Advocate Health Care

Legal name: Advocate Charitable Foundation

Nonprofit profile at a glance

EIN
363297360
IRS 990 coverage
2011–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Oak Brook, Illinois, US
Phone
800-3-ADVOCATE
Rating
70
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Fund Raising and/or Fund Distribution
Affiliation
Christianity

Official website

Reported finances

Revenue
$40,020,137
Expenses
$27,905,170
Assets
$206,326,862
Liabilities
$3,397,345

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

36 people listed

Executive titles in this filing

  • RANDY VARJU (DIRECTOR, PRESIDENT)
  • LESLIE WININGER (DIRECTOR, PRESIDENT)

Highest reported compensation

  • JAMES SKOGSBERGH (DIRECTOR): $30,862,679 total reported compensation
  • WILLIAM SANTULLI (DIRECTOR): $7,866,221 total reported compensation
  • DOMINIC NAKIS (FORMER OFFICER): $4,607,851 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

See schedule o: to embrace the mission of advocate health care (a non-for-profit family of hospitals and caregivers), cultivate philanthropic partnerships, and increase charitable support of advocate health care's clinical, education and research programs.

What it reported doing in 2024

General and clinical supportdonor gifts were used to support clinical programs by reimbursing operating expenses and by providing capital expenditures for equipment and facilities renovation and construction. Programs for special needs patients support included an adult down syndrome clinic, dental care for the disabled, childhood sexual trauma therapy, older adult services, pediatric development evaluations and treatments, and neonatal bereavement counseling. Clinic programs were enhanced through capital purchases such as equipping emergency rooms, renovations of surgical suites, expansions of cardiac and cancer care centers, diagnostic imaging equipment, and remodeling of pediatric intensive care units. Community outreach programs supported by gifts included school-based health clinics, dental programs for special needs populations, faith community partnerships including parish nursing, childhood immunizations, child development education, safety programs, patient family support, addiction counseling, health communication for the deaf, and asthma management.

Operating model

Revenue model
Donor-supported. 68% of the money available for current operations came from contributions and gifts.
Distribution model
Cannot be determined from the filing. The program-spending lines do not add up, so the filing cannot show reliably whether the nonprofit works directly or through others.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - The filed numbers largely add up and most voting board members are independent. Fundraising costs are high for each dollar raised and program spending has declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 58
  • Transparency & Controls: 83
  • Accountability: 83
  • Sustainability: 78
  • Growth: 20

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 63.1%; rating input score 63
  • Program expense ratio: 65.4%; rating input score 65
  • Fundraising efficiency: $3.12 raised per $1 spent on fundraising; rating input score 12; 12th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 93.8%; rating input score 94; 17th percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 72.7%; rating input score 73; 15th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 85.7%; rating input score 86; 19th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: 30.3%; rating input score 88; 88th percentile among comparable filings
  • Total-asset coverage ratio: 7.39; rating input score 89; 89th percentile among comparable filings
  • Liabilities to assets ratio: 0.02; rating input score 91; 91st percentile among comparable filings
  • Officer compensation ratio: 30.4%; rating input score 1; 1st percentile among comparable filings

Growth

  • Program expense growth: -0.6% per year; rating input score 0; 9th percentile among comparable filings
  • Revenue growth: -2.3% per year; rating input score 0; 4th percentile among comparable filings
  • Asset growth: 1.6% per year; rating input score 100; 16th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 2 operating locations identified
  • Where the money goes: 63.1% of revenue deployed · 65.4% of spending went to programs
  • Governance: 12 of 14 board members independent · 7 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $18.2M in reported program spending
  • Leadership: top reported pay $30.9M · 36 people listed · 5 of 6 pay-setting controls reported
  • Consistency: 36 of 37 current checks pass · 1 finding to review
  • Schedules: 9 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 13 filing years from 2011 to 2024
  • Contacts: How to reach this organization
  • Money network: 21 filed money-flow records
  • Related organizations: 37 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Financial Efficiency: Fundraising efficiency scored 12/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • Review — Accountability: Governance controls: Independent financial-statement audit not reported.
  • High — Sustainability: Officer compensation ratio scored 1/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.