efile Public Visual Render
ObjectId: 201533179349301203 - Submission: 2015-11-13
TIN: 36-2167920
Form
990
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 private
foundations)
Do not enter social security numbers on this form as it may be made public.
Information about Form 990 and its instructions is at
www.IRS.gov/form990
.
OMB No. 1545-0047
20
14
Open to Public Inspection
A
For the 2014 calendar year, or tax year beginning
01-01-2014
, and ending
12-31-2014
B
Check if applicable:
Address change
Name change
Initial return
Final return/terminated
Amended return
Application pending
C
Name of organization
ADVOCATE SHERMAN HOSPITAL
% JAMES DOHENY
Doing business as
Number and street (or P.O. box if mail is not delivered to street address)
3075 Highland PkWY Suite 600
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Downers Grove
,
IL
60515
D Employer identification number
36-2167920
E Telephone number
(630) 572-9393
G
Gross receipts $
394,656,600
F
Name and address of principal officer:
Linda Deering
3075 Highland Pkwy Ste 600
Downers Grove
,
IL
60515
I
Tax-exempt status:
501(c)(3)
501(c)
(
)
(insert no.)
4947(a)(1)
or
527
J
Website:
www.advocatehealth.com
H(a)
Is this a group return for
subordinates?
Yes
No
H(b)
Are all subordinates
included?
Yes
No
If "No," attach a list. (see instructions)
H(c)
Group exemption number
K
Form of organization:
Corporation
Trust
Association
Other
L
Year of formation:
1887
M
State of legal domicile:
IL
Part I
Summary
1
Briefly describe the organization’s mission or most significant activities:
SERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD.
2
Check this box
3
Number of voting members of the governing body (Part VI, line 1a)
........
3
19
4
Number of independent voting members of the governing body (Part VI, line 1b)
.....
4
14
5
Total number of individuals employed in calendar year 2014 (Part V, line 2a)
......
5
2,074
6
Total number of volunteers (estimate if necessary)
.............
6
337
7a
Total unrelated business revenue from Part VIII, column (C), line 12
........
7a
836,194
b
Net unrelated business taxable income from Form 990-T, line 34
.........
7b
Prior Year
Current Year
8
Contributions and grants (Part VIII, line 1h)
.........
924,623
524,906
9
Program service revenue (Part VIII, line 2g)
.........
200,733,883
298,002,422
10
Investment income (Part VIII, column (A), lines 3, 4, and 7d )
....
10,441,434
6,157,457
11
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)
2,445,462
2,622,358
12
Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)
214,545,402
307,307,143
13
Grants and similar amounts paid (Part IX, column (A), lines 1–3 )
...
47,925
24,217
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)
85,039,392
125,216,912
16a
Professional fundraising fees (Part IX, column (A), line 11e)
.....
0
0
b
Total fundraising expenses (Part IX, column (D), line 25)
0
17
Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)
....
113,351,472
188,022,715
18
Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)
198,438,789
313,263,844
19
Revenue less expenses. Subtract line 18 from line 12
.......
16,106,613
-5,956,701
Beginning of Current Year
End of Year
20
Total assets (Part X, line 16)
.............
531,510,100
504,091,796
21
Total liabilities (Part X, line 26)
.............
369,107,943
360,266,823
22
Net assets or fund balances. Subtract line 21 from line 20
.....
162,402,157
143,824,973
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
2015-11-12
Signature of officer
Date
James W Doheny
Assistant Treasurer
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
angela m moore
Preparer's signature
angela m moore
Date
Check
if
self-employed
PTIN
P00244342
Firm's name
ERNST & YOUNG US LLP
Firm's EIN
Firm's address
111 MONUMENT CIRCLE STE 4000
INDIANAPOLIS
,
IN
46204
Phone no.
(317) 681-7000
May the IRS discuss this return with the preparer shown above? (see instructions)
..........
Yes
No
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form
990
(2014)
Page 2
Form 990 (2014)
Page
2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III
..............
1
Briefly describe the organization’s mission:
THE MISSION OF ADVOCATE SHERMAN HOSPITAL 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?
....................
Yes
No
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?
..........................
Yes
No
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 $
216,784,969
including grants of $
24,217
) (Revenue $
248,398,734
)
FORM 990, PART III, LINE 4A PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. AS PART OF ITS COMMUNITY BENEFITS STRATEGY AND ITS MISSION, ADVOCATE SHERMAN HOSPITAL (ASH) IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDERINSURED. AN EXAMPLE OF THIS IS THE HOSPITAL'S PROVISION OF CHARITY CARE. ASH 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 FEDERAL POVERTY LEVEL. THE HOSPITAL ALSO CONSIDERS A PATIENT'S EXTENUATING CIRCUMSTANCES TO QUALIFY PATIENTS FOR CHARITY CARE. FOR UNINSURED PATIENTS, THE HOSPITAL WILL PRESUMPTIVELY PROVIDE CHARITY CARE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY AND, IN SOME CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA IS NOT AVAILABLE FOR UNINSURED PATIENTS, THEN FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ASH EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL, ALSO TAKING INTO CONSIDERTION THE INSURED PATIENT'S EXTENUATING CIRCUMSTANCES. ALTHOUGH THE HOSPITAL'S CHARITY CARE POLICY IS VERY GENEROUS, ASH CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE WHEN THEY NEED IT TO THOSE WHO NEED HELP. THE HOSPITAL MAINTAINS HIGHLY VISIBLE SIGNAGE AND BROCHURES IN MULTIPLE LANGUAGES TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL HELP AND FINANCIAL COUNSELORS. INFORMATION ABOUT THE CHARITY CARE PROGRAM AND CHARITY APPLICATIONS IS PROVIDED TO ALL UNINSURED PATIENTS DURING REGISTRATION AND IS MAILED TO THEM IN ADVANCE OF THE FIRST PATIENT BILLING. AFTER THAT, EACH UNINSURED PATIENT'S BILL INCLUDES SUMMARY INFORMATION REGARDING THE CHARITY CARE PROGRAM. ASH, AS A LEVEL II TRAUMA CENTER, IS DEDICATED TO PROVIDING EXPERT EMERGENCY CARE REGARDLESS OF THE PATIENTS' ABILITY TO PAY. THE HOSPITAL HAD 473 TRAUMA VISITS AND 64,241 EMERGENCY DEPARTMENT VISITS IN 2014.
