OSF HEALTHCARE SYSTEM: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: OSF HEALTHCARE SYSTEM (EIN 37-0813229)
Tax period: 2019-10-01 to 2020-09-30
Filed: 2021-08-11
IRS object ID: 202142239349300144
Schema version: 2019v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-08-11T12:00:48-05:00	ReturnTs
Tax Period End	2020-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	9600 Brownsboro Road Suite 400	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402411122	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	370813229	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OSF Healthcare System	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	OSFH	BusinessNameControlTxt
Phone	3096557708	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 NE GLEN OAK AVE	AddressLine1Txt
City	Peoria	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61603	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL M ALLEN	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2021-08-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MICHAEL M ALLEN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 NE GLEN OAK AVE	AddressLine1Txt
City	Peoria	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61603	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,701,212,442	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.OSFHEALTHCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1880	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	In the spirit of Christ and the example of Francis of Assisi, the Mission of OSF Healthcare is to serve persons with the greatest care and love in a community that celebrates the gift of life.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	19478	TotalEmployeeCnt
Total Volunteers	2043	TotalVolunteersCnt
Total Gross UBI	$6,565,827	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,196,718	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$13,052,556	PYContributionsGrantsAmt
CY Contributions Grants	$122,722,047	CYContributionsGrantsAmt
PY Program Service Revenue	$2,515,082,351	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,452,732,959	CYProgramServiceRevenueAmt
PY Investment Income	$55,634,857	PYInvestmentIncomeAmt
CY Investment Income	$78,791,275	CYInvestmentIncomeAmt
PY Other Revenue	$38,498,515	PYOtherRevenueAmt
CY Other Revenue	$39,247,692	CYOtherRevenueAmt
PY Total Revenue	$2,622,268,279	PYTotalRevenueAmt
CY Total Revenue	$2,693,493,973	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,223,835	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$678,468	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,142,233,373	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,176,761,711	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$193,438	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,074,006,466	PYOtherExpensesAmt
CY Other Expenses	$1,179,884,400	CYOtherExpensesAmt
PY Total Expenses	$2,218,463,674	PYTotalExpensesAmt
CY Total Expenses	$2,357,324,579	CYTotalExpensesAmt
PY Revenues Less Expenses	$403,804,605	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$336,169,394	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,826,454,610	TotalAssetsBOYAmt
Total Assets EOY	$5,141,287,534	TotalAssetsEOYAmt
Total Liabilities BOY	$2,363,576,634	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,074,244,294	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,462,877,976	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,067,043,240	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OSF HEALTHCARE SYSTEM IS A CATHOLIC INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH DURING ITS FISCAL YEAR 2020 OPERATED 14 HOSPITALS, 5 HOME HEALTH AGENCIES, 4 HOSPICES, AND EMPLOYED APPROXIMATELY 1,070 PHYSICIANS. ALL PATIENTS ARE ACCEPTED REGARDLESS OF THEIR ABILITY TO PAY. ALL FACILITIES, SERVICES, PHYSICIANS AND OTHER PROFESSIONAL STAFF OF OSF HEALTHCARE SYSTEM SERVE ALL PATIENTS WITHOUT REGARD TO RACE, RELIGION, AGE, SEX, NATIONAL ORIGIN, PAYER SOURCE OR ABILITY TO PAY. THE BOARD OF DIRECTORS HAS ADOPTED CHARITY CARE POLICIES AND PROCEDURES WHICH APPLY FOR ALL FACILITIES AND SERVICES OF THE CORPORATION. THE AVAILABILITY OF CHARITY CARE IS COMMUNICATED TO PATIENTS IN NUMEROUS WAYS, INCLUDING USE OF FINANCIAL COUNSELORS, PATIENT INFORMATION BROCHURES, AND NOTICES ON PATIENT BILLINGS. CHARITY CARE APPLICATIONS AND INSTRUCTIONS ARE AVAILABLE ON WEBSITES MAINTAINED BY THE CORPORATION AND UPON A REQUEST MADE TO ANY OF THE CORPORATION'S FACILITIES OR OFFICES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$740,519,539	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,088,426,426	RevenueAmt
Desc	INPATIENT SERVICES : OSF HEALTHCARE SYSTEM OWNS AND OPERATES ACUTE CARE HOSPITALS IN ESCANABA, MICHIGAN; ROCKFORD, ILLINOIS; PONTIAC, ILLINOIS; BLOOMINGTON, ILLINOIS; PEORIA, ILLINOIS; GALESBURG, ILLINOIS; MONMOUTH, ILLINOIS; KEWANEE, ILLINOIS; ALTON, ILLINOIS; URBANA, ILLINOIS; DANVILLE,ILLINOIS AND EVERGREEN PARK, ILLINOIS. AS OF THE CLOSE OF THE REPORTING PERIOD ON SEPTEMBER 30, 2020, THESE TWELVE FACILITIES HAD A COMBINED TOTAL OF 1,996 LICENSED INPATIENT AND RESIDENT BEDS. THEY HAD COMBINED TOTALS OF 69,726 INPATIENT AND RESIDENT DISCHARGES AND 336,919 INPATIENT AND RESIDENT DAYS, INCLUDING 20,306 NEWBORN INPATIENT DAYS. THE TEN ACUTE CARE HOSPITALS COLLECTIVELY SERVED 63 COUNTIES. PONTIAC, ILLINOIS IS A SOLE COMMUNITY HOSPITAL AND ESCANABA, MICHIGAN; KEWANEE, ILLINOIS; AND MONMOUTH, ILLINOIS ARE CRITICAL ACCESS HOSPITALS. THE CORPORATION'S HOSPITALS OFFER A BROAD RANGE OF INPATIENT SERVICES. THREE OF THE HOSPITALS PROVIDE OPEN HEART SURGERY SERVICES, TWO OFFER LEVEL II NEONATAL SERVICES, ONE OFFERS LEVEL III NEONATAL SERVICES (HIGHEST LEVEL), AND ONE OFFERS KIDNEY AND PANCREAS ORGAN TRANSPLANT SERVICES. THE CORPORATION HAS ORGANIZED AND OPERATES COMPREHENSIVE CARDIAC AND STROKE CARE NETWORKS IN CENTRAL AND NORTHERN ILLINOIS AND OPERATES THE ONLY COMPREHENSIVE CHILDREN'S HOSPITAL IN CENTRAL ILLINOIS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$726,916,365	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,110,884,673	RevenueAmt
Desc	OUTPATIENT SERVICES: THE TWELVE ACUTE CARE HOSPITALS OWNED AND OPERATED BY OSF HEALTHCARE SYSTEM COLLECTIVELY PROVIDED 1,481,255 OUTPATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2020, EXCLUDING EMERGENCY DEPARTMENT VISITS. THE CORPORATION'S HOSPITALS OFFER A BROAD RANGE OF OUTPATIENT THERAPEUTIC AND DIAGNOSTIC SERVICES, INCLUDING OUTPATIENT SURGERY AND ADVANCED MEDICAL IMAGING.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$136,411,017	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$163,932,054	RevenueAmt
Desc	All twelve of the acute care hospitals of the corporation provide 24-hour emergency department services. All are staffed by physicians who are predominantly (but not entirely) certified in emergency medicine by national specialty boards. The emergency departments of the corporation's acute care hospitals provided 275,009 patient visits during the reporting period ended September 30, 2020.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$286,220,629	ExpenseAmt
Grant	$678,468	GrantAmt
Revenue	$122,118,793	RevenueAmt
Desc	Other program services beyond outpatient, inpatient and emergency department services include: Home Health Services - Five Agencies located in Illinois and Michigan. Hospice Services - Four programs located in Illinois and Michigan. Residency Programs - OSF Healthcare System is affiliated with the University of Illinois and provides support for teaching of residents and fellowship programs. College of Nursing Programs - Two of the corporations hospitals operate accredited colleges of nursing that offer accredited baccalaureate, masters and doctoral degrees. Trauma Services (Level 1) - Two hospitals in the system are designated as Level I Trauma (Highest Level) trauma centers and two have been designated as level II Trauma Centers. EMS Flight and Ground Transportation services - The corporation provides helicopter and ground transports to patients in Northern and Central Illinois. Community Clinic, Outreach and other educational programs - The corporation offers two uninsured and under insured community clinics in Bloomington and Peoria. Outreach programs - The corporation provides outreach programs to the community with parish nursing, perinatal outreach, and a community training center. All of these programs reach at risk populations to help them with specific and everyday healthcare needs. Education - The corporation provides paramedic education, EMT education, medical tech education, radiology tech education and dietetic education programs.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$286,220,629	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$678,468	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$122,118,793	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,890,067,550	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1701	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	19478	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	Yes (true)	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MICHAEL ALLEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3096557708	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 NE GLEN OAK AVE	AddressLine1Txt
City	PEORIA	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61603	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Robert C Sehring
Vice Chairperson CEO	40.0	4.0	Yes (X)	Yes (X)	$1,889,747	$0	$65,451
Sister Agnes Joseph Williams OSF
Assistant Secretary	40.0	4.0	Yes (X)	Yes (X)	$5,440	$0	$0
Sister Diane Marie McGrew OSF
President and Treasurer	40.0	4.0	Yes (X)	Yes (X)	$5,440	$0	$0
Sister Judith Ann Duvall OSF
Chairperson	40.0	4.0	Yes (X)	Yes (X)	$5,440	$0	$0
Sister Theresa Ann Brazeau OSF
Secretary	40.0	4.0	Yes (X)	Yes (X)	$5,440	$0	$0
Brian Silverstein MD
Board Member	1.0	3.0	Yes (X)		$45,000	$0	$0
Charles F Thomas
Board Member	1.0	1.0	Yes (X)		$42,000	$0	$0
Gerald J McShane MD
Board Member	40.0	3.0	Yes (X)		$387,328	$0	$65,492
Sister M Mikela Meidl FSGM
Board Member	40.0	4.0	Yes (X)		$0	$0	$0
Sister Rose Therese Mann OSF
Board Member	40.0	4.0	Yes (X)		$0	$0	$0
Chad E Boore
Chief Executive Officer Eastern Region	40.0	2.0		Yes (X)	$547,917	$0	$44,458
Divya-Devi Joshi
CEO Children SL (THROUGH FEB 2020)	40.0	2.0		Yes (X)	$696,742	$0	$25,647
Dwight D Stapleton
Vice President Clinical Specialty Services (THROUGH FEB 2020)	40.0	2.0		Yes (X)	$511,009	$0	$27,402
James J Mormann
Chief Information Officer	40.0	2.0		Yes (X)	$797,958	$0	$69,066
Jeffry M Tillery
SVP Chief Transformation Officer	40.0	2.0		Yes (X)	$757,079	$0	$62,714
John C Horne
SVP Chief Supply Chain Officer (THROUGH NOV 2020)	40.0	2.0		Yes (X)	$453,426	$0	$57,341
John R Evancho
SVP Chief Compliance Officer	40.0	2.0		Yes (X)	$358,395	$0	$44,145
Leon A Yeh MD
VP CMO Emergency Serv	40.0	2.0		Yes (X)	$634,181	$0	$60,349
Lori L Wiegand
Chief Nursing Officer	40.0	2.0		Yes (X)	$550,597	$0	$62,978
Mark A Nafziger
Chief Ambulatory Care (THROUGH MAR 2020)	40.0	2.0		Yes (X)	$752,227	$0	$30,742
Michael A Cruz MD
Chief Operating Officer	40.0	2.0		Yes (X)	$900,291	$0	$75,306
Michael M Allen
CFO	40.0	3.0		Yes (X)	$879,093	$0	$65,710
Michelle D Conger
Chief Strategy Officer	40.0	2.0		Yes (X)	$686,668	$0	$58,276
Ralph R Velazquez MD
System Chief Medical Officer	40.0	3.0		Yes (X)	$669,097	$0	$67,500
Robert L Brandfass
SVP Chief Legal Officer	40.0	2.0		Yes (X)	$724,825	$0	$64,002
Roxanna Crosser
Chief Executive Officer Western Region	40.0	2.0		Yes (X)	$527,791	$0	$47,441
Stephen E Hippler MD
Chief Clinical Officer	40.0	2.0		Yes (X)	$836,664	$0	$75,497
Thomas G Hammerton
President OSF Healthcare Foundation Chief Development Officer	40.0	4.0		Yes (X)	$495,059	$0	$66,662
Ekanka Mukhopadhyay MD
Physician	40.0	0			$745,418	$0	$60,318	Yes (X)
Iftekhar U Ahmad MD
Physician	40.0	0			$737,937	$0	$47,645	Yes (X)
James L McGee MD
Physician	40.0	0			$890,696	$0	$58,319	Yes (X)
Mete Korkmaz MD
Oncologist	40.0	0			$721,379	$0	$62,412	Yes (X)
Neal D Rushforth
Physician	40.0	0			$682,331	$0	$59,318	Yes (X)
David A Schertz
Former - CEO Northern Region	0.0	0.0			$585,749	$0	$10,313		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$18,528,363	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,434,506	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	811	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
Mayo Clinic
PO Box 4006	Rochester	MN	55903	Laboratory Services	$7,186,760
PointCore Network Services LLC
222 3rd Ave Suite 600	Cedar Rapids	IA	52401	IT Services	$5,839,117
American Anesthesia of Illinois
PO BOX 281034	Atlanta	GA	303841034	Anesthesiologists Services	$4,589,402
Change Healthcare Solutions LLC
3055 Lebanon Pike	Nashville	TN	37214	Consulting	$3,945,045	Suite 1000
REHABCARE GROUP MANAGEMENT SERVICES INC
PO BOX 502096	ST LOUIS	MO	631502096	Rehab Services	$3,661,907

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	92	CntrctRcvdGreaterThan100KCnt
Related Organizations	$11,900,661	RelatedOrganizationsAmt
Government Grants	$109,937,857	GovernmentGrantsAmt
All Other Contributions	$883,529	AllOtherContributionsAmt
Noncash Contributions	$90,009	NoncashContributionsAmt
Total Contributions	$122,722,047	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Revenue	621110	$2,445,231,823	$2,445,231,823
Lab	523000	$5,593,576		$5,593,576
Consulting Revenue	621500	$1,047,962	$1,047,962
Affiliated Purchasing Program	561499	$822,745		$822,745
Interest on Notes Receivable	900099	$36,853		$36,853

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,452,732,959	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$78,922,826	TotalRevenueColumnAmt
Exclusion	$78,922,826	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,727,232	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,674,354	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$52,878	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$52,878	TotalRevenueColumnAmt
Exclusion	$52,878	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$3,912,564	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$4,044,115	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$131,551	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$131,551	TotalRevenueColumnAmt
Exclusion	-$131,551	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Tuition	611710	$12,561,238	$12,561,238
Contract Pharmacy	621110	$11,872,561	$11,872,561
Cafeteria	624200	$2,835,362	$2,835,362

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,925,653	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,813,000	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$112,653	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$39,194,814	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,693,493,973	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,485,361,946	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,565,827	UnrelatedBusinessRevenueAmt
Exclusion	$78,844,153	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$313,942	TotalAmt
Program Services	$313,942	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$364,526	TotalAmt
Program Services	$364,526	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$14,957,889	TotalAmt
Program Services	$11,966,311	ProgramServicesAmt
Management And General	$2,991,578	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$580,747	TotalAmt
Program Services	$252,410	ProgramServicesAmt
Management And General	$328,337	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$909,156,590	TotalAmt
Program Services	$691,854,457	ProgramServicesAmt
Management And General	$217,225,184	ManagementAndGeneralAmt
Fundraising	$76,949	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$37,656,130	TotalAmt
Program Services	$27,519,950	ProgramServicesAmt
Management And General	$10,133,809	ManagementAndGeneralAmt
Fundraising	$2,371	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$147,265,471	TotalAmt
Program Services	$115,004,045	ProgramServicesAmt
Management And General	$32,253,288	ManagementAndGeneralAmt
Fundraising	$8,138	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$67,144,884	TotalAmt
Program Services	$51,070,660	ProgramServicesAmt
Management And General	$16,070,435	ManagementAndGeneralAmt
Fundraising	$3,789	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,852,622	TotalAmt
Program Services	$1,850	ProgramServicesAmt
Management And General	$3,850,772	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,698,538	TotalAmt
Management And General	$1,698,538	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$789,026	TotalAmt
Management And General	$789,026	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$124,950,155	TotalAmt
Program Services	$110,736,105	ProgramServicesAmt
Management And General	$14,214,032	ManagementAndGeneralAmt
Fundraising	$18	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,030,332	TotalAmt
Program Services	$195,735	ProgramServicesAmt
Management And General	$5,834,597	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,332,884	TotalAmt
Program Services	$5,540,432	ProgramServicesAmt
Management And General	$11,791,654	ManagementAndGeneralAmt
Fundraising	$798	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$46,663,591	TotalAmt
Program Services	$2,378,195	ProgramServicesAmt
Management And General	$44,285,396	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$15,122,577	TotalAmt
Program Services	$14,098,566	ProgramServicesAmt
Management And General	$1,024,011	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,844,352	TotalAmt
Program Services	$3,244,342	ProgramServicesAmt
Management And General	$2,600,000	ManagementAndGeneralAmt
Fundraising	$10	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,325,642	TotalAmt
Program Services	$839,335	ProgramServicesAmt
Management And General	$1,486,307	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$48,009,674	TotalAmt
Program Services	$16,030,139	ProgramServicesAmt
Management And General	$31,979,535	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$101,147,043	TotalAmt
Program Services	$75,909,881	ProgramServicesAmt
Management And General	$25,237,162	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$20,687,921	TotalAmt
Program Services	$19,942,641	ProgramServicesAmt
Management And General	$745,280	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$397,518,723	$393,790,922	$3,649,715	$78,086
Equip Rental & Maint	$196,823,693	$157,948,140	$38,874,935	$618
Bad Debt	$95,710,152	$95,710,152
Medicaid Fees	$95,298,980	$95,298,980

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$78,495	TotalAmt
Program Services	$55,834	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$22,661	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,357,324,579	TotalAmt
Program Services	$1,890,067,550	ProgramServicesAmt
Management And General	$467,063,591	ManagementAndGeneralAmt
Fundraising	$193,438	FundraisingAmt

Field	Value	IRS element (for citing)
Joint Costs	Yes (X)	JointCostsInd

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$1,915,673	TotalAmt
Program Services	$1,171,646	ProgramServicesAmt
Management And General	$744,027	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$136,224,904	BOYAmt
EOY	$511,259,633	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$403,514,487	BOYAmt
EOY	$383,196,399	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$49,442,021	BOYAmt
EOY	$61,334,485	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$46,649,539	BOYAmt
EOY	$51,061,211	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,044,115,259	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,640,810,684	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,254,769,884	BOYAmt
EOY	$1,403,304,575	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,331,126,969	BOYAmt
EOY	$2,014,975,370	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$128,199,790	BOYAmt
EOY	$139,064,544	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$50,810,490	BOYAmt
EOY	$50,810,490	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$425,716,526	BOYAmt
EOY	$526,280,827	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,826,454,610	BOYAmt
EOY	$5,141,287,534	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$257,510,770	BOYAmt
EOY	$303,662,693	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$14,574,165	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,205,906,899	BOYAmt
EOY	$1,379,449,192	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$900,158,965	BOYAmt
EOY	$1,376,558,244	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,363,576,634	BOYAmt
EOY	$3,074,244,294	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,312,386,350	BOYAmt
EOY	$1,896,480,890	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$150,491,626	BOYAmt
EOY	$170,562,350	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,462,877,976	BOYAmt
EOY	$2,067,043,240	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,826,454,610	BOYAmt
EOY	$5,141,287,534	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$336,169,394	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$73,929,256	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$194,066,614	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$473,265	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$315,761	OtherActivitiesAmt
Total Lobbying Expenditures	$789,026	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule C, Part II-A, Line 1b, Column (a) SCH C, PART II-B LINE 1B

THE ONLY COST OF MAILING RELATED TO LOBBYING EXPENSES IS RELATED TO THE COST OF STAMPS. THE TOTAL EXPEDITURES RELATED TO MAILING IS MINOR AND THE ACTUAL DOLLAR AMOUNT IS NOT READILY AVAILABLE.

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

LINE 1I INCLUES LOBBYING EXPENSES PAID TO VARIOUS NATIONAL HEALTH ASSOCIATIONS AS PART OF DUES AND SUBSCRIPTIONS IN THE AMOUNT OF $315,761. LINE 1G INCLUDES DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, AND LEGISLATIVE BODIES RELATING TO THE HOSPITAL, PHYSICIAN PAYMENT REFORM, CRITICAL ACCESS, MDH HOSPITAL RATE PROTECTION, ACO ACTIVITIES AND ADOPTION IN MEDICARE. THIS AMOUNTED TO $473,265.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$122,600,381	BeginningYearBalanceAmt
Contributions	$9,749,241	ContributionsAmt
Investment Earnings Or Losses	$6,416,527	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$152,799	GrantsOrScholarshipsAmt
Other Expenditures	$3,719,702	OtherExpendituresAmt
End Year Balance	$134,893,648	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$110,842,618	BeginningYearBalanceAmt
Contributions	$10,571,244	ContributionsAmt
Investment Earnings Or Losses	$5,896,184	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$540,428	GrantsOrScholarshipsAmt
Other Expenditures	$4,169,237	OtherExpendituresAmt
End Year Balance	$122,600,381	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$87,218,699	BeginningYearBalanceAmt
Contributions	$18,736,098	ContributionsAmt
Investment Earnings Or Losses	$6,534,121	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$188,034	GrantsOrScholarshipsAmt
Other Expenditures	$1,458,266	OtherExpendituresAmt
End Year Balance	$110,842,618	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$73,130,258	BeginningYearBalanceAmt
Contributions	$5,667,852	ContributionsAmt
Investment Earnings Or Losses	$9,778,204	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$231,331	GrantsOrScholarshipsAmt
Other Expenditures	$1,126,284	OtherExpendituresAmt
End Year Balance	$87,218,699	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$58,445,819	BeginningYearBalanceAmt
Contributions	$8,839,845	ContributionsAmt
Investment Earnings Or Losses	$7,180,954	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$619,990	GrantsOrScholarshipsAmt
Other Expenditures	$716,370	OtherExpendituresAmt
End Year Balance	$73,130,258	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.4634	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.4366	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.1	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$71,671,160	OtherCostOrOtherBasisAmt
Book Value	$71,671,160	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,822,480,254	OtherCostOrOtherBasisAmt
Depreciation	$845,730,145	DepreciationAmt
Book Value	$976,750,109	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,613,091	OtherCostOrOtherBasisAmt
Depreciation	$32,932,541	DepreciationAmt
Book Value	$8,680,550	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,035,910,069	OtherCostOrOtherBasisAmt
Depreciation	$762,147,998	DepreciationAmt
Book Value	$273,762,071	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$72,440,685	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$72,440,685	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,403,304,575	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
WORKERS COMP ESCROW DEPOSITS
THIRD PARTY WITHHOLDINGS	$15,063,816
DUE FROM FOUNDATION	$2,599,635
ASSETS - LIMITED OR RESTRICTED	$170,562,350
FUNDS LIMITED AS TO USE	$202,734,915
OTHER ACCOUNTS	$62,653,944
457B DEFERRED COMPENSATION	$72,666,167

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$526,280,827	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
ESTIMATED SELF INSURANCE LIAB	$202,619,509
RETIRE OBLIG - ASBESTOS	$16,025,549
ACCRUED PENSION LIABILITY	$566,901,165
MARKET VALUATION OF SWAP	$58,627,224
THIRD PARTY SETTLEMENT PAYABLE	$439,529,717
457B DEFERRED COMPENSATION	$72,666,167
FINANCE LEASE LIABILITY	$16,931,001
OTHER LIABILITIES	$3,257,912

Field	Value	IRS element (for citing)
Total Liability	$1,376,558,244	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED TO PROVIDE SCHOLARSHIPS TO NURSING STUDENTS, ACQUIRE EQUIPMENT AND SUPPORT PROGRAMS OF VARIOUS MEDICAL DEPARTMENTS OF THE OSF HEALTHCARE SYSTEM HOSPITALS.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

