE, KANE, LAKE, MCHENRY, AND WILL. ADVOCATE HEALTH AND HOSPITALS CORPORATION PRIMARILY SERVES THE COMMUNITY OF COOK COUNTY. THE POPULATION IN ADVOCATES SERVICE AREA IS DESCRIBED BY THE FOLLOWING DEMOGRAPHIC CHARACTERISTICS: TOTAL POPULATION, POPULATION BY GROUP, RACE/ETHNIC DISTRIBUTION AND KEY SOCIO-ECONOMIC INDICATORS. THE CHICAGO METROPOLITAN AREA IS EXPECTED TO CONTINUE TO GROW FROM 2011 TO 2016, WITH THE POPULATION REACHING NEARLY 8.59 MILLION PEOPLE BY 2016. WHILE THE OVERALL AREA IS EXPECTED TO GROW 1.9%, SEVERAL OF THE COLLAR COUNTIES WILL EXPERIENCE HIGHER GROWTH INCLUDING KANE COUNTY (9.1%) AND WILL COUNTY (10.8%). THE 65+ AGE GROUP IS EXPECTED TO HAVE THE LARGEST INCREASE IN POPULATION (14.7%) FROM 2011 TO 2016, FOLLOWED BY THE 45-64 AGE GROUP (4.3%). THE 18-44 AGE GROUP IS EXPECTED TO DECLINE (2.9%), WHILE THE POPULATION AGED 0-17 IS EXPECTED TO INCREASE SLIGHTLY (0.9%). WHILE THESE ARE THE TRENDS ACROSS THE OVERALL METRO AREA, THE TRENDS VARY IN GREAT DEGREE BY COUNTY. A WIDE RANGE OF DIVERSITY EXISTS AMONG THE COMMUNITIES SERVED BY EACH OF OUR HOSPITALS. ASIANS AND HISPANICS ARE PROJECTED TO CONTINUE TO BE THE TWO FASTEST GROWING RACE/ETHNIC GROUPS FROM 2011 TO 2016 (11.6% AND 10.5% GROWTH EXPECTED, RESPECTIVELY). THE SOCIO-ECONOMIC STATUS OF THE CHICAGO AREA ALSO VARIES BY COUNTY. IN COOK COUNTY, NEARLY 23 PERCENT OF THE HOUSEHOLDS HAVE A HOUSEHOLD INCOME UNDER THE FEDERAL POVERTY LEVEL WITH ANNUAL INCOMES BELOW THE $25,000 THRESHOLD. IN THE COLLAR COUNTIES, TEN TO THIRTEEN PERCENT OF THE HOUSEHOLDS ARE SUBSISTING ON LESS THAN $25,000 A YEAR. OVERALL, THE NUMBER OF PEOPLE ON MEDICAID HAS DECREASED FROM 2010 TO 2011 WHILE THE NUMBER OF UNINSURED INDIVIDUALS HAS INCREASED FROM 2010 TO 2011 BY 0.6%. IN HOUSEHOLDS THAT ARE STRUGGLING ECONOMICALLY, ACCESS TO HEALTH CARE CAN BE LIMITED EITHER BECAUSE OF A LACK OF SERVICES AVAILABLE WITHIN THE MARKET OR BECAUSE AN INDIVIDUALS FINANCIAL CHALLENGES DETER THAT PERSON FROM SEEKING CARE. LACK OF PREVENTIVE CARE OR CARE FOR CHRONIC ILLNESSES BRINGS MORE ACUTELY ILL PATIENTS TO THE HOSPITAL. ADVOCATE PROVIDES QUALITY MEDICAL HEALTH CARE TO VARIOUS COMMUNITIES IN THE CHICAGOLAND AREA REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2011, ADVOCATE EXPERIENCED 167,767 INPATIENT ADMISSIONS, 4,424,799 OUTPATIENT VISITS, AND 19,526 BABIES DELIVERED. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH IN ADDITION TO SERVING INDIVIDUALS IN THE ACUTE CARE SETTING IN 2011, AHHC PROVIDED COMMUNITY OUTREACH TO THOUSANDS OF PEOPLE THROUGH HEALTH FAIRS, WELLNESS PROGRAMS AND OTHER OUTREACH SERVICES DESIGNED AND DELIVERED TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES. PROMOTE INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDERINSURED. - ADVOCATE IS ONE OF THE LARGEST PROVIDERS OF HEALTH CARE SERVICES TO MEDICAID AND MEDICARE PATIENTS IN CHICAGO AND THE SURROUNDING SUBURBS. - IN PARTNERSHIP WITH THE DUPAGE COUNTY HEALTH DEPARTMENT, ADVOCATE GOOD SAMARITAN HOSPITAL PROVIDES UNDERPRIVILEGED WOMEN ACCESS TO BREAST AND PELVIC EXAMS, PAP SMEARS, ROUTINE AND DIAGNOSTIC MAMMOGRAMS AND BIOPSIES/SURGERY WHEN INDICATED. IN 2011, 901 SERVICES WERE ADMINISTERED THROUGH THE HOSPITAL'S SUPPORT. - ADVOCATE HAS A PARTNERSHIP WITH A FEDERALLY QUALIFIED HEALTH CENTER THROUGH ADVOCATE SOUTH SUBURBAN HOSPITAL TO IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED AND UNDERINSURED INDIVIDUALS IN THOSE AREAS. IN ADDITION, ADVOCATE GOOD SHEPHERD HOSPITAL HAS PARTNERED WITH THE FAMILY HEALTH PARTNERSHIP CLINIC IN WOODSTOCK - A FREE CLINIC. WORKING WITH OTHER AREA HOSPITALS, ADVOCATE GOOD SAMARITAN HOSPITAL PROVIDES SUPPORT THROUGH THE DUPAGE HEALTH COALITION TO SUSTAIN THE ACCESS DUPAGE COMMUNITY PROGRAM - A COMMUNITY COLLABORATION DESIGNED TO PROVIDE LOW-COST PRIMARY MEDICAL CARE SERVICES TO THE LOW-INCOME, MEDICALLY UNINSURED RESIDENTS OF DUPAGE COUNTY. ADVOCATE CHRIST MEDICAL CENTER HAS A PARTNERSHIP WITH THE ACCESS TO CARE ORGANIZATION AND PROVIDES DIAGNOSTIC RADIOLOGY SERVICES, SUCH AS MAMMOGRAMS. ADVOCATE GOOD SHEPHERD HOSPITAL HAS PARTNERED WITH THE LAKE COUNTY HEALTH DEPARTMENT TO PROVIDE FREE DIAGNOSTIC SERVICES, SUCH AS COLONOSCOPIES, RADIOLOGY EXAMS, MRIS, CT SCANS AND BIOPSIES TO THE UNINSURED AND UNDERSERVED RESIDENTS OF LAKE COUNTY. ADVOCATE BROMENN MEDICAL CENTER MAINTAINS A COMMUNITY HEALTH CLINIC IN A JOINT VENTURE WITH OSF ST. JOSEPH'S HOSPITAL, WHEREBY ADVOCATE BROMENN MEDICAL CENTER IS RESPONSIBLE FOR ALL HOSPITAL CARE FOR THE CLINIC'S PATIENTS FOR SIX MONTHS OF EACH YEAR. BROMENN IS ALSO THE SOLE PROVIDER OF THE CLINIC'S IT SUPPORT AND THE SPACE OCCUPIED BY THE CLINIC. POSITIVELY IMPACT THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS LIVING IN THE COMMUNITIES SERVED BY AHHC IN A MANNER CONSISTENT WITH ITS MISSION. - IN 2006, ADVOCATE ESTABLISHED THE ADVOCATE BETHANY COMMUNITY HEALTH FUND TO SUPPORT LOCAL NOT-FOR-PROFIT ORGANIZATIONS AS THEY BUILD, PROMOTE AND SUSTAIN HEALTHY COMMUNITIES ON THE WEST SIDE OF CHICAGO. IN 2011, THE FUND AWARDED MORE THAN $800,000 IN GRANTS AND SERVICES TO 35 ORGANIZATIONS ACROSS ITS FUND COMMUNITIES. SINCE 2006, THE BETHANY COMMUNITY HEALTH FUND HAS AWARDED OVER $4.8 MILLION TO ORGANIZATIONS THAT PROMOTE HEALTH AND WELLNESS AND ADDRESS HEALTH DISPARITIES FOR COMMUNITY RESIDENTS. - IN MARCH 2003, WHEN MAINE TOWNSHIP DISTRICT 207 WAS FACED WITH MORE THAN 30 PERCENT OF ITS MAINE EAST HIGH SCHOOL STUDENTS NOT MEETING STATE-MANDATED PHYSICAL AND IMMUNIZATION REQUIREMENTS DUE TO THEIR FAMILIES NOT HAVING ANY OR HAVING INADEQUATE MEDICAL INSURANCE, THE DISTRICT ESTABLISHED A SCHOOL-BASED HEALTH CENTER TO PROVIDE MEDICAL SERVICES TO THESE STUDENTS. THE SCHOOL DISTRICT THEN COLLABORATED WITH ADVOCATE MEDICAL GROUP AND ADVOCATE LUTHERAN GENERAL HOSPITAL TO PROVIDE THESE UNINSURED/UNDERINSURED STUDENTS WITH ACCESS TO VITAL HEALTH CARE SERVICES. THE CENTER PROVIDES FREE OR LOW COST SERVICES, INCLUDING PHYSICALS, IMMUNIZATIONS, EMERGENT CARE, BEHAVIORAL HEALTH TREATMENT, NUTRITIONAL COUNSELING AND EDUCATIONAL PROGRAMS. NOW OPEN TO ALL MAINE TOWNSHIP HIGH SCHOOL STUDENTS, THE CENTER'S MEDICAL DIRECTOR AND STAFF HAVE HAD MORE THAN 16,500 STUDENT CONTACTS SINCE THE FACILITY'S INCEPTION OVER NINE YEARS AGO. - IN 2011, ADVOCATE GOOD SAMARITAN HOSPITAL REACHED OUT TO SECOND THROUGH NINTH GRADE CHILDREN AND THEIR FAMILIES WHO WERE REFERRED BY THEIR PHYSICIANS TO ADDRESS HEALTH ISSUES OR CONCERNS. DURING THE 6-WEEK PROGRAM, 70% OF THE PARTICIPANTS EXHIBITED IMPROVEMENT IN SELF-ESTEEM, 82% OF THE PARTICIPANTS REPORTED IMPROVEMENT IN THEIR NUTRITIONAL CHOICES, AND 100% OF THE PARTICIPANTS DEMONSTRATED IMPROVEMENT IN THEIR PHYSICAL FITNESS. THROUGH AN ARRANGEMENT WITH ADVOCATE GOOD SAMARITAN HEALTH AND WELLNESS CENTER, ALL PARENTS WERE INVITED TO ATTEND MULTIPLE FREE EDUCATIONAL LECTURES ON LIVING A HEALTHIER LIFESTYLE. THE FUN WITH FITNESS PROGRAM ALSO REACHED OUT TO GLENBARD DISTRICT 87 HIGH SCHOOL STUDENTS. 100% OF THE PARTICIPANTS WERE ABLE TO INCREASE THEIR FITNESS KNOWLEDGE AND ADD EXERCISES TO THEIR DAILY MOVEMENT ROUTINES. - THE ADVOCATE CHILDHOOD TRAUMA TREATMENT PROGRAM (CTTP) OFFERS HOPE AND HEALING TO CHILDREN WHO HAVE EXPERIENCED MALTREATMENT, PSYCHOLOGICAL TRAUMA AND SEXUAL ABUSE. CLINICIANS WORK WITH A CHILD'S ENTIRE SUPPORT NETWORK INCLUDING PARENTS, THE SCHOOL AND MORE, TO HELP FOSTER A SAFE ENVIRONMENT FOR THE CHILD. CTTP IS ONE OF JUST A HANDFUL OF PROGRAMS IN THE STATE THAT SPECIALIZES IN MENTAL HEALTH FOR CHILDREN. IN 2011, CTTP SERVED 150 CHILDREN AND ADOLESCENTS, AS WELL AS 347 ADULTS, CAREGIVERS, PARENTS AND OTHERS. IN ADDITION, THE PROGRAM HAS PARTNERED WITH "DARKNESS TO LIGHT," A NATIONALLY RECOGNIZED SEXUAL ABUSE PREVENTION PROGRAM. AS A RESULT OF THIS PARTNERSHIP, THE CTTP HAS LAUNCHED A MAJOR ADULT EDUCATION PROGRAM CALLED "STEWARDS OF CHILDREN/7 STEPS TO PROTECT A CHILD." MORE THAN 600 ADULTS HAVE PARTICIPATED IN THE PROGRAM OFFERED AT SCHOOLS, CHURCHES, LAW ENFORCEMENT AGENCIES, CHILD WELFARE AGENCIES AND CIVIC ORGANIZATIONS. - THE LEVEL III (STATE'S HIGHEST LEVEL) NEONATAL INTENSIVE CARE UNIT (NICU) AT ADVOCATE LUTHERAN GENERAL CHILDREN'S HOSPITAL CARED FOR 650 NICU INFANTS IN 2011, 141 OF WHICH WERE TRANSFERRED FROM OTHER HOSPITALS. THE HOSPITAL'S COMPREHENSIVE NEONATAL DEVELOPMENT FOLLOW-UP PROGRAM BRINGS TOGETHER A TEAM OF SPECIALISTS TO MONITOR INFANTS' PROGRESS AFTER THEY LEAVE THE NICU. ADVOCATE CHRIST MEDICAL CENTER AND ADVOCATE GOOD SAMARITAN HOSPITAL ALSO HAVE LEVEL III NICU'S. - ADVOCATE GOOD SHEPHERD HOSPITAL EXPANDED ITS PARTNERSHIP TO INCLUDE 11 ELEMENTARY SCHOOLS TO HELP ESTABLISH FITNESS PROGRAMS FOR YOUTH TO COMBAT THE ESCALATING OBESITY DILEMMA. THE PROGRAM INCLUDES 6,181 KIDS TO DATE. THE HOSPITAL COLLABORATES TO IMPLEMENT THE CATCH (COORDINATED APPROACH TO CHILDHOOD HEALTH) CURRICULUM AND THE FITNESS GRAM TESTING INTO PHYSICAL EDUCATION CLASSES. PARTNERING S
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH, contd   - ADVOCATE HEALTH CARE'S OFFICE FOR MISSION AND SPIRITUAL CARE PROVIDES CLINICAL CHAPLAINS AND ETHICISTS WHO OFFER SUPPORT AND SERVICES TO THE INDIVIDUALS AND FAMILIES THAT ADVOCATE SERVES. THE OFFICE ALSO DEVELOPS PARTNERSHIPS WITH COMMUNITIES AND CONGREGATIONS TO HELP ADDRESS LOCAL HEALTH CARE NEEDS. AN EXAMPLE OF THIS IS ADVOCATE'S SUPPORT/CO-SPONSORSHIP OF 18 ADVOCATE PARISH NURSES SERVING 22 CONGREGATIONS AND 14 NETWORK NURSES SERVING 13 CONGREGATIONS, WHO PROVIDE HEALTH EDUCATION, WELLNESS PROMOTION, HEALTH SCREENINGS, ADVOCACY AND SPIRITUAL SUPPORT TO FAITH COMMUNITIES IN ADVOCATE'S CITY AND SUBURBAN HOSPITAL SERVICE AREAS. ADDITIONALLY, ADVOCATE BROMENN MEDICAL CENTER COLLABORATES WITH 80 COMMUNITY-BASED PARISH NURSES SUPPORTING THEIR EFFORTS TO PROVIDE HEALTH EDUCATION, CONSULTATIONS AND SCREENINGS TO CHURCH MEMBERS. - ADVOCATE TRINITY HOSPITAL'S DEDICATION TO EXPANDING ITS PARTNERSHIPS HAS RESULTED IN A NETWORK OF MORE THAN 80 COMMUNITY ORGANIZATIONS, KEY LEADERS, ELECTED OFFICIALS AND THE FAITH COMMUNITY TO IMPLEMENT AND ENHANCE COMMUNITY OUTREACH PROGRAMS. THE HOSPITAL IS WORKING WITH OVER 45 CHURCHES TO IMPLEMENT THE FAITH AND HEALTH OUTREACH PROGRAM WHICH INCLUDES HEALTH SCREENINGS, HEALTH FAIRS AND PROGRAMS SUCH AS THE HEALTHY LIFESTYLE BEHAVIOR MODIFICATION PROGRAMS "ACTIVE FOR YOUR HEALTH" AND "FIRST PLACE 4 HEALTH" THAT TEACH HEALTHY LIVING PRINCIPLES. TRINITY ALSO WORKS WITH GRASSROOTS COMMUNITY ORGANIZATIONS AND NEIGHBORHOOD GROUPS TO ADDRESS THE HEALTH NEEDS AND COMMUNITY CONCERNS THAT IMPACT THE COMMUNITY IT SERVES. - ADVOCATE HOPE CHILDREN'S HOSPITAL TAKES EXCELLENT MEDICAL CARE ON THE ROAD WITH THE RONALD MCDONALD CARE MOBILE. IN PARTNERSHIP WITH RONALD MCDONALD HOUSE CHARITIES OF CHICAGOLAND AND NORTHWEST INDIANA, THE PHYSICIANS'-OFFICE-ON-WHEELS DELIVERS FREE, HIGH LEVEL PRIMARY CARE SERVICES TO LOW-INCOME AND UNINSURED FAMILIES IN THE HOSPITAL'S SERVICE AREA. BY GOING INTO THE COMMUNITY, THE CARE MOBILE ELIMINATES FINANCIAL AND TRANSPORTATION CHALLENGES THAT OFTEN PROHIBIT PARENTS FROM ACCESSING CARE. IN 2001, 151 GRAMMAR, HIGH SCHOOLS AND DAY CARES WERE VISITED, PROVIDING VACCINES, SCHOOL PHYSICALS AND REFERRALS - ALL FREE OF CHARGE. - ADVOCATE CHRIST MEDICAL CENTER'S PARTNERSHIP WITH CEASEFIRE ILLINOIS IS SAVING LIVES. CEASEFIRE HOSPITAL RESPONDERS HELP PREVENT POTENTIAL VIOLENT RETALIATIONS BY INTERVENING WITH VIOLENTLY INJURED PATIENTS AND THEIR LOVED ONES, AND FOCUSING ON CHANGING THE BEHAVIORS AND THINKING OF HIGH-RISK YOUTH. IN 2011, CEASEFIRE RESPONDED TO 580 VIOLENTLY INJURED PATIENTS AND MET WITH THEIR LOVED ONES IN ADVOCATE CHRIST MEDICAL CENTER'S EMERGENCY DEPARTMENT. - ADVOCATE GOOD SHEPHERD HOSPITAL OFFERS TWO CONGREGATIONAL HEALTH FAIRS EACH YEAR THAT ARE TARGETED TOWARD THE UNDERSERVED. THESE FAIRS PROVIDE MUCH NEEDED HEALTH SCREENINGS, DIABETIC EDUCATION AND HEALTHY LIFESTYLE INFORMATION. ALL MATERIALS AND EDUCATION ARE PROVIDED IN SPANISH AND ENGLISH TO ADDRESS DIVERSE NEEDS. THE MISSION AND SPIRITUAL CARE DEPARTMENT ALSO OFFERS A VISITATION TRAINING PROGRAM TO CONGREGATIONS IN BOTH ENGLISH AND SPANISH WHICH ALLOWS FOR LAY LEADERS TO BE TRAINED TO MEET SOME OF THE SOCIAL-EMOTIONAL NEEDS OF THEIR MEMBERS. - WHEN ADVOCATE SOUTH SUBURBAN HOSPITAL'S SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM OPENED SEVEN YEARS AGO, IT WAS THE FIRST OF ITS KIND IN COOK COUNTY. THE SEXUAL ASSAULT TREATMENT CENTER HAS SPECIALLY CERTIFIED SEXUAL ASSAULT NURSE EXAMINERS AVAILABLE 24 HOURS, 7 DAYS A WEEK. THESE HIGHLY TRAINED PRACTITIONERS NOT ONLY PROVIDE COMPASSIONATE CARE TO VICTIMS, BUT ALSO ARE ABLE TO COLLECT FORENSIC EVIDENCE, COUNSEL THE VICTIM, AND TESTIFY IN COURT, HELPING THE VICTIM THROUGH THE ENTIRE PROCESS. IN ADDITION, THE SANE PROGRAM