Form990
Click to see attachment
Department of the TreasuryInternal 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)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2017
Open to Public Inspection
A For the 2017 calendar year, or tax year beginning 01-01-2017 , and ending 12-31-2017
BCheck if applicable:
CName of organization
Advocate Condell Medical Center
 
% JAMES W DOHENY
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
3075 HIGHLAND PKWY STE 600
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DOWNERS GROVE, IL60515
D Employer identification number

26-2525968
E Telephone number

(630) 572-9393
G Gross receipts $ 748,782,939
F Name and address of principal officer:
JAMES W DOHENY
3075 HIGHLAND PKWY STE 600
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
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet9395
K Form of organization:  
L Year of formation: 2008
M State of legal domicile: IL
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: 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 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 9
5 Total number of individuals employed in calendar year 2017 (Part V, line 2a) ...... 5 2,219
6 Total number of volunteers (estimate if necessary) ............. 6 645
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 1,350,585
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 190,115
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 717,597 336,306
9 Program service revenue (Part VIII, line 2g) ......... 375,965,402 468,481,207
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,266,354 7,229,676
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 9,503,842 10,107,417
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 387,453,195 486,154,606
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 29,198 14,266
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) 131,197,602 137,324,583
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 203,080,381 289,861,407
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 334,307,181 427,200,256
19 Revenue less expenses. Subtract line 18 from line 12....... 53,146,014 58,954,350
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 458,574,227 449,014,470
21 Total liabilities (Part X, line 26)............. 111,653,674 105,485,981
22 Net assets or fund balances. Subtract line 21 from line 20..... 346,920,553 343,528,489
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 2018-11-13
Signature of officer Date
JumboBullet JAMES W DOHENYVP FIN & CONTROLLER
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Tamara Tarazi
Preparer's signature
Tamara Tarazi
Date
 
PTIN
P01266026
Firm's name MediumBullet
ERNST & YOUNG US LLP  
Firm's EIN MediumBullet
Firm's address MediumBullet
155 N Wacker Drive
 