OSF is a not-for-profit corporation as described by Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from federal income taxes on related income pursuant to Section 501(c)(3) of the Code. Under ASC Subtopic 740-10, Accounting for Uncertainty in Income Taxes - An Interpretation of FASB Statement No. 109, OSF and PCI must recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. As of September 30, 2020 or 2019, OSF and PCI do not have any uncertain tax positions.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	125	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,948,670	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,948,670	NetCommunityBenefitExpnsAmt
Total Expense	0.0191	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$511,819,200	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$398,649,690	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$113,169,510	NetCommunityBenefitExpnsAmt
Total Expense	0.0480	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$556,767,870	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$398,649,690	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$158,118,180	NetCommunityBenefitExpnsAmt
Total Expense	0.0671	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,544,788	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$864,024	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,680,764	NetCommunityBenefitExpnsAmt
Total Expense	0.0020	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,087,285	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,183,305	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,903,980	NetCommunityBenefitExpnsAmt
Total Expense	0.0224	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$174,817,947	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,780,583	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,037,364	NetCommunityBenefitExpnsAmt
Total Expense	0.0166	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,354,028	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,061,629	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,292,399	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,485,754	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,485,754	NetCommunityBenefitExpnsAmt
Total Expense	0.0011	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$269,289,802	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$168,889,541	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$100,400,261	NetCommunityBenefitExpnsAmt
Total Expense	0.0426	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$826,057,672	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$567,539,231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$258,518,441	NetCommunityBenefitExpnsAmt
Total Expense	0.1097	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$715,208	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$715,208	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$715,208	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$715,208	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$19,090,500	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$586,426,500	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$716,010,722	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$129,584,222	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	None	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Hospital Facilities	12	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (12 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Emergency Room OtherEmergencyRoomOtherInd	Critical Access HospitalCriticalAccessHospitalInd
SAINT FRANCIS MEDICAL CENTER
1	530 NE GLEN OAK AVENUE	PEORIA	IL	61637	https://www.osfhealthcare.org/saint-francis/	IL0002394	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
SAINT ANTHONY MEDICAL CENTER
2	5666 EAST STATE STREET	ROCKFORD	IL	61108	https://www.osfhealthcare.org/saint-anthony/	IL0002253	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)
ST JOSEPH MEDICAL CENTER
3	2200 EAST WASHINGTON STREET	BLOOMINGTON	IL	61701	https://www.osfhealthcare.org/st-joseph/	IL0002535	Yes (X)	Yes (X)				Yes (X)
OSF HEART OF MARY MEDICAL CENTER
4	1400 W PARK STREET	URBANA	IL	61801	https://www.osfhealthcare.org/heart-of-mary/	IL0006080	Yes (X)	Yes (X)		Yes (X)		Yes (X)
OSF SACRED HEART MEDICAL CENTER
5	812 N LOGAN AVENUE	DANVILLE	IL	61832	https://www.osfhealthcare.org/sacred-heart/	IL0006072	Yes (X)	Yes (X)				Yes (X)
ST MARY MEDICAL CENTER
6	3333 NORTH SEMINARY STREET	GALESBURG	IL	61401	https://www.osfhealthcare.org/st-mary/	IL0002675	Yes (X)	Yes (X)				Yes (X)
OSF SAINT ANTHONY'S HEALTH CENTER
7	1 ST ANTHONYS WAY	ALTON	IL	62002	https://www.osfhealthcare.org/saint-anthonys/	IL0005942	Yes (X)	Yes (X)				Yes (X)
ST FRANCIS HOSPITAL
8	3401 LUDINGTON STREET	ESCANABA	MI	49829	https://www.osfhealthcare.org/st-francis/	MI1060000051	Yes (X)	Yes (X)				Yes (X)		Yes (X)
SAINT JAMES HOSPITAL
9	2500 W REYNOLDS STREET	PONTIAC	MI	61764	https://www.osfhealthcare.org/saint-james/	IL0005264	Yes (X)	Yes (X)				Yes (X)
OSF SAINT LUKE MEDICAL CENTER
10	1051 W SOUTH STREET	KEWANEE	IL	61443	https://www.osfhealthcare.org/saint-luke/	IL0005926	Yes (X)	Yes (X)				Yes (X)		Yes (X)
OSF HOLY FAMILY MEDICAL CENTER
11	1000 W HARLEM AVENUE	MONMOUTH	IL	61462	https://www.osfhealthcare.org/holy-family/	IL0005439	Yes (X)	Yes (X)				Yes (X)		Yes (X)
LITTLE COMPANY OF MARY MEDICAL CENTER
12	2800 W 95TH STREET	EVERGREEN PARK	IL	60805	https://www.osfhealthcare.org/little-company-of-mary/	IL0006163	Yes (X)	Yes (X)		Yes (X)		Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (12 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Other MethodOtherMethodInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	OtherOtherInd
SAINT FRANCIS MEDICAL CENTER
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/about/community-health/	Yes (X)	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
SAINT ANTHONY MEDICAL CENTER
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.osfhealthcare.org/about/community-health/	Yes (X)	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
ST JOSEPH MEDICAL CENTER
3	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/about/community-health/	Yes (X)	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
OSF HEART OF MARY MEDICAL CENTER
4	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	20	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/about/community-health/	Yes (X)	Yes (true)	20	false	Yes (true)	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	Yes (X)
OSF SACRED HEART MEDICAL CENTER
5	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	20	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/about/community-health/	Yes (X)	Yes (true)	20	false	Yes (true)	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	Yes (X)
ST MARY MEDICAL CENTER
6	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.osfhealthcare.org/about/community-health/	Yes (X)	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	125.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
OSF SAINT ANTHONY'S HEALTH CENTER
7	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.osfhealthcare.org/about/community-health/	Yes (X)	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
ST FRANCIS HOSPITAL
8	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.osfhealthcare.org/about/community-health/	Yes (X)	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	200.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
SAINT JAMES HOSPITAL
9	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.osfhealthcare.org/about/community-health/	Yes (X)	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	125.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
OSF SAINT LUKE MEDICAL CENTER
10	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.osfhealthcare.org/about/community-health/	Yes (X)	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	125.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
OSF HOLY FAMILY MEDICAL CENTER
11	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.osfhealthcare.org/about/community-health/	Yes (X)	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	125.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
LITTLE COMPANY OF MARY MEDICAL CENTER
12	false	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.osfhealthcare.org/about/community-health/	Yes (X)	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	https://www.osfhealthcare.org/billing/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (96 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - SAINT FRANCIS MEDICAL CENTER. FOR THE 2019 CHNA, OSF HEALTHCARE CENTER d/b/a OSF FRANCIS MEDICAL CENTER SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) ADMINISTRATORS FROM THE PEORIA, WOODFORD AND TAZEWELL COUNTY HEALTH DEPARTMENTS. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 AND 2016 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WAS RECEIVED FROM A COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE TRI-COUNTY COMMUNITY IN CONDUCTING THE 2019 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES, REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, HEALTH CARE PROVIDERS INCLUDING KINDRED HOSPITAL, ADVOCATE EUREKA HOSPITAL, HOPEDALE MEDICAL COMPLEX, PEKIN HOSPITAL, THE CHIEF MEDICAL OFFICER OF A FEDERALLY QUALIFIED HEALTH CENTER AND EPIDEMIOLOGISTS WORKING WITH THE PEORIA AND TAZEWELL COUNTY HEALTH DEPARTMENTS, HEART OF ILLINOIS UNITED WAY, HEARTLAND COMMUNITY HEALTH CLINIC AND BRADLEY UNIVERSITY. MEMBERS OF THE COLLABORATIVE TEAM BY NAME, AFFILIATIONS, TITLE AND EXPERTISE ARE LISTED IN APPENDIX 1 TO THE 2019 CHNA.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - SAINT FRANCIS MEDICAL CENTER. THE TRI-COUNTY CHNA FOR PEORIA, WOODFORD AND TAZEWELL COUNTIES WAS COMPLETED AS A COLLABORATIVE UNDERTAKING BY SAINT FRANCIS MEDICAL CENTER AND UNITYPOINT HEALTH-METHODIST/PROCTOR SUPPORTED BY KINDRED HOSPITAL, ADVOCATE EUREKA HOSPITAL, HOPEDALE MEDICAL CENTER AND PEKIN HOSPITAL. THE CHNA THAT WAS CONDUCTED IN 2019 WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS ON JULY 29, 2019.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - SAINT FRANCIS MEDICAL CENTER. THE TRI-COUNTY CHNA FOR PEORIA, WOODFORD AND TAZEWELL COUNTIES WAS COMPLETED AS A COLLABORATIVE UNDERTAKING SUPPORTED BY THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITALS: PEORIA CITY/COUNTY HEALTH DEPARTMENT, TAZEWELL COUNTY HEALTH DEPARTMENT, WOODFORD COUNTY HEALTH DEPARTMENT, HEART OF ILLINOIS UNITED WAY, HEARTLAND COMMUNITY HEALTH CLINIC AND BRADLEY UNIVERSITY.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - SAINT FRANCIS MEDICAL CENTER. OSF SAINT FRANCIS MEDICAL CENTER COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2019 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. THE TRI-COUNTY COMMUNITY HEALTH-NEEDS ASSESSMENT (CHNA) IS A COLLABORATIVE UNDERTAKING SPEARHEADED BY THE PARTNERSHIP FOR A HEALTHY COMMUNITY (HEREAFTER REFERRED TO AS PFHC), A MULTISECTOR COMMUNITY PARTNERSHIP WORKING TO IMPROVE POPULATION HEALTH. AN AD HOC COMMITTEE WITHIN THE PFHC FORMED A COLLABORATIVE TEAM TO FACILITATE THE CHNA. THIS COLLABORATIVE TEAM INCLUDED MEMBERS FROM OSF SAINT FRANCIS MEDICAL CENTER (OSF), UNITY POINT HEALTH - CENTRAL IL (UNITY POINT), PEORIA CITY/COUNTY HEALTH DEPARTMENT, TAZEWELL COUNTY HEALTH DEPARTMENT, WOODFORD COUNTY HEALTH DEPARTMENT, ADVOCATE EUREKA HOSPITAL, HOPEDALE MEDICAL COMPLEX, HEART OF ILLINOIS UNITED WAY, HEARTLAND HEALTH SERVICES AND BRADLEY UNIVERSITY. THE COLLABORATIVE TEAM CONDUCTED THE TRI-COUNTY COMMUNITY HEALTH-NEEDS ASSESSMENT (CHNA) TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN THE TRI-COUNTY REGION. THE COLLABORATIVE TEAM IDENTIFIED SIGNIFICANT HEALTH NEEDS AND PRIORITIZED THEM TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY, THEY INCLUDE: HEALTHY EATING/ACTIVE LIVING - DEFINED AS ACTIVE LIVING AND HEALTHY EATING, AND THEIR IMPACT ON OBESITY, ACCESS TO FOOD, AND FOOD INSECURITY. CANCER - DEFINED AS INCIDENCE OF BREAST, LUNG, AND COLORECTAL CANCER AND CANCER SCREENINGS. MENTAL HEALTH - DEFINED AS DEPRESSION, ANXIETY, AND SUICIDE SUBSTANCE USE - DEFINED AS ABUSE OF ILLEGAL AND LEGAL DRUGS, ALCOHOL, AND TOBACCO/VAPING USE OSF SAINT FRANCIS MEDICAL CENTER IS COLLABORATING WITH THE PFHC IN AN EFFORT TO ACHIEVE THIS STRATEGIC GOAL. THE PFHC IS A MULTI-SECTOR, COMMUNITY INITIATIVE LEADING AND SUPPORTING COLLABORATIVE WORK WITHIN THE COMMUNITY TO DRIVE HEALTH OUTCOMES IDENTIFIED IN THE CHNA IN THE TRI-COUNTY AREA. HEALTHY BEHAVIORS AND OBESITY - ACTIVE LIVING - A HEALTHY LIFESTYLE, COMPRISED OF REGULAR PHYSICAL ACTIVITY AND BALANCED DIET, HAS BEEN SHOWN TO INCREASE PHYSICAL, MENTAL, AND EMOTIONAL WELL-BEING. NOTE THAT 23% OF RESPONDENTS IN THE TRI-COUNTY REGION INDICATED THAT THEY DO NOT EXERCISE AT ALL, AND 33% OF RESIDENTS EXERCISE ONLY 1-2 TIMES PER WEEK. HEATHY EATING - ALMOST TWO-THIRDS (60%) OF TRI-COUNTY RESIDENTS REPORT NO CONSUMPTION OR LOW CONSUMPTION (1-2 SERVINGS PER DAY) OF FRUITS AND VEGETABLES PER DAY. NOTE THAT THE PERCENTAGE OF TRI-COUNTY RESIDENTS WHO CONSUME FIVE OR MORE SERVINGS PER DAY IS ONLY 5%. ACCESS TO FOOD AND FOOD INSECURITY - IT IS ESSENTIAL THAT EVERYONE HAS ACCESS TO FOOD AND DRINK NECESSARY FOR LIVING HEALTHY LIVES. FOOD INSECURITY EXISTS WHEN PEOPLE DO NOT HAVE PHYSICAL AND ECONOMIC ACCESS TO SUFFICIENT, SAFE AND NUTRITIOUS FOOD THAT MEETS THEIR DIETARY NEEDS FOR A HEALTHY LIFE. IN THE TRI-COUNTY REGION, APPROXIMATELY 4% OF RESIDENTS GO HUNGRY 1-2 TIMES PER WEEK. THE 2019 GOALS IDENTIFIED FOR HEALTHY BEHAVIORS: GOAL 1: REDUCE THE PROPORTION OF ADULTS CONSIDERED OBESE IN THE TRI-COUNTY AREA. OUTCOME METRIC 1: REDUCE THE PERCENTAGE OF ADULTS IN THE TRI-COUNTY AREA CONSIDERED OBESE BY 2% (PEORIA 33%, TAZEWELL 33%, AND WOODFORD- 28%) BY DECEMBER 31, 2022. DATA PROVIDED BY COUNTY HEALTH RANKINGS. INCREASE NUMBER OF PERSONS RECEIVING PRODUCE VOUCHERS BY 2%. BASELINE: 428. FY2020: 500 VOUCHERS PROVIDE HEALTHY EATING AND ACTIVE LIVING EDUCATION AND AWARENESS THROUGH COMMUNITY OUTREACH AND PUBLIC OR SOCIAL MEDIA. FY2020: 52 COMMUNITY OUTREACH EVENTS AND SOCIAL MEDIA ACTIVITIES. INCREASE PARTICIPATION IN THE MEDICAL EXERCISE PROGRAM. FY2020: 8,955 ENCOUNTERS (IMPACTED BECAUSE OF CLOSURE DUE TO COVID-19). INCREASE ENROLLMENT IN THE WEIGHT MANAGEMENT CLINIC. FY2020: 5,544 VISITS GOAL 2: REDUCE THE PROPORTION OF YOUTH (GRADES 8-12) IN THE TRI-COUNTY AREA, WHO SELF-REPORT BEING OVERWEIGHT AND OBESE. OUTCOME METRIC 2: REDUCE THE PROPORTION OF YOUTH (GRADES 8-12) IN THE TRI-COUNTY AREA, WHO SELF-REPORT BEING OVERWEIGHT AND OBESE BY 2% BY DECEMBER 31, 2022. 11% TO 17% OF YOUTH REPORT BEING OVERWEIGHT AND 13% OF YOUTH REPORT BEING OBESE PER THE ILLINOIS YOUTH SURVEY. EXPAND THE BREAST FEEDING RESOURCE CENTER'S COMMUNITY OUTREACH EFFORTS. FY2020: 1462 ENCOUNTERS; 16 COMMUNITY OUTREACH EVENTS. CONTINUE TO COLLABORATE TO OFFER HEALTHY KIDS U IN MOTION PROGRAM. FY2020: TWO PROGRAMS WERE OFFERED, AND THEN THE PROGRAM WAS POSTPONED TO DUE TO COVID-19. GOAL 3: DECREASE FOOD INSECURITY IN POPULATIONS RESIDING IN THE TRI-COUNTY AREA. OUTCOME METRIC 3: DECREASE FOOD INSECURITY IN POPULATIONS RESIDING IN THE TRI-COUNTY AREA BY 1% BY DECEMBER 31, 2022. THE PERCENTAGE OF HOUSEHOLDS REPORTING FOOD INSECURITY IN THE TRI-COUNTY AREA INCLUDE 16% IN PEORIA, 10% IN TAZEWELL AND 9% IN WOODFORD. DATA PROVIDED BY COUNTY HEALTH RANKINGS. ASSESS FOR SOCIAL DETERMINANTS OF HEALTH. PILOT IN 61603 & 61605 ZIP CODES. DETERMINE BASELINE FOR NUMBER OF ASSESSMENTS FOR SOCIAL DETERMINANT OF HEALTH COMPLETED. DETERMINE BASELINE FOR FOOD INSECURITY. FY2020: THE PILOT WAS IMPLEMENTED, BUT THE PATIENT POPULATION ADJUSTED DUE TO COVID-19. 767 PATIENTS COMPLETED A SOCIAL DETERMINANT OF HEALTH ASSESSMENT. 145 (19%) PATIENTS WERE DETERMINED TO BE FOOD INSECURE. PILOT SMART MEALS PROGRAM. PILOTED IN WOUND CLINIC, SISTERS CLINIC AND CARE-A-VAN. DETERMINE BASELINE FOR NUMBER OF SMART MEALS DISTRIBUTED. FY2020: SMART MEALS PROGRAM WAS PILOTED IN CANCER SERVICES AND WOUND CLINIC. 78 SMART MEALS WERE DISTRIBUTED. EXPAND GARDENS OF HOPE COMMUNITY OUTREACH EFFORTS. INCREASE NUMBER OF VOLUNTEER HOURS BY 10%. BASELINE: 1000 HOURS (FY19). INCREASE NUMBER OF CHILDREN EDUCATED FROM BY 10%. BASELINE: 23 (FY19). 1292 VOLUNTEER HOURS (29% INCREASE), 32 CHILDREN WERE EDUCATED IN THE GARDEN (40% INCREASE). EXPAND FCN/CARE-A-VAN OUTREACH. INCREASE NUMBER OF REFERRALS BY 2%. BASELINE: 4163 (FY19). FY2020: 4443 REFERRALS (7% INCREASE). CANCER- BREAST, LUNG AND COLORECTAL BREAST CANCER IS THE MOST COMMON CANCER IN WOMEN IN ILLINOIS. THE INCIDENCE OF BREAST CANCER PER 100,000 RESIDENTS IN THE TRI-COUNTY REGIONS IS 134.2 PEOPLE PER 100,000 COMPARED TO ILLINOIS STATE AVERAGE OF 128.5. LUNG CANCER IS SECOND MOST COMMON CANCER AMONG MEN AND WOMEN IN ILLINOIS. THE INCIDENCE OF LUNG CANCER PER 100,000 RESIDENTS IN THE TRI-COUNTY REGION IS 79.7 PEOPLE PER 100,000 COMPARED TO ILLINOIS STATE AVERAGE OF 67.9. INCIDENCE OF SMOKING IN THE TRI-COUNTY AREA (19.1%) IS HIGHER THAN STATE OF ILLINOIS AVERAGES (18.4%). MOREOVER, IN 2018, 10% OF THE TRI-COUNTY POPULATION SMOKED AND/OR VAPED FIVE OR MORE TIMES PER DAY. COLORECTAL CANCER IS THE THIRD MOST COMMON CANCER AMONG MEN AND WOMEN IN ILLINOIS. ALL THREE COUNTIES IN THE TRI-COUNTY AREA REPORT HIGHER INCIDENT AND AGE-ADJUSTED DEATH RATES FOR COLORECTAL CANCER COMPARED TO THE STATE OF ILLINOIS, THE U.S. AND ARE 3-6% HIGHER THAN THE HEALTHY PEOPLE 2020 TARGET. ACCORDING TO THE CHNA SURVEY, 39% OF RESPONDENTS OVER 50 YEARS OLD IN THE TRI-COUNTY AREA REPORTED NOT RECEIVING A COLORECTAL SCREENING IN THE PAST FIVE YEARS. IN THE CASE OF COLORECTAL CANCER, EARLY DETECTION OF PRECANCEROUS POLYPS CAN PREVENT COLORECTAL CANCER. GOAL 1: REDUCE THE FEMALE BREAST CANCER DEATH RATE IN THE TRI-COUNTY AREA. OUTCOME METRIC 1: REDUCE THE FEMALE BREAST CANCER DEATH RATE IN THE TRI-COUNTY AREA BY 1% BY DECEMBER 31, 2022. THE BREAST CANCER AGE-ADJUSTED DEATH RATE FOR 2011 TO 2015 IS 22.7 FOR PEORIA COUNTY, 18.7 FOR TAZEWELL COUNTY AND 24.4 FOR WOODFORD COUNTY. DATA PROVIDED BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH AND THE NATIONAL CANCER INSTITUTE. INCREASE SCREENING MAMMOGRAMS PROVIDED BY 200. BASELINE: 25,025. FY2020: 27,621 SCREENING MAMMOGRAMS. INCREASE NUMBER OF HIGH-RISK ASSESSMENTS PROVIDED BY 10%. BASELINE: 435 HIGH-RISK ASSESSMENTS. FY2020: 9164 HIGH-RISK ASSESSMENTS. INCREASE NUMBER OF EDUCATION AND AWARENESS ACTIVITIES FROM 10 TO 12. BASELINE: 10. FY2020: 7 EDUCATION AND AWARENESS ACTIVITIES. AFFECTED BY COVID. INCREASE NUMBER OF COLONOSCOPIES PROVIDED BY 1000. FY2020: 4539 COLONOSCOPIES PROVIDE COLORECTAL CANCER EDUCATION AND AWARENESS THROUGH COMMUNITY OUTREACH. FY2020: 105 PERSONS REACHED; 2 EDUCATION AND AWARENESS ACTIVITIES. EVALUATE THE DISTRIBUTION OF NON-INVASIVE SCREENING TEST KITS. FY2020: IT WAS DETERMINED TO DISTRIBUTE NON-INVASIVE COLORECTAL CANCER SCREENING TEST KITS ON THE CARE-A-VAN.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - SAINT FRANCIS MEDICAL CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - SAINT FRANCIS MEDICAL CENTER. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. IN ADDITION, ENROLLMENT IN ANY ONE OF THE FOLLOWING PROGRAMS WITH CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY INCOME GUIDELINES ESTABLISHES ELIGIBILITY FOR PRESUMPTIVE CHARITY: WIC; SNAP; LIHEAP, IL FREE LUNCH AND BREAKFAST PROGRAM; RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES; OR ENROLLMENT IN AN ORGANIZED COMMUNITY BASED PROGRAM PROVIDING ACCESS TO MEDICAL CARE THAT ASSESSES AND DOCUMENTS LIMITED LOW INCOME FINANCIAL STATUS AS CRITERION FOR MEMBERSHIP.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - Saint Francis Medical Center. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY. A NEW FINANCIAL ASSISTANCE POLICY CAME OUT NOVEMBER 2020 AFTER FISCAL YEAR END. USE THE LINKS ASSOCIATED WITH THIS RETURN TO FIND FINANCIAL ASSISTANCE POLICY EFFECTIVE FOR FY2020.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - SAINT FRANCIS MEDICAL CENTER. A PLAIN LANGUAGE SUMMARY OF THE FAP IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS, INFORMATION ABOUT FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS IS INCLUDED ON OR WITH THE OSF PATIENT BILLING STATEMENT, AND OSF PROVIDES COPIES OF THE PLAIN LANGUAGE SUMMARY AND THE FAP APPLICATION FORM TO REFERRING STAFF PHYSICIANS.
Schedule H, Part V, Section B, Line 3E	The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - SAINT ANTHONY MEDICAL CENTER. FOR THE 2019 CHNA, OSF HEALTHCARE CENTER d/b/a OSF SAINT ANTHONY MEDICAL CENTER SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) PUBLIC HEALTH ADMINISTRATORS FROM THE WINNEBAGO COUNTY HEALTH DEPARTMENT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 AND 2016 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM A COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2016 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES, REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, INCLUDING THE CEO OF YWCA ROCKFORD, EXECUTIVE DIRECTOR & GENERAL COUNSEL OF NORTHWESTERN IL AREA AGENCY ON AGING, VP OF YWCA LA VOZ LATINA, PRESIDENT OF GOODWILL INDUSTRIES OF NORTHERN IL WISCONSIN STATELINE AREA AND BOARD OF DIRECTOR FOR ROCKFORD SCHOOL DISTRICT 205; AND HEALTH CARE PROVIDERS INCLUDING THE CHIEF MEDICAL OFFICER AND CHIEF SURGICAL OFFICER OF THE FACILITY, AND THE FOUNDER OF PHYSICIANS' IMMEDIATE CARE. MEMBERS OF THE COLLABORATIVE TEAM BY NAME, AFFILIATIONS, TITLE AND EXPERTISE ARE LISTED IN APPENDIX 1 TO THE 2019 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - SAINT ANTHONY MEDICAL CENTER. OSF SAINT ANTHONY MEDICAL CENTER COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2019 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. THE WINNEBAGO COUNTY COMMUNITY HEALTH-NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE UNDERTAKING BY OSF SAINT ANTHONY MEDICAL CENTER TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN WINNEBAGO COUNTY. THROUGH THE NEEDS ASSESSMENT, COLLABORATIVE COMMUNITY PARTNERS IDENTIFIED NUMEROUS HEALTH ISSUES IMPACTING INDIVIDUALS AND FAMILIES IN WINNEBAGO COUNTY. SEVERAL THEMES WERE PREVALENT IN THIS HEALTH-NEEDS ASSESSMENT - THE DEMOGRAPHIC COMPOSITION OF WINNEBAGO COUNTY, THE PREDICTORS FOR AND PREVALENCE OF DISEASES, LEADING CAUSES OF MORTALITY, ACCESSIBILITY TO HEALTH SERVICES AND HEALTHY BEHAVIORS. THE COLLABORATIVE TEAM IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS AND PRIORITIZED BOTH TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. * HEALTHY BEHAVIORS - DEFINED AS ACTIVE LIVING AND HEALTHY EATING, AND THEIR IMPACT ON OBESITY * BEHAVIORAL HEALTH - INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE * LUNG CANCER - INCLUDING PREVENTION AND SCREENING HEALTHY BEHAVIORS ACTIVE LIVING - A HEALTHY LIFESTYLE COMPRISED OF REGULAR PHYSICAL ACTIVITY AND A BALANCED DIET, HAS BEEN SHOWN TO INCREASE PHYSICAL, MENTAL AND EMOTIONAL WELL-BEING. NOTE THAT 23% OF RESPONDENTS IN WINNEBAGO COUNTY INDICATED THAT THEY DO NOT EXERCISE AT ALL, WHILE 35% THE LARGEST PERCENTAGE OF RESIDENTS ONLY EXERCISE 1-2 TIMES PER WEEK. HEALTHY EATING - ADDITIONALLY, OVER HALF (57%) THE RESIDENTS OF WINNEBAGO COUNTY REPORT NO OR LOW CONSUMPTION (1-2 SERVINGS PER DAY) OF FRUITS AND VEGETABLES PER DAY. ONLY 8% OF RESIDENTS REPORTED CONSUMING THE RECOMMENDED FIVE OR MORE SERVINGS PER DAY. OBESITY - HEALTHY BEHAVIORS ARE DIRECTLY RELATED TO ISSUES SUCH AS OBESITY. IN WINNEBAGO COUNTY, THE NUMBER OF PEOPLE DIAGNOSED WITH OBESITY AND BEING OVERWEIGHT HAS INCREASED. IN THE YEARS 2007-2009, THE PREVALENCE OF OVERWEIGHT AND OBESITY WAS 62.3% AND IN 2010-2014, THE RATE ROSE TO 68.1%. THE NUMBER OF RESIDENTS ABOVE THE OBESITY LEVEL IS 36.3% GOAL 1: DECREASE PREVALENCE OF HYPERTENSION AND ELEVATED CHOLESTEROL IN WINNEBAGO COUNTY OUTCOME METRIC 2: DECREASE THE PERCENTAGE OF WINNEBAGO COUNTY RESIDENTS WITH HYPERTENSION AND ELEVATED CHOLESTEROL LEVELS BY 1%. BASELINE: 34.9% WITH HYPERTENSION AND 39% WITH ELEVATED CHOLESTEROL (BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM [BRFSS]). INCREASE COMMUNITY AND CORPORATE HEALTH SCREENINGS. FY2020: 7 SCREENING EVENTS SCHEDULED. ONLY ONE EVENT COMPLETED WITH 40 PARTICIPANTS. 6 CANCELLED DUE TO COVID-19. PROVIDE EDUCATION TO HOSPITALISTS TO INCREASE REFERRALS TO OUTPATIENT DIETITIANS. FY2020: DUE TO COVID-19 UNABLE TO PROVIDE THIS EDUCATION THIS YEAR. OFFER HEART HEALTHY NUTRITION CLASSES AT QUARTERLY. FY2020: ORIGINALLY HAD SCHEDULED CLASSES BUT ALL CANCELLED DUE TO COVID-19. OFFER NUTRITION/FITNESS CLASSES. FY2020: FITNESS CENTER NOW CLOSED. 1 NUTRITION CLASS COMPLETED WITH 6 PARTICIPANTS, 5 REMAINING CLASSES CANCELLED DUE TO COVID-19. IMPROVE HEALTH AND WELL-BEING OF EMPLOYEES AND COMMUNITY THRU BLUE ZONES CERTIFICATION AND BUILT ENVIRONMENT. FY2020: BASELINE 2.3 YEARS YOUNGER THAN CHRONOLOGICAL AGE. GOAL 2: DECREASE PREVALENCE OF ADULTS 20+ WHO ARE OBESE IN WINNEBAGO COUNTY OUTCOME METRIC 2: DECREASE THE NUMBER OF RESIDENTS THAT ARE OBESE BY 1%. BASELINE: ADULTS 20+ WHO ARE OBESE 33.3% IN WINNEBAGO COUNTY (PER CENTERS FOR DISEASE CONTROL AND PREVENTION 2016). REVISE SAMC WEIGHT MANAGEMENT WEBSITE. DISTRIBUTE AND PROMOTE OSF SURGICAL AND NON-SURGICAL WEIGHT LOSS CLINIC/OPTIONS. FY2020: DUE TO COVID-19 SOCIAL MEDIA PROMOTION WAS PUT ON HOLD. PROMOTE OSF FITNESS CENTER. FY2020: FITNESS CENTER HAS CLOSED AND IS NO LONGER OFFERING SILVER SNEAKERS INCREASE SILVER SNEAKERS/ OTHER FREE MEMBERSHIPS. PURSUE OSF FITNESS CENTER PARTICIPATING IN AARP AND RENEW ACTIVE PROGRAMS TO PROVIDE SENIORS MORE FREE MEMBERSHIPS. FY2020: 136, WHICH IS A 44% INCREASE. INCREASE NEW SURGICAL WEIGHT LOSS CONSULTATION BY 10% EACH YEAR. FY2020: 1385 CONSULTS INCREASE INDIVIDUAL DIETITIAN CONSULTATIONS. INCREASE DIETICIAN CONSULT APPOINTMENTS BY 5% EACH YEAR. FY2020: 1385 CONSULTS. APPOINTMENTS ARE DOWN DURING COVID-19 AND WITHOUT ACCESS TO VIDEO VISITS. ENHANCE/EXTEND WALKING PATHWAY THROUGHOUT CAMPUS. FY2020: INCREASED BY 8% AT 106 PARTICIPANTS. COLLECT FRESH PRODUCE FOR SAINT ELIZABETH COMMUNITY CENTER PANTRY SEASONALLY. FY2020: ST. ELIZABETH PANTRY UNABLE TO ACCEPT FRESH PRODUCE DUE TO COVID PANDEMIC. MENTAL HEALTH - IN WINNEBAGO COUNTY 47% OF RESPONDENTS INDICATED THEY FELT DEPRESSED IN THE LAST 30 DAYS AND 39% INDICATED THEY FELT ANXIOUS OR STRESSED. WHEN ALSO ASKED IF THEY SPOKE WITH ANYONE ABOUT THEIR MENTAL HEALTH IN THE LAST 30 DAYS, 31% INDICATED THEY HAD, WITH THE MOST COMMON RESPONSE, 36% BEING A DOCTOR/ NURSE. RESPONDENTS INDICATED THAT MENTAL HEALTH WAS THE MOST IMPORTANT HEALTH ISSUE IN THE COMMUNITY. SUBSTANCE ABUSE - SURVEY RESULTS INDICATED THAT ILLEGAL DRUG ABUSE WAS RATED AS THE UNHEALTHIEST BEHAVIOR IN OUR COMMUNITY. 14% OF RESPONDENTS INDICATED THEY USE SUBSTANCES ON A TYPICAL DAY TO MAKE THEMSELVES FEEL BETTER. SUBSTANCE ABUSE BEHAVIORS OF STUDENTS IS A LEADING INDICATOR OF ADULT SUBSTANCE ABUSE IN LATER YEARS. BASED ON DATA FROM THE 2018 ILLINOIS YOUTH SURVEY, WINNEBAGO COUNTY IS AT OR ABOVE STATE AVERAGES FOR ILLEGAL SUBSTANCE USE AMONG 8TH GRADERS AND 12TH GRADERS. GOAL 1: IMPROVE COMMUNITY COMPLIANCE WITH PROPER DRUG DISPOSAL PROCESSES TO DECREASE THE AVAILABILITY OF PRESCRIPTION AND NON-PRESCRIPTION DRUGS UTILIZED FOR SUBSTANCE ABUSE. OUTCOME METRIC 1: INCREASE NUMBER OF POUNDS OF UNUSED MEDICATIONS THAT ARE DISPOSED OF IN THE DRUG TAKE BACK BOX AT SAMC BY 10%. BASELINE: SAMC COLLECTED 941 POUNDS OF MEDICATIONS IN THE ONE DRUG TAKE BACK BOX AT SAMC IN 2019. INCREASE MARKETING TO IMPROVE COMMUNITY AWARENESS AND UTILIZATION OF THE DRUG TAKE BACK PROGRAM. FY2020: DUE TO COVID-19 MARKETING CAMPAIGN NOT INITIATED COLLECTION OF MEDICATIONS DISPOSED IN THE DRUG TAKE BACK BOX. FY2020: 787 LBS. (DUE TO COVID THE FACILITY HAS HAD RESTRICTED ACCESS SINCE 03/2020 AND COLLECTION BOXES ARE INSIDE FACILITY. GOAL 2: IMPROVE COMMUNITY COMPLIANCE WITH PROPER DRUG DISPOSAL PROCESSES TO DECREASE THE AVAILABILITY OF PRESCRIPTION AND NON-PRESCRIPTION DRUGS UTILIZED FOR SUBSTANCE ABUSE. OUTCOME METRIC 2: INCREASE NUMBER OF POUNDS OF UNUSED MEDICATIONS THAT ARE DISPOSED OF IN THE DRUG TAKE BACK BOX AT SAMC BY 10%. BASELINE: SAMC COLLECTED 941 POUNDS OF MEDICATIONS IN THE ONE DRUG TAKE BACK BOX AT SAMC IN 2019. DECREASE # OF TABLETS ORDERED PER OPIOID PRESCRIPTION. ED PHYSICIANS. TRACK NUMBER OF TABLETS PER OPIOID PRESCRIPTION TO ESTABLISH BASELINE. DECREASE # OF TABLETS ORDERED PER PRESCRIPTION BY 10% OF BASELINE BY 2022. FY2020: BASELINE: 15 TABLETS/PRESCRIPTION. PROVIDE FREE ACCESS TO DIGITAL BEHAVIORAL HEALTH SOLUTION - SILVERCLOUD. FY2020: 176 PARTICIPANTS. PROVIDE FREE BEHAVIORAL HEALTH NAVIGATION SERVICE. FY2020: 125 PARTICIPANTS. GOAL 3: REDUCE THE NUMBER OF DEATHS IN WINNEBAGO COUNTY DUE TO SUICIDE OUTCOME METRIC 3: REDUCE THE NUMBER OF AGE-ADJUSTED DEATHS DUE TO SUICIDE TO 13 (PER 100,000) BASELINE: (PER CENTERS FOR DISEASE CONTROL AND PREVENTION 2015-2017) AGE-ADJUSTED DEATHS DUE TO SUICIDE WAS 13.5 (PER 100,000). ALL PATIENTS 12 YEARS OF AGE AND OLDER WHO ARE SEEN IN THE ED OR INPATIENT OR OUTPATIENT UNIT WHO ARE BEING EVALUATED OR TREATED FOR A BEHAVIORAL HEALTH CONDITION WILL BE SCREENED FOR SUICIDE RISK. 95% OF ED PATIENTS SCREENED FOR SUICIDE USING THE COLUMBIA SUICIDE SEVERITY RATING SCALE (C-SSRS). FY2020: CANCELLED DUE TO COVID. ALL PATIENTS WITH SCREENING RESULTING IN A MODERATE TO HIGH SCORE REQUIRE A PROVIDER ASSESSMENT. SUICIDE ASSESSMENT COMPLETED FOR 100% OF PATIENTS SCORING MODERATE OR HIGH RISK ON THE C-SSRS TOOL. FY2020: CANCELLED DUE TO COVID. *CONTRACTED SERVICES WITH ROSECRANCE TO PROVIDE EVALUATION AND REFERRALS OR PLACEMENT TO AT RISK ED PATIENTS. INCREASE REFERRALS OF AT RISK ED PATIENTS TO ROSECRANCE BY 1% ANNUALLY. FY2020: DETERMINED BASELINE OF 11. GOAL 4: USE SOCIAL DETERMINATES OF HEALTH (SDOH) TO IDENTIFY PATIENTS AT INCREASED RISK OF POOR MENTAL HEALTH AND CONNECT THEM TO COMMUNITY ORGANIZATIONS IN ORDER TO IMPROVE MENTAL HEALTH OUTCOMES.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - SAINT ANTHONY MEDICAL CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - SAINT ANTHONY MEDICAL CENTER. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. IN ADDITION, ENROLLMENT IN ANY ONE OF THE FOLLOWING PROGRAMS WITH CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY INCOME GUIDELINES ESTABLISHES ELIGIBILITY FOR PRESUMPTIVE CHARITY: WIC; SNAP; LIHEAP, IL FREE LUNCH AND BREAKFAST PROGRAM; RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES; OR ENROLLMENT IN AN ORGANIZED COMMUNITY BASED PROGRAM PROVIDING ACCESS TO MEDICAL CARE THAT ASSESSES AND DOCUMENTS LIMITED LOW INCOME FINANCIAL STATUS AS CRITERION FOR MEMBERSHIP.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - SAINT ANTHONY MEDICAL CENTER. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY. A NEW FINANCIAL ASSISTANCE POLICY CAME OUT NOVEMBER 2020 AFTER FISCAL YEAR END. USE THE LINKS ASSOCIATED WITH THIS RETURN TO FIND FINANCIAL ASSISTANCE POLICY EFFECTIVE FOR FY2020.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - SAINT ANTHONY MEDICAL CENTER. A PLAIN LANGUAGE SUMMARY OF THE FAP IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS, INFORMATION ABOUT FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS IS INCLUDED ON OR WITH THE OSF PATIENT BILLING STATEMENT, AND OSF PROVIDES COPIES OF THE PLAIN LANGUAGE SUMMARY AND THE FAP APPLICATION FORM TO REFERRING STAFF PHYSICIANS.
Schedule H, Part V, Section B, Line 3E	The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ST JOSEPH MEDICAL CENTER. OSF HEALTHCARE CENTER d/b/a ST. JOSEPH MEDICAL CENTER, ADVOCATE BROMENN MEDICAL CENTER, THE McLEAN COUNTY HEALTH DEPARTMENT, AND UNITED WAY OF McLEAN COUNTY, WITH THE GUIDANCE OF THE McLEAN COUNTY COMMUNITY HEALTH COUNCIL, COLLABORATED TOGETHER FOR THE FIRST TIME TO CONDUCT THE 2019 McLEAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT LED TO THE DEVELOPMENT OF THE McLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN. THE PURPOSE OF THE McLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN IS TO IMPROVE THE HEALTH OF McLEAN COUNTY RESIDENTS BY DEVELOPING AND MAINTAINING PARTNERSHIPS TO IMPLEMENT INTERVENTIONS, ENCOURAGE HEALTH AND HEALTHCARE ACCESS AWARENESS, AND PROMOTE HEALTHY LIFESTYLE CHOICES THAT CAN IMPROVE HEALTH AND REDUCE THE RISK OF DEATH AND DISABILITY. FOR THE 2019 CHNA, THE COLLABORATIVE SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) McLEAN COUNTY HEALTH DEPARTMENT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT SOCIAL SERVICE ORGANIZATIONS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 & 2016 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED THROUGH THE FORMATION OF THE McLEAN COUNTY COMMUNITY HEALTH COUNSEL. THIS COLLABORATIVE TEAM WAS CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2019 CHNA AND TO IMPROVE POPULATION HEALTH. THE McLEAN COUNTY COMMUNITY HEALTH COUNSEL INCLUDED 7 REPRESENTATIVES FROM THE McLEAN COUNTY HEALTH DEPARTMENT; CONSUMER ADVOCATES; REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS INCLUDING UNITED WAY OF McLEAN COUNTY, ECONOMIC DEVELOPMENT COUNSEL, MARCFIRST SPICE SERVING DEVELOPMENTAL DISABILITIES/EARLY CHILDHOOD, AND THE McLEAN COUNTY CENTER FOR HUMAN SERVICES; LOCAL GOVERNMENT OFFICIALS; REPRESENTATIVES FROM McLEAN COUNTY AND BLOOMINGTON SCHOOL DISTRICTS AS WELL AS A REPRESENTATIVE FROM THE REGIONAL OFFICE OF EDUCTION AND FROM THE IL STATE UNIVERSITY SCHOOL OF SOCIAL WORK; AND HEALTH CARE PROVIDERS INCLUDING A COMMUNITY HEALTH CARE CLINIC, IMMANUEL HEALTH CENTER AND A FEDERALLY QUALIFIED HEALTH CENTER. MEMBERS OF THE McLEAN COUNTY COMMUNITY HEALTH COUNCIL IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED ON THE 2019 CHNA.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - ST JOSEPH MEDICAL CENTER. THE CHNA THAT WAS CONDUCTED IN 2019 WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS ON JULY 29, 2019: THE MCLEAN COUNTY CHNA WAS A COLLABORATIVE UNDERTAKING BY ST. JOSEPH MEDICAL CENTER AND BROMENN MEDICAL CENTER.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - ST JOSEPH MEDICAL CENTER. THE MCLEAN COUNTY CHNA WAS A COLLABORATIVE UNDERTAKING CONDUCTED WITH ORGANIZATIONS OTHER THAN HOSPITALS: MCLEAN COUNTY HEALTH DEPARTMENT AND THE UNITED WAY OF MCLEAN COUNTY.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ST JOSEPH MEDICAL CENTER. OSF ST. JOSEPH MEDICAL CENTER ("SJMC") COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2019 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. THE FORMATION OF THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL IN APRIL 2015 MARKED AN IMPORTANT MILESTONE FOR COMMUNITY HEALTH IN MCLEAN COUNTY. PRIOR TO THIS COLLABORATIVE ASSESSMENT, THE TWO HOSPITALS IN MCLEAN COUNTY AND THE MCLEAN COUNTY HEALTH DEPARTMENT EACH CONDUCTED THEIR OWN COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH RESULTED IN THREE COMMUNITY HEALTH PLANS FOR THE COUNTY. DURING THE SAME TIME, UNITED WAY OF MCLEAN COUNTY CONDUCTED A BROAD-BASED COMMUNITY NEEDS ASSESSMENT (CHNA). AS A RESULT OF THE COLLABORATION, THE FOUR ORGANIZATIONS LISTED ABOVE DEVELOPED THE JOINT 2016 MCLEAN COUNTY CHNA REPORT AND JOINT MCLEAN COUNTY 2017 - 2019 COMMUNITY HEALTH IMPROVEMENT PLAN. FOR THE 2019 MCLEAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, CHESTNUT HEALTH SYSTEMS JOINED AS A COLLABORATIVE PARTNER IN PLACE OF UNITED WAY FOR THIS JOINT REPORT. CHESTNUT HEALTH SYSTEMS, LIKE THE HOSPITALS, IS REQUIRED BY FEDERAL GUIDELINES TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. UNITED WAY IS NOT REQUIRED TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT; HOWEVER, UNITED WAY REMAINED ON THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL FOR THE 2019 ASSESSMENT. THE FOLLOWING THREE SIGNIFICANT HEALTH NEEDS WERE SELECTED BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL TO BE ADDRESSED IN THE 2020-2022 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN: * ACCESS TO APPROPRIATE CARE * BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE) * HEALTHY EATING/ACTIVE LIVING SJMC, THROUGH WORK ON THE COMMUNITY HEALTH COUNCIL AND SUBCOMMITTEES, COLLABORATED WITH A NUMBER OF LOCAL ORGANIZATIONS TO ADVANCE THE INTERVENTION STRATEGIES IDENTIFIED IN THE IMPROVEMENT PLAN. NOTABLE CONTRIBUTIONS BY SJMC TO COMMUNITY INITIATIVES ARE LISTED BELOW. ACCESS TO APPROPRIATE HEALTHCARE ACCESS TO APPROPRIATE CARE FOR THE UNDERSERVED AND AREAS OF HIGH SOCIOECONOMIC NEED WAS SELECTED AS A HEALTH PRIORITY BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL NOT ONLY BECAUSE OF ITS HIGH PRIORITY SCORE (158.6) DERIVED FROM THE HANLON METHOD, BUT FOR SEVERAL OTHER REASONS. ACCESS TO APPROPRIATE CARE IS AN IMPORTANT ISSUE THAT AFFECTS MANY HEALTH OUTCOMES. GOAL: ENSURE APPROPRIATE ACCESS TO CARE TO IMPROVE THE HEALTH AND WELL-BEING OF OUR RESIDENTS, NEIGHBORHOODS AND COUNTY BY 2023. TACTICS AND PROGRESS: NUMBER OF PATIENTS SERVED THROUGH THE COMMUNITY HEALTH CARE CLINIC'S COORDINATING APPROPRIATE ACCESS TO COMPREHENSIVE CARE (CAATCH) PROGRAM, A PARTNERSHIP WITH SJMC. FY2020 PROGRESS: 353 PATIENTS SERVED THROUGH THE CHCC CATCH PROGRAM NUMBER OF HOSPITAL READMISSION PATIENTS THROUGH THE CHCC'S CAATCH PROGRAM. FY2020 PROGRESS: ZERO HOSPITAL READMISSION RATES. BEHAVIORAL HEALTH THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL FOR SEVERAL REASONS SELECTED BEHAVIORAL HEALTH AS A HEALTH PRIORITY. BEHAVIORAL HEALTH RECEIVED THE HIGHEST PRIORITY SCORE (175.7) FROM THE HANLON METHOD, CLEARLY INDICATING THE NEED FOR FURTHER IMPROVEMENTS IN THIS AREA IN MCLEAN COUNTY. GOAL 1: ADVANCE A SYSTEMIC COMMUNITY APPROACH TO ENHANCE BEHAVIORAL HEALTH AND WELL-BEING BY 2023. TACTICS AND PROGRESS: * NUMBER OF MENTAL HEALTH FIRST AID COURSES SPONSORED BY OSF ST. JOSEPH MEDICAL CENTER. FY2020 PROGRESS: HOSTED TWO COURSES FOR COMMUNITY MEMBERS NUMBER OF MCLEAN COUNTY COMMUNITY MEMBERS TRAINED IN MEDICAL HEALTH FIRST AID PER YEAR. FY2020 PROGRESS: 14 COMMUNITY MEMBERS TRAINED AT EVENTS HOSTED AT SJMC (131 TOTAL TRAINED IN MCLEAN COUNTY) CONVENED A BEHAVIORAL HEALTH FORUM IN PARTNERSHIP WITH OTHER COMMUNITY AGENCIES. FY2020 PROGRESS: 117 PEOPLE ATTENDED. BI-MONTHLY SOCIAL MEDIA MESSAGES WILL BE POSTED WITH COLLABORATING AGENCIES BEING TAGGED TO SHARE THE SAME MESSAGE. FY2020 PROGRESS: 37,287 PERSONS WERE REACHED THROUGH FACEBOOK CONDUCTED A BEHAVIORAL HEALTH GAP IN SERVICES ASSESSMENT TO DETERMINE CURRENT STRENGTHS, NEEDS AND SERVICE GAPS IN MCLEAN COUNTY, SPECIFICALLY RELATED TO MENTAL HEALTH AND SUBSTANCE USE SERVICES. FY2020 PROGRESS: 253 PARTICIPANTS COMPLETED THE SURVEY. GOAL 2: USE SOCIAL DETERMINATES OF HEALTH (SDOH) TO IDENTIFY PATIENTS AT INCREASED RISK OF POOR MENTAL HEALTH AND CONNECT THEM TO COMMUNITY ORGANIZATIONS IN ORDER TO IMPROVE MENTAL HEALTH OUTCOMES. OUTCOME MEASURE 2: DECREASE THE PERCENTAGE OF RESPONDENTS STATING THEY HAVE POOR OVERALL MENTAL HEALTH BY 1%. BASELINE: PER THE 2019 CHNA SURVEY, 8% OF RESPONDENTS STATED THEY HAVE POOR OVERALL MENTAL HEALTH. NOT HAVING BASIC HUMAN NEEDS IS LIKELY LINKED TO POOR MENTAL HEALTH. IF A SURVEY RESPONDENT DOES NOT HAVE HOUSING, FOOD, TRANSPORTATION (ETC.), THEIR OVERALL STATE OF MENTAL HEALTH WOULD LIKELY BE RATED LOWER. IMPLEMENT SCREENING OF PATIENTS FOR SDOH. SCREEN AND CONNECT. NUMBER OF PATIENTS SCREENED. FY2020 PROGRESS: 5283 SCREENED. TRACK NUMBER OF PATIENTS REFERRED TO COMMUNITY BASED ORGANIZATIONS (CBO). FY2020 PROGRESS: 543 REFERRED TRACK NUMBER OF MISSION PARTNERS EDUCATED FOR CONTINUED ROLL-OUT. FY2020 PROGRESS: 124 TRACK NUMBER OF PATIENT REFERRALS TO OSF CARE MANAGEMENT AND SOCIAL WORKERS. FY2020 PROGRESS: 200 HEALTHY BEHAVIORS THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL SELECTED OBESITY AS ONE OF THE THREE TOP HEALTH PRIORITIES BECAUSE IT RANKED AS NUMBER THREE ACCORDING TO ITS PRIORITY SCORE OF 153.8 FROM THE HANLON METHOD. ADDITIONALLY, THE COUNCIL FELT THAT BY IMPROVING OBESITY, MANY OTHER HEALTH OUTCOMES SUCH AS HEART DISEASE, CANCER AND DIABETES MIGHT ALSO BE POSITIVELY IMPACTED. IT WAS ALSO SELECTED BECAUSE OBESITY IS A WIDESPREAD ISSUE AFFECTING MANY PEOPLE ACROSS ALL SOCIAL AND ECONOMIC SECTORS. THERE ARE ALSO MANY SIGNIFICANT COMMUNITY EFFORTS UNDERWAY RELATED TO OBESITY THROUGH THE MCLEAN COUNTY WELLNESS COALITION. THE HEALTH DEPARTMENT AND BOTH HOSPITALS ARE PART OF THE MCLEAN COUNTY WELLNESS COALITION, AS ARE 28 OTHER COMMUNITY ORGANIZATIONS IN MCLEAN COUNTY. THE MCLEAN COUNTY WELLNESS COALITION IS THE PRIMARY GROUP WORKING ON THE INTERVENTIONS OUTLINED IN THE 2017 - 2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN. GOAL: PROMOTE HEALTHY EATING AND ACTIVE LIVING TO STRENGTHEN THE HEALTH AND WELL-BEING OF OUR COMMUNITY BY 2023. SOCIAL DETERMINANTS OF HEALTH AREAS OF FOCUS: FOOD INSECURITY, WORKFORCE DEVELOPMENT TACTICS AND PROGRESS: TRACK NUMBER OF FREE PROGRAMS THAT EDUCATE ON WAYS TO EAT HEALTHY. FY2020 PROGRESS: 33 FREE PROGRAMS OFFERED. 717 PEOPLE PARTICIPATED. 25 FREE APPS WERE PROMOTED PROMOTE HEALTHY EATING ACCESS. FY2020 PROGRESS: 1807 PEOPLE RECEIVED SMARTMEALS COMMUNITY VEGETABLE GARDENS. FY2020 PROGRESS: 735 POUNDS OF PRODUCE WAS DONATED TO HOME SWEET HOME MINISTRIES, SUMMER 2020. NUMBER OF PEOPLE PARTICIPATING IN PROGRAMS PROMOTING PHYSICAL ACTIVITY. FY2020 PROGRESS: 202 PEOPLE PARTICIPATED IN 26 OF THE PROGRAMS OFFERED *PROMOTE THE 5-2-1-0 CAMPAIGN.FY2020 PROGRESS: 350 CHILDREN AND FAMILIES
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - ST JOSEPH MEDICAL CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - ST JOSEPH MEDICAL CENTER. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. IN ADDITION, ENROLLMENT IN ANY ONE OF THE FOLLOWING PROGRAMS WITH CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY INCOME GUIDELINES ESTABLISHES ELIGIBILITY FOR PRESUMPTIVE CHARITY: WIC; SNAP; LIHEAP, IL FREE LUNCH AND BREAKFAST PROGRAM; RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES; OR ENROLLMENT IN AN ORGANIZED COMMUNITY BASED PROGRAM PROVIDING ACCESS TO MEDICAL CARE THAT ASSESSES AND DOCUMENTS LIMITED LOW INCOME FINANCIAL STATUS AS CRITERION FOR MEMBERSHIP.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - ST.JOSEPH MEDICAL CENTER. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY. A NEW FINANCIAL ASSISTANCE POLICY CAME OUT NOVEMBER 2020 AFTER FISCAL YEAR END. USE THE LINKS ASSOCIATED WITH THIS RETURN TO FIND FINANCIAL ASSISTANCE POLICY EFFECTIVE FOR FY2020.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - ST JOSEPH MEDICAL CENTER. A PLAIN LANGAGE SUMMARY OF THE FAP IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS, INFORMATION ABOUT FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS IS INCLUDED ON OR WITH THE OSF PATIENT BILLING STATEMENT, AND OSF PROVIDES COPIES OF THE PLAIN LANGUAGE SUMMARY AND THE FAP APPLICATION FORM TO REFERRING STAFF PHYSICIANS.
