2019-08-14T11:00:23-05:00 2018-09-30 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2017-10-01 370813229 OSF Healthcare System OSFH 3096552850 800 NE GLEN OAK AVE Peoria IL 61603 MICHAEL M ALLEN CFO 2019-08-14 true Rachel Spurlock P00520729 5023263996 2017 2020-03-31 21:24:44Z MICHAEL M ALLEN 800 NE GLEN OAK AVE Peoria IL 61603 2484986242 false X WWW.OSFHEALTHCARE.ORG X 1880 IL 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. 9 6 17744 2212 6260712 2132098 8620722 15739541 2068613572 2357884312 59545239 49473868 41236810 57192220 2178016343 2480289941 1153710 3409838 0 925065571 1052639995 0 5989107 947837001 1107566486 1874056282 2163616319 303960061 316673622 3296088110 3759557955 2057198791 2237524751 1238889319 1522033204 X OSF HEALTHCARE SYSTEM IS A CATHOLIC INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH DURING ITS FISCAL YEAR 2018 OPERATED 13 HOSPITALS, 5 HOME HEALTH AGENCIES, 4 HOSPICES, AND EMPLOYED APPROXIMATELY 857 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. false false 708131804 1061883872 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; AND DANVILLE,ILLINOIS. AS OF THE CLOSE OF THE REPORTING PERIOD ON SEPTEMBER 30, 2018, THESE ELEVEN FACILITIES HAD A COMBINED TOTAL OF 1,752 LICENSED INPATIENT AND RESIDENT BEDS. THEY HAD COMBINED TOTALS OF 69,583 INPATIENT AND RESIDENT DISCHARGES AND 320,197 INPATIENT AND RESIDENT DAYS, INCLUDING 18,052 NEWBORN INPATIENT DAYS. THE NINE ACUTE CARE HOSPITALS COLLECTIVELY SERVED 57 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. 680480367 1063555248 OUTPATIENT SERVICES: THE ELEVEN ACUTE CARE HOSPITALS OWNED AND OPERATED BY OSF HEALTHCARE SYSTEM COLLECTIVELY PROVIDED 1,506,630 OUTPATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2018, 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. 105257007 138888226 All of the eleven 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 278,476 patient visits during the reporting period ended September 30, 2018. 270745377 3409838 144386161 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. 270745377 3409838 144386161 1764614555 true true false true false false false false true true false false true true true false true false false false false false false false false true true true true true true false false false false false false false true true false false false false false true true true true false false true 1731 0 true 17744 true true true false false false false false true false false false X 9 6 false false false false true true true true true true false true true true true true true true true true true IL X MICHAEL ALLEN 3096557708 800 NE GLEN OAK AVE PEORIA IL 61603 Sister Diane Marie McGrew OSF President and Treasurer 40.0 8.0 X X 5200 0 0 Sister Judith Ann Duvall OSF Chairperson 40.0 8.0 X X 5200 0 0 Robert C Sehring Vice Chairperson CEO 40.0 8.0 X X 849531 0 68240 Kevin D Schoeplein Partial Year - Vice Chairperson CEO 40.0 8.0 X X 1721678 0 258783 Sister Theresa Ann Brazeau OSF Secretary 40.0 8.0 X X 5200 0 0 Sister Agnes Joseph Williams OSF Assistant Secretary 40.0 8.0 X X 5200 0 0 Sister Rose Therese Mann OSF Board Member 40.0 8.0 X 0 0 0 Gerald J McShane MD Board Member 40.0 7.0 X 695330 0 64289 Sister M Mikela Meidl FSGM Board Member 40.0 8.0 X 0 0 0 Brian Silverstein MD Board Member 1.0 7.0 X 45000 0 0 Michael M Allen CFO 40.0 7.0 X 560425 0 53654 Anthony M Avellino MD Partial Year - CEO NSSL/INI 40.0 6.0 X 976761 0 60536 Kenneth E Berkovitz MD Partial Year - CEO CVSL 40.0 6.0 X 722055 0 42012 Chad E Boore Chief Executive Officer Eastern Region 40.0 6.0 X 317270 0 39387 Robert L Brandfass SVP Chief Legal Officer 40.0 6.0 X 519421 0 64040 Michelle D Conger Chief Strategy Officer 40.0 6.0 X 449874 0 38959 Roxanna Crosser Chief Executive Officer Western Region 40.0 6.0 X 314792 0 40905 Michael A Cruz MD Chief Executive Officer Central Region 40.0 6.0 X 597403 0 67230 John R Evancho SVP Chief Compliance Officer 40.0 6.0 X 256009 0 45584 Thomas G Hammerton President OSF Healthcare Foundation Chief Development Officer 40.0 8.0 X 362569 0 46481 Stephen E Hippler MD Chief Clinical Officer 40.0 6.0 X 541637 0 67183 John C Horne SVP Chief Supply Chain Officer 40.0 6.0 X 345142 0 51666 Divya-Devi Joshi CEO Children SL 40.0 6.0 X 497362 0 26209 James J Mormann Chief Information Officer 40.0 6.0 X 544589 0 60270 David A Schertz Partial Year - CEO Northern Region 40.0 6.0 X 579694 0 43726 Dwight D Stapleton Vice President Clinical Specialty Services 40.0 6.0 X 400979 0 27523 Jeffry M Tillery SVP Chief Transformation Officer 40.0 6.0 X 513402 0 61306 Lori L Wiegand Chief Nursing Officer 40.0 6.0 X 382846 0 61596 Leon A Yeh MD VP CMO Emergency Serv 40.0 6.0 X 523837 0 59971 Iftekhar U Ahmad MD Physician 40.0 0 X 864341 0 41321 Mete Korkmaz MD Oncologist 40.0 0 X 844728 0 64404 James L McGee MD Physician 40.0 0 X 943056 0 57567 Ekanka Mukhopadhyay MD Physician 40.0 0 X 591904 0 58442 Anthony C Zalduendo MD Physician 40.0 0 X 663537 0 65271 Daniel E Baker Former CFO 0.0 0.0 X 2154132 0 160530 Kenneth J Natzke Former CEO East Region 0.0 0.0 X 528533 0 47343 19328636 0 1844429 724 true true false University Of Illinois College of Medicine PO Box 4196 Springfield IL 627084196 Teaching Physicians 34955478 Mayo Clinic PO Box 4006 Rochester MN 55903 Laboratory Services 5513131 PointCore Network Services LLC 222 3rd Ave Suite 600 Cedar Rapids IA 52401 IT Services 4854685 Hinshaw and Culbertson LLP 8142 Solutions Center Dr Chicago IL 606778001 Legal Services 3250635 Associated Anesthesiologists SC 8600 N State Route 91 Suite 250 Peoria IL 616159452 Anesthesiologists Services 2022853 107 X 13735326 1478365 525850 15739541 Net Patient Service Revenue 621110 2342593342 2342593342 Consulting Revenue 523000 9122659 9122659 Lab 621500 5394448 5394448 Affiliated Purchasing Program 561499 643445 643445 Related Party Loan Interest 900099 130418 130418 0 0 0 0 2357884312 47203354 47203354 2678836 2594398 84438 0 84438 84438 2388085 1984332 1338773 763130 1049312 1221202 2270514 2270514 Insurance Credit 524298 15939944 15939944 Tuition 611430 14058414 14058414 Contract Pharmacy 621110 7907623 7907623 19201801 19091525 92401 17875 57107782 2480289941 2408713507 6260712 49576181 3115828 3115828 294010 294010 0 0 0 0 16677769 13342215 3335554 0 437246 180988 256258 0 787326240 613782973 173449739 93528 48584283 34166978 14417305 0 140346804 124015223 16331581 0 59267653 42024824 17242829 0 0 0 0 0 2811647 0 2811647 0 901000 0 901000 0 910985 0 910985 0 0 0 0 0 0 0 97972476 81282881 16689595 0 7060035 396785 6663250 0 14186293 5043053 9142604 636 33538427 1101580 32436258 589 0 0 0 0 16925258 16047071 877759 428 8231306 5168221 3062577 508 0 0 0 0 1813478 793973 1018855 650 40479008 12810571 27668437 0 0 0 0 0 106996425 78581265 28415160 0 10583922 9820967 762955 0 Medical Supplies 354403377 353250026 937309 216042 Equip Rental & Maint 226909628 192464799 34429804 15025 Bad Debt 100275185 100275185 0 0 Medicaid Fees 75843641 75843641 0 0 7724395 811498 1251196 5661701 2163616319 1764614555 393012657 5989107 X 6997197 6638780 358417 0 150345942 174383682 488132199 448040909 0 0 0 34843640 46238403 48648614 48000136 2517443102 1329458206 1000853128 1187984896 1033210946 1232348785 0 68188034 115358042 32013838 34414226 439851769 472788876 3296088110 3759557955 212729178 265646659 1092831347 1263249507 0 751638266 708628585 2057198791 2237524751 X 1132481065 1402496116 63521223 68313782 42887031 51223306 1238889319 1522033204 3296088110 3759557955 X 316673622 27922707 0 0 0 -61452444 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true 0 false false true 595822 false true 315163 910985 false 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 $315,163. 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 $595,822. 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 $315,163. 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 $595,822. 87218699 18736098 6534121 188034 1458266 110842618 73130258 5667852 9778204 231331 1126284 87218699 58445819 8839845 7180954 619990 716370 73130258 51788138 9619258 -1943315 81000 937262 58445819 37314439 10574853 4207377 91480 217051 51788138 0.48 0.415 0.105 false false 43585888 43585888 1517991483 678776334 839215149 33351907 25942364 7409543 851290277 624739508 226550769 71223547 0 71223547 1187984896 WORKERS COMP ESCROW DEPOSITS 5475561 THIRD PARTY WITHHOLDINGS 16803393 DUE FROM FOUNDATION 1026340 ASSETS - LIMITED OR RESTRICTED 119537088 FUNDS LIMITED AS TO USE 197089446 OTHER ACCOUNTS 74443846 457B DEFERRED COMPENSATION 58413202 472788876 ESTIMATED SELF INSURANCE LIAB 152088502 RETIRE OBLIG - ASBESTOS 13407228 ACCRUED PENSION LIABILITY 324354893 MARKET VALUATION OF SWAP 30070779 THIRD PARTY SETTLEMENT PAYABLE 130293981 457B DEFERRED COMPENSATION 58413202 708628585 X 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 AND IS EXEMPTED FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(C)(3) OF THE CODE. SFI AND VARIOUS SUBSIDIARIES ARE FOR-PROFIT CORPORATIONS THAT RECOGNIZE INCOME TAXES UNDER THE ASSET-AND-LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING THE ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN INCOME IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. UNDER ASC SUBTOPIC 740-10,ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES -AN INTERPRETATION OF FASB STATEMENT NO.109, OSF 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, 2018 AND 2017, OSF DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS. true true X true X 125 true X 600 true true false true true 28452015 0 28452015 0.0132 442220399 367442764 74777635 0.0346 0 0 0 0.0 0 0 470672414 367442764 103229650 0.0477 5905612 676851 5228761 0.0024 80523917 31328027 49195890 0.0227 31356554 16950709 14405845 0.0067 2205632 1095157 1110475 0.0005 4282632 4282632 0.0020 0 0 124274347 50050744 74223603 0.0343 0 0 594946761 417493508 177453253 0.0820 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 472346 472346 0.0002 0 0.0 0 0.0 0 0 472346 0 472346 0.0002 true 20206227 0 574143621 601942636 -27799015 X true true None 11 1 SAINT FRANCIS MEDICAL CENTER 530 NE GLEN OAK AVENUE PEORIA IL 61637 https://www.osfhealthcare.org/saint-francis/ IL0002394 X X X X X X X 2 SAINT ANTHONY MEDICAL CENTER 5666 EAST STATE STREET ROCKFORD IL 61108 https://www.osfhealthcare.org/saint-anthony/ IL0002253 X X X X X 3 OSF HEART OF MARY MEDICAL CENTER 1400 W PARK STREET URBANA IL 61801 https://www.osfhealthcare.org/heart-of-mary/ IL0006080 X X X X 4 OSF SACRED HEART MEDICAL CENTER 812 N LOGAN AVENUE DANVILLE IL 61832 https://www.osfhealthcare.org/sacred-heart/ IL0006072 X X X 5 ST JOSEPH MEDICAL CENTER 2200 EAST WASHINGTON STREET BLOOMINGTON IL 61701 https://www.osfhealthcare.org/st-joseph/ IL0002535 X X X 6 OSF SAINT ANTHONY'S HEALTH CENTER 1 ST ANTHONYS WAY ALTON IL 62002 https://www.osfhealthcare.org/saint-anthonys/ IL0005942 X X X 7 ST MARY MEDICAL CENTER 3333 NORTH SEMINARY STREET GALESBURG IL 61401 https://www.osfhealthcare.org/st-mary/ IL0002675 X X X 8 SAINT JAMES HOSPITAL 2500 W REYNOLDS STREET PONTIAC MI 61764 https://www.osfhealthcare.org/saint-james/ IL0005264 X X X 9 ST FRANCIS HOSPITAL 3401 LUDINGTON STREET ESCANABA MI 49829 https://www.osfhealthcare.org/st-francis/ MI1060000051 X X X X 10 OSF SAINT LUKE MEDICAL CENTER 1051 W SOUTH STREET KEWANEE IL 61443 https://www.osfhealthcare.org/saint-luke/ IL0005926 X X X X 11 OSF HOLY FAMILY MEDICAL CENTER 1000 W HARLEM AVENUE MONMOUTH IL 61462 https://www.osfhealthcare.org/holy-family/ IL0005439 X X X X SAINT FRANCIS MEDICAL CENTER 1 false false true X X X X X X X X X 16 true true true true X HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ X true 17 false true false true X 200.0 600.0 X X X X X true true X X X X true X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X X X X X X X true X false X X X X true X false false SAINT ANTHONY MEDICAL CENTER 2 false false true X X X X X X X X X 16 true false false true X HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ X true 17 false true false true X 200.0 600.0 X X X X X true true X X X X true X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X X X X X X X true X false X X X X true X false false OSF HEART OF MARY MEDICAL CENTER 3 false true true X 17 true true true true X HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ X true 17 false false false true X 200.0 600.0 X X X X X true true X X X