COORDINATOR WORKS CLOSELY WITH LOCAL RAPE ADVOCATES, LAW ENFORCEMENT AND PROSECUTORS TO ASSURE VICTIMS OF SEXUAL ASSAULT IN THE SOUTH SUBURBS RECEIVE THE BEST CARE POSSIBLE. ADVOCATE SOUTH SUBURBAN HOSPITAL'S SANE PROGRAM IS BEING USED AS A MODEL FOR THE REST OF COOK COUNTY, AS OTHER HOSPITALS WORK TO CREATE SEXUAL ASSAULT TREATMENT CENTERS OF THEIR OWN. THE ILLINOIS COALITION AGAINST SEXUAL ASSAULT (ICASA) HAS CALLED THE HOSPITAL'S CENTER AN "EXEMPLARY EXAMPLE" OF HOW A HOSPITAL AND COMMUNITY CAN WORK TOGETHER TO RESPOND TO SEXUAL ASSAULTS. SANE PROGRAMS ARE ALSO AVAILABLE AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER LOCATED ON CHICAGO'S NORTH SIDE AND ADVOCATE CONDELL MEDICAL CENTER LOCATED IN LAKE COUNTY. - ADVOCATE MEDICAL GROUP SPONSORED MEDFEST, A COLLABORATIVE WITH SPECIAL OLYMPICS OF ILLINOIS, FOR THE 14TH YEAR IN A ROW IN 2011. MEDFEST PROVIDES PEOPLE WITH INTELLECTUAL DISABILITIES OPPORTUNITIES TO PARTICIPATE IN SPORTS TRAINING AND COMPETITIONS, CREATING AVENUES FOR INCLUSION AND ACCEPTANCE FOR THIS UNDERSERVED POPULATION. THE FREE CLINICAL SERVICES RESULT IN ENHANCED PHYSICAL FITNESS AND COMFORT WITH THE MEDICAL COMMUNITY. WITH THE EXPANSION OF ADVOCATE MEDICAL GROUP, THE PROVIDERS AND ASSOCIATES OF AMG WERE ABLE TO EXPAND THEIR REACH TO ATHLETES IN THE NORTH AND SOUTH SUBURBS IN 2010. THIS ALLOWED EASE OF ACCESS TO PHYSICALS FOR ATHLETES, MANY OF WHOM DID NOT HAVE A REGULAR PHYSICIAN AND MIGHT NOT HAVE BEEN ABLE TO PARTICIPATE IN COMPETITIONS GIVEN THE ANNUAL PHYSICAL REQUIREMENT. AMG PROVIDED 1,414 FREE ATHLETIC PHYSICALS TO SPECIAL OLYMPIANS IN 2011, ALLOWING THEM OPPORTUNITIES TO PARTICIPATE IN COMPETITIONS THROUGHOUT THE YEAR. OTHER WAYS IN WHICH ADVOCATE FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES: - 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 HEALTH AND HOSPITAL CORPORATION'S BOARD MEMBERS RESIDE IN ITS PRIMARY SERVICE AREA, AND ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF ADVOCATE HEALTH AND HOSPITALS CORPORATION. ADVOCATE HEALTH AND HOSPITALS CORPORATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITIES FOR SOME OR ALL OF ITS DEPARTMENTS. ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH, contd   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, HEALTHIER AIR QUALITY, REDUCED GREEN HOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. ADVOCATE SHARES BEST PRACTICES FOR WATER MANAGEMENT WITH OTHER NONPROFIT HOSPITALS LOCALLY AND NATIONALLY. IN 2011, ADVOCATE COMMITTED TO SPONSOR AND PARTICIPATED IN PLANNING A LAUNCH OF THE HEALTHIER HOSPITALS INITIATIVE (HHI), A NATIONAL CAMPAIGN TO ENROLL HOSPITALS IN A COMPLETELY NEW APPROACH TO IMPROVING ENVIRONMENTAL AND PUBLIC HEALTH AND SUSTAINABILITY IN THE HEALTH CARE SECTOR. HHI SERVES AS A GUIDE FOR HOSPITALS TO URGE THE NATION'S HOSPITALS TO COMMIT TO IMPROVE THE HEALTH AND SAFETY OF PATIENTS, STAFF AND COMMUNITIES BY USING THE INITIATIVES NEWLY ISSUED, STEP-BY-STEP GUIDES AND HOSPITAL-TO-HOSPITAL MENTORING TO IMPLEMENT THE HHI CHALLENGES. OVER THE COURSE OF THREE YEARS, EACH ENROLLED HOSPITAL WILL COMMIT TO ONE OR MORE OF SIX CHALLENGES IN THE CATEGORIES OF LEADERSHIP, HEALTHIER FOODS, LESS WASTE, LEANER ENERGY, SAFER CHEMICALS AND SMARTER PURCHASING. DATA COLLECTION FROM EACH HOSPITAL WILL SERVE TO MEASURE THE AGGREGATE ECONOMIC, ENVIRONMENTAL AND HUMAN HEALTH BENEFITS OF IMPLEMENTING OPERATIONAL CHANGES UNDER EACH HHI CHALLENGE CATEGORY. ADVOCATE HEALTH CARE SYSTEM 2011 INITIATIVES: - SAVED 15 TONS OF WASTE FROM LANDFILL AND SAVED $1.9 MILLION VIA MEDICAL DEVICE REPROCESSING - ADDED A HORMONE-FREE LINE OF MILK IN ALL HOSPITALS' CAFETERIAS - ENDORSED SYSTEM-WIDE CHEMICALS MANAGEMENT GUIDELINES TO MINIMIZE EXPOSURE OF PEOPLE AND THE ENVIRONMENT TO DANGERS ASSOCIATED WITH CHEMICALS IN PRODUCTS WE MAY USE - TRAINED MORE THAN 9,000 ASSOCIATES ON DAILY WORK HABITS TO REDUCE ENERGY AND WASTE IN THE FIRST ANNUAL ENVIRONMENTAL STEWARDSHIP COMPUTER BASED TRAINING MODULE - INTRODUCED THE GREEN ADVOCATE RECRUITMENT PROGRAM TO ENLIST THE LEADERSHIP OF GREEN-MINDED ASSOCIATES (EMPLOYEES) REPRESENTING DEPARTMENTS AT EACH OF ADVOCATE'S FACILITIES 2.HOSPITAL-BASED ENVIRONMENTAL IMPROVEMENTS ADVOCATE CHRIST MEDICAL CENTER - IMPLEMENTED A SINGLE STREAM RECYCLING PROGRAM HOUSE-WIDE TO INCREASE RECYCLING AND REDUCE WASTE ADVOCATE BROMENN MEDICAL CENTER - ACHIEVED A 27% RECYCLING RATE OVERALL FOR PAPER, PLASTIC, GLASS AND ALUMINUM CANS - CONVERTED PARKING GARAGE LIGHTING FROM 175-WATT BULBS TO 40-WATT LED FIXTURES, SAVING OVER $45,000 ANNUALLY IN ENERGY AND MAINTENANCE COSTS - REUSED AND DONATED OVER 19,000 POUNDS OF CLEAN, USED LINENS TO LOCAL ORGANIZATIONS INCLUDING ANIMAL AND HOMELESS SHELTERS, AMBULANCE SERVICES COMPANY OR REUSED AS CLEANING CLOTHS WITHIN THE HOSPITAL. ADVOCATE EUREKA HOSPITAL - RECYCLED PRINTER CARTRIDGES AND CELL PHONES WITH PROCEEDS BENEFITTING THE SPECIAL OLYMPICS ADVOCATE SOUTH SUBURBAN HOSPITAL - IMPLEMENTED A HOUSE-WIDE SINGLE STREAM RECYCLING PROGRAM TO INCREASE THE HOSPITAL'S RECYCLING AND REDUCE WASTE - ACHIEVED A 25 PERCENT RECYCLING RATE OVERALL FOR PAPER, PLASTIC, GLASS AND ALUMINUM CANS - INSTALLED A FLUID MANAGEMENT SYSTEM IN THE OPERATING ROOMS RESULTING IN A 35% REDUCTION IN REGULATED MEDICAL WASTE ADVOCATE GOOD SHEPHERD HOSPITAL - INSTALLED A NEW LIGHT REFLECTIVE AND INSULATED ROOF TO SAVE ENERGY - CONVERTED 90 LIGHT FIXTURES TO LED LIGHTING TO SAVE ENERGY - HELD FIRST ELECTRONICS RECYCLING EVENT FOR THE COMMUNITY - DECREASED OFFICE PAPER USAGE BY 5% - CLINICAL DESIGN TEAM IMPLEMENTED A CHANGE IN PRACTICE EXPECTED TO ELIMINATE APPROXIMATELY 30,000 ISOLATION GOWNS AND GLOVES FROM ENTERING THE LANDFILL EACH YEAR ADVOCATE GOOD SAMARITAN HOSPITAL - ACHIEVED A 27% RECYCLING RATE OVERALL FOR PAPER, PLASTIC, GLASS AND ALUMINUM CANS - CONVERTED TO REUSABLE PATIENT MENUS AND CATERING TRAYS - TOGETHER WITH NURSES FROM ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, CO-DEVELOPED A GUIDE FOR CLINICIANS TO RECYCLE NON-SOILED PATIENT CARE ITEMS SYSTEM-WIDE ADVOCATE TRINITY HOSPITAL - REDUCED WATER CONSUMPTION BY MORE THAN 365,000 GALLONS PER YEAR BY REPLACING VACUUM PUMPS WITH HIGH EFFICIENCY PUMPS - REDUCED ENERGY CONSUMPTION BY CONVERTING FROM PNEUMATIC TO DIGITAL CONTROLS FOR HEATING, VENTILATION, AIR CONDITIONING SYSTEMS, AND INSTALLATION OF MOTORS WITH VARIABLE FREQUENCY DRIVES - IMPLEMENTED RECYCLING OF GLASS, PLASTIC AND ALUMINUM CANS IN THE HOSPITAL KITCHEN ADVOCATE LUTHERAN GENERAL HOSPITAL - IMPLEMENTED A SINGLE STREAM RECYCLING PROGRAM HOUSE-WIDE TO INCREASE RECYCLING AND REDUCE WASTE PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM RECOGNIZED AS ONE OF THE NATIONS 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 STREAMLINED DECISION MAKING PROCESS AND THE ABILITY OF THE SYSTEM TO RESPOND TO COMMUNITY NEEDS.
STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI IL,
Schedule H (Form 990) 2011
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
2011
Open to Public
Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number
36-2169147
Part I
General Information on Grants and Assistance
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) ACCESS DUPAGEDUPAGE HEALTH COALITION511 THORNHILL DR
SUITE M
CAROL STREAM,IL60188 		36-4448208 501(c)(3) 763,000       SUPPORT EXEMPT MISSION
(2) ALZHEIMERS ASSOC-GREATER IL8430 W BRYN MAWR AVE
SUITE 800
CHICAGO,IL60631 		36-3102348 501(c)(3) 20,500       MEMORY WALK
(3) AMERICAN CANCER SOCIETY17060 OAK PARK AVENUE
TINLEY PARK,IL60477 		36-2167721 501(c)(3) 140,925       RELAY FOR LIFE
(4) AMERICAN DIABETES ASSOCIATION30 N MICHIGAN AVE
SUITE 2015
CHICAGO,IL60602 		13-1623888 501(c)(3) 8,250       TOUR DE CURE
(5) AMERICAN HEART ASSOCIATION208 S LASALLE ST
SUITE 1500
CHICAGO,IL60604 		13-5613797 501(c)(3) 53,475       GO RED FOR WOMEN
(6) AMERICAN LUNG ASSOCIATION55 W WACKER DR
SUITE 800
CHICAGO,IL60601 		20-4392201 501(c)(3) 30,000       SUPPORT 2011 LUNG WALK
(7) AMERICAN RED CROSS2025 E E ST NW
WASHINGTON,DC20006 		53-0196605 501(c)(3) 6,650       SUPPORT EXEMPT MISSION
(8) ANIMA YOUNGGLEN ELLYN CHILDREN799 ROOSEVELT RD
BLDG 6 SUITE 100
GLEN ELLYN,IL60137 		36-3159014 501(c)(3) 10,000       SUPPORT EXEMPT MISSION
(9) ASSOC OF PROFESSIONAL CHAPLAIN1701 E WOODFIELD RD
SUITE 400
SCHAUMBURG,IL60173 		36-3762667 501(c)(3) 7,274       SUPPORT EXEMPT MISSION
(10) BARRINGTON AREA COUNCIL6000 GARLANDS LANE
SUITE 100
BARRINGTON,IL60010 		36-3337705 501(c)(3) 6,260       SUPPORT EXEMPT MISSION
(11) BETHANY CHRISTIAN SERV OF ILLINOIS6660 W COLLEGE DR
STE 207
PALOS HEIGHTS,IL60463 		36-0030230 501(c)(3) 10,000       SAFE FAMILIES
(12) CARSON SCHOLARS FUND INC305 W CHEASAPEAKE AVE
SUITE 310
TOWSON,MD21204 		52-1851346 501(c)(3) 15,000       SUPPORT EXEMPT MISSION
(13) COLLEGE OF DUPAGE FOUNDATION425 FAWELL BLVD
SCR2073
GLEN ELLYN,IL60137 		23-7011835 501(c)(3) 50,000       SUPPORT HEALTHCARE INITATIVE
(14) COMMUNITY HEALTH2611 WEST CHICAGO AVE
CHICAGO,IL60622 		36-3831793 501(c)(3) 24,320       SUPPORT EXEMPT MISSION/HEALTH GALA
(15) COURAGE PROGRAM9711 SOUTH KOLIN AVENUE
OAK LAWN,IL60453 		36-6094703 501(c)(3) 10,000       FAMILY ASSISTANCE
(16) CRISIS CENTER SO SUBURBIA CORPPO BOX 39
TINLEY PARK,IL60477 		36-3039964 501(c)(3) 10,213       HEART TO HEART EVENT
(17) EDUCATION FOUNDATION OF DISTRICT 582001 BUTTERFIELD RD
DOWNERS GRV,IL60515 		30-0101074 501(c)(3) 10,000       SUPPORT EXEMPT MISSION
(18) FAMILY SHELTER SERVICES605 E ROOSEVELT RD
SUITE 205
WHEATON,IL60187 		36-2883552 501(c)(3) 10,000       BUILDING SAFE CONNECTIONS
(19) FOX VALLEY HOSPICE INC200 WHITFIELD DR
GENEVA,IL60134 		36-3111451 501(c)(3) 7,500       MEDICAL SUPPLIES AND EQUIPMENT
(20) GLENCOE EDUCATION FOUNDATIONPO BOX 287
GLENCOE,IL60022 		36-4182696 501(c)(3) 13,500       SUPPORT EXEMPT MISSION
(21) HEALTH CARE WITHOUT HARM12355 SUNRISE VALLEY DR
SUITE 680
RENTON,VA20191 		52-2358837 501(c)(3) 61,125       HEALTHIER HOSPITAL INITATIVE
(22) ILL CHAPTER AM ACADEMY OF PEDIATRICS1400 W HUBBARD
SUITE 100
CHICAGO,IL60642 		51-0183494 501(c)(3) 114,904       SUPPORT EXEMPT MISSION
(23) ILLINOIS PERFORMANCE EXCELLENCE1415 W DIEHL ROAD
SUITE 405 MB 10
NAPERVILLE,IL60563 		36-4320533 501(c)(3) 35,650       SUPPORT EXEMPT MISSION
(24) ILLINOIS SYMPHONY ORCHESTRA524 1/2 E CAPITAL DR
SPRINGFIELD,IL62701 		37-1312674 501(c)(3) 7,030       POPS IN THE PARK
(25) KOHL CHILDREN'S MUSEUM2100 PATRIOT BLVD
GLENVIEW,IL60026 		36-3706878 501(c)(3) 8,750       SUPPORT OF EXHIBIT
(26) LUTHERAN SOCIAL SERVICES ILLINOIS1001 E TOUHY
SUITE 50
DES PLAINES,IL60018 		36-2584799 501(c)(3) 12,452       SUPPORT EXEMPT MISSION
(27) MARCH OF DIMES111 W JACKSON BLVD
SUITE 2200
CHICAGO,IL60604 		13-1846366 501(c)(3) 10,550       MARCH FOR BABIES
(28) MIDWEST HEART FOUNDATION1901 S MEYERS RD
OAK BROOK TR,IL60181 		36-3602197 501(c)(3) 9,065       SUPPORT EXEMPT MISSION
(29) OUR SAVIORS LUTHERAN CHURCH8607 S NARRAGANSETT AVE
BURBANK,IL60459 		36-2523565 501(c)(3) 15,000       FOOD PANTRY COSTS
(30) PASS PREGNANCY CARE CENTER17214 OAK PARK AVENUE
TINLEY PARK,IL60477 		36-3345840 501(c)(3) 30,000       FUNDRAISING BANQUET
(31) PROVENA HOSPITALS1325 N HIGHLAND AVE
AURORA,IL60506 		36-4195126 501(c)(3) 7,500       SUPPORT EXEMPT MISSION
(32) RAINBOW HOSPICE444 N NORTHWEST HWY
SUITE 145
PARK RIDGE,IL60068 		36-3296367 501(c)(3) 8,320       SPONSOR EVENTS
(33) RONALD MCDONALD HOUSE CHARITY1900 SPRING RD
SUITE 310
OAK BROOK,IL60523 		36-3532553 501(c)(3) 5,966       SUPPORT EXEMPT MISSION
(34) ROTARY CLUB OF DOWNERS GROVEPO BOX 612
SUITE 145
OAK LAWN,IL60453 		36-4219154 501(c)(3) 7,750       SUPPORT EXEMPT MISSION
(35) SINAI HEALTH SYSTEM1401 S CALIFORNIA
CHICAGO,IL60608 		36-1509000 501(c)(3) 37,152       SUPPORT EXEMPT MISSION
(36) SOUTHSIDE PREGNANCY CENTER5450 W 95TH STREET
OAK LAWN,IL60453 		36-3367445 501(c)(3) 20,000       FUNDRAISING BANQUET
(37) SPECIAL OLYMPICS CHICAGO800 ROOSEVELT RD
BLDG B SUITE 220
GLEN ELLYN,IL60137 		36-2922811 501(c)(3) 8,250       INSPIRE GREATNESS GALA
(38) ST BALDRICK'S FOUNDATION1333 S MAYFLOWER AVE
SUITE 400
MONROVIA,CA91016 		20-1173824 501(c)(3) 7,500       SUPPORT EXEMPT MISSION
(39) SUSAN G KOMEN FOR THE CURE8765 W HIGGINS ROAD
SUITE 401
CHICAGO,IL60631 		75-1835298 501(c)(3) 29,720       SUPPORT RACE FOR THE CURE
(40) TRINITY INTL UNIVERSITY2065 HALF DAY ROAD
DEERFIELD,IL60015 		36-2216176 501(c)(3) 10,000       ETHICS CONFERENCE
(41) UNITED WAY560 W LAKE ST
CHICAGO,IL60661 		30-0200478 501(c)(3) 29,954       SUPPORT EXEMPT MISSION
(42) WORLD BUSINESS CHICAGO177 N STATE ST
SUITE 500
CHICAGO,IL60601 		36-4313685 501(c)(3) 25,000       SUPPORT EXEMPT MISSION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
42
3
Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2011