Schedule H, Part V, Section B, Line 3E	The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See facility CHNA for further information.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - OSF HEART OF MARY MEDICAL CENTER. THE ORGANIZATION COMMENCED OPERATING THE HOSPITAL ON FEBRUARY 1, 2018. PURSUANT TO §1.501(R)-3(D), THE ORGANIZATION HAS SATISFIED THE REQUIREMENTS OF §501(R)-3 GOVERNING COMMUNITY HEALTH NEEDS ASSESSMENTS WITH RESPECT TO THE HOSPITAL BY SEPTEMBER 30, 2020, WHICH WAS THE LAST DAY OF THE ORGANIZATION'S SECOND TAXABLE YEAR BEGINNING AFTER THE DATE ON WHICH THE HOSPITAL FACILITY WAS ACQUIRED. THE ORGANIZATION ADOPTED IMPLEMENTATION STRATEGIES RELATED TO THIS COMMUNITY HEALTH NEEDS ASSESSMENT ON JANUARY 25, 2021.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - OSF HEART OF MARY MEDICAL CENTER. THE ORGANIZATION COMMENCED OPERATING THE HOSPITAL ON FEBRUARY 1, 2018. PURSUANT TO §1.501(R)-3(D), THE ORGANIZATION HAS SATISFIED THE REQUIREMENTS OF §501(R)-3 GOVERNING COMMUNITY HEALTH NEEDS ASSESSMENTS WITH RESPECT TO THE HOSPITAL BY SEPTEMBER 30, 2020, WHICH WAS THE LAST DAY OF THE ORGANIZATION'S SECOND TAXABLE YEAR BEGINNING AFTER THE DATE ON WHICH THE HOSPITAL FACILITY WAS ACQUIRED. THE ORGANIZATION ADOPTED IMPLEMENTATION STRATEGIES RELATED TO THIS COMMUNITY HEALTH NEEDS ASSESSMENT ON JANUARY 25, 2021. FOR THE 2019 CHNA, OSF HEART OF MARY MEDICAL CENTER SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) PUBLIC HEALTH ADMINISTRATORS FROM THE URBANA COUNTY HEALTH DEPARTMENT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE PRIOR CHNA's ARE MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM A COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2019 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES, REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, INCLUDING CARL HEALTHCARE SYSTEM. MEMBERS OF THE COLLABORATIVE TEAM BY NAME, AFFILIATIONS, TITLE AND EXPERTISE ARE LISTED IN APPENDIX 1 TO THE 2019 CHNA.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - OSF HEART OF MARY MEDICAL CENTER. OSF HEART OF MARY MEDICAL CENTER LOCATED IN CHAMPAIGN COUNTY, ILLINOIS, PARTNERED WITH CARLE FOUNDATION HOSPITAL TO CONDUCT AND DOCUMENT ITS COMMUNITY HEALTH NEEDS ASSESSMENT.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - OSF HEART OF MARY MEDICAL CENTER. OSF HEART OF MARY MEDICAL CENTER LOCATED IN CHAMPAIGN COUNTY, ILLINOIS, PARTNERED WITH THE CHAMPAIGN-URBANA PUBLIC HEALTH DISTRICT AND UNITED WAY OF CHAMPAIGN COUNTY TO CONDUCT AND DOCUMENT ITS COMMUNITY HEALTH NEEDS ASSESSMENT.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - OSF HEART OF MARY MEDICAL CENTER. THE CHAMPAIGN COUNTY COMMUNITY HEALTH-NEEDS ASSESSMENT (CHNA) IS A COLLABORATIVE UNDERTAKING BY OSF HEART OF MARY MEDICAL CENTER, CARLE HOSPITAL, CHAMPAIGN-URBANA PUBLIC HEALTH DISTRICT, AND UNITED WAY OF CHAMPAIGN COUNTY TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN CHAMPAIGN COUNTY. THESE ORGANIZATIONS' SHARED VISION IS THAT CHAMPAIGN COUNTY WILL BE THE HEALTHIEST, SAFEST, AND MOST ENVIRONMENTALLY SUSTAINABLE COMMUNITY TO LIVE, WORK, AND VISIT IN THE STATE OF ILLINOIS. THROUGH THIS NEEDS ASSESSMENT, COLLABORATIVE COMMUNITY PARTNERS HAVE IDENTIFIED NUMEROUS HEALTH ISSUES INFLUENCING INDIVIDUALS AND FAMILIES IN THE CHAMPAIGN COUNTY REGION. THE COLLABORATIVE TEAM IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS AND PRIORITIZED ALL TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. * BEHAVIORAL HEALTH * HEALTHY BEHAVIORS & OBESITY * VIOLENCE BEHAVIORAL HEALTH MENTAL HEALTH: ACCORDING TO COUNTY HEALTH RANKINGS, THE RATIO OF MENTAL HEALTH PROVIDERS PER 100,000 HAS IMPROVED DRASTICALLY OVER THE PAST EIGHT YEARS, MOVING FROM 2055:1 IN 2010 TO 420:1 IN 2019. SUBSTANCE ABUSE: ALCOHOL AND DRUGS IMPAIR DECISION-MAKING, OFTEN LEADING TO ADVERSE CONSEQUENCES AND OUTCOMES. LONG-TERM COMMUNITY HEALTH IMPROVEMENT PLAN GOALS: * PROMOTE COMMUNITY AWARENESS ABOUT BEHAVIORAL HEALTH AND ENCOURAGE PARTICIPATION IN DATA COLLECTION TO SUPPORT PREVENTION PROGRAMS. * IMPLEMENT EARLY INTERVENTION AND ASSESSMENT PRACTICES TO REDUCE THE IMPACT OF MENTAL AND SUBSTANCE USE DISORDERS. * EXPAND CURRENT AVAILABLE TREATMENT AND DEVELOP NEW TREATMENT SERVICES. TACTICS AND PROGRESS FOR FY2020: COMMUNITY RESOURCE CENTER: PROVIDES REFERRAL AND SUPPORT SERVICES TO CLIENTS & HELPS CONNECT THEM TO AN ARRAY OF SOCIAL SERVICES AVAILABLE IN THE COMMUNITY. FY2020: COMMUNITY RESOURCE CENTER: NAVIGATOR PATIENT/PARTICIPANT CONTACTS: 4,623 AND UNIQUE CLIENTS: 1,483. CRISIS NURSERY: INCREASE PARENTAL KNOWLEDGE TO REDUCE CHILD ABUSE IN CHAMPAIGN COUNTY AND PROVIDE A SAFE HAVEN FOR CHILDREN IN CRISIS. FY2020: TOTAL ADMISSIONS: 2,327 AND UNDUPLICATED (WITHIN THE FISCAL YEAR) CHILDREN SERVED: 207. FAITH IN ACTION: ASSIST CHAMPAIGN COUNTY SENIORS 55+ YEARS OLD WITH MAINTAINING THEIR INDEPENDENT LIFESTYLE TO REDUCE THE NEED OF NURSING HOME PLACEMENT AND PROVIDE SUPPORT FROM THE COMMUNITY, WHICH WOULD ALLOW THEM TO REMAIN SAFELY IN THEIR HOME. SERVES TO ADDRESS THE PHYSICAL, SOCIAL, MENTAL, AND SPIRITUAL DIMENSIONS OF HEALTHY LIVING. FY2020: NUMBER OF TRANSPORTATION TO MEDICAL APPOINTMENTS, SHOPPING, & OTHER IMPORTANT ERRANDS: 368; HOME VISITS, PHONE VISITS, CARDS & NOTES: 404; CHORES/ERRANDS: 18; GARDEN SHARE, CHRISTMAS BAG DELIVERIES, PROJECTS: 407; OFFICE VOLUNTEER SERVICES, VOLUNTEER COORDINATORS, & ADVISORY COMMITTEE: 413.75 HOURS; INTAKE ASSESSMENTS FOR NEW CARE RECEIVERS: 26; FINANCIAL ASSISTANCE: 14; NEW VOLUNTEERS: 5. CENTRAL ILLINOIS COMMUNITY HEALTH NETWORK DATABASE. FY2020: NUMBER OF PARTICIPATING ORGANIZATIONS: 104 SILVER CLOUD. FY2020: SILVERCLOUD USERS TO COMPLETE THE ONLINE PROGRAM (CHAMPAIGN & VERMILION COUNTIES COMBINED): 363. DRUG TAKE BACK PROGRAM. FY2020: EXCHANGE OF BIN COMPLETED 30 TIMES. HEALTHY BEHAVIORS AND OBESITY ACTIVE LIVING. A HEALTHY LIFESTYLE, COMPRISED OF REGULAR PHYSICAL ACTIVITY AND A BALANCED DIET, HAS BEEN SHOWN TO INCREASE PHYSICAL, MENTAL, AND EMOTIONAL WELL-BEING. HEALTHY EATING. ONLY 34.10% OF CHAMPAIGN COUNTY RESIDENTS REPORTED EATING FIVE OR MORE SERVINGS OF FRUITS OR VEGETABLES A DAY 4 DAYS A WEEK OR MORE. OBESITY. IN CHAMPAIGN COUNTY, 73% OF ADULTS AND 41% OF KIDS HAVE BEEN DIAGNOSED WITH OBESITY AND BEING OVERWEIGHT. LONG-TERM COMMUNITY HEALTH IMPROVEMENT PLAN GOALS: BY 2020, REDUCE BY 1% THE PROPORTION OF ADULTS IN CHAMPAIGN COUNTY WHO REPORT FITTING THE CRITERIA FOR OBESITY. BY 2020, INCREASE BY 1% THE PROPORTION OF ADOLESCENTS WHO REPORT BEING AT A HEALTHY WEIGHT. BY 2020, INCREASE THE FOOD ENVIRONMENT INDEX BY 1. GOALS: BRING TOGETHER COMMUNITY ORGANIZATIONS PROVIDING EDUCATION, INCREASING AWARENESS, AND ENGAGING IN HEALTH NUTRITION INCLUDING EXERCISE DECISIONS IN ORDER TO BENEFIT COMMUNITY MEMBERS IN THEIR EVERYDAY LIFE AND OVERALL HEALTH. INCREASE KNOWLEDGE, AWARENESS, AND ENGAGEMENT IN HEALTHY BEHAVIORS IN ORDER TO IMPROVE CHAMPAIGN COUNTY RESIDENTS' OVERALL HEALTH. COMMUNITY RESOURCE CENTER: PROVIDES REFERRAL AND SUPPORT SERVICES TO CLIENTS & HELPS CONNECT THEM TO AN ARRAY OF SOCIAL SERVICES AVAILABLE IN THE COMMUNITY. FY2020: COMMUNITY RESOURCE CENTER: NAVIGATOR PATIENT/PARTICIPANT CONTACTS: 4,623; UNIQUE CLIENTS: 1,483. CARDIOPULMONARY REHABILITATION (COMMUNITY FITNESS, PARKINSON'S SUPPORT GROUP CARDIAC REHAB EXERCISE). FY2020: PERSONS SERVED: 100 INDIVIDUALS; TOTAL VISITS: 3,076; PARKINSON'S SUPPORT GROUP: TOTAL STAFF HOURS: 23; TOTAL PERSONS SERVED (DUPLICATED): 540. DRUG TAKE BACK PROGRAM. FY2020: EXCHANGE OF BIN COMPLETED 30 TIMES. PHARMACY MANAGER AND BUY/PHARMACIST COMPLETED. CENTRAL ILLINOIS COMMUNITY HEALTH NETWORK DATABASE: CASE MGMT. PLATFORM THAT EXTENDS HEALTH SYSTEM & HEALTH PLAN NETWORKS TO INCLUDE COMMUNITY-BASED ORGANIZATIONS TO ADDRESS HEALTH RELATED SOCIAL NEEDS. FY2020: NUMBER OF PARTICIPATING ORGANIZATIONS: 104; NUMBER OF LOGINS: 2,703; NUMBER OF BULLETINS/COMMENTS POSTED: 33. SMILEHEALTHY MOBILE DENTAL CLINICS. FY2020: TOTAL PATIENTS SEEN: 13 AND NUMBER OF TREATMENTS RENDERED: 45. PEDIATRIC RESTORATIVE OUTPATIENT SURGERY (PROPS): IN PARTNERSHIP WITH PROMISE HEALTHCARE. DENTIST PROVIDES COMPREHENSIVE TREATMENT UNDER GENERAL ANESTHESIA IN A HOSPITAL SETTING. FY2020: TOTAL CASES: 19 KIDS EVENTS TO PROMOTE HEALTHY BEHAVIORS: HEALTH LIVES 4 KIDS (HL4K) DAY IN CONJUNCTION WITH CHILDREN'S HOSPITAL OF ILLINOIS AND EMS CHILDREN'S DAY. FY2020: NO EVENTS HELD DUE TO COVID. CHEST PAIN ACCREDITATION OUTREACH EDUCATION INITIATIVES. FY2020: CHEST PAIN ACCREDITATION: PARTICIPATED IN 5 OUTREACH EVENTS TO SERVE 87 PEOPLE. HEALTH SCREENINGS WERE OFFERED AT EACH EVENT. HEALTH SCREENINGS INCLUDE BLOOD PRESSURES, SPIROMETRY, FINGER STICK CHOLESTEROL TESTS, ETC. BLOOD DRIVE. FY2020: UNITS OF BLOOD DONATED: 129 SMARTMEALS: SHARING CHRIST'S LOVE THROUGH FOOD (FOOD INSECURITY PROGRAM). FY2020: DISTRIBUTED 150 MEALS. VIOLENCE - ACCORDING TO 2019 COUNTY HEALTH RANKINGS, THE VIOLENT CRIME RATE (THE NUMBER OF REPORTED VIOLENT CRIME OFFENSES PER 100,000 POPULATIONS, IS 487, WHICH IS SUBSTANTIALLY HIGHER THAN THE STATE OF ILLINOIS RATE OF 403. THERE WAS A SPIKE IN 2014, WITH 11 MURDERS IN CHAMPAIGN COUNTY. IN THE COMMUNITY HEALTH SURVEY, 330 RESPONDENTS MARKED GUN VIOLENCE, MAKING IT THE THIRD HIGHEST RANKED CONCERN. 285 REPORTED DOMESTIC VIOLENCE AND 278 REPORTED CHILD ABUSE AND NEGLECT, MAKING THEM THE 5TH & 7TH HIGHEST RANKED HEALTH CONCERNS. LONG-TERM COMMUNITY HEALTH IMPROVEMENT PLAN GOALS: DECREASE CHILD ABUSE AND NEGLECT, GUN VIOLENCE, AND DOMESTIC VIOLENCE IN THE COMMUNITY BY INCREASING COMMUNITY ENGAGEMENT, FOSTERING BETTER RELATIONSHIPS BETWEEN LAW ENFORCEMENT AND CITIZENS, AND IMPLEMENTING ANTI-VIOLENCE INITIATIVES. COMMUNITY RESOURCE CENTER: PROVIDES REFERRAL AND SUPPORT SERVICES TO CLIENTS & HELPS CONNECT THEM TO AN ARRAY OF SOCIAL SERVICES AVAILABLE IN THE COMMUNITY. FY2020: NAVIGATOR PATIENT/PARTICIPANT CONTACTS: 4,623 AND UNIQUE CLIENTS: 1,483. CRISIS NURSERY: INCREASE PARENTAL KNOWLEDGE TO REDUCE CHILD ABUSE IN CHAMPAIGN COUNTY AND PROVIDE A SAFE HAVEN FOR CHILDREN IN CRISIS. FY2020: TOTAL ADMISSIONS: 2,327 AND UNDUPLICATED (WITHIN THE FISCAL YEAR) CHILDREN SERVED: 207. DRUG TAKE BACK PROGRAM. FY2020: EXCHANGE OF BIN COMPLETED 30 TIMES. *CENTRAL ILLINOIS COMMUNITY HEALTH NETWORK DATABASE: CASE MANAGEMENT PLATFORM THAT EXTENDS HEALTH SYSTEM & HEALTH PLAN NETWORKS TO INCLUDE COMMUNITY-BASED ORGANIZATIONS TO ADDRESS HEALTH RELATED SOCIAL NEEDS. FY2020: NUMBER OF PARTICIPATING ORGANIZATIONS: 104; NUMBER OF LOGINS: 2,703 AND NUMBER OF BULLETINS/COMMENTS POSTED: 33.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - OSF Heart of Mary Medical Center. Catastrophic Financial Assistance is available when charges exceed 25% of annual Family Income. The amount billed is adjusted to 25% of Family Income when OSF determines this adjustment is the most generous assistance.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - OSF Heart of Mary Medical Center. Presumptive Financial Assistance is available and provides for a discount of 100% of billed charges for medically necessary services provided to a patient with no insurance benefits, when the patient establishes financial need at time of registration by satisfying one of the following categories of Presumptive Eligibility Criteria: Homelessness; Deceased with no Estate; Mental Incapacitation with no one to act on the patient's behalf; and current Medicaid eligibility, but not on date of service or for non-covered service. In addition, enrollment in any one of the following programs with criteria at or below 200% of the Federal Poverty Income Guidelines establishes eligibility for presumptive Charity: WIC; SNAP; LIHEAP; IL Free Lunch and Breakfast Program; receipt of Grant Assistance for medical services; or enrollment in an organized community-based program providing access to medical care that assesses and documents limited low-income financial status as criterion for membership.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - OSF Heart of Mary Medical Center. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY. A NEW FINANCIAL ASSISTANCE POLICY CAME OUT NOVEMBER 2020 AFTER FISCAL YEAR END. USE THE LINKS ASSOCIATED WITH THIS RETURN TO FIND FINANCIAL ASSISTANCE POLICY EFFECTIVE FOR FY2020.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - OSF Heart of Mary Medical Center. A Plain Language Summary of the FAP is offered to patients as part of the intake or discharge process, information about financial assistance and the application process is included on or with the OSF Patient Billing Statement, and OSF provides copies of the Plain Language Summary and the FAP Application Form to referring staff physicians
Schedule H, Part V, Section B, Line 3E	The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See facility CHNA for further information.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - OSF Sacred Heart Medical Center. THE ORGANIZATION COMMENCED OPERATING THE HOSPITAL ON FEBRUARY 1, 2018. PURSUANT TO §1.501(R)-3(D), THE ORGANIZATION HAS SATISFIED THE REQUIREMENTS OF §501(R)-3 GOVERNING COMMUNITY HEALTH NEEDS ASSESSMENTS WITH RESPECT TO THE HOSPITAL BY SEPTEMBER 30, 2020, WHICH WAS THE LAST DAY OF THE ORGANIZATION'S SECOND TAXABLE YEAR BEGINNING AFTER THE DATE ON WHICH THE HOSPITAL FACILITY WAS ACQUIRED. THE ORGANIZATION ADOPTED IMPLEMENTATION STRATEGIES RELATED TO THIS COMMUNITY HEALTH NEEDS ASSESSMENT ON JANUARY 25, 2021.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - OSF Sacred Heart Medical Center. FOR THE 2019 CHNA, OSF HEART OF MARY MEDICAL CENTER SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) PUBLIC HEALTH ADMINISTRATORS FROM THE URBANA COUNTY HEALTH DEPARTMENT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE PRIOR CHNA's ARE MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM A COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2019 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES, REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, INCLUDING CARL HEALTHCARE SYSTEM. MEMBERS OF THE COLLABORATIVE TEAM BY NAME, AFFILIATIONS, TITLE AND EXPERTISE ARE LISTED IN APPENDIX 1 TO THE 2019 CHNA.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - OSF Sacred Heart Medical Center. OSF Sacred Heart Medical Center located in Vermillion County, Illinois, partnered with Carle Hoopeston Regional Health Center to conduct and document its Community Health Needs Assessment.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - OSF Sacred Heart Medical Center. OSF Sacred Heart Medical Center located in Vermillion County, Illinois, partnered with Carle Hoopeston Regional Health Center to conduct and document its Community Health Needs Assessment.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - OSF Sacred Heart Medical Center. THE VERMILION COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS A COLLABORATIVE UNDERTAKING BY OSF SACRED HEART MEDICAL CENTER, CARLE HOOPESTON REGIONAL HEALTH CENTER, VERMILION COUNTY HEALTH DEPARTMENT, AND UNITED WAY OF DANVILLE AREA, INC. VERMILION COUNTY BROUGHT TOGETHER THE CONCERNS OF THE COMMUNITY AND COMMUNITY PARTNERS TO IDENTIFY COMMUNITY ISSUES CRITICAL IN DEVELOPING A COMMUNITY HEALTH PLAN. THE COLLABORATIVE TEAM IDENTIFIED FOUR SIGNIFICANT HEALTH NEEDS. OSF SACRED HEART MEDICAL CENTER PRIORITIZED THREE TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. * SUBSTANCE ABUSE / ALCOHOL PREVENTION * MENTAL HEALTH * OBESITY SUBSTANCE / DRUG ABUSE PREVENTION - ALCOHOL AND DRUGS IMPAIR DECISION-MAKING, OFTEN LEADING TO ADVERSE CONSEQUENCES AND OUTCOMES. VERMILION COUNTY'S COLLABORATIVE PRIORITY IS TO PLAN AND IMPLEMENT STRATEGIES THAT PREVENT AND REDUCE SUBSTANCE ABUSE AND ITS ASSOCIATED CONSEQUENCES AMONG YOUTH AND ADULTS THROUGH COMMUNITY AND COUNTYWIDE COMBINED EFFORTS. LONG-TERM COMMUNITY HEALTH IMPROVEMENT PLAN GOALS: BY 2022, INCREASE BY 3% THE PROPORTION OF 10TH AND 12TH GRADERS NEVER USING ANY SUBSTANCES. BY 2022, DECREASE BY 3% THE NUMBER OF DRUG OVERDOSE DEATHS IN VERMILION COUNTY. GOALS: INCREASE SUBSTANCE ABUSE AWARENESS AND SERVICES.PROMOTE COMMUNITY AWARENESS ABOUT SUBSTANCE ABUSE PREVENTION AND TREATMENT.INCREASED ACCESS TO AND AWARENESS OF SUBSTANCE ABUSE HEALTH SERVICES IN VERMILION COUNTY. INCREASE AWARENESS AND ENGAGEMENT TO DECREASE INSTANCES OF RISKY BEHAVIOR AND SUBSTANCE ABUSE IN VERMILION COUNTY.DEVELOP AND IMPLEMENT STRATEGIES TO FACILITATE SERVICES/ACCESS AND TO IMPROVE COMMUNITY AGENCY ALIGNMENT IN ADDRESSING ALCOHOL AND ILLICIT SUBSTANCE ABUSE BY YOUTHS WITHIN THE COMMUNITY. TACTICS AND PROGRESS FROM FY2020: COMMUNITY RESOURCE CENTER: PROVIDES REFERRAL AND SUPPORT SERVICES TO CLIENTS & HELPS CONNECT THEM TO AN ARRAY OF SOCIAL SERVICES AVAILABLE IN THE COMMUNITY. FY2020: NAVIGATOR PATIENT/PARTICIPANT CONTACTS: 4,623 AND UNIQUE CLIENTS: 1,483. I SING THE BODY ELECTRIC: EDUCATES VERMILION COUNTY YOUTH THROUGH PROMOTION OF HEALTH AND DISEASE PREVENTION INITIATIVES IN AN EFFORT TO REDUCE RISKY BEHAVIORS, NURTURE RESILIENCY, AND BUILD LEADERSHIP. FY2020: PROGRAM ELIMINATED DUE TO PANDEMIC. CENTRAL ILLINOIS COMMUNITY HEALTH NETWORK DATABASE. NUMBER OF PARTICIPATING ORGANIZATIONS: 104; NUMBER OF LOGINS: 2,703 AND NUMBER OF BULLETINS/COMMENTS POSTED: 33. SILVER CLOUD. FY2020: USERS TO COMPLETE THE ONLINE PROGRAM (CHAMPAIGN & VERMILION COUNTIES COMBINED): 363. DRUG TAKE BACK PROGRAM. FY2020: 724 POUNDS OF PHARMACEUTICAL WASTE WAS RECOVERED AFTER BIN WAS EMPTIED 30 TIMES. MENTAL HEALTH - ACCORDING TO COUNTY HEALTH RANKINGS, THE RATIO OF MENTAL HEALTH PROVIDERS PER 100,000 HAS IMPROVED DRASTICALLY OVER THE PAST SEVERAL YEARS, MOVING FROM 612:1 IN 2014 TO 390:1 IN 2019. VERMILION COUNTY'S COLLABORATIVE PRIORITY IS TO INVEST IN CREATING POSITIVE MENTAL HEALTH THROUGH A TRAINED YOUTH MENTAL HEALTH FIRST AID COMMUNITY, IDENTIFYING RESOURCES AND REDUCING THE STIGMA THROUGH A GRASSROOTS MEDIA CAMPAIGN. LONG-TERM COMMUNITY HEALTH IMPROVEMENT PLAN GOALS: BY 2022, REDUCE BY 10% THE NUMBER OF SUICIDES AMONG VERMILION COUNTY RESIDENTS. BY 2022, INSTRUCT UP TO 2,000 VERMILION COUNTY INDIVIDUALS IN MENTAL HEALTH FIRST AID TRAINING. GOALS: INCREASE BEHAVIORAL HEALTH TRAINING, AWARENESS, AND SERVICES. INCREASE THE NUMBER OF MEDICAL PROFESSIONALS THAT ARE CONDUCTING A STRESS OR MENTAL HEALTH SCREENING. INCREASED ACCESS TO AND AWARENESS OF MENTAL HEALTH SERVICES IN VERMILION COUNTY. INCREASE AWARENESS AND ENGAGEMENT TO DECREASE INSTANCES OF RISKY BEHAVIOR AND SUBSTANCE ABUSE IN VERMILION COUNTY. COMMUNITY RESOURCE CENTER: PROVIDES REFERRAL AND SUPPORT SERVICES TO CLIENTS & HELPS CONNECT THEM TO AN ARRAY OF SOCIAL SERVICES AVAILABLE IN THE COMMUNITY. FY2020: NAVIGATOR PATIENT/PARTICIPANT CONTACTS: 4,623 AND UNIQUE CLIENTS: 1,483. I SING THE BODY ELECTRIC: EDUCATES VERMILION COUNTY YOUTH THROUGH PROMOTION OF HEALTH AND DISEASE PREVENTION INITIATIVES IN AN EFFORT TO REDUCE RISK BEHAVIORS, NURTURE RESILIENCY, AND BUILD LEADERSHIP. FY2020: PROGRAM ELIMINATED DUE TO PANDEMIC FAITH IN ACTION: ASSIST VERMILION COUNTY SENIORS 55+ YEARS OLD WITH MAINTAINING THEIR INDEPENDENT LIFESTYLE TO REDUCE THE NEED OF NURSING HOME PLACEMENT AND PROVIDE SUPPORT FROM THE COMMUNITY, WHICH WOULD ALLOW THEM TO REMAIN SAFELY IN THEIR HOME. SERVES TO ADDRESS THE PHYSICAL, SOCIAL, MENTAL, AND SPIRITUAL DIMENSIONS OF HEALTHY LIVING. FY2020: NUMBER OF TRANSPORTATION TO MEDICAL APPOINTMENTS, SHOPPING, & OTHER IMPORTANT ERRANDS: 368; HOME VISITS, PHONE VISITS, CARDS & NOTES: 404; CHORES/ERRANDS: 18; GARDEN SHARE, CHRISTMAS BAG DELIVERIES, PROJECTS: 407; OFFICE VOLUNTEER SERVICES, VOLUNTEER COORDINATORS, & ADVISORY COMMITTEE: 413.75 HOURS; INTAKE ASSESSMENTS FOR NEW CARE RECEIVERS: 26; FINANCIAL ASSISTANCE: 14 AND NEW VOLUNTEERS: 5. CENTRAL ILLINOIS COMMUNITY HEALTH NETWORK DATABASE. FY2020: NUMBER OF PARTICIPATING ORGANIZATIONS: 104; NUMBER OF LOGINS: 2,703; NUMBER OF BULLETINS/COMMENTS POSTED: 33. SILVER CLOUD. FY2020: ONLINE PROGRAM (CHAMPAIGN & VERMILION COUNTIES COMBINED): 363 OBESITY- ACTIVE LIVING. A HEALTHY LIFESTYLE, COMPRISED OF REGULAR PHYSICAL ACTIVITY AND BALANCED DIET, HAS BEEN SHOWN TO INCREASE PHYSICAL, MENTAL, AND EMOTIONAL WELL-BEING. NOTE THAT 52% OF RESPONDENTS IN VERMILION COUNTY INDICATED THAT THEY SOMETIMES EXERCISE AT LEAST 3 TIMES A WEEK. HEALTHY EATING. THE NUMBER OF GROCERY STORES PER 100,000 POPULATION IS 18.38, COMPARED TO THE STATE AND NATIONAL RATES OF 21.8 AND 21.1. OBESITY. ACCORDING TO COUNTY HEALTH RANKINGS 2018, ADULT OBESITY RATES IN VERMILION COUNTY ARE AT 34% AND THE RATE OF ADULTS REPORTING THAT THEY ARE INACTIVE IS AT 28%. VERMILION COUNTY'S COLLABORATIVE PRIORITY IS TO IMPROVE ACCESS TO HEALTHY FOOD OPTIONS, SUPPORT LOCAL PRODUCE AND GARDEN SHARES, PROMOTE PHYSICAL ACTIVITY OPPORTUNITIES, AND ADVOCATE FOR COMMUNITY PROGRAMS. LONG-TERM COMMUNITY HEALTH IMPROVEMENT PLAN GOALS: * BY 2022, INCREASE BY 1% THE PROPORTION OF ADOLESCENTS WHO REPORT BEING AT A HEALTHY WEIGHT. * DEVELOP A SYSTEM FOR TRACKING AGGREGATE CHILDHOOD BMI FOR VERMILION COUNTY. * BY 2022, REDUCE BY 1% THE PROPORTION OF ADULTS WHO REPORT FITTING THE CRITERIA FOR OBESITY. GOALS: BRING TOGETHER COMMUNITY ORGANIZATIONS PROVIDING EDUCATION, INCREASING AWARENESS, AND ENGAGING IN HEALTH NUTRITION INCLUDING EXERCISE DECISIONS IN ORDER TO BENEFIT COMMUNITY MEMBERS IN THEIR EVERYDAY LIFE AND OVERALL HEALTH. INCREASE KNOWLEDGE, AWARENESS AND ENGAGEMENT IN HEALTHY BEHAVIORS IN ORDER TO IMPROVE VERMILION COUNTY RESIDENTS' OVERALL HEALTH. COMMUNITY RESOURCE CENTER: PROVIDES REFERRAL AND SUPPORT SERVICES TO CLIENTS & HELPS CONNECT THEM TO AN ARRAY OF SOCIAL SERVICES AVAILABLE IN THE COMMUNITY. FY2020: NAVIGATOR PATIENT/PARTICIPANT CONTACTS: 4,623 AND UNIQUE CLIENTS: 1,483. OSF4LIFE: PARTICIPATION/HRA/CHALLENGE. NUMBER OF PARTICIPATING ORGANIZATIONS: 104; NUMBER OF LOGINS: 2,703 AND NUMBER OF BULLETINS/COMMENTS POSTED: 33. CENTRAL ILLINOIS COMMUNITY HEALTH NETWORK DATABASE. NUMBER OF TRANSPORTATION TO MEDICAL APPOINTMENTS, SHOPPING, & OTHER IMPORTANT ERRANDS: 368; HOME VISITS, PHONE VISITS, CARDS & NOTES: 404; CHORES/ERRANDS: 18; GARDEN SHARE, CHRISTMAS BAG DELIVERIES, PROJECTS: 407; OFFICE VOLUNTEER SERVICES, VOLUNTEER COORDINATORS, & ADVISORY COMMITTEE: 413.75 HOURS; INTAKE ASSESSMENTS FOR NEW CARE RECEIVERS: 26; FINANCIAL ASSISTANCE: 14 AND NEW VOLUNTEERS: 5. YMCA BRIDGE PROGRAM: CONTINUED JOURNEY TO WELLNESS FOR CARDIAC OR PULMONARY PATIENTS NO LONGER NEEDING CONTINUOUS CARDIAC MONITORING IN A SAFE SUPERVISED ENVIRONMENT (IN PARTNERSHIP WITH DANVILLE YMCA). FY2020: PAID STAFF HOURS: 695 AND DUPLICATED PERSONS SERVED: 3,923 HEALTHY LIVES 4 KIDS: OSF CHILDREN'S HOSPITAL OF ILLINOIS SPONSORED EVENT TEACHING CHILDREN TO WELL, BELIEVE IN THEMSELVES, MOVE IT, & GET A GOOD NIGHT'S SLEEP. DISTRIBUTED 150 SMARTMEALS AND BLOOD DRIVE: 129 UNITS COLLECTED. CANCER CENTER: EDUCATION & OUTREACH INITIATIVES. FY2020: NO EVENTS HELD DUE TO COVID.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - OSF Sacred Heart Medical Center. Catastrophic Financial Assistance is available when charges exceed 25% of annual Family Income. The amount billed is adjusted to 25% of Family Income when OSF determines this adjustment is the most generous assistance.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - OSF Sacred Heart Medical Center. Presumptive Financial Assistance is available and provides for a discount of 100% of billed charges for medically necessary services provided to a patient with no insurance benefits, when the patient establishes financial need at time of registration by satisfying one of the following categories of Presumptive Eligibility Criteria: Homelessness; Deceased with no Estate; Mental Incapacitation with no one to act on the patient's behalf; and current Medicaid eligibility, but not on date of service or for non-covered service. In addition, enrollment in any one of the following programs with criteria at or below 200% of the Federal Poverty Income Guidelines establishes eligibility for presumptive Charity: WIC; SNAP; LIHEAP; IL Free Lunch and Breakfast Program; receipt of Grant Assistance for medical services; or enrollment in an organized community-based program providing access to medical care that assesses and documents limited low-income financial status as criterion for membership.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - OSF Sacred Heart Medical Center. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY. A NEW FINANCIAL ASSISTANCE POLICY CAME OUT NOVEMBER 2020 AFTER FISCAL YEAR END. USE THE LINKS ASSOCIATED WITH THIS RETURN TO FIND FINANCIAL ASSISTANCE POLICY EFFECTIVE FOR FY2020.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - OSF Sacred Heart Medical Center. A Plain Language Summary of the FAP is offered to patients as part of the intake or discharge process, information about financial assistance and the application process is included on or with the OSF Patient Billing Statement, and OSF provides copies of the Plain Language Summary and the FAP Application Form to referring staff physicians.
Schedule H, Part V, Section B, Line 3E	The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ST MARY MEDICAL CENTER. OSF HEALTHCARE CENTER d/b/a ST. MARY MEDICAL CENTER FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2019 KNOX COUNTY AND WARREN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT LED TO THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY DESIGNED TO IMPROVE THE HEALTH OF THE AREA'S RESIDENTS BY DEVELOPING AND IMPLEMENTING INTERVENTIONS TO ADDRESS SIGNIFICANT PRIORITY HEALTH NEEDS. FOR THE 2019 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) THE PUBLIC HEALTH ADMINISTRATOR AS WELL AS THE DIVISION DIRECTOR OF HEALTH PROTECTION FROM THE KNOX COUNTY HEALTH DEPARTMENT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED TO ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 AND 2016 CHNA WERE MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM THE COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2019 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED 2 REPRESENTATIVES FROM THE KNOX COUNTY HEALTH DEPARTMENT; CONSUMER ADVOCATES; REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS INCLUDING THE EXECUTIVE DIRECTOR OF THE GALESBURG COMMUNITY FOUNDATION, THE EXECUTIVE DIRECTOR OF THE UNITED WAY OF KNOX COUNTY AND CHAIR OF THE EMERGENCY FOOD AND SHELTER PROGRAM, AND THE CEO OF THE KNOX COUNTY YMCA; AND HEALTH CARE PROVIDERS INCLUDING THE PRESIDENT AND THE CHIEF NURSING OFFICER OF THE HOSPITAL FACILITY AS WELL AS A LICENSED CLINICAL PROFESSIONAL COUNSELOR. MEMBERS OF THE COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2019 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ST MARY MEDICAL CENTER. OSF ST. MARY MEDICAL CENTER ("SMMC") COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2019 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. The Knox County and Warren County Community Health-Needs Assessment (CHNA) is a collaborative undertaking by OSF St. Mary Medical Center to highlight the health needs and well-being of residents in Knox and Warren counties. Through this needs assessment, collaborative community partners have identified numerous health issues impacting individuals and families in the Knox and Warren region. Several themes are prevalent in this health-needs assessment - the demographic composition of the Knox and Warren County region, the predictors for and prevalence of diseases, leading causes of mortality, accessibility to health services and healthy behaviors. A collaborative team identified two significant health needs and prioritized both to be addressed in the Community Health Needs Implementation Strategy. * Healthy Behaviors - defined as active living and healthy eating, and their impact on obesity * Behavioral Health - including mental health and substance abuse Mental Health Heathy Eating - Almost two-thirds (61%) of residents report no consumption or low consumption (1-2 servings per day) of fruits and vegetables per day. Goal: Increase awareness of the importance of proper nutrition for overall health and wellness. Outcome Metric: By 2022, decrease the percentage of residents who report no consumption or low consumption (1-2 servings per day) of fruits and vegetables by 2%. Baseline: Per 2019 CHNA survey of 61%. Wellness Edge for Kids Program - Healthy Eating, Physical Activity, and Stress Reduction. Increase the number of participants by 2 annually. FY2020: Day summer program not held in 7/2020. Baseline is 30 Distribute and promote articles and education on healthy eating, weight loss and exercise through traditional and social media. Increase and track # of articles on social media. Baseline to increase participants by 1. FY2020: Provide monthly articles on Healthy eating to the Register Mail. Healthy eating/Sports Nutrition radio interviews given. 4/20 Facebook-fruits and vegetables in your diet. 6/20 FB-Healthy Smoothie 7/20, 8/20, 9/20 FB-Safe summer cookouts, Fresh Salads, Healthy eating. Healthy Kids U Program - An 8 week program that helps children ages 8 through 15 and their families develop healthier habits through hands on games, activities and education. Participants also have access to the YMCA's facilities during the duration of the program. Increase the number of sessions to 2 per year. FY2020: Scaled version of Healthy Kids U held in Fall 2020 with 9 students from an after school program. Active Living - A healthy lifestyle, comprised of regular physical activity and balanced diet, has been shown to increase physical, mental, and emotional well-being. Goal: Increase awareness of the importance of exercise for overall health and well-being. Outcome Metric: Decrease percentage of respondents that indicate that they do not exercise at all by 2%. Baseline: 2019 CHNA survey reports 29% of respondents do not exercise at all. Increase mission partner participation in OSF4Life. Increase participation by 3%. Baseline for 2019 is 38% mission partner participation. FY2020: Ministry wide OSF4Life platform ended 12/31/20. 4 Sessions of "Know Your Numbers" was held for MP's-15 participated. Wellness co-leader provides monthly newsletter. Healthy Kids U Program - An 8 week program that helps children ages 8 through 15 and their families develop healthier habits through hands on games, activities and education. Participants also have access to the YMCA's facilities during the duration of the program. Increase the number of sessions to 2 per year. Baseline 2019 1, 8-week session. FY2020: Healthy Kids U program held for students only at after school program held at Gale school. Sponsor events that promote healthy behaviors. Progress FY2020: 5-2-1-0 Nutrition kits were delivered to 285 Galesburg 5th graders-Klein Pediatric activity-2/21,105 Flu immunizations given to students and staff at ROWVA and A-town schools. Flu Immunizations given to 42 CSC employees. Commit2Fit weight Behavioral Health - including mental health and substance abuse Mental Health Substance Abuse - Survey respondents were asked, "On a typical DAY, how often to do you use substances (either legal or illegal) to make yourself feel better?" Of respondents, 14% indicated they use substances to make themselves feel better. Goal: Increase awareness of the effects of substance abuse in grades 8th through 12th. Outcome Metric: Decrease in the percentage of 8th through 12th graders response of having used substances in the categories of alcohol, cigarettes, marijuana, inhalants, and illicit drugs by at least 1%. Distribute and promote articles and education on healthy behaviors and substance use through traditional and social media. Determine baseline and increase # of articles on social media, expand education class to teach healthy behaviors by 1. FY2020: 2/20 Facebook article-Child Adolescent Behavioral Health. Work with local school districts to educate on the health determinants of substance abuse. Meet with school district administration in 2nd quarter. Present and distribute information to students in grades 8-12. Determine baseline. FY2020: Mission Partner talked to High School about providing substance abuse articles. Schedule mental health first aid classes to clinical staff and local high school students. Increase the number of providers trained. (no session in 2019) Increase number high school age children trained by 1 school yearly. (current trial in 2 schools) Baseline 2. Determine baseline for providers trained. FY2020: Due to Covid no mental health first aid classes were held. Mental Health - The CHNA survey asked respondents to indicate prevalence of specific issues, namely depression and stress/anxiety. of respondents, 40% indicated they felt depressed in the last 30 days and 29% indicated they felt anxious or stressed. Goal 1: Increase education in the community regarding mental health services. Outcome Metric 1: Increase perception of overall physical and mental health to "good" or "average" by at least 1%. Baseline: Increase awareness: Resource Link Care Coordinator will meet with all new providers, schools and other social services about services. FY2020: Determine a baseline for number of patients using Silvercloud. Facebook articles on Silvercloud-4/20 Stress-what behaviors put you at risk. 5/20, 6/3, 6/23 and 9/3 Anxiety and depression. Provide education in low-income housing units for those with limited access to care and resources. Meet with Knox County Housing Authority in 2nd quarter. FY2020: Education was not offered to Housing units due to COVID restrictions. Continued Collaborating with local agencies for the Unmet Needs Adopt "Stop the Stigma" campaign from other OSF facilities. FY2020: Track the number of fliers distributed to outside organizations and social media posts to determine baseline. "Stop the Stigma" Campaign on hold due to Covid-19. Discuss depression, stress and anxiety at community events, including schools. Track # of events attended to determine a baseline. FY2020: FB article on 3/20-Tips on behavioral health and COVID. Provide free Behavioral Health Navigation Service. Increase number of patients served by Behavioral Health Navigators by 1 % . FY2020: 163 patients Goal 2: Use Social Determinates of Health (SDOH) to identify patients at increased risk of poor mental health and connect them to community organizations in order to improve mental health outcomes. Outcome Measure 2: Decrease the percentage of respondents stating they have poor overall mental health by 1%. Baseline: Per the 2019 CHNA survey, 8% of respondents stated they have poor overall mental health. Not having basic human needs is likely linked to poor mental health. Implement screening of patients for SDOH. Screen and Connect. Number of patients screened. FY2020: 4371 screened Track number of patients referred to community based organizations (CBO). FY2020: 633 referred. Track number of Mission Partners educated for continued roll-out. 67 educated. Track number of patient referrals to OSF Care Management and social workers. 73 referred.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - ST MARY MEDICAL CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - ST MARY MEDICAL CENTER. Presumptive Financial Assistance is available and provides for a discount of 100% of billed charges for medically necessary services provided to a patient with no insurance benefits, when the patient establishes financial need at time of registration by satisfying one of the following categories of Presumptive Eligibility Criteria: Homelessness; Deceased with no Estate; Mental Incapacitation with no one to act on the patient's behalf; and current Medicaid eligibility, but not on date of service or for non-covered service. In addition, enrollment in any one of the following programs with criteria at or below 200% of the Federal Poverty Income Guidelines establishes eligibility for presumptive Charity: WIC; SNAP; LIHEAP; IL Free Lunch and Breakfast Program; receipt of Grant Assistance for medical services; or enrollment in an organized community-based program providing access to medical care that assesses and documents limited low-income financial status as criterion for membership.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - ST. MARY MEDICAL CENTER. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY. A NEW FINANCIAL ASSISTANCE POLICY CAME OUT NOVEMBER 2020 AFTER FISCAL YEAR END. USE THE LINKS ASSOCIATED WITH THIS RETURN TO FIND FINANCIAL ASSISTANCE POLICY EFFECTIVE FOR FY2020.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - ST MARY MEDICAL CENTER. A PLAIN LANGUAGE SUMMARY OF THE FAP IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS, INFORMATION ABOUT FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS IS INCLUDED ON OR WITH THE OSF PATIENT BILLING STATEMENT, AND OSF PROVIDES COPIES OF THE PLAIN LANGUAGE SUMMARY AND THE FAP APPLICATION FORM TO REFERRING STAFF PHYSICIANS.
Schedule H, Part V, Section B, Line 3E	The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - OSF SAINT ANTHONY'S HEALTH CENTER. OSF HEALTHCARE CENTER d/b/a SAINT ANTHONY'S HEALTH CENTER FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2019 MADISON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT LED TO THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY DESIGNED TO IMPROVE THE HEALTH OF THE AREA'S RESIDENTS BY DEVELOPING AND IMPLEMENTING INTERVENTIONS TO ADDRESS SIGNIFICANT PRIORITY HEALTH NEEDS. FOR THE 2019 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) THE HEALTH PROMOTION MANAGER AT MADISON COUNTY HEALTH DEPARTMENT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH TO ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 AND 2016 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM THE COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2016 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES; REPRESENTATIVES FROM NONPROFIT AND COMMUNITY. MEMBERS OF THE COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2019 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - OSF SAINT ANTHONY'S HEALTH CENTER. OSF SAINT ANTHONY'S HEALTH CENTER ("SAHC") COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2019 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2019, 2020 AND 2021. THE MADISON COUNTY COMMUNITY HEALTH-NEEDS ASSESSMENT IS A COLLABORATIVE UNDERTAKING BY OSF SAINT ANTHONY'S HEALTH CENTER TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN MADISON COUNTY. THROUGH THIS NEEDS ASSESSMENT, COLLABORATIVE COMMUNITY PARTNERS HAVE IDENTIFIED NUMEROUS HEALTH ISSUES IMPACTING INDIVIDUALS AND FAMILIES IN THE MADISON COUNTY REGION. SEVERAL THEMES ARE PREVALENT IN THIS HEALTH-NEEDS ASSESSMENT - THE DEMOGRAPHIC COMPOSITION OF THE MADISON COUNTY REGION, THE PREDICTORS FOR AND PREVALENCE OF DISEASES, LEADING CAUSES OF MORTALITY, ACCESSIBILITY TO HEALTH SERVICES AND HEALTHY BEHAVIORS. RESULTS FROM THIS STUDY CAN BE USED FOR STRATEGIC DECISION-MAKING PURPOSES AS THEY DIRECTLY RELATE TO THE HEALTH NEEDS OF THE COMMUNITY. THE STUDY WAS DESIGNED TO ASSESS ISSUES AND TRENDS IMPACTING THE COMMUNITIES SERVED BY THE COLLABORATIVE, AS WELL AS PERCEPTIONS OF TARGETED STAKEHOLDER GROUPS. USING A MODIFIED VERSION OF THE HANLON METHOD, THE COLLABORATIVE TEAM PRIORITIZED THREE SIGNIFICANT HEALTH NEEDS: HEALTHY BEHAVIORS - DEFINED AS ACTIVE LIVING AND HEALTHY EATING, AND THEIR SUBSEQUENT IMPACT ON OBESITY. BEHAVIORAL HEALTH - INCLUDING MENTAL HEALTH SUBSTANCE ABUSE - SPECIFIC FOCUS HEALTHY BEHAVIORS - ACTIVE LIVING, HEALTHY EATING AND OBESITY GOAL: INCREASE AWARENESS IN THE IMPORTANCE OF EXERCISE FOR OVERALL HEALTH AND WELL-BEING WITHIN MADISON COUNTY. OUTCOME METRIC: REDUCE THE NUMBER OF MADISON COUNTY RESIDENTS WHO REPORT THAT THEY DO NOT EXERCISE BY 3%. BASELINE: PER 2019 CHNA SURVEY - 28% OF RESPONDENTS INDICATED THAT THEY DO NOT EXERCISE AT ALL TACTICS AND PROGRESS HOST FIT AND FLEXIBLE CLASSES WORKING WITH OSF REHAB. FY2020 PROGRESS: HELD 18 CLASSES WITH 151 PARTICIPANTS BEFORE CLASSES WERE CANCELLED DUE TO COVID PANDEMIC IN MARCH 2020. SPONSOR EVENTS THAT ENCOURAGE ACTIVE LIVING, I.E. RACES, 5KS, ETC. FY2020 PROGRESS: SPONSORED WALK FOR SICKLE CELL HOSTED BY THE PRECIOUS ORGANIZATION. INCREASE PARTICIPATION IN OSF 4LIFE WELLNESS PLAN. FY2020 PROGRESS: COMPLETED 20 BIOMETRIC SCREENINGS AND HAD 30 PARTICIPANTS IN HEALTH CHALLENGES. MOST ACTIVITIES AND PLANNING WERE PUT ON HOLD DUE TO THE COVID PANDEMIC. GOAL 2: INCREASE AWARENESS OF THE IMPORTANCE OF PROPER NUTRITION FOR OVERALL HEALTH AND WELLNESS. OUTCOME METRIC: REDUCE THE PERCENTAGE OF MADISON COUNTY RESIDENTS WHO REPORT NO CONSUMPTION OR LOW CONSUMPTION (1-2 SERVINGS) OF FRUITS AND VEGETABLES PER DAY BY 3%. BASELINE: PER 2019 CHNA SURVEY, 61% OF RESPONDENTS INDICATED THAT HAVE NO OR LOW CONSUMPTION (1-2 SERVINGS) OF FRUITS AND VEGETABLES PER DAY. DISTRIBUTE AND PROMOTE ARTICLES AND EDUCATION ON HEALTHY EATING HABITS THROUGH SOCIAL MEDIA. FY2020 PROGRESS: REACHED 28,576 PEOPLE THROUGH SOCIAL MEDIA POSTS ON HEALTHY LIVING TOPICS. SPONSOR COMMUNITY EDUCATIONAL EVENT THAT PROMOTES HEALTHY EATING. FY2020 PROGRESS: THE PLANNING FOR THIS EVENT WAS PUT ON HOLD DUE TO COVID PANDEMIC. * PROVIDE EDUCATIONAL MATERIALS TO THE COMMUNITY ON HEALTHY EATING HABITS. DONATED $250 TO THE CRISIS FOOD PANTRY FOR THE PURCHASE OF TV THAT DISPLAYS HEALTHY EATING TIPS. BEHAVIORAL HEALTH - MENTAL HEALTH GOAL: DECREASE THE NUMBER OF RESIDENTS IN MADISON COUNTY WHO REPORTED FEELING DEPRESSED OR ANXIOUS IN THE LAST 30 DAYS. OUTCOME METRIC: DECREASE THE NUMBER OF RESIDENTS IN MADISON COUNTY WHO REPORT FEELING DEPRESSED OR ANXIOUS IN THE PAST 30 DAYS BY 3%. BASELINE: PER 2019 CHNA SURVEY, 45% OF MADISON COUNTY RESIDENTS REPORTED FEELING DEPRESSED AT LEAST ONE TO TWO DAYS IN THE LAST 30 DAYS WHILE 38% REPORTED THEY FELT ANXIOUS OR STRESSED AT LEAST ONE TO TWO DAYS IN THE LAST 30 DAYS. TACTICS AND PROGRESS: OFFER FREE MENTAL HEALTH SCREENINGS. FY2020 PROGRESS: CONDUCTED TELEPHONE DEPRESSION AND ANXIETY SCREENINGS DURING MENTAL HEALTH AWARENESS MONTH. COULD NOT DO IN-PERSON SCREENINGS DUE TO THE COVID PANDEMIC. PROVIDE FREE ACCESS TO DIGITAL BEHAVIORAL HEALTH SOLUTION - SILVERCLOUD. FY2020 PROGRESS: 87 UTILIZING APP. * PARTICIPATE IN COMMUNITY HEALTH FAIRS AND SCREENINGS. FY2020 PROGRESS: PARTICIPATED IN FOUR COMMUNITY HEALTH FAIRS WITH 460 PARTICIPANTS TOTAL. SPONSOR COMMUNITY MENTAL HEALTH EDUCATIONAL SEMINARS AND EVENTS. OSF WAS A MAJOR SPONSOR OF THE IMPACT SUICIDE CONFERENCE AND OFFERED FREE CEUS TO THE 217 EVENT PARTICIPANTS. PARTICIPATED IN VARIOUS SEMINARS AND PROVIDED EDUCATION TO LOCAL EMPLOYERS WITH OVER 500 EMPLOYEES ON HOW TO MANAGE STRESS THROUGH THE COVID PANDEMIC. PROVIDE FREE BEHAVIORAL HEALTH NAVIGATION SERVICE. FY2020 PROGRESS: 59 REFERRED BEHAVIORAL HEALTH - SUBSTANCE ABUSE GOAL: DECREASE THE NUMBER OF MADISON COUNTY CHNA SURVEY RESPONDENTS WHO REPORT THEY USE SUBSTANCES TO MAKE THEMSELVES FEEL BETTER IN A TYPICAL DAY. OUTCOME METRIC: DECREASE THE NUMBER OF RESIDENTS IN MADISON COUNTY WHO REPORT USING SUBSTANCES (LEGAL AND ILLEGAL) TO MAKE THEMSELVES FEEL BETTER ON A TYPICAL DAY BY 3%. BASELINE: PER 2019 CHNA SURVEY, 14% OF RESPONDENTS INDICATED THEY USE SUBSTANCES (LEGAL AND ILLEGAL) TO MAKE THEMSELVES FEEL BETTER ON A TYPICAL DAY. * DISTRIBUTE AND PROMOTE ARTICLES AND EDUCATION ON SUBSTANCE ABUSE TOPICS. FY2020 PROGRESS: REACHED 2,875 PEOPLE ON SOCIAL MEDIA ON SUBSTANCE ABUSE TOPICS. * INCREASE PARTICIPATION IN FRESHSTART SMOKING CESSATION CLASSES. FY2020 PROGRESS: HOSTED FRESHSTART SMOKING CESSATION CLASSES FOR 6 PARTICIPANTS BEFORE THEY WERE CANCELLED DUE TO THE COVID PANDEMIC IN MARCH 2020. GOAL 2: DECREASE THE NUMBER OF HIGH SCHOOL AND MIDDLE SCHOOL STUDENTS IN MADISON COUNTY USING TOBACCO OR VAPING PRODUCTS. OUTCOME MEASURE: DECREASE THE PERCENTAGE OF 8TH, 10TH AND 12TH GRADERS WHO USED ANY TOBACCO OR VAPING PRODUCT IN THE PAST 30 DAYS AS MEASURED BY THE ILLINOIS YOUTH SURVEY FOR MADISON COUNTY BY THE 2021 SURVEY. BASELINE: 2018 ILLINOIS YOUTH SURVEY REPORTED THE FOLLOWING USAGE IN THE PAST 30 DAYS: 8TH GRADE - 14%, 10TH GRADE - 33%, 12TH GRADE - 43 * PROVIDE EDUCATION ON DANGERS OF TOBACCO AND VAPING TO HIGH SCHOOL AND MIDDLE SCHOOL STUDENTS. FY2020 PROGRESS: PROVIDE EDUCATION ON DANGERS OF TOBACCO AND VAPING TO HIGH SCHOOL AND MIDDLE SCHOOL STUDENTS.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - OSF SAINT ANTHONY'S HEALTH CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - OSF SAINT ANTHONY'S HEALTH CENTER. Presumptive Financial Assistance is available and provides for a discount of 100% of billed charges for medically necessary services provided to a patient with no insurance benefits, when the patient establishes financial need at time of registration by satisfying one of the following categories of Presumptive Eligibility Criteria: Homelessness; Deceased with no Estate; Mental Incapacitation with no one to act on the patient's behalf; and current Medicaid eligibility, but not on date of service or for non-covered service. In addition, enrollment in any one of the following programs with criteria at or below 200% of the Federal Poverty Income Guidelines establishes eligibility for presumptive Charity: WIC; SNAP; LIHEAP; IL Free Lunch and Breakfast Program; receipt of Grant Assistance for medical services; or enrollment in an organized community-based program providing access to medical care that assesses and documents limited low-income financial status as criterion for membership.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - OSF SAINT ANTHONY'S HEALTH CENTER. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY. A NEW FINANCIAL ASSISTANCE POLICY CAME OUT NOVEMBER 2020 AFTER FISCAL YEAR END. USE THE LINKS ASSOCIATED WITH THIS RETURN TO FIND FINANCIAL ASSISTANCE POLICY EFFECTIVE FOR FY2020.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - OSF SAINT ANTHONY'S HEALTH CENTER. A PLAIN LANGUAGE SUMMARY OF THE FAP IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS, INFORMATION ABOUT FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS IS INCLUDED ON OR WITH THE OSF PATIENT BILLING STATEMENT, AND OSF PROVIDES COPIES OF THE PLAIN LANGUAGE SUMMARY AND THE FAP APPLICATION FORM TO REFERRING STAFF PHYSICIANS.
Schedule H, Part V, Section B, Line 3E	The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ST FRANCIS HOSPITAL. OSF HEALTHCARE CENTER d/b/a ST FRANCIS HOSPITAL FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2019 DELTA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT LED TO THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY DESIGNED TO IMPROVE THE HEALTH OF THE AREA'S RESIDENTS BY DEVELOPING AND IMPLEMENTING INTERVENTIONS TO ADDRESS SIGNIFICANT PRIORITY HEALTH NEEDS. FOR THE 2019 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) THE HEALTH OFFICER FOR THE PUBLIC HEALTH DELTA COUNTY. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH TO ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 AND 2016 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM THE COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2019 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES; REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS INCLUDING MENOMINEE, DELTA AND SCHOOLCRAFT COMMUNITY ACTION AGENCY AND HUMAN RESOURCES AUTHORITY, EXECUTIVE DIRECTOR OF THE TRI-COUNTY SAFE HARBOR, INC. SERVING VICTIMS OF DOMESTIC VIOLENCE, EXECUTIVE DIRECTOR OF UNITED WAY DELTA COUNTY, COMMUNITY PLANNER FOR CENTRAL UPPER PENINSULA PLANNING AND DEVELOPMENT REGIONAL COMMISSION, TWO REPRESENTATIVES FROM YMCA DELTA CENTER, AND THE EXECUTIVE DIRECTOR OF CATHOLIC SOCIAL SERVICES OF THE UPPER PENINSULA; AS WELL AS HEALTH CARE EDUCATORS AND PROVIDERS INCLUDING THE FACILITY'S LEAD SOCIAL WORKER/CASE MANAGER, CHIEF NURSING OFFICER, A REGISTERED DIETICIAN/CERTIFIED DIABETIC EDUCATOR AND ITS PATIENT SAFETY OFFICER/RISK MANAGER, A PHYSICIAN BOARD CERTIFIED IN FAMILY MEDICINE, A HEALTH OCCUPATION INSTRUCTOR IN THE DELTA-SCHOOLCRAFT INTERMEDIATE SCHOOL DISTRICT, AND A NURSING HOME ADMINISTRATOR. MEMBERS OF THE COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2019 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ST FRANCIS HOSPITAL. ST. FRANCIS HOSPITAL COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2019 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. The Delta County Community Health-Needs Assessment is a collaborative undertaking by OSF St. Francis Hospital and Medical Group to highlight the health needs and well-being of residents in Delta County. Through this needs assessment, collaborative community partners have identified numerous health issues impacting individuals and families in the Delta County region. Several themes are prevalent in this health-needs assessment - the demographic composition of the Delta County region, the predictors for and prevalence of diseases, leading causes of mortality, accessibility to health services and healthy behaviors. Results from this study can be used for strategic decision-making purposes as they directly relate to the health needs of the community. Using a modified version of the Hanlon Method, the collaborative team prioritized three significant health needs: Healthy Behaviors - defined as active living and healthy eating, and their subsequent impact on obesity Behavioral Health - including mental health and substance abuse Aging Issues - defined as population over 65 Healthy Behaviors - Active Living, Healthy Eating and Obesity ACTIVE LIVING - A healthy lifestyle, comprised of regular physical activity, has been shown to increase physical, mental, and emotional wellbeing. HEALTHY EATING - A healthy lifestyle, comprised of a proper diet, has been shown to increase physical, mental, and emotional well-being. OBESITY - A health outcome. Healthy behaviors are directly related to issues such as obesity. Goal: Increase awareness of the importance for proper nutrition in overall health and wellness with-in Delta County. Outcome Measure: Reduce the percentage of residents who report no consumption or low consumption (1-2 servings per day) of fruits and vegetables per day by 5%. Baseline: Almost two-thirds (60%) of residents report no consumption or low consumption (1-2 servings per day) of fruits and vegetables per day. Note that the percentage of residents who consume five or more servings per day is only 5% Distribute and promote articles and education on healthy eating through traditional and social media. FY2020: Post 1 per week every week. Discuss importance of nutrition; share/refer appropriate patients to community programs (i.e., UPCAP, 211) FY2020: Completed COVID triage April - Sept. 2020 and was furloughed from Mid- May to Mid-July. Increase number of nutritional counseling sessions. FY2020: Provided nutritional consults to 137 patients. Increase referrals to OSF dietitians through clinic briefs/meet and greets with providers and care management department. FY2020: Did not happen due to COVID; 1 dietitian was furloughed and did not return. Provide donation for healthy choices for backpack programs at local schools. Did not happen due to COVID and meal program supplemented due pandemic. Goal: Increase awareness of the importance of exercise for overall health and well-being in Delta County. Outcome Measure: Decrease percentage of respondents that indicate that they do not exercise at all by 3%. Partner with DSISD to promote youth recreational activities that promote movement/exercise. FY2020: Did not happen because the task force has not met since March 2020 due to COVID. Sponsor events that encourage active living, i.e., 5K, targeting youth. FY2020: $2500 for FY20 in support of CHNA; did not meet target due to COVID. Behavioral Health - Mental Health and Substance Abuse MENTAL HEALTH - The CHNA survey asked respondents to indicate prevalence of specific mental-health issues, namely depression and stress/anxiety. SUBSTANCE ABUSE - Survey respondents were asked "On a typical DAY, how often to do you use substances (either legal or illegal) to make yourself feel better?" Goal: Increase number of persons receiving behavioral health services at OSF St. Francis Hospital Outcome Measure: Decrease number of respondents without access to counseling by 2% (by increasing number of behavioral health visits at OSF St. Francis. Baseline: Per 2019 CHNA survey, of respondents, 17% indicated that they did not have access to counseling. Create additional FTEs for Behavioral Health provider. Employed two full-time Behavioral Health Providers in OSF Multi-Specialty Group in Delta County in FY2020. Create awareness among OSF clinicians regarding Behavioral Health providers with access through clinic briefs and meet and greets. Promote and host a Powerful Tools for Caregivers course to decrease caregiver stress. FY2020: Did not happen due to COVID. FY2020: Did not progress due to COVID. Explore feasibility of Behavioral Health telemedicine within the local schools. FY2020: Did not progress due to COVID. Provide free access to digital Behavioral Health solution - Silvercloud. FY2020: 52 utilizing service Increase number of Behavioral Health visits at OSF St. Francis Hospital & Medical Group. 2,669 patient visits occurred in FY20. Provide free Behavioral Health Navigation Service. FY2020: 125 utilizing service Goal: Reduce stigma surrounding Behavioral Health/Mental Health services in Delta County. Outcome Measure: Decrease embarrassment to seek counseling from 25% to 22%. Baseline: Per CHNA 2019 survey, one of the leading causes of the inability to gain access to counseling is embarrassment (25%) Stop the Stigma Social media campaign with community organizations Goal: Increase number of patients in MAT program embedded in OBGYN office Provide community events to discuss /educate people about forms of depression - i.e., post part depression. FY2020: Did not happen due to COVID. Promote alternative stress management behaviors to decrease substance abuse. Outcome Measure: Reduce percentage of respondents that indicate they use substances to make themselves feel better by 2%. Baseline: Per 2019 CHNA survey, of respondents, 15% indicated they use substances to make themselves feel better. According to the 2016 County Health Rankings measures, 19% of Delta County residents engaged in binge or heavy drinking in the past 30 days Develop comprehensive discharge plan for patients with alcoholism. FY2020: Implementation of plan limited due to COVID and lack of resources. Refer appropriate patients to peer recovery coach. FY2020: Rep for UP Family Solutions left position and then COVID hit. Educate employers about Behavioral Health to assist in employee well-being. Promoted through 3 Employer Relations newsletters in relation to COVID in March, April, May. Shared SilverCloud app. Goal: Use Social Determinates of Health (SDOH) to identify patients at increased risk of poor mental health and connect them to community organizations in order to improve mental health outcomes. Outcome Measure: Decrease the percentage of respondents stating they have poor overall mental health by 1%. Baseline: Per the 2019 CHNA survey, 8% of respondents stated they have poor overall mental health. Not having basic human needs, is likely linked to poor mental health. Aging Issues - defined as population over 65 In the CHNA survey, respondents rated aging issues (38%) as the third most important health issue. The percentage of individuals aged 65 and older increased 10.6% between 2013 and 2017. Goal: Decrease social isolation and maintain desired level of independence in aging population Outcome Measure: Increase the number of persons over age 65 residing in Delta County who are socially connected to community resources and organizations for aging population. Baseline: According to the Public Health, for Delta & Menominee Counties Community Health Needs Assessment, potential Future Implications of increased aging population: an increasing chronic disease burden for Delta County as the population ages, anticipate an increased need for assisted living and long-term care facilities, home health, hospice and other services for the aging Promote and co-host/sponsor existing community resources/programs for the aging (Diabetes PATH, Matter of Balance, Chronic Pain PATH, Confident caregiver program, etc.) FY2020: Canceled due to COVID. Increase number of speaking engagements for aging population. FY2020: Canceled due to COVID. Increase Mission outreach to aging population. FY2020: Canceled due to COVID. Promote smart 911 through lunch and learns and social media. FY2020: Canceled due to COVID. Increase number of advanced directives completed. FY2020: Completed several will obtain for next report. Increase sponsorship of the Gary Abrahamson Memorial Care Center. FY2020: Donated $500 in FY20.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - ST FRANCIS HOSPITAL. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - ST FRANCIS HOSPITAL. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. IN ADDITION, ENROLLMENT IN ANY ONE OF THE FOLLOWING PROGRAMS WITH CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY INCOME GUIDELINES ESTABLISHES ELIGIBILITY FOR PRESUMPTIVE CHARITY: WIC; SNAP; LIHEAP, IL FREE LUNCH AND BREAKFAST PROGRAM; RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES; OR ENROLLMENT IN AN ORGANIZED COMMUNITY BASED PROGRAM PROVIDING ACCESS TO MEDICAL CARE THAT ASSESSES AND DOCUMENTS LIMITED LOW INCOME FINANCIAL STATUS AS CRITERION FOR MEMBERSHIP.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - ST FRANCIS HOSPITAL. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY. A NEW FINANCIAL ASSISTANCE POLICY CAME OUT NOVEMBER 2020 AFTER FISCAL YEAR END. USE THE LINKS ASSOCIATED WITH THIS RETURN TO FIND FINANCIAL ASSISTANCE POLICY EFFECTIVE FOR FY2020.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - ST FRANCIS HOSPITAL. A PLAIN LANGUAGE SUMMERY OF THE FAP IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS, INFORMATION ABOUT FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS IS INCLUDED ON OR WITH THE OSF PATIENT BILLING STATEMENT, AND OSF PROVIDES COPIES OF THE PLAIN LANGUAGE SUMMARY AND THE FAP APPLICATION FORM TO REFERRING STAFF PHYSICIANS.