X true X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/ X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/ X (HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/ X X X X X X X true X false X X X X true X false false OSF SACRED HEART MEDICAL CENTER 4 false true true X 17 true true true true X HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ X true 17 false false false true X 200.0 600.0 X X X X X true true X X X X true X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/ X (HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/ X (HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/ X X X X X X X true X false X X X X true X false false ST JOSEPH MEDICAL CENTER 5 false false true X X X X X X X X X 16 true true true true X HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ X true 17 false true false true X 200.0 600.0 X X X X X true true X X X X true X https://www.osfhealthcare.org/billing/financial-assistance/ X https://www.osfhealthcare.org/billing/financial-assistance/ X https://www.osfhealthcare.org/billing/financial-assistance/ X X X X X X X true X false X X X X true X false false OSF SAINT ANTHONY'S HEALTH CENTER 6 false false true X X X X X X X X X 16 true false false true X HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ X true 17 false true false true X 200.0 600.0 X X X X X true true X X X X true X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X X X X X X X true X false X X X X true X false false ST MARY MEDICAL CENTER 7 false false true X X X X X X X X X 16 true false false true X HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ X true 17 false true false true X 125.0 400.0 X X X X X true true X X X X true X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X X X X X X X true X false X X X X true X false false SAINT JAMES HOSPITAL 8 false false true X X X X X X X X X 16 true false false true X HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ X true 17 false true false true X 125.0 400.0 X X X X X true true X X X X true X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X X X X X X X true X false X X X X true X false false ST FRANCIS HOSPITAL 9 false false true X X X X X X X X X 16 true false false true X HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ X true 17 false true false true X 200.0 400.0 X X X X X true true X X X X true X https://www.osfhealthcare.org/billing/financial-assistance/ X https://www.osfhealthcare.org/billing/financial-assistance/ X https://www.osfhealthcare.org/billing/financial-assistance/ X X X X X X X true X false X X X X true X false false OSF SAINT LUKE MEDICAL CENTER 10 false false true X X X X X X X X X 16 true false false true X HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ X true 17 false true false true X 125.0 400.0 X X X X X true true X X X X true X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X X X X X X X true X false X X X X true X false false OSF HOLY FAMILY MEDICAL CENTER 11 false false true X X X X X X X X X 16 true false false true X HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ X true 17 false true false true X 125.0 400.0 X X X X X true true X X X X true X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ X X X X X X X true X false X X X X true X false false 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 2016 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 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 2016 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 2016 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 2016 WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS ON JULY 25, 2016. THE NEXT TRI-COUNTY CHNA HAS BEEN DEVELOPED AND WILL BE APPROVED AND MADE WIDELY AVAILABLE TO THE PUBLIC PRIOR TO OUR FISCAL YEAR END 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 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 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE TRI COUNTY CHNA (PEORIA, WOODFORD AND PEORIA COUNTIES) WAS DONE AS A COLLABORATIVE UNDERTAKING TO HIGHLIGHT THE HEALTH NEEDS AND WELL BEING OF RESIDENTS IN THE COUNTY AREA. THE COLLABORATIVE TEAM IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: HEALTHY BEHAVIORS AND BEHAVIORAL HEALTH. HEALTHY BEHAVIORS IS DEFINED AS ACTIVE LIVING AND HEALTHY EATING AND THEIR IMPACT ON OBESITY. BEHAVIORAL HEALTH ADDRESSES MENTAL HEALTH AND SUBSTANCE ABUSE. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE HOSPITAL DEVELOPED AN IMPLEMENTATION STRATEGY DESCRIBING THE ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS BOTH PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED BOTH PRIORITY HEALTH NEEDS IS PROVIDED BELOW. HEALTHY BEHAVIORS - ACTIVE LIVING, HEALTHY EATING AND OBESITY GOALS: INCREASE PERCENTAGE OF ADULTS CONSUMING THREE OR MORE SERVINGS OF FRUITS AND VEGETABLES PER DAY; INCREASE THE PERCENTAGE OF INDIVIDUALS EXERCISING WITH IN THE LAST WEEK; MONITOR SLEEP HYGIENE, NUTRITION, EXERCISE, HEALTHY WEIGHT, SAFETY, SPIRITUALITY, AND AVOIDANCE OF SUBSTANCE USE. THE 2016 GOALS IDENTIFIED FOR HEALTHY BEHAVIORS WERE ACHIEVED: * THE PERCENTAGE OF ADULTS CONSUMING THREE OR MORE SERVINGS OF FRUITS AND VEGETABLES PER DAY INCREASED BY 5% FROM 2016 TO 2019. * THE PERCENTAGE OF INDIVIDUALS EXERCISING IN THE LAST WEEK INCREASED FROM 2016 TO 2019. THE NUMBER OF RESPONDENTS INDICATING THEY EXERCISED ONE OR MORE TIMES IN THE LAST WEEK INCREASED BY 11%. * SLEEP HYGIENE, NUTRITION, EXERCISE, HEALTHY WEIGHT, SAFETY, SPIRITUALTY AND AVOIDANCE OF SUBSTANCE ABUSE WAS MONITORED THROUGH STRATEGIC INITIATIVES OF THE FAITH COMMUNITY NURSING PROGRAM (FCN), CARE-A-VAN AND OTHER PROGRAMING. THE FOLLOWING ACTIVITIES AND INITIATIVES HELPED TO SUPPORT THE GOALS FOR HEALTHY BEHAVIORS FROM 2016 TO 2018: OSF'S FCN PROGRAM OFFERS A UNIQUE PARTNERSHIP BETWEEN TWO HEALING ENTITIES; OUR HOSPITALS AND THE FAITH COMMUNITY. THE FOCUS OF THE PROGRAM IS ON PREVENTATIVE HEALTHCARE AND INDIVIDUALS ARE HELPED TO LEAD HEALTHIER LIVES THROUGH EDUCATION, SCREENING AND REFERRALS TO COMMUNITY RESOURCES. THE FCNS ALSO STAFF THE OSF CARE-A-VAN, WHICH IS A MOBILE HEALTH CENTER THAT CONNECTS RESIDENTS WITH SCREENINGS, IMMUNIZATION, EDUCATION, HEALTH RISK ASSESSMENTS, SIGNING UP FOR HEALTHCARE COVERAGE, EXPLORING ADVANCED CARE PLANNING AND MORE. STRATEGIC INITIATIVES OF THE FCN PROGRAM AND CARE-A-VAN WERE EXECUTED AND BASELINE UTILIZATION TO PROVIDE HEALTHY BEHAVIORS EDUCATION TO NEIGHBORHOODS AND SCHOOLS WITH THE GREATEST PERCENTAGE OF POVERTY WAS ESTABLISHED. SINCE ESTABLISHED IN 2016, THE CARE-A-VAN HAS SERVED THE FOLLOWING COMMUNITY MEMBERS: * 426 IN FY16; * 538 IN FY17; * 929 IN FY18 CONTINUED CONNECTIONS WITH VOLUNTEER NURSES AND FAITH-BASED ORGANIZATIONS HELPED THE FCN PROGRAM TO EXPAND COMMUNITY OUTREACH. FCN PARTNERSHIPS AND OUTREACH INCLUDED: * 20 FAITH-BASED ORGANIZATIONS AND 27 NURSES IN FY16 * 29 FAITH-BASED ORGANIZATIONS, 22 NURSES AND 23,000 OUTREACH CONTACTS IN FY17 * 27 FAITH-BASED ORGANIZATIONS, 21 NURSES AND 28,000 OUTREACH CONTACTS IN FY18 ADDITIONAL COMMUNITY OUTREACH ACTIVITIES FOR THE CARE-A-VAN AND FCNS INCLUDED, BUT WERE NOT LIMITED TO, EDUCATION AT: * THE RIVERFRONT MARKET; * SENIOR AND CAREGIVER EXPO; * WALK WITH THE CARE-A-VAN EVENT; * HY-VEE HEART HEALTHY EVENT ADDITIONAL SERVICES WERE PROVIDED IN CONJUNCTION WITH OUR PARTNER ORGANIZATIONS, SUCH AS SOPHIA'S KITCHEN, SOUTHSIDE MISSION, CATHOLIC CHARITIES, NEIGHBORHOOD HOUSE, FRIENDSHIP HOUSE, SALVATION ARMY, DREAM CENTER AND OTHERS. OSF PROVIDED NUTRITION AND EXERCISE EDUCATION AIMED AT HEALTHY BEHAVIORS AND A BASELINE RELATING TO PARTICIPATION RATES WAS ESTABLISHED. NUTRITION AND EXERCISE ACTIVITIES AND INITIATIVES FROM 2016 TO 2018 ARE AS FOLLOWS, BUT ARE NOT LIMITED TO: * ANNUAL OSF WOMEN'S LIFESTYLE SHOW, WHICH HAD 3,000 ATTENDEES IN 2016, 3,250 IN 2017 AND 3,000 IN 2018 * OVER 1200 CHILDREN PARTICIPATED IN NATIONAL WALK TO SCHOOL DAY * ASTHMA AND HEALTH SCREENINGS WERE PROVIDED AND HYGIENE KITS DISTRIBUTED DURING BASKETBALL CAMPS FOR UNDERPRIVILEGED YOUTH * 100+ NUTRITION EDUCATION EVENTS AND COOKING DEMONSTRATIONS, REACHING OVER 10,000 INDIVIDUALS, WHICH INCLUDED COOKING CLASS IN PARTNERSHIPS WITH THE PEORIA RIVERPLEX, RIVERPLEX HEART HEALTHY MONTH FAIR, UFS STROKE FAIR, CITY OF EAST PEORIA SMART SNACKING FAIR AND MORE. * MEDICAL NUTRITION THERAPY WAS PROVIDED BY A DIETITIAN TO 66 PATIENTS AT HEARTLAND HEALTH SERVICES * DIETETIC INTERNS WORKED WITH CHILDREN TO MAKE HEALTHY FAMILY-FRIENDLY SNACKS AND A CAMPAIGN WAS CREATED TO SHARE THIS WORK ON SOCIAL MEDIA. THE CAMPAIGN WAS VIEWED 1,847 TIMES * OSF CHILDREN'S ADVOCACY ATTENDED 80 OTHER EVENTS TO PROMOTE NUTRITION AND EXERCISE AND INTERACTED WITH OVER 11,000 COMMUNITY MEMBERS. * OVER 2,500 FITNESS TRACKERS WERE DISTRIBUTED TO CHILDREN * BACK TO SCHOOL AND HEALTHY LIVES 4 KIDS EVENTS SERVING THOUSANDS OF CHILDREN. * OSF HEALTHCARE CHILDREN'S HOSPITAL OF ILLINOIS AND KOHL'S CARES HOLD HEALTHY LIVES 4 KIDS DAYS. THESE EVENTS WERE PACKED WITH INTERACTIVE GAMES AND ACTIVITIES THAT FAMILIES ENJOYED WHICH PROMOTED HEALTH AND WELLNESS IN CHILDREN. EACH CHILD RECEIVED A VARIETY OF GIVEAWAYS RELATED TO WELLNESS AT THE EVENTS. * SPONSORED POSTS PROMOTING HEALTHY LIVES 4 KIDS EVENTS IN PEORIA AND TAZEWELL COUNTY WHICH WERE VIEWED 75,308 TIMES VIA FACEBOOK AND INSTAGRAM. * PEORIA FARM TO TABLE FOOD SAMPLES WERE GIVEN TO OVER 250 COMMUNITY MEMBERS. MEDIA AND SOCIAL MEDIA INTERACTION WAS USED TO HELP OSF IMPROVE COMMUNICATION AND EDUCATION OF HEALTHY BEHAVIORS. BETWEEN 2016 AND 2018: * APPROXIMATELY 40 HEALTHY RECIPES WERE SHARED VIA OSF SOCIAL MEDIA * OVER 50 ARTICLES FROM OSF DIETITIANS WERE POSTED ON THE PEORIA JOURNAL STAR FIT FOR LIFE BLOG * OSF DIETITIANS APPEARED OVER 100 TIMES ON LOCAL TELEVISION AND RADIO OSF4LIFE, OSF'S WORKSITE WELLNESS PROGRAM, WAS ROLLED OUT IN MAY, 2016. THROUGH THIS PROGRAM A BASELINE FOR OSF EMPLOYEES ENGAGED WELLNESS WAS ESTABLISHED. PARTICIPATION CONTINUES TO INCREASE, WITH THE FOLLOWING NUMBER OF EMPLOYEES (MISSION PARTNERS) ENROLLED IN THE PROGRAM EACH YEAR: * 405 IN FY16 * 1,349 IN FY17 * 2,083 IN FY18 IN ADDITION TO WORKING WITH OSF MISSION PARTNERS, OSF4LIFE'S TEAM PARTICIPATED IN 12 COMMUNITY OUTREACH EVENTS SPONSORED BY LOCAL BUSINESSES AND PROVIDED HEALTHY BEHAVIORS EDUCATION AND PRESENTATIONS FOR EMPLOYERS. THE WHOLESOME FOOD FUND (WFF) IS A PARTNERSHIP FORMED IN 2010 BETWEEN OSF SAINT FRANCIS MEDICAL CENTER, THE PEORIA RIVERFRONT MARKET, AND COMMUNITY FOUNDATION OF CENTRAL IL. WFF ALLOWS PEOPLE TO DOUBLE THEIR DOLLARS TO PURCHASE FRESH, LOCALLY GROWN PRODUCE AT THE MARKET, BENEFITTING LOCAL FARMERS, RESIDENTS AND THE ENVIRONMENT. DIETITIANS PROVIDED EDUCATION ON NUTRITION AND FOOD PREP TO WFF CUSTOMERS. THE GARDEN OF HOPE, A COMMUNITY GARDEN, IS A COLLABORATIVE EFFORT BETWEEN ST. ANN'S CATHOLIC CHURCH, OSF SAINT FRANCIS MEDICAL CENTER AND OTHER COMMUNITY PARTNERS. LOCATED ON THE CITY OF PEORIA'S SOUTH SIDE, THE COMMUNITY GARDEN SERVES A DUAL PURPOSE OF GROWING NUTRITIOUS FOODS FOR PEOPLE IN NEED WHILE ALSO IMPROVING AND BEAUTIFYING THE COMMUNITY. THE GARDEN ALSO SERVES AS A HOST TO COMMUNITY EVENTS AND NUTRITION EDUCATION. IN 2018, 1300+ PLANTS AND OVER 350 CUPS OF PRODUCE WERE HARVESTED AND DISTRIBUTED TO THE COMMUNITY. MENTAL HEALTH GOALS: IMPROVE MENTAL HEALTH WITHIN THE TRI-COUNTY POPULATIONS; INCREASE THE PERCENTAGE OF ADULTS WHO SELF-REPORTED GOOD OR BETTER MENTAL HEALTH FROM 72% TO 75% WITH A STRETCH GOAL OF 80%. (HP2020 HEALTH RELATED QUALITY OF LIFE/WELL-BEING OBJECTIVE 1.2); DECREASE THE PERCENTAGE OF PEOPLE WITH POOR HEALTH DAYS, CURRENT IS 35%; INCREASE SCREENING AND INTERVENTION IN MENTAL HEALTH ISSUES INCLUDING DEPRESSION AND (SAFE HOME) ABUSE. MENTAL HEALTH'S MEASUREMENT AND IMPACT: OSF SAINT FRANCIS MEDICAL CENTER INCREASED SCREENINGS AND INTERVENTIONS FOR MENTAL HEALTH CONCERNS, INCLUDING DEPRESSION AND (SAFE HOME) ABUSE. 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. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - SAINT FRANCIS MEDICAL CENTER. A PLAIN LANGUAGE SUMMARY 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 2016 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 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 2016 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 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 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE WINNEBAGO COUNTY CHNA WAS DONE AS A COLLABORATIVE UNDERTAKING TO HIGHLIGHT THE HEALTH NEEDS AND WELL BEING OF RESIDENTS IN THE WINNEBAGO COUNTY AREA. THE COLLABORATIVE COMMUNITY PARTNERS IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: ACCESS TO HEALTH SERVICES, MENTAL HEALTH AND OBESITY. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE HOSPITAL DEVELOPED AN IMPLEMENTATION STRATEGY DESCRIBING THE ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS ALL THREE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. FY2016 - 2018 Access to Health Services Goal *Facilitate access to appropriate medical services for residents of Winnebago County. Access to Health Services Measurement and Key Accomplishments (1) Tracking of thirty day all-cause readmission rate for patients discharged to a skilled nursing facility. -Created metrics to improve readmission rates of patients discharged to a skilled nursing facility. Achieved improvements in metrics making ongoing target 8%. (2) Tracked ratio of campus prompt care visits to Emergency Department at levels one, two and three. -The prompt care opened April of 2018. The current ratio is 61.2%. (3) Tracked percentage of new primary care patient appointments made within seven days. -Percentage ranged from 40-50%. OSF Healing Pathways Cancer Resource Center had unique clients accessing free services in all years with at least 12 new clients per quarter. (4) Tracked number of unique primary care patients. -Patient number increased each year with over 250,000 through the three years. (5) Tracked the growth rate of the OSF On-Call virtual Emergency Department/Prompt Care visits. -Served over 3500 annually in the OSF on-call. Partnered to provide the Parish Nursing Program for community engagement. -Three parish nurses serve approximately 1540 clients in our community each year. All services are provided free of charge and include home, hospital, nursing home visits, office visits, education events, blood pressure screenings and providing over 70 participants with free skin checks annually and referrals to specialists for suspicious lesions. -Advanced Care Planning has been involved in the Annual Center for Cancer Care Skin Checks that were held. FY2016 - 2018 Mental Health Goal *To improve the mental health of individuals living within Winnebago County. Mental Health Measurement and Key Accomplishments (1) Tracked readmission rate of patients with a mental health ICD-10 dx codes. -Readmission rates of patients with a mental health diagnosis average 10%. (2) Tracked percentage of completed annual depression screens performed at primary care office. -Active participation in system-wide Behavioral Health initiative, the goal of which is the development of the OSF future state behavioral health delivery network that takes into account the needs of the community we serve and the community resources that are already in place. Performed a continuum of care functional assessment of mental health screening at all access points. Evaluated and enhanced primary pediatric anxiety and depression screening tools and interventions throughout the pediatric service line. Target of 80% has been made each year. (3) Tracked growth rate of the On Call virtual Emergency Department and Prompt Care Visits. -Have been able to serve over 10,000 patients. (4) Tracked the number of Social Service placements facilitated through Rosecrance, the local Mental Health provider. -Exceeded targets by incorporating mental health screening tools into disease specific support groups. (5) Ratio of participants in Post-Partum Clinics to deliveries, including screenings were tracked. -Target of 90% was met each year. Cancer Care provided over 70 participants with free skin checks each year and referrals to specialists for suspicious lesions. See the Parish Nursing Program for additional detail. FY2016 - 2018 Obesity Goal *To provide opportunities in order to combat adult and childhood obesity. Obesity Measurement and Key Accomplishments (1) Tracked number of residents receiving nutritional consults by a licensed provider. -Educated over 3,000 community members on nutritional consults in three years. (2) Tracked number of participants accessing basic health screening tests at community events. -Educated over 1,200, exceeding targets. (3) Increased collaboration with community partners. -Partnered with local Plant-a-Row for collection of excess fresh produce from local gardens. Total collection was approximately 4000lbs of fresh produce. Increased our participation each year. (4) Tracked participants who met or exceeded national criteria each quarter in a 3-4 Week Weight Loss programs. -Decision Free Diet program had 89% meet their goal (Gold standard 86% National average 59%). -Healthy Solutions program had 63% meet their goal (Gold standard 77% National average 58%). -Phase 2 program had 67% met their goal (Gold standard 82% National average 62%). Participated in Health fairs and events. A pre and post survey was completed. After receiving educational information and answering all the questions, over 50% of those individuals stated that they would change their diet and/or activity and would contact their Primary Care Physician to determine their eligibility for FIT testing. 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. 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 2 The Organization executed an Asset Purchase Agreement dated September 11, 2017 with Presence Health Network, Presence Central and Suburban Hospitals Network and Presence Healthcare Services d/b/a Presence Medical Group ("Presence Entities"). Under the transaction that closed on February 1, 2018, the Presence Entities sold to the Organization the facilities, furniture, furnishings, equipment and supplies used in and related to the operation of two hospitals and Presence physician practice sites, and the Organization commenced operating the hospitals on February 1, 2018. The hospitals acquired were Presence United Samaritans Medical Center in Vermillion County, Illinois, and now known as OSF Sacred Heart Medical Center, and Presence Covenant Medical Center in Champaign County, Illinois, and now known as OSF Heart of Mary Medical Center. Effective February 1, 2018, the hospitals adopted and implemented the Organization's Financial Assistance Policy, Fair Billing - Collection Policy, and EMTALA Policy. Pursuant to §1.501(r)-3(d), the Organization will satisfy the requirements of §501(r)-3 governing Community Health Needs Assessments with respect to the hospitals by September 30, 2020, which is the last day of the Organization's second taxable year beginning after the date on which the hospital facilities were acquired. The Organization will adopt implementation strategies related to the Community Health Needs Assessments on or before February 15, 2021. Schedule H, Part V, Section B, Line 3E 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 WILL SATISFY THE REQUIREMENTS OF §501(R)-3 GOVERNING COMMUNITY HEALTH NEEDS ASSESSMENTS WITH RESPECT TO THE HOSPITAL BY SEPTEMBER 30, 2020, WHICH IS THE LAST DAY OF THE ORGANIZATION'S SECOND TAXABLE YEAR BEGINNING AFTER THE DATE ON WHICH THE HOSPITAL FACILITY WAS ACQUIRED. THE ORGANIZATION WILL ADOPT IMPLEMENTATION STRATEGIES RELATED TO THIS COMMUNITY HEALTH NEEDS ASSESSMENT ON OR BEFORE FEBRUARY 15, 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. THE ORGANIZATION WILL SATISFY THE REQUIREMENTS GOVERNING COMMUNITY HEALTH NEEDS ASSESSMENTS BY SEPTEMBER 30, 2020. A COPY OF THE CHNA REPORT FOR THE CHNA CONDUCTED 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: HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ The CHNA Report for the CHNA conducted in 2018 reports input was obtained from surveys including surveys completed by hand at the public health district and at various local community organizations, surveys completed by 89 Community Agency Representatives, and surveys completed by county residents. The 89 Community Agency Representatives represented more than 55 different agencies. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - OSF HEART OF MARY MEDICAL CENTER. PRESENCE COVENANT MEDICAL CENTER IN CHAMPAIGN COUNTY, ILLINOIS, AND NOW KNOWN AS OSF HEART OF MARY MEDICAL CENTER, 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. PRESENCE COVENANT MEDICAL CENTER IN CHAMPAIGN COUNTY, ILLINOIS, AND NOW KNOWN AS OSF HEART OF MARY MEDICAL CENTER, 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 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: HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ 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. 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 2 The Organization executed an Asset Purchase Agreement dated September 11, 2017 with Presence Health Network, Presence Central and Suburban Hospitals Network and Presence Healthcare Services d/b/a Presence Medical Group ("Presence Entities"). Under the transaction that closed on February 1, 2018, the Presence Entities sold to the Organization the facilities, furniture, furnishings, equipment and supplies used in and related to the operation of two hospitals and Presence physician practice sites, and the Organization commenced operating the hospitals on February 1, 2018. The hospitals acquired were Presence United Samaritans Medical Center in Vermillion County, Illinois, and now known as OSF Sacred Heart Medical Center, and Presence Covenant Medical Center in Champaign County, Illinois, and now known as OSF Heart of Mary Medical Center. Effective February 1, 2018, the hospitals adopted and implemented the Organization's Financial Assistance Policy, Fair Billing - Collection Policy, and EMTALA Policy. Pursuant to §1.501(r)-3(d), the Organization will satisfy the requirements of §501(r)-3 governing Community Health Needs Assessments with respect to the hospitals by September 30, 2020, which is the last day of the Organization's second taxable year beginning after the date on which the hospital facilities were acquired. The Organization will adopt implementation strategies related to the Community Health Needs Assessments on or before February 15, 2021. Schedule H, Part V, Section B, Line 3E 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 will satisfy the requirements of §501(r)-3 governing Community Health Needs Assessments with respect to the Hospital by September 30, 2020, which is the last day of the Organization's second taxable year beginning after the date on which the Hospital facility was acquired. The Organization will adopt implementation strategies related to this Community Health Needs Assessment on or before February 15, 2021. The CHNA Report for the CHNA conducted in 2017 reports input was obtained from surveys developed for completion on-line and by hand and distributed with the assistance of the UIC School of Nursing to ensure the survey sample represented all of the communities within Vermilion County including rural, urban, villages and cities. In addition, 50 individuals representing a variety of agencies and organizations served on a Community Advisory Committee providing input from the community. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - OSF Sacred Heart Medical Center. The Organization commenced operating the Hospital on February 1, 2018. The Organization will satisfy the requirements governing Community Health Needs Assessments by September 30, 2020. A copy of the CHNA Report for the CHNA conducted 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: HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ The CHNA Report for the CHNA conducted in 2017 reports input was obtained from surveys developed for completion on-line and by hand and distributed with the assistance of the UIC School of Nursing to ensure the survey sample represented all of the communities within Vermilion County including rural, urban, villages and cities. In addition, 50 individuals representing a variety of agencies and organizations served on a Community Advisory Committee providing input from the community. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - OSF Sacred Heart Medical Center. Presence United Samaritans Medical Center in Vermillion County, Illinois, and now known as OSF Sacred Heart Medical Center, 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. Presence United Samaritans Medical Center in Vermillion County, Illinois, and now known as OSF Sacred Heart Medical Center, partnered with the Vermilion County Health Department and the United Way of Danville Area 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 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: HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ 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. 