Advocate Health Care
Legal name: Meridian Hospice
Nonprofit profile at a glance
- EIN
- 363158667
- 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
- 62
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
Reported finances
- Revenue
- $35,856,598
- Expenses
- $32,981,729
- Assets
- $43,718,802
- Liabilities
- $3,111,735
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
39 people listed
Executive titles in this filing
- DENISE KEEFE (DIRECTOR, CHAIRPERSON, PRESIDENT)
- SHERIKER OBIJAJU (EXECUTIVE DIRECTOR HOSPICE ACCESS)
Highest reported compensation
- WILLIAM SANTULLI (DIRECTOR): $7,866,221 total reported compensation
- DOMINIC NAKIS (FORMER OFFICER): $4,607,851 total reported compensation
- DENNIS POTTS (DIRECTOR): $3,056,057 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Hospice, through its team of care givers, provides a program of compassionate, cost effective care to improve the quality of life for its termainally ill patients through a combination of pain and symptom management and support.
What it reported doing in 2024
Advocate hospice provides: - end of life care foundations pay for certain therapies- free care and subsidized care- care to persons covered by government programs at below cost- unreimbursed services such as grief counseling; music, pet and massage therapy and chaplains- financial and other assistance to patientsmeridian hospice made 129,440 home care visits during 2024. These visits consisted of 123,023 days of routine in-home care and 6,417 days of inpatient care at hospitals and nursing homes, and 0 days of continuous care.
Operating model
- Revenue model
- Earned-program. 92% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and a relatively small share of total spending goes to programs.
Rating breakdown
- Financial Efficiency: 45
- Transparency & Controls: 72
- Accountability: 75
- Sustainability: 53
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 47.8%; rating input score 48
- Program expense ratio: 56.5%; rating input score 56
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 91.7%; rating input score 92; 6th percentile among comparable filings
- Pay-setting controls: 3 of 6 controls in place; rating input score 50
- Compensation committee: Pass
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 88.9%; rating input score 89; 21st percentile among comparable filings
- Governance controls: 5 of 9 controls in place; rating input score 56
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Missing
- Independent financial-statement audit: Fail
Sustainability
- Operating margin: 8%; rating input score 63; 63rd percentile among comparable filings
- Total-asset coverage ratio: 1.33; rating input score 46; 46th percentile among comparable filings
- Liabilities to assets ratio: 0.07; rating input score 79; 79th percentile among comparable filings
- Officer compensation ratio: 24.5%; rating input score 2; 2nd percentile among comparable filings
Growth
- Program expense growth: 2.9% per year; rating input score 100; 25th percentile among comparable filings
- Revenue growth: 5.5% per year; rating input score 100; 48th percentile among comparable filings
- Asset growth: 14.4% per year; rating input score 100; 79th percentile among comparable filings
Details
- What they do: 2 operating locations identified
- Where the money goes: 47.8% of revenue deployed · 56.5% of spending went to programs
- Governance: 8 of 9 board members independent · 5 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $18.6M in reported program spending
- Leadership: top reported pay $7.9M · 39 people listed · 3 of 6 pay-setting controls reported
- Highest-paid contractors: 4 contractors listed · $642K reported
- Consistency: 29 of 30 current checks pass · 1 finding to review
- Schedules: 6 filed schedules · includes executive pay
- Filing history: 13 filing years from 2011 to 2024
- Contacts: How to reach this organization
- Money network: 8 filed money-flow records
- Related organizations: 20 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.
- Moderate — Financial Efficiency: Mission deployment rate scored 48/100.
- Review — Financial Efficiency: Program expense ratio scored 56/100.
- Review — Accountability: Governance controls: 3 of 8 not reported.
- Moderate — Sustainability: Total-asset coverage ratio scored 46/100.
- Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.
- High — Sustainability: Officer compensation ratio scored 2/100.