4b
(Code:
) (Expenses $
29,157,266
including grants of $
) (Revenue $
26,800,672
)
FORM 990, PART III, LINE 4B HEALTH CARE SERVICES PROVIDED BY PHYSICIANS, NURSES, CLINICIANS AND OTHER ASSOCIATES EMPLOYED BY ADVOCATE SHERMAN HOSPITAL. ASH CLINICIANS PROVIDE CARE TO THE COMMUNITY BOTH AT THE HOSPITAL AND IN THE COMMUNITY. ADVOCATE SHERMAN HOSPITAL HAS MORE THAN 30 YEARS OF CARDIOVASCULAR EXCELLENCE FOCUSING ON PROACTIVELY PREVENTING, DIAGNOSING AND TREATING AN ARRAY OF HEART CONDITIONS. AS AN ACCREDITED CHEST PAIN CENTER THROUGH THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, ADVOCATE SHERMAN HOSPITAL IS DEDICATED TO THE CARE OF ITS CARDIAC PATIENTS. THIS ACCREDITATION MEANS THAT ASH INTEGRATES THE INDUSTRY'S BEST PRACTICES TO PROVIDE THE BEST POSSIBLE OUTCOMES IN CARDIAC CARE. SHERMAN'S HEART FAILURE PROGRAM HAS ACHIEVED ADVANCED CERTIFICATION IN HEART FAILURE DESIGNATION FOR BEST PRACTICES IN CARING FOR HEART FAILURE PATIENTS. IN 2014, ASH EXPERIENCED 737 INPATIENT CARDIAC CATH CASES AND 653 INPATIENT CARDIOVASCULAR SURGERIES. ADVOCATE SHERMAN HOSPITAL IS RECOGNIZED AS A CENTER OF EXCELLENCE IN TREATING DISEASES AND INJURIES OF MUSCLES, BONES AND JOINTS AND IS A LEADER IN STATE-OF-THE-ART ORTHOPEDIC DIAGNOSTIC AND TREATMENT OPTIONS. DEPENDING ON THE INJURY OR ILLNESS, TREATMENT CAN RANGE FROM NON-SURGICAL OPTIONS SUCH AS CASTS, SPLINTS AND PHYSICAL THERAPY TO SURGICAL OPTIONS, FROM MINIMALLY INVASIVE ARTHROSCOPY TO TOTAL JOINT REPLACEMENT. IN 2014, ADVOCATE SHERMAN HOSPITAL PERFORMED 1,319 INPATIENT ORTHOPEDIC SURGERIES. ADVOCATE SHERMAN HOSPITAL'S CANCER CARE CENTER IS ACCREDITED THROUGH THE COMMISSION ON CANCER (CoC) AND THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). ASH IS LEADING HEALTH BY PROMOTING HEALTHY LIFESTYLES, FOCUSING ON PREVENTATIVE AND INNOVATIVE MEDICINE, ESTABLISHING A COMPREHENSIVE GENETIC PROGRAM, SECURING NURSE NAVIGATION, ENHANCING THE ONCOLOGY SERVICE LINE (INPATIENT, OUTPATIENT & COMMUNITY), PARTNERING WITH AMERICAN CANCER SOCIETY, LIVING WELL, AND JOURNEY CARE AND PARTICIPATING IN A COLEMAN GRANT FOR SUPPORTIVE ONCOLOGY AND NCI/YALE GRANT FOR DISTRESS SCREENING. THERE IS ALSO A FOCUS ON NEW EDUCATION AND PREVENTION PROGRAMS INCLUDING COLORECTAL CANCER OUTREACH & SCREENINGS, LUNG CANCER SCREENING, ENHANCEMENTS TO GENETIC COUNSELING, ADDITION OF ONCOLOGY NURSE NAVIGATION RESOURCE AND ONCOLOGY FINANCIAL NAVIGATOR, AND PARTNERSHIP WITH ADVOCATE LUTHERAN GENERAL HOSPITAL FOR RESEARCH/CLINICAL TRIALS. ADVOCATE SHERMAN HOSPITAL'S PRIMARY STROKE CENTER IS ACCREDITED THROUGH DNV HEALTHCARE (DNV). THE SCOPE OF THE PROGRAM ENCOMPASSES THE ADULT POPULATION ENTERING INTO THE HOSPITAL WITH HEMORRHAGIC/ISCHEMIC STROKE OR TIA DIAGNOSIS. DATA IS ABSTRACTED, SUBMITTED AND REPORTED THROUGH THE GET WITH THE GUIDELINES STROKE DATA REGISTRY AND ALSO THE CENTER FOR MEDICARE & MEDICAID SERVICES. OTHER IMPORTANT HOSPITAL-BASED SERVICES INCLUDE A COMPREHENSIVE DIABETES CENTER, A BIRTHING CENTER PROFICIENT IN HANDLING HIGH RISK DELIVERIES, AND AN EMERGENCY DEPARTMENT AND LEVEL II TRAUMA CENTER. HOSPITAL CLINICIANS ALSO PROVIDE CARE TO PATIENTS AT SEVERAL OFF-SITE LOCATIONS INCLUDING THREE IMMEDIATE CARE CENTERS FOR IMAGING, LABORATORY, PHYSICAL REHABILITATION AND PRIMARY CARE SERVICES, AS WELL AS SERVICES PROVIDED AT A NURSING/REHABILITATION CENTER AND A STAND ALONE IMAGING CENTER. ASH CLINICIANS LEAD PRENATAL/CHILDBIRTH AND PARENTING EDUCATION CLASSES, DIABETES EDUCATION CLASSES, AS WELL AS SUPPORT GROUPS FOCUSED ON INDIVIDUALS STRUGGLING WITH HEALTH ISSUES SUCH AS DIABETES, HEART DISEASE, BREAST AND OTHER CANCERS, OSTOMIES, AND BREAST FEEDING. AS PART OF THE HOSPITAL'S SPEAKER'S BUREAU, CLINICIANS ALSO PARTICIPATE IN COMMUNITY HEALTH EVENTS, PROVIDING EDUCATION ON VARIOUS TOPICS OF INTEREST TO THE COMMUNITY SUCH AS TRAUMA/INJURY PREVENTION, AND HEALTH AND WELLNESS CLASSES.