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 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 2016 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 2016 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 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 2016 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 PAGES 7 AND 8 OF THE 2016 CHNA. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - ST JOSEPH MEDICAL CENTER. THE CHNA THAT WAS CONDUCTED IN 2016 WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS ON JULY 25, 2016: 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 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 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE COLLABORATIVE TEAM CONDUCTING THE CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: ACCESS TO APPROPRIATE HEALTH CARE FOR THE UNDERSERVED AND AREAS OF HIGH SOCIOECONOMIC NEED, BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE) AND OBESITY. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE COLLABORATIVE TEAM DEVELOPED A JOINT IMPLEMENTATION STRATEGY, WHICH DESCRIBES THE ACTIONS SJMC INTENDS TO TAKE TO ADDRESS THE THREE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. ACCESS TO APPROPRIATE HEALTHCARE FOR THE UNDERSERVED AND AREAS OF HIGH SOCIOECONOMIC NEED GOAL: *BY 2020, DECREASE BARRIERS TO UTILIZING PRIMARY CARE IN 61701 IN ORDER TO REDUCE USE OF HOSPITAL EMERGENCY DEPARTMENTS (ER) FOR NON-EMERGENT CONDITIONS. MEASUREMENT AND PROGRESS FOR FY 2018: (1) NUMBER OF LOCATIONS WHERE FLYERS REGARDING THE APPROPRIATE USE OF THE EMERGENCY ROOM ARE DISTRIBUTED AND/OR THE IMPORTANCE OF HAVING A MEDICAL HOME. -PROGRESS: TWENTY-SEVEN LOCATIONS OFFER INFORMATION REGARDING WHEN TO USE AN URGENT CARE VS. AN ER, INCLUDING FOUR OSF PROMPT CARE SITES. INFORMATION ALSO DISTRIBUTED THROUGH OSF DIRECT MAIL CAMPAIGNS TO LOCAL RESIDENTS. (2) ESTABLISH A BASELINE FOR THE NUMBER OF ORGANIZATIONS RECEIVING PATIENT - CENTERED MEDICAL HOME (PCMH) RECOGNITION. -PROGRESS: FOUR ORGANIZATIONS WITH 11 SITES IN MCLEAN COUNTY HAVE PCMH DESIGNATION, INCLUDING EIGHT OSF MEDICAL GROUP SITES. (3) ESTABLISH A BASELINE FOR THE # OF LOW ACUITY VISITS TO SJMC'S EMERGENCY DEPARTMENT BY PATIENTS WITH MEDICAID OR SELF-PAY AS PAYER. -PROGRESS: BASELINE ESTABLISHED WITH OVER 2,500 VISITS AT THE MEDICAL CENTER. (4) EXPLORE UTILIZING COMMUNITY HEALTH WORKERS IN MCLEAN COUNTY. -PROGRESS: COORDINATED APPROPRIATE ACCESS TO COMPREHENSIVE CARE (CAATCH) PILOT AT COMMUNITY HEALTH CARE CLINIC. TWO HUNDRED AND SIXTY-FIVE REFERRALS WERE MADE FROM SJMC TO ESTABLISH PATIENTS WITH PRIMARY CARE PROVIDERS. -OSF HEALTHCARE MEDICAL GROUP CONTINUES AN INTEGRATED CARE MODEL IN ALL LOCAL PRIMARY CARE OFFICES TO IMPROVE ACCESS TO CARE. THIS IS ACCOMPLISHED THROUGH TEAM-BASED CARE, IN WHICH PHYSICIANS, ADVANCED CARE PROVIDERS, NURSES, BEHAVIORAL HEALTH SPECIALISTS, DIETICIANS, PHARMACISTS AND SOCIAL WORKERS COORDINATE PROVIDING THE MOST APPROPRIATE LEVEL OF CARE FOR PATIENTS. -SJMC EMPLOYS AN ED NAVIGATOR WHO ASSISTS PATIENTS WITH REFERRALS TO PRIMARY CARE PROVIDERS AND OTHER SERVICES IN THE COMMUNITY. OSF MEDICAL GROUP OPENED A NEW PRIMARY CARE SITE WITH URGENT CARE ACCESS IN NORTH NORMAL, NEAR RAAB ROAD, GIVING NEW MEDICAL ACCESS TO THOSE IN THAT AREA. BEHAVIORAL HEALTH GOAL: *BY 2020, REDUCE BEHAVIORAL HEALTH STIGMA TO INCREASE EARLIER ACCESS TO CARE MEASUREMENT AND PROGRESS: (1) NUMBER OF MENTAL HEALTH FIRST AID COURSES SPONSORED BY SJMC. -PROGRESS: SJMC HOSTED THREE COURSES PER YEAR FOR COMMUNITY MEMBERS AND FOUR COURSES FOR EMPLOYEES. (2)NUMBER OF MCLEAN COUNTY COMMUNITY MEMBERS TRAINED IN MENTAL HEALTH FIRST AID PER YEAR. -PROGRESS: APPOXIMATELY 80 COMMUNITY MEMBERS TRAINED AT EVENTS HOSTED AT SJMC PER YEAR. (3) # OF CAMPAIGN MESSAGES, AND TYPES, AIMED AT REDUCING BEHAVIORAL HEALTH STIGMA. - -PROGRESS: CAMPAIGN SUBCOMMITTEE BEGAN MEETING IN 9/17 TO EXPLORE OFFERING A COLLABORATIVE BEHAVIORAL HEALTH CAMPAIGN. SJMC REPRESENTATIVES ARE PART OF THE PLANNING DISCUSSION. SINCE INCEPTION, OVER 41,000 PEOPLE HAVE ACCESSED THIS DATA. -RELATED ACCOMPLISHMENTS: THERE WERE OVER 3,500 PARTICIPANTS AT SJMC COMMUNITY PRESENTATIONS RELATED TO STRESS MANAGEMENT. THE MCLEAN COUNTY BOARD HOSTED A COMMUNITY BEHAVIORAL HEALTH FORUM ON MAY 18, 2017. APPROXIMATELY 100 INDIVIDUALS WERE IN ATTENDANCE AND PRESENTATIONS ON A VARIETY OF BEHAVIORAL HEALTH ISSUES WERE HELD. TWO SJMC LEADERS ASSISTED WITH THE PLANNING AND ORGANIZING OF THE EVENT. CHESTNUT HEALTH SYSTEMS IN PARTNERSHIP WITH ADVOCATE BROMENN MEDICAL CENTER, THE MCLEAN COUNTY HEALTH DEPARTMENT AND SJMC WAS AWARDED A GRANT BY THE ILLINOIS DIVISION OF MENTAL HEALTH, DEPARTMENT OF HEALTH AND HUMAN SERVICES, TO HOST A TWO-DAY ADVERSE CHILDHOOD EXPERIENCES (ACES) MASTER TRAINING FOR 25 INDIVIDUALS. THE TRAINING COURSE WAS HELD ON OCTOBER 12TH AND 13TH WITH INSTRUCTORS FROM THE FOLLOWING ORGANIZATIONS IN MCLEAN COUNTY: ADVOCATE BROMENN MEDICAL CENTER; BABY FOLD; CENTER FOR YOUTH AND FAMILY SOLUTIONS; CHESTNUT HEALTH SYSTEMS; DISTRICT 87; HOME SWEET HOME MINISTRIES; MCLEAN COUNTY COURT SERVICES; MCLEAN COUNTY HEALTH DEPARTMENT; PATH; PROJECT OZ; REGIONAL OFFICE OF EDUCATION #17; AND OSF HEALTHCARE. CHESTNUT HEALTH SYSTEMS IN PARTNERSHIP WITH ADVOCATE BROMENN MEDICAL CENTER, THE MCLEAN COUNTY HEALTH DEPARTMENT AND SJMC WAS AWARDED THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) TECHNICAL ASSISTANCE AWARD IN DECEMBER 2017 FROM THE NATIONAL CENTER ON TRAUMA-INFORMED CARE. -OSF HEALTHCARE IMPLEMENTED SILVERCLOUD, A SECURE, IMMEDIATE ACCESS TO ON-LINE SUPPORTED COGNITIVE BEHAVIORAL THERAPY PROGRAMS FOR THE COMMUNITY. SILVERCLOUD FOCUSES ON IMPROVING DEPRESSION AND ANXIETY LEVELS AMONG ADULT INDIVIDUALS. -SJMC WAS GRANTED FUNDS FOR BEHAVIORAL HEALTH INITIATIVES TO TRAIN OSF EMPLOYEES TO BETTER IMPACT PATIENTS WHO STRUGGLE WITH A MENTAL HEALTH DIAGNOSES. FUNDING WENT TO THE CENTER FOR HUMAN SERVICES FOR EDUCATION, TOOLS AND RESOURCES TO PROVIDE THE TRAINING. OBESITY GOAL *BY 2020, PURSUE POLICY, SYSTEM AND ENVIRONMENTAL CHANGES TO MAINTAIN OR INCREASE THE PERCENTAGE OF PEOPLE LIVING AT A HEALTHY BODY WEIGHT IN MCLEAN COUNTY. MEASUREMENT AND PROGRESS: (1) ESTABLISH A BASELINE FOR THE # OF FREE PROGRAMS/EVENTS PROMOTING PHYSICAL ACTIVITY IN THE COMMUNITY BY THE MCLEAN COUNTY WELLNESS COALITION (MCWC). -PROGRESS: OVER 70 EVENTS (2) ESTABLISH A BASELINE FOR THE # OF COMMUNITY MEMBERS PARTICIPATING IN FREE PROGRAMS/EVENTS PROMOTING PHYSICAL ACTIVITY IN THE COMMUNITY BY THE MCWC. -PROGRESS: 17,000 MEMBERS. THIS INCLUDED OVER 4,000 PARTICIPANTS AT SJMC COMMUNITY PRESENTATIONS RELATED TO PHYSICAL ACTIVITY. (3) ESTABLISH A BASELINE FOR THE # OF PROGRAMS PROMOTING PHYSICAL ACTIVITY IN THE WORKPLACE BY THE MCWC. -PROGRESS: 92 PROGRAMS (4) ESTABLISH A BASELINE FOR THE NUMBER OF EMPLOYEES PARTICIPATING IN PROGRAMS PROMOTING PHYSICAL ACTIVITY IN THE WORKPLACE BY THE MCWC. -PROGRESS: 11,858 EMPLOYEES (5) WALK SCORES (BASELINE: BLOOMINGTON - 35; NORMAL - 36, WALKSCORE.COM, 2016). -PROGRESS: BLOOMINGTON - 35; NORMAL - 38 (6) COORDINATE FOOD ACCESS SUMMIT IN 2017. PROGRESS FY2017: COMPLETED MARCH 2017. SJMC STAFF PLAYED A ROLE IN PLANNING AND ORGANIZING THE EVENT. OVER 80 ATTENDED (7)NUMBER OF POUNDS OF PRODUCE DISTRIBUTED AT VEGGIE OASIS. -PROGRESS: OVER 15,000 POUNDS DISTRIBUTED IN THREE YEARS. (8) NUMBER OF EVENTS WHERE HEALTHY VEGETABLE RECIPES ARE PROVIDED (BASELINE: 6 EVENTS, MCWC, 2016. -PROGRESS: 30 EVENTS. -OSF HEALTHCARE SJMC SPONSORED PROJECT FIT AMERICA ($20,000 GRANT) TO HEYWORTH HIGH SCHOOL - IMPLEMENTED FALL 2017. PROJECT FIT AMERICA ENHANCES PHYSICAL EDUCATION THROUGH CURRICULUM, INDOOR AND OUTDOOR FITNESS EQUIPMENT. -HOME SWEET HOME MINISTRIES AND THE COMMUNITY HEALTH CARE CLINIC LAUNCHED A FOOD FARMACY PILOT PROGRAM IN AUGUST 2017. THE PROGRAM PROVIDES PATIENTS AT THE CLINIC WHO HAVE DIABETES OR HEART DISEASE A PRESCRIPTION PASS, WHICH CAN BE USED TO OBTAIN FREE PRODUCE THROUGH 12 VISITS TO THE BREAD FOR LIFE FOOD CO-OP. IN 2017, 19 INDIVIDUALS PARTICIPATED, 61 SHOPPING TRIPS WERE TAKEN, AND FAR MORE FRESH PRODUCE AND HEALTHY ITEMS ARE BEING TAKEN THAN BEFORE THE FOOD FARMACY PROGRAM WAS INITIATED. IN 2018, SJMC STAFF ASSISTED WITH PROVIDING HEALTHY FOOD RECIPES FOR THE PARTICIPANTS IN THE PROGRAM. -SJMC DEVELOPED A PROGRAM CALLED SMART MEALS IN WHICH INGREDIENTS, RECIPES AND EDUCATION MATERIALS ARE GIVEN TO THE COMMUNITY. SJMC DEVELOPED THE RECIPES, BOUGHT THE FOOD, BAGGED THE FOOD, AND PROMOTED THE SERVICE TO THE COMMUNITY. APPROXIMATELY 1000 PEOPLE RECEIVED A SMARTMEALS FOR FREE IN 2018. -THE CENTER FOR HEALTHY LIFESTYLES AT SJMC PARTNERED WITH THE BOYS AND GIRLS CLUB TO OFFER A NUTRITION PROGRAM FOR THE 5TH GRADE MEMBERS TO HELP EDUCATE AND BRING AWARENESS (THROUGH TASTE-TESTING NEW FOODS, UNDERSTANDING IMPORTANCE OF EATING THESE FOODS, AND SIMPLE WAYS TO PREPARE THEM) . THIS 6-WEEK PROGRAM WAS HELD IN THE SUMMER OF 2018. 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. 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 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 2016 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 2016 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 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-BASED ORGANIZATIONS INCLUDING PRESIDENT OF THE RIVER BEND GROWTH ASSOCIATION, WHICH IS THE CHAMBER OF COMMERCE AND ECONOMIC DEVELOPMENT AGENCY IN MADISON COUNTY, ASSOCIATE EXECUTIVE DIRECTOR OF SENIOR SERVICES PLUS, INC., DIRECTOR OF OASIS WOMEN'S CENTER AND CERTIFIED DOMESTIC VIOLENCE PROFESSIONAL, EXECUTIVE DIRECTOR OF BOYS & GIRLS CLUB OF ALTON AND ASSISTANT FOOTBALL COACH AT ALTON HIGH SCHOOL, VP FOR THE COMMUNITY BEHAVIORAL HEALTHCARE ASSOCIATION OF IL, DIRECTOR FOR IL REGION FOR UNITED WAY OF GREATER ST. LOUIS; ASSISTANT SUPERINTENDENT OF THE ALTON SCHOOL DISTRICT, AND HEALTH CARE EDUCATORS AND PROVIDERS INCLUDING AN ADULT NURSE PRACTITIONER AND DIRECTOR OF NURSING EDUCTION AT LEWIS AND CLARK COMMUNITY COLLEGE, REGISTERED DIETICIAN, INTERIM CHIEF NURSING OFFICER FOR THE FACILITY, PHYSICIAN ASSISTANT WHO IS A PROVIDER AT A NON-PROFIT MEDICAL MISSIONARY GROUP, AND A BOARD CERTIFIED FAMILY PRACTICE PHYSICIAN. MEMBERS OF THE COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2016 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 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 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE COLLABORATIVE TEAM CONDUCTING THE CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: OBESITY, AND BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE/TOBACCO USE. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE COLLABORATIVE TEAM DEVELOPED AN IMPLEMENTATION STRATEGY THAT DESCRIBES THE ACTIONS SAHC INTENDS TO TAKE TO ADDRESS THE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. OBESITY GOAL: *INCREASE AWARENESS OF NUTRITION AND FITNESS RESOURCES FOR PROVIDERS AND COMMUNITY MEASUREMENT AND PROGRES (1) ESTABLISH A BASELINE FOR THE NUMBER OF PROGRAMS/EVENTS PROMOTING PHYSICAL ACTIVITY OFFERED BY OSF SAINT ANTHONY'S HEALTH CENTER. -PROGRESS: EDUCATIONAL EVENTS WITH PHYSICAL AND OCCUPATIONAL THERAPISTS WERE HELD AT COMMUNITY SITES, INCLUDING A SPRING HEALTH FAIR AT SENIOR SERVICES PLUS, UNITED METHODIST VILLAGE, RETIRED NURSES GROUP, AND GIRLS NIGHT OUT FOR BREAST HEALTH. FIT & FLEXIBLE 6-WEEK PHYSICAL FITNESS PROGRAM OFFERED THROUGHOUT THE YEARS. INCLUDING SPRING AND FALL HEALTH FAIR AT SENIOR SERVICES PLUS, ARGOSY EMPLOYEE HEALTH FAIR AND RADIO BROADCAST ON HEART HEALTH AND NUTRITION. (2) DEVELOP A PROCESS TO INTRODUCE NUTRITIONAL EDUCATION/INFORMATION IN OSF SAINT ANTHONY'S PRIMARY CARE OFFICE. -PROGRESS: CLINICIANS DOWNLOADED NUTRITIONAL GUIDANCE FOR PATIENTS, AS WELL AS DIRECTED PATIENTS TO OSF HEALTHCARE'S HEALTH AND WELLNESS RESOURCES. UP-TO-DATE DIET EDUCATION ON NORMAL AND DISEASE CONDITIONS CAN BE DOWNLOADED OR PRINTED. DIETITIANS PROVIDED DIET EDUCATION TO PATIENTS PER CLINICAL CARE PROCESSES AND STAFF WHEN REQUESTED. PROVIDED A LEADER FOR THE MADISON COUNTY PARTNERSHIP COMMUNITY HEALTH-OBESITY REDUCTION COMMITTEE, WORKING TO COLLABORATE EFFORTS OF ORGANIZATIONS TO PROMOTE HEATHY ENVIRONMENTS AND LIFESTYLES. THE PROJECT DEVELOPED HEALTHY EATING SIGNAGE FOR THE COMMUNITY. (3) CONTINUALLY ADD COMMUNITY RESOURCE INFORMATION TO THE OSF SAINT ANTHONY'S WEBSITE. -PROGRESS: UPDATES HAVE BEEN MADE TO THE WEBSITE ON NUTRITION. RECIPES WITH A SEARCH TOOL AND ADDED NUTRITIONAL VALUES AND VIDEOS FOR INSTRUCTION. (4) UTILIZE HEART CHECK STATION TO PROMOTE NUTRITIONAL AND FITNESS INFORMATION. -PROGRESS: HEART HEALTH NUTRITION AND FITNESS MATERIALS HAVE BEEN UPDATED AND PLACED AT THE HEART CHECK STATION IN 2017. (5) HOST A FOOD DRIVE. -PROGRESS: HOLIDAY FOOD DRIVE CHALLENGE HAS BEEN HELD TO BENEFIT THE CRISIS FOOD PANTRY. INCLUDING DEPARTMENT LEVEL FOOD DRIVES THROUGHOUT THE YEAR. (6) WORKFORCE WELLNESS PLAN. -PROGRESS: AN OSF 4LIFE WELLNESS PROGRAM WAS ROLLED OUT TO EMPLOYEES. ACTIVITIES ARE ONGOING THROUGH THE OSF SYSTEM. DIETITIANS HELP TO PROVIDE HEALTH COACHES ON THE OSF4LIFE PORTAL AND COMMUNICATE WITH ENROLLED PARTICIPANTS. (7) NUMBER OF EVENTS AND PEOPLE AT OSF SAINT ANTHONY'S NUTRITION/EXERCISE EVENTS AND/OR OUTREACH PARTNERSHIPS IN THE COMMUNITY. -PROGRESS: SERVED OVER 600 COMMUNITY MEMBERS ON EDUCATION FOR NUTRITION AND FITNESS; SERVED OVER 350 WITH A FIT AND FLEXIBLE PROGRAM; EDUCATED 200 AT SENIOR SERVICES PLUS; PROVIDED EDUCATION TO 36 AT AN EMPLOYEE EVENT; EDUCATION PROVIDED TO 150 AT GIRLS NIGHT OUT; EDUCATED APPROX. 