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
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012
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)
3075 HIGHLAND PARKWAY
Suite 600
Room/suite
City or town, state or country, and ZIP + 4
DOWNERS GROVE, IL60515
D Employer identification number

36-2169147
E Telephone number

G Gross receipts $ 4,384,378,043
F Name and address of principal officer:
JAMES SKOGSBERGH
3075 HIGHLAND PARKWAY
DOWNERS GROVE,IL60515
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 12
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 10
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 26,119
6 Total number of volunteers (estimate if necessary) ............. 6 4,963
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 86,038,730
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 683,076
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 13,262,417 23,222,492
9 Program service revenue (Part VIII, line 2g) ......... 3,223,950,172 3,417,436,220
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 72,680,183 195,353,262
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 44,669,616 9,387,839
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 3,354,562,388 3,645,399,813
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 3,669,553 4,045,551
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) 1,616,450,064 1,717,862,894
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet591,530    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,439,355,907 1,504,389,815
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 3,059,475,524 3,226,298,260
19 Revenue less expenses. Subtract line 18 from line 12....... 295,086,864 419,101,553
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 5,420,944,810 6,053,093,414
21 Total liabilities (Part X, line 26)............. 2,813,844,342 2,956,223,498
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,607,100,468 3,096,869,916
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 MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
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 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 $ 2,275,628,256 including grants of $ 4,045,551 ) (Revenue $ 2,882,457,674 )
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 charity care and trauma care. As part of its community benefits strategy and its mission, Advocate is committed to promoting initiatives that enhance access to health care for the uninsured, underinsured and low income. An example of this is Advocate's provision of charity care. Advocate offers a very generous Charity Care Program - requiring no payments from the patients most in need, and providing discounts to uninsured patients earning up to six times the federal poverty level and to insured patients earning up to four times the poverty level. Advocate also 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"). Although Advocate's Charity Care Policy is very generous, Advocate continues to review and refine its policy in an ongoing effort to ensure that financial assistance is available to those who need help when they need it. Advocate hospitals maintain highly visible signage and brochures in multiple languages to inform patients of the availability of financial help and financial counselors. Information about Advocate's Charity Care Program and charity applications is provided to all uninsured patients during registration and as an insert in all uninsured patients' bills. Advocate is also 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 five Level I Trauma Centers, the highest level for trauma centers, care for the most seriously injured people in Chicagoland. 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.
4b (Code:   ) (Expenses $ 341,036,141 including grants of $   ) (Revenue $ 229,473,913 )
Health care services provided by physicians employed by the organization. As part of Advocate's broad array of services and programs designed to meet community health needs, Advocate physicians focus on addressing the most significant issues impacting public health in 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. At the Adult Down Syndrome Center on the Advocate Lutheran General Hospital campus, Advocate physicians provide crucial psychosocial and medical services to individuals with Down Syndrome living in all areas of Illinois. Many individuals in this unique population receive public assistance and, in most instances, there are few sources of reimbursement for these much needed services. In 2012, the Center had 3,000 active patients and 7,000 patient visits. A community partnership with Maine Township District 207 places Advocate physicians at the Maine East High school-based health center to provide uninsured and underinsured students from all Maine Township High Schools - East, West and South -- 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. The center's medical director and staff have had more than 18,500 student contacts since the facility's inception over ten years ago. In 2012, for the 15th year in a row, Advocate Medical Group (AMG) sponsored MedFest -- a collaborative with Special Olympics of Illinois. MedFest provides people with intellectual disabilities opportunities to participate in sports training and competitions, creating avenues for inclusion and acceptance for this underserved population. AMG provided 1,797 free athletic physicals to Special Olympians in 2012, allowing them opportunities 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.
4c (Code:   ) (Expenses $ 63,485,694 including grants of $   ) (Revenue $ 20,846,957 )
Graduate Medical Education. Advocate is committed to training health care providers in a broad range of specialties. Notably, Advocate Health Care is the largest provider of primary medical education in Illinois. Each year, more than 2,000 medical students complete rotations and 600 residents and fellows receive hands-on training at Advocate's four teaching hospitals - Advocate BroMenn Medical Center, Advocate Christ Medical Center, Advocate Illinois Masonic Medical Center and Advocate Lutheran General Hospital. Not included in the above expense and revenue amounts but important to the organization's role in training health care professionals, is the nursing residency program at Advocate Good Samaritan Hospital, as well as programs which train other undergraduate students in nursing, respiratory care, radiologic technology, physical therapy, pharmaceutical services and other disciplines at Advocate sites of care. Additionally, Advocate's spiritual leaders oversee a nationally accredited Clinical Pastoral Education program. Training 100 students each year, this program is one of the largest in the country, providing opportunities for seminary students and local health leaders to grow and develop spiritual care ministry skills.
4d Other program services (Describe in Schedule O.)
(Expenses $ 279,807,359 including grants of $   ) (Revenue $ 284,657,676 )
4e Total program service expensesMediumBullet2,959,957,450
Form 990 (2012)
Form 990 (2012)
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 (see instructions)? 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, or have a section 501(h) election in effect during the tax year? 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 III
Click 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 for escrow or custodial account liability; 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, line 10?
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 VIIClick 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 VIIIClick 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 IXClick 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 XClick 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 XClick 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 and XII 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 and XII 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, Parts I and IV......... 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 United States? If “Yes,” complete Schedule F, Parts II and IVClick 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 United States? If “Yes,” complete Schedule F, Parts III and IV... 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 I (see instructions).... Click 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 hospital facilities? 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 statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
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, line 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 lines 24b through 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, highest 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 direct or indirect 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, Part II, III, or IV, and Part 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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
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
1,561
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
26,119
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, securities account, or other financial 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 as charitable contributions?...
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.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
12
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
10
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 this 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:
MediumBulletJAMES DOHENY3075 HIGHLAND PARKWAY SUITE 600DOWNERS GROVEIL60515 (630) 929-5543
Form 990 (2012)
Form 990 (2012)
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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(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
.......................4.0
X   X       3,593,725 0 698,886
(2) Mark Harris........................................................................
Chairperson, Director
1.0
.......................3.0
X           0 0 0
(3) Michele Baker Richardson........................................................................
Vice Chairperson, Director
1.0
.......................3.0
X           0 0 0
(4) David Anderson........................................................................
Director
1.0
.......................3.0
X           0 0 0
(5) Alejandro Aparicio MD........................................................................
Director
1.0
.......................5.0
X           0 0 0
(6) Lynn Crump-Caine........................................................................
Director
1.0
.......................3.0
X           0 0 0
(7) John Dossey........................................................................
Director retired July '12
1.0
.......................3.0
X           0 0 0
(8) Ron Greene........................................................................
Director
1.0
.......................3.0
X           0 0 0
(9) Ronald Mallicoat Jr........................................................................
Director
1.0
.......................4.0
X           0 0 0
(10) Laurie Meyer........................................................................
Director
1.0
.......................3.0
X           0 0 0
(11) Clarence Nixon Jr PhD........................................................................
Director
1.0
.......................3.0
X           0 0 0
(12) Carolyn Smeltzer........................................................................
Director
1.0
.......................3.0
X           0 0 0
(13) Gary Stuck........................................................................
Director
1.0
.......................3.0
X           0 0 0
(14) William P Santulli........................................................................
Exec VP, COO
40.0
.......................3.0
    X       2,114,342 0 422,797
(15) Lee B Sacks MD........................................................................
Exec VP, Chief Medical Officer
40.0
.......................3.0
    X       1,697,139 0 320,165
(16) James Dan MD........................................................................
Pres Physician/Ambulatory Svcs
40.0
.......................9.0
    X       1,612,175 0 243,190
(17) James Doheny........................................................................
VP, Finance & Corp Controller
40.0
.......................7.0
    X       422,497 0 58,003
Form 990 (2012)
Form 990 (2012)
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 (list any hours for related organizations below dotted line)
(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
.......................3.0
    X       737,569 0 111,309
(19) Kevin Brady........................................................................
SVP, Human Resources
40.0
.......................3.0
    X       676,224 0 238,837
(20) Gail D Hasbrouck........................................................................
SVP, Gen Counsel, Corp Sec
40.0
.......................6.0
    X       1,036,460 0 177,664
(21) Dominic J Nakis........................................................................
SVP, CFO
40.0
.......................4.0
    X       1,574,547 0 320,057
(22) Scott Powder........................................................................
SVP, Strategic Plan & Growth
40.0
.......................3.0
    X       631,022 0 127,603
(23) Bruce D Smith........................................................................
SVP, CIO
40.0
.......................3.0
    X       1,027,935 0 192,158
(24) Vincent Bufalino........................................................................
SVP, CV Inst/Sr Med Dir CARDIO
40.0
.......................0.0
    X       445,816 0 72,469
(25) Rev K Bender Schwich........................................................................
SVP, Mission & Spiritual Care
40.0
.......................3.0
    X       223,292 0 219,264
(26) Anthony Armada........................................................................
President, Lutheran Gen Hosp
40.0
.......................1.0
      X     921,745 0 385,622
(27) Jonathan Bruss........................................................................
President, Trinity Hospital
40.0
.......................0.0
      X     693,278 0 131,337
(28) Richard Heim........................................................................
President, South Suburban Hosp
40.0
.......................0.0
      X     318,611 0 114,979
(29) David Fox........................................................................
President, Good Samaritan Hosp
40.0
.......................1.0
      X     1,002,427 0 211,656
(30) Colleen Kannaday........................................................................
President, BroMenn Medical Ctr
40.0
.......................0.0
      X     532,571 0 199,722
(31) Karen Lambert........................................................................
President, Good Shepherd Hosp
40.0
.......................1.0
      X     828,897 0 177,788
(32) Kenneth Lukhard........................................................................
Mkt President, Christ Med ctr
40.0
.......................0.0
      X     1,395,844 0 292,924
(33) James Weese........................................................................
Director, Oncology
40.0
.......................0.0
        X   809,953 0 38,503
(34) Jonathon Somers........................................................................
Physician- Cardiovascular Surg
40.0
.......................0.0
        X   792,940 0 46,210
(35) Caleb Lippman........................................................................
Neurosurgeon
40.0
.......................0.0
        X   709,742 0 46,210
(36) Kevin Waldron........................................................................
Neurosurgeon
40.0
.......................0.0
        X   700,325 0 43,846
(37) Willard Noyes........................................................................
Physician
40.0
.......................0.0
        X   680,749 0 48,133
(38) Jose Elizondo MD........................................................................
Director-Dec '11
0.0
.......................1.0
          X 0 231,222 37,874
(39) Ben Grigaliunas........................................................................
SVP, Human Resources - Dec '11
0.0
.......................0.0
          X 1,094,321 0 141,404
(40) Lena Dobbs-Johnson........................................................................
FMR President, Bethany Hosp
0.0
.......................0.0
          X 392,288 0 16,110
(41) Michael Englehart........................................................................
FMR Pres, South Suburban Hosp
0.0
.......................1.0
          X 465,619 214,837 53,652
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 27,132,053 446,059 5,188,372
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet2,279
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 RDWHEELINGIL60090 Laundry Services 11,773,201
POWER CONSTRUCTION COMPANY, 2360 N PALMER DRSCHAUMBURGIL60173 CONSTRUCTION CONTR 8,156,279
MISYS HEALTHCARE SYSTEMS LLC, 8529 SIX FORKS RDRALEIGHNC27615 MEDICAL SOFTWARE 7,348,330
INO THERAPEUTICS LLC, P O BOX 642509PITTSBURGHPA15264 PHARM THERAPY SVCS 4,248,363
MMODAL SERVICES LTD, PO BOX 102467ATLANTAGA30368 TRANSCRIPTION SVCS 3,878,637
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet119
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 17,075,258
e Government grants (contributions)1e 4,159,687
f All other contributions, gifts, grants, and
similar amounts not included above
1f
1,987,547
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 23,222,492
 Program Service Revenue Business Code
2a PROGRAM SERVICES REVENUE 622110 1,274,170,974 1,242,952,108 31,218,866  
b MEDICARE/MEDICAID PAYMENTS 622110 1,061,047,781 1,061,047,781    
c PHARMACY 446110 991,764,127 984,333,329 7,430,798  
d LAB 651511 47,100,758   47,100,758  
e MEANINGFUL USE 622110 43,352,580 43,352,580    
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 3,417,436,220
 Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 117,462,085   271,142 117,190,943
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 10,631,228  
b Less: rental expenses 12,130,306  
c Rental income or (loss) -1,499,078 0
d Net rental income or (loss).......MediumBullet -1,499,078     -1,499,078
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 799,480,181 5,253,210
b Less: cost or other basis and sales expenses 720,999,241 5,842,973
c Gain or (loss) 78,480,940 -589,763
d Net gain or (loss)..........MediumBullet 77,891,177     77,891,177
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a 16,559
b Less: direct expenses ...b 5,710
c Net income or (loss) from fundraising events..MediumBullet 10,849   10,849
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 722514 8,427,544   17,166 8,410,378
b PARKING REVENUE 812930 1,484,223     1,484,223
c GIFTSHOP REVENUE 453220 964,301     964,301
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 10,876,068
12 Total revenue. See Instructions......MediumBullet 3,645,399,813 3,331,685,798 86,038,730 204,452,793
Form 990 (2012)
Form 990 (2012)
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).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 4,045,551 4,045,551
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 .... 26,202,546 26,202,546    
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 1,347,813,720 1,238,574,193 108,971,292 268,235
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 55,233,830 47,502,134 7,720,858 10,838
9 Other employee benefits ....... 196,955,509 184,847,277 12,069,813 38,419
10 Payroll taxes ........... 91,657,289 84,778,482 6,860,937 17,870
11 Fees for services (non-employees):        
a Management ...... 12,478,497 12,478,497    
b Legal ......... 1,982,943 800,443 1,182,500  
c Accounting ........... 771,398 112,034 659,364  
d Lobbying ........... 730,389 276,578 453,811  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 8,195,733 8,195,733    
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 87,634,876 83,028,162 4,606,714  
12 Advertising and promotion .... 22,747,474 2,002,251 20,745,223  
13 Office expenses ....... 27,631,142 25,033,467 2,597,675  
14 Information technology ...... 139,577,726 100,274,948 39,302,778  
15 Royalties .. 0      
16 Occupancy ........... 71,086,540 70,118,605 967,935  
17 Travel ............ 6,091,620 4,200,945 1,890,675  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 3,582,365 2,953,723 628,642  
20 Interest ........... 42,962,663 42,962,663    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 143,513,808 121,503,110 22,010,698  
23 Insurance .............. 84,723,294 84,021,414 701,880  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 461,062,677 460,988,249 74,428  
b BAD DEBT EXPENSE 153,276,948 153,276,948    
c CONTRACTUAL SERVICES GENERAL 140,662,040 119,600,361 21,061,679  
d PUBLIC ASSSESSMENT FEE 82,179,136 82,179,136    
e All other expenses 13,498,546   13,242,378 256,168
25 Total functional expenses. Add lines 1 through 24e 3,226,298,260 2,959,957,450 265,749,280 591,530
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 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 2,494,276 1 2,575,064
2 Savings and temporary cash investments ......... 161,615,312 2 268,887,926
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 373,497,109 4 410,249,405
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 349,598 7 301,860
8 Inventories for sale or use .............. 42,487,379 8 45,414,034
9 Prepaid expenses and deferred charges .......... 49,493,150 9 39,384,153
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,094,069,131
b Less: accumulated depreciation ..... 10b 1,754,541,239 1,249,972,323 10c 1,339,527,892
11 Investments—publicly traded securities .......... 2,657,502,961 11 2,903,123,822
12 Investments—other securities. See Part IV, line 11 ..... 698,107,046 12 808,500,902
13 Investments—program-related. See Part IV, line 11 ..... 2,958,387 13 2,913,100
14 Intangible assets ............... 2,215,532 14 21,550,215
15 Other assets. See Part IV, line 11 ........... 180,251,737 15 210,665,041
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 5,420,944,810 16 6,053,093,414
Liabilities 17 Accounts payable and accrued expenses ......... 565,762,061 17 576,602,984
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 2,705,188 19 2,171,984
20 Tax-exempt bond liabilities ............. 1,180,836,010 20 1,310,823,134
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other 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 30,366
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.................... 1,064,541,083 25 1,066,595,030
26 Total liabilities. Add lines 17 through 25......... 2,813,844,342 26 2,956,223,498
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 2,606,078,034 27 3,095,796,721
28 Temporarily restricted net assets ........... 1,022,434 28 1,073,195
29 Permanently restricted net assets ........... 0 29 0
Organizations that do not follow SFAS 117 (ASC 958), 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 ........... 2,607,100,468 33 3,096,869,916
34 Total liabilities and net assets/fund balances ........ 5,420,944,810 34 6,053,093,414
Form 990 (2012)
Form 990 (2012)
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
3,645,399,813
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
3,226,298,260
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
419,101,553
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
2,607,100,468
5
Net unrealized gains (losses) on investments ...............
5
145,021,230
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-74,353,335
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
3,096,869,916
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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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
2012
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 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
Provide the following information about the supported organization(s).
(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
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

