Well, this is very contextual on the type of advertising agency you are talking about, and the fields they work in.
1. The make money by charging for everything they do. The production costs for most adverts are considerably higher than those of the content they sit in between. If you've struggled to work on something in an editorial setting work in an advertising agency can seem like a financial playground, though it often feels like the money is being burnt (or going up people's noses).
2. Most ad agencies will take control of the art direction and development of the overal idea for an advert, making sure that all the relevant parts of it come together and handling the clients requriements whilst producing something which 'works' as an advert. On a larger scale the will advise and plan campaigns, not just adverts, and look at long term strategies for the development of a brand, is qualities and images. Some of them will handle media buying (buying TV/Radio/Magazine/Billboard space).
3. Not a trend I've noticed of late, but it depends on the size of the agency. New media orientated agencies often tend to try to cover all bases with a small multi-skilled creative team - hence the proliferance of lo-fi viral ads, where with bigger agencies they will tend to focus on the creative and execution of that, working with external talent to make it happen. There is no rule.
Why do you ask?