Schedule I (Form 990) 2011
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 HEALTH AND HOSPITALS CORPORATION SUPPORTS ONLY NON PROFIT ORGANIYATIONS THAT ARE TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THAT ARE CONSISTENT WITH AND COMPLIMENTARY TO THE MISSION AND CHARITABLE, TAX-EXEMPT PURPOSES OF ADVOCATE HEALTH AND HOSPITALS CORPORATION. CASH CONTRIBUTIONS ARE NOT MADE TO INDIVIDUALS, FOR PROFIT BUSINESSES, OR PRIVATE PROVIDERS.
Schedule I (Form 990) 2011


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
2011
Open to Public Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
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 or provision 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. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
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 Regulations 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) 2011

Schedule J (Form 990) 2011
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.
(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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) James Skogsbergh (i)
(ii)		 1,084,469
0 		1,468,800
0 		763,528
0 		705,508
0 		27,275
0 		4,049,580
0 		1,468,800
0
(2) Jose Elizondo MD (i)
(ii)		 0
193,914 		0
29,016 		0
834 		0
21,077 		0
15,820 		0
260,661 		0
0
(3) William P Santulli (i)
(ii)		 690,723
0 		850,346
0 		418,325
0 		409,767
0 		32,922
0 		2,402,083
0 		850,346
0
(4) Lee B Sacks MD (i)
(ii)		 595,843
0 		631,487
0 		360,728
0 		308,168
0 		24,412
0 		1,920,638
0 		631,487
0
(5) James Dan MD (i)
(ii)		 427,252
0 		465,123
0 		56,172
0 		362,720
0 		22,748
0 		1,334,015
0 		465,123
0
(6) James Doheny (i)
(ii)		 259,468
0 		96,395
0 		31,951
0 		22,684
0 		31,537
0 		442,035
0 		96,395
0
(7) Kelly Jo Golson (i)
(ii)		 310,113
0 		148,505
0 		33,161
0 		287,234
0 		4,536
0 		783,549
0 		103,505
0
(8) Ben Grigaliunas (i)
(ii)		 453,355
0 		421,323
0 		382,048
0 		1,561,478
0 		27,159
0 		2,845,363
0 		421,323
0
(9) Gail D Hasbrouck (i)
(ii)		 407,538
0 		321,971
0 		247,523
0 		159,100
0 		21,461
0 		1,157,593
0 		321,971
0
(10) Dominic J Nakis (i)
(ii)		 506,013
0 		631,487
0 		323,811
0 		308,168
0 		22,682
0 		1,792,161
0 		631,487
0
(11) Scott Powder (i)
(ii)		 260,445
0 		193,348
0 		126,894
0 		99,191
0 		24,697
0 		704,575
0 		193,348
0
(12) Bruce D Smith (i)
(ii)		 406,500
0 		335,717
0 		221,340
0 		164,984
0 		30,301
0 		1,158,842
0 		335,717
0
(13) Rev Jerry Wagenknecht (i)
(ii)		 5,553
0 		97,103
0 		136,190
0 		0
0 		6,627
0 		245,473
0 		97,103
0
(14) Rev K Bender Schwich (i)
(ii)		 91,966
0 		16,380
0 		11,202
0 		19,438
0 		68,777
0 		207,763
0 		0
0
(15) Anthony Armada (i)
(ii)		 465,706
0 		272,255
0 		27,970
0 		582,272
0 		30,178
0 		1,378,381
0 		182,255
0
(16) Jonathan Bruss (i)
(ii)		 287,684
0 		208,553
0 		144,152
0 		126,551
0 		23,734
0 		790,674
0 		208,553
0
(17) Michael Englehart (i)
(ii)		 272,954
0 		144,610
0 		97,644
0 		185,623
0 		26,818
0 		727,649
0 		104,610
0
(18) David Fox (i)
(ii)		 379,744
0 		349,984
0 		187,337
0 		181,031
0 		37,677
0 		1,135,773
0 		349,984
0
(19) Colleen Kannaday (i)
(ii)		 336,106
0 		0
0 		57,713
0 		257,671
0 		22,662
0 		674,152
0 		0
0
(20) Karen Lambert (i)
(ii)		 335,603
0 		286,719
0 		158,553
0 		156,676
0 		30,058
0 		967,609
0 		286,719
0
(21) Kenneth Lukhard (i)
(ii)		 487,274
0 		485,311
0 		437,626
0 		289,051
0 		29,163
0 		1,728,425
0 		485,311
0
(22) Jonathon Somers MD (i)
(ii)		 650,000
0 		163,831
0 		-8,982
0 		38,019
0 		21,301
0 		864,169
0 		0
0
(23) Caleb Lippman MD (i)
(ii)		 800,000
0 		0
0 		-6,473
0 		22,684
0 		21,301
0 		837,512
0 		0
0
(24) James Keller MD (i)
(ii)		 475,000
0 		225,995
0 		56,754
0 		22,684
0 		23,048
0 		803,481
0 		0
0
(25) Geetha Bhat MD (i)
(ii)		 597,634
0 		0
0 		169,748
0 		22,684
0 		7,665
0 		797,731
0 		0
0
(26) Kevin Waldron MD (i)
(ii)		 725,000
0 		0
0 		-5,814
0 		22,684
0 		18,598
0 		760,468
0 		0
0
(27) ROGER HUNT (i)
(ii)		 210,154
0 		92,269
0 		-7,138
0 		20,782
0 		19,253
0 		335,320
0 		62,269
0
(28) LENA DOBBS-JOHNSON (i)
(ii)		 10,770
0 		194,843
0 		347,770
0 		18,784
0 		14,859
0 		587,026
0 		464,084
0
(29) BRUCE CAMPBELL (i)
(ii)		 0
0 		201,860
0 		98,482
0 		0
0 		607
0 		300,949
0 		218,860
0
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
Supplemental Compensation Information   HOUSING ALLOWANCE/SOCIAL CLUB DUES/PERSONAL SERVICES REV. KATHIE BENDER SCHWICH, SENIOR VICE PRESIDENT-MISSION AND SPIRITUAL CARE, RECEIVED AN ANNUAL HOUSING ALLOWANCE OF $64,500 FROM ADVOCATE HEALTH AND HOSPITALS CORPORATION. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION IS A MEMBER OF SEVERAL LUNCHEON CLUBS WHERE HE CONDUCTS BUSINESS MEETINGS ON BEHALF OF AHHC. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, RECEIVES AS PART OF HIS BENEFITS PACKAGE FINANCIAL PLANNING SERVICES. RELOCATION EXPENSES AGREED TO AS PART OF TERMS OF INITIAL EMPLOYMENT ARE ELIGIBLE FOR GROSSED-UP PAYMENTS. ANTHONY ARMADA AND COLLEEN KANNADAY RECEIVED REIMBURSEMENT FOR RELOCATION. PART I, LINE 4A SEVERANCE PAYMENTS BEN GRIGALIUNIS, SENIOR VICE PRESIDENT, HUMAN RESOURCES, TERMINATED HIS EMPLOYMENT WITH AHHC IN 2011 AND WILL RECEIVE SEVERANCE IN 2012 AND BEYOND WHICH IS INCLUDED IN COLUMN (C). BRUCE CAMPBELL, FORMER PRESIDENT OF ADVOCATE LUTHERAN GENERAL HOSPITAL, TERMINATED HIS EMPLOYMENT WITH AHHC IN 2008 AND RECEIVED SEVERANCE OF $17,000 IN 2011. THIS AMOUNT WAS REPORTED ON A PRIOR FORM 990 AS DEFERRED COMPENSATION AND IS LISTED AS A COMPONENT OF COLUMN (F). LENA DOBBS-JOHNSON, FORMER PRESIDENT OF ADVOCATE BETHANY HOSPITAL, TERMINATED HER EMPLOYMENT WITH AHHC IN 2010 AND RECEIVED SEVERANCE OF $269,241 IN 2011. 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 CORPORATE SECRETARY, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. ADVOCATE PROVIDES A TARGET REPLACEMENT SENIOR EXECUTIVE RETIREMENT PLAN. THE CONTRIBUTIONS TO THIS PLAN ARE VESTED AND TAXABLE AFTER FIVE YEARS OF SERVICE. THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: JAMES SKOGSBERGH, BEN GRIGALIUNAS, BRUCE SMITH, DOMINIC NAKIS, GAIL HASBROUCK, JAMES DOHENY, LEE SACKS M.D., SCOTT POWDER, WILLIAM SANTULLI, DAVID FOX, JONATHON BRUSS, KAREN LAMBERT, KENNETH LUKHARD, LENA DOBBS-JOHNSON AND MICHAEL ENGLEHART. THE FOLLOWING EMPLOYEES HAVE NOT YET VESTED AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS DEFERRED COMPENSATION: JAMES DAN M.D., KELLY JO GOLSON, ANTHONY ARMADA AND COLLEEN KANNADAY. 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) 2011

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number
36-2169147
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS HEALTH FACILITIES AUTHORITY
  		36-2780046 45200PXH5 10-29-2003 115,000,000 SEE SCHEDULE K, PART VI   X   X   X
B ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FAZ2 10-10-2007 348,300,000 SEE SCHEDULE K, PART VI   X   X   X
C ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FED7 04-23-2008 153,430,000 SEE SCHEDULE K, PART VI   X   X   X
D ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FSB6 12-01-2008 175,920,559 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FK65 01-06-2010 243,746,239 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HCA8 09-21-2011 201,774,238 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HCM2 09-21-2011 12,453,367 SEE SCHEDULE K, PART VI   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . 63,125,000 5,030,000 7,920,000 12,595,000
2 Amount of bonds legally defeased . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . 116,432,024 352,851,959 154,545,580 176,137,450
4 Gross proceeds in reserve funds . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . 1,034,454 2,331,125 816,617 2,640,929
8 Credit enhancement from proceeds . . . . . . . . . . 0 3,418,607 0 0
9 Working capital expenditures from proceeds . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . 111,807,084 154,520,722 0 173,462,191
11 Other spent proceeds . . . . . . . . . . . 0 192,581,505 152,475,000 0
12 Other unspent proceeds . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . 2005 2009 2009 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . .   X X   X     X
15 Were the bonds issued as part of an advance refunding issue? . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . X     X   X   X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X     X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2011
Schedule K (Form 990) 2011
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .   X   X   X   X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.00000% 0.00000% 0.00000%   %
6 Total of lines 4 and 5 . . .. . . . . . . . . 0% 0.00000% 0%   %
7 Does the bond issue meet the private security or payment test? . . . X   X   X   X  
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue? X   X   X     X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X X     X   X
b Name of provider . . . . . . . . 0
  		SEE SCHEDULE O
  		0
  		 
 
c Term of hedge . . . . . . . . 26.8 26.8    
d Was the hedge superintegrated? . . . .   X   X        
e Was a hedge terminated? . . . . .   X   X        
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .   X X     X   X
b Name of provider . . . . . . 0
  		TRINITY PLUS FUNDING
  		0
  		0
 
c Term of GIC . . . . . . . 2.1 2.1    
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . . X   X          
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? .   X X   X   X  
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X X   X   X  
Schedule K (Form 990) 2011

Schedule K (Form 990) 2011
Page 3
Part V
Procedures To Undertake Corrective Action
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . .
Part VI
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SEE SCHEDULE O. 0  
SEE SCHEDULE O. 0  
Schedule K (Form 990) 2011

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number
36-2169147
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS HEALTH FACILITIES AUTHORITY
  		36-2780046 45200PXH5 10-29-2003 115,000,000 SEE SCHEDULE K, PART VI   X   X   X
B ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FAZ2 10-10-2007 348,300,000 SEE SCHEDULE K, PART VI   X   X   X
C ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FED7 04-23-2008 153,430,000 SEE SCHEDULE K, PART VI   X   X   X
D ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FSB6 12-01-2008 175,920,559 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FK65 01-06-2010 243,746,239 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HCA8 09-21-2011 201,774,238 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HCM2 09-21-2011 12,453,367 SEE SCHEDULE K, PART VI   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . 63,125,000 5,030,000 7,920,000 12,595,000
2 Amount of bonds legally defeased . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . 116,432,024 352,851,959 154,545,580 176,137,450
4 Gross proceeds in reserve funds . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . 1,034,454 2,331,125 816,617 2,640,929
8 Credit enhancement from proceeds . . . . . . . . . . 0 3,418,607 0 0
9 Working capital expenditures from proceeds . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . 111,807,084 154,520,722 0 173,462,191
11 Other spent proceeds . . . . . . . . . . . 0 192,581,505 152,475,000 0
12 Other unspent proceeds . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . 2005 2009 2009 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . .   X X   X     X
15 Were the bonds issued as part of an advance refunding issue? . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . X     X   X   X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X     X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2011
Schedule K (Form 990) 2011
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .   X   X   X   X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.00000% 0.00000% 0.00000%   %
6 Total of lines 4 and 5 . . .. . . . . . . . . 0% 0.00000% 0%   %
7 Does the bond issue meet the private security or payment test? . . . X   X   X   X  
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue? X   X   X     X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X X     X   X
b Name of provider . . . . . . . . 0
  		SEE SCHEDULE O
  		0
  		 
 
c Term of hedge . . . . . . . . 26.8 26.8    
d Was the hedge superintegrated? . . . .   X   X        
e Was a hedge terminated? . . . . .   X   X        
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .   X X     X   X
b Name of provider . . . . . . 0
  		TRINITY PLUS FUNDING
  		0
  		0
 
c Term of GIC . . . . . . . 2.1 2.1    
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . . X   X          
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? .   X X   X   X  
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X X   X   X  
Schedule K (Form 990) 2011

Schedule K (Form 990) 2011
Page 3
Part V
Procedures To Undertake Corrective Action
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . .
Part VI
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SEE SCHEDULE O. 0  
SEE SCHEDULE O. 0  
Schedule K (Form 990) 2011