Schedule H, Part V, Section B, Line 3E	The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - SAINT JAMES HOSPITAL. OSF HEALTHCARE CENTER d/b/a SAINT JAMES HOSPITAL - JOHN W. ALBRECHT MEDICAL CENTER ("SJH") FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2019 LIVINGSTON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT LED TO THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY DESIGNED TO IMPROVE THE HEALTH OF THE AREA'S RESIDENTS BY DEVELOPING AND IMPLEMENTING INTERVENTIONS TO ADDRESS SIGNIFICANT PRIORITY HEALTH NEEDS. FOR THE 2019 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) THE DIRECTOR OF THE LIVINGSTON COUNTY HEALTH DEPARTMENT AND THE DIRECTOR OF HEALTH EDUCATION & MARKETING FOR THE LIVINGSTON COUNTY HEALTH DEPARTMENT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT ALL ORGANIZATIONS THAT SPECIFICALLY TARGET LOW-INCOME RESIDENTS SUCH AS FOOD PANTRIES. 3) THE 2013 AND 2016 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM THE COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2019 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES; REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS INCLUDING THE EXECUTIVE DIRECTOR OF THE INSTITUTE FOR HUMAN RESOURCES AND DIRECTORS SITTING ON THE FOLLOWING BOARDS: STATEWIDE COMMUNITY BEHAVIORAL HEALTH ASSOCIATION, LIVINGSTON COUNTY HOUSING, LIVINGSTON COUNTY UNITED WAY, AND THE EXECUTIVE BOARD OF THE LIVINGSTON COUNTY CHILDREN'S NETWORK; AND HEALTH CARE EDUCATORS AND PROVIDERS INCLUDING THE FACILITY'S VP OF PATIENT CARE SERVICES - CHIEF NURSING OFFICER, EDUCATION MANAGER, AND THE MANAGER OF ITS EMERGENCY DEPARTMENT, REGISTERED NURSES, A CERTIFIED HEALTH EDUCATION SPECIALIST, AND A LICENSED CLINICAL SOCIAL WORKER. MEMBERS OF THE COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2019 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - SAINT JAMES HOSPITAL. SJH COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2016 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. THE LIVINGSTON COUNTY HEALTH NEEDS ASSESSMENT (CHNA) IS A COLLABORATIVE UNDERTAKING BY OSF SAINT JAMES - JOHN W. ALBRECHT MEDICAL CENTER TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN THE LIVINGSTON COUNTY REGION. IN ORDER TO ENGAGE THE ENTIRE COMMUNITY IN THE CHNA PROCESS, A COLLABORATIVE TEAM OF HEALTH-PROFESSIONAL EXPERTS AND KEY COMMUNITY ADVOCATES WAS CREATED. MEMBERS OF THE COLLABORATIVE TEAM WERE CAREFULLY SELECTED TO ENSURE REPRESENTATION OF THE BROAD INTERESTS OF THE COMMUNITY. SEVERAL THEMES ARE PREVALENT IN THIS HEALTH-NEEDS ASSESSMENT - THE DEMOGRAPHIC COMPOSITION OF THE LIVINGSTON COUNTY REGION, THE PREDICTORS FOR AND PREVALENCE OF DISEASES, LEADING CAUSES OF MORTALITY, ACCESSIBILITY TO HEALTH SERVICES AND HEALTHY BEHAVIORS. THE COLLABORATIVE TEAM IDENTIFIED TWO SIGNIFICANT HEALTH NEEDS AND PRIORITIZED BOTH TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. HEALTHY BEHAVIORS - DEFINED AS ACTIVE LIVING AND HEALTHY EATING, AND THEIR IMPACT ON OBESITY. BEHAVIORAL HEALTH - INCLUDING MENTAL HEALTH SUBSTANCE ABUSE - SPECIFIC FOCUS NOT INCLUDED IN BEHAVIORAL HEALTH HEALTHY BEHAVIORS ACTIVE LIVING - A HEALTHY LIFESTYLE, COMPRISED OF REGULAR PHYSICAL ACTIVITY, HAS BEEN SHOWN TO INCREASE PHYSICAL, MENTAL, AND EMOTIONAL WELL-BEING. HEATHY EATING - A HEALTHY LIFESTYLE, COMPRISED OF A PROPER DIET, HAS BEEN SHOWN TO INCREASE PHYSICAL, MENTAL, AND EMOTIONAL WELL-BEING. OBESITY - INDIVIDUALS WHO ARE OVERWEIGHT AND OBESE PLACE GREATER STRESS ON THEIR INTERNAL ORGANS, THUS INCREASING THE PROPENSITY TO UTILIZE HEALTH SERVICES. GOAL: REDUCE PREVALENCE OF OBESITY IN LIVINGSTON COUNTY. OUTCOME METRICS: #1: INCREASE PERCENTAGE OF LIVINGSTON COUNTY RESIDENTS WHO REPORTED EXERCISING IN THE LAST WEEK BY 2% BY 2022. BASELINE: 2019 CHNA SURVEY, 76% INDICATED THEY EXERCISED AT LEAST 1 TIME IN THE PAST WEEK. PROVIDE MONTHLY PROGRAM ON HEALTHY EATING AND PHYSICAL ACTIVITY AT THE PONTIAC RECREATION CENTER. FY2020: IN 2019, OSF SJJWAMC PROVIDED A MONTHLY EDUCATIONAL PROGRAM AT THE PONTIAC RECREATIONAL CENTER WITH APPROX.. 5-6 PEOPLE IN ATTENDANCE. IN EARLY 2020, THE REC CENTER WAS CLOSED DUE TO THE PANDEMIC AND GOVERNMENT RESTRICTIONS ENFORCED. IN 2021, THE REC. CENTER COORDINATOR ANTICIPATES THE RETURN OF ALL ACTIVITIES THIS SUMMER. WHEN THE REC. CENTER RETURNS TO FULL CAPACITY, OSF SJJWAMC WILL RETURN TO PROVIDING THESE EDUCATIONAL CLASSES MONTHLY. PROVIDE EDUCATIONAL HEALTHY LIFESTYLE PROGRAMS TO WOMEN IN LIVINGSTON COUNTY THROUGH WOMEN EMPOWERED - WE LIVE. FY2020: LAST EVENT HELD BY "WE LIVE" WAS ON NOVEMBER 2019 WITH MORE THAN 50 PARTICIPANTS. DUE TO THE PANDEMIC, NO OTHER EVENT HAS BEEN HELD. DISTRIBUTE WELLNESS NEWSLETTER TO LOCAL BUSINESSES AND ORGANIZATIONS. FY2020: IN 2020, THE NEWSLETTER DISTRIBUTION WAS PUT ON HOLD DUE TO THE EFFECTS OF THE PANDEMIC. IN SEPTEMBER, 2021 IT IS ANTICIPATED TO SHARE OUR WELLNESS NEWSLETTER TO 4 LOCAL BUSINESSES. OUTCOME METRIC #2: #2: REDUCE PERCENTAGE OF RESPONDENTS WHO REPORT CONSUMPTION OF 2 OR LESS DAILY FRUITS AND VEGETABLES BY 4% BY 2022. BASELINE: 2019 CHNA SURVEY, 54% REPORTED "NONE" OR "1 TO 2". QUESTION: "ON A TYPICAL DAY, HOW MANY SERVINGS/SEPARATE PORTIONS OF FRUITS AND/OR VEGETABLES DID YOU HAVE?" PROVIDE HEALTHY AND EASY TO REPLICATE MEAL KITS TO COMMUNITY MEMBERS ON A MONTHLY BASIS THROUGH SMART MEALS PROGRAM. ST. JAMES PROVIDES SPACE, MARKETING AND TRAINS VOLUNTEERS TO SUPPORT THIS PROGRAM, OSF HEALTHCARE FOUNDATION AND WE LIVE PROVIDE ADDITIONAL FINANCIAL SUPPORT. FY2020: IN 2019, 50/MONTH SMARTMEALS WERE ORDERED AND DELIVERED. WE CONTINUE TO UTILIZE VOLUNTEER'S TO HELP PACKAGE THESE MEALS. IN 2020, THE PANDEMIC AFFECTED THE DISTRIBUTION PROCESS AND GROWTH OF THE PROGRAM. INTERNAL OSF MARKETING CONTINUES BY OFFERING FLYERS AND CARDS WITHIN THE LOBBY OF THE HOSPITAL. BEHAVIORAL HEALTH - MENTAL HEALTH GOAL 1: INCREASE ACCESS TO MENTAL HEALTH CARE AND RESOURCES IN LIVINGSTON COUNTY. OUTCOME METRIC 1: INCREASE THE PERCENTAGE OF RESIDENTS WHO HAVE TALKED TO SOMEONE ABOUT THEIR MENTAL HEALTH IN THE PAST YEAR BY 5% BY 2022. BASELINE: 24% OF RESPONDENTS ANSWERED "YES" TO THE QUESTION "HAVE YOU TALKED TO ANYONE ABOUT YOUR MENTAL HEALTH IN THE PAST YEAR" ON THE 2019 CHNA SURVEY. PROVIDE FREE ACCESS TO DIGITAL BEHAVIORAL HEALTH SOLUTION - SILVERCLOUD. FY2020: IN 2020, WE HAD 46 PATIENT SIGNUP FOR THE BEHAVIOR HEALTH SOLUTION, SILVERCLOUD IN THE PONTIAC AREA. WE WILL CONTINUE TO OFFER SILVERCLOUD TO PATIENTS HAVING AN IDENTIFYING BEHAVIORAL HEALTH NEED FOR SUPPORT. PROVIDE FREE BEHAVIORAL HEALTH NAVIGATION SERVICE. FY2020: CURRENTLY, WE HAVE HAD 46 PATIENTS UTILIZE THE NAVIGATION SERVICES TO HELP PROVIDE SUPPORT AND CONNECTION TO BEHAVIORAL HEALTH SERVICES. PARTNER WITH IHR TO MANAGE AND PROVIDE SERVICES FOR PATIENTS WITH POTENTIAL BEHAVIORAL HEALTH CARE NEEDS THAT MAKE REPEAT VISITS FOR EMERGENCY CARE. IHR WILL PROVIDE EVALUATION OF OSF PATIENTS NEEDING ADDITIONAL PSYCHIATRIC CARE AND OSF PROVIDES TRANSPORTATION FOR THE PATIENT TO RECEIVE THE CARE. FY2020: IHR AND THE EMERGENCY DEPT. COLLABORATE IN PROVIDING ALL AVAILABLE RESOURCES TO OUR IDENTIFIED BEHAVIORAL HEALTH PATIENTS. IN 2020, THE IHR CRISIS TEAM RESPONDED TO OSF SAINT JAMES HOSPITAL 269 TIMES. IF THIS TREND CONTINUES THROUGHOUT THE CALENDAR YEAR, WE WILL SEE AN 11% INCREASE IN REFERRALS TO THE IHR CRISIS TEAM. IHR HAS RECEIVED 110 REFERRALS FROM THE OSFMG OFFICES IN CALENDAR YEAR 2020. EDUCATE EMS PROVIDERS ON CARING FOR PATIENTS WITH MENTAL HEALTH CARE NEEDS. FY2020: DUE TO THE PANDEMIC, THIS PARTICULAR MEASURE WAS PUT ON PAUSE. THIS WILL BE RELOOKED AT WHEN THE STATE RESTRICTIONS FOR HOSTING EVENTS IN PERSON WILL BE RESUMED. PROVIDE FREE MENTAL HEALTH FIRST AID COURSES TO THE COMMUNITY IN PARTNERSHIP WITH LIVINGSTON COUNTY MENTAL HEALTH BOARD FOR FACILITATORS. FY2020: DUE TO THE STATE RESTRICTIONS RELATED TO THE PANDEMIC, THIS MEASURE WAS PUT ON PAUSE. PARTNER WITH IHR TO PROVIDE ON-SITE COUNSELING SERVICES IN LIVINGSTON COUNTY SCHOOLS. DUE TO THE STATES RESTRICTIONS WITH THE SCHOOLS IN RELATION TO THE PANDEMIC, THIS MEASURE WAS PUT ON PAUSE. COORDINATE AND COMMUNICATE PROCESS FOR REFERRAL BY OSF TO COMPREHENSIVE CHILD PSYCH / PHD ASSESSMENT THROUGH IHR/LCCN. FY2020: DUE TO THE PANDEMIC, REFERRALS FOR THE COMPREHENSIVE CHILD PSYCHOLOGY HAVE BEEN DOWN. COLLABORATE WITH IHR, LIVINGSTON COUNTY MENTAL HEALTH BOARD, LIVINGSTON COUNTY PUBLIC HEALTH DEPARTMENT AND FUTURES UNLIMITED TO UPDATE THE "PURPLE BOOK" DIRECTORY OF COMMUNITY SERVICES AND RESOURCES TO DISTRIBUTE TO PROVIDERS AND COMMUNITY. FY2020: DUE TO THE PANDEMIC, THIS MEASURE WAS PUT ON HOLD. * PARTNER WITH OSF HOMECARE TO PROVIDE FREE OSF LIVING WITH LOSS SUPPORT GROUP ON A BI-MONTHLY BASIS. SJJWAMC PROVIDES SPACE AND MARKETING FOR THE GROUP, HOMECARE FACILITATES. FY2020: IN 2020, THE LOSS SUPPORT GROUP WAS PUT ON HOLD, DUE TO THE RESTRICTIONS OF MEETING IN PERSON. GOAL 2: USE SOCIAL DETERMINATES OF HEALTH (SDOH) TO IDENTIFY PATIENTS AT INCREASED RISK OF POOR MENTAL HEALTH AND CONNECT THEM TO COMMUNITY ORGANIZATIONS IN ORDER TO IMPROVE MENTAL HEALTH OUTCOMES. OUTCOME MEASURE 2: DECREASE THE PERCENTAGE OF RESPONDENTS STATING THEY HAVE POOR OVERALL MENTAL HEALTH BY 1%. BASELINE: PER THE 2019 CHNA SURVEY, 8% OF RESPONDENTS STATED THEY HAVE POOR OVERALL MENTAL HEALTH. IMPLEMENT SCREENING OF PATIENTS FOR SDOH. SCREEN AND CONNECT. NUMBER OF PATIENTS SCREENED. FY2020: 4404 SCREENED. TRACK NUMBER OF PATIENTS REFERRED TO COMMUNITY BASED ORGANIZATIONS (CBO). FY2020: 236 REFERRED. TRACK NUMBER OF MISSION PARTNERS EDUCATED FOR CONTINUED ROLL-OUT. FY2020: 92 EDUCATED. TRACK NUMBER OF PATIENT REFERRALS TO OSF CARE MANAGEMENT AND SOCIAL WORKERS. FY2020: 232 REFERRALS. BEHAVIORAL HEALTH - SUBSTANCE ABUSE STRATEGIC GOAL: REDUCE DRUG OVERDOSE DEATHS IN LIVINGSTON COUNTY. OUTCOME MEASURE: REDUCE ANNUAL EMERGENCY DEPARTMENT OPIOIDS OVERDOSE CASES BY 10% BY 2022. BASELINE: 22 CASES THROUGH FIRST 11 MONTHS OF 2019, AVERAGE = 2 CASES PER MONTH, 24 CASES PER YEAR. SOURCE: IDPH OPIOID DATA DASHBOARD, MONTHLY OPIOIDS OVERDOSE ED CASES BY COUNTY, 2019, HTTPS://IDPH.ILLINOIS.GOV/OPIOIDDATADASHBOARD/. PARTNER WITH AREA RESOURCES TO IDENTIFY HOW TO IMPROVE DRUG TAKEBACK INITIATIVES IN LIVINGSTON COUNTY WITH THE LIVINGSTON COUNTY HEALTH DEPARTMENT. FY2020: WE SAW A DECREASE IN THE AMOUNT OF DRUGS BEING RETURNED IN THE RX DROP BOX. 2020 - 323 LBS. DEVELOP SOCIAL MEDIA MARKETING PLAN TO IMPROVE AWARENESS IN LIVINGSTON COUNTY OF OSF RX DISPOSAL PROGRAM. FY2020: THE OSF SOCIAL MEDIA SITES HAVE BEEN DEDICATED TO EDUCATING
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - SAINT JAMES HOSPITAL. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - SAINT JAMES HOSPITAL. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. IN ADDITION, ENROLLMENT IN ANY ONE OF THE FOLLOWING PROGRAMS WITH CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY INCOME GUIDELINES ESTABLISHES ELIGIBILITY FOR PRESUMPTIVE CHARITY: WIC; SNAP; LIHEAP, IL FREE LUNCH AND BREAKFAST PROGRAM; RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES; OR ENROLLMENT IN AN ORGANIZED COMMUNITY BASED PROGRAM PROVIDING ACCESS TO MEDICAL CARE THAT ASSESSES AND DOCUMENTS LIMITED LOW INCOME FINANCIAL STATUS AS CRITERION FOR MEMBERSHIP.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - SAINT JAMES HOSPITAL. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY. A NEW FINANCIAL ASSISTANCE POLICY CAME OUT NOVEMBER 2020 AFTER FISCAL YEAR END. USE THE LINKS ASSOCIATED WITH THIS RETURN TO FIND FINANCIAL ASSISTANCE POLICY EFFECTIVE FOR FY2020.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - SAINT JAMES HOSPITAL. A PLAIN LANGUAGE SUMMARY OF THE FAP IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS, INFORMATION ABOUT FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS IS INCLUDED ON OR WITH THE OSF PATIENT BILLING STATEMENT, AND OSF PROVIDES COPIES OF THE PLAIN LANGUAGE SUMMARY AND THE FAP APPLICATION FORM TO REFERRING STAFF PHYSICIANS.
Schedule H, Part V, Section B, Line 3E	The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - OSF SAINT LUKE MEDICAL CENTER. OSF HEALTHCARE CENTER d/b/a SAINT LUKE MEDICAL CENTER ("SLMC") FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2019 HENRY COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT LED TO THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY DESIGNED TO IMPROVE THE HEALTH OF THE AREA'S RESIDENTS BY DEVELOPING AND IMPLEMENTING INTERVENTIONS TO ADDRESS SIGNIFICANT PRIORITY HEALTH NEEDS. FOR THE 2019 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) ADMINISTRATOR OF THE COUNTY HEALTH DEPARTMENTS. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 AND 2016 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM THE COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2019 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES; REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS INCLUDING THE EXECUTIVE DIRECTOR OF THE YMCA OF KEWANEE, VP OF BEHAVIORAL HEALTH SERVICES FOR BRIDGEWAY, INC., AND DIRECTORS SITTING ON THE FOLLOWING BOARDS: KEWANEE SCHOOLS FOUNDATION, KEWANEE KIWANIS CLUB, CHAIR OF THE ABILITIES PLUS PREVENTION INITIATIVE ADVISORY BOARD, HOUSING AUTHORITY OF HENRY COUNTY, AND THE KEWANEE ECONOMIC DEVELOPMENT CORPORATION; HEALTH CARE EDUCATORS AND PROVIDERS INCLUDING THE FACILITY'S DIRECTOR OF REHABILITATION SERVICES AND VP-CHIEF NURSING OFFICER, A COMMUNITY AND ECONOMIC DEVELOPMENT EDUCATOR FOR THE UNIVERSITY OF IL EXTENSION, AND A LICENSED CLINICAL PROFESSIONAL COUNSELOR AND NATIONALLY CERTIFIED MENTAL HEALTH FIRST AID USA INSTRUCTOR; SUPERINTENDENT OF THE KEWANEE COMMUNITY UNIT SCHOOL DISTRICT 229, AND A RETIRED EDUCATOR WITH 34 YEARS EXPERIENCE AS A TEACHER, COACH AND PRINCIPAL. MEMBERS OF THE COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2019 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - OSF SAINT LUKE MEDICAL CENTER. SLMC COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2016 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. The Henry County Community Health-Needs Assessment (CHNA) is a collaborative undertaking by OSF Saint Luke Medical Center to highlight the health needs and well-being of residents in Henry County. Through this needs assessment, collaborative community partners have identified numerous health issues affecting individuals and families in Henry County. Several themes are prevalent in this health-needs assessment - the demographic composition of Henry County, the predictors for and prevalence of diseases, leading causes of mortality, accessibility to health services and healthy behaviors. The collaborative team identified two significant health needs and prioritized both to be addressed in the Community Health Needs Implementation Strategy. * Healthy Behaviors - defined as active living and healthy eating, and their impact on obesity * Behavioral Health - including mental health and substance abuse Healthy Behaviors and Obesity Active Living - 23% of survey respondents indicated that they do not exercise at all, while the majority (63%) of residents exercise 1-5 times per week. Healthy Eating - Almost two-thirds (58%) of residents report no consumption or low consumption (1-2 servings per day) of fruits and vegetables per day. Obesity - A health outcome of unhealthy behaviors in Henry County. Goal 1: Increase the percentage of youth living at a healthy body weight in Henry County. Outcome Metric 1: Increase the percentage of youth living at a "Healthy Weight" within Henry County by 2%. Baseline: CDC BMI (Body Max Index) guidelines for Healthy weight of 66% (Per Illinois Youth Survey [IYS], UofI, 2018 Henry County Report). Implement Heathy Kids U collaboration. Offer two Healthy Kids U in Motion Programs. FY2020: Started the new program in February and were able to hold 5 sessions before cancelling it due to COVID-19. Wellness Edge for Kids Program - Healthy Eating, Physical Activity, and Stress Reduction. Increase the number of participants by 2 annually. FY2020: FY 2020 was cancelled due to COVID-19. Provide Diabetes Education and Prevention. Determining Baseline for number of persons educated. FY2020: Baseline was difficult to determine due to COVID-19. Will use 2021 to determine new baseline. Goal 2: Increase Access to HealthCare and Services within Henry County. Outcome Metric 3: Decrease the Percent of Henry County population that does not have access to Medical Care when needed by 2%. Baseline - 17% of Henry County population responded they did not have access to Medical Care when needed. (Per CHNA survey, 2019). Implement Rural Transportation Program. Determining Baseline for number of persons served. FY2020: Van order was postponed due to COVID-19. Officially ordered in September with anticipated delays due to manufacturing shortages. Evaluate Ambulatory Telehealth Services. Determining baseline for number of services that can be provided via Telehealth. FY2020: There were 675 virtual visits in FY20, which quickly expanded due to COVID-19 in the form of Telephone calls (440), and Video (235). Outcome Metric 4: Increase the Percent of Henry County population who receive an annual Flu Immunization by 1.8% Baseline - Henry County Flu Shots 36.4%, which is 1.8% below the State of Illinois (per CHNA survey, 2019), Increase the percentage of youth living at a "Healthy Weight" within Henry County by 2%. Baseline: CDC BMI (Body Max Index) guidelines for Healthy weight of 66% (Per Illinois Youth Survey [IYS], UofI, 2018 Henry County Report). Grow School Flu Immunization Collaboration - Educate and create a lasting healthy habit. Increase free flu immunizations to school aged students and their teachers. FY2020: Provided 1,270 free flu immunizations to Kewanee, Wethersfield, & Visitation School students and staff. Behavioral Health Mental Health - In Henry County, 41% of respondents indicated they felt depressed in the last 30 days and 32% indicated they felt anxious or stressed. Goal 1: Decrease the number of residents in Henry County who reported feeling depressed or anxious in the past 30 days. Outcome Metric 1: Decrease the number of residents in Henry County who reported feeling depressed in the past 30 days by 2%. Baseline - 41% of Henry County residents responded as feeling depressed at least 1 or more days in the last 30 days. (per CHNA survey, 2019). Increase Outpatient Behavioral Health Access. Increase availability of counselor visits by 30%. FY2020: Behavioral Health counselor visits of 707 impacted due to COVID-19. Increase SilverCloud Utilization. Determine baseline for number of users in Henry County and increase utilization by at least 1% annually. FY2020: 47 Utilizing app. Determine baseline for number of encounters/resources provided. Increasing encounters at least 1% annually. FY2020: Delayed due to COVID-19. Will need to develop the baseline in FY21. Determine baseline for number of patients seen related to behavioral health and determine the percent screened; achieving 95% of these patients screened for suicide. FY2020: ED screened 95% of all patients in FY 2020. Will look to maintain this going forward. Goal 2: Use Social Determinates of Health (SDOH) to identify patients at increased risk of poor mental health and connect them to community organizations in order to improve mental health outcomes. Outcome Measure 2: Decrease the percentage of respondents stating they have poor overall mental health by 1%. Baseline: Per the 2019 CHNA survey, 8% of respondents stated they have poor overall mental health. Not having basic human needs is likely linked to poor mental health. If a survey respondent does not have housing, food, transportation (etc.), their overall state of mental health would likely be rated lower. Implement screening of patients for SDOH. Screen and Connect. Number of patients screened. FY2020: 1426 screened. Track number of patients referred to community based organizations (CBO). FY2020: 57 referred. Track number of Mission Partners educated for continued roll-out. FY2020: 38 educated. Track number of patient referrals to OSF Care Management and social workers. FY2020: 34 referred Substance Abuse - In Henry County, 14% of respondents indicated they use substances daily to make themselves feel better. Goal: Decrease the percent of Henry County residents who responded using substances daily to make them feel better. Outcome Metric: Decrease the number of respondents who indicated they use substances daily to make themselves feel better to 13% Baseline: 14% of respondents indicated they use substances daily to make themselves feel better (per CHNA survey, 2019). Promote the RX Disposal program. Increase pounds of medication collected and destroyed by 9%. FY2020: A total of 472 lbs. of medications were returned in FY20 at a cost of $2,400. Practice opioid stewardship. Determine a baseline for number of opioids administered in the emergency department and inpatient unit. Decrease a minimum of 1% annually. FY2020: Delayed due to COVID-19. Will need to develop the baseline in FY21.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - OSF SAINT LUKE MEDICAL CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - OSF SAINT LUKE MEDICAL CENTER. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. IN ADDITION, ENROLLMENT IN ANY ONE OF THE FOLLOWING PROGRAMS WITH CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY INCOME GUIDELINES ESTABLISHES ELIGIBILITY FOR PRESUMPTIVE CHARITY: WIC; SNAP; LIHEAP, IL FREE LUNCH AND BREAKFAST PROGRAM; RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES; OR ENROLLMENT IN AN ORGANIZED COMMUNITY BASED PROGRAM PROVIDING ACCESS TO MEDICAL CARE THAT ASSESSES AND DOCUMENTS LIMITED LOW INCOME FINANCIAL STATUS AS CRITERION FOR MEMBERSHIP.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - OSF SAINT LUKE MEDICAL CENTER. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY. A NEW FINANCIAL ASSISTANCE POLICY CAME OUT NOVEMBER 2020 AFTER FISCAL YEAR END. USE THE LINKS ASSOCIATED WITH THIS RETURN TO FIND FINANCIAL ASSISTANCE POLICY EFFECTIVE FOR FY2020.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - OSF SAINT LUKE MEDICAL CENTER. A PLAIN LANGUAGE SUMMARY OF THE FAP IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS, INFORMATION ABOUT FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS IS INCLUDED ON OR WITH THE OSF PATIENT BILLING STATEMENT, AND OSF PROVIDES COPIES OF THE PLAIN LANGUAGE SUMMARY AND THE FAP APPLICATION FORM TO REFERRING STAFF PHYSICIANS.
Schedule H, Part V, Section B, Line 3E	The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - OSF HOLY FAMILY MEDICAL CENTER. OSF HEALTHCARE CENTER d/b/a HOLY FAMILY MEDICAL CENTER ("HFMC") FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2019 WARREN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT LED TO THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY DESIGNED TO IMPROVE THE HEALTH OF THE AREA'S RESIDENTS BY DEVELOPING AND IMPLEMENTING INTERVENTIONS TO ADDRESS SIGNIFICANT PRIORITY HEALTH NEEDS. FOR THE 2019 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) DIRECTOR AT THE COUNTY HEALTH DEPARTMENT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 AND 2016 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM THE COLLABORATIVE TEAM CREATED TO ENGAGE THE COMMUNITY IN CONDUCTING THE 2019 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES; THE FACILITY'S COORDINATOR OF DIABETES SERVICES AND DIABETIC EDUCATOR WHO IS A CERTIFIED EXERCISE SPECIALIST IN CARDIAC PULMONARY REHAB AND CERTIFIED DIABETIC EDUCATOR, AND ITS PRESIDENT WHO IS A MEMBER OF THE AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES AND THE IL CRITICAL ACCESS HOSPITAL NETWORK; AN IEPA CERTIFIED WATER OPERATOR, AND AN MS RN WHO HAS SERVED AS CHIEF NURSING OFFICER AT TWO CRITICAL ACCESS HOSPITALS. MEMBERS OF THE COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2019 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - OSF HOLY FAMILY MEDICAL CENTER. HFMC COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2019 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(r)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. The Warren County Community Health-Needs Assessment (CHNA) is a collaborative undertaking by OSF Holy Family Medical Center to highlight the health needs and well-being of residents in Warren County. Through this needs assessment, collaborative community partners have identified numerous health issues affecting individuals and families in the Warren County region. Several themes are prevalent in this health-needs assessment - the demographic composition of the Warren County region, the predictors for and prevalence of diseases, leading causes of mortality, accessibility to health services and healthy behaviors. The collaborative team identified three significant health needs and prioritized both to be addressed in the Community Health Needs Implementation Strategy. * Healthy Behaviors - defined as active living and healthy eating, and their impact on obesity * Behavioral Health - including mental health and substance abuse Healthy Behaviors Active Living - A healthy lifestyle, comprised of regular physical activity and balanced diet, has been shown to increase physical, mental, and emotional well-being. Healthy Eating - Over half (57%) of residents report no consumption or low consumption (1-2 servings per day) of fruits and vegetables per day. Obesity - A health outcome of unhealthy behaviors in Warren County. Goal 1: Increase the percent of Warren County residents who consume 3 or more servings of fruits and vegetables per day to over 50%. Outcome Metric 1: Decrease the percent of survey respondents who self-report no consumption or low consumption (1-2 servings per day) of fruits and vegetables. Baseline: Per 2019 CHNA survey, over half (57%) of Warren County residents report no consumption or low consumption (1-2 servings per day) of fruits and vegetables. Tactics and Progress from FY2020: Increase knowledge and awareness of healthy behaviors with traditional and social media. FY2020: Provided 2 EATWELL and 1 Healthy Dinner Prep thru Facebook Live reaching 400 attendees Increase community knowledge and effective self-management of diabetes through education. FY2020: Diabetes Services for 124 Patients Served Be-Well -Women Enjoying Living and Learning - A women's healthy living program focusing on healthy behaviors and diabetes prevention. FY2020: Provided 22 weekly sessions of Be-Well program. Attendance was up to 22 prior to program cancellation due to pandemic. Partner with Warren County YMCA to implement Healthy Kids U, a childhood wellness initiative that combines exercise with education and behavior modification. FY2020: Focus for critical access hospital was shifted to COVID. Postponed until FY21. Kids Health and Safety Event. FY2020: Focus for critical access hospital was shifted to COVID. Postponed until FY21. Goal 2: Increase the number of Warren County Residents who report receiving screening exams for diabetes, breast cancer and colon cancer within the last five years. Outcome Metric 2: Increase the number of people receiving health screening for diabetes, breast cancer and colon cancer by 5%. Baseline: Per CHNA 2019 survey, 69% of women had a breast screening in the past five years and for women and men over the age of 50, 60% had colorectal screening in the last five years. Diabetes A1C screening- FY2019 performed 168 A1C screenings within the community. Increase the number of A1C screenings performed to identify individuals unaware of diabetes and pre-diabetes health issue. FY2020: Was able to provide A1C screenings to 135 Smithfield employees. Focus for critical access hospital was shifted to COVID. Postponed until FY21. Promote health screenings through social media, education, radio spots and social connections with minority groups to increase priority and outcomes of early detection of cancer and diabetes. FY2020: Produced 11 health screening radio service announcements. Posted 6 free on-line health assessment links to Facebook. Focus for critical access hospital was shifted to COVID. Postponed until FY21. Behavioral Health - Mental Health and Substance Abuse Mental Health - Mental illness is common but often hidden due to many associated stigmas. Substance Abuse - Data from the 2018 Illinois Youth Survey measures illegal substance use (alcohol, tobacco, and other drugs - mainly marihuana) among adolescents. Goal 1: Increase the number of individuals accessing mental health services. Outcome Metric 1: Decrease number of survey respondents not having access to counseling services when needed by 2%.Baseline - Per 2019 CHNA survey, 9% of survey respondents indicated no access to counseling services when needed. Provide 3 blood pressure screenings to the community. FY2020: Provided the Women's Health Event while including education on Women's Heart Health. Feature Women's Heart Health in the Women's Health Event to be developed and provided. (See Poor Healthy Behaviors - nutrition & exercise). FY2020: Included a presentation on the effects of sleep on heart health as part of the Diabetes support group. Offer education on how sleep habits affects heart health. FY2020: Included a presentation on the effects of sleep on heart health as part of the Women's Health Event. Goal 2: Use Social Determinates of Health (SDOH) to identify patients at increased risk of poor mental health and connect them to community organizations in order to improve mental health outcomes. Outcome Measure 2: Decrease the percentage of respondents stating they have poor overall mental health by 1%. Baseline: Per the 2019 CHNA survey, 8% of respondents stated they have poor overall mental health. Implement screening of patients for SDOH. Screen and Connect. Number of patients screened. FY2020: 2201 screened Track number of patients referred to community based organizations (CBO). FY2020: 47 referred. Track number of Mission Partners educated for continued roll-out. FY2020: 36 educated. Track number of patient referrals to OSF Care Management and social workers. FY2020: 45 referrals.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - OSF HOLY FAMILY MEDICAL CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - OSF HOLY FAMILY MEDICAL CENTER. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. IN ADDITION, ENROLLMENT IN ANY ONE OF THE FOLLOWING PROGRAMS WITH CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY INCOME GUIDELINES ESTABLISHES ELIGIBILITY FOR PRESUMPTIVE CHARITY: WIC; SNAP; LIHEAP, IL FREE LUNCH AND BREAKFAST PROGRAM; RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES; OR ENROLLMENT IN AN ORGANIZED COMMUNITY BASED PROGRAM PROVIDING ACCESS TO MEDICAL CARE THAT ASSESSES AND DOCUMENTS LIMITED LOW INCOME FINANCIAL STATUS AS CRITERION FOR MEMBERSHIP.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - OSF HOLY FAMILY MEDICAL CENTER. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY. A NEW FINANCIAL ASSISTANCE POLICY CAME OUT NOVEMBER 2020 AFTER FISCAL YEAR END. USE THE LINKS ASSOCIATED WITH THIS RETURN TO FIND FINANCIAL ASSISTANCE POLICY EFFECTIVE FOR FY2020.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - OSF HOLY FAMILY MEDICAL CENTER. A PLAIN LANGUAGE SUMMARY OF THE FAP IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS, INFORMATION ABOUT FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS IS INCLUDED ON OR WITH THE OSF PATIENT BILLING STATEMENT, AND OSF PROVIDES COPIES OF THE PLAIN LANGUAGE SUMMARY AND THE FAP APPLICATION FORM TO REFERRING STAFF PHYSICIANS.
Schedule H, Part V, Section B, Line 2	Little Company of Mary Hospital (LCMH) merged with OSF Healthcare (OSF) on February 1, 2020 and renamed the hospital facility to OSF Little Company of Mary Medical Center (LCMMC). LCMH's FY19 ran from July 1, 2018 through June 30, 2019 while its FY20 ran from July 1, 2019 through January 31, 2020, shortened due to the merger. LCMMC's FY20 ran from February 1, 2020 through September 30, 2020.
Schedule H, Part V, Section B, Line 3E	The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - LITTLE COMPANY OF MARY MEDICAL CENTER. LITTLE COMPANY OF MARY HOSPITAL (LCMH) MERGED WITH OSF HEALTHCARE (OSF) ON FEBRUARY 1, 2020 AND RENAMED THE HOSPITAL FACILITY TO OSF LITTLE COMPANY OF MARY MEDICAL CENTER (LCMMC). PRIOR TO THE MERGER, LITTLE COMPANY OF MARY MEDICAL CENTER FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT LED TO THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY DESIGNED TO IMPROVE THE HEALTH OF THE AREA'S RESIDENTS BY DEVELOPING AND IMPLEMENTING INTERVENTIONS TO ADDRESS SIGNIFICANT PRIORITY HEALTH NEEDS. FOR THE 2019 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM VARIOUS OUTSIDE SOURCES.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - LITTLE COMPANY OF MARY MEDICAL CENTER. LITTLE COMPANY OF MARY HOSPITAL (LCMH) MERGED WITH OSF HEALTHCARE (OSF) ON FEBRUARY 1, 2020 AND RENAMED THE HOSPITAL FACILITY TO OSF LITTLE COMPANY OF MARY MEDICAL CENTER (LCMMC). LCMH'S FY19 RAN FROM JULY 1, 2018 THROUGH JUNE 30, 2019 WHILE ITS FY20 RAN FROM JULY 1, 2019 THROUGH JANUARY 31, 2020, SHORTENED DUE TO THE MERGER. LCMMC'S FY20 RAN FROM FEBRUARY 1, 2020 THROUGH SEPTEMBER 30, 2020. LCMMC COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). THE COMMUNITY HEALTH-NEEDS ASSESSMENT (CHNA) IS A HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS. ON FEBRUARY 7, 2019, LITTLE COMPANY OF MARY HOSPITAL AND HEALTH CARE CENTERS CONVENED A GROUP OF 15 INTERNAL STAFF AND COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR COMMUNITY, BASED ON FINDINGS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PROFESSIONAL RESEARCH CONSULTANTS, INC. THE TEAM IDENTIFIED FOURTEEN SIGNIFICANT HEALTH NEEDS AND FIVE WERE PRIORITIZED ALL TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. HEART DISEASE AND STROKE DIABETES MENTAL HEALTH CANCER NUTRITION, PHYSICAL ACTIVITY AND WEIGHT HEART DISEASE AND STROKE HEART DISEASE IS THE LEADING CAUSE OF DEATH IN THE UNITED STATES, WITH STROKE FOLLOWING AS THE THIRD LEADING CAUSE. GOAL: FOCUS ON RESIDENTS LIVING IN THE LCMH PRIMARY SERVICE AND CURRENT AND FUTURE CLIENTS OF THE HEALTH EDUCATION CENTER. INCREASE OPPORTUNITIES FOR BLOOD PRESSURE SCREENING AND EDUCATION STRATEGIES AND OBJECTIVES: STRATEGY: ENHANCE OPPORTUNITY FOR BP SCREENING AT HEALTH EDUCATION CENTER EVENTS ON AND OFF CAMPUS. HEATH EDUCATION CENTER WILL PROVIDE FREE BLOOD PRESSURE SCREENING TWICE PER WEEK AT THE HOSPITAL. INCORPORATE BLOOD PRESSURE SCREENING INTO ALL LAB-SCREENING PROGRAMS. HEALTH EDUCATION CENTER WILL REACH OUT TO THREE NEW COMMUNITY GROUPS (CHURCHES, SENIOR GROUPS, ETC.) CALCIUM SCORING (LDCT) SCREENING TO BE ADDED, AND SPIRITUAL DIMENSIONS OF HEALTHY LIVING. FY2020: DURING FY19 AND FY 20, UNTIL COVID FORCED SHUTDOWN OF SERVICES, BLOOD PRESSURE SCREENINGS WERE PROVIDED AT THE HOSPITAL. IN ADDITION, PROVIDED EDUCATION ON HEART DISEASE AND STROKE AND PROVIDED SCREENINGS AT COMMUNITY CHURCHES AND GROUPS. IN THE MIDDLE OF MARCH 2020, LCMMC WAS FORCED TO DISCONTINUE THESE SERVICES DUE TO THE IMPACT OF COVID ON OUR HOSPITAL AND THE COMMUNITY. DIABETES DIABETES MELLITUS OCCURS WHEN THE BODY CANNOT PRODUCE OR RESPOND APPROPRIATELY TO INSULIN. INSULIN IS A HORMONE THAT THE BODY NEEDS TO ABSORB AND USE GLUCOSE (SUGAR) AS FUEL FOR THE BODY'S CELLS. GOAL: INCREASE THE NUMBER OF PEOPLE WHO HAD THEIR BLOOD GLUCOSE TESTED IN THE PAST THREE YEARS. STRATEGIES AND OBJECTIVES: INCREASE OPPORTUNITIES FOR COMMUNITY MEMBERS TO HAVE THEIR BLOOD GLUCOSE CHECKED. TACTICS ADD INFORMATION ABOUT THIS PROGRAM TO THE ALREADY ESTABLISHED DIABETES TOOLKIT PROGRAM *OFFER OPTIONAL BLOOD SUGAR (GLUCOSE) SCREENING IN CONJUNCTION WITH ESTABLISHED WEEKLY BLOOD PRESSURE SCREENING CLINICS FY2020 PROGRESS: DURING FY19 AND FY 20, THE HOSPITAL SCREENED INDIVIDUALS FOR BLOOD GLUCOSE AT HEALTH EDUCATION EVENTS. IN THE MIDDLE OF MARCH 2020, LCMMC WAS FORCED TO DISCONTINUE THESE SERVICES DUE TO THE IMPACT OF COVID ON OUR HOSPITAL AND THE COMMUNITY. MENTAL HEALTH MENTAL HEALTH IS A STATE OF SUCCESSFUL PERFORMANCE OF MENTAL FUNCTION, RESULTING IN PRODUCTIVE ACTIVITIES, FULFILLING RELATIONSHIPS WITH OTHER PEOPLE, AND THE ABILITY TO ADAPT TO CHANGE AND TO COPE WITH CHALLENGES. MENTAL HEALTH IS ESSENTIAL TO PERSONAL WELL-BEING, FAMILY AND INTERPERSONAL RELATIONSHIPS, AND THE ABILITY TO CONTRIBUTE TO COMMUNITY OR SOCIETY.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - LITTLE COMPANY OF MARY MEDICAL CENTER. GOAL: INCREASE THE AWARENESS OF MENTAL HEALTH WITHIN THE COMMUNITY AND EDUCATE THE CONSUMER ON THE AVAILABILITY OF RESOURCES. STRATEGIES AND OBJECTIVES: INCREASE CHANNELS FOR COMMUNICATING MENTAL HEALTH ISSUES BY COLLABORATING WITH COMMUNITY PARTNERS TO INCREASE AWARENESS AND ACCESS TO RESOURCES. TACTICS PRODUCE A FACEBOOK LIVE EVENT TO INCLUDE TWO (2) COUNSELORS DISCUSSING MH ISSUES. PROGRESS FY2020: THE HOSPITAL PRODUCED MULTIPLE SOCIAL MEDIA VIDEOS DISCUSSING MENTAL HEALTH ISSUES. OFFER A STRESS-MANAGEMENT LECTURE TO INCLUDE ADMIN/CNA & AVANTARA CARE CENTER, EVERGREEN PARK. PROGRESS FY2020: THE HOSPITAL REQUIRED ALL EMPLOYEES TO ATTEND A 4-HOUR DE-ESCALATION TRAINING TO TRAIN OUR STAFF ON HOW BEST TO TREAT OUR PATIENTS AND VISITORS WHILE ALSO KEEPING OUR STAFF SAFE. IN ADDITION, THE HOSPITAL OPENED UP ITS FIRST PHASE OF ITS RENOVATED AND EXPANDED EMERGENCY DEPARTMENT THAT INCLUDED MULTIPLE ROOMS TO ACCOMMODATE PATIENTS PRESENTING WITH BEHAVIORAL HEALTH ISSUES. CO-PRODUCE A WEBINAR SERIES WITH ST. XAVIER UNIVERSITY AND MOTHER MCAULEY HIGH SCHOOL TO INCREASE AWARENESS AMONG STUDENT POPULATIONS AND RESOURCES IN COMMUNITY PRODUCE A POCKET GUIDE TO MENTAL HEALTH RESOURCES LCMH EMERGENCY DEPARTMENT RENOVATION TO INCLUDE FOUR (4) TREATMENT ROOMS DESIGNED TO ACCOMMODATE PATIENTS WHO PRESENT WITH BEHAVIORAL HEALTH ISSUES LCMH PUBLIC SAFETY DEPARTMENT TO OFFER TWENTY (20) 4-HOUR DE-ESCALATION TEAM TRAININGS TO DIRECTLY CARE LCMH EMPLOYEES. ADDITIONAL PROGRESS FY2020: THE HOSPITAL REQUIRED ALL EMPLOYEES TO ATTEND A 4-HOUR DE-ESCALATION TRAINING TO TRAIN OUR STAFF ON HOW BEST TO TREAT OUR PATIENTS AND VISITORS WHILE ALSO KEEPING OUR STAFF SAFE. IN ADDITION, THE HOSPITAL OPENED UP ITS FIRST PHASE OF ITS RENOVATED AND EXPANDED EMERGENCY DEPARTMENT THAT INCLUDED MULTIPLE ROOMS TO ACCOMMODATE PATIENTS PRESENTING WITH BEHAVIORAL HEALTH ISSUES. AFTER MERGING WITH OSF HEALTHCARE, THE HOSPITAL AND COMMUNITY GAINED ACCESS TO SILVERCLOUD, A SECURE AND ANONYMOUS WEB BASED PLATFORM THAT CAN HELP MANAGE THE FEELINGS AND CAUSES OF DEPRESSION, ANXIETY, OR STRESS. THE PROGRAM IS PROVIDED AT NO COST TO THE COMMUNITY SERVED BY LCMMC. WHEN COVID FIRST AFFECTED HOSPITAL OPERATIONS IN MARCH OF 2020, THE HOSPITAL STOOD UP A TELEHEALTH PROGRAM FOR PHP AND IOP BEHAVIORAL HEALTH PROGRAMS TO BE ABLE TO CONTINUE TREATMENT OF PATIENTS NEEDING CARE. IN ADDITION, THE HOSPITAL CREATED AN ASSESSMENT AND REFERRAL TEAM TO PROVIDE TIMELY ASSESSMENT OF PATIENTS PRESENTING WITH BEHAVIORAL HEALTH ISSUES AND DEVELOP A TREATMENT PLAN. ALONG WITH THE ASSESSMENT AND REFERRAL TEAM WAS A CONSULT ROUNDING PROGRAM THAT PROVIDES FOR NURSES TO ROUND ON MEDICAL PATIENTS THAT ALSO HAVE BEHAVIORAL HEALTH ISSUES, TO ENSURE BEST TREATMENT FOR THOSE PATIENTS. CANCER CONTINUED ADVANCES IN CANCER RESEARCH, DETECTION, AND TREATMENT HAVE RESULTED IN A DECLINE IN BOTH INCIDENCE AND DEATH RATES FOR ALL CANCERS. GOAL: INCREASE COMMUNITY AWARENESS OF, AND ACCESS TO, SCREENINGS FOR TOP THREE CANCERS (COLORECTAL, FEMALE BREAST, PROSTATE). STRATEGIES AND OBJECTIVES: INCREASE NUMBER OF PARTICIPANTS IN CANCER-AWARENESS AND PREVENTION EVENT EACH YEAR BY 20%. IDENTIFY INDIVIDUALS AT HIGH RISK FOR COLORECTAL CANCER: IMPLEMENT COLON CANCER RISK STRATIFICATION SURVEY TO BE ADMINISTERED TO ALL PARTICIPANTS IN HEC SCREENING PROGRAMS. TACTICS PROVIDE THREE PHYSICIAN-LED PROGRAMS FOR COLORECTAL CANCER AWARENESS AND SCREENING UPDATES CONTINUE A SELF-REFERRAL COLONOSCOPY SCREENING PROGRAM PLAN ACS AWARENESS EVENT TO COVER THREE TOP CANCERS PROGRESS FY2020: THE HOSPITAL SCREENED PATIENTS FOR COLONOSCOPIES. PROVIDED TAKE-HOME COLORECTAL KITS AND QUESTIONNAIRES WERE COMPLETED AT REGULAR LAB SCREENINGS. WHEN COVID FIRST AFFECTED HOSPITAL OPERATIONS IN MARCH OF 2020, THE HOSPITAL CONTINUED SCREENINGS AND REFERRALS. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT STRONG SCIENCE EXISTS SUPPORTING THE HEALTH BENEFITS OF EATING A HEALTHFUL DIET AND MAINTAINING A HEALTHY BODY WEIGHT. PHYSICAL ACTIVITY REGULAR PHYSICAL ACTIVITY CAN IMPROVE THE HEALTH AND QUALITY OF LIFE OF AMERICANS OF ALL AGES, REGARDLESS OF THE PRESENCE OF A CHRONIC DISEASE OR DISABILITY. WEIGHT BECAUSE WEIGHT IS INFLUENCED BY ENERGY, (CALORIES) CONSUMED AND EXPENDED, INTERVENTIONS TO IMPROVE WEIGHT CAN SUPPORT CHANGES IN DIET OR PHYSICAL ACTIVITY. GOAL: TO ENCOURAGE OUR EMPLOYEES TO LOSE WEIGHT AND MAKE HEALTHIER NUTRITION CHOICES. STRATEGIES AND OBJECTIVES: CONTINUE AND EXPAND CURRENT PROGRAM OFFERINGS THAT ENCOURAGE WEIGHT LOSS AND HEALTHY EATING OPPORTUNITIES. TIME OUT FOR WELLNESS WEIGHT LOSS CHALLENGE TEAM WALKING CHALLENGE EXPANDED HEALTHY LIFESTYLE CHOICES FOR LUNCH AND DINNER IN HOSPITAL CAFETERIA, LIKE FARMERS FRIDGE. HYPNOSIS FOR WEIGHT LOSS LAUNCH "WALK WITH THE DOC" PROGRAM AT EVERGREEN PARK FARMER'S MARKET *IMPLEMENT WEIGHTWATCHERS WEEKLY WORKPLACE MEETING PROGRESS FY2020: THE HOSPITAL HAD SEVERAL EVENTS FOR ITS EMPLOYEES THAT INCLUDED TIME OUT FOR WELLNESS WEIGHT LOSS CHALLENGE, WALKING CHALLENGES, AND HYPNOSIS FOR WEIGHT LOSS AND THE HOSPITAL CONTINUED TO OFFER HEALTHY FOOD OPTIONS WITHIN THE HOSPITAL CAFETERIA. IN ADDITION TO IMPROVING THE HEALTH OF EMPLOYEES, THE HOSPITAL STARTED A BARIATRIC SURGERY PROGRAM WITH UIC IN FY20 AND BEGAN SETTING UP THE FRAMEWORK FOR A MEDICAL WEIGHT LOSS CLINIC TO BEGIN IN FY21.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - LITTLE COMPANY OF MARY MEDICAL CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - LITTLE COMPANY OF MARY MEDICAL CENTER. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. IN ADDITION, ENROLLMENT IN ANY ONE OF THE FOLLOWING PROGRAMS WITH CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY INCOME GUIDELINES ESTABLISHES ELIGIBILITY FOR PRESUMPTIVE CHARITY: WIC; SNAP; LIHEAP, IL FREE LUNCH AND BREAKFAST PROGRAM; RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES; OR ENROLLMENT IN AN ORGANIZED COMMUNITY BASED PROGRAM PROVIDING ACCESS TO MEDICAL CARE THAT ASSESSES AND DOCUMENTS LIMITED LOW INCOME FINANCIAL STATUS AS CRITERION FOR MEMBERSHIP.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - LITTLE COMPANY OF MARY MEDICAL CENTER. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY. A NEW FINANCIAL ASSISTANCE POLICY CAME OUT NOVEMBER 2020 AFTER FISCAL YEAR END. USE THE LINKS ASSOCIATED WITH THIS RETURN TO FIND FINANCIAL ASSISTANCE POLICY EFFECTIVE FOR FY2020.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - LITTLE COMPANY OF MARY MEDICAL CENTER. A PLAIN LANGUAGE SUMMARY OF THE FAP IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS, INFORMATION ABOUT FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS IS INCLUDED ON OR WITH THE OSF PATIENT BILLING STATEMENT, AND OSF PROVIDES COPIES OF THE PLAIN LANGUAGE SUMMARY AND THE FAP APPLICATION FORM TO REFERRING STAFF PHYSICIANS.

