Attach to Form 990 or Form 990-EZ.
See separate instructions.| (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 monetary support | |||
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| Yes | No | Yes | No | Yes | No | ||||
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2008 | (b) 2009 | (c) 2010 | (d) 2011 | (e) 2012 | (f) Total | |
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| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2008 | (b) 2009 | (c) 2010 | (d) 2011 | (e) 2012 | (f) Total | |
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| 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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.).. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






Calendar year (or fiscal year beginning in) ![]() |
(a) 2008 | (b) 2009 | (c) 2010 | (d) 2011 | (e) 2012 | (f) Total | |
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| 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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2008 | (b) 2009 | (c) 2010 | (d) 2011 | (e) 2012 | (f) Total | |
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| 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.).. | ||||||




| Facts And Circumstances Test |
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| Explanation |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| FORM 990 PART III LINE 4D | Description of Advocate Health Care Advocate Health Care is one of the nation's top five health systems based on quality by Truven Analytics and is the largest integrated health care system in Illinois and one of the largest health care providers in the Midwest. In 2012, as part of a network with over 250 sites of care, its more than 30,000 associates provided care at ten acute care hospitals and two full-service children's hospitals totaling 3,332 beds. Advocate provides expert emergency care to the Chicago area's seriously injured people through its five Level I Trauma Centers (the state's highest designation in trauma care), which comprise the largest emergency and Level 1 Trauma network in Illinois, and two Level II trauma centers. The organization is also recognized as having one of the largest home health companies in the state. Advocate has the state of Illinois' largest physician network of primary care physicians, specialists and sub-specialists. Of the 6,000 physicians affiliated with Advocate, 4,100 of them belong to Advocate Physician Partners, the system's care management and managed contracting organization and 1,100 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 four 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 2012, Advocate experienced 166,387 inpatient admissions, 4,760,264 outpatient visits and 19,578 deliveries. Advocate Home Health Services had 22,549 admissions and Advocate Hospice reported 96,838 adult patient days. Commitment to the Community In 1997, based on recommendations of the Community Benefits Task Force of the Advocate Health Care Board of Directors, Advocate reaffirmed its commitment to a community benefit program comprised of charity care; cost of unreimbursed care to Medicaid recipients, unreimbursed costs of services and programs addressing community health, wellness and service needs; and donations. That definition was later expanded to include other services, such as language assistance and volunteer services for example, in compliance with the Illinois Community Benefits Act passed by the Illinois State Legislature in 2003. Even in the face of low reimbursements, Advocate is dedicated to maintaining a strong presence within its communities and continues to monitor these expenditures to make certain that the programs and services supported are in direct response to community needs. In 2012, Advocate reported $614 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 Charity Care, 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 have been selected as examples of Advocate's working toward each goal. The goals and selected program examples are provided below. 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 2012, Healthy Steps Specialists touched the lives of 7,011 young children through childhood programs within pediatric/family practice residencies at Advocate Illinois Masonic Medical Center, and Advocate Children's Hospital - Oak Lawn and Advocate Children's Hospital -Park Ridge. This system-wide program uses a national model to engage parents as partners with physicians in their children's health. Healthy Steps specialists help bridge the two groups by preparing parents to take an active role in, and physicians to assess and meet more effectively, a range of child development needs. In 2012, 6,075 developmental screenings were provided and 191 families were referred to community services. In addition, Healthy Steps is implementing, in collaboration with the Illinois Chapter of the American Academy of Pediatrics, an initiative to train primary care providers across the state to improve preventive practices in their site around topics such as use of validated tools for developmental and family risk factor screenings (such as postpartum depression, domestic violence, trauma, and psychosocial issues) and teach primary care providers and their staffs how to refer to local community resources for follow-up care. During 2012, Advocate Healthy Steps consultants provided 185 presentations in 88 primary care sites, to 424 physicians and their staffs throughout the state of Illinois. These providers care for approximately 148,400 children between birth and age three. The staff also meets regularly with approximately 20 community organizations, and work 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. | |
| 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: Charity Care-Advocate offers a very generous Charity Care Program - requiring no payments from the patients most in need, and providing discounts to uninsured patients earning up to six times the federal poverty level and to insured patients earning up to four times the poverty level. Advocate considers an individual's extenuating circumstances to qualify patients for charity care 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 Aunt Martha's Youth Service Center, 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 Lutheran General Hospital has partnered with Community Health Clinic and Old Irving Park Community Clinic to provide free diagnostic services to medically uninsured individuals. 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. 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. Examples include: School-Based Health Center-When Maine Township District 207 was faced with more than 30 percent of its Maine East High School students not meeting state-mandated physical and immunization requirements due to their families not having any or having inadequate medical insurance, the district established a school-based health center to provide medical services to these students. The school district then collaborated with Advocate Medical Group and Advocate Lutheran General Hospital to provide these uninsured/underinsured students with access to vital health care services. The center provides free or low cost services, including physicals, immunizations, emergent care, behavioral health treatment, nutritional counseling and educational programs. Now open to all Maine Township High School District 207 students, the center's medical director and staff have had more than 18,500 student contacts since the facility's inception over ten years ago. 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 - 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 2012, CTTP served 163 children and adolescents, as well as 390 adults, caregivers, parents and others. In addition, the program has partnered with "Darkness to Light," a nationally recognized child sexual abuse prevention leader. 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." This program has educated over 1000 adults at schools, churches, law enforcement agencies, child welfare agencies and civic organizations thereby better protecting 10,000 children. School-Based Obesity Program-In the 2011-12 academic year, over 6,200 students participated in Advocate Good Shepherd Hospital's school-based Childhood Obesity Prevention program resulting in students' improvement in their understanding of nutrition scores by 2 percent and fitness improvements of 3 percent against a goal of 3 percent improvement in both categories. Expansion of the program is planned for the 2012-2013 school year when it will be offered in five school districts and twenty four schools, reaching over 12,000 students. 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 1998. The program began in three high schools in District 155 and it has proven to increase compliance rate for seatbelt usage. Operation Click expanded to 39 area schools in the 2012-2013 school year, with over 6,000 contracts signed by students who have committed to wearing and to having their passengers wear seat belts. With an Advocate Good Shepherd Hospital donation of $40,000 in 2012, Operation Click was able to hire its first Program Director. This individual will oversee operations and develop a fundraising plan to financially sustain the program. | |
| 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. Examples include: Bethany Community Health Fund- In 2006, Advocate established the Advocate Bethany Community Health Fund. This Fund was created as part of Advocate's ongoing commitment to support local not-for-profit organizations as they build, promote and sustain healthy communities on the west side of Chicago. Through the work of the Advocate Bethany Community Health Fund Board, which comprises eight community members from the targeted community areas and seven representatives from Advocate Health Care, the Fund awarded more than $945,000 in grants and capacity-building services in 2012 to 35 organizations across its fund communities. Food Desert Action (FDA) is among the many grantees that have received both program dollars and capacity-building support from the Bethany Fund. Recognizing that many of the underserved communities on the west side of Chicago are food deserts-areas with little or no access to large grocery stores that offer fresh and affordable foods needed to maintain a healthy diet - the FDA designed an innovative strategy to help combat the problem. The organization converted a retired city bus to create the Fresh Moves Mobile Produce Market, a mobile produce aisle. Stocked with fresh produce, this traveling market operates at least four days a week, bringing fruits and vegetables to different sites in the Austin and North Lawndale neighborhoods, including schools, churches, community centers and senior homes. Since the mobile produce market began operating in 2011, it has served more than 12,000 people, helping to combat diet-related diseases such as diabetes, obesity and hypertension. With support from the Bethany Fund, the market has been able to make good food available and affordable for many families in the community. Since the Board's installation in 2007, the Bethany Community Health Fund has awarded over $5.5 million to organizations that promote health and wellness and address health disparities for the west side residents of Chicago. 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. Many in this unique population are on public assistance and, in most instances, there are few sources of reimbursement for these much-needed services. The Center's multidisciplinary approach to comprehensive medical care, with a strong emphasis on preventive medicine, provides practical approaches to health education and health risk reduction. In 2012, the Center had 3,000 active patients and 7,000 patient visits. The Center has served over 5,000 patients since it opened 22 years ago. 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 assure 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 a comprehensive community health needs assessment using a standardized approach. Led by the hospital's community health leader, representatives from the executive team, public affairs and marketing, mission and spiritual care, and business development and strategy departments 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 were added to the Committee during 2011 and 2012 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 process by educating members on how to conduct an assessment and where to find reliable resources to obtain health information and data. Using both primary and secondary community health data, the hospital Committees identified their service areas' key health needs and then employed a priority setting approach to determine key health needs on which to focus. During this 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. Program planning occurred throughout most of 2012 and into 2013 as additional assessment took place and preliminary community health plans were developed and community partners engaged to address their community-specific health care needs. Preliminary community health plans were shared and endorsed by the hospitals' Governing Councils in 2012, with the Governing Councils' endorsement of the hospitals' final community health plans scheduled for fourth quarter 2013. The Mission and Spiritual Care Committee of the Advocate Board of Directors, which has system level oversight of community health planning, will be asked to endorse the hospitals' final community health plans in November 2013. BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE FORM 990, PART VI, SECTION A, LINE 1A 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 GOVENING 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. |
| DESCRIBE THE 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 PROCES WAS USED, & YEAR PROCESS WAS BEGUN | FORM 990, PART VI, QUESTIONS 15 A & B | 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 DOC, 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. |
| Other Changes in Net Assets | Form 990, Part XI, Question 9 | FASB 158 ADJUSTMENTS $ 5,681,821 RESTRICTED FUNDS ACQUIRED AND OTHER $ (35,156) CONTRIBUTION FROM ANSHN $ 50,000,000 CONTRIBUTION FROM ACMC $ 20,000,000 CONTRIBUTION TO AHCN $(150,000,000) TOTAL $ (74,353,335) |
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