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
2011
Open to Public Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
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) 2011
Schedule L (Form 990 or 990-EZ) 2011
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) ADVOCATE HEALTH CENTERS SHARED BOARD MEMBER 215,779 ANSWERING SERVICES   No
(2) ADVOCATE HEALTH CENTERS SHARED BOARD MEMBER 1,502,490 TRANSFER PATIENT PAYMENTS   No
(3) ADVOCATE HEALTH CENTERS SHARED BOARD MEMBER 339,422 FIXED ASSET SALE   No
(4) ADVOCATE HEALTH CENTERS SHARED BOARD MEMBER 46,470 PROPERTY RENTAL   No
(5) ADVOCATE HEALTH CENTERS SHARED BOARD MEMBER 14,621,888 COMPENSATION REIMBURSEMENT   No
(6) ADVOCATE HEALTH CENTERS SHARED BOARD MEMBER 5,760,322 IT SERVICES   No
(7) ADVOCATE HEALTH CENTERS SHARED BOARD MEMBER 249,526 EXPENSE REIMBERSEMENT   No
(8) ADVOCATE HEALTH CENTERS SHARED BOARD MEMBER 1,237,974 ADMINISTRATIVE COSTS   No
(9) ADVOCATE HEALTH CENTERS SHARED BOARD MEMBER 317,018 CLINICAL ENGINEERING SERVICES   No
(10) ADVOCATE HEALTH CENTERS SHARED BOARD MEMBER 314,112 EMPLOYEE HEALTH MANAGEMENT   No
(11) ADVOCATE HEALTH CENTERS SHARED BOARD MEMBER 859,837 INSURANCE ALLOCATION   No
(12) ADVOCATE HEALTH CENTERS SHARED BOARD MEMBER 102,115 NURSING SERVICES   No
(13) ADVOCATE HEALTH CENTERS SHARED BOARD MEMBER 6,876,886 PHARMACEUTICAL REIMBURSEMENT   No
(14) ADVOCATE HEALTH CENTERS SHARED BOARD MEMBER 325,515 MISC EXPENSES   No
(15) BROMENN PHYSICIAN MANAGEMENT CORP SHARED BOARD MEMBER 167,391 TRANSFER PATIENT PAYMENTS   No
(16) BROMENN PHYSICIAN MANAGEMENT CORP SHARED BOARD MEMBER 4,872,527 COMPENSATION REIMBURSEMENT   No
(17) BROMENN PHYSICIAN MANAGEMENT CORP SHARED BOARD MEMBER 176,755 ADMINISTRATIVE COSTS   No
(18) BROMENN PHYSICIAN MANAGEMENT CORP SHARED BOARD MEMBER 111,892 IT SERVICES   No
(19) BROMENN PHYSICIAN MANAGEMENT CORP SHARED BOARD MEMBER 253,565 INSURANCE ALLOCATION   No
(20) BROMENN PHYSICIAN MANAGEMENT CORP SHARED BOARD MEMBER 316,936 LAB/MRI SERVICES   No
(21) BROMENN PHYSICIAN MANAGEMENT CORP SHARED BOARD MEMBER 985,623 PROPERTY RENTAL   No
(22) BROMENN PHYSICIAN MANAGEMENT CORP SHARED BOARD MEMBER 907,595 PHARMACEUTICAL REIMBURSEMENT   No
(23) BROMENN PHYSICIAN MANAGEMENT CORP SHARED BOARD MEMBER 21,147,197 EXPENSE REIMBERSEMENT   No
(24) HIGH TECHNOLOGY INC SHARED BOARD MEMBER 1,549,787 COMPENSATION REIMBURSEMENT   No
(25) HIGH TECHNOLOGY INC SHARED BOARD MEMBER 207,704 ADMINISTRATIVE COSTS   No
(26) HIGH TECHNOLOGY INC SHARED BOARD MEMBER 1,586,944 CLINICAL ENGINEERING SERVICES   No
(27) HIGH TECHNOLOGY INC SHARED BOARD MEMBER 249,952 IT SERVICES   No
(28) HIGH TECHNOLOGY INC SHARED BOARD MEMBER 624,528 INSURANCE ALLOCATION   No
(29) HIGH TECHNOLOGY INC SHARED BOARD MEMBER 375,967 RADIOLOGY CHARGEBACKS   No
(30) HIGH TECHNOLOGY INC SHARED BOARD MEMBER 459,808 EXPENSE REIMBERSEMENT   No
(31) CHICAGO CYBERKNIFE LLC SHARED BOARD MEMBER 1,769,774 EQUIPMENT RENTAL   No
(32) CHICAGO CYBERKNIFE LLC SHARED BOARD MEMBER 357,480 CLINICAL ENGINEERING SERVICES   No
(33) EVANGELICAL SERVICES CORP SHARED BOARD MEMBER 434,567 IT SERVICES   No
(34) EVANGELICAL SERVICES CORP SHARED BOARD MEMBER 2,203,687,179 EXPENSE REIMBERSEMENT   No
(35) EVANGELICAL SERVICES CORP SHARED BOARD MEMBER 2,489,052 COMPENSATION REIMBURSEMENT   No
(36) EVANGELICAL SERVICES CORP SHARED BOARD MEMBER 1,423,815 ADMINISTRATIVE COSTS   No
(37) EVANGELICAL SERVICES CORP SHARED BOARD MEMBER 1,593,120 IT SERVICES   No
(38) EVANGELICAL SERVICES CORP SHARED BOARD MEMBER 306,696 INSURANCE ALLOCATION   No
(39) EVANGELICAL SERVICES CORP SHARED BOARD MEMBER 124,882 MEDIA SERVICES   No
(40) EVANGELICAL SERVICES CORP SHARED BOARD MEMBER 239,995 PRINTING SERVICES   No
(41) EVANGELICAL SERVICES CORP SHARED BOARD MEMBER 125,443 PROPERTY RENTAL   No
(42) ADVOCATE HOME CARE PRODUCTS INC SHARED BOARD MEMBER 338,997 HOME HEALTH SERVICES   No
(43) ADVOCATE HOME CARE PRODUCTS INC SHARED BOARD MEMBER 231,557 PHARMACEUTICAL REIMBURSEMENT   No
(44) ADVOCATE HOME CARE PRODUCTS INC SHARED BOARD MEMBER 1,012,487 COMPENSATION REIMBURSEMENT   No
(45) ADVOCATE HOME CARE PRODUCTS INC SHARED BOARD MEMBER 111,924 ADMINISTRATIVE COSTS   No
(46) ADVOCATE HOME CARE PRODUCTS INC SHARED BOARD MEMBER 216,523 INSURANCE ALLOCATION   No
(47) ADVOCATE HOME CARE PRODUCTS INC SHARED BOARD MEMBER 505,910 EXPENSE REIMBERSEMENT   No
(48) ADVOCATE INSURANCE SPC SHARED BOARD MEMBER 6,429,802 INSURANCE   No
(49) MIDWEST CENTER FOR SLEEP MEDICINE SHARED BOARD MEMBER 114,000 SLEEP STUDY FEES   No
(50) ADVANCED MRI LLC SHARED BOARD MEMBER 222,200 MRI LEASE PAYMENTS Yes  
(51) ADVANCED MRI LLC DIRECT INVESTMENT 244,745 END OF YEAR TOTAL INVESTMENT Yes  
(52) COMMUNITY CANCER CENTER LLC SHARED BOARD MEMBER 777,225 CYBERKNIFE LEASE PAYMENTS Yes  
(53) COMMUNITY CANCER CENTER LLC DIRECT INVESTMENT 4,456,621 END OF YEAR TOTAL INVESTMENT Yes  
(54) PARKSIDE CENTER CONDO ASSOCIATION 91% OWNERSHIP 115,969 SERVICE FEES Yes  
(55) PARKSIDE CENTER CONDO ASSOCIATION DIRECT INVESTMENT 659,294 END OF YEAR TOTAL INVESTMENT Yes  
(56) ADVOCATE HEALTH PARTNERS SHARED BOARD MEMBER 3,022,089 CLINICAL INTEGRATION FEES Yes  
(57) ADVOCATE HEALTH PARTNERS SHARED BOARD MEMBER 4,361,562 ADVOCATECARE REIMBURSEMENT Yes  
(58) ADVOCATE HEALTH PARTNERS DIRECT INVESTMENT 418,051 END OF YEAR TOTAL INVESTMENT Yes  
(59) A2CL LABORATORY SHARED BOARD MEMBER 1,421,211 ADMINISTRATIVE SERVICES   No
(60) A2CL LABORATORY SHARED BOARD MEMBER 41,340,796 LAB SERVICES   No
(61) RULESTER LLC SHARED BOARD MEMBER 202,000 MEDICAL CONSULTING SERVICES   No
(62) MAIN STREET CHILD CARE CENTER LLC DIRECT INVESTMENT 379,478 END OF YEAR TOTAL INVESTMENT Yes  
(63) RAINBOW HOSPICE PALLIATIVE CARE DIRECT INVESTMENT 70,900 END OF YEAR TOTAL INVESTMENT Yes  
(64) RML HEALTH PROVIDERS LIMITED PARTNE DIRECT INVESTMENT 19,979,123 END OF YEAR TOTAL INVESTMENT Yes  
(65) THE CENTER FOR OUTPATIENT MEDICINE DIRECT INVESTMENT 1,365,111 END OF YEAR TOTAL INVESTMENT Yes  
(66) DR JAMES RICHARDSON FAMILY MBR-M. RICHARDSON 266,137 EMPLOYMENT   No
(67) DANIEL DOHERTY FAMILY MBR-DR. JAMES DAN 74,418 EMPLOYMENT   No
(68) BRIAN MCKENNY FAMILY MBR-DR. JAMES DAN 44,042 EMPLOYMENT   No
(69) JULIE NAKIS FAMILY MBR-DOMINIC NAKIS 45,048 EMPLOYMENT   No
(70) KRISTINE ARIAS FAMILY MBR-JOHN TIMMER 51,024 EMPLOYMENT   No
(71) RAFAEL ARIAS FAMILY MBR-JOHN TIMMER 104,980 EMPLOYMENT   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2011