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
2012
Name of the 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
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) (2012)

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
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
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 SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
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) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable 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) 2012


Schedule C (Form 990 or 990-EZ) 2012
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)
No
Yes
(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
 
33,359
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
 
448,248
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
1,040,500
j
Total. Add lines 1c through 1i ...............................
1,522,107
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, line 5; Part II-A (affiliated group list); Part II-A, line 2; 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) 2012

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
2012
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 section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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 XIII, 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (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 current year end balance (line 1g, column (a)) 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 XIII 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 ................. 35,776,804 42,605,812 78,382,616
b Buildings ................   1,732,165,498 893,160,562 839,004,936
c Leasehold improvements ............   41,474,757 24,498,207 16,976,550
d Equipment ................   1,067,117,072 802,621,390 264,495,682
e Other .................   174,929,188 34,261,080 140,668,108
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 1,339,527,892
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
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 811,414,002 F
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 811,414,002
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 676,540,170
3RD PARTY SETTLEMENTS 173,298,208
OBLIGATION TO RETURN CAPITAL 16,739,325
PENSION PLAN BENEFITS 31,484,428
EXECUTIVE PENSION LIABILITY 55,069,350
INTEREST RATE SWAP MTM SERIES 89,143,867
REMEDIATION COST ACCRUAL 13,891,444
UNFUNDED HRA/DRA 9,236,982
DEFERRED COMPENSATION 558,005
DEACONESS RESIDENCE LIABILITY 633,251
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,066,595,030
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI 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 XIII.) ............ 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 XIII.) ........... 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 XII 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 XIII.) ............ 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 XIII.) ............ 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 XIII
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Schedule D (Form 990) 2012

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
2012
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 the grants or
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 grant funds outside
the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (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 and investments
in region
Central America and the Caribbean 1 1 Program Services Self-Insurance 20,359,969
East Asia and the Pacific 0 0 Program Services Conference 4,965
North America 0 0 Program Services conference 1,833
Central America and the Caribbean 0 0 Investments   559,802,979
East Asia and the Pacific 0 0 Investments   123,568,233
Europe (Including Iceland and Greenland) 0 0 Investments   382,781,137
Middle East and North Africa 0 0 Investments   2,266,066
North America 0 0 Investments   24,715,620
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 1 1 1,113,500,802
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 1 1 1,113,500,802
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
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. Part II can be duplicated 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) 2012
Schedule F (Form 990) 2012Page 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.
Part III can be duplicated 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) 2012
Schedule F (Form 990) 2012
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, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (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) 2012
Schedule F (Form 990) 2012
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
TOTAL EXPENDITURES PART I, LINE 3 The expenditures reported in Part I, Line 3 are based on the cash paid for these activities.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2012
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. Form 990-EZ filers are not required to complete this part. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
OMB No. 1545-0047
2012
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.
(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 Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
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 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

 
(event type)
(b) Event #2

 
(event type)
(c) Other events

9
(total number)
(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . .     16,559 16,559
2 Less: Contributions . .        
3 Gross income (line 1
minus line 2) . . .
    16,559 16,559
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages .        
8 Entertainment . . .        
9 Other direct expenses .     5,710 5,710
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 5,710
11 Net income summary. Combine line 3, column (d), and line 10. .......... right arrow 10,849
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:
 