270 AT THE FALL HEALTH FAIR AND PARTNERED WITH UNITED METHODIST VILLAGE TO EDUCATE 50 RESIDENTS. (8) NUMBER OF PATIENTS RECEIVING NUTRITION EDUCATION AND INFORMATION. -PROGRESS: APPROXIMATELY 600 PRIMARY CARE PATIENTS WITH OSF MEDICAL GROUP WERE GIVEN REFERRALS FOR NUTRITION EDUCATION / INFORMATION. (9) NUMBER OF VISITS TO WEBSITE, SOCIAL MEDIA AND HEART CHECK STATION RE: NUTRITION AND FITNESS MESSAGING. -PROGRESS: Over 9,000 VISITS WERE MADE TO THE HEART CHECK STATION; (9B) Over 1,000 VIDEO VIEWS ON FACEBOOK FOR HEALTHY HOLIDAY EATING WITH DIETITIAN. ABLE TO REACH OVER 1,000 ON SOCIAL MEDIA FOR POSTS ON HEALTHY FOOD CHOICES AND NUTRITION. (10) TRACKED NUMBER OF VISITS TO HEART CHECK STATION -PROGRESS: THIS NEW METRIC PRODUCED 8,111 VISITS TO THE HEART CHECK STATION IN 2018. (11) TRACKED NUMBER OF PERSONS SERVED THROUGH FOOD DRIVES. PROGESS: APPROXIMATELY 167 MEALS WERE PROVIDED BY FIVE PALLETS OF FOOD COLLECTED AT HOLIDAY FOOD DRIVE. BEHAVIORAL HEALTH GOALS: LINK COMMUNITY TO EXISTING RESOURCES FOR MENTAL HEALTH CARE; INCREASE AWARENESS AND ENGAGEMENT TO DECREASE SUBSTANCE ABUSE (MARIJUANA, OPIATES, ETC.) AND TOBACCO USE IN MADISON COUNTY AND INCREASE REFERRALS INTO APPROPRIATE TREATMENT PROGRAMS. MEASUREMENT AND PROGRESS: (1) ESTABLISH A BASELINE FOR THE NUMBER OF PROGRAMS/EVENTS FOR MENTAL HEALTH OFFERED BY OSF SAINT ANTHONY'S HEALTH CENTER. -PROGRESS: PROVIDED FREE COMMUNITY SCREENINGS HELD FOR DEPRESSION AND ANXIETY THAT INCLUDED TARGETED DISTRIBUTION OF MENTAL HEALTH MATERIALS; PROVIDED A SPEAKER TO CARING CIRCLE WOMEN'S GROUP ON HANDLING STRESS; PROVIDED ADDITIONAL SPEAKERS TO A STROKE SUPPORT GROUP; PRESENTED AT A CHURCH BANQUET ON HEALTHY COMMUNICATION, IN ADDITION TO PRESENTING AT UNITED METHODIST VILLAGE ON DEMENTIA; APPROXIMATELY SIX MENTAL HEALTH PROGRAMS OR EVENTS OCCURRED EACH YEAR. REACHING 230 COMMUNITY MEMBERS PER YEAR; (2) ESTABLISH A BASELINE FOR THE NUMBER OF PROGRAMS/EVENTS FOR SUBSTANCE ABUSE OFFERED BY OSF SAINT ANTHONY'S HEALTH CENTER. -PROGRESS: PROVIDED SITTER COVERAGE AND DESIGNATED SPECIFIC FULL TIME EMPLOYEES TO ENSURE THE SAFETY OF AT-RISK PATIENTS; PROVIDED AN OPIOID EDUCATION PROGRAM FOR CAREGIVERS ON USING BEHAVIORAL HEALTH FOR MANAGEMENT OF CHRONIC PAIN; PRESENTED TO COPE PLASTICS ON OPIOID ADDICTION; PARTICIPATED ON THE RADIO WBGZ ON ALCOHOL ADDICTION; APPROXIMATELY THREE PRESENTATIONS FOR SUBSTANCE ABUSE WERE COMPLETED EACH YEAR, REACHING ABOUT 115 PER SESSION. (3) ESTABLISH A BASELINE FOR THE # PROGRAMS/EVENTS FOR TOBACCO USE OFFERED BY OSF SAINT ANTHONY'S HEALTH CENTER. -PROGRESS: AN AMERICAN CANCER SOCIETY FRESHSTART SMOKING CESSATION WAS HELD IN THE 4TH QUARTER OF 2018; A LUNCH AND LEARN WAS OFFERED TO THE COMMUNITY REGARDING THE HEALTH EFFECTS OF SMOKING AS RELATED TO CANCER; SMOKING CESSATION MATERIALS WERE DISTRIBUTED AT VARIOUS HEALTH FAIRS FOR UNITED METHODIST VILLAGE; APPROXIMATELY FIVE PROGRAMS OR EVENTS FOR TOBACCO USE PER YEAR WERE CONDUTED, REACHING ABOUT 600 EACH YEAR. (4) DEVELOP MENTAL HEALTH, SUBSTANCE ABUSE, TOBACCO USE MESSAGING AIMED AT REDUCING STIGMA/ABUSE/USE, DISTRIBUTING THROUGH SOCIAL MEDIA. -PROGRESS: DISTRIBUTED MATERIALS THROUGH SOCIAL MEDIA OR THROUGH COMMUNITY RESOURCE INFORMATION ON THE OSF SAINT ANTHONY'S WEBSITE; SOCIAL MEDIA MESSAGES FOR MENTAL HEALTH, SUBSTANCE ABUSE, AND ALCOHOL AWARENESS WERE DEVELOPED IN COLLABORATION WITH BEHAVIORAL HEALTH AND ONCOLOGY NURSES/SMOKING CESSATION FACILITATORS; NEW BLOGPOSTS POSTED ON WEBSITE TO ADDRESS: ANXIETY, STRESS, SUICIDE STIGMA, SEASONAL AND WORKPLACE OVEREATING, SMOKING CESSATION, SEDENTARY LIFESTYLES, REDUCING SUGAR INTAKE, YOUTH VAPING, NUTRITIONAL MANDATES, EXERCISE, AND WEIGHT LOSS (5) ADDED COMMUNITY RESOURCE INFORMATION TO THE OSF SAINT ANTHONY'S WEBSITE. -PROGRESS: COLLABORATED WITH BEHAVIORAL HEALTH MANAGER TO UPDATE EXISTING WEB PAGE IDENTIFYING COUNSELING SERVICES OFFERED. (6) ESTABLISH A BASELINE FOR NUMBER OF PATIENTS SEEN THROUGH THE ED WITH BEHAVIORAL HEALTH DIAGNOSES. -PROGRESS: ED PATIENTS NOW TRANSFERRED TO OSF BEHAVIORAL HEALTH NAVIGATOR FOR FOLLOW UP. A FORM WAS CREATED TO FACILITATE THE TRANSFER BETWEEN SERVICES. (7) NUMBER OF PROGRAMS/EVENTS FOR MENTAL HEALTH OFFERED BY OSF SAINT ANTHONY'S HEALTH CENTER. -PROGRESS: IN 2018, 2696 VIEWS FOR SOCIAL MEDIA POSTS ON MENTAL HEALTH, SUBSTANCE ABUSE, AND TOBACCO USE OCCURRED. IN 2018, 2315 VIEWS FOR SOCIAL MEDIA MESSAGING ON SILVERCLOUD, A FREE MENTAL HEALTH SERVICES. 94 VIEWS ON SOCIAL MEDIA FOR BLOG POSTS ON MENTAL HEALTH. 679 OR 96.86% OF PATIENTS SEEN IN THE ED WITH BEHAVIORAL HEALTH PROBLEMS, RECEIVED AN INTERVENTION BASED ON THEIR RESPONSES TO A RISK OF SUICIDE QUESTIONNAIRE (RSQ). IN ADDITION, FOUR ONCOLOGY CLINICIANS RECEIVED THEIR TRAINING FOR AMERICAN CANCER SOCIETY FRESHSTART SMOKING CESSATION CLASSES. FOLLOWING THE FINAL CLASS, COMMUNICATION WITH A LOCAL. 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. 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 MARY MEDICAL CENTER. OSF HEALTHCARE CENTER d/b/a ST. MARY MEDICAL CENTER FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2016 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 2016 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 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 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 2016 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 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 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE COLLABORATIVE TEAM CONDUCTING THE CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: OBESITY, MENTAL HEALTH, AND ACCESS TO HEALTH CARE. IN RESPONSE TO THESE THREE PRIORITY HEALTH NEEDS, THE COLLABORATIVE TEAM DEVELOPED AN IMPLEMENTATION STRATEGY THAT DESCRIBES THE ACTIONS SMMC INTENDS TO TAKE TO ADDRESS THE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. OBESITY GOALS: *INCREASE THE PERCEPTION THAT OVERWEIGHT AND OBESITY ARE SIGNIFICANT PUBLIC HEALTH RISKS; INCREASE THE PROPORTION OF PERSONS WHO KNOW THE HEALTH RISKS AND DISEASES ASSOCIATED WITH OVERWEIGHT AND OBESITY; INCREASE THE PROPORTION OF PERSONS WHO KNOW THE ENVIRONMENTAL SOCIOECONOMIC AND FACTORS THAT CONTRIBUTE TO OBESITY; INCREASE THE PROPORTION OF ADULTS WHO KNOW THEIR OWN WEIGHT STATUS AND THEIR CHILDREN'S WEIGHT STATUS AND; IMPROVE LIFELONG HEALTHY EATING AND PHYSICAL ACTIVITY. MEASUREMENT AND PROGRESS: (1) INCREASE PARTICIPATION: ADDITION OF ONE SCHOOL EACH YEAR TO HOST A HEALTHY EATING AND EXERCISE EDUCATIONAL EVENT. -PROGRESS: ATTENDED KNOXVILLE HIGH SCHOOL ANNUALLY TO EDUCATE STUDENTS ON HEALTHY EATING AND DRINKING CHOICES. APPROXIMATELY 500 STUDENTS WERE GIVEN THIS EDUCATION IN ALL YEARS. COLLABORATED WITH SILAS-WILLARD ELEMENTARY SCHOOL IN THE WALKING SCHOOL BUS PROGRAM. 10-15 CHILDREN PARTICIPATED IN THE 2 DAYS PER SCHOOL YEAR ANNUALLY. (2): INCREASED PARTICIPATION OF THE PERCENTAGE OF COMMUNITY MEMBER'S THAT ATTEND THE COMMIT TO FIT CHALLENGE ANNUALLY. -PROGRESS: COLLABORATED WITH THE YMCA TO BE ABLE TO PROVIDE EDUCATION TO OVER 400 PARTICIPANTS IN THE PAST THREE YEARS. (3) INCREASED AWARENESS IN HEALTHY BEHAVIOR EDUCATION OR DEMONSTRATIONS AT COMMUNITY EVENTS. -DIETICIAN PROVIDED ONE ON ONE DIABETES EDUCATION THROUGHOUT THE YEARS BASED ON PHYSICIAN REFERRALS. -PARTICIPATED AT WOMEN'S HEART FAIRS ANNUALLY REGARDING HEALTHY BEHAVIORS, SERVING OVER 300 PARTICIPANTS. -PARTICIPATED IN HEALTHY LIVES 4 KIDS EVENTS HOSTED AT KNOX COLLEGE SERVING OVER 100 PARTICIPANTS. -PARTICIPATED EACH YEAR IN YMCA HEALTHY KIDS DAY, SERVING 50 PARTICIPANTS ANNUALLY. -COLLABORATED WITH KLEINE PEDIATRIC WELLNESS AT CEDAR CREEK HOUSING AUTHORITY TO PROVIDE EDUCATION TO CHILDREN AND PARENTS REGARDING HEALTHY BEHAVIORS. INCLUDING FOOD, EXERCISE, AND ACTIVITIES. -ANNUAL GARDEN CONTINUES ON THE SAINT MARY MEDICAL CENTER PROPERTY. -DIETICIAN PUBLISHED MONTHLY ARTICLE REGARDING HEALTHY BEHAVIORS IN LOCAL NEWSPAPER PUBLICATION. -EMPLOYEES COLLABORATED TO CREATE FOOD DRIVES WITH KNOX COUNTY COUNCIL FOR HUMAN SERVICES. DONATED OVER 300 LBS. EACH YEAR OF FOOD FOR LOCAL FOOD PANTRIES (4) INCREASED PARTICIPATION IN THE CLINTON HEALTH MATTERS INITIATIVE (CHMI) WORKGROUP. -COLLABORATED WITH CHMI AND RIVERBED FOOD BANK TO BRING A DISTRIBUTION CENTER TO KNOX COUNTY. ACCESS TO HEALTH SERVICES GOALS: IMPROVE ACCESS TO COMPREHENSIVE QUALITY HEALTH CARE SERVICES; INCREASE THE NUMBER OF PRACTICING PHYSICIANS AND ADVANCED PRACTICE PROVIDERS; REDUCE THE PORTION OF PEOPLE WHO ARE UNABLE TO OBTAIN OR DELAY IN OBTAINING NECESSARY MEDICAL CARE, DENTAL CARE, PRESCRIPTION MEDICATIONS OR MENTAL HEALTH CARE; REDUCE THE PROPORTION OF HOSPITAL EMERGENCY DEPARTMENT VISITS IN WHICH THE WAIT TIME TO SEE AN EMERGENCY DEPARTMENT CLINICIAN EXCEEDS THE RECOMMENDED TIMEFRAME; IMPROVE THE COMMUNITY'S UNDERSTANDING OF THE SERVICES AVAILABLE; MODERNIZING SURGERY PROJECT FOR ACCESS; PROVIDE CENTRALIZED LOCATION FOR OUTPATIENT SERVICES TO PROVIDE ACCESS AND; AMBULATORY CLINIC REMODEL TO INCREASE THE NUMBER OF EXAMS ROOMS. MEASUREMENT AND PROGRESS: (1) INCREASED ACCESS IN PROVIDING CPR TRAINING TO ORGANIZATIONS IN THE WORKPLACE. -CPR CLASSES WERE GIVEN AT FIRE DEPARTMENTS AND HIGH SCHOOLS THROUGHOUT THE YEARS. (2) INCREASED ACCESS TO PROVIDE BLOOD PRESSURE SCREENINGS WITHIN THE COMMUNITY. -BLOOD PRESSURE SCREENINGS WERE CONDUCTED AT NUMEROUS HOUSING AUTHORITIES, FOOD PANTRIES, CHURCHES, AND AVAILABLE WEEKLY AT THE MEDICAL CENTER. (3) INCREASED ACCESS IN PROVIDING FLU SHOTS TO THE COMMUNITY IN ORDER TO DECREASE FLU HOSPITALIZATIONS AND SEVERITY OF FLU SYMPTOMS. -FLU SHOTS WERE NOT ONLY GIVEN TO 100'S OF OUR EMPLOYEES BUT ALSO GIVEN OUT AT WELLS PET FOODS, AND AREA GRADE SCHOOLS ANNUALLY. (4) PROVIDED ACCESS TO STUDENTS WHO WERE UNABLE TO ATTEND OR SCHEDULE THEIR SCHOOL PHYSICALS. -HIGH SCHOOL PHYSICALS WERE PROVIDED AT GALESBURG HIGH SCHOOL ANNUALLY. (5) INCREASED ACCESS IN PROVIDING INTERPRETER SERVICES BY BREAKING DOWN LANGUAGE BARRIERS AND COMMUNICATE WITH NON-ENGLISH SPEAKING PATIENTS. -PROVIDED EFFECTIVE, ACCURATE, AND TIMELY COMMUNICATION SERVICES FOR PATIENTS, COMPANIONS, AND/OR PATIENT REPRESENTATIVES. THESE SERVICES INCLUDED VISUAL, SPEECH IMPAIRMENTS, INABILITY TO WRITE, AND/OR HEARING IMPAIRMENTS 24 HOURS A DAY, 7 DAYS A WEEK. (6) INCREASED ACCESS IN PROVIDING EDUCATION ON OSF MY CHART FOR TEST RESULTS, COMMUNICATION WITH DOCTORS, AND SCHEDULING APPOINTMENTS. -KIOSKS HAVE BEEN AVAILABLE AT OSF GALESBURG CLINIC AND OSF MEDICAL GROUP WITH ASSISTANCE TO SIGN-UP FOR OSF MY CHART PROVIDING EDUCATION TO PATIENTS IN ORDER TO MANAGE THEIR OWN HEALTH. (7) PARTICIPATED IN LOCAL UNMET NEEDS COMMITTEE. COLLABORATED WITH ORGANIZATIONS SUCH AS, BUT NOT LIMITED TO, CHURCHES, UNITED WAY, SALVATION ARMY, ETC. -OSF REPRESENTATION ON ALL LOCAL AREA COMMITTEES IN ORDER TO PROVIDE RESOURCE OR ACCESS WHERE APPLICABLE. MENTAL HEALTH GOALS: STRIVE TO ASSURE THAT PATIENT'S RECEIVE SERVICES THAT ARE INDIVIDUALIZED, SAFE AND REHABILITATIVE IN NATURE; TO PROVIDE SUPPORT TO AND