Field	Value	IRS element (for citing)
Facility	55	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (55 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Business Name Line2BusinessName/BusinessNameLine2Txt	Address Line2USAddress/AddressLine2Txt
Psychology Specialists - Savoy Mental Health Services
501 N Dunlap Ave	Savoy	IL	61874	Rehab
OSF Healthcare Little Company of Mary Medical Center - Oak Lawn East
5660 W 95Th St	Oak Lawn	IL	60453	Diagnostic Radiology, HOD Prompt Care
OSF Healthcare Little Company of Mary Medical Center - PromptCare - Oak Law
6700 W 95th St	Oak Lawn	IL	60453	HOD Prompt Care, Cardiology	n
OSF Healthcare Little Company of Mary Medical Center - Burbank
4901 W 79Th St	Burbank	IL	60459	Laboratory & EKG
OSF Healthcare Little Company of Mary Medical Center - Halsted
736 W 95Th St	Chicago	IL	60628	Diagnostic Radiology
OSF Healthcare Little Company of Mary Medical Center - Palos Heights
12432 S Harlem St	Palos Heights	IL	60463	Diagnostic Radiology
OSF SAINT CLARE'S HOSPITAL
915 EAST FIFTH STREET	ALTON	IL	62002	radiation oncology
OSF Saint Anthony's Medical Office Building
815 East Fifth Street	ALTON	IL	62002	medical oncology
OSF Rehabilitation Services United Methodist Village
5201 Asbury Avenue	Godfrey	IL	62035	physical therapy, occupational therapy
OSF Rehabilitation Services Alton Square Mall
200 Alton Square Suite H1	ALTON	IL	62002	physical therapy, occupational therapy
OSF SAINT ANTHONY MEDICAL CENTER - BELVIDERE REHAB
1916 GATEWAY CENTER DR	BELVIDERE	IL	61008	Physical Therapy
OSF Center for Health at Rock Cut Crossing
9951 Rock Cut Crossing	loves Park	IL	61111	Laboratory Services
OSF Saint Anthony Medcial Center - Center For Health on State
5510 E State Street	ROCKFORD	IL	61108	Physical Therapy
ROCKFORD CARDIOVASCULAR ASSOCIATES
444 ROXBURY ROAD	ROCKFORD	IL	61107	CARDIAC REHAB
OSF SAINT ANTHONY MEDICAL CENTER - PARKVIEW
1502 PARKVIEW AVE	ROCKFORD	IL	61107	PHYSICAL THERAPY; OCCUPATIONAL THERAPY
OSF Saint Elizabeth Medical Center Sleep Center
1601 Mercury Circle Suite 200	Ottawa	IL	61350	POLYSYMNOGRAPHY LAB
Ottawa Medical Center Radiology Services
1614 East Norris Drive	Ottawa	IL	61350	Diagnostic Radiology
OSF Healthcare Ottawa South
1640 First Avenue	Ottawa	IL	61350	Diagnostic Radiology
OSF Center for Health - Streator
111 Spring Street	Streator	IL	61364	Emergency
OSF ST FRANCIS HOSPITAL MEDICAL GROUP - Escanaba (RHC)
3409 LUDINGTON ST	ESCANABA	MI	49829	DIAGNOSTIC RADIOLOGY
St Francis Hospital- Rehab Services
145 4th Avenue NE	Gladstone	MI	49837	Physical Therapy, Occupational Therapy, speech therapy
OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP - Powers Clinic (RHC)
N 15995 MAIN ST	POWERS	MI	49870	DIAGNOSTIC RADIOLOGY
OSF Rehabilitation - Bartonville
1119 W Garfield	Bartonville	IL	61607	Physical Therapy
OSF Rehabilitation - Chillicothe
311 N 4th St	Chillicothe	IL	61523	Physical Therapy
OSF Rehabilitation - Metamora
709 W Mt Vernon	Metamora	IL	61548	Physical Therapy
OSF CENTER FOR HEALTH MORTON
435 MAXINE DRIVE	MORTON	IL	61550	CT, MRI, MAMMOGRAPHY, DIAGNOSTIC RADIOLOGY, ULTRASOUND, PHYSICAL THERAPY, LAB/EKG
OSF Senior World - Morton
730 W Jefferson St Ste 200	MORTON	IL	61550	Adult Day Services, Geriatric Services
OSF Center for Health - Pekin
3422A Court St	Pekin	IL	61554	Diagnostic Radiology, Ultrasound, Laboratory Services/EKG
OSF Saint Francis Radiation Oncology at Pekin Cancer Center
3500 Court Street Suite 3428	Pekin	IL	61554	Radiation Oncology
OSF Healthcare Cardiovascular Institute - Pekin
610 Park Avenue	Pekin	IL	61554	Nuclear and Treadmill Stress Test, Echocardiograms, Vascular Ultrasound
OSF Rehabilitation - Pekin
2359 Broadway St	Pekin	IL	61554	ADULT PHYSICAL THERAPY; PEDIATRIC OCCUPATIONAL THERAPY; SPEECH THERAPY
OSF Center for Health Glen Park
5114 GLEN PARK PLACE	PEORIA	IL	61617	DIAGNOSTIC RADIOLOGY, OPEN MRI, ULTRASOUND, LABORATORY SERVICES, EKG
Gailey Eye Clinic Ltd
4927 N Glen Park Place	PEORIA	IL	61614	Opthalmology
OSF Rehabilitation - Glen Park
5009 N Glen Park Place	PEORIA	IL	61614	physical therapy
OSF Center for Health - Route 91
8600-8800 Rt 91	North Peoria	IL	61615	CT, DIAGNOSTIC RADIOLOGY, LAB, EKG, MRI, PAIN CLINIC, MAMMOGRAPHY, PT OT, HYPERBARIC SERVICES, EKG
OSF Saint Francis Medical Center - Radiation Oncology
8948 N Wood Sage Rd	PEORIA	IL	61615	Radiation oncology
OSF HealthCare Cardiovascular Institute
5405 N Knoxville Ave	PEORIA	IL	61614	Echocardiograms, Nuclear and Treadmill Stress Test, Vascular Ultrasound, Infusion Clinic, Sleep Lab
OSF Center for Health - Knoxville
2806 N Knoxville Ave	PEORIA	IL	61604	Rehab
Knoxville Avenue Pediatrics
2900 N Knoxville Ave	PEORIA	IL	61603	Allergy & Pulmonology
OSF Saint Francis Medical Center Cancer Survivorship Program
Illinois Medical Center Building 10	PEORIA	IL	61603	Cancer Services		01 Main St Ste 107
OSF Wellness Services at the Riverplex
600 WATER STREET	PEORIA	IL	61602	ADULT PHYSICAL THERAPY, CARDIAC REHAB, FAITH COMMUNITY NURSING, HEALTH
OSF WOMEN'S HEALTH CENTER
7800 N SOMMER Ste 508	PEORIA	IL	61615	PHYSICAL THERAPY, BREAST FEEDING RESOURCE CENTER, Family Planning
OSF Rehabilitation - Sommer
7800 N SOMMER Ste 608 609	PEORIA	IL	61615	Physical Therapy; Occupational Therapy
OSF Rehabilitation-Gwynn and OSF Saint Francis Outpatient Diagnostics at OS
303 N William Kumpf Blvd	PEORIA	IL	61605	MRI; Physical Therapy; Occupational Therapy	F HealthCare Orthopedics
OSF Rehabilitation - Kumpf
719 N William Kumpf Blvd Suite 200	PEORIA	IL	61605	Physical Therapy
OSF Senior World - Peoria
719 N William Kumpf Blvd Suite 300	PEORIA	IL	61605	Adult Day Services, Geriatric Services
OSF Rehabilitation - Sheridan
6501 N Sheridan Rd	PEORIA	IL	61614	Physical Therapy; Occupational Therapy; Speech Therapy, Industrial Rehab
OSF SAINT CLARE FAMILY HEALTH CENTER
10 SAINT CLARE COURT	WASHINGTON	IL	61571	DIAGNOSTIC RADIOLOGY, LAB, EKG, MAMMOGRAPHY,
OSF Rehabilitation at Five Points
360 N WILMORE ROAD	WASHINGTON	IL	61571	PEDIATRIC AND ADULT PHYSICAL THERAPY, AQUATIC THERAPY, OCCUPATIONAL THERAPY
OSF Center for Rehabilitation & Occupational Health - Dwight
107 Watters Drive	Dwight	IL	60420	Physical Therapy
OSF Center for Rehabilitation & Occupational Health - Fairbury
106 South First Street	Fairbury	IL	61739	Physical Therapy, Occupational Therapy
OSF SAINT JAMES SLEEP LABORATORY
702 RITTENHOUSE DRIVE	PONTIAC	IL	61764	POLYSYMNOGRAPHY CLINIC
CENTER FOR HEALTH AT FT JESSE
2200 FT JESSE ROAD	NORMAL	IL	61761	PHYSICAL THERAPY; OCCUPATIONAL THERAPY; SPEECH THERAPY; INDUSTRIAL REHAB
OSF ST JOSEPH MEDICAL CENTER
1701 EAST COLLEGE AVENUE	BLOOMINGTON	IL	61704	AUDIOLOGY
OSF ST JOSEPH MEDICAL CENTER SLEEP LAB
2411 E Washington St	BLOOMINGTON	IL	61701	POLYSYMNOGRAPHY