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
Page 3
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? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Enter 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 of the third party:
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
Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Identifier Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2012
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
2012
Open to Public Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
Financial Assistance 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) as a factor in determining 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 as a factor in determining 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 used factors other than FPG in determining 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, as a factor in determining 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) ..
    75,843,162   75,843,162 2.470 %
b Medicaid (from Worksheet 3,
column a) ....
    455,108,956 286,312,408 168,796,548 5.490 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    530,952,118 286,312,408 244,639,710 7.960 %
Other Benefits
    10,040,100   10,040,100 0.330 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    102,721,436 43,282,455 59,438,981 1.930 %
g Subsidized health services
(from Worksheet 6) ..
    37,422,519 29,175,920 8,246,599 0.270 %
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    3,632,583   3,632,583 0.120 %
j Total. Other Benefits ..     153,816,638 72,458,375 81,358,263 2.650 %
k Total. Add lines 7d and 7j .     684,768,756 358,770,783 325,997,973 10.610 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
153,276,948
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
19,780,845
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
772,758,122
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
876,338,536
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-103,580,414
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(owned 10% or more by officers, directors, trustees, key employees, and physicians—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) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?8
Name, address, and primary website address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 CHRIST HOSP INCL HOPE CHILDREN'S HOSP
4440 WEST 95TH STREET
OAK LAWN,IL60453
X X X X     X     A
2 LUTHERAN GEN HOSP INCL LUTH GEN CHILD
1775 DEMPSTER STREET
PARK RIDGE,IL60068
X X X X     X     A
3 GOOD SAMARITAN HOSPITAL
3815 HIGHLAND AVENUE
DOWNERS GROVE,IL60515
X X         X     A
4 GOOD SHEPHERD HOSPITAL
450 W HIGHWAY 22
BARRINGTON,IL60010
X X         X     A
5 SOUTH SUBURBAN HOSPITAL & ICU
17800 S KEDZIE
HAZEL CREST,IL60429
X X         X     A
6 TRINITY HOSPITAL
2320 EAST 93RD STREET
CHICAGO,IL60617
X X         X     A
7 BROMENN MEDICAL CENTER
1304 FRANKLIN AVENUE
NORMAL,IL61761
X X         X     A
8 EUREKA HOSPITAL
101 S MAJOR STREET
EUREKA,IL61530
X X     X   X     A
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
CHRIST HOSP INCL HOPE CHILDREN'S HOSP
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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   No
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5   No
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 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.
11 Used FPG to determine eligibility for providing discounted care?................. 11 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.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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?....... 15 Yes  
16 Check all of the following 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
b
c
d
e
17 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?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
LUTHERAN GEN HOSP INCL LUTH GEN CHILD
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 2
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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   No
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5   No
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 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.
11 Used FPG to determine eligibility for providing discounted care?................. 11 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.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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?....... 15 Yes  
16 Check all of the following 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
b
c
d
e
17 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?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
GOOD SAMARITAN HOSPITAL
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 3
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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   No
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5   No
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 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.
11 Used FPG to determine eligibility for providing discounted care?................. 11 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.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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?....... 15 Yes  
16 Check all of the following 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
b
c
d
e
17 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?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
GOOD SHEPHERD HOSPITAL
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 4
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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   No
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5   No
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 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.
11 Used FPG to determine eligibility for providing discounted care?................. 11 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.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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?....... 15 Yes  
16 Check all of the following 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
b
c
d
e
17 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?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
SOUTH SUBURBAN HOSPITAL & ICU
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 5
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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   No
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5   No
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 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.
11 Used FPG to determine eligibility for providing discounted care?................. 11 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.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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?....... 15 Yes  
16 Check all of the following 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
b
c
d
e
17 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?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
TRINITY HOSPITAL
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 6
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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   No
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5   No
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 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.
11 Used FPG to determine eligibility for providing discounted care?................. 11 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.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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?....... 15 Yes  
16 Check all of the following 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
b
c
d
e
17 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?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
BROMENN MEDICAL CENTER
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 7
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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   No
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5   No
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 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.
11 Used FPG to determine eligibility for providing discounted care?................. 11 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.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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?....... 15 Yes  
16 Check all of the following 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
b
c
d
e
17 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?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
EUREKA HOSPITAL
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 8
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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   No
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5   No
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 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.
11 Used FPG to determine eligibility for providing discounted care?................. 11 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.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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?....... 15 Yes  
16 Check all of the following 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
b
c
d
e
17 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?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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?119
Name and address Type of Facility (describe)
1 ACL LAB SERVICE CENTER - PARKSIDE CTR
1875 DEMPSTER ST SUITE 504
PARK RIDGE,IL60068
PATIENT CARE - OUTPATIENT
2 ACL LAB SERVICE CENTER
3048 N WILTON LAB
CHICAGO,IL60657
PATIENT CARE - OUTPATIENT
3 ACL LAB SERVICE CENTER
1775 BALLARD ROAD LL
PARK RIDGE,IL60068
PATIENT CARE - OUTPATIENT
4 ACL LAB SERVICE CENTER
1870 WEST GALENA BLVD
AURORA,IL60506
PATIENT CARE - OUTPATIENT
5 ADVOCATE IMAGING SPEC - WILMETTE
114 SKOKIE BLVD
WILMETTE,IL60091
PATIENT CARE - OUTPATIENT
6 ADVOCATE MEDICAL GROUP
701 LEE STREET STE 100 110 300
DES PLAINES,IL60016
PATIENT CARE - OUTPATIENT
7 AMG GRAND OAKS HEALTH CTR HOLLISTER GR
1800 HOLLISTER DRIVE SUITE G2
LIBERTYVILLE,IL60048
PATIENT CARE - OUTPATIENT
8 AMG PEDS - DEERFIELD
720 OSTERMAN AVENUE 103
DEERFIELD,IL60015
PATIENT CARE - OUTPATIENT
9 AMG FAMILY PRACTICE - ARLINGTON HEIGHTS
825 EAST GOLF ROAD
ARLINGTON HEIGHTS,IL60005
PATIENT CARE - OUTPATIENT
10 AMG INTERNAL MEDICINE - BUFFALO GROVE
214 MCHENRY ROAD SUITES B19B20
BUFFALO GROVE,IL60089
PATIENT CARE - OUTPATIENT
11 AMG GREAT LAKES REIT (GLR) INTERNAL MED
27790 WEST HIGHWAY 22 BLDG 1 STE
BARRINGTON,IL60010
PATIENT CARE - OUTPATIENT
12 AMG OLYMPIA FIELDS
4001 VOLLMER ROAD
OLYMPIA FIELDS,IL60461
PATIENT CARE - OUTPATIENT
13 AMG OLYMPIA FIELDS CORP & PHYS THERAPY
20110 GOVERNORS HIGHWAY
OLYMPIA FIELDS,IL60461
PATIENT CARE - OUTPATIENT
14 AMG BOURBONNAIS
595 WILLIAM LATHAM SR DRIVE
BOURBONNAIS,IL60914
PATIENT CARE - OUTPATIENT
15 AMG ORLAND PARK CLINIC & SURGICAL CTR
9550 W 167TH STREET
ORLAND PARK,IL60467
PATIENT CARE - OUTPATIENT
16 AMG LIBERTYVILLE OFFICE BUILDING
716 S MILWAUKEE ROAD
LIBERTYVILLE,IL60048
PATIENT CARE - OUTPATIENT
17 AMG MEDICAL OFFICE BUILDING
3000 NORTH HALSTED STREET VAR SUI
CHICAGO,IL60657
PATIENT CARE - OUTPATIENT
18 AMG DOCTORS OFFICE
3040 NORTH WILTON
CHICAGO,IL60657
PATIENT CARE - OUTPATIENT
19 AMG GARTNER DENTISTRY BUILDING
811 WEST WELLINGTON AVENUE
CHICAGO,IL60657
PATIENT CARE - OUTPATIENT
20 AMG LAKEVIEW SCHOOL BASED HEALTH CENTER
4015 N ASHLAND AVENUE RM 103
CHICAGO,IL60657
PATIENT CARE - OUTPATIENT
21 AMG AMUNDSEN SCHOOL BASED HEALTH CENTER
5110 NORTH DAMEN AVENUE RM 307
CHICAGO,IL60625
PATIENT CARE - OUTPATIENT
22 AMG RAVENSWOOD OBGYN PRACTICE
1945 WEST WILSON AVENUE SUITE 2100
CHICAGO,IL60640
PATIENT CARE - OUTPATIENT
23 AMG MILLENNIUM PARK
111 N WABASH AVENUE SUITE 1710
CHICAGO,IL60602
PATIENT CARE - OUTPATIENT
24 AMG IVY PHYSICIANS GROUP
2437 N SOUTHPORT AVENUE 1ST FLOOR
CHICAGO,IL60614
PATIENT CARE - OUTPATIENT
25 AMG FAMILY PRACTICE AT RAVENSWOOD
4600 N RAVENSWOOD AVENUE
CHICAGO,IL60640
PATIENT CARE - OUTPATIENT
26 AMG RAVENSWOOD MEDICAL GROUP
1945 W WILSON AVENUE 4TH FLOOR
CHICAGO,IL60640
PATIENT CARE - OUTPATIENT
27 AMG ILLINOIS MASONIC PHYSICIAN GROUP
4211 N CICERO SUITE 300
CHICAGO,IL60641
PATIENT CARE - OUTPATIENT
28 AMG CHICAGO (MEDICINE & SURGERY)
11250 S WESTERN
CHICAGO,IL60643
PATIENT CARE - OUTPATIENT
29 AMG OLYMPIA FIELDS CANCER CARE INSTITUTE
3700 W 203RD STREET
OLYMPIA FIELDS,IL60461
PATIENT CARE - OUTPATIENT
30 ADVOCATE MEDICAL GROUP - GLENVIEW
1225 MILWAUKEE ROAD
GLENVIEW,IL60025
PATIENT CARE - OUTPATIENT
31 ADVOCATE MEDICAL GROUP - PARKSIDE CENTER
1875 W DEMPSTER STREET SUITE 525
PARK RIDGE,IL60068
PATIENT CARE - OUTPATIENT
32 ADVOCATE MEDICAL GROUP - RICHTON PARK
4511 SAUK TRAIL
RICHTON PARK,IL60471
PATIENT CARE - OUTPATIENT
33 ADVOCATE MEDICAL GROUP - OAK LAWN
4712 W 103RD STREET
OAK LAWN,IL60453
PATIENT CARE - OUTPATIENT
34 ADVOCATE MEDICAL GROUP - WAUCONDA
224 BROWN STREET
WAUCONDA,IL60522
PATIENT CARE - OUTPATIENT
35 ADVOCATE MEDICAL GROUP - HYDE PARK
1301 E 47TH STREET UNIT 2
CHICAGO,IL60615
PATIENT CARE - OUTPATIENT
36 ADVOCATE MEDICAL GROUP - SOUTHEAST
2301 E 93RD STREET SUITE 213
CHICAGO,IL60617
PATIENT CARE - OUTPATIENT
37 AMG - MUNDELEIN INTERNAL MEDICINE
550 N LAKE STREET
MUNDELEIN,IL60060
PATIENT CARE - OUTPATIENT
38 AMG - LOCKPORT PRIMARY CARE
1206 E 9TH STREET SUITE 210
LOCKPORT,IL60441
PATIENT CARE - OUTPATIENT
39 ADVOCATE MEDICAL GROUP - HYDE PARK
1515 E 52ND PLACE UNIT 5
CHICAGO,IL60615
PATIENT CARE - OUTPATIENT
40 AMG - HEART & VASCULAR OF ILLINOIS
3118 N ASHLAND AVENUE
CHICAGO,IL60657
PATIENT CARE - OUTPATIENT
41 AMG - HEART & VASCULAR OF ILLINOIS
5151 W 95TH STREET 2ND FL
OAK LAWN,IL60453
PATIENT CARE - OUTPATIENT
42 AMG - METRODOCS
431 LAKEVIEW COURT
MOUNT PROSPECT,IL60056
PATIENT CARE - OUTPATIENT
43 AMG - POSEN
259 W WALTER ZIMNY DRIVE
POSEN,IL60469
PATIENT CARE - OUTPATIENT
44 ASASC - TINLEY WOODS SURGERY CENTER
18200 SOUTH LAGRANGE ROAD
TINLEY PARK,IL60487
PATIENT CARE - OUTPATIENT
45 BETHANY POB BUILDING
414 SOUTH HOMAN
CHICAGO,IL60624
PATIENT CARE - OUTPATIENT
46 BETHANY POB BUILDING
3410 WEST VAN BUREN
CHICAGO,IL60624
PATIENT CARE - OUTPATIENT
47 CHRIST PHYSICIAN'S OFFICES
11745 SOUTHWEST HIGHWAY
PALOS HEIGHTS,IL60463
PATIENT CARE - OUTPATIENT
48 CHRIST PHYSICIAN'S OFFICES
4151 NAPERVILLE ROAD
LISLE,IL60532
PATIENT CARE - OUTPATIENT
49 CHRIST HIGH TECH OFFICES
11800 SOUTHWEST HIGHWAY
PALOS HEIGHTS,IL60463
PATIENT CARE - OUTPATIENT
50 CHRIST DEVELOPMENT CENTER
4546 WEST 95TH STREET
OAK LAWN,IL60453
PATIENT CARE - OUTPATIENT
51 CHRIST PHYSICIAN'S OFFICES
9848 SOUTH ROBERTS ROAD
PALOS HEIGHTS,IL60465
PATIENT CARE - OUTPATIENT
52 CHRIST FAMILY PRACTICE
4140 WEST SOUTHWEST HIGHWAY
HOMETOWN,IL60456
PATIENT CARE - OUTPATIENT
53 CHRIST POB BUILDING
4400 WEST 95TH STREET VAR SUITES
OAK LAWN,IL60453
PATIENT CARE - OUTPATIENT
54 CHRIST WOMEN'S HEALTH CENTER
18210 SOUTH LAGRANGE ROAD SUITE 20
TINLEY PARK,IL60477
PATIENT CARE - OUTPATIENT
55 CHRIST OUTPATIENT CENTER LOCKPORT
1206 E 9TH ST STE 110170250270
LOCKPORT,IL60441
PATIENT CARE - OUTPATIENT
56 CHRIST ADVOCATE PTOT
12340-50 S HARLEM AVENUE
PALOS HEIGHTS,IL60463
PATIENT CARE - OUTPATIENT
57 CHRIST BREAST HEALTH CENTER
4545 W 103RD STREET
OAK LAWN,IL60453
PATIENT CARE - OUTPATIENT
58 GOOD SAMARITAN NORTH PAVILION
3743 HIGHLAND AVENUE
DOWNERS GROVE,IL60515
PATIENT CARE - OUTPATIENT
59 GOOD SAMIRITAN WELLNESS CENTER
3551 HIGHLAND AVENUE
DOWNERS GROVE,IL60515
PATIENT CARE - OUTPATIENT
60 MIDWEST CENTER FOR DAY SURGERY
3811 HIGHLAND AVENUE
DOWNERS GROVE,IL60515
PATIENT CARE - OUTPATIENT
61 GOOD SAMARITAN POB TOWER 1
3825 HIGHLAND AVENUE VAR SUITES
DOWNERS GROVE,IL60515
PATIENT CARE - OUTPATIENT
62 GOOD SAMARITAN POB TOWER 2
3825 HIGHLAND AVENUE VAR SUITES
DOWNERS GROVE,IL60515
PATIENT CARE - OUTPATIENT
63 GOOD SAMARITAN WOODRIDGE IMAGING CENTER
7530 WOODWARD AVENUE
WOODRIDGE,IL60517
PATIENT CARE - OUTPATIENT
64 GOOD SAM LEMONT WALK-IN CLINRADIOLOGY
15900 W 127TH STREET STS 100131
LEMONT,IL60439
PATIENT CARE - OUTPATIENT
65 GOOD SAMARITAN HOSPITAL OUTPATIENT CTR
6840 MAIN STREET 1ST FLOOR SUITE
DOWNERS GROVE,IL60515
PATIENT CARE - OUTPATIENT
66 GOOD SHEPHERD HEALTH & FITNESS CENTER
1301 SOUTH BARRINGTON ROAD
BARRINGTON,IL60005
PATIENT CARE - OUTPATIENT
67 GOOD SHEPHERD NORTH SUBURBAN CLINIC
2575 ALGONQUIN ROAD
ALGONQUIN,IL60102
PATIENT CARE - OUTPATIENT
68 GOOD SHEPHERD POB BUILDING 1
27790 WEST HIGHWAY 22 VAR SUITES
BARRINGTON,IL60010
PATIENT CARE - OUTPATIENT
69 GOOD SHEPHERD POB BUILDING 2
27750 WEST HIGHWAY 22 VAR SUITES
BARRINGTON,IL60010
PATIENT CARE - OUTPATIENT
70 GOOD SHEPHERD BRIARWOOD BUILDING
2772 COUNTY LINE RD STE 100-400
ALGONQUIN,IL60102
PATIENT CARE - OUTPATIENT
71 GOOD SHEPHERD REHABILITATION CENTER
5150 NORTHWEST HIGHWAY
CRYSTAL LAKE,IL60014
PATIENT CARE - OUTPATIENT
72 GOOD SHEPHERD OUTPATIENT CENTER
525 CONGRESS PARKWAY 1ST FLOOR 2
CRYSTAL LAKE,IL60014
PATIENT CARE - OUTPATIENT
73 GOOD SHEPHERD BREAST IMAGING CENTER
350 SURRYSE ROAD SUITES 14015025
LAKE ZURICH,IL60047
PATIENT CARE - OUTPATIENT
74 GOOD SHEPHERD IMAGING CENTER
2284 W COUNTY LINE ROAD
ALGONQUIN,IL60014
PATIENT CARE - OUTPATIENT
75 LUTHERAN GENERAL PARKSIDE CENTER
1875 DEMPSTER STREET
PARK RIDGE,IL60068
PATIENT CARE - OUTPATIENT
76 LUTHERAN GENERAL EAST PAVILLION
1775 WESTERN AVENUE
PARK RIDGE,IL60068
PATIENT CARE - OUTPATIENT
77 LUTH GEN YACKTMAN CHILDREN'S PAVILLION
1675 DEMPSTER STREET
PARK RIDGE,IL60068
PATIENT CARE - OUTPATIENT
78 LUTHERAN GENERAL NESSET HEALTH CENTER
1775 WEST BALLARD ROAD
PARK RIDGE,IL60068
PATIENT CARE - OUTPATIENT
79 LUTH GEN CENTER FOR ADVANCED CARE
1700 LUTHERAN LANE
PARK RIDGE,IL60068
PATIENT CARE - OUTPATIENT
80 LUTHERAN GENERALGOLF SURGICAL CENTER
8901 GOLF ROAD
DES PLAINES,IL60016
PATIENT CARE - OUTPATIENT
81 LUTHERAN GENERAL CARDIAC RISK
8820 DEMPSTER STREET
PARK RIDGE,IL60068
PATIENT CARE - OUTPATIENT
82 LUTHERAN GENERAL CLINIC (ADULT DOWNS)
1610 LUTHER LANE
PARK RIDGE,IL60068
PATIENT CARE - OUTPATIENT
83 SOUTH SUBURBAN FRANKFORT MEDICAL OFFICE
20325 SOUTH GRACELAND LANE
FRANKFORT,IL60423
PATIENT CARE - OUTPATIENT
84 SOUTH SUB TINLEY PARK MEDICAL OFFICE
16750 SOUTH 80TH AVENUE
TINLEY PARK,IL60477
PATIENT CARE - OUTPATIENT
85 SOUTH SUBURBAN HOSP - CRETE LOCATION
1024-1036 E STEGER ROAD 4 SUITES
CRETE,IL60417
PATIENT CARE - OUTPATIENT
86 SOUTH SUBURBAN POB BUILDING
17850 SOUTH KEDZIE STE LL 1 2
HAZEL CREST,IL60429
PATIENT CARE - OUTPATIENT
87 SOUTH SUBURBAN HOSPITAL CANCER CENTER
17750 SOUTH KEDZIE
HAZEL CREST,IL60429
PATIENT CARE - OUTPATIENT
88 SOUTH SUBURBAN MED OFF & SLEEP CENTER
16532 OAK PARK AVENUE SUITE LL1
TINLEY PARK,IL60477
PATIENT CARE - OUTPATIENT
89 TRINITY POB BUILDING
2301-2315 EAST 93RD ST VAR SUITES
CHICAGO,IL60617
PATIENT CARE - OUTPATIENT
90 TRINITY SLEEP CENTER
1111 EAST 87TH STREET SUITE 500
CHICAGO,IL60617
PATIENT CARE - OUTPATIENT
91 TRINITY WOUND CARE CLINIC
8751 S GREENWOOD SUITE 600
CHICAGO,IL60619
PATIENT CARE - OUTPATIENT
92 MHSAMGDowners Grove
3825 Highland Ave Suite 400
Downers Grove,IL60515
Patient Care - OutPatient
93 MHSAMGNaperville
801 S Washington 4th Floor
Naperville,IL60540
Patient Care - OutPatient
94 MHSAMGElmhurst
133 E Brush Hill Rd Suite 202
Elmhurst,IL60126
Patient Care - OutPatient
95 MHSAMGWinfield
25 N Winfield Rd Suite 301
Winfield,IL60190
Patient Care - OutPatient
96 MHSAMGHoffman Estates
1555 Barrington Rd Suite 3200
Hoffman Estates,IL60194
Patient Care - OutPatient
97 MHSAMGBarrington
27750 W Highway 22 Suite 240
Barrington,IL60010
Patient Care - OutPatient
98 MPC AMG Christ POB
4440 W 95th Street Suite 108
Oak Lawn,IL60453
Patient Care - OutPatient
99 MPC AMG Hope
4440 W 95th St Suite 1100H
Oak Lawn,IL60453
Patient Care - OutPatient
100 MPC AMG Oak Lawn
4700 W 95th Street Suite 205
Oak Lawn,IL60453
Patient Care - OutPatient
101 MPC AMG Naperville
1020 E Ogden Ave Suite 302
Naperville,IL60563
Patient Care - OutPatient
102 MPC AMG Munster
800 MacArthur Blvd Suite 3
Munster,IN46321
Patient Care - OutPatient
103 MPC AMG Aurora
2020 Ogden Avenue Suite 400
Aurora,IL60504
Patient Care - OutPatient
104 MPC AMG Lockport
1206 9thStreet Suite 310
Lockport,IL60441
Patient Care - OutPatient
105 MPC AMG Crest Hill
16151 Weber Road Unit 107
Crest Hill,IL60403
Patient Care - OutPatient
106 MPC AMG Merrillville
209 E 86th Place Suite D
Merrillville,IN46410
Patient Care - OutPatient
107 MPC AMG Rockford
5701 Strathmoor Dr Suite 1 3
Rockford,IL61107
Patient Care - OutPatient
108 MPC AMG MHS
1555 Barrington Rd Suite 3200
Hoffman Estates,IL60169
Patient Care - OutPatient
109 MACCAMG Cicero
10837 S Cicero Ave Suite 200 110
Oak Lawn,IL60453
Patient Care - OutPatient
110 MACCAMG Ridgeland
9830 S Ridgeland Avenue
Chicago Ridge,IL60415
Patient Care - OutPatient
111 MACCAMG Ravinia
14741 Ravinia Drive
Orland Park,IL60467
Patient Care - OutPatient
112 MACCAMG South Suburban POB
17850 S Kedzie Ave Suite 3250
Hazel Crest,IL60429
Patient Care - OutPatient
113 MACCAMG Trinity POB
2301/2315 E 93rd St Suite 222
Chicago,IL60617
Patient Care - OutPatient
114 MACCAMG Hickory Cardiac Care
3611 W 183rd Street
Hazel Crest,IL60429
Patient Care - OutPatient
115 MACCSt James POB
3800 Burke Drive Suite 201
Olympia Fields,IL60449
Patient Care - OutPatient
116 Tinley Park Medical Office
16750 South 80th Avenue Suite B
Tinley Park,IL60477
Patient Care - OutPatient
117 Downers Grove Internists
3825 Highland Avenue Suite 5B
Downers Grove,IL60515
Patient Care - OutPatient
118 87th & Greenwood
1111 E 87th Street Suite 900A
Chicago,IL60619
Patient Care - OutPatient
119 Park Ridge Pediatric Nephrology
1480 Renaissance Dr Suite 211
Park Ridge,IL60068
Patient Care - OutPatient
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
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.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
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 3075 HIGHLAND PARKWAY, DOWNERS GROVE, IL 60515 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 7E Advocate Health & Hospitals Corporation (AHHC) provides Community Health Improvement services to the communities in which it serves. AHHC provides language services to all those in need in order to provide better access to care for all community members. In addition, other programs are carried out with the express purpose of improving community health, access to health services and general health knowledge. These services do not generate patient bills, however, certain programs or services may have nominal fees. These services and programs include Senior Breakfast Clubs which include educational speakers focusing on health and wellness and include blood pressure screenings; cancer support groups for various types of cancer including, prostate, breast and skin cancers. These groups focus on educating the newly diagnosed and providing information on better living for survivors. Skin cancer screening are also provided; various programs regarding joint pain and replacement including treatment options and information on pain relief; various women and baby, breastfeeding, multiples and childbirth classes; various educational programs and support groups to raise awareness of heart disease risk factors and treatment options and education for living with the disease; there are various programs regarding health eating and the risks of being overweight for both adults and adolescents. These programs include screening, education and options for dealing with the issue; programs related to sports medicine and athletic training and injuries are also offered; CPR training is offered to the community as well as various other wellness and screening programs and health fairs are offered throughout the year. Career counseling, mentoring and job shadowing are also offered to students who explore career possibilities in health care. Certain of these programs are geared to the low income and diverse student populations. PART VI, LINE 1 - DESCRIPTION FOR PART I, LINE 7G AHHC provides subsidized health services to the community. These services are provided despite creating a financial loss for AHHC. These services are provided because they meet an identified community need. If AHHC did not provide the clinical service, it is reasonable to conclude that these services would not be available to the community. The services included are both inpatient and outpatient programs for, mental, behavioral and chemical dependency health services, rehabilitation services, cardiac surgery, orthopedic and hospice services. PART VI, LINE 1 DESCRIPTION FOR PART I, LINE 7H AHHC 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 2012 FORM 990, SCHEDULE H. PART VI, LINE 1 DESCRIPTION FOR PART I, LINE 7, COLUMN (F) $153,276,948 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, Lines 2-4 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 AND THE PERCENTAGE OF ACCOUNTS RECEIVABLE THAT THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERS (SEE PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS). FOR 2012, FOR AHHC, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 20.2% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. AHHC 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. THE SELF-PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD CHARITY APPLICATIONS PENDING AT THE TIME OF SERVICE. 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. 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 $103,580,414 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 12h   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 14g 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 17 ADVOCATE HEALTH AND HOSPITALS CORPORATION DOES NOT PERFORM ACTIONS SUCH AS THOSE LISTED IN LINES 17 A-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 18 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 20 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, AHHC 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 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. IN 2012, THE HOSPITALS HEALTH LEADERS WORKED TO DEEPEN THEIR ASSESSMENTS AND UNDERSTANDING OF THE ROOT CAUSES OF THEIR COMMUNITIES NEEDS THROUGH DISCUSSION WITH COMMUNITY EXPERTS AND WITH OTHER SELECTED COMMUNITY PARTNERS. IN COLLABORATION WITH THOSE COMMUNITY PARTNERS, THE HOSPITALS DEVELOPED COMMUNITY HEALTH PLANS AND PROGRAM COST ESTIMATES. IMPLEMENTATION OF THE PLANS, DEPENDING ON SPECIFIC HOSPITALS, EITHER OCCURED IN 2012 OR WILL OCCUR IN 2013. CHNA RESULTS WERE SHARED AND THE SELECTED PRIORITIES WERE ENDORSED BY EACH HOSPITALS PRESIDENT AND ITS FULL GOVERNING COUNCIL. EACH YEAR THE PLAN IS REVIEWED AND APPROVED BY THE HOSPITAL PRESIDENT. THE HOSPITAL PLANS ARE THEN SHARED AND ENDORSED BY EACH HOSPITAL'S GOVERNING COUNCIL. THE ENDORSED PLANS ARE SUBMITTED TO THE SYSTEMS COMMUNITY RELATIONS DEPARTMENT AND ENDORSEMENT OF HOSPITAL PLANS IS SOUGHT FROM 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 AHHC 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 AHHCS 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. AHHC 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 CONS
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 2012 TO 2017, WITH THE POPULATION REACHING NEARLY 8.48 MILLION PEOPLE BY 2017. WHILE THE OVERALL AREA IS EXPECTED TO GROW 1.5%, SEVERAL OF THE COLLAR COUNTIES WILL EXPERIENCE HIGHER GROWTH INCLUDING KANE COUNTY (7.6%) AND WILL COUNTY (9.1%). THE 65+ AGE GROUP IS EXPECTED TO HAVE THE LARGEST INCREASE IN POPULATION (13.3%) FROM 2012 TO 2017, FOLLOWED BY THE 45-64 AGE GROUP (5.1%). THE 18-44 AGE GROUP IS EXPECTED TO DECLINE (3.4%), WHILE THE POPULATION AGED 0-17 IS EXPECTED TO INCREASE SLIGHTLY (0.1%). 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 2012 TO 2017 (12.6% AND 10.7% 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 INCREASED FROM 2011 TO 2012 AND THE NUMBER OF UNINSURED INDIVIDUALS HAS INCREASED FROM 2011 TO 2012 BY 0.3%. 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. AHHC 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 132,208 INPATIENT ADMISSIONS, 1,302,443 HOSPITAL OUTPATIENT VISITS, AND 1,994,767 PHYSICIAN PRACTICE VISITS FOR ADVOCATE NOT FOR PROFIT PHYSICIAN GROUPS. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH In addition to providing quality inpatient and outpatient services at its multiple sites of care, Advocate reaches beyond its walls and into communities through a wide array of activities and programs designed and delivered to benefit the communities it serves. These community benefits include: *Care that is provided free, subsidized or without full reimbursement from Medicare, Medicaid or other government insurance programs. *Services responding to unique community needs, such as trauma services, emergency care, neonatal intensive care, behavioral health services, parish nursing and congregational health ministries, as well as health screenings, immunization programs, school-based health care and other community outreach programs. *Education to train physicians, nurses, radiology technicians, physical therapists, EMTs, clinical pastors and a host of other highly skilled health care professionals. *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 services for signage, forms, brochures, patient health education materials and other information in languages other than English. *Donations by Advocate hospitals of meeting and clinic space, used medical supplies and equipment, as well as other assistance to community groups. 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: *Advocate is committed to training health care providers in a broad range of specialties. Each year, more than 2,000 medical student rotations are completed and 600 residents and fellows receive hands-on training at Advocate's four teaching hospitals - Advocate BroMenn Medical Center, Advocate Christ Medical Center, Advocate Illinois Masonic Medical Center and Advocate Lutheran General Hospital. Notably, Advocate is the largest provider of primary medical education in Illinois. In addition, the training of nurses and other allied health professionals, such as pharmacists, radiologists, physical and speech therapists for example, occurs at all Advocate system hospitals. *Advocate Health Care is dedicated to providing expert emergency care to the most critically injured people in Chicago - today and in the future. Advocate's five Level I Trauma Centers and two Level II Trauma Centers provide care to nearly 20 percent of Chicagoland's trauma patients. In 2012, Advocate Christ Medical Center in Oak Lawn, Advocate Good Samaritan Hospital in Downers Grove, Advocate Condell Medical Center in Libertyville, Advocate Illinois Masonic Medical Center on Chicago's North Side and Advocate Lutheran General Hospital in Park Ridge handled a total of 303,625 visits, including 10,461 trauma cases. Advocate's Level II Trauma Centers - Advocate BroMenn Medical Center in Normal and Advocate Good Shepherd Hospital in Barrington - together provided care for 69,947 emergency department visits. *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. *Since 1995, Advocate Health Care's Office for Mission and Spiritual Care has provided clinical chaplains and ethicists who offer support and services to individuals and families facing medical crisis. In addition, through its Congregational Health Partnerships and Parish Nurse Ministry programs, Advocate extends its reach into the community, working with churches, social service organizations, governmental agencies and other community partners to address community needs. Advocate's spiritual leaders also oversee a nationally accredited Clinical Pastoral Education program. Training 100 students each year, this program is one of the largest in the country, providing opportunities for seminary students and local health leaders to grow and develop spiritual care ministry skills. *Senior Advocate, a free membership program for adults ages 65 and older, offers services throughout the year to help keep older adults healthy and active. Flu shots and health lectures, as well as health insurance counseling to help with hospital billing paperwork (available at several Advocate hospitals), are a few of the benefits received by Senior Advocate members. *Advocate Good Shepherd Hospital avidly works to improve community health with its financial and leadership support of the Lake and McHenry County MAPP Assessments and the Healthier Barrington and Wauconda Health Partnership coalitions. The hospital uses the data gathered through these assessments for its community health initiatives, some of which include: expansion of obesity prevention, fall prevention among seniors, early de