Chicago, IL60606
Phone no. (312) 879-2000
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 (2017)
Page 2
Form 990 (2017)
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 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 $ 360,953,704 including grants of $ 14,266 ) (Revenue $ 461,853,970 )
advocate condell medical center provides inpatient and outpatient healthcare services to the community regardless of the patients' ability to pay. included in this program service are the provision of charity care and trauma care. as part of its community benefits strategy and its mission, the medical center is committed to promoting initiatives that enhance access to health care for the uninsured and underinsured. an example of this is condell medical center's provision of charity care. the medical center offers a very generous charity care program - requiring no payments from the patients most in need, and providing discounts to uninsured patients earning up to six times the federal poverty level and to insured patients earning up to four times the federal poverty level. the medical center also considers a patient's extenuating circumstances to qualify patients for charity care. for uninsured patients, the medical center 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. condell medical center extends its income-based financial assistance policy to its insured patients as well, also taking into consideration the insured patient's extenuating circumstances. although the charity care policy is very generous, condell medical center continues to review and refine its policy in an ongoing effort to ensure that financial assistance is available to those who receive assistance when they need it. the medical center maintains highly visible signage and brochures in multiple languages to inform patients of the availability of financial help and financial counselors. information about the medical center's 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. in the area of trauma care, condell medical center provides expert emergency care - today and into the future. the medical center's level i trauma center, the highest trauma designation in illinois, cares for the most seriously injured people in its service area. as is the case with all illinois level i trauma centers, condell medical center's trauma center is staffed by on-site, 24-hour-a-day trauma surgeons; features 24-hour surgical and nonsurgical services, such as radiology and anesthesia; and can accommodate helicopter transports. in 2017, the medical center had 1,845 trauma visits.
4b (Code:   ) (Expenses $ 9,227,797 including grants of $ 0 ) (Revenue $ 7,619,033 )
health care and fitness services are provided by physicians, nurses, clinicians and other associates employed by and affiliated with condell medical center. medical center clinicians provide care to the community for minor injuries and illnesses through its immediate care centers, regardless of the patients' ability to pay. physicians, nurses and other clinicians lead prenatal/childbirth and parenting education classes and diabetes education classes, as well as support groups for diabetes education, heart disease, breast and other cancers, lactation/breastfeeding, bereavement/loss and caregivers support. condell medical center partners with the lake county health department to provide imaging services to qualified individuals at rates significantly below cost. fitness and wellness classes and services are provided at the advocate condell fitness centers, which provide income-based sliding scale membership rates.
4c (Code:   ) (Expenses $ 0 including grants of $ 0 ) (Revenue $ 0 )
description of advocate condell medical center serving the community since 1928, condell medical center is a 273-bed non-profit acute care hospital located in libertyville, illinois. as the largest health care provider in lake county, the medical center provides a full spectrum of medical services-from obstetrics, radiology services and rehabilitation to open heart surgery, neurosurgery and oncology. condell medical center's emergency department provides level 1 trauma care and has the capacity to accommodate growing numbers of patients. in 2017, the medical center provided 1,845 trauma care visits out of a total of 62,409 emergency room visits. the medical center also offers an emergency department approved for pediatrics (edap). in addition, the medical center is accredited as a primary stroke center. more than 620 physicians and 1,800 associates comprise the team of medical experts known for excellence. in addition to services located on its libertyville campus, condell medical center operates four immediate care centers, one ambulatory surgery center and two fitness centers throughout lake county. condell medical center is the resource hospital for region 10 emergency medical services, which demonstrates the commitment to efficiently and effectively manage emergency services in a disaster. the medical center also provides community health data-driven health and wellness programs, evidence-based strategies to measure outcomes, community lectures and other services in support of its mission, values and philosophy (mvp). the mission of condell medical center is to serve the health needs of individuals, families and communities through a holistic philosophy rooted in the fundamental understanding of human beings as created in the image of god. the values of condell medical center serve as an internal compass to guide relationships and actions. they include equality, compassion, excellence, partnership and stewardship. the mvp calls the hospital to extend its services into the community to address access to care issues and to improve the health and well-being of the people in the communities the medical center serves. as an advocate hospital, condell medical center embraces the advocate system mvp. the philosophy of condell medical center is grounded in the principles of human ecology, faith and community-based health care. these principles arise from an understanding of human beings as whole persons in light of their relationships with god, themselves, their families and the society in which they live. through our actions we affirm these principles. population served condell medical center provides quality health care to individuals regardless of