ENHANCE COMMUNITY ALCOHOL, TOBACCO AND OTHER DRUG ABUSE PREVENTION EFFORTS, THEREBY ENHANCING OVERALL HEALTH OF THE COMMUNITY AND; ASSIST FAMILIES IN GAINING ACCESS TO COMMUNITY RESOURCES. MEASUREMENT AND PROGRESS: (1) INCREASED AWARENESS WITH THE RESOURCE LINK CARE COORDINATOR TO MEET WITH ALL NEW PROVIDERS, SCHOOLS, AND OTHER SOCIAL SERVICES ABOUT SERVICES. THIS AWARENESS HAS BEEN DONE IN SEVERAL WAYS INCLUDING: -PARTICIPATION IN THE BLUE RIBBON TASK FORCE ANNUALLY (CHILD ABUSE AWARENESS/PREVENTION) -EACH MONDAY OF APRIL 2018, 100 TO 200 BLUE PINWHEELS WERE PUT IN THE GROUND AT 3 DIFFERENT SITES IN GALESBURG TO HELP RAISE AWARENESS. -MET WITH DISTRICT SUPERINTENDENT OF SCHOOLS TO DISCUSS WAYS THE CHILDREN'S HOSPITAL AND THE RESOURCE LINK DEPARTMENT CAN SUPPORT OUR SCHOOL DISTRICT. -A PRIMARY CARE BEHAVIORAL HEALTH PROVIDER POSITION WAS FILLED AT THE OSF MEDICAL GROUP. -COORDINATED WITH KNOX/WARREN/HENDERSON COUNTIES SYSTEM OF CARE DEVELOPMENT CONSISTING OF COMMUNITY AGENCIES TO HELP YOUTH RECEIVE CARE THEY NEED IN AREAS SUCH AS COUNSELING, PSYCHIATRY, SUBSTANCE ABUSE, DOMESTIC ABUSE, FOOD INSECURITY, ETC. -RESOURCE LINK EDUCATION WAS GIVEN TO: SAFE HARBOR; ADMINISTRATIVE TEAM FOR DISTRICT 205; HENRY/STARK COUNTY SPECIAL EDUCATION DEPT.; YMCA SOLUTIONS PROGRAM STAFF; KNOX COMMUNITY HEALTH CENTER; BIG BROTHER BIG SISTER PROGRAM; REGIONAL OFFICE OF EDUCATION; PARENTS AS TEACHERS PROGRAM STAFF; EDUCATION IN THE SCHOOLS; DISTRICT 205 STAFF (354 PEOPLE); JACOBSON DISTRICT 205 SCHOOLS; EDUCATION STAFF AND -REGIONAL SUPERINTENDENT OF SCHOOLS. -A BEHAVIORAL HEALTH NAVIGATOR WAS HIRED AND THEY PROVIDED EDUCATION TO: RESOURCE LINK ADVISORY GROUP; KNOX COUNTY HUMAN SERVICE COUNCIL; HENRY COUNTY MENTAL HEALTH ALLIANCE, KEWANEE; OSF MEDICAL GROUP PROVIDER MEETING, GALESBURG; KNOX COMMUNITY HEALTH CENTER; BRIDGEWAY; WIRC VICTIMS ADVOCATE; WARREN COUNTY HUMAN SERVICE COUNCIL MEETING. -MARKETING AND DISTRIBUTION OF THE RESOURCE LINK AND THE 211 UNITED WAY PROGRAM: HANDS AROUND THE COURTHOUSE EVENT AT THE KNOX COUNTY COURTHOUSE; LOCAL AGENCIES DEVELOPED THE UNMET NEEDS COMMITTEE TO IDENTIFY BARRIERS FOR FAMILIES STRUGGLING WITH VARIOUS HEALTH AND FINANCIAL ISSUES; 297 REFERRALS FOR PSYCHIATRIC CARE. (242 ATTENDED APPOINTMENT); CO-SPONSORED THE FREE MOVIE NIGHT; MULTIPLE OSF REPRESENTATIVES PRESENT AT LOCAL COMMUNITY EVENTS. 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. 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. 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 - 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 2016 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 2016 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 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-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 2016 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 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE COLLABORATIVE TEAM CONDUCTING THE CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: HEALTHY BEHAVIORS DEFINED AS ACTIVE LIVING AND HEALTHY EATING AND THEIR IMPACT ON OBESITY, AND BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE COLLABORATIVE TEAM DEVELOPED AN IMPLEMENTATION STRATEGY THAT DESCRIBES THE ACTIONS SJH INTENDS TO TAKE TO ADDRESS THE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. HEALTHY BEHAVIORS AND OBESITY GOAL: *INCREASED AWARENESS AND ENGAGEMENT IN REDUCING OBESITY AND PROMOTING HEALTHY BEHAVIORS IN ORDER TO IMPROVE LIVINGSTON COUNTY RESIDENTS' OVERALL HEALTH. MEASUREMENT AND PROGRESS: (1) INCREASED PARTICIPATION: ADDITION OF ONE NEW AREA SCHOOL PARTICIPATION IN A HEALTHY BEHAVIORS. -PROGRESS: PARTNERED WITH LOCAL SCHOOLS TO EDUCATE THEM ON HEALTHY BEHAVIORS, DENTAL HYGIENE AND PHYSICAL ACTIVITY THROUGH VARIOUS PROGRAMS THROUGHOUT THE THREE YEARS. THESE PROGRAMS HELPED OVER 150 CHILDREN. IN ADDITION, PARTNERSHIP WITH THE BOYS AND GIRLS CLUBS IN ALL LIVINGSTON COUNTY LOCATIONS HAS BEEN INCREASED TO PROVIDE ADDITIONAL RESOURCES. INCREASED PARTICIPATION IN THE 4-H FAIR HAS GIVEN KNOWLEDGE TO OVER 180 CHILDREN ALONG WITH 60 PARTICIPANTS WHO BUILT A FITNESS TRACKER AT A 4-H SCIENCE EVENT TO HELP WITH THE BENEFITS OF EXERCISE AND HEALTHY BEHAVIORS. (2) INCREASED PARTICIPATION: PERCENTAGE OF MISSION PARTNER (EMPLOYEE) PARTICIPATION IN THE OSF 4LIFE PROGRAM. -PROGRESS: THROUGH THIS EXPANDED PARTICIPATION, OSF EMPLOYEES NOT ONLY JOINED THE PROGRAM AND GAINED KNOWLEDGE ABOUT HEALTHY BEHAVIORS BUT ALSO PARTICIPATED IN ANNUAL RUNS SUCH AS "RUN FOR RESPECT" THROUGH PONTIAC HIGH SCHOOL AND COMMUNITY WALKS SUCH AS "AMERICAN HEART WALK.". (3) INCREASED AWARENESS: HEALTHY BEHAVIOR EDUCATION AND/OR DEMONSTRATIONS AT LEAST 6 COMMUNITY EVENTS ANNUALLY. -PROGRESS: DIABETES SUPPORT GROUP MEETINGS HELD MONTHLY AVERAGING 10-15 PARTICIPANTS PER MEETING; PRE-DIABETES CLASSES HELD THROUGHOUT THE YEARS, THESE INCLUDED 5 - 10 PARTICIPANTS PER SESSION; LAUNCHING OF A NEW DIABETES PREVENTION PROGRAM. THIS IS AN ANNUAL PROGRAM TO MONITOR AND HELP PATIENTS AVOID GETTING DIABETES. THE FIRST SESSION WAS HELD, AND 24 PARTICIPANTS WERE ABLE TO TAKE ADVANTAGE OF THIS NEW ANNUAL PROGRAM; A SAINT JAMES HOSPITAL DIETITIAN HAS PROVIDED NUTRITION EDUCATION SESSIONS TO VARIOUS COMMUNITY GROUPS THROUGHOUT THE THREE YEARS WITH AVERAGES OF 75-150 PARTICIPANTS PER YEAR; A PROGRAM ENTITLED "LIFE AFTER LOSS" HELD GROUP SESSIONS 2 TIMES PER MONTH WITH 3-10 PARTICIPANTS AT EACH SESSION ANNUALLY; SEVERAL "WE LIVE" EVENTS HELPING APPROXIMATELY 150 PER EVENT. THE EVENT HAS HELPED WOMAN DISCUSS MAINTAINING HEALTH HABITS DURING THE HOLIDAYS. IN ADDITION, THIS PROGRAM HAS HEART HEALTH SCREENINGS, EATING HEALTHY FUN FOOD AND EDUCATION ON DANCE EXERCISES; PROVIDED SCREENINGS TO AG HEALTH AND A SAFETY FAIR. THESE INCLUDED WELLNESS CHECKS AND SAFETY INFORMATION TO AG COMMUNITY. APPROXIMATELY 145 PARTICIPANTS ANNUALLY; ON THE SAINT JAMES CAMPUS, IN COLLABORATION WITH UNITED WAY, ESTABLISHED AND COORDINATED THE GROWING WELL GARDEN WITH A HARVEST OF APPROXIMATELY 2,400 LBS. OF PRODUCE DISTRIBUTED TO AREA FOOD PANTRIES; FALL OF 2018, A GROWING WELL ORCHARD WAS PLANTED; COLLECTION DRIVES INCLUDING FOOD AND HYGIENE PRODUCTS HAVE BEEN ONGOING, DONATING ITEMS TO LOCAL FOOD PANTRIES AND COMMUNITY AGENCIES. BEHAVIORAL HEALTH GOAL: *INCREASE AWARENESS OF AND ACCESS TO BEHAVIORAL HEALTH (BOTH MENTAL HEALTH AND SUBSTANCE ABUSE) SERVICES FOR LIVINGSTON COUNTY RESIDENTS. INCREASED AWARENESS AND ENGAGEMENT TO DECREASE INSTANCES OF RISKY BEHAVIOR AND SUBSTANCE ABUSE TO PROTECT THE HEALTH, SAFETY, AND QUALITY OF LIFE FOR ALL IN LIVINGSTON COUNTY, ESPECIALLY CHILDREN. MEASUREMENT AND PROGRESS: (1) ADDITION OF ONE OSF ONSITE LOCATION FOR IHR COUNSELING SERVICES. -PROGRESS: ADDED PONTIAC SAINT JAMES CAMPUS LOCATION FOR CO-LOCATION OF IHR COUNSELOR. (2) INCREASED ACCESS: 10% INCREASE IN PATIENT REFERRALS FROM OSF TO BEHAVIORAL HEALTHCARE PROVIDERS. -PROGRESS: PARTICIPATION ON THE OSF PEDS COUNCIL, INCLUDING COLLABORATION WITH LIVINGSTON COUNTY CHILDREN'S NETWORK (LCCN), ON AREA GRADE SCHOOL AGE STUDENT GROWTH AND DEVELOPMENT PROGRAMS. WORK CLOSELY WITH NEW OSFMSG BEHAVIORAL HEALTH COORDINATOR FOR ADULT RESOURCES AND PLACEMENTS COUNSELORS WERE ADDED TO CHENOA AND THE REYNOLDS STREET CAMPUS LOCATIONS; PARTICIPATED IN THE OSF PEDIATRICS COUNCIL, INCLUDING COLLABORATION WITH LIVINGSTON COUNTY CHILDREN'S NETWORK (LCCN), GIVES US THE ABILITY TO ASSIST WITH LOCAL AREA GRADE SCHOOL STUDENT GROWTH AND DEVELOPMENTAL PROGRAMS. IN ADDITION, WORKED CLOSELY WITH THE NEW BEHAVIORAL HEALTH COORDINATOR FOR ADULT RESOURCES AND PLACEMENTS. (3) INCREASED AWARENESS: PARTICIPATION BY OSF MISSION PARTNERS AND OTHER COMMUNITY CAREGIVERS IN ONE TO TWO BEHAVIORAL HEALTH EDUCATION PROGRAMS ANNUALLY. -PROGRESS: HELD MENTAL HEALTH TRAINING COURSES FOR OSF AND COMMUNITY EMERGENCY MEDICAL SERVICE PROVIDERS; EDUCATION PROVIDED BY HOSPITAL EXECUTIVES ON OPIOID CRISIS AND HOW OSF IS WORKING WITH PONTIAC AND LIVINGSTON COUNTY TO INCREASE AWARENESS; EDUCATION PROVIDED TO 110 PROVIDERS ON THE SILVER CLOUD MOBILE APP AND THE SERVICES AVAILABLE TO COMMUNITY MEMBERS; DEVELOPED PROCESSES AND PROCEDURES TO REDUCE THE USE OF OPIOIDS AND ASSURE ALL PATIENTS HAVE A CURRENT MEDICATION MANAGEMENT AGREEMENT. SINCE THESE AGREEMENTS HAVE BEGUN SAINT JAMES HOSPITAL HAS SEEN A SIGNIFICANTLY LOWER OPIOID PRESCRIPTION USAGE. 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. 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. 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 - ST FRANCIS HOSPITAL. OSF HEALTHCARE CENTER d/b/a ST FRANCIS HOSPITAL FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2016 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 2016 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) THE HEALTH OFFICER FOR THE PUBLIC HEALTH DELTA & MENOMINEE COUNTIES. 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 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-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 2016 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 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 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE COLLABORATIVE TEAM CONDUCTING THE CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: HEALTHY BEHAVIOR DEFINED AS ACTIVE LIVING, HEALTHY EATING AND THEIR IMPACT ON OBESITY, AND BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE COLLABORATIVE TEAM DEVELOPED AN IMPLEMENTATION STRATEGY THAT DESCRIBES THE ACTIONS ST. FRANCIS HOSPITAL INTENDS TO TAKE TO ADDRESS THE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. HEALTHY BEHAVIORS GOAL: *ENCOURAGE HEALTHY BEHAVIORS AMONG THE CITIZENS OF DELTA COUNTY TO MANAGE AND PREVENT THE ONSET OF OBESITY WITH A GOAL OF REDUCING OBESITY AMONG CHILDREN AGES 10-17 AND ADULTS. MEASUREMENT AND PROGRESS: (1)TRACK NUMBER OF SCHOOLS WHO PARTICIPATE IN "FUEL UP" PROGRAMS. -PROGRESS: PROGRAM HAS FIVE SCHOOLS PARTICIPATING IN FUEL UP. THIS PROGRAM OFFERS HEALTHY BEHAVIORS TO DELTA COUNTY CHILDREN. (2)TRACK NUTRITIONAL COUNSELING SESSIONS. -PROGRESS: PROVIDED OVER 350 PATIENTS WITH NUTRITIONAL CONSULTS (3) TRACK NUMBER OF NUTRITIONAL CLASSES. -PROGRESS: HOSTED OVER 22 SESSIONS PER YEAR OF AN INTENSE DIABETES, PREVENTION PROGRAM SERVING THREE PARTICIPANTS PER SESSION (4) TRACK SPONSORSHIP OF COMMUNITY ACTIVITIES THAT SUPPORT ACTIVE LIFESTYLES. -PROGRESS: PARTICIPATED IN OVER 20 HEALTH FAIRS ANNUALLY. THESE INCLUDED GLUCOSE, CHOLESTEROL AND BLOOD PRESSURE SCREENINGS; PROVIDED PHYSICIAN SPEAKERS FOR THREE YMCA, ASK AN EXPERT SERIES. PROVIDED ADMINISTRATIVE AND MATERIAL SUPPORT TO FIRST AID STATIONS AT THE UPPER PENINSULA STATE FAIR AND SYMETRA PROFESSIONAL GOLF TOURNAMENTS; IN ADDITION, SPONSORED 17 YEARLY ACTIVITIES INCLUDING: DELTA COUNTY SUICIDE PREVENTION TASK FORCE - END THE SILENCE WALK/RUN TO NAME A FEW BEHAVIORAL HEALTH GOAL: *IMPROVE ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES IN DELTA COUNTY MEASUREMENT AND PROGRESS: (1) TRACK FUNDS PROVIDED TO PATHWAYS/CSS TO MAINTAIN MENTAL HEALTH SERVICES. -PROGRESS: PROVIDED $3000 PER MONTH (2)COMPLETE BUSINESS CASE FOR PROVISION OF MENTAL HEALTH SERVICES WITHIN THE OSF MULTISPECIALTY GROUP IN DELTA COUNTY. -PROGRESS: MENTAL HEALTH SERVICES WITHIN THE MULTI-SPECIALTY GROUP ACHIEVED WITH SUPPORT OF THE OSF PHYSICIAN ENTERPRISE SERVICES. HIRED AN APP WHO IS DUAL BOARD CERTIFIED IN FAMILY MEDICINE AND PSYCHIATRY. HIRED AN LMSW WHO IS NOW EMBEDDED IN THE PRIMARY CARE PRACTICES THAT WILL PROVIDE BRIEF THERAPEUTIC INTERVENTIONS. THIS LMSW PROVIDES DIAGNOSIS AND TREATMENT FOR BEHAVIORAL HEALTH CONDITIONS AND WORKS WITH PATIENTS ON BEHAVIORAL CHANGE SUCH AS SMOKING CESSATION, WEIGHT LOSS, ETC (3)ESTABLISH SUBSTANCE AGREEMENTS WITH PATIENTS IDENTIFIED AS CHRONIC OPIOID USERS WHO HAVE OBTAINED PRESCRIPTIONS FROM MULTIPLE PROVIDERS (3 OR MORE PROVIDERS) IN ONE YEAR. - -PROGRESS: ESTABLISHED A SUBSTANCE AGREEMENT WITH PATIENTS WHO IDENTIFIED AS CHRONIC OPIOID USERS (SEE ABOVE). COMPLETED OVER 1600 SUBSTANCE AGREEMENTS. IN ADDITION, RECENT CHANGES IN MICHIGAN PRESCRIBING LAWS WILL ASSIST IN EFFORT TO REDUCE OPIOID USE DISORDERS (4) PARTNER WITH LOCAL PUBLIC SAFETY DEPARTMENT TO PLAN SEMI-ANNUAL OPIOID RECOVERY AND MEDICATION TAKE BACK EVENTS. -PROGRESS: PARTICIPATED IN TWO STATEWIDE DRUG RECOVERY PROGRAMS THROUGH MICHIGAN OPEN. (5) CONTINUE ACTIVE PARTICIPATION IN DRUG ABUSE PREVENTION TASK FORCE. -PROGRESS: ACTIVE PARTICIPATION IN DRUG ABUSE PREVENTION TASK FORCE KEPT ANNUALLY, WITH SAVE COUNCIL AND COMMUNITIES THAT CARE COUNCIL. (6) TRACK NUMBER OF "LIFE RIDES" PROVIDED ON NEW YEAR'S EVE. -PROGRESS: THE PROGRAM OFFERS A RIDE TO DELTA COUNTY RESIDENTS ON NEW YEAR'S EVE. THESE "LIFERIDES" PROVIDED ANNUALLY HAVE HELPED OVER 1500 COMMUNITY MEMBERS STAY SAFE IN THE past three years. 