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
2011
Open to Public
Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Identifier Return Reference Explanation
FORM 990 PART III LINE 4A   PROVIDING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. INCLUDED IN THESE HEALTH CARE SERVICES ARE THE PROVISION OF FINANCIAL ASSISTANCE AND TRAUMA CARE. AS PART OF ITS COMMUNITY BENEFITS STRATEGY AND ITS MISSION, ADVOCATE HEALTH AND HOSPITALS CORPORATION ("ADVOCATE") IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED, UNDERINSURED AND LOW INCOME INDIVIDUALS. AN EXAMPLE OF THIS IS ADVOCATE'S PROVISION OF FINANCIAL ASSISTANCE. ADVOCATE OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, DESCRIBED FURTHER IN LINE 4D GOAL #2 BELOW. ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP WHEN THEY NEED IT. ADVOCATE HOSPITALS MAINTAIN HIGHLY VISIBLE SIGNAGE AND BROCHURES IN MULTIPLE LANGUAGES TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL HELP AND FINANCIAL COUNSELORS. INFORMATION ABOUT ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND AN APPLICATION IS PROVIDED TO EACH UNINSURED PATIENT DURING REGISTRATION AND AS AN INSERT IN THEIR BILLS. ADVOCATE IS ONE OF THE LARGEST PROVIDERS OF HEALTH CARE SERVICES TO MEDICAID AND MEDICARE PATIENTS IN CHICAGO AND THE SURROUNDING SUBURBS. IN THE AREA OF TRAUMA CARE, ADVOCATE HEALTH CARE IS DEDICATED TO PROVIDING EXPERT EMERGENCY CARE, TODAY AND IN THE FUTURE. ADVOCATE'S LEVEL I TRAUMA CENTERS CARE FOR THE MOST SERIOUSLY INJURED PEOPLE IN CHICAGOLAND. THE FIVE CENTERS COMPRISE 25% OF ILLINOIS'S TRAUMA CENTERS HAVING THIS HIGHEST DESIGNATION LEVEL. AS IS THE CASE WITH ALL ILLINOIS LEVEL I TRAUMA CENTERS, ADVOCATE'S TRAUMA CENTERS ARE STAFFED BY ON-SITE, 24-HOUR-A-DAY TRAUMA SURGEONS; FEATURE 24-HOUR SURGICAL AND NONSURGICAL SERVICES, SUCH AS RADIOLOGY AND ANESTHESIA; AND CAN ACCOMMODATE HELICOPTER TRANSPORTS. FORM 990 PART III LINE 4B HEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. ADVOCATE OFFERS A BROAD ARRAY OF SERVICES AND PROGRAMS DESIGNED TO MEET COMMUNITY HEALTH NEEDS, INCLUDING PHYSICIANS FOCUSED ON ADDRESSING THE MOST SIGNIFICANT ISSUES IMPACTING PUBLIC HEALTH IN ADVOCATE'S SERVICE AREA. THROUGH THIS FOCUSED APPROACH, PHYSICIANS ALSO CONCENTRATE ON PROVIDING PROGRAMS AND SERVICES THAT TARGET UNIQUE HEALTH ACCESS NEEDS OF THE UNINSURED, UNDERINSURED, UNDERSERVED, LOW INCOME AND SPECIAL NEEDS INDIVIDUALS LIVING IN CHICAGOLAND COMMUNITIES. ADVOCATE PARTNERS WITH MAINE TOWNSHIP DISTRICT 207 TO PLACE ADVOCATE PHYSICIANS AT THE MAINE EAST HIGH SCHOOL-BASED HEALTH CENTER TO PROVIDE UNINSURED AND UNDERINSURED STUDENTS FROM ALL MAINE TOWNSHIP HIGH SCHOOLS WITH FREE OR LOW-COST PHYSICALS, IMMUNIZATIONS, BEHAVIORAL HEALTH TREATMENT, NUTRITIONAL EDUCATION AND COUNSELING. THESE SERVICES HELP THE STUDENTS MEET STATE-MANDATED PHYSICAL AND IMMUNIZATION REQUIREMENTS. IN 2011, FOR THE 14TH YEAR IN A ROW, ADVOCATE MEDICAL GROUP (AMG) SPONSORED MEDFEST, IN COLLABORATION WITH SPECIAL OLYMPICS OF ILLINOIS. MEDFEST PROVIDES OPPORTUNITIES TO PARTICIPATE IN SPORTS TRAINING AND COMPETITIONS TO PEOPLE WITH INTELLECTUAL DISABILITIES, CREATING AVENUES FOR INCLUSION AND ACCEPTANCE FOR THIS UNDERSERVED POPULATION. AMG PROVIDED 1,414 FREE ATHLETIC PHYSICALS TO SPECIAL OLYMPIANS IN 2011, ALLOWING THEM TO PARTICIPATE IN COMPETITIONS THROUGHOUT THE YEAR. IN ADDITION TO THE EXAMPLES PROVIDED ABOVE, ADVOCATE PHYSICIANS ALSO PROVIDE YEAR ROUND HEALTH EDUCATION, LECTURES AND SCREENINGS AT COMMUNITY HEALTH EVENTS THROUGHOUT THE METROPOLITAN CHICAGO AREA.
FORM 990 PART III LINE 4 C   GRADUATE MEDICAL EDUCATION. ADVOCATE IS COMMITTED TO TRAINING HEALTH CARE PROVIDERS IN A BROAD RANGE OF SPECIALTIES. EACH YEAR, OVER THAN 2,000 MEDICAL STUDENTS COMPLETE ROTATIONS AND 600 RESIDENTS AND FELLOWS RECEIVE HANDS-ON TRAINING AT ADVOCATES THREE TEACHING HOSPITALS ADVOCATE BROMENN MEDICAL CENTER, ADVOCATE CHRIST MEDICAL CENTER, AND ADVOCATE LUTHERAN GENERAL HOSPITAL. NOT INCLUDED IN THE EXPENSE AND REVENUE AMOUNTS REPORTED ON LINE 4C BUT IMPORTANT TO THE ORGANIZATIONS ROLE IN TRAINING HEALTH CARE PROFESSIONALS, ARE NURSING RESIDENCY PROGRAMS AT ADVOCATE GOOD SAMARITAN HOSPITAL, AS WELL AS PROGRAMS WHICH TRAIN STUDENTS IN RESPIRATORY CARE, RADIOLOGIC TECHNOLOGY, PHYSICAL THERAPY, PHARMACEUTICAL SERVICES AND OTHER DISCIPLINES AT ADVOCATE SITES OF CARE.
FORM 990 PART III 4 D Other program services ADVOCATE HEALTH CARE IS ONE OF THE NATION'S TOP TEN HEALTH SYSTEMS AND IS THE LARGEST INTEGRATED HEALTH CARE SYSTEM IN ILLINOIS. AS PART OF A NETWORK WITH OVER 250 SITES OF CARE, ITS MORE THAN 30,000 ASSOCIATES PROVIDE CARE AT TEN ACUTE CARE HOSPITALS AND TWO FULL-SERVICE CHILDREN'S HOSPITALS TOTALING 3,222 AUTHORIZED BEDS. ADVOCATE PROVIDES EXPERT EMERGENCY CARE TO THE CHICAGO AREA'S SERIOUSLY INJURED PEOPLE THROUGH ITS FIVE LEVEL I TRAUMA CENTERS WHICH COMPRISE THE LARGEST EMERGENCY AND LEVEL I TRAUMA NETWORK IN ILLINOIS. THE ORGANIZATION IS ALSO RECOGNIZED AS HAVING ONE OF THE LARGEST HOME HEALTH COMPANIES IN THE STATE. ADVOCATE HAS THE STATE OF ILLINOIS'S LARGEST PHYSICIAN NETWORK OF PRIMARY CARE PHYSICIANS, SPECIALISTS AND SUB-SPECIALISTS. OF THE 6,000 PHYSICIANS AFFILIATED WITH ADVOCATE, 4,000 OF THEM BELONG TO ADVOCATE PHYSICIAN PARTNERS, THE SYSTEM'S CARE MANAGEMENT AND MANAGED CONTRACTING ORGANIZATION AND 1,000 BELONG TO THE SYSTEM'S AFFILIATED MEDICAL GROUPS. ADVOCATE HAS ACADEMIC AND TEACHING AFFILIATIONS WITH ALL MAJOR UNIVERSITIES IN THE CHICAGO METROPOLITAN AREA. AT ITS THREE TEACHING HOSPITALS, ADVOCATE TRAINS MORE PRIMARY CARE PHYSICIANS AND RESIDENTS THAN ANY OTHER HEALTH CARE SYSTEM IN THE STATE. IN ADDITION, THE TEACHING OF OTHER HEALTH CARE PROFESSIONALS OCCURS AT ALL ADVOCATE HOSPITALS. INCORPORATED AS ADVOCATE HEALTH CARE IN JANUARY 1995, THE SYSTEM HAS A LONG TRADITION OF HEALTH CARE DATING BACK MORE THAN 100 YEARS TO HOSPITALS FOUNDED BY PREDECESSOR CHURCHES OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA AND THE UNITED CHURCH OF CHRIST. ADVOCATE'S COMMON MISSION, VALUES, AND PHILOSOPHY (MVP) WAS DEVELOPED FROM THE SIMILAR MISSION-ORIENTED HISTORIES OF BOTH ORGANIZATIONS. THE MISSION OF ADVOCATE HEALTH CARE IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD. THE VALUES OF ADVOCATE SERVE AS AN INTERNAL COMPASS TO GUIDE RELATIONSHIPS AND ACTIONS. THEY INCLUDE EQUALITY, COMPASSION, EXCELLENCE, PARTNERSHIP AND STEWARDSHIP. THE PHILOSOPHY OF ADVOCATE IS GROUNDED IN THE PRINCIPLES OF HUMAN ECOLOGY, FAITH, AND COMMUNITY-BASED HEALTH CARE. THESE PRINCIPLES ARISE FROM AN UNDERSTANDING OF HUMAN BEINGS AS WHOLE PERSONS IN LIGHT OF THEIR RELATIONSHIPS WITH GOD, THEMSELVES, THEIR FAMILIES AND SOCIETY IN WHICH THEY LIVE. THROUGH ITS ACTIONS, ADVOCATE HEALTH CARE AFFIRMS THESE PRINCIPLES. POPULATION SERVED ADVOCATE HEALTH CARE PROVIDES QUALITY MEDICAL HEALTH CARE TO VARIOUS COMMUNITIES IN THE CHICAGOLAND AREA REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2011, ADVOCATE EXPERIENCED 167,767 INPATIENT ADMISSIONS, 4,424,799 OUTPATIENT VISITS AND 19,526 BABIES DELIVERED. COMMITMENT TO THE COMMUNITY IN 1997, BASED ON RECOMMENDATIONS OF THE COMMUNITY BENEFITS TASK FORCE OF THE ADVOCATE HEALTH CARE BOARD OF DIRECTORS, ADVOCATE REAFFIRMED ITS COMMITMENT TO A COMMUNITY BENEFIT PROGRAM COMPRISED OF FINANCIAL ASSISTANCE; COST OF UNREIMBURSED CARE TO MEDICAID RECIPIENTS, UNREIMBURSED COSTS OF SERVICES AND PROGRAMS ADDRESSING COMMUNITY HEALTH, WELLNESS AND SERVICE NEEDS; AND COMMUNITY DONATIONS. THAT DEFINITION WAS LATER EXPANDED TO INCLUDE OTHER SERVICES, SUCH AS LANGUAGE ASSISTANCE AND VOLUNTEER SERVICES FOR EXAMPLE, IN COMPLIANCE WITH THE ILLINOIS COMMUNITY BENEFITS ACT PASSED BY THE ILLINOIS STATE LEGISLATURE IN 2003. DESPITE FACING LOW REIMBURSEMENTS, ADVOCATE IS DEDICATED TO MAINTAINING A STRONG PRESENCE WITHIN ITS COMMUNITIES AND CONTINUES TO MONITOR THESE EXPENDITURES TO MAKE CERTAIN THAT THE PROGRAMS AND SERVICES SUPPORTED ARE IN DIRECT RESPONSE TO COMMUNITY NEEDS. IN 2011, ADVOCATE REPORTED NEARLY $465 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. COMMUNITY BENEFITS PLAN, GOALS AND EXAMPLES OF PROGRAM SERVICE ACCOMPLISHMENTS THE ADVOCATE HEALTH CARE COMMUNITY BENEFIT PLAN'S BROAD GOALS AND OBJECTIVES WERE DESIGNED TO STRUCTURE SYSTEM-WIDE COMMUNITY BENEFIT ACTIVITIES WITHIN A STRATEGIC FRAMEWORK. ADVOCATE'S PLAN WAS DEVELOPED TO ESTABLISH STRATEGIES FOR IMPROVING ACCESS TO CARE AND POSITIVELY AFFECTING THE HEALTH OF THE COMMUNITIES THAT ADVOCATE SERVES. INCLUDED IN THE COMMUNITY BENEFITS PLAN ARE GOALS AND OBJECTIVES FOCUSED ON ADDRESSING NEEDS AS IDENTIFIED THROUGH THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, AS WELL AS ONGOING SYSTEM COMMUNITY BENEFITS PROGRAMS, SUCH AS FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID AND MEDICARE. THE PLAN SETS THE COURSE FOR STRENGTHENING EXISTING PARTNERSHIPS AND BUILDING NEW ONES WITH INDIVIDUALS AND ORGANIZATIONS WITHIN ADVOCATE'S PRIMARY SERVICE AREAS IN ORDER TO LEVERAGE AND MAXIMIZE THE IMPACT OF ITS PROGRAMS. IN DEVELOPING ITS PLAN, ADVOCATE SET FIVE GOALS AND CORRESPONDING OBJECTIVES TO ACCOMPLISH THIS STRATEGY. ALTHOUGH EACH GOAL IS EXEMPLIFIED BY MULTIPLE PROGRAMS/PROJECTS THROUGHOUT THE ADVOCATE SYSTEM, ONLY A FEW PROGRAM EXAMPLES ARE OUTLINED HERE AS EXAMPLES OF WORKING TOWARD EACH GOAL. GOAL 1: OPTIMIZE ADVOCATE'S ABILITY TO LEVERAGE ITS COMMUNITY HEALTH RESOURCES AND CONTINUE PROGRAMS THAT BENEFIT THE COMMUNITY BY PROSPECTIVELY ALIGNING SYSTEM AND SITE PLANS AND ACTIVITIES. THROUGH ADVOCATE'S OWN PROGRAMS AND SERVICES, AS WELL AS ITS PARTICIPATION IN THE COMMUNITY, ADVOCATE PROMOTES A SHARED APPROACH TO COMMUNITY BENEFITS. EXAMPLES INCLUDE: HEALTHY STEPS PROGRAM-THROUGH ADVOCATE'S HEALTHY STEPS PROGRAM IN 2011, HEALTHY STEPS SPECIALISTS TOUCHED THE LIVES OF 7,341 YOUNG CHILDREN THROUGH CHILDHOOD PROGRAMS WITHIN PEDIATRIC/FAMILY PRACTICE RESIDENCIES AT ADVOCATE LUTHERAN GENERAL AND ADVOCATE HOPE CHILDREN'S HOSPITALS. THIS SYSTEM-WIDE PROGRAM USES A NATIONAL MODEL TO ENGAGE PARENTS AS PARTNERS WITH PHYSICIANS IN THEIR CHILDREN'S HEALTH. HEALTHY STEPS SPECIALISTS HELP BRIDGE THE TWO GROUPS BY PREPARING PARENTS TO TAKE AN ACTIVE ROLE IN, AND PHYSICIANS TO ASSESS AND MEET MORE EFFECTIVELY, A RANGE OF CHILD DEVELOPMENT NEEDS. THESE SPECIALISTS HAVE PROVIDED 6,075 DEVELOPMENTAL SCREENINGS AND REFERRED 191 FAMILIES TO COMMUNITY SERVICES. DURING 2011, ADVOCATE HEALTHY STEPS CONSULTANTS PROVIDED 209 PRESENTATIONS IN 62 PRIMARY CARE SITES, TO 279 PHYSICIANS AND THEIR STAFFS THROUGHOUT THE STATE OF ILLINOIS. ADVOCATE PROVIDERS CARE FOR APPROXIMATELY 97,350 CHILDREN BETWEEN BIRTH AND AGE THREE. THE STAFF ALSO MEETS REGULARLY WITH 20 COMMUNITY ORGANIZATIONS, AND WORKS WITH PEDIATRIC AND FAMILY MEDICINE RESIDENCY PROGRAMS, PEDIATRIC NURSE PRACTITIONERS AND PHYSICIAN ASSISTANT PROGRAMS THROUGHOUT THE STATE. MISSION AND SPIRITUAL CARE-ADVOCATE HEALTH CARE'S OFFICE FOR MISSION AND SPIRITUAL CARE PROVIDES CLINICAL CHAPLAINS AND ETHICISTS WHO OFFER SUPPORT AND SERVICES TO THE INDIVIDUALS AND FAMILIES THAT ADVOCATE SERVES. THE OFFICE ALSO DEVELOPS PARTNERSHIPS WITH COMMUNITIES AND CONGREGATIONS TO HELP ADDRESS LOCAL HEALTH CARE NEEDS. AN EXAMPLE OF THIS IS ADVOCATE'S SUPPORT/CO-SPONSORSHIP OF 18 ADVOCATE PARISH NURSES SERVING 22 CONGREGATIONS AND 14 NETWORK NURSES SERVING 13 CONGREGATIONS, WHO PROVIDE HEALTH EDUCATION, WELLNESS PROMOTION, HEALTH SCREENINGS, ADVOCACY AND SPIRITUAL SUPPORT TO FAITH COMMUNITIES IN ADVOCATE'S CITY AND SUBURBAN HOSPITAL SERVICE AREAS. ADDITIONALLY, ADVOCATE BROMENN MEDICAL CENTER COLLABORATES WITH 80 COMMUNITY-BASED PARISH NURSES SUPPORTING THEIR EFFORTS TO PROVIDE HEALTH EDUCATION, CONSULTATIONS AND SCREENINGS TO CHURCH MEMBERS.