race, religion, creed, national origin, age or ability to pay. in 2017, the medical center recorded 15,795 inpatient admissions, 234,637 outpatient visits and 1,752 deliveries. commitment to the community even in the face of low reimbursements, condell medical center is dedicated to maintaining a strong presence within its community and continues to monitor these expenditures to make certain that the programs and services supported are in direct response to community need. in 2017, the medical center reported over $26.1 million in community benefit programs and services. these services are comprised of many community health programs focused on improving access to care, addressing special needs and improving overall community health. in addition to medicare/medicaid and bad debt losses, condell treats many air force military personnel and veterans administration patients at a rate below cost. community benefits plan, goals & examples of program service accomplishments condell medical center's community benefits efforts are aligned with advocate'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 medical center. 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, that are ongoing community benefits programs. the plan sets the course for strengthening existing partnerships and building new ones with individuals and organizations within the medical center's service area to leverage and maximize the impact of its programs. the medical center has set multiple goals and objectives to accomplish this strategy. the community benefits plan goals and examples of some medical center programs and services that address these goals are provided below. goal a: optimize advocate's capacity to manage an effective community health strategy by implementing regular community health assessments (chnas) and using data from these assessments to guide program development. partnering to assess community needs condell medical center collaborated with the lake county health department in the community health needs assessment (chna) completed in 2016. in partnership with the hospital, the health department conducted two additional surveys of underserved communities within the condell medical center service area - waukegan and wauconda, illinois. the medical center used the results of the health department's extensive community health assessment, which used the mobilizing for action through planning and partnerships (mapp) process, and the health department community health improvement plan, to inform the chna. condell medical center also focuses its internal strengths to assess community needs and to guide program development. results of the chna were reviewed by community health staff with the condell medical center cancer committee in 2016. as a result of the cancer data analysis, colorectal screening was identified as a health issue of focus. an educational session on colorectal screening and prevention was presented in both english and spanish at the ywca in gurnee, a center that serves high need communities. the session was presented in partnership with the lake county ywca, the american cancer society, and erie family health center, a federally qualified health center in waukegan. the team registered 50 participants for the educational session and 35 fecal immunochemical test (fit) kits were distributed to eligible participants. a total of 23 kits were returned and processed, 0 positive results were detected. goal b: undertake or support initiatives that enhance access to health care, prevention and wellness services across the lifespan and within the diverse communities advocate serves. in addition to condell medical center's very generous charity care program as described in line 4a, the medical center partners with the lake county health department to provide medical imaging (radiology) services to uninsured lake county health department patients through its illinois breast and cervical cancer program (ibccp). the ibccp helps provide financial assistance for mammograms and diagnostic screenings. these radiology services, as well as women's health and other services, are provided on a heavily discounted, below cost basis to patients served by the public health department. condell medical center also partners with the lake county ywca to provide free and discounted mammogram screenings. the partnership with the ywca offers 300 free and discounted mammograms per year. condell medical center is continuing to work with the lake county supplemental nutrition education for women, infants and children (wic) program through the look what we can do! group. wic attends the group's sessions at condell medical center and educates the participants about wic services to increase wic enrollment for clients who qualify. goal c: positively affect the health status and quality of life of individuals and populations in communities served by advocate through evidence-based programs, addressing identified needs and a commitment to health equity. condell medical center selected two health priorities on which to focus new programming; obesity and mental health. for obesity prevention, hospital community health staff are implementing two evidence-based initiatives in the community- nutrition and physical activity self-assessment for child care (nap sacc), and food insecurity screening using the hunger vital sign screening tool. additionally, the hospital is working with area partners to initiate walking initiatives in targeted communities identified with higher rates of obesity, diabetes and cardiovascular disease. additional initiatives are being implemented to address mental health. the hospital has initiated depression screening in the emergency room using the phq9 depression screening tool. community health staff are also working to streamline the process of referrals from the hospital to community-based mental health providers. finally, a behavioral health resource f
4d Other program services (Describe in Schedule O.)
(Expenses $ 10,857,131 including grants of $ 0 ) (Revenue $ 6,614,010 )
4e Total program service expensesMediumBullet381,038,632
Form 990 (2017)
Page 3
Form 990 (2017)
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 IIIClick to see attachment.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 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
 