4c
(Code:
) (Expenses $
21,794,378
including grants of $
) (Revenue $
22,803,016
)
FORM 990, PART III, LINE 4C DESCRIPTION OF ADVOCATE SHERMAN HOSPITAL ADVOCATE SHERMAN HOSPITAL IS A 255-BED NOT-FOR-PROFIT HOSPITAL THAT PROVIDES ACUTE INPATIENT AND OUTPATIENT MEDICAL CARE TO INDIVIDUALS RESIDING IN THE GREATER ELGIN, ILLINOIS, AREA. FOUNDED IN 1888, THE HOSPITAL HAS EXPANDED ITS SERVICES TO SEVERAL OFF-SITE LOCATIONS, INCLUDING THREE IMMEDIATE CARE CENTERS, A NURSING/REHABILITATION CENTER AND A STAND ALONE IMAGING CENTER. AT ALL THESE SITES OF CARE, SHERMAN'S 650 PHYSICIANS AND 2,200 ASSOCIATES (EMPLOYEES) PROVIDE QUALITY AND COMPASSIONATE CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES RECEIVED. THE HOSPITAL MOVED TO ITS CURRENT LOCATION ON RANDALL ROAD FOLLOWING COMPLETION OF A NEW HOSPITAL BUILDING IN DECEMBER 2009. ASH JOINED THE ADVOCATE SYSTEM IN 2013 AND BECAME THE ELEVENTH HOSPITAL IN THE ADVOCATE HEALTH CARE NETWORK. ASH HAS BEEN RECOGNIZED FOR ITS COMMITMENT TO CONTInUALLY IMPROVING PERFORMANCE AND PATIENT CARE AS DEMONSTRATED THROUGH ITS ACHIEVEMENT OF SEVERAL AWARDS. CONSIDERED THE NATIONAL "GOLD STANDARD" FOR NURSING EXCELLENCE AMONG HOSPITALS, THE HOSPITAL HAS RECEIVED MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER, AN AFFILIATE OF THE AMERICAN NURSES ASSOCIATION. MAGNET RECOGNITION IS GIVEN ONLY TO HOSPITALS THAT SATISFY A SET OF CRITERIA DESIGNED TO MEASURE STRENGTH AND QUALITY IN NURSING CARE--FOR WHICH LESS THAN SEVEN PERCENT OF HOSPITALS NATION-WIDE HAVE ACHIEVED THIS STATUS. IN ADDITION, ASH HAS RECEIVED A 2011 SILVER AWARD FROM THE LINCOLN FOUNDATION FOR PERFORMANCE EXCELLENCE FOR IMPROVING PERFORMANCE THROUGH BEST PRACTICES AND ITS CARE DELIVERY SYSTEM. THE CENTER FOR BREAST CARE AT ADVOCATE SHERMAN HOSPITAL IS DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY FOR ITS DEDICATION TO IMPROVING WOMEN'S HEALTH. THE HOSPITAL IS ALSO AN ACCREDITED CHEST PAIN CENTER, WHICH MEANS THE HOSPITAL INTEGRATES THE INDUSTRY'S BEST PRACTICES AND NEWEST PARADIGMS TO PROVIDE THE BEST POSSIBLE OUTCOMES IN CARDIAC CARE. THE HOSPITAL'S STROKE CENTER IS CERTIFIED BY THE JOINT COMMISSION. THE HOSPITAL HAS IMPLEMENTED CODE BAT (BRAIN ATTACK TEAM), A RAPID RESPONSE TEAM OF TRAINED CLINICIANS TO ENSURE STROKE PATIENTS RECEIVE TIMELY AND EXPERT CARE. EARLY MEDICAL INTERVENTION IS CRITICAL TO LIMITING BRAIN DAMAGE AND IMPROVES OUTCOMES FOR MANY STROKE VICTIMS. THE HOSPITAL'S HEART FAILURE PROGRAM RECEIVED GOLD LEVEL RECOGNITION FROM THE AMERICAN HEART ASSOCIATION'S "GET WITH THE GUIDELINES-HEART FAILURE PROGRAM" FOR COMMITMENT TO IMPROVING QUALITY CARE. THE HOSPITAL HAS ALSO RECEIVED PLATINUM RECOGNITION FROM THE AMERICAN COLLEGE OF CARDIOLOGY/AMERICAN HEART ASSOCIATION FOR ITS CARDIAC OUTCOMES OVER FOUR CONSECUTIVE QUARTERS. advocate SHERMAN HOSPITAL'S HEALTHCARE PROVIDERS ARE ENGAGED IN ONGOING EFFORTS FOCUSED ON QUALITY IMPROVEMENT INITIATIVES. THESE PROVIDERS USE EVIDENCE-BASED PRACTICES AS AN APPROACH TO IMPROVE QUALITY WHILE REDUCING UNNECESSARY VARIATION IN PRACTICE, UNNECESSARY COST AND UNNECESSARY HOSPITALIZATION. THESE EFFORTS ARE DESIGNED TO MAINTAIN AND ENHANCE PATIENT, STAFF AND VISITOR SAFETY AND TO IMPROVE THE ENVIRONMENT OF CARE. ASH WAS ONE OF THE FIRST COMMUNITY HOSPITALS TO PERFORM OPEN-HEART SURGERY-A SIGNFICIANT ACHIEVEMENT FOR A COMMUNITY HOSPITAL IN 1972. SINCE THEN, THE HOSPITAL HAS BECOME THE RECOGNIZED REGIONAL HEART CENTER FOR THE NORTHWEST SUBURBS, RANKING THIRD IN THE CHICAGOLAND AREA IN PATIENT VOLUMES FOR OPEN-HEART SURGERY. WITH A TEAM OF NEARLY 50 CARDIOLOGISTS, ASH HAS OVER 35 YEARS OF EXERIENCE WITH OPEN HEART PROCEDURES AND ALL FORMS OF CARDIAC