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. 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. 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 - 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 2016 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 2016 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) ADMINISTRATOR OF THE HENRY AND STARK 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 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-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 2016 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 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE COLLABORATIVE TEAM CONDUCTING THE CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: HEALTHY BEHAVIORS DEFINED AS ACTIVE LIVING AND HEALTHY EATING AND THEIR IMPACT ON OBESITY, AND BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE COLLABORATIVE TEAM DEVELOPED AN IMPLEMENTATION STRATEGY THAT DESCRIBES THE ACTIONS SLMC INTENDS TO TAKE TO ADDRESS THE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. HEALTHY BEHAVIORS AND OBESITY GOALS: IMPROVE LIFELONG HEALTHY EATING AND PHYSICAL ACTIVITY IN YOUTH; INCREASE THE PERCEPTION THAT OVERWEIGHT AND OBESITY ARE SIGNIFICANT PUBLIC HEALTH RISKS; AND INCREASE THE NUMBER OF YOUTH RECEIVING FLU SHOTS. MEASUREMENT AND PROGRESS: (1)TRACK NUMBER OF IMMUNIZATIONS GIVEN AT LOCAL SCHOOLS. -PROGRESS: A TEAM OF CAREGIVERS ATTENDED THE LOCAL SCHOOL ENROLLMENTS TO EDUCATE AND OBTAIN AUTHORIZATIONS FOR FLU IMMUNIZATIONS; ADMINISTERED OVER 3,000 FREE FLU IMMUNIZATIONS TO SCHOOL AGED-CHILDREN AND THEIR TEACHERS. (2) MEASURE AND TRACK THE IMPACT ON SCHOOL ABSENCES DUE TO THE IMMUNIZATIONS. -PROGRESS: ADMINISTERED FREE FLU IMMUNIZATIONS TO SCHOOL AGED CHILDREN AND THEIR TEACHERS, CURRENTLY EVALUATING RESULTS TO IMPROVE PROGRAM. (3) TRACK NUMBER OF PARTICIPANTS IN THE WELLNESS EDGE FOR KIDS. -PROGRESS: A TEAM OF HEALTHCARE PROVIDERS SPENT TIME AT THE HOUSING AUTHORITY FOR THE WELLNESS EDGE SUMMER PROGRAM PROVIDING EDUCATION ON HEATHY BEHAVIORS. APPROXIMATELY 150 HIGH RISK YOUTH PARTICIPANTS IN ALL YEARS (4) TRACK NUMBER OF EDUCATIONAL AND LOCAL SPONSORSHIPS SUPPORTING PHYSICAL ACTIVITY AND HEALTHY EATING. -PROGRESS: ATHLETIC TRAINING SERVICES WERE PROVIDED FOR SCHOOL ACTIVITIES TO GIVE EDUCATION AND ENSURE SAFETY OF STUDENT ATHLETES; HOSTED A 5K RUN/WALK WITH APPROXIMATELY 370 PARTICIPANTS; HOSTED A COMMUNITY EVENT CALLED "MUMS THE WORD" WITH A CARE PROVIDER SHARING PREVENTATIVE CARE EDUCATIONAL MATERIAL. EDUCATED 100 COMMUNITY PARTICIPANTS; SAINT LUKE MEDICAL CENTER CHAIRED THE PREVENTATIVE INITIATIVE ADVISORY GROUP MADE UP OF A COMMUNITY COLLABORATIVE. SEVERAL AT-RISK CHILDREN FROM AREA FAMILIES PARTICIPATED IN THE PROGRAM; PROVIDED PARKINSON'S DISEASE EDUCATION, WEEKLY SUPPORT GROUP AND EXERCISE, AND CHAIRED THE PREVENTATIVE INITIATIVE ADVISORY MADE UP OF A COMMUNITY COLLABORATIVE. (5) OFFER COMMUNITY LUNCH AND LEARNS AT LEAST TWICE A YEAR. -PROGRESS: HOSTED MULTIPLE LUNCH & LEARN COMMUNITY EVENTS SUCH AS "LOVE YOUR HEART". (6) PROVIDE NUTRITION AND CONCUSSION EDUCATION FOR STUDENT ATHLETES AT LEAST ONCE PER YEAR. -PROGRESS: CONCUSSION MANAGEMENT SEMINAR 20 COMMUNITY COACHES, SCHOOL NURSES & ADMINISTRATORS, HEALTHCARE PROVIDERS AND PARENTS; REACHING A BROADER GROUP OF YOUTH PARTICIPATING IN COMMUNITY ACTIVITIES. BEHAVIORAL HEALTH GOALS: *STRIVE TO ASSURE THAT PATIENTS RECEIVE SERVICES THAT ARE INDIVIDUALIZED, SAFE AND REHABILITATIVE IN NATURE; TO PROVIDE SUPPORT TO AND ENHANCE COMMUNITY ALCOHOL, TOBACCO AND OTHER DRUG ABUSE PREVENTION EFFORTS, THEREBY ENHANCING OVERALL HEALTH OF THE COMMUNITY; ASSIST FAMILIES IN GAINING ACCESS TO COMMUNITY RESOURCES. MEASUREMENT AND PROGRESS: (1) TRACK COUNSELOR VISITS IN OSF MEDICAL GROUP-KEWANEE PROVIDING EARLY INTERVENTION DEPRESSION SCREENING AND SUPPORT. -PROGRESS: RECRUITMENT OF BEHAVIORAL HEALTH COUNSELOR; ADDITION OF PSYCHIATRY E-CONSULTS FOR AMBULATORY PRIMARY CARE PROVIDERS; ADDED CLASSES ON MANAGEMENT OF AGGRESSIVE BEHAVIOR EDUCATION FOR MISSION PARTNERS IN HIGH RISK AREAS (2) PROVIDE 24 HOUR SITTER COVERAGE. -PROGRESS: PROVIDED SITTER COVERAGE AND DESIGNATED SPECIFIC FULL TIME EMPLOYEES TO ENSURE THE SAFETY OF AT RISK PATIENTS. (3) INCREASE COMMUNITY ENGAGEMENT (ATTENDANCE) AT MONTHLY SURVIVORS OF SUICIDE SUPPORT GROUP MEETINGS. -PROGRESS: ACTIVE MEMBERS OF THE HENRY COUNTY MENTAL HEALTH ALLIANCE, WITH THE CHAIRPERSON BEING AN OSF SLMC MISSION PARTNER; PROVIDED MEETING ROOM FOR THE MONTHLY SURVIVORS OF SUICIDE LOSS SUPPORT GROUP; COLLABORATIED WITH THE HENRY CO MENTAL HEALTH ALLIANCE FOR PLANNING A COMMUNITY EDUCATION DAY; SPONSORED THE 2017 HENRY COUNTY MENTAL HEALTH ALLIANCE MENTAL HEALTH WALK, APPROXIMATELY 350 COMMUNITY MEMBERS. ATTENDED AND SUPPORTED THE 2018 MENTAL HEALTH CONFERENCE ORGANIZED BY HENRY COUNTY; SPONSORED THE 2018 HENRY COUNTY MENTAL HEALTH ALLIANCE MENTAL HEALTH WALK - APPROXIMATELY 300 COMMUNITY MEMBERS ATTENDED. (4) REDUCE BEHAVIORAL HEALTH RELATED EMERGENCY DEPARTMENT VISITS IMPACTED BY PREVENTIVE CARE AND EDUCATIONAL RESOURCES. -PROGRESS: HOSTED "SUICIDE TALK WORKSHOP VIA PARTNERSHIP WITH THE HENRY COUNTY MENTAL HEALTH ALLIANCE, 40 COMMUNITY MEMBERS IN ATTENDANCE; SUPPORT COMMUNITY PARKINSON'S DISEASE AWARENESS WALK AND SUPPORT GROUP (5) PROVIDE BEHAVIORAL HEALTH AND/OR SUBSTANCE ABUSE EDUCATION AT LEAST ONCE PER YEAR FOR MISSION PARTNERS AND MEDICAL GROUP PROVIDERS. -PROGRESS: DEVELOPMENT OF A DRUG TAKE BACK PROGRAM; DRUG AND ALCOHOL TASK FORCE COMMUNITY COLLABORATIVE. PARTICIPATED IN A HOSPITAL-WIDE SKILLS LAB, WITH THE BEHAVIORAL HEALTH NAVIGATOR PROVIDING INFORMATION ON SUICIDE PREVENTION AND AWARENESS. 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 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. 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 2016 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 2016 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) DIRECTOR AT THE HENDERSON 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 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 2016 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 2016 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 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 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE COLLABORATIVE TEAM CONDUCTING THE CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: HEALTHY BEHAVIORS DEFINED AS ACTIVE LIVING AND HEALTHY EATING, USE OF EMERGENCY DEPARTMENT AS A PRIMARY SOURCE OF MEDICAL CARE, AND HEART DISEASE. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE COLLABORATIVE TEAM DEVELOPED AN IMPLEMENTATION STRATEGY THAT DESCRIBES THE ACTIONS HFMC INTENDS TO TAKE TO ADDRESS THE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. HEALTHY BEHAVIORS GOAL: *PROVIDE EDUCATIONAL OPPORTUNITIES WITHIN THE COMMUNITY TO INSTILL THE IMPORTANCE OF HEALTH AND WELLNESS. MEASUREMENT AND PROGRESS: (1) PROVIDE HEALTHY WEIGHT, HEALTHY YOU. -PROGRESS: DEVELOPED PHASE II OF HEALTHY WEIGHT, HEALTHY YOU AND OFFERED 20 CLASSES THROUGHOUT EACH YEAR. (2) OFFER HEALTH AND WELLNESS EDUCATION AT MONMOUTH COLLEGE. -PROGRESS: PARTICIPATED IN 2 HEALTH FAIRS WITHIN THE COUNTY. (3) PARTICIPATE IN TWO AREA HEALTH FAIRS IN 2017 & 2018. -PROGRESS: ANNUALLY JOINED AT LEAST TWO HEALTH FAIRS WITHIN THE COMMUNITY. (4) OFFER KIDS' SAFETY DAY. -PROGRESS: OFFERED KIDS' SAFETY DAY TO OVER 250 PARTICIAPATES ANNUALLY. (5) OFFER A1C SCREENINGS AT 4 LOCAL EVENTS. -PROGRESS: INCREASED PARTICPATION BY ADDING SCREENINGS AT HEALTH FAIRS. (6) DEVELOP AND IMPLEMENT HEALTHY WEIGHT...HEALTHY PROGRAMS. -PROGRESS: OFFERED LUNCH AND LEARNS ON VARIOUS TOPICS TO THE COMMUNITY 4 TIMES ANNUALLY. (7) OFFER TWO PODIATRY SCREENINGS. -PROGRESS: OFFERED TWO PODIATRY SCREENINGS ANNUALLY. (8) OFFER TWO DERMATOLOGY SCREENINGS. -PROGRESS: OFFERED TWO DERMATOLOGY SCREENINGS ANNUALLY. (9) PROVIDE EDUCATION IN AREA SCHOOLS FOUR TIMES IN THE FISCAL YEAR. -PROGRESS: PRESENTATIONS ON HAND HYGIENE WERE OFFERED AT SEVERAL AREA SCHOOLS FOR YOUNG CHILDREN. (10) PROVIDE A MEN'S HEALTH EVENT; PROVIDE A WOMEN'S HEALTH EVENT. -PROGRESS: PROVIDED A MEN'S HEALTH EVENT THAT INCLUDED BLOOD SCREENINGS. PROVIDED WOMEN'S HEALTH EVENT INCLUDING A HEART HEALTHY TALK BY AN OSF CARDIOLOGIST IN 2017 & 2018. USE OF THE EMERGENCY DEPARTMENT AS A PRIMARY SOURCE OF MEDICAL CARE GOAL: *PROVIDE CARE TO PATIENTS IN THE APPROPRIATE LOCATION, DECREASE NON- EMERGENT CARE IN THE EMERGENCY DEPARTMENT. MEASUREMENT AND PROGRESS: (1)MONMOUTH COLLEGE EDUCATION ON OSF ON-CALL, OFFER 2 PROGRAMS PER YEAR. -PROGRESS: OFFERED EDUCATION AT MONMOUTH COLLEGE ON OSF ON-CALL DURING FRESHMAN ORIENTATION AND FAMILY WEEKEND IN 2017 & 2018. (2) WORK GROUP IN THE EMERGENCY DEPARTMENT WILL IDENTIFY THE TOP 20 ED USERS IN FY16 AND DROP THEIR ED USAGE BY 10%. -PROGRESS: ASSEMBLED AN EMERGENCY DEPARTMENT UTILIZATION TEAM. IDENTIFIED "TOP 25 USERS" AND WORKED WITH CASE MANAGEMENT TO DECREASE THE UTILIZATION OF THOSE PATIENTS RESULTING IN A DECREASE OF 58% IN THE NUMBER OF VISITS FOR THOSE 25 PATIENTS. (3) EDUCATION THROUGH THE WARREN COUNTY HOUSING AUTHORITY WILL BE OFFERED AT LEAST ONCE ANNUALLY. -PROGRESS: EDUCATED RESIDENTS OF THE WARREN COUNTY HOUSING AUTHORITY ON THE PROPER LEVEL OF CARE TO SEEK FOR COMMON AILMENTS. (4) COMPLEX CASE MANAGEMENT WILL CONTACT 50 WARREN COUNTY RESIDENTS ANNUALLY. -PROGRESS: COMPLEX CASE MANAGEMENT CONTACTED 50 OR MORE WARREN COUNTY RESIDENTS ANNUALLY. (5) DISTRIBUTE 1500 CARDS IN THE COMMUNITY DESCRIBING THE PROPER CARE TO SEEK FOR COMMON HEALTH ISSUES. -PROGRESS: SENT OUT APPROXIMATELY 1500 CARDS REGARDING THE PROPER POINT OF CARE TO COMMUNITY MEMBERS ANUALLY HEART DISEASE GOAL: *CREATE AN AWARENESS OF CARDIAC RELATED HEALTH ISSUES WITHIN THE COMMUNITY. MEASUREMENT AND PROGRESS: (1)PROVIDE BLOOD PRESSURE SCREENINGS TO THE COMMUNITY. -PROGRESS: OFFERED AT LEAST THREE BLOOD PRESSURE SCREENINGS TO THE COMMUNITY ANNUALLY. (2) OFFER 2 PULSE OX AND HEART RATE SCREENINGS. -PROGRESS: OFFERED TWO PULSE OX AND HEART RATE SCREENINGS TO COMMUNITY ANNUALLY. (3) OFFER A "BREATHING EASY" PRESENTATION TO THE COMMUNITY. -PROGRESS: THE DIRECTOR OF RESPIRATORY THERAPY CONDUCTED A BREATHING AND RESPIRATION PRESENTATION DURING THE LUNCH AND LEARNS. (4) OFFER CARDIOLOGIST-LED EDUCATION TO THE COMMUNITY TWICE WITHIN THE FISCAL YEAR. -PROGRESS: OFFERED CARDIOLOGIST EDUCATION TO THE COMMUNITY TWO TIMES ANNUALLY, ONE DURING THE WOMEN'S HEALTH EVENT, WHICH ALSO FOCUSED ON WOMEN'S HEART HEALTH. (6) DEVELOPED AND PROMOTED HEART HEALTHY COOKING PROGRAM. -PROGRESS: DEVELOPED A HEART HEALTHY COOKING PROGRAM ATTENDED BY SIX MEMBERS OF THE COMMUNITY IN 2017 & 2018. 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. 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. 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. 