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 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
 
No
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
 
No
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
Form 990 (2017)
Page 4
Form 990 (2017)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
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
 
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.....Click to see attachment
21
Yes
 
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........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 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
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or 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 ........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
 
No
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
 
 
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 (2017)
Page 5
Form 990 (2017)
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
121
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
 
 
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
2,219
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: MediumBullet
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 (2017)
Page 6
Form 990 (2017)
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
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
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
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
 
No
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
 
 
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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletJAMES W DOHENY3075 HIGHLAND PARKWAY SUITE 600   DOWNERS GROVE,IL60515 (630) 929-5543
Form 990 (2017)
Page 7
Form 990 (2017)
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.
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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) James Skogsbergh......................................................................
EXECUTIVE VP, DIRECTOR
1.0
.................
43.0
X   X       0 10,051,752 1,676,704
(2) Michele Baker Richardson......................................................................
Chairperson, Director
1.0
.................
3.0
X           0 0 0
(3) John Timmer......................................................................
Vice Chairperson, Director
1.0
.................
3.0
X           0 0 0
(4) David Anderson......................................................................
Director
1.0
.................
3.0
X           0 0 0
(5) Rev Dr Nathaniel Edmond......................................................................
Director
1.0
.................
4.0
X           0 4,050 0
(6) Ron Greene......................................................................
Director
1.0
.................
3.0
X           0 0 0
(7) Mark Harris......................................................................
Director
1.0
.................
3.0
X           0 0 0
(8) Rick Jakle......................................................................
Director
1.0
.................
4.0
X           0 4,050 0
(9) Lynn Crump-Caine......................................................................
Director
1.0
.................
3.0
X           0 0 0
(10) Clarence Nixon Jr PhD......................................................................
Director
1.0
.................
3.0
X           0 0 0
(11) Gary Stuck DO......................................................................
Director
1.0
.................
3.0
X           0 0 0
(12) Gail D Hasbrouck......................................................................
Corp Secretary 01/17, Director
1.0
.................
47.0
X   X       0 901,912 108,754
(13) William P Santulli......................................................................
President
1.0
.................
43.0
    X       0 3,247,863 685,966
(14) Lee B Sacks MD......................................................................
EXEC VP, CHIEF MEDICAL OFFICER
1.0
.................
42.0
    X       0 1,724,075 420,504
(15) James Doheny......................................................................
VP, FINANCE & CORP CONTROLLER
1.0
.................
48.0
    X       0 494,892 51,892
(16) Vincent Bufalino MD......................................................................
PRES PHYS & AMB SVCS/AMG
1.0
.................
42.0
    X       0 1,947,233 318,387
(17) Rev Kathie B Schwich......................................................................
SVP, MISSION & SPIRITUAL CARE
1.0
.................
42.0
    X       0 548,112 223,819
Form 990 (2017)
Page 8
Form 990 (2017)
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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Kevin Brady........................................................................
SR VP, CHIEF HR OFFICER
1.0
.......................43.0
    X       0 1,114,158 311,141
(19) Susan Campbell........................................................................
SR VP PAT CARE, CHF NURS OFCR
1.0
.......................44.0
    X       0 640,991 265,302
(20) Kelly Jo Golson........................................................................
SR VP, CHIEF MARKETING OFFICER
1.0
.......................42.0
    X       0 775,754 149,952
(21) Earl J Barnes II........................................................................
SVP, GEN COUNSEL & CORP. SEC
1.0
.......................47.0
    X       0 637,319 239,712
(22) Dominic J Nakis........................................................................
SVP, CFO & TREASURER
1.0
.......................45.0
    X       0 1,623,475 429,664
(23) Scott Powder........................................................................
SVP, Chief Strategy Officer
1.0
.......................42.0
    X       0 868,198 205,174
(24) Bruce D Smith........................................................................
SVP, INFORMATION SYS/CIO 07/17
1.0
.......................42.0
    X       0 826,746 113,134
(25) Barbara Byrne MD........................................................................
SVP, Chief Information Officer
1.0
.......................42.0
    X       0 254,696 207,148
(26) Dominica Tallarico........................................................................
Pres Lutheran/Condell
20.0
.......................20.0
      X     660,197 284,500 284,030
(27) Karen Lambert........................................................................
President Good Shepherd/Condel
20.0
.......................21.0
      X     0 984,857 260,021
(28) Debra Susie-Lattner........................................................................
VP, Medical Management
40.0
.......................0.0
        X   548,515 0 30,974
(29) Lanis Kuyzin........................................................................
Medical Director, Care Mgt
40.0
.......................0.0
        X   294,071 0 22,784
(30) Mary Hillard........................................................................
VP, Patient Care/Clinical Ops
40.0
.......................0.0
        X   290,667 0 36,691
(31) David Cartwright........................................................................
VP, Finance & Support Svcs