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c FACTORS OTHER THEN FPG	CATASTROPHIC CHARITY ASSISTANCE REGARDLESS OF INCOME OR ASSET LEVELS FOR MEDICALLY NECESSARY SERVICES WHICH EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT DUE IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES CATASTROPHIC CHARITY IS MORE GENEROUS. PRESUMPTIVE CHARITY PROVIDES A FINANCIAL DISCOUNT OF 100% OF BILLED CHARGES WHEN THERE ARE NO INSURANCE BENEFITS AND THE PATIENT SATISFIES ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON PATIENT'S BEHALF; DECEASED WITH NO ESTATE; AND HOMELESS. FOR OSF HOSPITALS THAT ARE NOT CRITICAL ACCESS OR RURAL HOSPITALS, ENROLLMENT IN ANY ONE OF THE FOLLOWING PROGRAMS WITH CRITERIA AT OR BELOW 200% OF FEDERAL POVERTY INCOME GUIDELINES ESTABLISHES A PRESUMPTIVE CHARITY CATEGORY; WIC; SNAP, IL FREE LUNCH AND BREAKFAST PROGRAM; LIHEAP; RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES; AND ENROLLMENT IN AN ORGANIZED COMMUNITY-BASED PROGRAM PROVIDING ACCESS TO MEDICAL CARE THAT ASSESSES AND DOCUMENTS LIMITED LOW-INCOME FINANCIAL STATUS AS CRITERIA FOR MEMBERSHIP. ALL PATIENTS RECEIVE THE GREATEST DISCOUNT AVAILABLE UNDER ANY OF THE OSF PROGRAMS. NO ASSET TESTS ARE USED. -EXCEPT AS OTHERWISE NOTED, THESE POLICIES APPLY BOTH TO UNINSURED PATIENTS AND TO INSURED PATIENTS WITH RESPECT TO THE PATIENT RESPONSIBILITY AMOUNT.
Schedule H, Part VI, Line 4 COMMUNITY INFORMATION	OSF SAINT ANTHONY'S HEALTH CENTER ("SAINT ANTHONY'S - ALTON") IS LOCATED IN ALTON, ILLINOIS. THE HEALTH CENTER PROVIDES GENERAL HEALTH SERVICES TO RESIDENTS WITHIN ITS GEOGRAPHIC COMMUNITY, INCLUDING ACUTE INPATIENT SERVICES AND AMBULATORY SERVICES SUCH AS CANCER CARE, SURGICAL SERVICES, CARDIAC CARE AND REHABILITATION. SAINT ANTHONY'S - ALTON IS A DUAL CAMPUS (INCLUDING OSF SAINT CLARE HOSPITAL), SINGLE LICENSE, 140-LICENSED ACUTE CARE BED AND 30 BED SKILLED NURSING CARE HOSPITAL. SAINT ANTHONY'S - ALTON SERVES THE FOLLOWING COMMUNITIES IN MADISON COUNTY IN SOUTHWESTERN ILLINOIS: ALTON, BETHALTO, EAST ALTON, FOSTER TOWNSHIP, GODFREY, HARTFORD, ROXANA, SOUTH ROXANA, WOOD RIVER AND WOOD RIVER TOWNSHIP. THE CORPORATION COMMENCED OWNERSHIP AND OPERATIONS OF SAINT ANTHONY'S - ALTON ON NOVEMBER 1, 2014. MADISON COUNTY IS PART OF THE METRO-EAST REGION OF THE ST. LOUIS METRO AREA. THE POPULATION IN MADISON COUNTY DECREASED FROM 267,218 RESIDENTS TO 265,428 RESIDENTS (APPROXIMATELY 1%) BETWEEN 2013 AND 2017. THE COUNTY SEAT IS EDWARDSVILLE, HOME TO SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE. LEWIS & CLARK COMMUNITY COLLEGE, A GROWING COMMUNITY COLLEGE, IS LOCATED IN GODFREY. MADISON COUNTY IS ON THE MISSISSIPPI RIVER. DATA AND A MAP DETAILING CURRENT DEMOGRAPHICS, INCLUDING INCOME LEVELS, AGE, RACE/ETHNICITY AND EDUCATION ATTAINMENT FOR MADISON COUNTY IS INCLUDED IN THE FULL CHNA. OSF HEART OF MARY MEDICAL CENTER IS A 206-BED COMPREHENSIVE HEALTH CARE FACILITY SERVING CHAMPAIGN-URBANA, ILLINOIS. ITS ROOTS DATE BACK TO 1919 WHEN IT WAS FOUNDED BY THE SERVANTS OF THE HOLY HEART OF MARY. THE STAFF OF NEARLY 700 PROVIDES STATE-OF-THE-ART THERAPEUTIC, DIAGNOSTIC, MEDICAL, SURGICAL, AND SUPPORT SERVICES. OSF HEART OF MARY HAS BEEN RECOGNIZED FOR ITS TREATMENT OF HEART FAILURE, STROKE, PERINATAL CARE AND TOTAL KNEE AND HIP PLACEMENT, IN ADDITION TO BEING HOME TO THE AREA'S ONLY ADULT BEHAVIORAL HEALTH UNIT IN A HOSPITAL SETTING. THE SERVICE AREAS SUPPORTED BY OSF HEART OF MARY MEDICAL CENTER FALL WITHIN CHAMPAIGN COUNTY. IN 2018, THE US CENSUS BUREAU ESTIMATED THE POPULATION TO BE 209,983 RESIDENTS, A 4.4% INCREASE SINCE 2010. THE POPULATION IS 72% WHITE, 13.6% BLACK/AFRICAN AMERICAN, 11.1% ASIAN, AND 6.1% HISPANIC. 18.8% OF CHAMPAIGN COUNTY'S POPULATION IS BELOW THE AGE OF 18, AND 12.8% OF THE POPULATION IS OVER THE AGE OF 65. CLOSE TO 20% OF CHAMPAIGN COUNTY RESIDENTS, LIVE IN POVERTY. THE CHAMPAIGN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE EFFORT UNDERTAKEN BY A REGIONAL EXECUTIVE COMMITTEE. THE COMMITTEE CONSISTS OF OSF HEART OF MARY MEDICAL CENTER, CARLE, AND CHAMPAIGN-URBANA PUBLIC HEALTH DISTRICT, UNITED WAY OF CHAMPAIGN COUNTY, AND CHAMPAIGN COUNTY MENTAL HEALTH AND DEVELOPMENTAL BOARDS. THROUGH THE NEEDS ASSESSMENT, COLLABORATIVE COMMUNITY PARTNERS IDENTIFIED NUMEROUS HEALTH ISSUES FOR RESIDENTS IN CHAMPAIGN COUNTY. SEVERAL THEMES WERE RECOGNIZED THROUGH THE HEALTH NEEDS ASSESSMENT AND THREE TOP PRIORITIES WERE IDENTIFIED: BEHAVIORAL HEALTH, REDUCING OBESITY AND PROMOTING HEALTHY LIFESTYLES, AND VIOLENCE. OF THESE NEEDS, THREE IDENTIFIED HEALTH NEEDS WERE PRIORITIZED BELOW. OSF SACRED HEART MEDICAL CENTER IS A 174-BED COMPREHENSIVE HEALTH CARE FACILITY SERVING DANVILLE, ILLINOIS. IT WAS ESTABLISHED IN 1882 BY THE FRANCISCAN SISTERS OF THE SACRED HEART. THE STAFF OF NEARLY 500 PROVIDES STATE-OF-THE ART THERAPEUTIC, DIAGNOSTIC, MEDICAL, SURGICAL, AND SUPPORT SERVICE TO PATIENTS AND THEIR FAMILIES. PERFORMANCE ON NATIONAL PATIENT SAFETY GOALS, AND JOINT COMMISSION CORE MEASURES ARE CONSISTENTLY EXAMINED, WITH DATA REPORTED PUBLICLY. KEY SERVICES INCLUDE A 24-HOUR PHYSICIAN-STAFFED EMERGENCY DEPARTMENT, THE ONLY FULL-SERVICE CANCER CENTER IN VERMILION COUNTY, CARDIOVASCULAR TESTING, DIAGNOSTICS, TREATMENT, AND REHABILITATION, BIRTHING CENTER, SLEEP CENTER, PRIMARY STROKE CENTER, AND MORE. THE SERVICE AREAS SUPPORTED BY OSF SACRED HEART MEDICAL CENTER FALL WITHIN VERMILION COUNTY. IN 2018, THE US CENSUS BUREAU ESTIMATED VERMILION COUNTY'S POPULATION TO BE 76,806 RESIDENTS. THERE WAS A 5.9% DECREASE IN TOTAL POPULATION FROM 2000-2018. THE POPULATION IS 82.2% WHITE, 14.0% AFRICAN AMERICAN, AND 5.2% HISPANIC. AS OF 2019, 19.3% OF THE POPULATION WAS ESTIMATED TO BE OVER THE AGE OF 65. VERMILION COUNTY HAS A MUCH HIGHER PERCENTAGE OF VETERAN POPULATION THAN THE STATE OF ILLINOIS AND UNITED STATES PERCENTAGE AS WELL (VERMILION COUNTY 11.52%, ILLINOIS 7.14%, US 8.65%). ACCORDING TO THE 2019 CENSUS BUREAU, 19.3% OF VERMILION COUNTY'S POPULATION WAS LIVING IN POVERTY. THE VERMILION COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE EFFORT UNDERTAKEN BY A REGIONAL EXECUTIVE COMMITTEE. THE COMMITTEE CONSISTS OF OSF SACRED HEART MEDICAL CENTER, CARLE, VERMILION COUNTY HEALTH DEPARTMENT, UNITED WAY OF DANVILLE AREA, INC., AND VERMILION COUNTY MENTAL HEALTH 708 BOARD. THROUGH THE NEEDS ASSESSMENT, COLLABORATIVE COMMUNITY PARTNERS IDENTIFIED NUMEROUS ISSUES FOR RESIDENTS OF VERMILION COUNTY. SEVERAL THEMES WERE RECOGNIZED THROUGH THE HEALTH NEEDS ASSESSMENT AND THE TOP PRIORITIES WERE IDENTIFIED: SUBSTANCE ABUSE / ALCOHOL PREVENTION, MENTAL HEALTH, REPRODUCTIVE HEALTH, AND OBESITY. OF THESE NEEDS IDENTIFIED, THREE NEEDS WERE PRIORITIZED BELOW. FOUNDED IN 1919, OSF HEALTHCARE SAINT LUKE MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN KEWANEE, ILLINOIS. OSF SAINT LUKE IS A PART OF OSF HEALTHCARE, A CATHOLIC, 14-HOSPITAL HEALTH SYSTEM SERVING ILLINOIS AND THE UPPER PENINSULA OF MICHIGAN, DRIVEN BY A MISSION TO "SERVE WITH THE GREATEST CARE AND LOVE." THE PRIMARY SERVICE AREA OF OSF SAINT LUKE MEDICAL CENTER INCLUDES THE ZIP CODES OF KEWANEE (HENRY COUNTY), GALVA (HENRY COUNTY) AND TOULON (STARK COUNTY). OUR PORTIONS OF THE MARKET EXTEND FARTHER INTO HENRY AND STARK COUNTIES AS WELL AS PORTIONS OF BUREAU. KEWANEE REPRESENTS OVER 75% OF ALL PATIENTS FOR THE HOSPITAL. DATA FROM THE LAST CENSUS INDICATE THE POPULATION OF HENRY COUNTY HAS SLIGHTLY DECREASED (1.2%) BETWEEN 2013 AND 2017. POPULATION TRENDS HAVE CONSISTENTLY SHOWN POPULATION DECLINE OVER THE PAST DECADE ACROSS THE SERVICE AREA. INDIVIDUALS IN HENRY COUNTY AGES 60 TO 64 INCREASED SLIGHTLY BETWEEN 2010 AND 2014, AND INDIVIDUALS AGES 35 TO 49 DECREASED FROM 9,787 TO 9,050, OR 7.5% BETWEEN 2010 AND 2014. IN HENRY COUNTY, THE PERCENTAGE OF INDIVIDUALS LIVING IN POVERTY BETWEEN 2013 AND 2017 INCREASED BY 2.0%. THE POVERTY RATE FOR INDIVIDUALS IS 12.5%, WHICH IS LOWER THAN THE STATE OF ILLINOIS INDIVIDUAL POVERTY RATE OF 13.5%. POVERTY HAS A SIGNIFICANT IMPACT ON THE DEVELOPMENT OF CHILDREN AND YOUTH. IN 2017, THE POVERTY RATE FOR FAMILIES LIVING IN HENRY COUNTY (9.0%) WAS LOWER THAN THE STATE OF ILLINOIS FAMILY POVERTY RATE (9.8%). LITTLE COMPANY OF MARY HOSPITAL (LCMH) MERGED WITH OSF HEALTHCARE (OSF) ON FEBRUARY 1, 2020 AND RENAMED THE HOSPITAL FACILITY TO OSF LITTLE COMPANY OF MARY MEDICAL CENTER (LCMMC). LCMH'S FY19 RAN FROM JULY 1, 2018 THROUGH JUNE 30, 2019 WHILE ITS FY20 RAN FROM JULY 1, 2019 THROUGH JANUARY 31, 2020, SHORTENED DUE TO THE MERGER. LCMMC'S FY20 RAN FROM FEBRUARY 1, 2020 THROUGH SEPTEMBER 30, 2020. THE ACQUISITION OF LCMH ALLOWS OSF TO EXPAND ITS MINISTRY TO COMMUNITIES IN SOUTH CHICAGO. THE POPULATION LCMMC SERVES WITHIN THE PRIMARY SERVICE AREA INCLUDES 597,600 PEOPLE IN 30 NEIGHBORHOODS WITHIN SIX MILES OF THE HOSPITAL. THESE NEIGHBORHOODS ARE DIVERSE AND DISTINCT BASED ON DEMOGRAPHIC, SOCIO-ECONOMIC, ECONOMIC, CULTURAL, AND RETAIL CHARACTERISTICS. LCMMC IS LOCATED IN EVERGREEN PARK WHICH IS THE HOSPITALS CORE NEIGHBORHOOD. EVERGREEN PARK HAS ALMOST 19,600 PEOPLE WITH AN AVERAGE AGE OF 39 AND AVERAGE HEALTHCARE SPENDING OF $6,115 PER CAPITAL. THIS NEIGHBORHOOD IS COMPRISED PREDOMINANTLY OF FAMILIES WITH GENERATIONAL TIES TO THE HOSPITAL AND OVERALL NEIGHBORHOOD. CONTRASTING EVERGREEN PARK TO ADJACENT NEIGHBORHOODS REVEALS SIGNIFICANT DIFFERENCE. THE HOUSEHOLD INCOME DIFFERENTIAL BETWEEN EVERGREEN PARK AND BEVERLY IS ALMOST $36,000 OR 50%, WITH BEVERLY HAVING THE HIGHEST INCOME OF THE 30 NEIGHBORHOODS. CONVERSELY THE INCOME DIFFERENTIAL BETWEEN EVERGREEN PARK AND AUBURN GRESHAM IS $37,000, WITH EVERGREEN PARK DOUBLE THE HOUSEHOLD INCOME. THESE THREE NEIGHBORHOODS ARE WITHIN TWO MILES OF ONE ANOTHER.
Schedule H, Part V, Section B, Line 11 SAINT FRANCIS MEDICAL CENTER	GOAL 2: REDUCE THE LUNG CANCER DEATH RATE IN THE TRI-COUNTY AREA. OUTCOME METRIC 2: REDUCE THE LUNG CANCER DEATH RATE IN THE TRI-COUNTY AREA BY 1% BY DECEMBER 31, 2022. THE LUNG CANCER AGE-ADJUSTED DEATH RATE FOR 2011 TO 2015 IS 86.9 FOR PEORIA COUNTY, 84.3 FOR TAZEWELL COUNTY AND 56.5FOR WOODFORD COUNTY. DATA PROVIDED BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH INCREASE NUMBER OF PARTICIPANTS IN THE SMOKING CESSATION PROGRAM. FY2020: 192 PATIENTS (24% INCREASE). PROVIDE LUNG CANCER AWARENESS AND PREVENTION EDUCATION THROUGH COMMUNITY OUTREACH. FY2020: 360 PERSONS REACHED 2 EDUCATION AND AWARENESS ACTIVITIES. INCREASE THE NUMBER OF LOW DOES CT LUNG CANCER SCREENINGS PROVIDED. FY2020: 2223 LUNG CANCER SCREENINGS. INCREASE NUMBER OF COLONOSCOPIES PROVIDED BY 1000. FY2020: 4539 COLONOSCOPIES PROVIDE COLORECTAL CANCER EDUCATION AND AWARENESS THROUGH COMMUNITY OUTREACH. FY2020: 105 PERSONS REACHED; 2 EDUCATION AND AWARENESS ACTIVITIES. EVALUATE THE DISTRIBUTION OF NON-INVASIVE SCREENING TEST KITS. FY2020: IT WAS DETERMINED TO DISTRIBUTE NON-INVASIVE COLORECTAL CANCER SCREENING TEST KITS ON THE CARE-A-VAN. MENTAL HEALTH DEPRESSION - ACCORDING TO THE CHNA SURVEY, 46% OF RESPONDENTS FELT DEPRESSED IN THE LAST 30 DAYS. SPECIFICALLY, 28% OR RESPONDENTS FELT DEPRESSED 1 TO 2 DAYS AND 18% FELT DEPRESSED THREE OR MORE DAYS IN THE LAST 30 DAYS. ANXIETY - ACCORDING TO THE CHNA SURVEY, 40% OF RESPONDENTS FELT ANXIOUS IN THE LAST 30 DAYS. SPECIFICALLY, 25% OF RESPONDENTS FELT ANXIOUS 1 TO 2 DAYS AND 15% FELT ANXIOUS THREE OR MORE DAYS IN THE LAST 30 DAYS. SUICIDE - IN THE TRI-COUNTY REGION, ALL THREE COUNTIES HAD HIGHER SUICIDE RATES THAN STATE OF ILLINOIS AVERAGES. SPECIFICALLY, SUICIDE RATES PER 100,000 RESIDENTS WERE 10.9 IN PEORIA COUNTY, 12.0 IN TAZEWELL COUNTY AND 15.8 IN WOODFORD COUNTY. THE STATE OF ILLINOIS AVERAGE WAS 9.5 SUICIDE DEATHS PER 100,000 RESIDENTS. IN THE TRI-COUNTY AREA, 16.7% OF 10TH GRADERS INDICATED THEY SERIOUSLY CONSIDERED ATTEMPTING SUICIDE IN THE PAST 12 MONTHS. GOAL 1: DECREASE THE NUMBER OF SUICIDES IN THE TRI-COUNTY AREA. OUTCOME METRIC 1: DECREASE THE NUMBER OF SUICIDES IN THE TRI-COUNTY AREA BY 10% BY DECEMBER 31, 2022. SUICIDE DEATH RATE PER 100,000 IN 2015 WAS 10.9 IN PEORIA COUNTY, 12.0 IN TAZEWELL COUNTY AND 15.8 IN WOODFORD COUNTY ACCORDING TO THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH. SCREEN PATIENTS RECEIVING OUTPATIENT BEHAVIORAL HEALTH SERVICES FOR SUICIDE RISK. FY2020: UPON IMPLEMENTATION, ISSUES WERE DISCOVERED REGARDING DOCUMENTATION OF SUICIDE RISK SCREENING. THIS WAS CORRECTED IN FY20 AND IMPLEMENTED IN FY21. IMPLEMENT BEHAVIORAL HEALTH MONITOR TRAINING. FY2020: POSTPONED DUE TO COVID-19. GOAL 2: DECREASE THE NUMBER OF RESIDENTS IN THE TRI-COUNTY AREA WHO REPORTED FEELING DEPRESSED OR ANXIOUS IN THE PAST 30 DAYS. OUTCOME METRIC 2: DECREASE THE NUMBER OF RESIDENTS IN THE TRI-COUNTY AREA WHO REPORTED FEELING DEPRESSED OR ANXIOUS IN THE PAST 30 DAYS BY 10% BY DECEMBER 31, 2022. THE 2019 CHNA REPORTED THAT 46% OF TRI-COUNTY RESIDENTS REPORTED FEELING DEPRESSED AT LEAST ONE TO TWO DAYS IN THE PAST 30 DAYS; 9% EXPERIENCED DEPRESSION MORE THAN FIVE DAYS IN THE PAST 30 DAYS AND 40% REPORTED THEY FELT ANXIOUS OR STRESSED AT LEAST ONE TO TWO DAYS IN THE PAST 30 DAYS; 7% EXPERIENCED ANXIETY OR STRESS MORE THAN FIVE DAYS. IMPLEMENT PRESCRIPTIONS FOR PLAY PROGRAM. FY2020: POSTPONED UNTIL 2021 DUE TO COVID-19. INCREASE OUTPATIENT BEHAVIORAL HEALTH ENCOUNTERS BY 2%. FY2020: 15,716 ENCOUNTERS (6% INCREASE). INCREASE RESOURCE LINK ENCOUNTERS. FY2020: 301 ENCOUNTERS. INCREASE STRIVE TRAUMA RECOVERY SERVICES PROVIDED IN A COMMUNITY SETTING. FY2020: 2061 VISITS WERE PROVIDED IN A COMMUNITY SETTING (50% INCREASE). PROVIDE FREE ACCESS TO DIGITAL BEHAVIORAL HEALTH SOLUTION - SILVERCLOUD. 691 UTILIZING APP. PROVIDE FREE BEHAVIORAL HEALTH NAVIGATION SERVICES. FY2020: 600 PROVIDED GOAL 3: USE SOCIAL DETERMINATES OF HEALTH (SDOH) TO IDENTIFY PATIENTS AT INCREASED RISK OF POOR MENTAL HEALTH AND CONNECT THEM TO COMMUNITY ORGANIZATIONS IN ORDER TO IMPROVE MENTAL HEALTH OUTCOMES. OUTCOME MEASURE 3: DECREASE THE PERCENTAGE OF RESPONDENTS STATING THEY HAVE POOR OVERALL MENTAL HEALTH BY 1%. BASELINE: PER THE 2019 CHNA SURVEY, 8% OF RESPONDENTS STATED THEY HAVE POOR OVERALL MENTAL HEALTH. NOT HAVING BASIC HUMAN NEEDS IS LIKELY LINKED TO POOR MENTAL HEALTH. IF A SURVEY RESPONDENT DOES NOT HAVE HOUSING, FOOD, TRANSPORTATION (ETC.), THEIR OVERALL STATE OF MENTAL HEALTH WOULD LIKELY BE RATED LOWER. IMPLEMENT SCREENING OF PATIENTS FOR SDOH. SCREEN AND CONNECT. NUMBER OF PATIENTS SCREENED. FY2020: DUE TO COVID PROGRAM WAS DELAYED IN ROLLOUT. TRACK NUMBER OF PATIENTS REFERRED TO COMMUNITY BASED ORGANIZATIONS (CBO). FY2020: DUE TO COVID PROGRAM WAS DELAYED IN ROLLOUT. TRACK NUMBER OF MISSION PARTNERS EDUCATED FOR CONTINUED ROLL-OUT. FY2020: DUE TO COVID PROGRAM WAS DELAYED IN ROLLOUT. TRACK NUMBER OF PATIENT REFERRALS TO OSF CARE MANAGEMENT AND SOCIAL WORKERS. FY2020: DUE TO COVID PROGRAM WAS DELAYED IN ROLLOUT. SUBSTANCE USE - SUBSTANCE USE IS DEFINED AS ABUSE OF ILLEGAL AND LEGAL DRUGS, ALCOHOL AND TOBACCO/VAPING USE. ALCOHOL AND DRUGS IMPAIR DECISION MARKING, OFTEN LEADING TO ADVERSE CONSEQUENCES AND OUTCOMES. RESEARCH SUGGEST THAT ALCOHOL IS A GATEWAY DRUG FOR YOUTH, LEADING TO INCREASED USAGE OF CONTROLLED SUBSTANCES IN ADULT YEARS. ACCORDINGLY, THE SUBSTANCE ABUSE VALUES AND BEHAVIORS OF HIGH SCHOOL STUDENTS ARE A LEADING INDICATOR OF ADULT SUBSTANCE ABUSE IN LATER YEARS. DATA FROM THE 2017 ILLINOIS YOUTH SURVEY MEASURES ILLEGAL SUBSTANCE USE AMONG ADOLESCENTS. PEORIA COUNTY AND TAZEWELL COUNTY ARE AT OR ABOVE STATE AVERAGES IN ALL CATEGORIES AMONG 8TH AND 12TH GRADERS; WOODFORD COUNTY IS BELOW STATE AVERAGES IN ALL CATEGORIES AMONG 8TH GRADERS EXCEPT FOR ONE CATEGORY-INHALANTS. AMONG 12TH GRADERS, WOODFORD COUNTY IS AT OR ABOVE STATE AVERAGES IN ALL CATEGORIES. IN REGARDS TO ADULT SUBSTANCE USE, SURVEY RESPONDENTS WERE ASKED, "ON A TYPICAL DAY, HOW OFTEN DO YOU USE SUBSTANCES (EITHER LEGAL OR ILLEGAL) TO MAKE YOURSELF FEEL BETTER?" GIVEN THE INCREASE IN OPIOID ABUSE, USE OF LEGAL DRUGS WERE INCLUDED IN THE QUESTION. OF RESPONDENTS, 94% INDICATED THEY DO NOT USE SUBSTANCES TO MAKE THEMSELVES FEEL BETTER. GOAL: REDUCE THE RATE OF DRUG INDUCED DEATHS WITHIN THE TRI-COUNTY. OUTCOME MEASURE: BY DECEMBER 31, 2022, REDUCE THE RATE OF DRUG-INDUCED DEATHS WITHIN THE TRI-COUNTY BY 10%. 2018 IL VITAL RECORDS OVERDOSE DATA INDICATES 51 OVERDOSES IN PEORIA COUNTY, 26 IN TAZEWELL COUNTY AND 3 IN WOODFORD COUNTY. INCREASE POUNDS OF MEDICATION COLLECTED AND DESTROYED BY 10%. FY2020: 537 LBS. PRACTICE OPIOID STEWARDSHIP. TRACK HIGH-RISK OPIOID MEDICATION DATA. REPORT HIGH-RISK OPIOID MEDICATION DATA TO HOSPITAL LEADERSHIP MONTHLY. ACHIEVE TARGET FOR PARENTERAL OPIOID REDUCTION. FY2020: OPIOID MEDICATIONS ARE TRACKED AND MONITORED THROUGH THE OPIOID DATABASE, WHICH IS ROUTINELY UPDATED. HIGH-RISK MEDICATION DATA IS REPORTED TO HOSPITAL LEADERSHIP MONTHLY. TARGETS HAVE BEEN ACHIEVED. *COLLABORATE TO PROMOTE COMMUNITY NARCAN EFFORTS. COLLECT AND PROVIDE NARCAN ADMINISTRATION DATA MONTHLY. IMPLEMENT OVERDOSE EDUCATION AND NALOXONE DISTRIBUTION (OEND) PROGRAM. FY2020: NARCAN ADMINISTRATION DATA IS SHARED WITH THE PEORIA CITY/COUNTY HEALTH DEPARTMENT MONTHLY. IT WAS DETERMINED TO NOT IMPLEMENT AN OEND PROGRAM, BUT TO CONTINUE TO COLLABORATE WITH JOLT HARM REDUCTION. PATIENTS ARE REFERRED TO JOLT FOR EDUCATION AND SUPPLIES.
Schedule H, Part V, Section B, Line 8 Adoption of Implementation Strategy	OSF Sacred Heart Medical Center: The Organization commenced operating the Hospital on February 1, 2018. The Organization will adopt implementation strategies on or before February 15, 2021 related to the Community Health Needs Assessment to be conducted on or before September 30, 2020. A copy of the Community Health Plan prepared in 2017 by Presence United Samaritans Medical Center in Vermillion County, Illinois, and now known as OSF Sacred Heart Medical Center, is published on the Hospital facility's website and includes a 5-year strategic plan developed in collaboration with the Vermilion County Board of Health and the community partners on the Community Advisory Committee prior to the date the Organization commenced operating the Hospital: HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ OSF Heart of Mary Medical Center: The Organization commenced operating the Hospital on February 1, 2018. The Organization will adopt implementation strategies on or before February 15, 2021 related to the Community Health Needs Assessment to be conducted on or before September 30, 2020. A copy of the Community Health Plan prepared in 2018 by Presence Covenant Medical Center in Champaign County, Illinois, and now known as OSF Heart of Mary Medical Center, is published on the Hospital facility's website and includes objectives and strategies adopted prior to the date the Organization commenced operating the Hospital: HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/
Schedule H, Part V, Section B, Line 11 Saint Anthony Medical Center	OUTCOME MEASURE 4: DECREASE THE PERCENTAGE OF RESPONDENTS STATING THEY HAVE POOR OVERALL MENTAL HEALTH BY 1%. BASELINE: PER THE 2019 CHNA SURVEY, 8% OF RESPONDENTS STATED THEY HAVE POOR OVERALL MENTAL HEALTH. NOT HAVING BASIC HUMAN NEEDS IS LIKELY LINKED TO POOR MENTAL HEALTH. IF A SURVEY RESPONDENT DOES NOT HAVE HOUSING, FOOD, TRANSPORTATION (ETC.), THEIR OVERALL STATE OF MENTAL HEALTH WOULD LIKELY BE RATED LOWER. IMPLEMENT SCREENING OF PATIENTS FOR SDOH. SCREEN AND CONNECT. NUMBER OF PATIENTS SCREENED. FY2020: DUE TO COVID PROGRAM WAS DELAYED IN ROLLOUT. TRACK NUMBER OF PATIENTS REFERRED TO COMMUNITY BASED ORGANIZATIONS (CBO). FY2020: DUE TO COVID PROGRAM WAS DELAYED IN ROLLOUT. TRACK NUMBER OF MISSION PARTNERS EDUCATED FOR CONTINUED ROLL-OUT. FY2020: DUE TO COVID PROGRAM WAS DELAYED IN ROLLOUT. TRACK NUMBER OF PATIENT REFERRALS TO OSF CARE MANAGEMENT AND SOCIAL WORKERS. FY2020: DUE TO COVID PROGRAM WAS DELAYED IN ROLLOUT. CANCER - LUNG - DEFINED AS THE INCIDENCE OF BREAST, LUNG AND COLORECTAL CANCER AND CANCER SCREENINGS. CANCER IS ONE OF THE LEADING CAUSES OF DEATH IN WINNEBAGO COUNTY. WHILE PROSTATE CANCER AND BREAST CANCER ARE LOWER THAN THE STATE OF ILLINOIS, LUNG CANCER RATES ARE HIGHER THAN THE STATE OF ILLINOIS. LUNG CANCER IS SECOND MOST COMMON CANCER AMONG MEN AND WOMEN IN ILLINOIS. SPECIFICALLY, LUNG CANCER RATES IN WINNEBAGO COUNTY ARE 74.0 PER 100,000 RESIDENTS AND THE STATE OF ILLINOIS IS 67.9 PER 100,000 RESIDENTS. GOAL: DECREASE THE DEATH RATE IN WINNEBAGO COUNTY DUE TO LUNG CANCER OUTCOME METRIC: DECREASE THE AGE- ADJUSTED DEATH RATE DUE TO LUNG CANCER IN WINNEBAGO COUNTY TO 50.6 (PER 100,000). BASELINE: (PER NATIONAL CANCER INSTITUTE 2012-2016) THE AGE-ADJUSTED DEATH RATE IN WINNEBAGO COUNTY WAS 51.6 (PER 100,000). PROVIDE OSF SMOKING CESSATION CLASSES EVERY QUARTER. FY2020: DUE TO COVID-19 RESTRICTIONS UNABLE TO PROVIDE THESE CLASSES THIS YEAR. INCREASE MARKETING/PROMOTION OF SMOKING CESSATION CLASSES TO INCREASE PARTICIPATION. FY2020: DUE TO COVID-19 RESTRICTIONS MARKETING EFFORTS SUSPENDED AS CLASSES COULD NOT BE PROVIDED. ANNUAL EDUCATION TO COMMUNITY MEDICAL PROVIDERS ON LUNG CANCER SCREENING CRITERIA, SHARED DECISION MAKING VISIT, AND HOW TO ORDER. FY2020: 179 CT LUNG SCREENINGS COMPLETED. DUE TO COVID MANY PATIENTS WERE NOT SEEING THEIR PCP TO LEARN OF SCREENING AND/OR DID NOT COME FOR APT. PROMOTE OSF LUNG CANCER SCREENING. FY2020: DUE TO COVID-19, RESTRICTIONS ONLY ONE EVENT WAS COMPLETED AND ALL OTHERS HAD TO BE CANCELLED. *ENFORCE TOBACCO FREE CAMPUS. FY2020: BASELINE - 126 SMOKERS W/20 RECEIVING A CITATION.
Schedule H, Part V, Section B, Line 11 SAINT JAMES HOSPTIAL	THE PUBLIC ON COVID -19 IN THE PAST TWO YEARS. PUBLIC ACCESS TO THE LOCATIONS OF THE DROP OFF BOXES IS LOCATED ON THE OSF HEALTHCARE.ORG LINK. OSF SOCIAL MEDIA POSTS FOR THE OSF RX DISPOSAL PROGRAM TO BEGIN AGAIN THIS SPRING. REDUCE # OF TABLETS ORDERED PER PRESCRIPTION FOR OPIOIDS WRITTEN BY SJJWAMC PHYSICIANS. FY2020: DUE TO THE PANDEMIC, THE FOCUS ON THIS MEASURE HAS BEEN PUT ON HOLD. IN CY21, WE WILL CONTINUE TO WORK WITH IT SPECIALIST AND THE BUSINESS OWNERS ON ESTABLISHING A BASELINE. WE WILL ALSO DETERMINE ACCESSIBILITY RIGHTS AND INTERRUPTION OF THE DATA. PARTNER WITH GIBSON AREA HOSPITAL TO IMPROVE ACCESS TO MEDICINE ASSISTED TREATMENT FOR ADDICTION FY2020: WHEN APPROACHED, GIBSON AREA HOSPITAL DECLINED SHARING GRANT FUNDS WITH SJJWAMC AT THIS TIME. DESPITE THE PANDEMIC, SAINT JAMES HAS SEEN A 17 % REEDUCATION IN 2020 OF PATIENTS COMING TO THE EMERGENCY DEPARTMENT WITH A PRIMARY DIAGNOSIS OF OPIOID OVERDOSE. IN THE FIRST FOUR MONTHS OF 2021 WE ARE SEEING A 60% REDUCTION FOR PATIENTS WITH A PRIMARY DX OF OPIOID OVERDOSE.
Schedule H, Part I, Line 7g Subsidized Health Services	NET COSTS (TOTAL EXPENSE LESS REVENUE) OF PHYSICIAN CLINICS ARE INCLUDED AS SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	COSTS REPORTED ON LINES 7A, B AND C. ARE CALCULATED USING THE RATIO OF PATIENT CARE COSTS TO CHARGES DERIVED FROM WORKSHEET 2. COSTS REPORTED ON LINES 7 E,F,G,H AND I ARE COSTS DERIVED FROM GENERAL LEDGER ACCOUNTS AND HOSPITAL DEPARTMENTS COSTS CENTER REPORTS WHICH INCLUDE BOTH INDIRECT AND DIRECT COSTS LESS REVENUE. LIVE 7G REPRESENTS ALL PAYERS EXCLUDING MEDICARE, MEDICAID AND SELF-PAY.
Schedule H, Part II Community Building Activities	COSTS INCLUDE DEDICATED STAFF TIME WORKING WITH COMMUNITY AGENCIES TO SUPPORT POLICIES AND PROGRAMS THAT IMPROVE THE HEALTH CARE ACCESS AND TRANSPORTATION OF RESOURCES TO ITS COMMUNITY MEMEBERS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	IN GENERAL, AND IN ACCORDANCE WITH MEDICARE REGULATIONS, PATIENT ACCOUNT BALANCES ARE WRITTEN OFF TO BAD DEBT EXPENSE AFTER REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED AND THE ACCOUNT HAS BEEN SENT TO A COLLECTION AGENCY OR LAW FIRM. PATIENTS' ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENTS' ACCOUNTS RECEIVABLE, OSF ANALYZES PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, OSF ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH PATIENT RESPONSIBILITY (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE PATIENTS ARE SCREENED AGAINST THE OSF FINANCIAL ASSISTANCE POLICY AND UNINSURED DISCOUNT POLICY. FOR ANY REMAINING PATIENT RESPONSIBILITY BALANCE, OSF RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. BAD DEBT EXPENSE OF $82,018,936 ON FORM 990, PART IX, LINE 24C IS BASED UPON ACCRUAL ACCOUNTING REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THIS AMOUNT CONSEQUENTLY DIFFERS FROM THE BAD DEBT EXPENSE OF $21,352,189 ON SCHEDULE H, PART III, LINE 2 WHICH REQUIRES THE ORGANIZATION TO REPORT AGGREGATE BAD DEBT AT COST. BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS THEREFORE CALCULATED BY MULTIPLYING GROSS CHARGES WRITTEN OFF TO BAD DEBT EXPENSE TIMES THE RATIO OF PATIENT CARE COST-TO-CHARGES DERIVED FROM WORKSHEET 2. DISCOUNTS, INCLUDING ANY APPLICABLE THIRD PARTY PAYER CONTRACTUAL ALLOWANCES AND ANY CHARITY CARE DISCOUNTS (VALUED AT GROSS CHARGES), ARE APPLIED TO PATIENT ACCOUNT GROSS CHARGES TO DETERMINE THE ACCOUNT BALANCE BEFORE PATIENT PAYMENTS. THE AGGREGATE AMOUNT OF ALL PATIENT PAYMENTS IS THEN APPLIED TO THE ACCOUNT BALANCE. WHEN DETERMINATION IS MADE THAT NO FURTHER AMOUNTS CAN BE COLLECTED IN ACCORDANCE WITH THE CORPORATION'S BAD DEBT POLICY, THE REMAINING BALANCE IS WRITTEN OFF TO BAD DEBT EXPENSE. PRESUMPTIVE CHARITY: CHARGES MAY BE ADJUSTED TO PROVIDE FOR A CHARITY DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO AN UNINSURED PATIENT WHO ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA. PRESUMPTIVE CHARITY CATEGORIES FOR ALL OSF HOSPITALS: -HOMELESSNESS; -DECEASED WITH NO ESTATE; -MENTAL INCAPACITATION WITH NO ONE TO ACT ON PATIENT'S BEHALF; OR -CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. FOR OSF HOSPITAL'S THAT ARE NOT CRITICAL ACCESS HOSPITALS OR RURAL HOSPITALS, ENROLLMENT IN ANY OF THE FOLLOWING PROGRAMS WITH CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY INCOME GUIDELINES SHALL ESTABLISH A PRESUMPTIVE CHARITY CATEGORY. -WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM (WIC); -SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP); -ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM; -LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP); -ENROLLMENT IN AN ORGANIZED COMMUNITY-BASED PROGRAM PROVIDING ACCESS TO MEDICAL CARE THAT ASSESSES AND DOCUMENTS LIMITED LOW-INCOME FINANCIAL STATUS AS CRITERION FOR MEMBERSHIP; OR -RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES. THEREFORE, THE CORPORATION DOES NOT BELIEVE THAT BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 INCLUDES ANY AMOUNTS THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY UNDER THE CORPORATION'S FINANCIAL ASSISTANCE POLICY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	PLEASE SEE PAGE 19 OF NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	OSF IS COMMITTED TO SERVING PATIENTS, REGARDLESS OF ABILITY TO PAY OR IF THE PAYMENTS TO BE RECEIVED WILL BE LESS THAN THE COST TO PROVIDE THE SERVICE, WHICH IS THE CASE FOR MEDICARE AND MEDICAID PATIENTS. THE MEDICARE ALLOWABLE COSTS ON LINE 6 PART III HAVE BEEN CALCULATED BY MULTIPLYING MEDICARE CHARGES BY THE PATIENT CARE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2. THE AMOUNT IS COMPARED TO TOTAL MEDICARE PAYMENTS RECEIVED INCLUDING DSH AND IME PAYMENTS. SHOULD THERE BE A SHORTFALL, IT SHOULD BE TREATED AS A COMMUNITY BENEFIT SINCE IT REFLECTS UNREIMBURSED COSTS TO THE HEALTH SYSTEM FOR PROVIDING MEDICAL SERVICES TO THE MEDICARE RESIDENTS OF THE COMMUNITY.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE CORPORATION HAS A FAIR BILLING/COLLECTION POLICY WHICH APPLIES FOR ALL PATIENTS. THE POLICY INCLUDES: -REQUIRED INFORMATION PROVIDED IN BILLS TO PATIENTS (INCLUDING A REQUIREMENT THAT INFORMATION BE PROVIDED ON HOW THE PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE) -PROCESS FOR PATIENTS TO INQUIRE ABOUT OR DISPUTE A BILL, INCLUDING TOLL-FREE TELEPHONE NUMBER, ADDRESS, CONTACT NAME, AND E-MAIL ADDRESS -REQUIREMENTS FOR TIMELY RESPONSE TO PATIENT INQUIRIES -CONDITIONS WHICH MUST BE SATISFIED BEFORE PATIENT MAY BE SENT TO A COLLECTION AGENCY OR ATTORNEY -LEGAL ACTION FOR NON-PAYMENT OF A PATIENT BILL MAY NOT BE INITIATED UNTIL AN AUTHORIZED HOSPITAL OFFICIAL HAS DETERMINED THAT ALL CONDITIONS IN THE CORPORATION'S POLICY (INCLUDING ALL OF THE FOREGOING POLICY PROVISIONS) HAVE BEEN SATISFIED FOR INITIATING LEGAL ACTION -LEGAL ACTION MAY NOT BE PURSUED AGAINST UNINSURED PATIENTS WHO HAVE CLEARLY DEMONSTRATED THAT THEY HAVE NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET THEIR FINANCIAL OBLIGATIONS - EVEN IF SUCH PATIENTS DO NOT APPLY FOR FINANCIAL ASSISTANCE -THE CORPORATION SHALL NOT OBTAIN A BODY ATTACHMENT AGAINST ANY PATIENT OR GUARANTOR -THE CORPORATION SHALL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS, SUCH AS SUBMITTING REPORTS TO CREDIT AGENCIES BEFORE REASONABLE EFFORTS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE HAVE BEEN COMPLETED -IF A PATIENT RECEIVES AN APPLICATION FOR FINANCIAL ASSISTANCE BUT FAILS TO RETURN IT, OSF WILL TRY TO USE SECONDARY SOURCES TO DETERMINE THE PATIENT'S ELIGIBILITY FOR NONCOMPLIANT CHARITY BEFORE PURSUING LEGAL ACTION FOR NONPAYMENT. IF A COMPLETE APPLICATION IS RECEIVED DURING THE APPLICATION PERIOD, OSF WILL SUSPEND EXTRAORDINARY COLLECTION ACTIONS AND MAKE A DETERMINATION OF ELIGIBILITY FOR ASSISTANCE. IF THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, OSF WILL ISSUE APPROPRIATE REFUNDS AND REVERSE ANY EXTRAORDINARY COLLECTION ACTIONS TAKEN, AS MORE FULLY DESCRIBED IN THE OSF FAIR BILLING - COLLECTION POLICY.
Schedule H, Part V, Section B, Line 16a FAP website	- SAINT FRANCIS MEDICAL CENTER: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - SAINT ANTHONY MEDICAL CENTER: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - ST. JOSEPH MEDICAL CENTER: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF HEART OF MARY MEDICAL CENTER: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF SACRED HEART MEDICAL CENTER: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - ST. MARY MEDICAL CENTER: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF SAINT ANTHONY'S HEALTH CENTER: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - ST. FRANCIS HOSPITAL: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - SAINT JAMES HOSPITAL: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF SAINT LUKE MEDICAL CENTER: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF HOLY FAMILY MEDICAL CENTER: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - LITTLE COMPANY OF MARY MEDICAL CENTER: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- SAINT FRANCIS MEDICAL CENTER: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - SAINT ANTHONY MEDICAL CENTER: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - ST. JOSEPH MEDICAL CENTER: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF HEART OF MARY MEDICAL CENTER: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF SACRED HEART MEDICAL CENTER: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - ST. MARY MEDICAL CENTER: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF SAINT ANTHONY'S HEALTH CENTER: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - ST. FRANCIS HOSPITAL: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - SAINT JAMES HOSPITAL: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF SAINT LUKE MEDICAL CENTER: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF HOLY FAMILY MEDICAL CENTER: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - LITTLE COMPANY OF MARY MEDICAL CENTER: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- SAINT FRANCIS MEDICAL CENTER: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - SAINT ANTHONY MEDICAL CENTER: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - ST. JOSEPH MEDICAL CENTER: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF HEART OF MARY MEDICAL CENTER: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF SACRED HEART MEDICAL CENTER: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - ST. MARY MEDICAL CENTER: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF SAINT ANTHONY'S HEALTH CENTER: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - ST. FRANCIS HOSPITAL: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - SAINT JAMES HOSPITAL: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF SAINT LUKE MEDICAL CENTER: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF HOLY FAMILY MEDICAL CENTER: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - LITTLE COMPANY OF MARY MEDICAL CENTER: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment	THE CORPORATION COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2019 AS PREVIOUSLY STATED. THE CHNA IS UPDATED EVERY 3 YEARS AND CORRESPONDING IMPLEMENTATION STRATEGY IS REFRESHED YEARLY. NOT ONLY DOES THE IMPLEMENTATION STRATEGY PLAN GET REFRESHED YEARLY, BUT EACH ACTION ITEM HAS A RESPONSIBLE PARTY INVOLVED TO GET THE WORK ASSOCIATED WITH THE NEED ACCOMPLISHED. LEADERSHIP WITHIN OSF SIT ON VARIOUS COMMUNITY ADVISORY BOARDS TO STAY CONNECTED TO THE OTHER AGENCIES WITHIN THE COMMUNITY. THIS WORK ALIGNS WITH OUR MISSION STATEMENT TO SERVE PERSONS WITH THE GREATEST CARE AND LOVE IN A COMMUNITY THAT CELEBRATES THE GIFT OF LIFE.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE CORPORATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, IN ENGLISH AND IN ANY OTHER LANGUAGE SPOKEN BY POPULATIONS WITH LIMITED ENGLISH PROFICIENCY THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY OF THE HOSPITAL, IN THE FOLLOWING WAYS: -SIGNS ARE POSTED IN PATIENT REGISTRATION AREAS (INCLUDING EMERGENCY DEPARTMENT REGISTRATION) INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, THE AVAILABILITY OF FINANCIAL ASSISTANCE COUNSELORS, AND HOW TO OBTAIN A COPY OF THE OSF FINANCIAL ASSISTANCE POLICY AND APPLICATION. -A PLAIN LANGUAGE SUMMARY OF THE OSF FINANCIAL ASSISTANCE POLICY IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS AND INCLUDED IN THE BILLING STATEMENT MAILED PRIOR TO INITIATING EXTRAORDINARY COLLECTION ACTIONS. IN ADDITION, THE PLAIN LANGUAGE SUMMARY AND APPLICATION ARE PROVIDED TO REFERRING STAFF PHYSICIANS. -OSF MAKES REASONABLE EFFORTS TO ORALLY NOTIFY PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY AND HOW TO OBTAIN ASSISTANCE IN APPLYING. -A NOTICE OF AVAILABILITY OF THE CORPORATION'S FINANCIAL ASSISTANCE AND UNINSURED PATIENT DISCOUNT POLICIES IS PROMINENTLY AVAILABLE ON THE CORPORATION'S WEB SITE (AND SEPARATE WEB SITES OF ITS HOSPITAL FACILITIES). THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM AND INSTRUCTIONS WITH THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE FOR DOWNLOAD. -A NOTE REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE (TOGETHER WITH CONTACT PHONE NUMBERS) APPEARS ON EVERY PATIENT BILLING STATEMENT AS WELL AS THE WEBSITE WHERE COPIES OF THE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY MAY BE OBTAINED. -FINANCIAL ASSISTANCE COUNSELORS ARE AVAILABLE IN PERSON AND BY PHONE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND IN DETERMINING ELIGIBILITY AND APPLYING FOR GOVERNMENT PROGRAM BENEFITS, INCLUDING MEDICAID. -THE CORPORATION'S FINANCIAL ASSISTANCE POLICY IS FILED WITH THE ILLINOIS ATTORNEY GENERAL AND IS AVAILABLE TO THE PUBLIC.
Schedule H, Part VI, Line 4 Community information	OSF HEALTHCARE IS AN INTEGRATED HEALTH SYSTEM OWNED AND OPERATED BY THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS (OSF), PEORIA, ILLINOIS. OUR MISSION STATES THAT, "IN THE SPIRIT OF CHRIST AND THE EXAMPLE OF FRANCIS OF ASSISI, THE MISSION OF OSF HEALTHCARE IS TO SERVE PERSONS WITH THE GREATEST CARE AND LOVE IN A COMMUNITY THAT CELEBRATES THE GIFT OF LIFE" AND GUIDES THE ORGANIZATION ON A DAILY BASIS. THE OSF HEALTHCARE VISION "EMBRACING GOD'S GREAT GIFT OF LIFE, WE ARE ONE OSF MINISTRY TRANSFORMING HEALTH CARE TO IMPROVE THE LIVES OF THOSE WE SERVE" IS THE GOAL EACH MISSION PARTNER WORKS TOWARD. OSF HEALTHCARE EMPLOYS NEARLY 24,000 MISSION PARTNERS IN 145 LOCATIONS, INCLUDING NOW 14 HOSPITALS WITH 2,097-LICENSED ACUTE CARE BEDS, 30 URGENT CARE LOCATIONS, AND 2 COLLEGES OF NURSING THROUGHOUT ILLINOIS AND MICHIGAN. ON FEBRUARY 1, 2020, OSF HEALTHCARE SYSTEM WELCOMED OSF LITTLE COMPANY OF MARY MEDICAL CENTER TO OUR MINISTRY. OSF LITTLE COMPANY OF MARY MEDICAL CENTER LOCATED IN EVERGREEN PARK, IL. IN ADDITION, THE OSF HEALTHCARE PHYSICIAN NETWORK EMPLOYS 1,500 PRIMARY CARE, SPECIALIST AND ADVANCED PRACTICE PROVIDERS. OSF HEALTHCARE, THROUGH OSF HOME CARE SERVICES, OPERATES AN EXTENSIVE NETWORK OF HOME HEALTH SERVICES, INCLUDING EIGHT HOME HEALTH AGENCIES AND EIGHT HOSPICE PROGRAMS. POINTCORE, INC., FORMERLY OSF SAINT FRANCIS INC., A WHOLLY OWNED SUBSIDIARY OF OSF HEALTHCARE IS COMPOSED OF HEALTH CARE-RELATED BUSINESSES; OSF HEALTHCARE FOUNDATION IS THE PHILANTHROPIC ARM FOR THE ORGANIZATION; AND OSF VENTURES PROVIDES INVESTMENT CAPITAL FOR PROMISING HEALTH CARE INNOVATION STARTUPS. THE MINISTRY SERVICES OFFICE IN PEORIA PROVIDES CORPORATE MANAGEMENT SERVICES, AS WELL AS DIRECTION, CONSULTATION AND ASSISTANCE TO THE ADMINISTRATION OF THE HEALTH CARE FACILITIES. SAINT FRANCIS MEDICAL CENTER, WITH 649 BEDS, IS THE FIFTH-LARGEST MEDICAL CENTER IN ILLINOIS. A MAJOR TEACHING AFFILIATE OF THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE AT PEORIA, IT IS THE AREA'S ONLY LEVEL I TRAUMA CENTER, THE HIGHEST LEVEL DESIGNATED IN TRAUMA CARE. IT SERVES AS THE RESOURCE HOSPITAL FOR EMERGENCY MEDICAL SERVICES FOR NORTH-CENTRAL ILLINOIS. IT IS HOME TO OSF CHILDREN'S HOSPITAL OF ILLINOIS AND THE OSF ILLINOIS NEUROLOGICAL INSTITUTE. OSF SAINT FRANCIS AND CHILDREN'S HOSPITAL HAVE BEEN DESIGNATED MAGNET STATUS FOR EXCELLENCE IN NURSING CARE SINCE 2004. PEORIA, TAZEWELL AND WOODFORD COUNTIES COMPOSE THE PRIMARY SERVICE AREA FOR OSF SAINT FRANCIS MEDICAL CENTER IN PEORIA. THE REGION INCLUDES A TOTAL POPULATION OF OVER 350,000. THE POVERTY RATE FOR THE TRI-COUNTY WAS 15.9% IN PEORIA COUNTY, 8.0% IN TAZEWELL COUNTY, AND 7.4% IN WOODFORD COUNTY FOR 2017. THE POPULATIONS USED FOR THE CALCULATION WERE 183,011, 133,526 AND 38,726 RESPECTIVELY, YIELDING TOTAL RESIDENTS LIVING IN POVERTY IN THE THREE COUNTIES AT 29,099, 10,682, AND 2,866. IDENTIFYING THE COMMUNITIES TO SERVE AND THE METHODS OF PROVIDING THAT SERVICE IS PART OF THE STRATEGIC PLANNING PROCESS CONDUCTED EACH YEAR. AREAS OF NEED ARE IDENTIFIED AND PLANS MADE TO ADDRESS THOSE NEEDS IN A COST-EFFICIENT MANNER THAT ENSURES PROPER ACCESS AND CONVENIENCE FOR THOSE BEING SERVED. SAINT ANTHONY MEDICAL CENTER ("SAINT ANTHONY") IS A 254 LICENSED BED ACUTE CARE HOSPITAL LOCATED ON THE NORTHEAST SIDE OF ROCKFORD, ILLINOIS. IT IS THE REGION'S RESOURCE CENTER FOR EMERGENCY SERVICES. SAINT ANTHONY - ROCKFORD PROVIDES PRIMARY, SECONDARY AND TERTIARY CARE, INCLUDING OPEN HEART SURGERY AND IS DESIGNATED BY THE STATE OF ILLINOIS AS A LEVEL I (HIGHEST LEVEL) TRAUMA CENTER AND A REGIONAL BURN UNIT. SAINT ANTHONY COLLEGE OF NURSING IS AN INTEGRAL PART OF THE HOSPTIAL. IT'S A FULLY ACCREDITED COLLEGE OF NURSING GRANTING BACCALAUREATE, MASTERS AND DOCTORATE OF NURSING PRACTICE DEGREES. AS NOTED IN THE CHNA, SAINT ANTHONY MEDICAL CENTER IS LOCATED IN WINNEBAGO COUNTY. THE OSF SAINT ANTHONY MEDICAL CENTER SECONDARY SERVICE AREA (SSA) INCLUDES AN ADDITIONAL 92 ZIP CODES IN WINNEBAGO, BOONE, DEKALB, OGLE, STEPHENSON, LEE, CARROLL, JO DAVIES, WHITESIDE AND MCHENRY COUNTIES THAT HAVE A COMBINED POPULATION OF 430,632. ADDITIONALLY 20 ZIP CODES FROM ROCK, GREEN AND WALWORTH COUNTIES IN SOUTHERN WISCONSIN ADD AN ADDITIONAL 216,877 INDIVIDUALS SERVED BY OSF SAINT ANTHONY MEDICAL CENTER. THE TOTAL PSA, SSA AND WISCONSIN POPULATION SERVED IS 1,001,374. THE FUNCTIONAL SERVICE RADIUS OF THE PRIMARY MARKET IS APPROXIMATELY 30 MILES, WHILE THE SECONDARY AND TERTIARY RADIUS IS AS MUCH AS 100 MILES. THE POPULATION IN WINNEBAGO COUNTY IN 2017 WAS 284,778. THE POVERTY RATE FOR WINNEBAGO COUNTY WAS 15.3 PERCENT IN 2017. DATA FROM THE LAST CENSUS INDICATE THE POPULATION OF WINNEBAGO COUNTY HAS SLIGHTLY DECREASED (2.1%) BETWEEN 2013 AND 2017. OSF ST. JOSEPH MEDICAL CENTER ("ST. JOSEPH") IN BLOOMINGTON, ILLINOIS, AND OSF SAINT JAMES-JOHN W. ALBRECHT MEDICAL CENTER ("SAINT JAMES") IN PONTIAC, ILLINOIS ARE LOCATED APPROXIMATELY 35 MILES APART AND SERVE PARTIALLY OVERLAPPING MARKETS. RESIDENTS OF PONTIAC AND ITS SURROUNDING AREAS FREQUENTLY TRAVEL TO BLOOMINGTON TO RECEIVE HEALTH CARE SERVICES. ST. JOSEPH IS A 137-LICENSED ACUTE CARE BED AND 12 BED SKILLED NURSING CARE HOSPITAL LOCATED ON THE EAST SIDE OF BLOOMINGTON, ILLINOIS. ST. JOSEPH IS A COMMUNITY-SIZED HOSPITAL THAT PROVIDES A NUMBER OF HIGH LEVEL TERTIARY SERVICES INCLUDING OPEN HEART SURGERY, ENDOVASCULAR SURGERY AND INTERVENTIONAL NEURORADIOLOGY. MCLEAN COUNTY CONSISTS OF A TOTAL POPULATION OF 172,052 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). BLOOMINGTON HAS THE LARGEST POPULATION IN THE COUNTY WITH 78,368 AND NORMAL HAS THE SECOND LARGEST POPULATION WITH 54,534 (BLOOMINGTON-NORMAL ECONOMIC DEVELOPMENT COUNCIL, 2018). THE POPULATION IN MCLEAN COUNTY INCREASED BY 1.46 PERCENT FROM 2010 TO 2019 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). ADDITIONALLY, RESIDENTS OF THE SURROUNDING COUNTIES OF DEWITT, FORD, WOODFORD, LIVINGSTON, LOGAN AND TAZEWELL ALSO UTILIZE MEDICAL CARE AT OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER. SAINT JAMES HOSPITAL IS LOCATED IN LIVINGSTON COUNTY IN ILLINOIS. LIVINGSTON COUNTY IS THE PRIMARY SERVICE AREA FOR OSF SAINT JAMES - JOHN W. ALBRECHT MEDICAL CENTER IN PONTIAC. THE COUNTY INCLUDES A TOTAL POPULATION OF 36,518 AS OF 2017. THE POVERTY RATE FOR LIVINGSTON COUNTY WAS 13.3 PERCENT IN 2017. DATA FROM THE LAST CENSUS INDICATE THE POPULATION OF LIVINGSTON COUNTY DECREASED (2.4%) BETWEEN 2013 AND 2016 BUT EXPERIENCED AN INCREASE IN 2017 (1.2%). OSF SAINT JAMES ALSO SERVES SECTIONS OF THE COUNTIES ADJACENT TO LIVINGSTON. THESE SECTIONS INCLUDE NORTHEAST WOODFORD AND MCLEAN COUNTIES, NORTHERN FORD COUNTY, AND SOUTHERN LASALLE AND GRUNDY COUNTIES. OSF ST. MARY MEDICAL CENTER ("ST. MARY") IN GALESBURG, ILLINOIS, AND OSF HOLY FAMILY MEDICAL CENTER ("HOLY FAMILY") IN MONMOUTH, ILLINOIS ARE LOCATED APPROXIMATELY 19 MILES APART AND SERVE PARTIALLY OVERLAPPING MARKETS. RESIDENTS OF MONMOUTH AND ITS SURROUNDING AREAS FREQUENTLY TRAVEL TO GALESBURG TO RECEIVE HEALTH CARE SERVICES. THE CORPORATION HAS COMBINED MANAGEMENT AND REPORTING FOR ST. MARY AND HOLY FAMILY IN ORDER TO GAIN OPERATING EFFICIENCIES AND EXECUTE THE SYSTEM'S STRATEGIC PLANS ACROSS THIS ENTIRE SERVICE AREA. AS NOTED IN THE CHNA, ST. MARY IS AN 81 LICENSED BED ACUTE CARE HOSPITAL LOCATED ON THE NORTHEAST SIDE OF GALESBURG, ILLINOIS. AS NOTED IN THE CHNA, ST. MARY MEDICAL CENTER IS LOCATED IN KNOX COUNTY IN ILLINOIS AND PRIMARILY SERVES RESIDENTS LIVING IN KNOX AND WARREN COUNTIES. THE PRIMARY SERVICE AREA OF OSF ST. MARY MEDICAL CENTER IS KNOX, WARREN AND HENDERSON COUNTIES, AND PORTIONS OF HENRY COUNTY. THE POVERTY RATES FOR KNOX COUNTY AND WARREN COUNTY WERE 18.1 AND 13.8 PERCENT, RESPECTIVELY. A TOTAL POPULATION OF 50,638 WAS USED FOR KNOX COUNTY; YIELDING A TOTAL OF 9,165 RESIDENTS LIVING IN POVERTY. LIKEWISE, WARREN COUNTY TOTAL POPULATION IS 17,161; YIELDING A TOTAL OF 2,369 RESIDENTS LIVING IN POVERTY IN THE WARREN COUNTY AREA. DATA FROM THE LAST CENSUS INDICATE THE POPULATION OF KNOX COUNTY DECREASED (2.8%) BETWEEN 2013 AND 2017. THE POPULATION OF WARREN COUNTY ALSO SLIGHTLY DECREASED (2.7%) BETWEEN 2013 AND 2017. OSF HOLY FAMILY MEDICAL CENTER'S PRIMARY SERVICE AREA CONSISTS OF WARREN AND HENDERSON COUNTIES, WHICH HAVE A POPULATION SIZE OF 17,167. THE SECONDARY SERVICE AREA INCLUDES PORTIONS OF KNOX COUNTY (GALESBURG ZIP CODES), AND PORTIONS OF MERCER AND MCDONOUGH COUNTIES. DATA FROM THE LAST CENSUS INDICATE THE POPULATION OF WARREN COUNTY HAS SLIGHTLY DECREASED (2.7%) BETWEEN 2013 AND 2017. THE POVERTY RATE FOR WARREN COUNTY WAS 13.8 PERCENT IN 2017. THE POPULATION USED FOR THE CALCULATION WAS 17,167, YIELDING 2,369 RESIDENTS LIVING IN POVERTY IN THE WARREN COUNTY AREA.
Schedule H, Part VI, Line 5 Promotion of community health	THE CORPORATION'S SPONSORING ORGANIZATION IS A RELIGIOUS CONGREGATION OF THE ROMAN CATHOLIC CHURCH KNOWN AS THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS. IN ACCORDANCE WITH CANON LAW OF THE ROMAN CATHOLIC CHURCH AND FEDERAL TAX LAW APPLICABLE TO SUPPORTING ORGANIZATIONS, A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION ARE PROFESSED MEMBERS OF THE SPONSORING RELIGIOUS CONGREGATION. EACH HOSPITAL OPERATED BY THE CORPORATION HAS A COMMUNITY ADVISORY BOARD CONSISTING OF MEMBERS OF THE COMMUNITY WHO ARE NOT DIRECTORS, OFFICERS, OR CONTRACTORS OF THE CORPORATION. EXCEPT FOR HOSPITAL DEPARTMENTS WHICH HAVE BEEN CLOSED, OR IN WHICH CLINICAL PRIVILEGES HAVE BEEN RESTRICTED, FOR CLINICAL OR QUALITY OF CARE REASONS BY ACTIONS OF THE HOSPITAL'S MEDICAL STAFF AND THE BOARD OF DIRECTORS, THE CORPORATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITIES. THE CORPORATION'S SURPLUS FUNDS WERE USED DURING ITS FISCAL YEAR ENDED SEPTEMBER 30, 2019 FOR IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH IN THE FOLLOWING WAYS: -CAPITAL EXPENDITURES OF APPROXIMATELY $51,938,000 WERE MADE DURING THE FISCAL YEAR FOR CONSTRUCTION AND RENOVATION OF PATIENT CARE FACILITIES AND ACQUISITION OF MEDICAL EQUIPMENT AND OTHER EQUIPMENT USED IN PATIENT CARE AND RELATED SUPPORT SERVICES. -THE CORPORATION INCURRED NET COSTS (EXPENSES MINUS REVENUES) OF APPROXIMATELY $47,627,539 DURING THE FISCAL YEAR FOR ACCREDITED PHYSICIAN RESIDENCY PROGRAMS AND NET COSTS OF APPROXIMATELY $5,690,526 FOR UNDERGRADUATE AND GRADUATE NURSING EDUCATION PROGRAMS AND OTHER MEDICAL EDUCATION PROGRAMS. SEE SCHEDULE O, FORM 990, PART III, LINE 4D FOR A DESCRIPTION OF SUCH PROGRAMS. -THE CORPORATION INCURRED NET COSTS (EXPENSES MINUS REVENUES) OF APPROXIMATELY $1,292,399 DURING THE FISCAL YEAR FOR CLINICAL RESEARCH PROGRAMS AND ACTIVITIES. ALL OF THE CORPORATION'S HOSPITALS MEET THE REQUIREMENTS OF REVENUE RULING 69-545 BY: -OPERATING EMERGENCY DEPARTMENTS WHICH ARE STAFFED 24 HOURS PER DAY BY QUALIFIED PHYSICIANS AND OTHER MEDICAL PERSONNEL AND WHICH ARE OPEN TO ALL PERSONS WITHOUT REGARD TO ABILITY TO PAY. -HAVING MEDICAL STAFFS WHICH ARE OPEN TO ALL QUALIFIED PHYSICIANS, MID-LEVEL PROVIDERS, PODIATRISTS, AND DENTISTS IN THE COMMUNITY (EXCEPT WHERE RESTRICTED IN RARE CASES FOR CLINICAL QUALITY REASONS BY ACTION OF THE MEDICAL STAFF AND THE BOARD OF DIRECTORS). -ACCEPTING MEDICARE, MEDICAID AND OTHER GOVERNMENT PROGRAM PATIENTS. -ACCEPTING ALL PATIENTS, INCLUDING UNINSURED PATIENTS, WITHOUT REGARD TO THEIR ABILITY TO PAY. -USING SURPLUS FUNDS TO IMPROVE THEIR FACILITIES, EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, EDUCATION, AND RESEARCH AS DESCRIBED ABOVE. SEE SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION FOR A SUMMARY OF SERVICES EACH OSF HOSPITAL PROVIDES. OSF HEALTHCARE SYSTEM IS CHARGED WITH PROMOTING COMMUNITY HEALTH. THE OSF CENTER FOR HEALTH IN STREATOR IS BEING TRANSFORMED INTO A HUB THAT NOT ONLY TAKES CARE OF THE PHYSICAL HEALTH OF INDIVIDUALS, BUT ENDEAVORS TO POSITIVELY SHAPE THE ENVIRONMENT, SOCIAL AND ECONOMIC STATUS AND LIFESTYLE CHOICES OF THE ENTIRE COMMUNITY. THE ORGANIZATION IS ENLISTING A VARIETY OF COMMUNITY-BASED ORGANIZATIONS TO CO-LOCATE WITHIN THE CENTER FOR HEALTH, MAKING THE FACILITY A CONVENIENT SPACE FOR HEALTH AND WELLNESS NEEDS. OSF IS UTILIZING SOFTWARE DEVELOPED BY PIECE TECHNOLOGIES, A PART OF THE OSF VENTURES PORTFOLIO, TO BRIDGE THE INFORMATION GAP THAT IS TYPICALLY PREVALENT AMONG SOCIAL SERVICE ORGANIZATIONS AND HEALTH CARE PROVIDERS. COMMUNITY-BASED GROUPS AND OSF WILL HAVE THE ABILITY TO BETTER COMMUNICATE ABOUT PATIENTS' WELL-BEING AND INTERVENE SOONER IN THEIR HEALTH CARE. OSF PARTNERS WITH INCUBATORS, ACCELERATORS, CORPORATIONS AND UNIVERSITIES OUTSIDE OF THE MINISTRY TO DISCOVER TECHNOLOGY, PRODUCTS AND SERVICES WE CAN FURTHER DEVELOP TO MEET OUR NEEDS, TEST, PILOT AND/OR IMPLEMENT THROUGHOUT THE HEALTH CARE SYSTEM. ONE OF THESE PARTNERSHIPS INCLUDES PATIENT WISDOM. PATIENT WISDOM IS A DIGITAL PLATFORM THAT COLLECTS AND SHARES PATIENT STORIES TO IMPROVE HEALTH AND THE EXPERIENCE OF CARE FOR THE PHYSICIAN/PATIENT RELATIONSHIP. OSF IS FOCUSING EFFORTS AND RESOURCES FOR ADDITIONAL INNOVATION PROJECTS IN THE FOLLOWING AREAS: "ADVANCING SIMULATION; "MORE FOR THOSE WITH LESS", "RADICAL ACCESS TO CARE AND AGING IN PLACE". MORE ON THIS CAN BE FOUND HERE: HTTPS://WWW.OSFHEALTHCARE.ORG/INNOVATION/ OSF HAS CREATED A BEHAVIORAL HEALTH UNIT AT THE SYSTEM LEVEL TO HELP CLOSE GAPS WITH BEHAVIORAL HEALTH NEEDS THROUGH THE COMMUNITIES WE SERVE. OSF NOW OFFERS ON CALL 24/7 ONLINE ACCESS TO MEDICAL CARE VIA SMART PHONE, TABLET OR COMPUTER. THE ABOVE ARE JUST A FEW EXAMPLES OF HOW OSF HEALTHCARE SYSTEM IS PROMOTING COMMUNITY HEALTH.
Schedule H, Part VI, Line 6 Affiliated health care system	The Corporation is part of an affiliated health care system (the "OSF System"), which is an integrated health system that operates acute care hospitals, home health care services, two colleges of nursing, a medical training simulation center, emergency medical transportation, and other health care facilities in Illinois and Michigan. The OSF System includes many other entities which are controlled, directly or indirectly by the Sisters of the Third Order of St. Francis (the "Congregation"). All affiliated entities apply and follow the charity care policies of the Corporation and are operated in furtherance of the mission to provide comprehensive, integrated quality care to the communities served by the Corporation. The OSF System's corporate office in Peoria, Illinois (the "Corporate Office"), provides corporate management services as well as direction, consultation and assistance to the administration of the OSF System's health care facilities and subsidiary corporations. The primary affiliated corporations of the OSF System are the following: The Congregation, which works exclusively in the health care apostolate, holds the assets of the religious congregation and directs all other corporations in the affiliated health care system through board representation and the exercise of reserved powers. OSF Multi-Specialty Group was incorporated in 2011. Virtually all physicians and advance practice providers providing professional services through the OSF System's acute care hospital facilities and ambulatory practice settings (with a few limited exceptions) provide services pursuant to employment agreements or professional service agreements with the Multi-Specialty Group. OSF Medical Group is a d/b/a of Multi-Specialty Group. Pointcore, Inc., formerly known as OSF Saint Francis, Inc., was originally incorporated in 1986 and is engaged in the following lines of business: retail pharmacies, retail shops, a mobile medical system, durable medical equipment, home therapeutics, real estate, equipment technology services, telecommunications, electronic health records, telehealth services, and consulting services. Pointcore, Inc. also participates in various health related joint ventures. OSF Healthcare Foundation was incorporated in 1989 to conduct fundraising and other activities for the benefit of OSF Healthcare System and in support of the mission of the Congregation. Ottawa Regional Hospital & Healthcare Center, formerly known as Community Hospital of Ottawa was incorporated in 1964. OSF Healthcare System became the sole member of Ottawa Regional Hospital & Healthcare Center in 2012, and the hospital was renamed as d/b/a/ OSF Saint Elizabeth Medical Center. Mendota Community Hospital, formerly known as Mendota Hospital Foundation, was incorporated in 1944. OSF Healthcare System became the sole member of Mendota Community Hospital in 2015, and the hospital was renamed as d/b/a/ OSF Saint Paul Medical Center.
Schedule H, Part VI, Line 7 State filing of community benefit report	IL, MI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
UNIVERSITY OF ILLINOIS
1 ILLINI DRIVE	PEORIA	IL	61605	376000511	501(C)3	$207,942	$0	N/A	N/A	SUPPORT OF CLINIC OPERATION
DOWNTOWN DEVELOPMENT CORP OF PEORIA
403 NE JEFFERSON AVENUE	PEORIA	IL	61603	464486780	501(C)3	$35,000	$0	N/A	N/A	SUPPORT OF ORG OPERATIONS
BLOOMINGTON NORMAL ECONOMIC DEVELOPMENT COUNCIL
200 W COLLEGE AVENUE	NORMAL	IL	61761	371169886	501(C)6	$21,000	$0	N/A	N/A	SUPPORT OF ORG OPERATIONS
LITTLE COMPANY OF MARY HOSPITAL INC
2800 WEST 95TH STREET	EVERGREEN PARK	IL	60805	362246719	501(C)3	$20,000	$0	N/A	N/A	SUPPORT OF CLINICAL OPERATIONS
Kewanee Historical Society Inc
211 N Chestnut	Kewanee	IL	61443	362905890	501(c)3		$30,000	Appraisal	Maxwell Road Commercial Building	Support of Org operations