FORM 990 PART III 4 D (CONTD)   MISSION AND SPIRITUAL CARE-ADVOCATE HEALTH CARE'S OFFICE FOR MISSION AND SPIRITUAL CARE PROVIDES CLINICAL CHAPLAINS AND ETHICISTS WHO OFFER SUPPORT AND SERVICES TO THE INDIVIDUALS AND FAMILIES THAT ADVOCATE SERVES. THE OFFICE ALSO DEVELOPS PARTNERSHIPS WITH COMMUNITIES AND CONGREGATIONS TO HELP ADDRESS LOCAL HEALTH CARE NEEDS. AN EXAMPLE OF THIS IS ADVOCATE'S SUPPORT/CO-SPONSORSHIP OF 18 ADVOCATE PARISH NURSES SERVING 22 CONGREGATIONS AND 14 NETWORK NURSES SERVING 13 CONGREGATIONS, WHO PROVIDE HEALTH EDUCATION, WELLNESS PROMOTION, HEALTH SCREENINGS, ADVOCACY AND SPIRITUAL SUPPORT TO FAITH COMMUNITIES IN ADVOCATE'S CITY AND SUBURBAN HOSPITAL SERVICE AREAS. ADDITIONALLY, ADVOCATE BROMENN MEDICAL CENTER COLLABORATES WITH 80 COMMUNITY-BASED PARISH NURSES SUPPORTING THEIR EFFORTS TO PROVIDE HEALTH EDUCATION, CONSULTATIONS AND SCREENINGS TO CHURCH MEMBERS. GOAL 2: UNDERTAKE OR SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES. A FEW EXAMPLES OF ADVOCATE'S LEADERSHIP IN SERVING UNINSURED AND UNDERINSURED INDIVIDUALS AND FAMILIES ARE: FINANCIAL ASSISTANCE-ADVOCATE OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL AND TO INSURED PATIENTS EARNING UP TO FOUR TIMES THE POVERTY LEVEL. ADVOCATE CONSIDERS AN INDIVIDUAL'S EXTENUATING CIRCUMSTANCES TO QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE AND IN CERTAIN CASES DETERMINES A PATIENT'S ELIGIBILITY USING ADVOCATE OR PUBLIC RECORDS ("PRESUMPTIVE ELIGIBILITY"). NOTABLY, ADVOCATE IS ALSO ONE OF THE LARGEST PROVIDERS OF HEALTH CARE SERVICES TO MEDICAID AND MEDICARE PATIENTS IN CHICAGO AND THE SURROUNDING SUBURBS. FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS)-ADVOCATE HAS A PARTNERSHIP WITH A FEDERALLY QUALIFIED HEALTH CENTER THROUGH ADVOCATE SOUTH SUBURBAN HOSPITAL TO IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED AND UNDERINSURED INDIVIDUALS IN THOSE AREAS. IN ADDITION, ADVOCATE GOOD SHEPHERD HOSPITAL HAS PARTNERED WITH THE FAMILY HEALTH PARTNERSHIP CLINIC, A FREE CLINIC IN WOODSTOCK, ILLINOIS. WORKING WITH OTHER AREA HOSPITALS, ADVOCATE GOOD SAMARITAN HOSPITAL PROVIDES SUPPORT THROUGH THE DUPAGE HEALTH COALITION TO SUSTAIN THE ACCESS DUPAGE COMMUNITY PROGRAM, A COMMUNITY COLLABORATION DESIGNED TO PROVIDE LOW-COST PRIMARY MEDICAL CARE SERVICES TO LOW-INCOME, MEDICALLY UNINSURED RESIDENTS OF DUPAGE COUNTY. ADVOCATE CHRIST MEDICAL CENTER HAS A PARTNERSHIP WITH THE ACCESS TO CARE ORGANIZATION AND PROVIDES DIAGNOSTIC RADIOLOGY SERVICES, SUCH AS MAMMOGRAMS. ADVOCATE GOOD SHEPHERD HOSPITAL HAS PARTNERED WITH THE LAKE COUNTY HEALTH DEPARTMENT TO PROVIDE FREE DIAGNOSTIC SERVICES, SUCH AS COLONOSCOPIES, RADIOLOGY EXAMS, MRIS, CT SCANS AND BIOPSIES TO THE UNINSURED AND UNDERSERVED RESIDENTS OF LAKE COUNTY. ADVOCATE BROMENN MEDICAL CENTER MAINTAINS A COMMUNITY HEALTH CLINIC IN A JOINT VENTURE WITH OSF ST. JOSEPH'S HOSPITAL, WHEREBY ADVOCATE BROMENN MEDICAL CENTER IS RESPONSIBLE FOR ALL HOSPITAL CARE FOR THE CLINIC'S PATIENTS FOR SIX MONTHS OF EACH YEAR. THIS PARTNERSHIP ENSURES ACCESS AND SUBSIDIZED CARE TO UNDERINSURED FAMILIES, REGARDLESS OF THEIR ABILITY TO PAY. GOAL 3: POSITIVELY AFFECT THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE THROUGH PROGRAMS AND PRACTICES THAT REFLECT ADVOCATE'S WHOLISTIC PHILOSOPHY. ADVOCATE IS FOCUSING ON COMMUNITY HEALTH PROGRAMS AND INITIATIVES THAT IMPROVE THE QUALITY OF LIFE THROUGHOUT THE CHICAGO REGION. CHILDHOOD TRAUMA TREATMENT PROGRAM-THE ADVOCATE CHILDHOOD TRAUMA TREATMENT PROGRAM (CTTP) OFFERS HOPE AND HEALING TO CHILDREN WHO HAVE EXPERIENCED MALTREATMENT, PSYCHOLOGICAL TRAUMA AND SEXUAL ABUSE. CLINICIANS WORK WITH A CHILD'S ENTIRE SUPPORT NETWORK INCLUDING PARENTS, THE SCHOOL AND MORE, TO HELP FOSTER A SAFE ENVIRONMENT FOR THE CHILD. CTTP IS ONE OF JUST A HANDFUL OF PROGRAMS IN THE STATE THAT SPECIALIZES IN MENTAL HEALTH FOR CHILDREN. IN 2011, CTTP SERVED 150 CHILDREN AND ADOLESCENTS, AS WELL AS 347 ADULTS, CAREGIVERS, PARENTS AND OTHERS. IN ADDITION, THE PROGRAM HAS PARTNERED WITH "DARKNESS TO LIGHT," A NATIONALLY RECOGNIZED SEXUAL ABUSE PREVENTION PROGRAM. AS A RESULT OF THIS PARTNERSHIP, THE CTTP HAS LAUNCHED A MAJOR ADULT EDUCATION PROGRAM CALLED "STEWARDS OF CHILDREN/7 STEPS TO PROTECT A CHILD." MORE THAN 600 ADULTS HAVE PARTICIPATED IN THE PROGRAM OFFERED AT SCHOOLS, CHURCHES, LAW ENFORCEMENT AGENCIES, CHILD WELFARE AGENCIES AND CIVIC ORGANIZATIONS. OPERATION CLICK-MOTOR VEHICLE CRASHES ARE THE LEADING CAUSE OF DEATH FOR YOUTHS UNDER THE AGE OF 20. OPERATION CLICK IS A SEAT BELT COMPLIANCE PROGRAM WHICH HAS BEEN SPONSORED BY ADVOCATE GOOD SHEPHERD HOSPITAL SINCE ITS INCEPTION IN 1998. THE PROGRAM BEGAN IN THREE HIGH SCHOOLS IN DISTRICT 155 (CRYSTAL LAKE AND CARY GROVE, ILLINOIS) AND IT HAS PROVEN TO INCREASE COMPLIANCE RATE FOR SEATBELT USAGE. OPERATION CLICK HAS EXPANDED TO 30 SCHOOLS IN THE 2011-2012 SCHOOL YEAR, REACHING 9,000 STUDENTS WHO SIGN COMMITMENT FORMS TO WEAR AND HAVE THEIR PASSENGERS WEAR SEAT BELTS, AND THE PROGRAM IS EXPECTED TO CONTINUE EXPANDING IN 2012. GOAL 4: LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY OUTREACH EFFORTS BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS. ADVOCATE MAINTAINS AND CONTINUES TO ACTIVELY EXPAND ITS PARTNERSHIPS AND RELATIONSHIPS WITH A WIDE VARIETY OF ORGANIZATIONS, INCLUDING RELIGIOUS ORGANIZATIONS, NEIGHBORHOOD GROUPS AND OUTREACH AND RESOURCE PROGRAMS. BETHANY COMMUNITY HEALTH FUND-IN 2006, ADVOCATE ESTABLISHED THE ADVOCATE BETHANY COMMUNITY HEALTH FUND TO SUPPORT LOCAL NOT-FOR-PROFIT ORGANIZATIONS AS THEY BUILD, PROMOTE AND SUSTAIN HEALTHY COMMUNITIES ON THE WEST SIDE OF CHICAGO. IN 2011, THE FUND AWARDED MORE THAN $800,000 IN GRANTS AND SERVICES TO 35 ORGANIZATIONS ACROSS ITS FUND COMMUNITIES. SINCE 2006, THE BETHANY COMMUNITY HEALTH FUND HAS AWARDED OVER $4.8 MILLION TO ORGANIZATIONS THAT PROMOTE HEALTH AND WELLNESS AND ADDRESS HEALTH DISPARITIES FOR COMMUNITY RESIDENTS. ADULT DOWN SYNDROME CENTER-ANOTHER EXAMPLE OF BUILDING AND FOSTERING COMMUNITY PARTNERSHIPS TO MAXIMIZE RESOURCES IS ADVOCATE'S ADULT DOWN SYNDROME CENTER. ESTABLISHED IN THE EARLY 1990'S THROUGH A PARTNERSHIP BETWEEN ADVOCATE LUTHERAN GENERAL HOSPITAL AND THE NATIONAL ASSOCIATION FOR DOWN SYNDROME (NADS), IT IS THE LARGEST CENTER OF ITS KIND IN THE WORLD. THE CENTER PROVIDES CRUCIAL PSYCHOSOCIAL AND MEDICAL SERVICES TO INDIVIDUALS WITH DOWN SYNDROME LIVING IN ALL AREAS OF ILLINOIS AND ACROSS THE MIDWEST. MANY IN THIS UNIQUE POPULATION ARE ON PUBLIC ASSISTANCE AND, THERE ARE FEW SOURCES OF REIMBURSEMENT FOR THESE MUCH-NEEDED SERVICES IN MOST INSTANCES. THE CENTER'S MULTIDISCIPLINARY APPROACH TO COMPREHENSIVE MEDICAL CARE, WITH A STRONG EMPHASIS ON PREVENTIVE MEDICINE, PROVIDES PRACTICAL APPROACHES TO HEALTH EDUCATION AND HEALTH RISK REDUCTION. IN 2011, THE CENTER HAD A TOTAL OF 6,929 PATIENT VISITS, SERVING 1,546 DISTINCT PATIENTS. TO DATE, THE CLINIC'S MULTIDISCIPLINARY TEAM HAS SERVED THE HEALTH AND PSYCHOSOCIAL NEEDS OF OVER 6,500 ADOLESCENTS AND ADULTS WITH DOWN SYNDROME. GOAL 5: PROMOTE INTEGRATION OF AND ACCOUNTABILITY FOR SYSTEM AND SITE PLANS AND ACTIVITIES BY ENHANCING COORDINATION AND DEVELOPING GOVERNANCE RELATIONSHIPS. IN JANUARY 2011, ADVOCATE HEALTH CARE IMPLEMENTED A NEW COMMUNITY HEALTH ACCOUNTABILITY STRUCTURE AT ALL TEN OF ITS HOSPITALS. THE OVERALL GOAL WAS TO MORE STRATEGICALLY FOCUS THE HOSPITALS' COMMUNITY HEALTH PROGRAMMING TO ENSURE KEY COMMUNITY NEEDS ARE BEING ADDRESSED AND THAT THE PROGRAMS, WHETHER DEVELOPED OR SUSTAINED, MEASURABLY IMPROVE COMMUNITY HEALTH. COMMUNITY HEALTH COMMITTEES WERE PUT IN PLACE AT EACH HOSPITAL TO CONDUCT COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS USING A STANDARDIZED APPROACH. REPRESENTATIVES FROM THE EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY DEPARTMENTS, LED BY THE HOSPITAL'S COMMUNITY HEALTH LEADER, MET REGULARLY DURING THE FIRST HALF OF THE YEAR. COMMUNITY REPRESENTATIVES SERVING ON EACH HOSPITAL'S GOVERNING COUNCIL WERE ALSO RECRUITED AS ACTIVE PARTICIPANTS ON THE COMMITTEE. ADDITIONAL COMMUNITY, CLINICAL AND OTHER HOSPITAL REPRESENTATIVES WILL BE ADDED TO THE COMMITTEE TO ENHANCE PROGRAM PLANNING AND IMPLEMENTATION.
FORM 990 PART III 4 D (CONTD)   THE HOSPITALS' COMMUNITY HEALTH COMMITTEE MEMBERS ATTENDED THREE CHNA WORKSHOPS IN 2011 SPONSORED BY THE SYSTEM. THE WORKSHOPS WERE DESIGNED TO LAUNCH THE CHNA PROCESS BY EDUCATING MEMBERS ON HOW TO CONDUCT AN ASSESSMENT, INCLUDING CUTTING EDGE THINKING ON ADDRESSING COMMUNITY NEED. USING BOTH PRIMARY AND SECONDARY COMMUNITY HEALTH DATA, THE HOSPITAL COMMITTEES IDENTIFIED THEIR SERVICE AREAS' KEY HEALTH NEEDS AND THEN EMPLOYED A STANDARDIZED PRIORITY SETTING PROCESS TO DETERMINE KEY HEALTH NEEDS ON WHICH TO FOCUS. DURING THE PROCESS, SITES EXAMINED THEIR COMMUNITY'S CHALLENGES AND ASSETS, AND HAD DISCUSSIONS WITH EXTERNAL KEY INFORMANTS TO DETERMINE THE POTENTIAL FOR PARTNERING WITH OTHER ORGANIZATIONS AND SHARING RESOURCES TO ADDRESS COMMUNITY NEED. CHNA RESULTS WERE SHARED AND THE SELECTED PRIORITIES WERE ENDORSED BY EACH HOSPITAL'S PRESIDENT AND ITS FULL GOVERNING COUNCIL. PROGRAM PLANNING BEGAN IN 2011 AND WILL CONTINUE INTO 2012 AS THE HOSPITALS WORK TO PARTNER WITH OTHER ORGANIZATIONS TO ADDRESS THEIR COMMUNITY-SPECIFIC HEALTH CARE NEEDS. HOSPITAL PLANS WILL BE SHARED AND ENDORSED EACH YEAR BY THEIR GOVERNING COUNCILS AND PLAN SUMMARIES WILL BE SHARED PERIODICALLY WITH ADVOCATE'S MISSION AND SPIRITUAL CARE COMMITTEE OF THE BOARD, WHICH HAS SYSTEM LEVEL OVERSIGHT OF COMMUNITY HEALTH PLANNING.
BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE FORM 990, PART VI, SECTION A, LINE 1A THE ORGANIZATIONS BYLAWS PROVIDE THAT THE EXECUTIVE COMMITTEE HAS AUTHORITY TO ACT ON BEHALF OF THE BOARD. THE EXECUTIVE COMMITTEE HAS THE SAME COMPOSITION AND MEMBERS AS THE EXECUTIVE COMMITTEE OF THE CORPORATE MEMBER. THE CORPORATE MEMBERS EXECUTIVE COMMITTEE HAS NINE MEMBERS, CONSISTING OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE PRESIDENT, THE CHAIRPERSONS OF THE FINANCE, PLANNING, HEALTH OUTCOMES AND MISSION AND SPIRITUAL CARE COMMITTEES, AND TWO OTHER DIRECTORS. THE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS MAY SERVE AS AN EX-OFFICIO MEMBER OF THE COMMITTEE, WITH VOTE. EACH OF THE EXECUTIVE COMMITTEES MEMBERS IS ON THE BOARD. THE SCOPE OF THE EXECUTIVE COMMITTEES AUTHORITY INCLUDES: BE RESPONSIBLE FOR PLANNING EDUCATIONAL PROGRAMS FOR THE BOARD OF DIRECTORS; CONDUCT AN EVALUATION OF THE MEMBERS OF THE BOARD OF DIRECTORS; HAVE SUCH AUTHORITY AS SHALL BE DELEGATED BY THE BOARD OF DIRECTORS; AND ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE IS ACCOUNTABLE AS A BODY TO THE BOARD OF DIRECTORS. OFFICER BUSINESS RELATIONSHIP 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 BYLAWS PROVIDE FOR CORPORATE MEMBERS. Description of Classes of Persons and the Nature of Their Rights Form 990, Part VI, Question 7a DIRECTORS OF THE BOARD ARE CORPORATE MEMBERS OF ADVOCATE HEALTH AND HOSPITAL BOARD, WHICH ELECTS THE BOARD OF DIRECTORS. Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights Form 990, Part VI, Question 7b THE FOLLOWING RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK: APPOINT OUTSIDE AUDITORS AND ESTABLISH AND REVISE ALL FINANCIAL CONTROL POLICIES, AND ANY CHANGES TO SUCH POLICIES, BEFORE SUCH POLICIES OR CHANGES BECOME EFFECTIVE; CAUSE THE CORPORATION TO PAY, LOAN OR OTHERWISE TRANSFER PROPERTY AND FUNDS TO OTHER ENTITIES AFFILIATED WITH THE CORPORATE MEMBER; AMEND THE BYLAWS WITHOUT ACTION OR APPROVAL BY THE BOARD OF DIRECTORS (AFTER TEN DAYS NOTICE TO THE CORPORATIONS BOARD OF DIRECTORS OF THE PROPOSED AMENDMENT(S) WITH AN OPPORTUNITY FOR BOARD MEMBERS TO CONSULT WITH THE CORPORATE MEMBER REGARDING THE PROPOSED AMENDMENT; APPROVAL OF THE OVERALL MISSION, PHILOSOPHY AND VALUES STATEMENTS AND ANY AMENDMENTS OR SUPPLEMENTS TO SUCH STATEMENTS; APPROVAL OF THE OVERALL STRATEGIC PLANS; APPROVAL OF ALL OVERALL OPERATING AND CAPITAL BUDGETS BEFORE ANY EXPENDITURE, PURSUANT TO SUCH BUDGETS ARE MADE OR COMMITTED, AND APPROVAL OF ALL EXPENDITURES ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF THE INCURRENCE OR GUARANTEE OF ANY INDEBTEDNESS FOR BORROWED MONEY WHICH HAS NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR WHICH IS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL TRANSFERS OF OWNERSHIP OR DONATIONS OF ASSETS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION BEFORE THEY BECOME EFFECTIVE; APPROVAL OF ANY MERGER, CONSOLIDATION, OR DISSOLUTION; AND APPROVAL OF THE CREATION OF OR AFFILIATION WITH ANY SUBSIDIARY OR AFFILIATE, BEFORE SUCH ENTITY IS CREATED OR THE ENTRANCE INTO ANY JOINT VENTURE IF THE CONTEMPLATED ACTIVITY WILL INVOLVE THE EXPENDITURE OF FUNDS OR THE ASSUMPTION OF OBLIGATIONS WHICH HAVE NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR REQUIRE MEMBER APPROVAL UNDER THE FINANCIAL CONTROL POLICIES. Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11B ADVOCATES TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION, TO ADVISE AND ASSIST WITH PREPARATION OF THE FORM 990. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATIONS FINANCE, TAX, AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATIONS TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. THE FORM 990 IS REVIEWED BY FINANCE MANAGEMENT, THE TAX MANAGER, THE VP OF FINANCE / CORPORATE CONTROLLER, THE CHIEF FINANCIAL OFFICER, AND ADVOCATES OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTORS AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATIONS TEAM, INCLUDING ITS ADVISORS, MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE / CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE / CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATIONS BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12c THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS "INTERESTED PERSONS"). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE A DISCLOSURE STATEMENT TO THE COMPLIANCE DEPARTMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE, AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON, OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSONS SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD, OR GOVERNING COUNCIL, OR A COMMITTEE THEREOF, OR A PERSON OF INTEREST, IF IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE, POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUALS JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT.
Offices & Positions for Which Process was Used, & Year Process was Begun Form 990, Part VI, Question 15a & 15b EXECUTIVE COMPENSATION AT ADVOCATE HEALTH AND HOSPITAL CORPORATION IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS AND ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS ARE IDENTIFIED AND THE DESIRED LEVELS OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: -A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY. -ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION. -A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS. -AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ON-GOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND -ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, Question 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEB SITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. OFFICER IS EMPLOYEE OF RELATED CORPORATION FORM 990, PART VII, SECTION A, LINE 1A JOSE ELIZONDO, MD IS AN EMPLOYEE OF ADVOCATE NORTH SIDE HEALTH NETWORK AND GENERALLY WORKS 40 HOURS PER WEEK. APPROXIMATELY 4 HOURS OF HIS REGULAR WORK WEEK ARE SPENT PROVIDING SERVICES TO RELATED ORGANIZATIONS. Other changes in net assets or fund balances FORM 990, PART XI, LINE 5 NET UNREALIZED INCOME $(189,603,036) FASB 158 ADJUSTMENTS $(60,918,462) RESTRICTED FUNDS ACQUIRED $(7,892) TOTAL $(250,529,390)
SCHEDULE K - SUPPLEMENTAL INFORMATION Purpose of Bond Series 2003 issued 10/29/2003 SCHEDULE K PART 1 LINE A(F) (PAGE 1) THE PROCEEDS OF THE ILLINOIS HEALTH FACILITIES AUTHORITY REVENUE BONDS, SERIES 2003A, 2003B AND SERIES 2003C (ADVOCATE HEALTH CARE NETWORK) WERE ISSUED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK. Purpose of Bond Series 2008 issued 10/10/2007 FORM SCHEDULE K PART I LINE B(F) (PAGE 1) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007B-1, SERIES 2007B-2 AND SERIES 2007B-3 (ADVOCATE HEALTH CARE NETWORK), WERE ISSUED ON OCTOBER 10, 2007 FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING ALL OR A PORTION OF THE ORGANIZATION'S SERIES 1997A BONDS, SERIES 1997B BONDS, SERIES 2003B BONDS AND SERIES 2005 BONDS. THE SERIES 2007B BONDS WERE EXCHANGED FOR THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008C-1, SERIES 2008C-2A, SERIES 2008C-2B, SERIES 2008C-3A, AND SERIES 2008C-3B (ADVOCATE HEALTH CARE NETWORK) ON APRIL 25, 2008. BASED ON THE ADVICE OF BOND COUNSEL, THE ORGANIZATION IS TREATING THE SERIES 2008C BONDS AS THE SAME ISSUE AS THE SERIES 2007B BONDS FOR FEDERAL INCOME TAX PURPOSES. Purpose of Bond Series issued 4/23/2008 FORM SCHEDULE K PART I LINE C(F) (PAGE 1) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008A-1, SERIES 2008A-2 AND SERIES 2008A-3 (ADVOCATE HEALTH CARE NETWORK) WERE USED, TOGETHER WITH OTHER AVAILABLE FUNDS, FOR THE PURPOSE OF REFUNDING ALL OF THE ORGANIZATION'S SERIES 2007A BONDS, WHICH WERE ISSUED ON OCTOBER 10, 2007. Purpose of bond Series 2008D issued 12/01/2008 FORM SCHEDULE K PART I LINE D(F) (PAGE 1) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008D (ADVOCATE HEALTH CARE NETWORK) WERE ISSUED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COSTS OF PURCHASING ASSETS OF CONDELL MEDICAL CENTER AND THE COSTS OF CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE CONDELL MEDICAL CENTER. THE ACQUIRED ASSETS INCLUDE CONDELL MEDICAL CENTER, A 283-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN LIBERTYVILLE, ILLINOIS. Purpose of Bond Series 2010 issued 1/6/2010 FORM SCHEDULE K PART I LINE A(F) (PAGE 2) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2010 (ADVOCATE HEALTH CARE NETWORK) WERE ISSUED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING THE ORGANIZATIONS SERIES 2008B-1, SERIES 2008B-2, SERIES 2008B-3, SERIES 2008B-4 AND SERIES 2008B-5 BONDS, OF FINANCING THE COSTS RELATED TO THE MERGER WITH BROMENN HEALTHCARE SYSTEM AND THE COSTS RELATED TO THE CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE BROMENN MEDICAL CENTER AS WELL AS FINANCING CERTAIN CAPITAL EXPENDITURES AT OTHER HEALTH CARE FACILITIES OF THE ORGANIZATION. THE MERGED ASSETS INCLUDE BROMENN REGIONAL MEDICAL CENTER, A 221-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN BLOOMINGTON, ILLINOIS AND EUREKA COMMUNITY HOSPITAL, A 25-LICENSED BED GENERAL ACUTE CARE HOSPITAL LOCATED IN EUREKA, ILLINOIS. Purpose of Bond Series 2011 issued 9/21/2011 FORM SCHEDULE K PART I LINE B(F) (PAGE 2) THE PROCEEDS OF THE SERIES 2011A-2, SERIES 2011B, SERIES 2011C AND SERIES 2011D BONDS WERE ISSUED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING A NINE STORY AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. Purpose of Bond Series 2011A-1 issued 9/21/2011 FORM SCHEDULE K PART I LINE C(F) (PAGE 2) THE PROCEEDS OF THE SERIES 2011A-1 BONDS WERE ISSUED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING ALL OF THE ORGANIZATIONS SERIES 1998A AND SERIES 1998B BONDS. Partnership description SCHEDULE K PART III LINE 1 ADVOCATE NORTH SIDE HEALTH NETWORK (ANSHN) IS A PARTNER WITH THE REHAB INSTITUTE OF CHICAGO, A 501(C)(3) ORGANIZATION. THE REHAB INSTITUTE OF CHICAGO LEASES BOND FINANCED PROPERTY FROM ANSHN AND PROVIDES REHABILITATION SERVICES AT ANSHN. Service contracts and research agreements SCHEDULE K PART III LINE 3B AND 3C INTERNAL COUNSEL REVIEWS ALL MANAGEMENT OR SERVICE CONTRACTS AND RESEARCH AGREEMENTS. THEREFORE, THE ORGANIZATION DOES NOT ROUTINELY ENGAGE OUTSIDE BOND COUNSEL TO REVIEW THE CONTRACTS. BOND COUNSEL DOES REVIEW CONTRACTS RELATED TO THE FINANCED PROPERTY DURING DUE DILIGENCE PRIOR TO A BOND TRANSACTION. Private business use percentage SCHEDULE K PART III LINES 4-6 PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY. Form 8038-T SCHEDULE K PART IV LINE 1 NO ARBITRAGE REBATE PAYMENT WAS DUE, THEREFORE AHHC WAS NOT REQUIRED TO FILE FORM 8038-T. Swap Providers SCHEDULE K PART IV LINE 3B ON DECEMBER 28, 2011 THE ORIGINAL SWAP RELATING TO THESE BONDS WITH CITIBANK N.A. WAS SEPARATED INTO TWO TRANCHES AND NOVATED (ASSIGNED TO) TWO SEPARATE SWAP COUNTERPARTIES, WELLS FARGO BANK, N.A. AND PNC BANK, NATIONAL ASSOCIATION. Written Procedures SCHEDULE K PART V THE ORGANIZATION HAD WRITTEN PROCEDURES IN PLACE DURING 2011 TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED. THE WRITTEN PROCEDURES WERE UPDATED IN 2012 TO OUTLINE SPECIFIC SELF-REMEDIATION PROCEDURES, SUCH AS THE VOLUNTARY CLOSING AGREEMENT PROGRAM.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2011