40.0
.......................0.0
        X   284,483 0 45,604
(32) Karen Hanson........................................................................
VP, Clinical Excellence
40.0
.......................0.0
        X   218,585 0 43,485
(33) James Dan MD........................................................................
PRES PHYS& AMB SVCS/AMG - 7/16
0.0
.......................0.0
          X 0 849,710 63,919
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 2,296,518 27,784,343 6,194,761
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 MediumBullet158
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
Aramark Healthcare Support Services,
25271 Network Place
CHICAGO,IL606731252
Hospital Services 2,728,016
Superior Health Linens LLC,
5005 S Packard Avenue
CUDAHY,WI53110
Laundry Services 845,628
FORWARD SPACE LLC,
1142 N NORTH BRANCH
CHICAGO,IL60642
ASSET MANAGEMENT 368,530
JOHNSON BELL LTD,
33 W MONROE ST SUITE 2700
CHICAGO,IL606035404
Legal Services 205,426
CASSIDAY SCHADE LLP,
1870 W WINCHESTER RD SUITE 148
LIBERTYVILLE,IL600485353
Legal Services 187,920
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet10
Form 990 (2017)
Page 9
Form 990 (2017)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 324,034
e Government grants (contributions)1e 12,272
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a-1f:$  
h Total.Add lines 1a-1f.......MediumBullet 336,306
 Program Service RevenueAmt Business Code
2a MEDICARE/MEDICAID 622110 137,445,285 137,445,285    
b BLUE CROSS/MANAGED CARE 622110 117,471,627 117,471,627    
c PATIENT SERVICE REVENUE 622110 85,537,940 85,537,940    
d PHARMACY 446110 53,895,109 53,895,109    
e LABORATORY 621511 39,524,760 39,524,760    
f All other program service revenue . 34,606,486 34,546,991 59,495  
g Total.Add lines 2a–2f....MediumBullet 468,481,207
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 2,455,090     2,455,090
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   1,210,521
b Less: rental expenses    
c Rental income or (loss) 0 1,210,521
d Net rental income or (loss)......MediumBullet 1,210,521     1,210,521
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 211,301 267,191,618
b Less: cost or other basis and sales expenses 116,878 262,511,455
c Gain or (loss) 94,423 4,680,163
d Net gain or (loss).....MediumBullet 4,774,586     4,774,586
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a 0
b Less: direct expenses ...b 0
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 0
b Less: direct expenses ...b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
a 0
b Less: cost of goods sold ..b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a FITNESS & WELLNESS CLUB 713940 5,802,615 5,723,055 79,560  
b CHILD CARE 624410 1,682,907 477,653 1,205,254  
c CAFETERIA REVENUE 722514 1,053,753 1,053,753    
d All other revenue .... 357,621 351,345 6,276  
e Total. Add lines 11a–11d ...... MediumBullet 8,896,896
12 Total revenue. See Instructions......MediumBullet 486,154,606 476,027,518 1,350,585 8,440,197
Form 990 (2017)
Page 10
Form 990 (2017)
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 14,266 14,266
2 Grants and other assistance to domestic individuals. See Part IV, line 22 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16. 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 660,197 644,793 15,404  
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 108,654,556 106,119,349 2,535,207  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 5,841,183 5,841,183    
9 Other employee benefits ....... 14,689,577 14,640,238 49,339  
10 Payroll taxes ........... 7,479,070 7,356,647 122,423  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 5,527   5,527  
c Accounting ........... -32,325   -32,325  
d Lobbying ........... 45,206   45,206  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 672,229   672,229  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 13,609,506   13,609,506  
12 Advertising and promotion .... 56,047 32,819 23,228  
13 Office expenses ....... 1,925,745 1,835,345 90,400  
14 Information technology ...... 13,537,168 234,780 13,302,388  
15 Royalties .. 0      
16 Occupancy ........... 5,757,356 5,757,356    
17 Travel ............ 161,727 126,665 35,062  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 162,718 153,247 9,471  
20 Interest ........... 2,274,961 2,274,961    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 18,841,101 18,542,463 298,638  
23 Insurance ... 1,526,484 1,526,484    
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 INCOME TAXES 30,578 30,578    
b OTHER INTERCOMPANY 111,934,169 111,900,226 33,943  
c MEDICAL SUPPLIES 53,724,189 53,723,897 292  
d BAD DEBT 24,360,691 24,360,691    
e All other expenses 41,268,330 25,922,644 15,345,686  
25 Total functional expenses. Add lines 1 through 24e 427,200,256 381,038,632 46,161,624 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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2017)
Page 11
Form 990 (2017)
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
Assets 1 Cash–non-interest-bearing ........ 16,323,442 1 17,100,230
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 40,846,722 4 48,161,441
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 .... 33,497 7 22,332
8 Inventories for sale or use ........ 5,553,534 8 5,176,634
9 Prepaid expenses and deferred charges ...... 1,044,923 9 831,466
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 403,074,864
b Less: accumulated depreciation 10b 141,129,356 268,353,092 10c 261,945,508
11 Investments—publicly traded securities . 116,589,202 11 102,020,401
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 9,829,815 15 13,756,458
16 Total assets. Add lines 1 through 15 (must equal line 34)... 458,574,227 16 449,014,470
Liabilities 17 Accounts payable and accrued expenses ..... 38,034,304 17 36,024,414
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 223,030 19 40,761
20 Tax-exempt bond liabilities ......... 0 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 .. 28,668,032 23 27,616,454
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 44,728,308 25 41,804,352
26 Total liabilities. Add lines 17 through 25.. 111,653,674 26 105,485,981
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 346,920,553 27 343,528,489
28 Temporarily restricted net assets ........... 0 28 0
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 ........... 346,920,553 33 343,528,489
34 Total liabilities and net assets/fund balances ........ 458,574,227 34 449,014,470
Form 990 (2017)
Page 12
Form 990 (2017)
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
486,154,606
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
427,200,256
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
58,954,350
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
346,920,553
5
Net unrealized gains (losses) on investments ...............
5
12,463,901
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
-74,810,315
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
343,528,489
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:  
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
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2017)
Form 990 (2017)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description