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH, contd   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. *The Level III (state's highest level) Neonatal Intensive Care Unit (NICU) at Advocate Lutheran General Hospital cared for 639 NICU infants in 2012, 118 of which were transferred from other hospitals. The hospital's comprehensive Neonatal Development Follow-up Program brings together a team of specialists to monitor infants' progress after they leave the NICU. Advocate Christ Medical Center and Advocate Good Samaritan Hospital also have Level III NICUs. *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. *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. *Falls among seniors (65+) are a significant health risk and the number one cause of trauma admissions to Advocate Good Shepherd Hospital. In 2009, the Community Health Committee embarked upon efforts to address this risk. In 2012, through its Matter of Balance program, the hospital continued to see success in two key areas which have been proven to contribute to falls. The first of these areas is lack of exercise and the second is a fear of falling. Following completion of the program, 87% of the participants indicated they planned to increase their daily exercise and 100% reported that their fear of falling was reduced. Looking ahead, the Advocate Good Shepherd Hospital has received a license from Maine Health to begin implementing the "Lay Lead" Matter of Balance program which will allow the hospital to expand the program's reach. 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: *Advocate sponsors 18 Advocate parish nurses serving 24 congregations and 13 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. *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. The hospital also works with grassroots community organizations and neighborhood groups to address the health needs and community concerns that impact the community it serves. *Advocate Children's Hospital - Oak Lawn 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. As a result of a recent community health needs assessment (CHNA), pockets of low-income, uninsured children were discovered in several zip codes within a ten-mile radius of the hospital. In 2012, the care mobile's efforts were specifically redirected to focus on reaching these vulnerable children. The Care Mobile clinical team saw 2,197 patients, gave 2,687 vaccines, and performed 2,081 physicals at 150 grammar, high schools and day care centers in 2012 - 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 2012, CeaseFire responded to 750 violently injured patients and met with their loved ones in Advocate Christ Medical Center's Emergency Department. *Advocate Medical Group (AMG) sponsored MedFest, a collaborative with Special Olympics of Illinois, for the 15th year in a row in 2012. 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 which did not have a regular physician and might not have been able to participate in competitions given the annual physical requirement. AMG provided 1,797 free athletic physicals to Special Olympians in 2012, allowing them opportunities to participate in competitions throughout the year. A MAJORITY OF ADVOCATE 's BOARD MEMBERS RESIDE IN ITS PRIMARY SERVICE AREA, AND ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF ADVOCATE. ADVOCATE EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. ADVOCATE 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 privileged 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 greenhouse gases, and preservation of natural resources. Advocate shares best practices for water management with other nonprofit hospitals locally and nationally. In 2012, Advocate Health Care was one of several large U.S. health systems to sponsor the 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, free 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. All of Advocate's hospitals are enrolled in and pursuing all six HHI challenges. 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 2012 Initiatives: *Reduced cumulative (ten hospitals) hospital energy consumption by 2.1 percent in twelve months ending 12/31/12, and over 16 percent since 2008 *Saved 16 tons of waste from landfill and saved $2.9 million via medical device reprocessing *Endorsed system-wide Healthy and Sustainable Food Guidelines to improve the health of our patients, associates, visitors, communities and the environment by increasing access to fresh, healthy food in and around Advocate Health Care facilities and to promote food delivery practices that are ecologically sound, economically viable and socially responsible in the way we purchase food and supplies. *Trained more than 6,000 associates on daily work habits to reduce energy and waste in the first annual Environmental Stewardship computer based training module. *Introduced the Sustainable Work Space Certification program at all Advocate sites. The program, led by departmental Green Advocates, rewards patient care units and support service work areas for actively participating in waste minimization and energy reduction through recycling, print management and energy reduction best practices. 2.Hospital-based Environmental Improvements Advocate Christ Medical Center *Held five Farmer's Markets throughout the year for staff and visitors to enjoy *Continued a partnership with Growing Power, a local Community Supported Agriculture organization, to provide Advocate CMC associates the opportunity to purchase fresh fruits and vegetables delivered to their work site *Discourage bottled water use by promoting free water available at cafeteria soda fountains *Expanded a single stream recycling program house-wide to increase recycling and reduce waste *Planning and design for two major construction projects - an ambulatory pavilion and a new patient bed tower - both of which are seeking Leadership in Energy and Efficient Design Gold level certification from the U.S. Green Building Council *Recycled over 80% of major construction and demolition debris *Recycled 20% of total solid waste *Reduced hospital energy consumption by 5.6 percent in twelve months ending 12/31/12 Advocate BroMenn Medical Center *Achieved a 31 percent recycling rate overall for paper, plastic, glass and aluminum cans *Started a food waste compost program, reducing its volume of waste to local landfills *Reused and donated over 19,000 pounds of clean, used linens to local organizations including animal and homeless shelters, ambulance service company or reused as cleaning cloths within the hospital *Donated a mobile diagnostic van to a local organization: Home Sweet Home ministries to be used as a mobile food pantry *Reduced hospital energy consumption by 3.1 percent in twelve months ending 12/31/12 Advocate Eureka Hospital *Recycled printer cartridges and cell phones with proceeds benefitting the Special Olympics *Reduced hospital energy consumption by 8.6 percent in twelve months ending 12/31/12 Advocate South Suburban Hospital *Continue a single stream recycling program house-wide to increase our recycling and reduce waste *Achieved a 26 percent recycling rate overall for paper, plastic, glass and aluminum cans Advocate Good Shepherd Hospital *Achieved a 22 percent recycling rate overall for paper, plastic, glass and aluminum cans *Installed a new light reflective and insulated roof to save energy *Began planning and design for construction of a Modernization Project seeking Leadership in Energy and Efficient Design Gold level certification from the U.S. Green Building Council *Reduced hospital energy consumption by .3 percent in twelve months ending 12/31/12 Advocate Good Samaritan Hospital *Partnering with Downers Grove high school faculty, kicked off planning and design for a wetlands project on the hospital campus to mitigate storm water runoff; The high school partnership features educational opportunities for student learning including waster testing to detect chemicals in water runoff is planned *Achieved a 26 percent recycling rate overall for paper, plastic, glass and aluminum cans *Reduced hospital energy consumption by .5 percent in twelve months ending 12/31/12 Advocate Trinity Hospital *Achieved a 22 percent recycling rate overall for paper, plastic, glass and aluminum cans *Hosted farmer's markets on the hospital campus during the summer months *Reduced hospital energy consumption by 2.8 percent in twelve months ending 12/31/12 Advocate Lutheran General Hospital *Expanded a single stream recycling program house-wide to increase our recycling and reduce waste on the hospital campus *Features a guest chef weekly in the hospital cafeteria who uses locally sourced and organic ingredients *Reduced hospital energy consumption by 3.5 percent in twelve months ending 12/31/12 Advocate Support Centers *Held a shredding event for associates *Managed a 'Recycling Closet', with regular contributions made to Lions Clubs (eye glasses and cell phones) and batteries for recycling to a local vendor *Reduced waste by collecting used writing instruments to be up-cycled into new products Advocate Medical Group *Reduced office supply deliveries and related transportation to 3 days/week, down from 5 days/week *Started using reusable office supply delivery totes to reduce cardboard packaging waste Advocate Clinical Laboratories *Recycled, reused or recaptured all reagents used in the laboratory *Received certification from a third party that all laboratory waste disposal processes meet requirements for safety and regulatory compliance 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) 2012
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
2012
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. Part II can be duplicated if additional space is needed.
(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 COALITION
511 THORNHILL DR
SUITE M
CAROL STREAM,IL60188
36-4448208 501(c)(3) 763,000       SUPPORT EXEMPT MISSION
(2) ALZHEIMERS ASSOC-GREATER IL
8430 W BRYN MAWR AVE
SUITE 800
CHICAGO,IL60631
13-3039601 501(c)(3) 20,000       MEMORY WALK
(3) AMERICAN CANCER SOCIETY
17060 OAK PARK AVENUE
TINLEY PARK,IL60477
36-2167721 501(c)(3) 140,600       RELAY FOR LIFE
(4) AMERICAN DIABETES ASSOCIATION
30 N MICHIGAN AVE
SUITE 2015
CHICAGO,IL60602
13-1623888 501(c)(3) 17,170       TOUR DE CURE
(5) AMERICAN HEART ASSOCIATION
208 S LASALLE ST
SUITE 1500
CHICAGO,IL60604
13-5613797 501(c)(3) 100,075       GO RED FOR WOMEN
(6) AMERICAN LUNG ASSOCIATION
55 W WACKER DR
SUITE 800
CHICAGO,IL60601
20-4392201 501(c)(3) 9,550       SUPPORT 2012 LUNG WALK
(7) ANIMA YOUNGGLEN ELLYN CHILDREN
799 ROOSEVELT RD
BLDG 6 SUITE 100
GLEN ELLYN,IL60137
36-3159014 501(c)(3) 10,000       SUPPORT EXEMPT MISSION
(8) ASSOC OF PROFESSIONAL CHAPLAIN
1701 E WOODFIELD RD
SUITE 400
SCHAUMBURG,IL60173
36-3762667 501(c)(3) 5,636       SUPPORT EXEMPT MISSION
(9) BARRINGTON AREA COUNCIL
6000 GARLANDS LANE
SUITE 100
BARRINGTON,IL60010
36-3337705 501(c)(3) 5,090       SUPPORT EXEMPT MISSION
(10) BARRINGTON AREA UNITED WAY
200 SOUTH HOUGH ST
STE 207
BARRINGTON,IL60010
23-7123024 501(c)(3) 8,100       SPONSOR EVENTS
(11) BEAR NECESSITIES PEDIATRIC
55 W WACKER DRIVE
SUITE 1100
CHICAGO,IL60601
36-3874655 501(c)(3) 5,250       SPONSOR EVENTS
(12) BETHANY CHRISTIAN SERV OF ILLINOIS
6660 W COLLEGE DR
SUITE 207
PALOS HEIGHTS,IL60463
36-0030230 501(c)(3) 7,500       SPONSOR EVENTS
(13) CAEL
55 EAST MONROE STREET
SUITE 1100
CHICAGO,IL60603
13-2890752 501(c)(3) 10,000       WORKFORCE CHCAGO CONTRIBUTION
(14) CARSON SCHOLARS FUND INC
305 W CHEASAPEAKE AVE
SUITE 310
TOWSON,MD21204
52-1851346 501(c)(3) 124,500       SUPPORT EXEMPT MISSION
(15) CHICAGO BIBLE SOCIETY
1111 N WELLS STREET
SUITE 300
CHICAGO,IL60610
36-2495301 501(c)(3) 11,750       SPONSOR EVENTS
(16) CHICAGO URBAN LEAGUE
4510 SOUTH MICHIGAN AVE
CHICAGO,IL60653
36-2225483 501(c)(3) 5,250       SPONSOR EVENTS
(17) COLLEGE OF DUPAGE FOUNDATION
425 FAWELL BLVD
SCR2073
GLEN ELLYN,IL60137
23-7011835 501(c)(3) 50,000       SUPPORT HEALTHCARE INITATIVE
(18) COMMUNITY HEALTH
2611 WEST CHICAGO AVE
CHICAGO,IL60622
36-3831793 501(c)(3) 24,040       SUPPORT HEALTHCARE INITATIVE
(19) CRISIS CENTER SO SUBURBIA CORP
PO BOX 39
TINLEY PARK,IL60477
36-3039964 501(c)(3) 9,080       HEART TO HEART EVENT
(20) EDUCATION FOUNDATION OF DISTRICT 58
2001 BUTTERFIELD
SUITE 205
DOWNERS GROVE,IL60515
30-0101074 501(c)(3) 10,000       SUPPORT EXEMPT MISSION
(21) FAMILY SHELTER SERVICES
605 E ROOSEVELT RD
SUITE 100
WHEATON,IL60187
36-2883552 501(c)(3) 10,000       BUILDING SAFE CONNECTIONS
(22) FOX VALLEY HOSPICE INC
200 WHITFIELD DR
SUITE 405 MB 10
GENEVA,IL60134
36-3111451 501(c)(3) 7,500       SUPPORT EXEMPT MISSION
(23) GLENCOE EDUCATION FOUNDATION
PO BOX 287
GLENCOE,IL60022
36-4182696 501(c)(3) 13,500       SUPPORT EXEMPT MISSION
(24) HEALTH CARE WITHOUT HARM
12355 SUNRISE VALLEY DR
SUITE 680
RENTON,VA20191
52-2358837 501(c)(3) 61,125       HEALTHIER HOSPITAL INITATIVE
(25) HEALTHY SCHOOLS CAMPAIGN
175 N FRANKLIN
SUITE 300
CHICAGO,IL60606
36-4308068 501(c)(3) 10,000       SUPPORT EXEMPT MISSION
(26) HOLY FAMILY MINISTRIES
790 FRONTAGE RD
SUITE 50
NORTHFIELD,IL60093
36-4320533 501(c)(3) 7,000       SUPPORT EXEMPT MISSION
(27) ILL CHAPTER AM ACADEMY OF PEDIATRICS
1400 W HUBBARD
SUITE 100
CHICAGO,IL60642
51-0183494 501(c)(3) 215,214       SUPPORT EXEMPT MISSION
(28) ILLINOIS PERFORMANCE EXCELLENCE
1415 W DIEHL ROAD
MS 514
NAPERVILLE,IL60563
36-3952696 501(c)(3) 16,060       SUPPORT EXEMPT MISSION
(29) ILLINOIS SYMPHONY ORCHESTRA
524 1/2 E CAPITAL DR
SPRINGFIELD,IL62701
37-1312674 501(c)(3) 5,620       POPS IN THE PARK
(30) JOURNEY CARE FOUNDATION
405 LAKE ZURICH ROAD
SUITE 201
BARRINGTON,IL60010
36-3820916 501(c)(3) 9,200       SPONSOR EVENTS
(31) KELLY CARES FOUNDATION
1251 N EDDY STREET
BUILDING B SUITE 201
SOUTH BEND,IN46617
26-3591070 501(c)(3) 78,800       SUPPORT EXEMPT MISSION
(32) KIDSWORK CHILDRENS MUSEUM
11 S WHITE STREET
FRANKFORT,IL60423
20-8950470 501(c)(3) 9,000       SPONSOR EVENTS
(33) KOHL CHILDREN'S MUSEUM
2100 PATRIOT BLVD
GLENVIEW,IL60026
36-3706878 501(c)(3) 8,500       SUPPORT OF EXHIBIT
(34) LUTHERAN SOCIAL SERVICES ILLINOIS
1001 E TOUHY
SUITE 50
DES PLAINES,IL60018
36-2584799 501(c)(3) 14,281       SUPPORT EXEMPT MISSION
(35) MARCH OF DIMES
111 W JACKSON BLVD
SUITE 2200
CHICAGO,IL60604
13-1846366 501(c)(3) 26,670       MARCH FOR BABIES
(36) MASONIC FAMILY HEALTH FOUNDATION
836 WEST WELLINGTON
CHICAGO,IL60657
36-4397387 501(c)(3) 100,000       LIBRARY FUNDING
(37) MCLEAN COUNTY ARTS CENTER
601 N EAST ST
BLOOMINGTON,IL61701
37-6032342 501(c)(3) 8,890       SPONSOR EVENTS
(38) MIDWEST HEART FOUNDATION
1901 S MEYERS RD
SUITE 350
OAK BROOK TER,IL60181
36-3602197 501(c)(3) 25,000       SUPPORT EXEMPT MISSION
(39) NATIONAL KIDNEY FOUNDATION
215 W ILLINOIS STREET
SUITE 1C
CHICAGO,IL60654
13-1673104 501(c)(3) 12,370       SPONSOR EVENTS
(40) OPERATION CLICK
PO BOX 1033
CRYSTAL LAKE,IL60039
20-2208637 501(c)(3) 45,000       SUPPORT OPERATION CLICK
(41) PASS PREGNANCY CARE CENTER
17214 OAK PARK AVENUE
ROOM 116
TINLEY PARK,IL60477
36-3345840 501(c)(3) 20,000       FUNDRAISING BANQUET
(42) PILGRIM FAITH UNITED CHURCH
9411 SOUTH 51ST AVENUE
OAK LAWN,IL60453
26-2182011 501(c)(3) 10,000       FOOD PANTRY COSTS
(43) PROVENA HOSPITALS
1325 N HIGHLAND AVE
SUITE 500
AURORA,IL60506
36-4195126 501(c)(3) 7,500       SUPPORT EXEMPT MISSION
(44) RAINBOW HOSPICE
444 N NORTHWEST HWY
SUITE 145
PARK RIDGE,IL60068
36-3296367 501(c)(3) 11,810       SPONSOR EVENTS
(45) RAUE CENTER FOR THE ARTS
108 MINNIE STREET
CRYSTAL LAKE,IL60014
36-4147140 501(c)(3) 8,522       SPONSOR EVENTS
(46) ROTARY CLUB OF DOWNERS GROVE
PO BOX 612
OAK LAWN,IL60453
36-4219154 501(c)(3) 5,450       SUPPORT EXEMPT MISSION
(47) SALVATION ARMY
5040 NORTH POLASKI ROAD
CHICAGO,IL60630
36-2167909 501(c)(3) 24,500       SPONSOR EVENTS
(48) SOUTH SUBURBAN PADS
PO BOX 1176
HOMEWOOD,IL60430
36-3744405 501(c)(3) 5,475       SUPPORT EXEMPT MISSION
(49) SOUTHSIDE PREGNANCY CENTER
5450 W 95TH STREET
OAK LAWN,IL60453
36-3367445 501(c)(3) 20,000       FUNDRAISING BANQUET
(50) SOUTHWEST COMMUNITY SERVICES
6775 PROSPERI DRIVE
TINLEY PARK,IL60477
23-7136028 501(c)(3) 10,000       SPONSOR EVENTS
(51) SSEEO
PO BOX 855
LOMBARD,IL60148
27-1925734 501(c)(3) 20,000       SUPPORT EXEMPT MISSION
(52) ST BALDRICK'S FOUNDATION
1333 S MAYFLOWER AVE
SUITE 400
MONROVIA,CA91016
20-1173824 501(c)(3) 8,500       SUPPORT EXEMPT MISSION
(53) ST CATHERINE OF ALEXANDRIA
10621 S KEDVALE AVENUE
OAK LAWN,IL60453
36-2392504 501(c)(3) 10,000       FUNDING FOR DISABILITY RAMP
(54) SUSAN G KOMEN BREAST CANCER
8765 W HIGGINS ROAD
SUITE 407
CHICAGO,IL60631
75-1835298 501(c)(3) 24,650       SPONSOR EVENTS
(55) THE CURE IT FOUNDATION
PO BOX 4500
OAK PARK,IL60304
45-3824750 501(c)(3) 8,500       SUPPORT EXEMPT MISSION
(56) TRINITY INTL UNIVERSITY
2065 HALF DAY ROAD
DEERFIELD,IL60015
36-2216176 501(c)(3) 10,000       ETHICS CONFERENCE
(57) UCAN
205 WEST WACKER DRIVE
SUITE 1400
CHICAGO,IL60606
36-2167937 501(c)(3) 9,000       SPONSOR EVENTS
(58) UNIVERSITY OF ILLINOIS AT CHICAGO
1603 W TAYLOR
ROOM 1081
CHICAGO,IL60612
37-6006007 501(c)(3) 28,000       SUPPORT EXEMPT MISSION
(59) WORLD BUSINESS CHICAGO
177 N STATE ST
SUITE 500
CHICAGO,IL60601
36-4313685 501(c)(3) 25,000       SUPPORT EXEMPT MISSION
(60) YOUTH ALIVE
3300 ELM STREET
OAKLAND,CA94609
94-3143254 501(c)(3) 10,000       SUPPORT EXEMPT MISSION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
79
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
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.
Part III can be duplicated 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, Part III, column (b), 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 ORGANIZATIONS THAT ARE TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THAT ARE CONSISTENT WITH AND COMPLIMENTARY TO THE MISSION AND CHARITABLE, TAX-EXEMPT PURPOSES OF ADVOCATE HEALTH AND HOSPITALS CORPORATION. CASH CONTRIBUTIONS ARE NOT MADE TO INDIVIDUALS, FOR PROFIT BUSINESSES, OR PRIVATE PROVIDERS.
Schedule I (Form 990) 2012