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
2011
Open to Public Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) ADVOCATE HEALTH CARE NETWORK

2025 WINDSOR DRIVE

OAK BROOK,IL60523
36-2167779 		PARENT CORP IL 501(c)(3) 11-III-FI NA
 
 
No
(2) RAINBOW HOSPICE AND PALLIATIVE CARE

1550 BISHOP COURT

MOUNT PROSPECT,IL60056
36-3296367 		HOSPICE IL 501(c)(3) 9 AHHC
 
Yes
 
(3) ADVOCATE CONDELL MEDICAL CENTER

2025 WINDSOR DRIVE

OAK BROOK,IL60523
26-2525968 		HEALTH CARE IL 501(c)(3) 3 AHHC
 
Yes
 
(4) ADVOCATE NORTH SIDE HEALTH NETWORK

2025 WINDSOR DRIVE

OAK BROOK,IL60523
36-3196629 		HEALTH CARE IL 501(c)(3) 3 AHHC
 
Yes
 
(5) ADVOCATE CHARITABLE FOUNDATION

2025 WINDSOR DRIVE

OAK BROOK,IL60523
36-3297360 		FUNDRAISING IL 501(c)(3) 7 AHCN
 
 
No
(6) EHS HOME HEATH CARE SERVICE INC

2025 WINDSOR DRIVE

OAK BROOK,IL60523
36-2913108 		HOME CARE IL 501(c)(3) 9 AHHC
 
Yes
 
(7) MERIDIAN HOSPICE

2025 WINDSOR DRIVE

OAK BROOK,IL60523
36-3158667 		HOSPICE CARE IL 501(c)(3) 9 EHSHHCS
 
 
No
(8) HISPANO CARE INC

2025 WINDSOR DRIVE

OAK BROOK,IL60523
36-3606486 		HEALTH CARE IL 501(c)(3) 9 ANSHN
 
 
No
(9) RAVENSWOOD HEALTH CARE FOUNDATION

4550 N WINCHESTER AVENUE

CHICAGO,IL60640
36-3196628 		FUNDRAISING IL 501(c)(3) 11- II NA
 
 
No
(10) MASONIC FAMILY HEALTH FOUNDATION INC

 
 
36-4397387 		FUNDRAISING IL 501(c)(3) 11-I MFHS
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
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 AMBULATORY SURGERY CENTER P

 
 
36-3890298 		MEDICAL SERVICES IL NA
  		C CORP                












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



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) ADVOCATE HOME CARE PRODUCTS
2025 WINDSOR DRIVE
OAK BROOK,IL60523
36-3315416 		HEALTH SERVICES IL NA
  		C CORP      
(2) MIDWEST HEART SPECIALISTS LTD
1901 S MEYERS RD SUITE 350
OAKBROOK TERRACE,IL60181
36-2841923 		MEDICAL SERVICES IL AHHC
  		C CORP 0 10,034,902 100.000 %
(3) ADVOCATE HEALTH CENTERS INC
2025 WINDSOR DRIVE
OAK BROOK,IL60523
36-4217291 		MEDICAL SERVICES IL NA
  		C CORP      
(4) EVANGELICAL SERVICES CORPORATION
2025 WINDSOR DRIVE
OAK BROOK,IL60523
36-3208101 		MGMT SERVICES IL NA
  		C CORP      
(5) HIGH TECHNOLOGY INC
2025 WINDSOR DRIVE
OAK BROOK,IL60523
36-3368224 		MEDICAL SERVICES IL NA
  		C CORP      
(6) DREYER CLINIC INC
1877 W DOWNER PLACE
AURORA,IL60506
36-2690329 		MEDICAL SERVICES IL NA
  		C CORP      
(7) BROMENN PHYSICIAN MANAGEMENT CORPORATION
23 LIME TREE BAY AVE GOV SQ BLD 3
GRAND CAYMAN    
CJ
37-1313150 		MEDICAL SERVICES CJ NA
  		C CORP      
(8) PARKSIDE CENTER CONDO ASSOCIATION
1775 WEST DEMPSTER STREET
PARK RIDGE,IL60068
36-3452486 		PROPERTY MGMT IL NA
  		C CORP 86,655 659,294 85.000 %
(9) CENTER FOR ENDOSCOPY LLC
22285 PEPPER ROAD
LAKE BARRINGTON,IL60010
26-2387298 		HEALTH SERVICES IL NA
  		C CORP      
(10) ADVOCATE INSURANCE SPC
 
 
98-0422925 		INSURANCE CJ AHHC
  		C CORP -744,881 234,969,910 100.000 %
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
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
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from related 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 NORTH SIDE HEALTH NETWORK

 A 22,500 FMV
(2) ADVOCATE CONDELL MEDICAL CENTER

 A 17,028 FMV
(3) EHS HOME HEALTH CARE SERVICE INC

 A 151,005 FMV
(4) ADVOCATE NORTH SIDE HEALTH NETWORK

 K 42,088,509 COST
(5) ADVOCATE CONDELL MEDICAL CENTER

 K 41,642,695 COST
(6) EHS HOME HEALTH CARE SERVICE INC

 K 1,427,700 COST
(7) ADVOCATE CONDELL MEDICAL CENTER

 L 2,238,127 COST
(8) EHS HOME HEALTH CARE SERVICE INC

 L 96,360 COST
(9) ADVOCATE NORTH SIDE HEALTH NETWORK

 O 41,311,153 COST
(10) ADVOCATE CONDELL MEDICAL CENTER

 O 21,830,532 COST
(11) EHS HOME HEALTH CARE SERVICE INC

 O 948,247 COST
(12) ADVOCATE NORTH SIDE HEALTH NETWORK

 P 76,661,064 COST
(13) ADVOCATE CONDELL MEDICAL CENTER

 P 37,723,393 COST
(14) ADVOCATE INSURANCE SPC

 P 6,429,802 COST
(15) EHS HOME HEALTH CARE SERVICE INC

 P 6,467,291 COST
(16) ADVOCATE NORTH SIDE HEALTH NETWORK

 Q 14,043,251 COST
(17) EHS HOME HEALTH CARE SERVICE INC

 Q 294,402 COST
(18) ADVOCATE NORTH SIDE HEALTH NETWORK

 R 8,610,770 COST
(19) EHS HOME HEALTH CARE SERVICE INC

 R 63,026 COST
(20) Rainbow Hospice and Palliative Care

 P 213,250 COST
(21) Rainbow Hospice and Palliative Care

 N 36,000 COST
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
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)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(e)
Are all
partners
section
501(c)(3)
organizations? 		(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 Yes No






























Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: