Advocate Health Care
Legal name: Advocate Health and Hospitals Corp
Nonprofit profile at a glance
- EIN
- 362169147
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Oak Brook, Illinois, US
- Phone
- 800-323-8622
- Rating
- 81
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Community Health Systems
Reported finances
- Revenue
- $7,808,910,070
- Expenses
- $8,322,030,624
- Assets
- $23,838,091,591
- Liabilities
- $18,231,628,310
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
47 people listed
Executive titles in this filing
- JAMES SKOGSBERGH (DIRECTOR, PRESIDENT)
- JEFFREY BAHR (VICE PRESIDENT, ASSISTANT SECRETARY)
- MICHAEL FARRELL (PRESIDENT, ADVOCATE CHILDREN'S HOSPITAL)
Highest reported compensation
- JAMES SKOGSBERGH (DIRECTOR, PRESIDENT): $30,862,679 total reported compensation
- WILLIAM SANTULLI (DIRECTOR): $7,866,221 total reported compensation
- GARY STUCK (CHIEF MEDICAL OFFICER, DIRECTOR UNTIL SEPT '18): $5,031,929 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
We're your advocate. Wherever life takes you, we're here with trusted care and support every step of the way – because everyone deserves an advocate.
What it reported doing in 2024
Advocate health care (ahc) is the largest health system in Illinois and a national leader in clinical innovation, health outcomes, consumer experience and value-based care. One of the state's largest private employers, the system serves patients across 9 hospitals, including two children's campuses, and more than 250 sites of care. Advocate health care is engaged in hundreds of clinical trials and research studies, and is nationally recognized for its expertise in cardiology, neurosciences, oncology, and pediatrics. To learn more, visit exceptional care any time, any where | advocate health care. Advocate health (ah) is the third-largest nonprofit, integrated health system in the united states, created from the combination of advocate aurora health and atrium health. Providing care under the names advocate health care in Illinois; atrium health in the carolinas, Georgia and Alabama; and aurora health care in Wisconsin, advocate health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Wake forest university school of medicine serves as the academic core of the enterprise. Advocate health is nationally recognized for its expertise in heart and vascular, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. For reporting community benefits in compliance with the Illinois community benefits act (2003), the content of this report will focus on advocate aurora's Illinois hospitals which are identified as "advocate" for state reporting and local brand identity purposes. This document provides a summary of community health programs and activities completed across advocate in 2021--demonstrating fulfillment of all federal and Illinois state requirements while also living out our commitment to addressing the root causes of health access. Description of advocate health care (Illinois). While advocate is one of two organizations that merged in april 2018 to become advocate aurora health, advocate in Illinois maintains a separate fein and therefore the narrative that immediately follows pertains predominantly to advocate health care (Illinois). Advocate is a not-for-profit provider that is affiliated with both the evangelical lutheran church in america and the united church of christ. The organization is one of the largest fully integrated health care systems in Illinois and one of the largest health care providers in the midwest. In 2024, as part of a network of nearly 250 sites of care in Illinois, advocate's more than 37,000 team members provided care at nine hospitals, including a children's hospital located on two campuses (oak lawn and park ridge, Illinois), totaling 3,718 licensed beds. Advocate had a combined total of 312,359 inpatient admissions, 1,683,079 outpatient visits and 524,481 emergency department visits (total trauma and non-trauma) in 2024. In addition, advocate is recognized as having one of the largest home health care companies in the state with 31,067 admits in 2024, and advocate hospice had 129,440 hospice patient days. Recognitions & accomplishments see attachments for 2024 system awards & accoladesculture and diversitysee attachment for 2024 peoples, leadership, dei awardsmodern healthcare's 100 most influential people in healthcare. Advocate health ceos jim skogsbergh and eugene wood were named to modern healthcare's 100 most infulential people in healthcare 2023 list, recognizing leaders who helped their organization achieve measurable results, improve de&i efforts and are considerd a leading voice in the industry. Click here.36 hospitals on forbes list of best employers for diversity. Advocate aurora health is among the 36 health systems and hospitals to make the list of america's best employers for diversity. The rankings are based on a survey of 60,000 americans working for businesses with at least 1,000 employees. Click here.other notable advocate aurora accomplishm
Operating model
- Revenue model
- Other-operating. 86% of the money available for current operations came from other operating revenue.
- 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.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 87
- Transparency & Controls: 77
- Accountability: 82
- Sustainability: 40
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 94.8%; rating input score 95
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 93.3%; rating input score 93; 21st 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: Scored; rating input score 0
- Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 84.6%; rating input score 85; 32nd 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: -6.6%; rating input score 11; 11th percentile among comparable filings
- Total-asset coverage ratio: 2.86; rating input score 75; 75th percentile among comparable filings
- Liabilities to assets ratio: 0.76; rating input score 19; 19th percentile among comparable filings
- Officer compensation ratio: 0.3%; rating input score 88; 88th percentile among comparable filings
Growth
- Program expense growth: 8.3% per year; rating input score 100; 66th percentile among comparable filings
- Revenue growth: 6% per year; rating input score 100; 52nd percentile among comparable filings
- Asset growth: 10.7% per year; rating input score 100; 73rd 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: 100% of revenue deployed · 94.8% of spending went to programs
- Governance: 11 of 13 board members independent · 7 of 9 filing controls reported
- Programs: 3 filed program accomplishments · $7.9B in reported program spending
- Leadership: top reported pay $30.9M · 47 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $117.3M reported
- Consistency: 38 of 39 current checks pass · 1 finding to review
- Schedules: 12 filed schedules · includes major donors, foreign activity, grants, and executive pay
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 35 filed money-flow records
- Related organizations: 43 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.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- High — Transparency & Controls: Foreign activity oversight scored 0/100.
- High — Sustainability: Operating margin scored 11/100.
- Review — Accountability: Governance controls: Independent financial-statement audit not reported.
- High — Sustainability: Liabilities to assets ratio scored 19/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.