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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
2012
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 of 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 filing organization used 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
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 (E) amounts for that individual.
(A) Name and Title (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 SkogsberghPresident & CEO, Director (i)
(ii)
1,166,837
0
1,597,560
0
829,328
0
667,330
0
31,556
0
4,292,611
0
632,803
0
(2)William P SantulliExec VP, COO (i)
(ii)
728,878
0
926,710
0
458,754
0
387,090
0
35,707
0
2,537,139
0
357,548
0
(3)Lee B Sacks MDExec VP, Chief Medical Officer (i)
(ii)
574,877
0
685,044
0
437,218
0
295,605
0
24,560
0
2,017,304
0
267,698
0
(4)James Dan MDPres Physician/Ambulatory Svcs (i)
(ii)
451,202
0
498,525
0
662,448
0
219,645
0
23,545
0
1,855,365
0
193,028
0
(5)James DohenyVP, Finance & Corp Controller (i)
(ii)
279,518
0
108,000
0
34,979
0
23,128
0
34,875
0
480,500
0
0
0
(6)Kelly Jo GolsonSVP, Public Affairs/Marketing (i)
(ii)
322,517
0
201,372
0
213,680
0
106,589
0
4,720
0
848,878
0
56,288
0
(7)Kevin BradySVP, Human Resources (i)
(ii)
384,526
0
165,597
0
126,100
0
203,335
0
35,502
0
915,061
0
0
0
(8)Gail D HasbrouckSVP, Gen Counsel, Corp Sec (i)
(ii)
409,858
0
350,179
0
276,424
0
153,345
0
24,319
0
1,214,124
0
127,906
0
(9)Dominic J NakisSVP, CFO (i)
(ii)
536,374
0
685,044
0
353,129
0
295,605
0
24,452
0
1,894,604
0
267,698
0
(10)Scott PowderSVP, Strategic Plan & Growth (i)
(ii)
282,344
0
210,837
0
137,842
0
96,117
0
31,486
0
758,625
0
71,716
0
(11)Bruce D SmithSVP, CIO (i)
(ii)
424,675
0
365,184
0
238,075
0
158,896
0
33,262
0
1,220,093
0
133,402
0
(12)Vincent BufalinoSVP, CV Inst/Sr Med Dir CARDIO (i)
(ii)
353,489
0
56,782
0
35,545
0
49,196
0
23,273
0
518,285
0
0
0
(13)Rev K Bender SchwichSVP, Mission & Spiritual Care (i)
(ii)
122,690
0
65,722
0
34,880
0
140,301
0
78,963
0
442,556
0
0
0
(14)Anthony ArmadaPresident, Lutheran Gen Hosp (i)
(ii)
484,950
0
407,962
0
28,833
0
351,655
0
33,967
0
1,307,367
0
136,508
0
(15)Jonathan BrussPresident, Trinity Hospital (i)
(ii)
302,069
0
231,923
0
159,286
0
106,654
0
24,683
0
824,615
0
82,088
0
(16)Richard HeimPresident, South Suburban Hosp (i)
(ii)
237,460
0
41,727
0
39,424
0
86,883
0
28,096
0
433,590
0
0
0
(17)David FoxPresident, Good Samaritan Hosp (i)
(ii)
396,724
0
388,196
0
217,508
0
174,198
0
37,458
0
1,214,083
0
148,446
0
(18)Colleen KannadayPresident, BroMenn Medical Ctr (i)
(ii)
351,134
0
154,903
0
26,534
0
175,920
0
23,802
0
732,293
0
0
0
(19)Karen LambertPresident, Good Shepherd Hosp (i)
(ii)
354,142
0
303,937
0
170,818
0
144,471
0
33,317
0
1,006,685
0
119,252
0
(20)Kenneth LukhardMkt President, Christ Med ctr (i)
(ii)
509,062
0
583,884
0
302,898
0
260,368
0
32,556
0
1,688,768
0
233,008
0
(21)James WeeseDirector, Oncology (i)
(ii)
288,750
0
350
0
520,853
0
23,128
0
15,375
0
848,456
0
0
0
(22)Jonathon SomersPhysician- Cardiovascular Surg (i)
(ii)
633,520
0
168,155
0
-8,735
0
23,128
0
23,082
0
839,150
0
0
0
(23)Caleb LippmanNeurosurgeon (i)
(ii)
715,385
0
350
0
-5,993
0
23,128
0
23,082
0
755,952
0
0
0
(24)Kevin WaldronNeurosurgeon (i)
(ii)
703,846
0
350
0
-3,871
0
23,128
0
20,718
0
744,171
0
0
0
(25)Willard NoyesPhysician (i)
(ii)
561,995
0
40,350
0
78,404
0
23,128
0
25,005
0
728,882
0
0
0
(26)Jose Elizondo MDDirector-Dec '11 (i)
(ii)
0
193,914
0
34,038
0
3,270
0
21,748
0
16,126
0
269,096
0
0
(27)Ben GrigaliunasSVP, Human Resources - Dec '11 (i)
(ii)
17,819
0
457,173
0
619,329
0
118,300
0
23,104
0
1,235,725
0
629,173
0
(28)Michael EnglehartFMR Pres, South Suburban Hosp (i)
(ii)
161,643
151,962
237,104
0
66,872
62,875
11,920
11,208
15,732
14,792
493,271
240,837
71,766
0
(29)Lena Dobbs-JohnsonFMR President, Bethany Hosp (i)
(ii)
0
0
115,947
0
276,341
0
0
0
16,110
0
408,398
0
324,378
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
Supplemental Compensation Information PART I, LINE 1A HOUSING ALLOWANCE/SOCIAL CLUB DUES/PERSONAL SERVICES REV. KATHIE BENDER SCHWICH, SENIOR VICE PRESIDENT-MISSION AND SPIRITUAL CARE, RECEIVED AN ANNUAL HOUSING ALLOWANCE OF $68,000 FROM ADVOCATE HEALTH AND HOSPITALS CORPORATION. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, IS A MEMBER OF SEVERAL LUNCHEON CLUBS WHERE HE CONDUCTS BUSINESS MEETINGS ON BEHALF OF AHHC. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, RECEIVES, AS PART OF HIS BENEFITS PACKAGE, FINANCIAL PLANNING SERVICES. PART I, LINE 4A SEVERANCE PAYMENTS BEN GRIGALIUNIS, SENIOR VICE PRESIDENT, HUMAN RESOURCES, TERMINATED HIS EMPLOYMENT WITH AHHC IN 2011 AND RECEIVED SEVERANCE OF $452,151 IN 2012. 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 $280,010 IN 2012. THIS AMOUNT WAS REPORTED ON A PRIOR FORM 990 AS DEFERRED COMPENSATION AND IS LISTED AS A COMPONENT OF COLUMN (F). PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN BEN GRIGALIUNAS, SENIOR VICE PRESIDENT-HUMAN RESOURCES, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. GAIL HASBROUCK, SENIOR VICE PRESIDENT-GENERAL COUNSEL AND CORPORATED SECRETARY, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. 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, JAMES DAN M.D ., KELLY JO GOLSON, 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: KATHIE BENDER SCHWICH, ANTHONY ARMADA, COLLEEN KANNADAY AND VINCENT BUFALINO. 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) 2012