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	163	RecipientCnt
Cash Grant	$364,526	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Valuation Method Used	N/A	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	GRANT RECIPIENTS WERE GIVEN GRANTS BASED ON THE NEEDS OF THE MEDICAL COMMUNITY AND THE LOCAL COMMUNITY AT LARGE. LOCAL PRESIDENT'S REVIEW ASSISTANCE REQUESTS AND APPROVE BASED ON NEED. IN SOME CASES, THE CORPORATION'S CEO OR CFO OR OTHER REPRESENTATIVE OF THE CORPORATION SERVES ON THE BOARD OF DIRECTORS OR ON THE FINANCE COMMITTEE OF THE GRANTEE ORGANIZATION AND RECEIVES DIRECT INFORMATION REGARDING USE OF GRANT FUNDS IN SUCH CAPACITY. IN OTHER CASES, THE CORPORATION RECEIVES WRITTEN REPORTS AND/OR FINANCIAL STATEMENTS FROM THE GRANTEE ORGANIZATION WHICH INCLUDE INFORMATION REGARDING USE OF GRANT FUNDS. THE COLLEGE OF NURSING IN PEORIA AND ROCKFORD ILLINOIS PROVIDE THEIR RESPECTIVE BOARDS WITH UPDATES REGARDING DISTRIBUTION OF NURSING EDUCATION SCHOLARSHIPS. THE COLLEGES REQUIRE THE APPLICANTS TO SUBMIT A FINANCIAL AID APPLICATION UPON ADMITTANCE. THE SCHOLARSHIP HAS ACADEMIC PERFORMANCE, FINANCIAL NEED CRITERIA, AND HAS A SELECTION COMMITTEE THAT AWARDS THE GRANTS. THE COLLEGE'S MONITOR AND REVIEW THE RECIPIENTS INDIVIDUALLY ON A SEMESTER BASIS FOR SATISFACTORY ACADEMIC PROGRESS AND GOOD STANDING.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Robert C Sehring
Vice Chairperson CEO	$1,323,003	$0	$523,061	$0	$43,683	$0	$38,950	$0	$26,502	$0	$1,955,198	$0	$0	$0
Gerald J McShane MD
Board Member	$347,761	$0	$30,100	$0	$9,467	$0	$43,313	$0	$22,180	$0	$452,820	$0	$0	$0
David A Schertz
Former - CEO Northern Region	$0	$0	$0	$0	$585,749	$0	$10,313	$0	$0	$0	$596,062	$0	$34,000	$0
Mark A Nafziger
Chief Ambulatory Care (THROUGH MAR 2020)	$532,379	$0	$208,420	$0	$11,428	$0	$17,916	$0	$12,826	$0	$782,969	$0	$0	$0
Michael A Cruz MD
Chief Operating Officer	$686,698	$0	$207,333	$0	$6,259	$0	$43,313	$0	$31,994	$0	$975,597	$0	$0	$0
Michael M Allen
CFO	$647,679	$0	$228,024	$0	$3,389	$0	$33,741	$0	$31,969	$0	$944,803	$0	$0	$0
Stephen E Hippler MD
Chief Clinical Officer	$643,962	$0	$187,525	$0	$5,177	$0	$43,530	$0	$31,967	$0	$912,161	$0	$0	$0
James J Mormann
Chief Information Officer	$605,563	$0	$183,500	$0	$8,895	$0	$37,125	$0	$31,941	$0	$867,024	$0	$0	$0
Jeffry M Tillery
SVP Chief Transformation Officer	$577,696	$0	$174,750	$0	$4,633	$0	$42,940	$0	$19,774	$0	$819,793	$0	$0	$0
Robert L Brandfass
SVP Chief Legal Officer	$547,893	$0	$166,852	$0	$10,080	$0	$37,125	$0	$26,877	$0	$788,827	$0	$0	$0
Michelle D Conger
Chief Strategy Officer	$522,331	$0	$153,514	$0	$10,823	$0	$32,683	$0	$25,593	$0	$744,943	$0	$0	$0
Ralph R Velazquez MD
System Chief Medical Officer	$508,617	$0	$149,193	$0	$11,287	$0	$43,313	$0	$24,188	$0	$736,597	$0	$0	$0
Divya-Devi Joshi
CEO Children SL (THROUGH FEB 2020)	$532,817	$0	$162,448	$0	$1,476	$0	$16,063	$0	$9,585	$0	$722,389	$0	$0	$0
Leon A Yeh MD
VP CMO Emergency Serv	$515,867	$0	$118,302	$0	$12	$0	$35,063	$0	$25,287	$0	$694,530	$0	$0	$0
Lori L Wiegand
Chief Nursing Officer	$410,214	$0	$121,779	$0	$18,604	$0	$43,313	$0	$19,666	$0	$613,575	$0	$0	$0
Chad E Boore
Chief Executive Officer Eastern Region	$418,600	$0	$120,927	$0	$8,390	$0	$16,281	$0	$28,178	$0	$592,375	$0	$0	$0
Roxanna Crosser
Chief Executive Officer Western Region	$394,408	$0	$112,088	$0	$21,295	$0	$32,910	$0	$14,530	$0	$575,232	$0	$0	$0
Thomas G Hammerton
President OSF Healthcare Foundation Chief Development Officer	$351,548	$0	$106,534	$0	$36,977	$0	$36,886	$0	$29,776	$0	$561,721	$0	$0	$0
Dwight D Stapleton
Vice President Clinical Specialty Services (THROUGH FEB 2020)	$403,822	$0	$107,108	$0	$79	$0	$18,125	$0	$9,277	$0	$538,411	$0	$0	$0
John C Horne
SVP Chief Supply Chain Officer (THROUGH NOV 2020)	$336,114	$0	$109,169	$0	$8,144	$0	$35,151	$0	$22,190	$0	$510,768	$0	$0	$0
John R Evancho
SVP Chief Compliance Officer	$266,583	$0	$83,176	$0	$8,635	$0	$16,067	$0	$28,078	$0	$402,540	$0	$0	$0
James L McGee MD
Physician	$890,449	$0	$0	$0	$247	$0	$36,236	$0	$22,084	$0	$949,015	$0	$0	$0
Ekanka Mukhopadhyay MD
Physician	$406,482	$0	$338,925	$0	$11	$0	$34,031	$0	$26,287	$0	$805,737	$0	$0	$0
Iftekhar U Ahmad MD
Physician	$525,730	$0	$193,502	$0	$18,705	$0	$16,063	$0	$31,582	$0	$785,581	$0	$0	$0
Mete Korkmaz MD
Oncologist	$591,599	$0	$120,344	$0	$9,436	$0	$37,125	$0	$25,287	$0	$783,791	$0	$0	$0
Neal D Rushforth
Physician	$600,495	$0	$81,826	$0	$11	$0	$34,031	$0	$25,287	$0	$741,650	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 1a Health or social club dues or initiation fees