CARE. IN ADDITION TO A WIDE RANGE OF CARDIOVASCULAR SERVICES, THE HOSPITAL IS ALSO AN ACCREDITED CHEST PAIN CENTER WITH DEDICATED INTERVENTIONAL CARDIOLOGISTS, AND CARDIOLOGY AND EMERGENCY PERSONNEL TRAINED IN RAPID RESPONSE AND TREATMENT OF HEART ATTACKS, WHICH HELPS ENSURE REDUCED HEART MUSCLE DAMAGE AND SAVES LIVES. THE HOSPITAL'S CENTER FOR CANCER CARE OFFERS THE LATEST CANCER TREATMENTS AND STATE-OF-THE-ART TECHNOLOGY IN AN ENVIRONMENT CUSTOM-DESIGNED FOR HEALING AND COMPASSIONATE CARE. THE CENTER FOR ADVANCED LIVER & PANCREATIC CARE PROVIDES PATIENTS WITH ACCESS TO SPECIALIZED CARE FOR THE TREATMENT OF A WIDE RANGE OF LIVER AND PANCREATIC DISEASES THAT TYPICALLY HAVE ONLY BEEN TREATED AT ACADEMIC MEDICAL CENTERS. ASH ALSO PROVIDES COMMUNITY OUTREACH THROUGH HEALTH FAIRS, WELLNESS PROGRAMS AND OTHER SERVICES IN SUPPORT OF ITS MVP (MISSION, VALUES AND PHILOSOPHY). THE MISSION OF ADVOCATE SHERMAN HOSPITAL IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN THE FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD. THE VALUES OF ADVOCATE SHERMAN HOSPITAL INCLUDE EQUALITY, COMPASSION, EXCELLENCE, PARTNERSHIP, AND STEWARDSHIP. THE PHILOSOPHY OF ADVOCATE SHERMAN HOSPITAL IS GROUNDED IN THE PRINCIPLES OF HUMAN ECOLOGY, FAITH AND COMMUNITY-BASED HEALTH CARE. THESE PRINCIPLES ARISE FROM AN UNDERSTANDING OF HUMAN BEINGS AS WHOLE PERSONS IN LIGHT OF THEIR RELATIONSHIPS WITH GOD, THEMSELVES, THEIR FAMILIES AND THE SOCIETY IN WHICH THEY LIVE. POPULATION SERVED ADVOCATE SHERMAN HOSPITAL PROVIDES QUALITY HEALTH CARE TO INDIVIDUALS REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2014, THE HOSPITAL'S 650 PHYSICIANS AND 2,200 ASSOCIATES (EMPLOYEES) TREATED 15,077 INPATIENT ADMISSIONS INCLUDING 2,740 DELIVERIES, AND HANDLED 193,423 OUTPATIENT VISITS ON THE HOSPITAL CAMPUS AND 104,111 TO OFFSITE IMMEDIATE CARE CENTSERS AND ONE IMAGING CENTER. AS A LEVEL II TRAUMA CENTER, ASH HAD 473 TRAUMA VISITS AND 64,261 EMERGENCY DEPARTMENT VISITS IN 2014. ADVOCATE SHERMAN HOSPITAL SERVES A PRIMARY SERVICE AREA (PSA) INCLUDING 295,700 PEOPLE WHO RESIDE IN THE COMMUNITIES OF ALGONQUIN, CARPENTERSVILLE, DUNDEE, ELGIN, GILBERTS, HUNTLEY, LAKE IN THE HILLS, AND SOUTH ELGIN. THE HOSPITAL SERVES A SECONDARY SERVICE AREA (SSA) INCLUDING 76,000 PEOPLE WHO RESIDE IN CRYSTAL LAKE, HAMPSHIRE AND MARENGO. THE PSA AND SSA COMMUNITIES ARE IN PRIMARILY SUBURBAN AREAS, LOCATED 45-60 MINUTES WEST OF DOWNTOWN CHICAGO. THE PERCENT OF THE POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL WAS 9.0 % FOR THE PSA AND 7.1% FOR THE SSA, COMPARED TO 13.7% FOR THE STATE IN 2014. THERE ARE SEVERAL COMMUNITIES IN THE SHERMAN PSA WHICH ARE FINANCIALLY CHALLENGED, WITH A HIGHER PERCENTAGE LIVING BELOW POVERTY THAN THE STATE, INCLUDING CARPENTERSVILLE WITH 16.1% OF THE POPULATION LIVING BELOW POVERTY, AND EAST ELGIN AT 15.1%. THE 2015 MEDIAN HOUSEHOLD INCOME IS $73,884 FOR THE PSA AND $79,144 FOR THE SSA. THE PSA HAS A HIGH PORTION OF THE POPULATION WITH LATINO ANCESTRY (28.9%) AS COMPARED TO THE SSA (12.8%) AND THE US (17.6%). BOTH THE PSA AND THE SSA HAVE LOW RATES OF POPULATION WITH AFRICAN AMERICAN ANCESTRY (4.6% AND 1.2%, RESPECTIVELY). COMMITMENT TO THE COMMUNITY EVEN IN THE FACE OF LOW REIMBURSEMENTS, ADVOCATE SHERMAN HOSPITAL IS DEDICATED TO MAINTAINING A STRONG PRESENCE WITHIN ITS COMMUNITY AND CONTINUES TO MONITOR EXPENDITURES TO MAKE CERTAIN THAT THE PROGRAMS AND SERVICES SUPPORTED ARE IN DIRECT RESPONSE TO COMMUNITY NEED. IN 2014, ASH PROVIDED OVER $50.2 MILLION IN COMMUNITY BENEFIT PROGRAMS AND SERVICES. THESE BENEFITS INCLUDED NOT ONLY THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID AND MEDICARE, FOR EXAMPLE, BUT ALSO THE COST FOR IMPLEMENTING AND SUSTAINING PROGRAMS SPECIFICALLY DESIGNED TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY. COMMUNITY BENEFITS PLAN, GOALS & EXAMPLES OF PROGRAM SERVICE ACCOMPLISHMENTS AS ONE OF ELEVEN ADVOCATE HEALTH CARE HOSPITALS, ADVOCATE SHERMAN HOSPITAL'S COMMUNITY BENEFITS EFFORTS ARE ALIGNED WITH ADVOCATE HEALTH CARE'S COMMUNITY BENEFITS PLAN. THE COMMUNITY BENEFITS PLAN WAS DEVELOPED TO ESTABLISH STRATEGIES FOR IMPROVING ACCESS TO CARE AND POSITIVELY AFFECTING THE HEALTH OF THE COMMUNITIES SERVED BY THE HOSPITAL. INCLUDED IN THE COMMUNITY BENEFITS PLAN ARE NOT ONLY PLANNED GOALS AND OBJECTIVES FOCUSED ON ADDRESSING NEEDS AS IDENTIFIED THROUGH A HOSPITAL-SPECIFIC COMMUNITY HEALTH NEEDS ASSESSMENT, BUT ALSO OTHER COMMUNITY BENEFITS SUCH AS CHARITY CARE, UNREIMBURSED MEDICAID AND MEDICARE. THE COMMUNITY BENEFITS PLAN SETS THE COURSE FOR STRENGTHENING EXISTING PARTNERSHIPS AND BUILDING NEW ONES WITH INDIVIDUALS AND ORGANIZATIONS WITHIN SHERMAN'S SERVICE AREA IN ORDER TO LEVERAGE AND MAXIMIZE THE IMPACT OF ITS PROGRAMS. ASH HAS SET GOALS AND OBJECTIVES TO ACCOMPLISH THIS STRATEGY. THE GOALS AND SOME CORRESPONDING EXAMPLES OF SERVICES ASH OFFERS ARE PROVIDED BELOW. GOAL 1: UNDERTAKE OR SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES WITHIN THE DIVERSE COMMUNITIES ADVOCATE HEALTH CARE SERVES. CHARITY CARE - ADVOCATE SHERMAN HOSPITAL 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
4d
Other program services (Describe in Schedule O.)
(Expenses $
including grants of $
) (Revenue $
)
4e
Total program service expenses
267,736,613
Form
990
(2014)
Page 3
Form 990 (2014)
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 A
.....................
1
Yes
2
Is the organization required to complete
Schedule B, Schedule of Contributors
(see instructions)?
...
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 I
.............
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 II
..............
4
Yes
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?
If "Yes," complete Schedule C, Part III
.................
5
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 I
..................
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 II
...
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
.............
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 IV
..............
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 V
......
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.
...................
11a
Yes
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16?
If "Yes," complete Schedule D, Part VII
.......
11b
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16?
If "Yes," complete Schedule D, Part VIII
.......
11c
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16?
If "Yes," complete Schedule D, Part IX
............
11d
No
e
Did the organization report an amount for other liabilities in Part X, line 25?
If "Yes," complete Schedule D, Part X
11e
Yes
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)?
If "Yes," complete Schedule D, Part X
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
.................
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
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
.........
14b
Yes
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization?
If “Yes,” complete Schedule F, Parts II and IV
.....
15
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals?
If “Yes,” complete Schedule F, Parts III and IV
...
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)
....
17
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a?
If "Yes," complete Schedule G, Part II
............