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
2012
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 45200FEF2 05-01-2012 51,142,165 SEE SCHEDULE K, PART VI   X   X   X
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 45203HNJ7 11-29-2012 150,003,863 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 . . . . . . . . . . . . . . 67,440,000 5,030,000 59,065,000 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 116,432,024 352,851,959 154,545,580 51,142,165
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 0
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 0
11 Other spent proceeds . . . . . . . . . . . . . . 0 192,581,505 152,475,000 51,142,165
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2005 2009 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X   X   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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
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   %   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0%   % 0% 0%
7 Does the bond issue meet the private security or payment test? . . . . . X     X X   X  
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . . X   X   X     X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of. 0% 0% 0%   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X   X   X     X
9 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 the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X X   X  
b Exception to rebate? . . . . . . . .   X X     X   X
c No rebate due? . . . . . . . . . .
X     X   X   X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X   X   X  
4a 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 PART VI
 
0
 
 
 
c Term of hedge . . . . . . . . . . 26.8 26.8    
d Was the hedge superintegrated? . . . . . .   X   X        
e Was a hedge terminated? . . . . . . .   X   X        
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X X     X   X
b Name of provider . . . . . . . . . 0
 
TRINITY PLUE 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          
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 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? X   X   X   X  
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 K, PART VI 0 PURPOSE OF BOND SERIES 2003 ISSUED 10/29/2003 SCHEDULE K, PART I, 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 USED 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 2008C ISSUED 10/10/2007 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 USED 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 WHICH WERE ISSUED ON JANUARY 9, 1997, OCTOBER 23, 2003, AND JULY 7, 2005, RESPECTIVELY. 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 2008A ISSUED 4/23/2008 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 2008A-3 ISSUED 5/1/2012 SCHEDULE K, PART I, LINE D(F) (PAGE 1) THE SERIES 2008A-3 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 1, 2012. PURPOSE OF BOND SERIES 2008D ISSUED 12/01/2008 SCHEDULE K, PART I, LINE A(F) (PAGE 2) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008D (ADVOCATE HEALTH CARE NETWORK) WERE USED 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 1/06/2010 SCHEDULE K, PART I, LINE B(F) (PAGE 2) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2010 (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING THE ORGANIZATION'S SERIES 2008B-1, SERIES 2008B-2, SERIES 2008B-3, SERIES 2008B-4 AND SERIES 2008B-5 BONDS, OF FINANCING THE COSTS RELATED TO THE MERGER WITH BROMENN HEALTHCARE SYSTEM AND THE COSTS RELATED TO 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 SCHEDULE K, PART I, LINE C(F) (PAGE 2) THE PROCEEDS OF THE SERIES 2011A-2, SERIES 2011B, SERIES 2011C AND SERIES 2011D BONDS WERE USED 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 2012 ISSUED 11/29/2012 SCHEDULE K, PART I, LINE D(F) (PAGE 2) THE PROCEEDS OF THE SERIES 2012 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN OUTPATIENT CENTER AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AN 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 SCHEDULE K, PART I, LINE A(F) (PAGE 3) THE PROCEEDS OF THE SERIES 2011A-1 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING ALL OF THE ORGANIZATION'S SERIES 1998A AND SERIES 1998B BONDS. PURPOSE OF BOND SERIES 2012 ISSUED 11/29/12 SCHEDULE K, PART I, LINE B(F) (PAGE 3) THE PROCEEDS OF THE SERIES 2012 BONDS WERE USED, TOGETHER WITH OTHER AVAILABLE FUNDS, TO FINANCE, REFINANCE OR REIMBURSE THE SYSTEM FOR A PORTION OF THE COSTS RELATED TO THE ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF CERTAIN CAPITAL PROJECTS, AND TO PAY CERTAIN COSTS OF ISSUING THE SERIES 2012 BONDS. PARTNERSHIP DESCRIPTION SCHEDULE K, PART III, LINE 1 ADVOCATE NORTH SIDE HEALTH NETWORK IS A PARTNER WITH THE REHAB INSTITUTE OF CHICAGO, A 501(C)(3) ORGANIZATION, WHICH PROVIDES REHABILITATION SERVICES AT AN ADVOCATE HOSPITAL. SERVICE CONTRACTS AND RESEARCH AGREEMENTS SCHEDULE K, PART III, LINE 3B, ALL BOND ISSUES 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, ALL BOND ISSUES PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY. Schedule K, Part III, Line 7 Advocate monitors the private business use percentage for each bond issue, and therefore, has not calculated the amount of private payments. Because advocate has not calculated the amount of private payments, solely for Schedule K reporting purposes we have assumed that the private payment test has been met for those issues reporting private business use. ARBITRAGE REBATE COMPUTATION SCHEDULE K, PART IV, LINE 2C (A) (PAGE 1) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 29, 2008. SCHEDULE K, PART IV, LINE 2C (B) (PAGE 1) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 10, 2012. SWAP PROVIDERS SCHEDULE K, PART IV, LINE 4B 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 2012 TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED. THE WRITTEN PROCEDURES OUTLINE SPECIFIC SELF-REMEDIATION PROCEDURES, SUCH AS THE VOLUNTARY CLOSING AGREEMENT PROGRAM.
Schedule K (Form 990) 2012

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
2012
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 45200FEF2 05-01-2012 51,142,165 SEE SCHEDULE K, PART VI   X   X   X
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 45203HNJ7 11-29-2012 150,003,863 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 . . . . . . . . . . . . . . 67,440,000 5,030,000 59,065,000 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 116,432,024 352,851,959 154,545,580 51,142,165
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 0
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 0
11 Other spent proceeds . . . . . . . . . . . . . . 0 192,581,505 152,475,000 51,142,165
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2005 2009 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X   X   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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
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   %   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0%   % 0% 0%
7 Does the bond issue meet the private security or payment test? . . . . . X     X X   X  
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . . X   X   X     X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of. 0% 0% 0%   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X   X   X     X
9 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 the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X X   X  
b Exception to rebate? . . . . . . . .   X X     X   X
c No rebate due? . . . . . . . . . .
X     X   X   X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X   X   X  
4a 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 PART VI
 
0
 
 
 
c Term of hedge . . . . . . . . . . 26.8 26.8    
d Was the hedge superintegrated? . . . . . .   X   X        
e Was a hedge terminated? . . . . . . .   X   X        
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X X     X   X
b Name of provider . . . . . . . . . 0
 
TRINITY PLUE 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          
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 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? X   X   X   X  
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 K, PART VI 0 PURPOSE OF BOND SERIES 2003 ISSUED 10/29/2003 SCHEDULE K, PART I, 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 USED 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 2008C ISSUED 10/10/2007 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 USED 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 WHICH WERE ISSUED ON JANUARY 9, 1997, OCTOBER 23, 2003, AND JULY 7, 2005, RESPECTIVELY. 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 2008A ISSUED 4/23/2008 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 2008A-3 ISSUED 5/1/2012 SCHEDULE K, PART I, LINE D(F) (PAGE 1) THE SERIES 2008A-3 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 1, 2012. PURPOSE OF BOND SERIES 2008D ISSUED 12/01/2008 SCHEDULE K, PART I, LINE A(F) (PAGE 2) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008D (ADVOCATE HEALTH CARE NETWORK) WERE USED 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 1/06/2010 SCHEDULE K, PART I, LINE B(F) (PAGE 2) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2010 (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING THE ORGANIZATION'S SERIES 2008B-1, SERIES 2008B-2, SERIES 2008B-3, SERIES 2008B-4 AND SERIES 2008B-5 BONDS, OF FINANCING THE COSTS RELATED TO THE MERGER WITH BROMENN HEALTHCARE SYSTEM AND THE COSTS RELATED TO 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 SCHEDULE K, PART I, LINE C(F) (PAGE 2) THE PROCEEDS OF THE SERIES 2011A-2, SERIES 2011B, SERIES 2011C AND SERIES 2011D BONDS WERE USED 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 2012 ISSUED 11/29/2012 SCHEDULE K, PART I, LINE D(F) (PAGE 2) THE PROCEEDS OF THE SERIES 2012 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN OUTPATIENT CENTER AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AN 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 SCHEDULE K, PART I, LINE A(F) (PAGE 3) THE PROCEEDS OF THE SERIES 2011A-1 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING ALL OF THE ORGANIZATION'S SERIES 1998A AND SERIES 1998B BONDS. PURPOSE OF BOND SERIES 2012 ISSUED 11/29/12 SCHEDULE K, PART I, LINE B(F) (PAGE 3) THE PROCEEDS OF THE SERIES 2012 BONDS WERE USED, TOGETHER WITH OTHER AVAILABLE FUNDS, TO FINANCE, REFINANCE OR REIMBURSE THE SYSTEM FOR A PORTION OF THE COSTS RELATED TO THE ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF CERTAIN CAPITAL PROJECTS, AND TO PAY CERTAIN COSTS OF ISSUING THE SERIES 2012 BONDS. PARTNERSHIP DESCRIPTION SCHEDULE K, PART III, LINE 1 ADVOCATE NORTH SIDE HEALTH NETWORK IS A PARTNER WITH THE REHAB INSTITUTE OF CHICAGO, A 501(C)(3) ORGANIZATION, WHICH PROVIDES REHABILITATION SERVICES AT AN ADVOCATE HOSPITAL. SERVICE CONTRACTS AND RESEARCH AGREEMENTS SCHEDULE K, PART III, LINE 3B, ALL BOND ISSUES 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, ALL BOND ISSUES PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY. Schedule K, Part III, Line 7 Advocate monitors the private business use percentage for each bond issue, and therefore, has not calculated the amount of private payments. Because advocate has not calculated the amount of private payments, solely for Schedule K reporting purposes we have assumed that the private payment test has been met for those issues reporting private business use. ARBITRAGE REBATE COMPUTATION SCHEDULE K, PART IV, LINE 2C (A) (PAGE 1) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 29, 2008. SCHEDULE K, PART IV, LINE 2C (B) (PAGE 1) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 10, 2012. SWAP PROVIDERS SCHEDULE K, PART IV, LINE 4B 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 2012 TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED. THE WRITTEN PROCEDURES OUTLINE SPECIFIC SELF-REMEDIATION PROCEDURES, SUCH AS THE VOLUNTARY CLOSING AGREEMENT PROGRAM.
Schedule K (Form 990) 2012

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
2012
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 45200FEF2 05-01-2012 51,142,165 SEE SCHEDULE K, PART VI   X   X   X
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 45203HNJ7 11-29-2012 150,003,863 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 . . . . . . . . . . . . . . 67,440,000 5,030,000 59,065,000 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 116,432,024 352,851,959 154,545,580 51,142,165
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 0
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 0
11 Other spent proceeds . . . . . . . . . . . . . . 0 192,581,505 152,475,000 51,142,165
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2005 2009 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X   X   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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
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   %   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0%   % 0% 0%
7 Does the bond issue meet the private security or payment test? . . . . . X     X X   X  
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . . X   X   X     X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of. 0% 0% 0%   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X   X   X     X
9 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 the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X X   X  
b Exception to rebate? . . . . . . . .   X X     X   X
c No rebate due? . . . . . . . . . .
X     X   X   X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X   X   X  
4a 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 PART VI
 
0
 
 
 
c Term of hedge . . . . . . . . . . 26.8 26.8    
d Was the hedge superintegrated? . . . . . .   X   X        
e Was a hedge terminated? . . . . . . .   X   X        
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X X     X   X
b Name of provider . . . . . . . . . 0
 