THE CORPORATION REIMBURSES CERTAIN EXECUTIVES FOR SOCIAL CLUB DUES PAID BY SUCH EXECUTIVES. ELIGIBILITY FOR CLUB DUES REIMBURSEMENT IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS AND IS TAKEN INTO CONSIDERATION BY THE COMMITTEE IN DETERMINING FAIR MARKET COMPENSATION. SEE FORM 990 - SCHEDULE O - PART VI - LINES 15A AND 15B FOR AN EXPLANATION OF THE ROLE OF THE HUMAN RESOURCES COMMITTEE AND THE MANNER IN WHICH FAIR MARKET COMPENSATION IS DETERMINED. CLUB DUES ARE NOT ELIGIBLE FOR REIMBURSEMENT IF THE CLUB IN QUESTION DISCRIMINATES ON THE BASIS OF RACE, RELIGION, SEX, NATIONAL ORIGIN, OR OTHER PROHIBITED FACTORS. DUES REIMBURSEMENT IS TREATED AND REPORTED AS TAXABLE COMPENSATION.

Schedule J, Part I, Line 4a Severance or change-of-control payment

During calendar year 2019, David Schertz received a severance payment in the amount of $585,749.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A	861091967	45203HLH3	2012-09-26	$191,360,304	SEE PART VI	false	false	false
ILLINOIS FINANCE AUTHORITY
B	861091967	45203H5F5	2015-09-29	$392,744,128	SEE PART VI	false	false	false
ILLINOIS FINANCE AUTHORITY
C	861091967	45204EMD7	2016-09-29	$121,790,760	SEE PART VI	false	false	false
ILLINOIS FINANCE AUTHORITY
D	861091967	45204EM21	2018-10-17	$357,891,313	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$15,260,000	$0	$191,360,308	$0	$0	$0	$2,402,590	$0	$0	$15,813,583	$173,144,135	$0	2012	Yes (true)	Yes (true)	Yes (true)	Yes (true)
B	$3,495,000	$0	$394,643,597	$0	$9,258,271	$0	$4,151,415	$0	$0	$146,853,861	$234,380,050	$0	2018	Yes (true)	Yes (true)	Yes (true)	Yes (true)
C	$0	$0	$121,790,793	$0	$0	$102,785,232	$1,549,068	$0	$0	$0	$17,456,493	$0		false	Yes (true)	Yes (true)	Yes (true)
D	$6,115,000	$0	$358,208,585	$0	$0	$0	$2,909,859	$0	$0	$316,986	$354,981,740	$0	2020	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	false	false	Yes (true)
C	false	Yes (true)	false	false	false	false	false	false	Yes (true)
D	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) SCH K, PART I, COL A	ILLINOIS FINANCE AUTHORITY - 06/29/2010 CUSIP# 45200F3R8 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2010A BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, TO (I) REFINANCE AND REDEEM , THE ILLINOIS HEALTH FACILITY AUTHORITY VARIABLE DEMAND REVENUE BONDS, SERIES 1985B (REVOLVING FUND POOLED FINANCING PROGRAM) IN THE AMOUNT OF $75,000,000, ILLINOIS FINANCE AUTHORITY VARIABLE RATE REVENUE BONDS, SERIES 2001 IN THE AMOUNT OF $46,050,000, AND THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007D IN THE AMOUNT OF $20,050,000; (II) REIMBURSE THE CORPORATION FOR A PORTION OF THE COST OF CONSTRUCTING AND EQUIPPING THE DATA CENTER, A KEY ELEMENT IN THE IMPLEMENTATION OF THE CORPORATION'S INFORMATION MANAGEMENT STRATEGIC PLAN. THAT PLAN INCLUDES, IN ADDITION TO THE DATA CENTER, REPLACEMENT OF EXISTING INFORMATION SYSTEMS WITH NEWER SYSTEMS PROVIDING FULL ELECTRONIC MEDICAL RECORD AND INTEGRATED BILLING FUNCTIONS FOR BOTH HOSPITAL AND AMBULATORY SERVICES; (III) FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2010A BONDS; AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2010A BONDS AND THE REFINANCING OF THE SERIES 1985B BONDS, THE SERIES 2001 BONDS AND THE SERIES 2007D BONDS.
Schedule K, Part I, Column (f) SCH K, PART I, COL B	ILLINOIS FINANCE AUTHORITY - 09/26/2012 CUSIP #45203HLH3, 45203HLG5 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2012 BONDS TO (1) PAY OR REIMBURSE THE CORPORATION OR OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER FOR THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING, REMODELING AND EQUIPPING HEALTHCARE FACILITIES, (II) ADVANCE REFUND ALL OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2004, (III) CURRENT REFUND A PORTION OF THE ILLINOIS FINANCE AUTHORITY INSURED VARIABLE RATE DEMAND REVENUE BONDS, SERIES 2007F, (IV) CURRENTLY REFUND ALL OF THE ILLINOIS AUTHORITY VARIABLE RATE DEMAND REVENUE BONDS, SERIES 2007G, (V) ADVANCE REFUND A PORTION OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2009A, (VI) CURRENTLY REFUND ALL OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2009F, (VII) REFINANCE THE PNC BANK LOAN, AND (VIII) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS AND THE REFUNDING OF THE PRIOR BONDS AND PNC BANK LOAN.
Schedule K, Part I, Column (f) SCH K, PART I, COL C	ILLINOIS FINANCE AUTHORITY - 09/29/2015 CUSIP# 4520H5F5 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2015A BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, (I) ADVANCE REFUND ALL OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007A (OSF HEALTHCARE SYSTEM OUTSTANDING), (II) ADVANCE REFUND ALL OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2009A OUTSTANDING, (III) CURRENTLY REFUND ALL OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2009E CURRENTLY OUTSTANDING, (IV) PAY OR REIMBURSE THE CORPORATION FOR THE COST OF ACQUIRING, CONSTRUCTION, RENOVATION, REMODELING AND EQUIPPING, CONSTRUCTION OF AN APPROXIMATELY 150,000 SQUARE-FOOT, FOUR STORY PAVILION (THE "ROCKFORD BED PAVILION") AND THE RENOVATION AND EXPANSION OF THE COMPREHENSIVE CANCER CENTER, EACH AT OSF SAINT ANTHONY MEDICAL CENTER IN ROCKFORD, ILLINOIS. THE RENOVATION OF THE FORMER NEONATAL INTENSIVE CARE UNIT AND THE OUTPATIENT NEUROSCIENCES CENTER, EACH PROJECT TO BECOME PRIVATE INPATIENT ROOMS AT OSF SAINT FRANCIS MEDICAL CENTER IN PEORIA, ILLINOIS. THE CONSTRUCTION OF A NEW PEDIATRIC OPERATION ROOM SUITE AT OSF SAINT FRANCIS MEDICAL CENTER AND THE CONSTRUCTION OF SURGICAL SUITES AT OSF ST. JOSEPH MEDICAL CENTER IN BLOOMINGTON, ILLINOIS, (V) PAY CERTAIN CAPITALIZED INTEREST ON THE SERIES 2015A BONDS DURING CONSTRUCTION, (VI) PAY CERTAIN SWAP TERMINATION COSTS RELATED TO THE SERIES 2015A BONDS; AND (VII) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2015A BONDS AND THE REFINANCE OF THE PRIOR BONDS AND THE PRIOR DEBT.
Schedule K, Part I, Column (f) SCH K, PART I, COL D	ILLINOIS FINANCE AUTHORITY - 09/29/2016 CUSIP # 45204EMD7 THE CORPORATION WILL USE THE PROCEEDS OF THE SERIES 2016 BONDS TO (I) ADVANCE REFUND THE REFUNDED BONDS, AS HEREINAFTER DEFINED; (II) PAY THE COSTS OF TERMINATING AN INTEREST RATE AGREEMENT RELATED TO THE SERIES 2016 BONDS; AND (III) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2016 BONDS AND THE REFUNDING OF THE 2010A REFUNDED BONDS.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2010	Original issue price was $158,535,888. Investment earnings were $1,689,021 for total proceeds reported of $160,224,909.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2012	Original issue price was $191,360,304. Investment earnings were $4 for total proceeds reported of $191,360,308.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2015	Original issue price was $392,744,128. Investment earnings were $1,899,469 for total proceeds reported of $394,643,597.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2016	Original issue price was $121,790,760. Investment earnings were $33 for total proceeds reported of $121,790,793.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2018	Original issue price was $357,891,313. Investment earnings were $317,272 for total proceeds reported of $358,208,585.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2018	Original issue price was $130,820,000. Investment earnings were $188 for total proceeds reported of $130,820,188.
Schedule K, Part I, Column (f) SCH K, PART I, COL E	ILLINOIS FINANCE AUTHORITY - 10/17/2018 CUSIP # 45204EM21 THE CORPORATION WILL USE THE PROCEEDS OF THE FIXED SERIES 2018A BONDS TO (I) REFUND THE SERIES 2007E BONDS; (II) REFUND THE SERIES 2007F BONDS; (III) REFUND THE SERIES 2009B BONDS; (IV) REFUND THE SERIES 2009C BONDS; (V) REFUND THE SERIES 2009D BONDS; (VI) REFUND THE SERIES 2017 BONDS; (VII) AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2018 BONDS AND THE REFUNDING OF THE REFUNDED OBLIGATIONS. SALE PROCEEDS OF THE BONDS WILL BE PROVIDED TO THE CORPORATION PURSUANT TO THE LOAN AGREEMENT.
Schedule K, Part I, Column (f) SCH K, PART I, COL F	ILLINOIS FINANCE AUTHORITY - 10/17/2018 CUSIP # 45204EM21 THE CORPORATION WILL USE THE PROCEEDS OF THE VARIABLE SERIES 2018BC BONDS TO (I) REFUND THE SERIES 2007E BONDS; (II) REFUND THE SERIES 2007F BONDS; (III) REFUND THE SERIES 2009B BONDS; (IV) REFUND THE SERIES 2009C BONDS; (V) REFUND THE SERIES 2009D BONDS; (VI) REFUND THE SERIES 2017 BONDS; (VII) AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2018 BONDS AND THE REFUNDING OF THE REFUNDED OBLIGATIONS. SALE PROCEEDS OF THE BONDS WILL BE PROVIDED TO THE CORPORATION PURSUANT TO THE LOAN AGREEMENT.
Schedule K, Part I, Column (f) SCH K, PART I, COL G	ILLINOIS FINANCE AUTHORITY - 04/08/2008 CUSIP# 45200FFV6 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2008 BONDS TO (1) REFINANCE A TAXABLE BANK LOAN MADE AVAILABLE BY JPMORGAN CHASE BANK, NATIONAL ASSOCIATION.
Schedule K, Part I, Column (f) SCH K, PART I, COL H	ILLINOIS FINANCE AUTHORITY - 08/18/2015 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2015 BONDS TO (1) TO REFINANCE THE BRIDGE LOAN AN TO CURRENTLY REFUND THE SERIES 2010 BONDS.
Schedule K, Part II, Line 3 Proceeds Differing from Issue - 2008	Original issue price was $134,430,000. Investment earnings were $53,633 for total proceeds reported of $134,483,633.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 03/15/2017

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A	861091967	45204EM21	2018-10-17	$130,820,000	SEE PART VI	false	false	false
Illinois Finance Authority
B	861091967	45200FFV6	2008-04-08	$134,340,000	SEE PART VI	false	false	false
Illinois Finance Authority
C	861091967		2015-08-18	$102,000,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$130,820,188	$0	$0	$0	$806,436	$0	$0	$0	$130,013,752	$0	2019	Yes (true)	false	Yes (true)	Yes (true)
B	$55,315,000	$0	$134,483,633	$0	$0	$0	$704,492	$25,000	$0	$13,730,097	$120,024,044	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$102,000,000	$0	$0	$0	$335,431	$0	$0	$27,825,707	$73,838,862	$0	2015	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	false	false	Yes (true)	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Jennifer Uphoff
Family Member - Jeffry M. Tillery - Officer	$108,658	Employment	false
Matthew Sehring
Family Member - Robert Sehring - Officer	$81,772	Employment	false
Ryan Sehring
Family Member - Robert Sehring - Officer	$59,838	Employment	false
David McGrew
Family Member - Sister Diane Marie McGrew, O.S.F - Board Member	$140,596	Employment	false
Jennifer Stoller
Family Member - Lori L Wiegand - Officer	$27,362	Employment	false
Brian Tillery
FAMILY MEMBER - JEFFRY M. TILLERY - OFFICER	$61,981	Employment	false
Dawn Nafziger
FAMILY MEMBER - MARK A NAFZIGER - OFFICER	$100,540	Employment	false

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$90,009	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Real estate - Commercial - Number of items received	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 1 PART I	THE TAX LAW REQUIRES THAT EACH LEGAL ENTITY WITHIN THE OSF HEALTHCARE SYSTEM COMPLETE A SEPARATE TAX RETURN WHICH APPROPRIATELY REFLECTS THE ACTIVITIES AND FINANCIAL POSITION OF THE PARTICULAR ORGANIZATION. THIS REPORTING, HOWEVER, IS NOT REFLECTIVE OF THE OSF HEALTHCARE SYSTEM AS A WHOLE. PLEASE SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS OF OSF HEALTHCARE SYSTEM AND SUBSIDIARIES FOR A COMPLETE OVERVIEW OF THE SYSTEM.
Form 990, Part I, Line 19 Reclassifications made to 2019	Certain reclassifications have been made to 2019 between other expenses and reconciliation of net assets to conform to the 2020 presentation.
Form 990, Part III, Line 1 PART III, LINE 1, CONTINUED	OSF HEALTHCARE SYSTEM WILL PROVIDE COMPREHENSIVE, INTEGRATED, QUALITY CARE, INCLUDING PREVENTIVE, PRIMARY, ACUTE, CONTINUOUS AND REHABILITATIVE HEALTH SERVICES IN THOSE AREAS IN WHICH WE ARE NOW SERVING AND MAY SERVE IN THE FUTURE. SPECIAL EMPHASIS WILL BE PLACED ON MEETING THE PHYSICAL, SPIRITUAL, EMOTIONAL, AND SOCIAL NEEDS OF EVERYONE WHO IS CARED FOR IN THE SYSTEM. THE VISION WILL BE ACCOMPLISHED BY PROVIDING HIGH QUALITY AND ACCESSIBLE COMPREHENSIVE SERVICES IN AN INTEGRATED SYSTEM. SERVICES WILL BE PROVIDED TO PERSONS OF ALL AGES AND SOCIAL STRATA WITH A CONCERN FOR THE DISADVANTAGED AND THE POOR OF BODY AND SPIRIT. THE PHILOSOPHY AND VALUES OF THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES WILL BE THE NORM FOR ALL SERVICES. THE SYSTEM LEADERSHIP WILL NETWORK CLOSELY WITH EACH OTHER IN THEIR OWN AREA AND THROUGHOUT THE SYSTEM. THEY WILL ALSO NETWORK WITH OTHER PROVIDERS WHO HAVE SIMILAR VALUES AND COMPLEMENTARY SERVICES. INHERENT IN THIS DIRECTION FOR THE FUTURE IS: AN EMPHASIS ON PROVIDING A CONTINUUM OF HEALTH CARE SERVICES WHILE MEETING THE SPECIFIC NEEDS OF PEOPLE SERVED. HOSPITAL BASED AND FREE-STANDING PROGRAMS AND SERVICES TO MEET COMMUNITY NEEDS. A COLLABORATIVE RELATIONSHIP BETWEEN THE CONGREGATION AND THE LAITY. NETWORKING AMONG THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS MINISTRIES AND WITH OTHER PROVIDERS AND PURCHASERS. A MARKET DRIVE RESPONSE TO PEOPLE'S NEEDS.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 286,220,629 including grants of $ 678,468)(Revenue $ 122,118,793) Other program services beyond outpatient, inpatient and emergency department services include: Home Health Services - Five Agencies located in Illinois and Michigan. Hospice Services - Four programs located in Illinois and Michigan. Residency Programs - OSF Healthcare System is affiliated with the University of Illinois and provides support for teaching of residents and fellowship programs. College of Nursing Programs - Two of the corporations hospitals operate accredited colleges of nursing that offer accredited baccalaureate, masters and doctoral degrees. Trauma Services (Level 1) - Two hospitals in the system are designated as Level I Trauma (Highest Level) trauma centers and two have been designated as level II Trauma Centers. EMS Flight and Ground Transportation services - The corporation provides helicopter and ground transports to patients in Northern and Central Illinois. Community Clinic, Outreach and other educational programs - The corporation offers two uninsured and under insured community clinics in Bloomington and Peoria. Outreach programs - The corporation provides outreach programs to the community with parish nursing, perinatal outreach, and a community training center. All of these programs reach at risk populations to help them with specific and everyday healthcare needs. Education - The corporation provides paramedic education, EMT education, medical tech education, radiology tech education and dietetic education programs.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	BY ADOPTING CERTAIN PROVISIONS OF THE CORPORATE BYLAWS, THE BOARD OF DIRECTORS HAS DELEGATED BOARD AUTHORITY TO THE EXECUTIVE COMMITTEE OF THE BOARD. THE BYLAWS PROVIDE THAT THE EXECUTIVE COMMITTEE SHALL BE AUTHORIZED TO TAKE SUCH ACTION AS MAY BE NECESSARY ON BEHALF OF THE CORPORATION DURING PERIODS WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION.
Form 990, Part VI, Line 6 Classes of members or stockholders	OSF HEALTHCARE SYSTEM HAS NO CORPORATE STOCK OR STOCKHOLDERS. ITS SOLE MEMBER IS THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS, AN ILLINOIS NOT FOR PROFIT CORPORATION, WHICH IS CONTROLLED BY MEMBERS OF A RELIGIOUS CONGREGATION OF THE CATHOLIC CHURCH ALSO KNOWN AS THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE GOVERNING BOARD OF THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS, AN ILLINOIS NOT FOR PROFIT CORPORATION AND THE SOLE MEMBER OF OSF HEALTHCARE SYSTEM, HOLDS RESERVED POWERS TO ELECT AND REMOVE ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF OSF HEALTHCARE SYSTEM.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	AS GOVERNED BY CANONICAL AND CIVIL GUIDELINES PERTAINING TO ROMAN CATHOLIC CHURCH PROPERTIES AND AS PROVIDED IN THE BYLAWS, CERTAIN TRANSACTIONS OF OSF HEALTHCARE SYSTEM MAY BE AUTHORIZED ONLY BY VOTE OF THE GOVERNING BOARD OF THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS, WHICH VOTE IS TO BE TAKEN ONLY AFTER CONSIDERING THE ADVICE OF THE BOARD OF DIRECTORS OF OSF HEALTHCARE SYSTEM. THESE TRANSACTIONS ARE AS FOLLOWS: - TO ESTABLISH THE PHILOSOPHY AND MISSION ACCORDING TO WHICH THE CORPORATION OPERATES. - TO AMEND THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS. - TO ELECT AND REMOVE WITH OR WITHOUT CAUSE THE DIRECTORS OF THE CORPORATION. - TO MERGE OR DISSOLVE THE CORPORATION. - TO LEASE, SELL, ENCUMBER OR OTHERWISE ALIENATE REAL PROPERTY OF THE CORPORATION. - TO APPROVE ANY TRANSFER, LEASE, SALE OR ENCUMBRANCE OF PERSONAL PROPERTY OF THE CORPORATION EXCEPT IN THE ORDINARY COURSE OF BUSINESS. - TO APPROVE ANY BORROWING OR DEBT FINANCING IN EXCESS OF A SPECIFIED LIMIT (CURRENTLY $1,000,000) ESTABLISHED BY RESOLUTION OF THE MEMBER. - TO APPOINT (OR APPROVE THE APPOINTMENT OF) OR REMOVE THE CORPORATION'S CHAIRPERSON, CHIEF EXECUTIVE OFFICER, PRESIDENT, REGIONAL PRESIDENT/CHIEF EXECUTIVE OFFICERS, AND THE LOCAL PRESIDENT/CHIEF EXECUTIVE OFFICER OF EACH HEALTH CARE FACILITY AND OPERATING DIVISION OWNED, OPERATED OR CONTROLLED BY THE CORPORATION. - TO APPROVE STRATEGIC PLANS, MANAGEMENT OBJECTIVES AND CAPITAL AND OPERATING BUDGETS OF THE CORPORATION. - TO APPROVE ANY PURCHASE OR OTHER ACQUISITION IN EXCESS OF A SPECIFIED LIMIT (CURRENTLY $1,000,000) ESTABLISHED BY RESOLUTION OF THE MEMBER. - TO REQUIRE A CERTIFIED AUDIT OF THE CORPORATION'S FINANCES AND TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANT TO PERFORM THE AUDIT. - TO APPROVE THE ENGAGEMENT OF ANY OUTSIDE LEGAL COUNSEL TO REPRESENT THE CORPORATION ON A REGULAR BASIS AND THE DISMISSAL OF ANY CURRENT LEGAL COUNSEL REPRESENTING THE CORPORATION ON A REGULAR BASIS. - TO GIVE PRELIMINARY APPROVAL PRIOR TO THE DEVELOPMENT OF, AND TO GIVE FINAL APPROVAL PRIOR TO THE EXECUTION OF, ALL DOCUMENTS TO WHICH THE CORPORATION IS OR WILL BE A PARTY AND WHICH RELATE TO THE CREATION, FORMATION, ORGANIZATION, OR TERMINATION OF ANY OTHER LEGAL ENTITY (WHETHER A CORPORATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, OR ANY OTHER ENTITY) IN WHICH THE CORPORATION WILL HAVE ANY OWNERSHIP INTEREST, MEMBERSHIP INTEREST, POWER TO ELECT OR APPOINT BOARD MEMBERS OR OFFICERS, OR ANY OTHER FORMAL PARTICIPATION ARRANGEMENT, WHETHER ACTING ALONE OR IN CONJUNCTION WITH ANY OTHER PERSON OR ENTITY.
Form 990, Part VI, Line 9 Interested person not at organization's address	BRIAN SILVERSTEIN, M.D. 711 APPLE TREE LANE GLENCOE, IL 60022
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE INITIAL DRAFT FORM 990 AND ALL REQUIRED SCHEDULES ARE PREPARED USING A MULTI-DISCIPLINARY PROCESS WHICH INCLUDES CORPORATE FINANCE AND ACCOUNTING, CORPORATE LEGAL, CORPORATE COMPLIANCE, AND CORPORATE MARKETING AND COMMUNICATIONS PERSONNEL WHO FOCUS INITIALLY ON SPECIFIC PORTIONS OF THE RETURN. THE COMPLETED DRAFT FORM 990 AND ALL SCHEDULES ARE THEN REVIEWED BY THIS SAME MULTI-DISCIPLINARY TEAM TO ENSURE ACCURACY AND INTEGRATION OF THE INDIVIDUAL PARTS AND SCHEDULES. IN ADDITION, THE INFORMATION AND SCHEDULES OF THE RETURN ARE SENT TO THE CORPORATION'S TAX CONSULTANTS, CROWE LLP, FOR REVIEW AND COMMENT. CROWE LLP REVIEWS THE INFORMATION/SCHEDULES AND THEN PREPARES AND SIGNS THE FINAL RETURN. COMMENTS FROM THE MULTI-DISCIPLINARY TEAM AND FROM THE AUDITORS ARE INCORPORATED INTO A PROPOSED FINAL VERSION OF FORM 990 AND ALL SCHEDULES. THIS PROPOSED FINAL VERSION IS THEN SENT VIA E-MAIL TO ALL OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING. ANY APPROPRIATE CHANGES REQUESTED BY THE OFFICERS AND DIRECTORS ARE THEN INCORPORATED INTO THE FINAL FORM 990 AND ALL SCHEDULES FOR FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	DISCLOSURES BY OFFICERS, DIRECTORS AND TRUSTEES, AS WELL AS KEY EMPLOYEES AND EMPLOYEES CHARGED WITH PURCHASING, PROCUREMENT AND CONTRACTING DECISION-MAKING ARE MADE THROUGH AN ELECTRONIC REPORTING SYSTEM ON AN ANNUAL BASIS. DISCLOSURES ARE RECEIVED AND REVIEWED BY THE CORPORATE COMPLIANCE DIVISION. IF A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED, THEN THE DISCLOSING INDIVIDUAL IS NOTIFIED OF THE POTENTIAL CONFLICT AND MAY BE ASKED FOR ADDITIONAL INFORMATION ABOUT THE INTEREST. THE CORPORATE COMPLIANCE DIVISION DETERMINES WHETHER A PLAN TO MANAGE A POSSIBLE OR ACTUAL CONFLICT OF INTEREST IS NEEDED, DISCUSSES THE MANAGEMENT PLAN WITH THE INDIVIDUAL AND MONITORS THE EMPLOYEE'S COMPLIANCE WITH THE PLAN. PLANS TO MANAGE CONFLICTS ARE TRACKED THROUGH THE ELECTRONIC DISCLOSURE SYSTEM.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE BOARD OF DIRECTORS HAS ESTABLISHED A BOARD COMMITTEE KNOWN AS THE HUMAN RESOURCES COMMITTEE WHO ARE ALL PROFESSED MEMBERS OF A RELIGIOUS CONGREGATION THAT OWNS OR IS ASSOCIATED WITH THE HEALTHCARE SYSTEM WHO HAVE TAKEN A VOW OF POVERTY. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE CHIEF EXECUTIVE OFFICER (CEO) IS NOT A MEMBER OF THE COMMITTEE. THE PERFORMANCE OF THE CEO AND HIS ACHIEVEMENT OF ANNUAL GOALS IS EVALUATED EACH YEAR BY THE FULL BOARD OF DIRECTORS, AND THIS PERFORMANCE REVIEW IS PROVIDED TO THE COMMITTEE. THE COMMITTEE ALSO OBTAINS COMPENSATION SURVEY DATA AND RECOMMENDATIONS FROM A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT. BASED ON ALL OF THESE FACTORS, THE COMMITTEE SETS THE BASE SALARY AND BENEFITS OF THE CEO AND APPROVES THE EXECUTIVE COMPENSATION PLAN APPLICABLE TO THE CEO. PRIOR TO PAYMENT OF ANY BONUS OR INCENTIVE COMPENSATION, THE TOTAL COMPENSATION FOR THE CEO, INCLUDING BASE SALARY, BENEFITS, AND PROPOSED BONUS OR INCENTIVE COMPENSATION, IS AGAIN REVIEWED BY A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT TO ENSURE THAT NO EXCESS BENEFIT AMOUNT IS PAID OR FURNISHED. THE COMPENSATION REVIEW IS DONE ANNUALLY IN NOVEMBER.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE BOARD OF DIRECTORS HAS ESTABLISHED A BOARD COMMITTEE KNOWN AS THE HUMAN RESOURCES COMMITTEE WHOSE MEMBERS ARE ALL PROFESSED MEMBERS OF THE RELIGIOUS CONGREGATION KNOWN AS THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS WHO HAVE TAKEN A VOW OF POVERTY. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE COMMITTEE DETERMINES WHICH OFFICERS, KEY EMPLOYEES AND OTHER EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN THE EXECUTIVE COMPENSATION PLAN. BASED ON PERFORMANCE REVIEWS BY THE SUPERVISORS OF SUCH PERSONS AND COMPENSATION SURVEY DATA AND RECOMMENDATIONS FROM A NATIONALLY KNOWN INDEPENDENT COMPENSATION CONSULTANT, THE COMMITTEE APPROVES ANY EXECUTIVE COMPENSATION PLAN APPLICABLE TO KEY EMPLOYEES AND ESTABLISHES THE BASE SALARY AND BENEFITS FOR PLAN PARTICIPANTS. PRIOR TO PAYMENT OF ANY BONUS OR INCENTIVE COMPENSATION, THE TOTAL COMPENSATION FOR EACH KEY EMPLOYEE, INCLUDING BASE SALARY, BENEFITS, AND PROPOSED BONUS OR INCENTIVE COMPENSATION, IS AGAIN REVIEWED BY A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT TO ENSURE THAT NO "EXCESS BENEFIT" AMOUNT IS PAID OR FURNISHED. SOME KEY EMPLOYEES LISTED IN PART VII ARE PRACTICING PHYSICIANS WHO ARE LISTED AS KEY EMPLOYEES AS A RESULT OF THE COMPENSATION THEY RECEIVE AND NOT DUE TO ANY EXECUTIVE OR MANAGEMENT POSITION WHICH THEY HOLD. SUCH PHYSICIANS GENERALLY ARE NOT PARTICIPANTS IN THE EXECUTIVE COMPENSATION PLAN, AND THEIR COMPENSATION, INCLUDING BASE SALARY, BENEFITS, AND ANY APPLICABLE BONUS OR INCENTIVE COMPENSATION, IS ESTABLISHED IN ACCORDANCE WITH NATIONALLY RECOGNIZED PHYSICIAN COMPENSATION SURVEYS AND IS SET FORTH IN WRITTEN EMPLOYMENT AGREEMENTS WHICH ARE APPROVED BY THE BOARD OF DIRECTORS OR ITS EXECUTIVE COMMITTEE. THE COMPENSATION REVIEW IS DONE ANNUALLY IN NOVEMBER.
Form 990, Part VI, Line 19 Required documents available to the public	OSF HEALTHCARE SYSTEM MAKES ITS FORM 990, ITS FORM 990-T, AND DOCUMENTATION OF ITS EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE CODE AVAILABLE FOR PUBLIC INSPECTION AND COPYING UPON REQUEST IN ACCORDANCE WITH SECTION 6104 OF THE INTERNAL REVENUE CODE. NAMES AND ADDRESSES OF CONTRIBUTORS ARE NOT DISCLOSED. REQUESTS MAY BE MADE IN PERSON, IN WRITING, OR BY TELEPHONE. REQUESTS MADE IN PERSON ARE ACCEPTED AT THE CORPORATE OFFICE AND AT EACH HOSPITAL FACILITY OF THE CORPORATION. REQUESTS MADE IN WRITING OR BY TELEPHONE TO ANY FACILITY OR LOCATION OF THE CORPORATION ARE FORWARDED TO THE CORPORATE FINANCE AND ACCOUNTING DIVISION, WHICH THEN PROVIDES COPIES OF THE REQUESTED DOCUMENTS IN THE OSF HEALTHCARE SYSTEM 37-0813229 MANNER REQUESTED (IF SUCH DELIVERY METHOD IS AVAILABLE TO THE CORPORATION). THE CORPORATION MAKES ITS ARTICLES OF INCORPORATION, CORPORATE BYLAWS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. ALL REQUESTS ARE FORWARDED TO THE CORPORATE LEGAL DIVISION, WHICH THEN PROVIDES COPIES OF THE REQUESTED DOCUMENTS IN THE MANNER REQUESTED (IF SUCH DELIVERY METHOD IS AVAILABLE TO THE CORPORATION). IN ADDITION, THE CORPORATION'S ARTICLES OF INCORPORATION ARE PUBLICLY AVAILABLE FROM THE OFFICE OF THE ILLINOIS SECRETARY OF STATE OR FROM THE RECORDER OF DEEDS IN WOODFORD COUNTY, ILLINOIS, SITE OF THE CORPORATION'S REGISTERED OFFICE. FINANCIAL STATEMENTS OF THE CORPORATION ARE PUBLICLY AVAILABLE ON THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE OF THE MUNICIPAL SECURITIES RULEMAKING BOARD (MSRB) AND FROM THE ILLINOIS ATTORNEY GENERAL AS PART OF THE CORPORATIONS COMMUNITY BENEFIT REPORT.
Form 990, Part VII, Section A PART VII, SECTION A	REPORTABLE COMPENSATION IN PART VII WAS DETERMINED FROM A REVIEW OF PAYROLL QUERIES FROM THE ORGANIZATION'S AND RELATED ORGANIZATION'S PAYROLL AND GENERAL LEDGER MODULES, YEARLY PAYROLL REPORTS, AND W-2 FILINGS.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other - Total Revenue: 11925653, Related or Exempt Function Revenue: 11813000, Unrelated Business Revenue: 112653, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN UNREALIZED MARKET VALUE OF SWAPS - -7473576; NET ASSETS RELEASED FROM RESTRICTION - -9749152; INCREASE IN PERMANENTLY RESTRICTED ASSETS - 26552551; REVERSAL OF MINIMUM PENSION LIABILITY - -30109621; PCI & SUBSIDIAIRY INCOME - 2948959; MINORITY INTEREST - -6735568; EQUITY TRANSFERS - -XXX-XX-XXXX; INVESTMENT RETURN - 3267325; NET SETTLEMENT OF DERIVATIVE INSTRUMENT - -6423276; CONTRIBUTION OF EXCESS ASSETS OVER LIABILITIES - XXX-XX-XXXX; UNCOLLECTED GRANTS - -76234;
Form 990 Coronavirus Pandemic	On March 11, 2020, the World Health Organization designated COVID-19 as a global pandemic. Patient volumes and the related revenues for most our services were significantly impacted in the last two weeks of the second quarter of the fiscal year 2020 and continued to be impacted in the third and forth quarters of 2020. Various policies were implemented by federal, state, and local governments in response to the COVID-19 pandemic that have caused many people to remain at home and forced the closure of or limitations on certain businesses, as well as suspended elective surgical procedures by healthcare facilities. While some of these restrictions have been eased across the U.S. and most states have lifted moratoriums on non-emergent procedures, some restrictions remain in place, and some state and local governments are re-imposing certain restrictions due to increasing rates of COVID-19 cases. Patient volumes and revenues experienced gradual improvement beginning in May and continuing through the end of the fiscal year.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
OSF LIFELINE AMBULANCE LLC
318 ROXBURY ROAD	ROCKFORD	IL	61107	200080542	AMBULANCE SVS	IL	-$1,515,690	$1,142,235	OSF
SAINT ANTHONY'S LLC
915 EAST 5TH STREET	ALTON	IL	62002	371407745	LOW INC HOUSING	IL	-$3,619,935	-$530,882	OSF

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SISTERS OF THE THIRD ORDER OF ST FRANCIS
800 NE GLEN OAK AVE	PEORIA	IL	61603	371259286	PARENT/SU ORG	IL	501(c)(3)	Type I	NA	false
OSF HEALTHCARE FOUNDATION
800 NE GLEN OAK AVE	PEORIA	IL	61603	371259284	SUPPORT ORG	IL	501(c)(3)	Type II	SIS 3RD OSF	false
OTTAWA REGIONAL HOSPITAL & HEALTHCARE CTR
1100 EAST NORRIS DRIVE	OTTAWA	IL	61350	362604009	HOSPITAL	IL	501(c)(3)	3	OSF	Yes (true)
OTTAWA REGIONAL HOSPITAL FOUNDATION
1100 EAST NORRIS DRIVE	OTTAWA	IL	61350	364007569	SUPPORT ORG	IL	501(c)(3)	Type I	ORHHC	Yes (true)
OTTAWA REGIONAL HOSPITAL AUXILIARY
1100 EAST NORRIS DRIVE	OTTAWA	IL	61350	363854788	SUPPORT ORG	IL	501(c)(3)	Type I	ORHHC	false
OSF MULTI-SPECIALTY GROUP
800 NE GLEN OAK AVE	PEORIA	IL	61603	383852646	HLTHCARE SVCS	IL	501(c)(3)	Type I	OSF	Yes (true)
MENDOTA COMMUNITY HOSPITAL
1201 E 12TH STREET	MENDOTA	IL	61342	362167785	HOSPITAL	IL	501(c)(3)	3	OSF	Yes (true)
OSF COLLEGE OF HEALTH SCIENCES
800 NE GLEN OAK AVE	PEORIA	IL	61603	364868939	COLLEGE OF NURSING	IL	501(c)(3)	2	OSF	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
CENTER FOR HEALTH AMBULATORY
8800 RTE 91 N	PEORIA	IL	61615	205557171	SURGICAL CENTER	IL	OSF	Related	$3,857,406	$4,492,068	false	false	0.6195
EASTLAND MEDICAL PLAZA
1505 EASTLAND DRIVE	Bloomington	IL	61701	371400643	SURGICAL CENTER	IL	OSF	Related	$2,206,793	$6,156,461	false	false	0.5042
FORT JESSE IMAGING CENTER LLC
2200 FT JESSE ROAD	NORMAL	IL	61761	460515604	MEDICAL IMAGING	IL	OSF	Related	$1,035,266	$277,790	false	false	0.501
SAINT CLARE'S VILLA
915 EAST 5TH STREET	ALTON	IL	62002	371397289	LOW INC HOUSING	IL	OSF	Related	-$3,619,935	-$530,882	false	Yes (true)	1
FOX RIVER CANCER CENTER
1211 STARFISH DRIVE	OTTAWA	IL	61350	870805865	ONCOLOGY	IL	OSF	Related	$420,828	$4,626,409	false	Yes (true)	0.82

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line2USAddress/AddressLine2Txt
Pointcore Inc
800 NE GLEN OAK AVE	PEORIA	IL	61603	363484677	HLTHCARE SVCS	IL	OSF	C Corporation	$2,948,958	$226,705,282	1	Yes (true)
ILLINOIS PATHOLOGST SERVICES LLC
5666 EAST STATE STREET	ROCKFORD	IL	61108	800439081	PATHOLOGY SVCS	IL	OSF	C Corporation	-$463,521	$547,076	1	Yes (true)
LAKEVIEW MEDICAL OFFICE BUILDING
812 N LOGAN AVENUE	DANVILLE	IL	61832	371100761	CONDOMINIUM ASSOCIATION	IL	OSF	C Corporation	$79,860	$73,012	0.6615	Yes (true)
SOUTHWEST HEALTH SYSTEMS INC
2800 WEST 95TH STREET	EVERGREEN PARK	IL	60805	363425830	HEALTHCARE SERVICES	IL	OSF	C Corporation	$2,623,412	$4,631,444	1	Yes (true)
MARY CAP INSURANCE INC
76 ST PAUL STREET	BURLINGTON	VT	05401	030304812	INSURANCE COMPANY	IL	OSF	C Corporation	$21,810	$98,182	1	Yes (true)	SUITE 500
OSF AVIATION LLC
800 GLEN OAK AVE	PEORIA	IL	61603	300032408	MEDICAL TRANSPORTATION	IL	POINTCORE LLC	C Corporation				false
OSF ASSURANCE COMPANY
76 ST PAUL STREET	BURLINGTON	VT	05401	202015375	INSURANCE COMPANY	VT	POINTCORE LLC	C Corporation				false	SUITE 500

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Center for Health Ambulatory Surgery Center
A	$1,017,503	FMV
Eastland Medical Plaza Surgicenter LLC
A	$632,420	FMV
Pointcore Inc
A	$497,654	FMV
Illinois Pathologist Services LLC
B	$1,800,000	FMV
Pointcore Inc
D	$3,899,142	FMV
Pointcore Inc
K	$9,418,312	FMV
Pointcore Inc
L	$9,657,600	FMV
Illinois Pathologist Services LLC
L	$229,776	FMV
Pointcore Inc
M	$20,445,881	FMV
Pointcore Inc
P	$407,564	FMV
Illinois Pathologist Services LLC
P	$478,820	FMV
Eastland Medical Plaza Surgicenter LLC
S	$2,432,670	FMV
Fort Jesse Imaging Center LLC
S	$832,140	FMV
Center for Health Ambulatory Surgery Center LLC
S	$3,717,000	FMV
OSF Healthcare Foundation
C	$12,157,030	FMV
Fox River Cancer Center LLC
S	$492,000	FMV