18
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?
If "Yes," complete Schedule G, Part III
...................
19
No
20a
Did the organization operate one or more hospital facilities?
If "Yes," complete Schedule H
....
20a
Yes
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
Form
990
(2014)
Page 4
Form 990 (2014)
Page
4
Part IV
Checklist of Required Schedules
(continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1?
If “Yes,” complete Schedule I, Parts I and II
.....
21
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2?
If “Yes,” complete Schedule I, Parts I and III
........
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
.......................
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 25a
...............
24a
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?
...
24b
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
...............
24c
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?
...
24d
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations.
Did the organization engage in an excess benefit transaction with a disqualified person during the year?
If "Yes," complete Schedule L, Part I
............
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
...................
25b
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?
If "Yes," complete Schedule L, Part II
................
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
.........
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
........................
28a
Yes
b
A family member of a current or former officer, director, trustee, or key employee?
If "Yes," complete Schedule L, Part IV
.....................
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
...
28c
No
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
........
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
.........................
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
...
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
.............
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 VI
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
(2014)
Page 5
Form 990 (2014)
Page
5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V
...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable
..
1a
222
b
Enter the number of Forms W-2G included in line 1a.
Enter -0-
if not applicable
.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?
..................
1c
Yes
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return
..................
2a
2,074
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” to line 3b, 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
No
b
If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?
.........................
8
9a
Did the sponsoring organization make any taxable distributions under section 4966?
...
9a
b
Did the sponsoring 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
(2014)
Page 6
Form 990 (2014)
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 or note to any line 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
19
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
14
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
No
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
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 filed
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.
Own website
Another's website
Upon request
Other (explain in Schedule O)
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, address, and telephone number of the person who possesses the organization's books and records:
JAMES DOHENY
3075 HIGHLAND PKWY SUITE 600
DOWNERS GROVE
,
IL
60515
(630) 929-5543
Form
990
(2014)
Page 7
Form 990 (2014)
Page
7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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.
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.
List all of the organization’s
current
key employees, if any. See instructions for definition of "key employee."
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.
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.
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
(1)
Linda Deering
......................................................................
President, Director
40.0
.................
2.0
X
X
563,718
0
185,081
(2)
William Hoffer
......................................................................
Chairperson, Director
1.0
.................
1.0
X
X
0
0
0
(3)
Rev Dr Nathaniel Edmond
......................................................................
Vice Chairperson, Director
1.0
.................
5.0
X
X
0
0
0
(4)
Audrey Reed
......................................................................
Assistant Secretary, Director
1.0
.................
2.0
X
X
0
0
0
(5)
David Bear
......................................................................
Assistant Treasurer, Director
1.0
.................
0.0
X
X
0
0
0
(6)
Roger Bielinski MD
......................................................................
Director
1.0
.................
0.0
X
0
0
0
(7)
John Chapman
......................................................................
Director
1.0
.................
1.0
X
0
0
0
(8)
James Dan MD
......................................................................
Director
1.0
.................
43.0
X
0
1,382,300
263,198
(9)
Tracy Ellis
......................................................................
Director
1.0
.................
0.0
X
0
0
0
(10)
Rick Jakle
......................................................................
Director
1.0
.................
5.0
X
0
0
0
(11)
Sharon Jakle
......................................................................
Director
1.0
.................
0.0
X
0
0
0
(12)
Kenneth Koehler
......................................................................
Director
1.0
.................
1.0
X
0
0
0
(13)
Lawrence Kosinski MD
......................................................................
Director
1.0
.................
0.0
X
0
0
0
(14)
Craig Lamp
......................................................................
Director
1.0
.................
0.0
X
0
0
0
(15)
Ashok Mehta MD
......................................................................
Director
1.0
.................
0.0
X
0
0
0
(16)
Scott Richmond
......................................................................
Director
1.0
.................
0.0
X
0
0
0
(17)
William P Santulli
......................................................................
Director
1.0
.................
43.0
X
0
2,492,478
779,240
Form
990
(2014)
Page 8
Form 990 (2014)
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
(18)
Solomon Secemsky MD
........................................................................
Director
1.0
.......................
40.0
X
0
409,706
40,338
(19)
Michael Seigle MD
........................................................................
Director
1.0
.......................
0.0
X
0
0
0
(20)
Linda Wallace
........................................................................
Director
1.0
.......................
0.0
X
0
0
0
(21)
Shuja Valika MD
........................................................................
Director-Nov 2014
1.0
.......................
0.0
X
0
0
0
(22)
Judith Balcitis
........................................................................
VP, Chief Nursing officer
40.0
.......................
0.0
X
253,162
0
45,326
(23)
David Cartwright
........................................................................
Interim VP, Finance
1.0
.......................
40.0
X
0
263,316
48,356
(24)
Trent Gordon
........................................................................
VP, Strategy Planning
40.0
.......................
0.0
X
0
170,548
42,729
(25)
Bruce Hyman
........................................................................
Vice President, Medical Mgmt
40.0
.......................
0.0
X
289,824
0
49,065
(26)
Kate Kovich
........................................................................
Vice President, Patient Safety
40.0
.......................
0.0
X
0
220,615
46,473
(27)
Brian Liedlich
........................................................................
Vice President, Development
40.0
.......................
0.0
X
0
147,006
0
(28)
Mary Martini
........................................................................
VP, Professional Services
40.0
.......................
0.0
X
239,950
0
41,218
(29)
Tom Nitz
........................................................................
VP, Ancillary Services
40.0
.......................
1.0
X
233,996
0
272,485
(30)
Frederick Rajan
........................................................................
VP, Mission & Spiritual care
40.0
.......................
0.0
X
0
110,185
89,909
(31)
Katie Bata
........................................................................
VP, Human Resources-Feb 2014
40.0
.......................
0.0
X
33,987
242,903
40,056
(32)
Melissa O'Neil
........................................................................
VP, Human Resources
40.0
.......................
0.0
X
0
205,199
27,535
(33)
Dominic J Nakis
........................................................................
Treasurer
1.0
.......................
46.0
X
0
1,774,769
348,593
(34)
Gail D Hasbrouck
........................................................................
Secretary
1.0
.......................
48.0
X
0
1,150,732
188,617
(35)
James Doheny
........................................................................
Assistant Treasurer
1.0
.......................
49.0
X
0
454,164
54,251
(36)
Ian Jones
........................................................................
VP, Clinical Performance-Jan14
40.0
.......................
0.0
X
115,124
0
14,037
(37)
Eric Krueger
........................................................................
VP, Finance-June 2014
40.0
.......................
0.0
X
524,388
0
107,872
(38)
Eva Price
........................................................................
Chief Perfusionist
40.0
.......................
0.0
X
158,387
0
7,524
(39)
Patrick Uplegger
........................................................................
Director Pharmacy
40.0
.......................
0.0
X
158,286
0
24,094
(40)
Rex Krieger
........................................................................
Perfusionist
40.0
.......................
0.0
X
150,864
0
17,975
(41)
Paula Morton
........................................................................
Director Perioperative Svcs
40.0
.......................
0.0
X
150,035
0
29,543
(42)
Kathy Cisco
........................................................................
Dir ED/Inpatient/Critical care
40.0
.......................
0.0
X
148,942
0
31,530
1b
Sub-Total
................
c
Total from continuation sheets to Part VII, Section A
....
d
Total (add lines 1b and 1c)
...........
3,020,663
9,023,921
2,795,045
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization
117
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
No
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
Aramark Healthcare Support Services
,
25271 Network Place
Chicago
,
IL
606731252
Hospital Services
2,155,814
Marberry Laundry LLC
,
315 E Main Sreet
St Charles
,
IL
60174
Laundry Services
607,712
Ernst Young LLP
,
155 N Wacker Drive Suite 2000
Chicago
,
IL
606066429
Professional Service
304,705
Westside Mechanical Group Inc
,
2007 Corporate Lane
Naperville
,
IL
60563
Mechanical HVAC Serv
227,814
Medical Recovery Specialists LLC
,
2250 E Devon Avenue Suite 352
Des Plaines
,
IL
60018
Collection Services
218,495
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization
10
Form
990
(2014)
Page 9
Form 990 (2014)
Page
9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII
.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
1a
Federated campaigns
..
1a
b
Membership dues
..
1b
c
Fundraising events
..
1c
0
d
Related organizations
1d
69,381
e
Government grants (contributions)
1e
455,525
f
All other contributions, gifts, grants, and similar amounts not included above
1f
g
Noncash contributions included
in lines 1a-1f:$
0
h Total.
Add lines 1a-1f
.......
524,906
Business Code
2a
Blue Cross / Managed Care
622110
141,450,354
141,010,092
440,262
0
b
Medicare / Medicaid
622110
97,813,420
97,691,341
122,079
0
c
Pharmacy
622110
31,153,362
31,153,362
0
0
d
Laboratory
621511
24,974,023
24,974,023
0
0
e
Program Service Revenue
622110
2,611,263
2,368,282
242,981
0
f
All other program service revenue.
g Total.
Add lines 2a–2f
.....
298,002,422
3
Investment income (including dividends, interest, and other
similar amounts)
........
3,206,513
3,206,513
4
Income from investment of tax-exempt bond proceeds
0
5
Royalties
...........
0
(ii) Personal
(i) Real
6a
Gross rents
1,188,188
b
Less: rental expenses
c
Rental income or (loss)
0
1,188,188
d
Net rental income or (loss)
......
1,188,188
1,188,188
(ii) Other
(i) Securities
7a
Gross amount from sales of assets other than inventory
787,548
89,512,853
b
Less: cost or other basis and sales expenses
1,728,365
85,621,092
c
Gain or (loss)
-940,817
3,891,761
d
Net gain or (loss)
.....
2,950,944
2,950,944
8a
Gross income from fundraising events (not including $
of contributions reported on line 1c).
See Part IV, line 18
....
a
b
Less: direct expenses
...
b
c
Net income or (loss) from fundraising events
..
0
9a
Gross income from gaming activities.
See Part IV, line 19
...
a
b
Less: direct expenses
...
b
c
Net income or (loss) from gaming activities
..
0
10a
Gross sales of inventory, less
returns and allowances
..
a
b
Less: cost of goods sold
..
b
c
Net income or (loss) from sales of inventory
..
0
Business Code
Miscellaneous Revenue
11a
Cafeteria Revenue
722212
974,140
0
0
974,140
b
Miscellaneous
900099
243,502
0
30,872
212,630
c
Management Fees
541611
216,528
0
0
216,528
d
All other revenue
....
e
Total.
Add lines 11a–11d
......
1,434,170
12
Total revenue.
See Instructions.
.....
307,307,143
297,197,100
836,194
8,748,943
Form
990
(2014)
Page 10
Form 990 (2014)
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 or note to any line 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 domestic organizations and domestic governments. See Part IV, line 21
19,217
19,217
2
Grants and other assistance to individuals in the United States. See Part IV, line 22
5,000
5,000
3
Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
0
0
4
Benefits paid to or for members
0
0
5
Compensation of current officers, directors, trustees, and key employees
....