TRINITY PLUE 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          
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 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? X   X   X   X  
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 K, PART VI 0 PURPOSE OF BOND SERIES 2003 ISSUED 10/29/2003 SCHEDULE K, PART I, 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 USED 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 2008C ISSUED 10/10/2007 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 USED 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 WHICH WERE ISSUED ON JANUARY 9, 1997, OCTOBER 23, 2003, AND JULY 7, 2005, RESPECTIVELY. 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 2008A ISSUED 4/23/2008 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 2008A-3 ISSUED 5/1/2012 SCHEDULE K, PART I, LINE D(F) (PAGE 1) THE SERIES 2008A-3 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 1, 2012. PURPOSE OF BOND SERIES 2008D ISSUED 12/01/2008 SCHEDULE K, PART I, LINE A(F) (PAGE 2) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008D (ADVOCATE HEALTH CARE NETWORK) WERE USED 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 1/06/2010 SCHEDULE K, PART I, LINE B(F) (PAGE 2) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2010 (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING THE ORGANIZATION'S SERIES 2008B-1, SERIES 2008B-2, SERIES 2008B-3, SERIES 2008B-4 AND SERIES 2008B-5 BONDS, OF FINANCING THE COSTS RELATED TO THE MERGER WITH BROMENN HEALTHCARE SYSTEM AND THE COSTS RELATED TO 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 SCHEDULE K, PART I, LINE C(F) (PAGE 2) THE PROCEEDS OF THE SERIES 2011A-2, SERIES 2011B, SERIES 2011C AND SERIES 2011D BONDS WERE USED 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 2012 ISSUED 11/29/2012 SCHEDULE K, PART I, LINE D(F) (PAGE 2) THE PROCEEDS OF THE SERIES 2012 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN OUTPATIENT CENTER AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AN 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 SCHEDULE K, PART I, LINE A(F) (PAGE 3) THE PROCEEDS OF THE SERIES 2011A-1 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING ALL OF THE ORGANIZATION'S SERIES 1998A AND SERIES 1998B BONDS. PURPOSE OF BOND SERIES 2012 ISSUED 11/29/12 SCHEDULE K, PART I, LINE B(F) (PAGE 3) THE PROCEEDS OF THE SERIES 2012 BONDS WERE USED, TOGETHER WITH OTHER AVAILABLE FUNDS, TO FINANCE, REFINANCE OR REIMBURSE THE SYSTEM FOR A PORTION OF THE COSTS RELATED TO THE ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF CERTAIN CAPITAL PROJECTS, AND TO PAY CERTAIN COSTS OF ISSUING THE SERIES 2012 BONDS. PARTNERSHIP DESCRIPTION SCHEDULE K, PART III, LINE 1 ADVOCATE NORTH SIDE HEALTH NETWORK IS A PARTNER WITH THE REHAB INSTITUTE OF CHICAGO, A 501(C)(3) ORGANIZATION, WHICH PROVIDES REHABILITATION SERVICES AT AN ADVOCATE HOSPITAL. SERVICE CONTRACTS AND RESEARCH AGREEMENTS SCHEDULE K, PART III, LINE 3B, ALL BOND ISSUES 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, ALL BOND ISSUES PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY. Schedule K, Part III, Line 7 Advocate monitors the private business use percentage for each bond issue, and therefore, has not calculated the amount of private payments. Because advocate has not calculated the amount of private payments, solely for Schedule K reporting purposes we have assumed that the private payment test has been met for those issues reporting private business use. ARBITRAGE REBATE COMPUTATION SCHEDULE K, PART IV, LINE 2C (A) (PAGE 1) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 29, 2008. SCHEDULE K, PART IV, LINE 2C (B) (PAGE 1) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 10, 2012. SWAP PROVIDERS SCHEDULE K, PART IV, LINE 4B 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 2012 TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED. THE WRITTEN PROCEDURES OUTLINE SPECIFIC SELF-REMEDIATION PROCEDURES, SUCH AS THE VOLUNTARY CLOSING AGREEMENT PROGRAM.
Schedule K (Form 990) 2012

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, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
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) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)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 assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
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) DREYER MEDICAL CLINIC INC SHARED BOARD MEMBER 3,202,166 EXPENSE REIMBURSEMENT   No
(2) DREYER MEDICAL CLINIC INC SHARED BOARD MEMBER 423,977 MISC SERVICES   No
(3) DREYER MEDICAL CLINIC INC SHARED BOARD MEMBER 1,312,377 EXPENSE ALLOCATION   No
(4) DREYER MEDICAL CLINIC INC SHARED BOARD MEMBER 1,047,415 MISC SERVICES   No
(5) ADVOCATE HEALTH CENTERS INC SHARED BOARD MEMBER 27,420,068 EXPENSE REIMBURSEMENT   No
(6) ADVOCATE HEALTH CENTERS INC SHARED BOARD MEMBER 13,297,136 MISC SERVICES   No
(7) ADVOCATE HEALTH CENTERS INC SHARED BOARD MEMBER 1,583,821 PROPERTY RENTAL   No
(8) ADVOCATE HEALTH CENTERS INC SHARED BOARD MEMBER 202,119 REIMBURSEMENT   No
(9) ADVOCATE HEALTH CENTERS INC SHARED BOARD MEMBER 6,218,592 EXPENSE ALLOCATION   No
(10) ADVOCATE HEALTH CENTERS INC SHARED BOARD MEMBER 5,611,646 EXPENSE TRANSFER   No
(11) ADVOCATE HEALTH CENTERS INC SHARED BOARD MEMBER 2,101,395 MISC SERVICES   No
(12) ADVOCATE HEALTH CENTERS INC SHARED BOARD MEMBER 1,079,067 PROPERTY RENTAL   No
(13) BROMENN PHYSICIANS MANAGEMENT CORP SHARED BOARD MEMBER 27,813,760 EXPENSE REIMBURSEMENT   No
(14) BROMENN PHYSICIANS MANAGEMENT CORP SHARED BOARD MEMBER 2,933,200 MISC SERVICES   No
(15) BROMENN PHYSICIANS MANAGEMENT CORP SHARED BOARD MEMBER 1,134,841 PROPERTY RENTAL   No
(16) BROMENN PHYSICIANS MANAGEMENT CORP SHARED BOARD MEMBER 5,198,476 REIMBURSEMENT   No
(17) BROMENN PHYSICIANS MANAGEMENT CORP SHARED BOARD MEMBER 2,081,770 EXPENSE ALLOCATION   No
(18) BROMENN PHYSICIANS MANAGEMENT CORP SHARED BOARD MEMBER 1,286,443 EXPENSE TRANSFER   No
(19) BROMENN PHYSICIANS MANAGEMENT CORP SHARED BOARD MEMBER 1,011,517 MISC SERVICES   No
(20) MIDWEST HEART SPECIALISTS LTD SHARED BOARD MEMBER 1,915,305 EXPENSE REIMBURSEMENT   No
(21) MIDWEST HEART SPECIALISTS LTD SHARED BOARD MEMBER 117,757 MISC SERVICES   No
(22) MIDWEST HEART SPECIALISTS LTD SHARED BOARD MEMBER 2,626,304 REIMBURSEMENT   No
(23) MIDWEST HEART SPECIALISTS LTD SHARED BOARD MEMBER 1,706,215 EXPENSE ALLOCATION   No
(24) MIDWEST HEART SPECIALISTS LTD SHARED BOARD MEMBER 2,049,316 MISC SERVICES   No
(25) HIGH TECHNOLOGY SHARED BOARD MEMBER 3,295,838 EXPENSE REIMBURSEMENT   No
(26) HIGH TECHNOLOGY SHARED BOARD MEMBER 2,438,148 MISC SERVICES   No
(27) HIGH TECHNOLOGY SHARED BOARD MEMBER 714,183 EXPENSE ALLOCATION   No
(28) EVANGELICAL SERVICES CORPORATION SHARED BOARD MEMBER 24,192,346 EXPENSE REIMBURSEMENT   No
(29) EVANGELICAL SERVICES CORPORATION SHARED BOARD MEMBER 3,781,219 MISC SERVICES   No
(30) EVANGELICAL SERVICES CORPORATION SHARED BOARD MEMBER 185,942 PROPERTY RENTAL   No
(31) EVANGELICAL SERVICES CORPORATION SHARED BOARD MEMBER 574,083 REIMBURSEMENT   No
(32) EVANGELICAL SERVICES CORPORATION SHARED BOARD MEMBER 2,443,017,042 EXPENSE ALLOCATION   No
(33) EVANGELICAL SERVICES CORPORATION SHARED BOARD MEMBER 428,398 MISC SERVICES   No
(34) ADVOCATE HOME CARE PRODUCT INC SHARED BOARD MEMBER 3,806,086 EXPENSE REIMBURSEMENT   No
(35) ADVOCATE HOME CARE PRODUCT INC SHARED BOARD MEMBER 174,298 MISC SERVICES   No
(36) ADVOCATE HOME CARE PRODUCT INC SHARED BOARD MEMBER 180,796 EXPENSE ALLOCATION   No
(37) ADVOCATE HOME CARE PRODUCT INC SHARED BOARD MEMBER 528,128 MISC SERVICES   No
(38) DR JAMES RICHARDSON FAMILY MBR-M. RICHARDSON 362,727 EMPLOYMENT   No
(39) DANIEL DOHERTY FAMILY MBR-DR. JAMES DAN 142,000 EMPLOYMENT   No
(40) BRIAN MCKENNY FAMILY MBR-DR. JAMES DAN 73,370 EMPLOYMENT   No
(41) JULIE NAKIS FAMILY MBR-DOMINIC NAKIS 48,589 EMPLOYMENT   No
(42) EMILY HEIM FAMILY MBR-RICH HEIM 17,368 EMPLOYMENT   No
(43) ISMIE SHARED BOARD MEMBER 3,916,880 INSURANCE   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) 2012

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
2012
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 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)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


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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
2012
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" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) 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" to 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 entity?
Yes No
(1) ADVOCATE HEALTH CARE NETWORK

3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
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

3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
26-2525968
HEALTH CARE IL 501(c)(3) 3 AHHC
 
Yes
 
(4) ADVOCATE NORTH SIDE HEALTH NETWORK

3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-3196629
HEALTH CARE IL 501(c)(3) 3 AHHC
 
Yes
 
(5) ADVOCATE CHARITABLE FOUNDATION

3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-3297360
FUNDRAISING IL 501(c)(3) 7 AHCN
 
Yes
 
(6) EHS HOME HEATH CARE SERVICE INC

3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-2913108
HOME CARE IL 501(c)(3) 9 AHHC
 
Yes
 
(7) MERIDIAN HOSPICE

3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-3158667
HOSPICE CARE IL 501(c)(3) 9 EHSHHCS
 
 
No
(8) HISPANO CARE INC

3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-3606486
HEALTH CARE IL 501(c)(3) 9 ANSHN
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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 SURG

1221 N HIGHLAND
AURORA,IL60506
36-3890298
MEDICAL SERVICES IL NA
 
C CORP                












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ADVOCATE HOME CARE PRODUCTS

3075 HIGHLAND PARKWAY STE 600
DOWNERS GROVE,IL60515
36-3315416
HEALTH SERVICES IL NA
 
C CORP       Yes  
(2) MIDWEST HEART SPECIALISTS LTD

3075 HIGHLAND PKWY STE 600
DOWNERS GROVE,IL60515
36-2841923
MEDICAL SERVICES IL AHHC
 
C CORP   11,899,781 100.000 % Yes  
(3) ADVOCATE HEALTH CENTERS INC

3075 HIGHLAND PARKWAY STE 600
DOWNERS GROVE,IL60515
36-4217291
MEDICAL SERVICES IL NA
 
C CORP       Yes  
(4) EVANGELICAL SERVICES CORPORATION

3075 HIGHLAND PARKWAY STE 600
DOWNERS GROVE,IL60515
36-3208101
MGMT SERVICES IL AHHC
 
C CORP -224,084 261,721,553 100.000 % Yes  
(5) HIGH TECHNOLOGY INC

3075 HIGHLAND PARKWAY STE 600
DOWNERS GROVE,IL60515
36-3368224
MEDICAL SERVICES IL NA
 
C CORP       Yes  
(6) DREYER CLINIC INC

1877 W DOWNER PLACE
AURORA,IL60506
36-2690329
MEDICAL SERVICES IL NA
 
C CORP       Yes  
(7) BROMENN PHYSICIAN MANAGEMENT CORPORATION

3075 HIGHLAND PARKWAY STE 600
DOWNERS GROVE,IL60515
37-1313150
MEDICAL SERVICES CJ NA
 
C CORP       Yes  
(8) PARKSIDE CENTER CONDO ASSOCIATION

1775 WEST DEMPSTER STREET
PARK RIDGE,IL60068
36-3452486
PROPERTY MGMT IL AHHC
 
C CORP 1,464,271 741,661 91.810 % Yes  
(9) CENTER FOR ENDOSCOPY LLC

22285 PEPPER ROAD
LAKE BARRINGTON,IL60010
26-2387298
HEALTH SERVICES IL NA
 
C CORP       Yes  
(10) ADVOCATE INSURANCE SPC

 
 
98-0422925
INSURANCE CJ AHHC
 
C CORP 15,059,521 297,450,488 100.000 % Yes  
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
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 Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
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-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) ADVOCATE NORTH SIDE HEALTH NETWORK

A 23,628 FMV
(2) ADVOCATE CONDELL MEDICAL CENTER

A 306,694 FMV
(3) EHS HOME HEALTH CARE SERVICE INC

A 163,041 FMV
(4) ADVOCATE HEALTH CARE NETWORK

B 150,000,000 COST
(5) ADVOCATE NORTH SIDE HEALTH NETWORK

C 50,000,000 COST
(6) ADVOCATE CONDELL MEDICAL CENTER

C 20,000,000 COST
(7) ADVOCATE NORTH SIDE HEALTH NETWORK

L 51,260,228 COST
(8) ADVOCATE CONDELL MEDICAL CENTER

L 31,238,076 COST
(9) EHS HOME HEALTH CARE SERVICE INC

L 1,742,129 COST
(10) ADVOCATE NORTH SIDE HEALTH NETWORK

M 4,101,287 COST
(11) ADVOCATE CONDELL MEDICAL CENTER

M 1,562,211 COST
(12) EHS HOME HEALTH CARE SERVICE INC

M 190,966 COST
(13) ADVOCATE NORTH SIDE HEALTH NETWORK

P 26,558,375 COST
(14) ADVOCATE CONDELL MEDICAL CENTER

P 14,615,768 COST
(15) EHS HOME HEALTH CARE SERVICE INC

P 1,107,800 COST
(16) ADVOCATE NORTH SIDE HEALTH NETWORK

Q 75,122,265 COST
(17) ADVOCATE CONDELL MEDICAL CENTER

Q 51,724,660 COST
(18) ADVOCATE INSURANCE SPC

Q 1,886,855 COST
(19) EHS HOME HEALTH CARE SERVICE INC

Q 7,639,000 COST
(20) ADVOCATE NORTH SIDE HEALTH NETWORK

R 44,585,555 COST
(21) ADVOCATE CONDELL MEDICAL CENTER

R 4,249,559 COST
(22) ADVOCATE NORTH SIDE HEALTH NETWORK

S 255,626 COST
(23) ADVOCATE CONDELL MEDICAL CENTER

S 322,932 COST
(24) ADVOCATE CHARITABLE FOUNDATION

C 11,514,900 COST
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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 section 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) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


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