2,969,236
2,969,236
0
6
Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
....
99,528
99,528
0
0
7
Other salaries and wages
96,276,534
91,963,401
4,313,133
0
8
Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions)
....
4,031,632
4,026,641
4,991
0
9
Other employee benefits
.......
14,869,569
14,717,874
151,695
0
10
Payroll taxes
...........
6,970,413
6,714,245
256,168
0
11
Fees for services (non-employees):
a
Management
......
0
0
0
0
b
Legal
.........
78,702
0
78,702
0
c
Accounting
...........
111,255
0
111,255
0
d
Lobbying
...........
18,221
0
18,221
0
e
Professional fundraising services.
See Part IV, line 17
0
0
f
Investment management fees
......
458,370
0
458,370
0
g
Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
18,627,462
18,627,462
12
Advertising and promotion
....
184,730
165,050
19,680
0
13
Office expenses
.......
5,492,953
4,980,915
512,038
0
14
Information technology
......
13,138,998
73,399
13,065,599
0
15
Royalties
..
0
0
0
0
16
Occupancy
...........
6,480,780
6,045,061
435,719
0
17
Travel
............
179,088
126,192
52,896
0
18
Payments of travel or entertainment expenses for any federal, state, or local public officials
.
0
0
0
0
19
Conferences, conventions, and meetings
....
210,348
136,104
74,244
0
20
Interest
...........
11,796,401
11,796,401
0
0
21
Payments to affiliates
.......
0
0
0
0
22
Depreciation, depletion, and amortization
..
21,793,417
20,586,756
1,206,661
0
23
Insurance
...
1,664,172
1,645,016
19,156
0
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
49,691,357
49,798,971
-107,614
0
b
Other
18,634,408
15,991,062
2,643,346
0
c
Bad Debt
17,490,519
17,490,519
0
0
d
Public Assessment Fee
10,070,964
10,070,964
0
0
e
All other expenses
11,900,570
11,284,297
616,273
25
Total functional expenses.
Add lines 1 through 24e
313,263,844
267,736,613
45,527,231
0
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
if following SOP 98-2 (ASC 958-720).
0
Form
990
(2014)
Page 11
Form 990 (2014)
Page
11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX
..............
(A)
Beginning of year
(B)
End of year
1
Cash–non-interest-bearing
........
10,450,033
1
20,474,982
2
Savings and temporary cash investments
.........
0
2
0
3
Pledges and grants receivable, net
......
85,141
3
0
4
Accounts receivable, net
.............
35,938,557
4
49,362,675
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
....
4,427,360
7
4,150,199
8
Inventories for sale or use
........
4,464,511
8
4,770,666
9
Prepaid expenses and deferred charges
......
2,871,485
9
2,198,375
10a
Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D
10a
323,053,970
b
Less: accumulated depreciation
10b
32,413,986
305,359,620
10c
290,639,984
11
Investments—publicly traded securities
.
129,068,180
11
107,467,004
12
Investments—other securities. See Part IV, line 11
.....
0
12
0
13
Investments—program-related. See Part IV, line 11
..
0
13
3,174,961
14
Intangible assets
...............
641,667
14
0
15
Other assets. See Part IV, line 11
...........
38,203,546
15
21,852,950
16
Total assets.
Add lines 1 through 15 (must equal line 34)
...
531,510,100
16
504,091,796
17
Accounts payable and accrued expenses
.....
44,383,592
17
44,340,799
18
Grants payable
...
0
18
0
19
Deferred revenue
.........
0
19
10,258
20
Tax-exempt bond liabilities
.........
176,969,843
20
0
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
0
24
Unsecured notes and loans payable to unrelated third parties
..
1,069,192
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
146,685,316
25
315,915,766
26
Total liabilities.
Add lines 17 through 25
..
369,107,943
26
360,266,823
Organizations that follow SFAS 117 (ASC 958),
check here
and complete lines 27 through 29, and lines 33 and 34.
27
Unrestricted net assets
162,256,825
27
143,679,641
28
Temporarily restricted net assets
...........
145,332
28
145,332
29
Permanently restricted net assets
0
29
0
Organizations that do not follow SFAS 117 (ASC 958),
check here
and complete lines 30 through 34.
30
Capital stock or trust principal, or current funds
.....
30
31
Paid-in or capital surplus, or land, building or equipment fund
...
31
32
Retained earnings, endowment, accumulated income, or other funds
32
33
Total net assets or fund balances
...........
162,402,157
33
143,824,973
34
Total liabilities and net assets/fund balances
........
531,510,100
34
504,091,796
Form
990
(2014)
Page 12
Form 990 (2014)
Page
12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI
..............
1
Total revenue (must equal Part VIII, column (A), line 12)
............
1
307,307,143
2
Total expenses (must equal Part IX, column (A), line 25)
............
2
313,263,844
3
Revenue less expenses. Subtract line 2 from line 1
..............
3
-5,956,701
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))
..
4
162,402,157
5
Net unrealized gains (losses) on investments
...............
5
-3,240,463
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
-9,380,020
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
143,824,973
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII
.............
Yes
No
1
Accounting method used to prepare the Form 990:
Cash
Accrual
Other
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:
Separate basis
Consolidated basis
Both consolidated and separate basis
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:
Separate basis
Consolidated basis
Both consolidated and separate basis
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
No
Form
990
(2014)
Page 13
Form 990 (2014)
Page
13
Additional Data
Software ID:
Software Version:
Form 990, Special Condition Description:
Special Condition Description