51 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 - COLLEGE 1701 EAST COLLEGE AVENUE BLOOMINGTON IL 61704 AUDIOLOGY OSF CENTER FOR REHABILITATION & Occupational Health - Dwight 105 JOHN STREET DWIGHT IL 60420 PHYSICAL THERAPY OSF CENTER FOR REHABILITATION & Occupational Health - Fairbury 106 SOUTH FIRST STREET FAIRBURY IL 61739 PHYSICAL THERAPY; OCCUPATIONAL THERAPY OSF CENTER FOR REHABILITATION & Occupational Health - Pontiac 608 NORTH LADD STREET PONTIAC IL 61764 PHYSICAL THERAPY OSF SAINT JAMES SLEEP LABORATORY 702 RITTENHOUSE DRIVE PONTIAC IL 61764 POLYSYMNOGRAPHY CLINIC OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP - Powers Clinic (RHC) N 15995 MAIN ST POWERS MI 49870 DIAGNOSTIC RADIOLOGY OSF ST FRANCIS HOSPITAL MEDICAL GROUP - Escanaba (RHC) 3409 LUDINGTON ST ESCANABA MI 49829 DIAGNOSTIC RADIOLOGY OSF ST FRANCIS HOSPITAL MEDICAL GROUP - Gladstone (RHC) 128 MICHIGAN GLADSTONE MI 49837 DIAGNOSTIC RADIOLOGY ST FRANCIS HOSPITAL - REHAB SERVICES 704 SUPERIOR AVE GLADSTONE MI 49837 PHYSICAL THERAPY; OCCUPATIONAL THERAPY; SPEECH THERAPY OSF SAINT CLARE'S HOSPITAL 915 EAST FIFTH STREET ALTON IL 62002 SKILLED NURSING OSF SAINT ANTHONY'S CANCER CENTER 815 EAST FIFTH STREET ALTON IL 62002 MEDICAL ONCOLOGY OSF HOLY FAMILY CLINIC 1000 WEST HARLEM AVE MONMOUTH IL 61462 CARDIOLOGY; GENERAL, NERU; PEDIATRIC; PODIATRY SLEEP CENTER OSF SAINT ANTHONY MEDICAL CENTER - BELVIDERE 1954 GATEWAY CENTER DR BELVIDERE IL 61008 LABORATORY SERVICES OSF SAINT ANTHONY MEDICAL CENTER - BELVIDERE REHAB 1916 GATEWAY CENTER DR BELVIDERE IL 61008 PHYSICAL THERAPY; OCCUPATIONAL THERAPY OSF CENTER FOR HEALTH AT ROCK CUT CROSSING 9951 ROCK CUT CROSSING LOVES PARK IL 61111 LABORATORY SERVICES ROCKFORD CARDIOVASCULAR ASSOCIATES 444 ROXBURY ROAD ROCKFORD IL 61107 CARDIAC REHAB OSF Center for Health Glen Park 5114 GLEN PARK PLACE PEORIA IL 61614 DIAGNOSTIC RADIOLOGY, LAB, OP CLINIC, ECHO, MAMMOGRAPHY, US, XRAY OSF CENTER FOR HEALTH MORTON 435 MAXINE DRIVE MORTON IL 61550 DIAGNOSTIC RADIOLOGY, LAB, EKG, OP CLINIC, CT, MRI, ECHO, MAMMOGRAPHY, US, XRAY OSF Rehabilitation at Five Points 360 N WILMORE ROAD WASHINGTON IL 61571 PEDIATRIC AND ADULT PHYSICAL THERAPY, AQUATIC THERAPY, OCCUPATIONAL THERAPY OSF Wellness Services at the Riverplex 600 WATER STREET PEORIA IL 61602 ADULT PHYSICAL THERAPY, CARDIAC REHAB, FAITH COMMUNITY NURSING, HEALTH OSF OUTPATIENT SERVICES 100 NE RANDOLPH AVE PEORIA IL 61606 PHYSICAL THERAPY, OCCUPATIONAL HEALTH, OP CLINIC OSF OUTPATIENT CENTER FOR INDUSTRIAL REH 520 HIGHPOINT LANE EAST PEORIA IL 61611 PHYSICAL THERAPY, OCCUPATIONAL THERAPY OSF Rehabilitation - Glen Park 5009 GLEN PARK PLACE PEORIA IL 61614 PHYSICAL THERAPY OSF SAINT CLARE FAMILY HEALTH CENTER 10 SAINT CLARE COURT 100 WASHINGTON IL 61571 DIAGNOSTIC RADIOLOGY, LAB, EKG, OP CLINIC, MAMMOGRAPHY, US, XRAY OSF Saint Francis Radiation Oncology at Pekin Cancer Center 603 THIRTEENTH STREET PEKIN IL 61554 Radiation Oncology OSF WOMEN'S HEALTH CENTER 7800 N SOMMER SUITE 508 PEORIA IL 61615 PHYSICAL THERAPY, BREAST FEEDING RESOURCE CENTER OSF Saint Francis Medical Center - Radiation Oncology 8948 N WOOD SAGE ROAD PEORIA IL 61615 Radiation Oncology OSF SAINT ANTHONY MEDICAL CENTER - PARKVIEW 1502 PARKVIEW AVE ROCKFORD IL 61107 PHYSICAL THERAPY; OCCUPATIONAL THERAPY OSF SAINT ANTHONY MEDICAL CENTER - Center For Health on State 5666 E STATE STREET ROCKFORD IL 61108 PHYSICAL THERAPY; OCCUPATIONAL THERAPY OSF ST JOSEPH MEDICAL CENTER SLEEP LAB 2200 E WASHINGTON ST BLOOMINGTON IL 61701 POLYSYMNOGRAPHY; NEUROLOGY OSF Saint Elizabeth Medical Center Sleep Center 1601 Mercury Circle Suite 200 Ottawa IL 61350 POLYSYMNOGRAPHY Ottawa Medical Center Radiology Services 1614 East Norris Drive Ottawa IL 61350 Diagnostic Radiology OSF Healthcare Ottawa South 1640 First Avenue Ottawa IL 61350 Occupational Health OSF Center for Health - Streator 111 Spring Street Streator IL 61364 Emergency OSF Rehabilitation - Bartonville 1119 W Garfield Bartonville IL 61607 Physical Therapy OSF Rehabilitation - Chillicothe 120 N 4th St Chillicothe IL 61523 Physical Therapy OSF Rehabilitation - Metamora 709 W Mt Vernon Metamora IL 61548 Physical Therapy OSF Senior World - Morton 730 W Jefferson St Suite 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 Lab Services at Heartland at Broadway - Pekin 2709 Broadway Street Pekin IL 61554 Laboratory Draw Station 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 - 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 HealthCare Cardiovascular Institute 5405 N Knoxville Ave PEORIA IL 61614 Echocardiograms, Nuclear and Treadmill Stress Test, Vascular Ultrasound, Infusion Clinic, Sleep Lab OSF Saint Francis Outpatient Services at Illinois Medical Center Building 1001 Main St PEORIA IL 61603 Pulmonary Rehab, Cancer Services, Physical Therapy Women's Health Center 7800 N Sommer Suite 508 PEORIA IL 61615 Breastfeeding Resource Center, Family Planning, Pelvic Floor Physical Therapy OSF Rehabilitation-Gwynn and OSF Saint Francis Outpatient Diagnostics at OS F HealthCare Orthopedics 303 N William Kumpf Blvd PEORIA IL 61605 MRI, Physical Therapy, Occupational Therapy OSF Rehabilitation - Kumpf 719 N William Kumpf Blvd Suite 200 PEORIA IL 61605 Physical Therapy OSF Rehabilitation - Sheridan 6501 N Sheridan Rd PEORIA IL 61614 Physical Therapy; Occupational Therapy; Speech Therapy, Industrial Rehab OSF Senior World - Peoria 719 N William Kumpf Blvd Suite 300 PEORIA IL 61605 Adult Day Services, Geriatric Services 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. AS NOTED IN THE CHNA, OSF SAINT ANTHONY'S HEALTH CENTER IS LOCATED IN MADISON COUNTY IN ILLINOIS. MADISON COUNTY IS A PART OF THE METRO-EAST REGION OF THE ST. LOUIS METRO AREA AND ITS POPULATION IN 2014 WAS 266,560. FOR MADISON COUNTY, THE MEDIAN HOUSEHOLD INCOME FROM 2009-2013 WAS $53,633 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 14.4%. 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. ITS DESIGN INCORPORATES A HOLISTIC APPROACH TO CARE, MUCH LIKE ITS BLESSED BEGINNINGS BIRTHING CENTER THAT INCLUDES HOME-LIKE BIRTHING SUITS. AS NOTED IN THE CHNA, THE CENSUS BUREAU ESTIMATED THE POPULATION TO BE 208,419 RESIDENTS, A 3.6% INCREASE SINCE 2010. CLOSE TO 20% OF CHAMPAIGN COUNTY RESIDENTS LIVE IN POVERTY, AND 54% OF CHILDREN ATTENDING PUBLIC SCHOOLS WERE ELIGIBLE FOR FREE OR REDUCED PRICE LUNCHES. VIOLENT CRIME IN CHAMPAIGN COUNTY IS MUCH HIGHER THAN THE STATE AND NATIONAL AVERAGES. THE LEADING CAUSE OF DEATH IN CHAMPAIGN COUNTY IS CANCER, WITH A RATE OF 129.8 PER 100,000 POPULATIONS. 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. AS NOTED IN THE CHNA, VERMILION COUNTY'S POPULATION CONTINUES TO DROP. THERE WAS A 5.5% DECREASE IN TOTAL POPULATION FROM 2000-2015. VERMILION COUNTY HAS A HIGHER PERCENTAGE OF PERSONS WITH DISABILITIES THAN ILLINOIS AND THE UNITED STATES. ACCORDING TO THE 2016 ILLINOIS POVERTY REPORT, 19% OF VERMILION COUNTY'S POPULATION WAS LIVING AT OR ABOVE POVERTY LEVEL IN 2014. FOR THE SCHOOL YEAR 2015-2016, VERMILION COUNTY HAD A VERY HIGH PERCENTAGE OF 64.48% OF CHILDREN WHO QUALIFIED FOR FREE AND REDUCED LUNCH. THE MEDIAN HOUSEHOLD INCOME IS $42,548, WHICH IS LOWER THAN ILLINOIS' MEDIAN INCOME OF $57,444. Schedule H, Part V, Section B, Line 11 SAINT FRANCIS MEDICAL CENTER THE FOLLOWING ACTIVITIES AND INITIATIVES HELPED TO SUPPORT THE IDENTIFIED GOALS FOR MENTAL HEALTH FROM 2016 TO 2018: DEPRESSION SCREENING TOOLS WERE IMPLEMENTED: * A DEPRESSION SCREENING TOOL WAS UTILIZED IN THE OSF MEDICAL GROUP OFFICES. THIS TOOL WAS USED FOR SCREENING PURPOSES ON ALL INPATIENTS. IF THIS TOOL SCREEN WAS POSITIVE, AN ADDITIONAL LEVEL OF SCREENING WAS COMPLETED. BASELINES WERE ESTABLISHED FOR PATIENTS TREATED FOR MENTAL HEALTH. PATIENTS TREATED BY OSF SAINT FRANCIS MEDICAL CENTER ADULT BEHAVIORAL HEALTH PROGRAM INCLUDE: * 6,203 IN FY16 * 6,155 IN FY17 * 7,023 IN FY18 PATIENTS TREATED WITHIN OSF MEDICAL GROUP PSYCH OFFICES INCLUDE: * 10,738 IN FY16 * 11,952 IN FY17 * 11,272 IN FY18 THE BEHAVIORAL HEALTH OPERATIONS COUNCIL FOR THE OSF SYSTEM MEETS MONTHLY TO PLAN AND IMPLEMENT TACTICS RELATED TO BEHAVIORAL HEALTH CARE COORDINATION AND TELE-PSYCH. A WEB BASED RESOURCE CALLED SILVER CLOUD WAS LAUNCHED IN 2017. SILVER CLOUD OFFERS SECURE, IMMEDIATE ACCESS TO ONLINE SUPPORTED COGNITIVE BEHAVIORAL THERAPY PROGRAMS, TAILORED TO THE INDIVIDUAL'S SPECIFIC NEEDS. SINCE ITS LAUNCH IN APRIL 2017, THERE WERE 547 SILVER CLOUD USERS IN THE PEORIA REGION. IN COLLABORATION WITH HEARTLAND HEALTH SERVICES, TELE-PSYCHIATRY SERVICES HAVE BEEN PROVIDED TO HEARTLAND HEALTH CLINIC AND OSF COMMUNITY CLINIC PATIENTS. FROM OCTOBER 2017 TO DECEMBER 2018, 150+ TELE-PSYCH VISITS OCCURRED AND 100+ REFERRALS RECEIVED. A STRIVE TRAUMA RECOVERY PROGRAM PROVIDED FREE, COMPREHENSIVE PSYCHOLOGICAL SERVICES AS WELL AS RESOURCE MANAGEMENT AND SUPPORT SERVICES FOR INDIVIDUALS 14 AND OLDER WHO HAVE BEEN A VICTIM OF TRAUMA FROM A CRIME THAT HAS OCCURRED IN THE PREVIOUS 3 YEARS. THE PROGRAM OFFERS ASSESSMENTS, COUNSELING AND CASE MANAGEMENT FOR BOTH INPATIENTS AND OUTPATIENTS. THIS WAS A GRANT-FUNDED PROGRAM PROVIDED IN COLLABORATION WITH PEORIA PUBLIC SCHOOLS, CHILDREN'S HOME, AREA POLICE DEPARTMENTS, LOCAL DOMESTIC VIOLENCE SHELTERS, LEGAL SERVICES AND OTHER COMMUNITY AGENCIES. THE PROGRAM WAS IMPLEMENTED IN THE FALL OF 2018. SINCE ITS IMPLEMENTATION, 52 PATIENT ENCOUNTERS HAVE OCCURRED IN 2018. THE PROGRAM HAS GROWN SIGNIFICANTLY TO 269 PATIENT ENCOUNTERS BEING COMPLETED IN THE FIRST TWO QUARTERS OF 2019. VARIOUS OTHER COMMUNITY EVENTS FOCUSING ON MENTAL HEALTH OCCURRED INCLUDING PARENT TRAINING ON SUICIDE AWARENESS AND MENTAL HEALTH TRAINING FOR STAFF OF DISTRICT 150 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 10 most recently adopted implementation strategy OSF Sacred Heart Medical Center: THE PRIOR HEALTH SYSTEM ADOPTED IT'S IMPLEMENTATIONS STRATEGY IN 2017. OSF HEALTHCARE SYSTEM WILL ADOPT IMPLEMENTATION STRATEGIES RELATED TO THIS COMMUNITY HEALTH NEEDS ASSESSMENT ON OR BEFORE FEBRUARY 15, 2021 TO MEET OUR REGULATORY REQUIREMENTS. OSF Heart of Mary Medical Center: THE PRIOR HEALTH SYSTEM ADOPTED IT'S IMPLEMENTATIONS STRATEGY IN 2017. OSF HEALTHCARE SYSTEM WILL ADOPT IMPLEMENTATION STRATEGIES RELATED TO THIS COMMUNITY HEALTH NEEDS ASSESSMENT ON OR BEFORE FEBRUARY 15, 2021 TO MEET OUR REGULATORY REQUIREMENTS. 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 COST 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 COST CENTER REPORTS WHICH INCLUDE BOTH DIRECT AND INDIRECT COSTS LESS REVENUE. LINE 7G REPRSENTS ALL PAYERS EXCLUDING MEDICARE, MEDICAID AND SELF PAY. PART I, LINE 7G: NET COSTS (TOTAL EXPENSE LESS REVENUE) OF PHYSICIAN CLINICS ARE INCLUDED AS SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G. PART I, LINE 7, COLUMN F: BAD DEBT EXPENSE IN THE AMOUNT OF $100,275,185 IS INCLUDED ON FORM 990, PART IX, LINE 24C, COLUMN (A), BUT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN SCHEDULE H, PART I, LINE 7, COLUMN (F). Schedule H, Part II Community Building Activities THESE COSTS INCLUDE THE 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 MEMBERS. 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 $100,275,185 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 $20,166,684 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 20 AND 21 OF NOTES TO CONSOLIDATED FINANCIAL STATEMENTS Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 100% OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. 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. THIS SHORTFALL 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/; - OSF HEART OF MARY MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/; - OSF SACRED HEART MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/; - ST. JOSEPH 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. MARY MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - SAINT JAMES HOSPITAL: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. FRANCIS 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/; 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/; - OSF HEART OF MARY MEDICAL CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/; - OSF SACRED HEART MEDICAL CENTER: Line 16b URL: (HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/; - ST. JOSEPH 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. MARY MEDICAL CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - SAINT JAMES HOSPITAL: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. FRANCIS 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/; 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/; - OSF HEART OF MARY MEDICAL CENTER: Line 16c URL: (HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/; - OSF SACRED HEART MEDICAL CENTER: Line 16c URL: (HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/; - ST. JOSEPH 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. MARY MEDICAL CENTER: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - SAINT JAMES HOSPITAL: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. FRANCIS 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/; Schedule H, Part VI, Line 2 Needs assessment THE CORPORATION COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2016 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 THE FOLLOWING DEMOGRAPHICS WERE TAKEN FROM THE 2016 CHNA, THESE DOCOGRAPHICS WILL BE UPDATED IN NEXT YEAR'S REPORT. SAINT FRANCIS MEDICAL CENTER IS A 629-LICENSED BED TERTIARY ACUTE CARE TEACHING HOSPITAL LOCATED NEAR DOWNTOWN PEORIA, ILLINOIS. FOUNDED IN 1877, OSF SAINT FRANCIS MEDICAL CENTER WAS THE FIRST HOSPITAL ESTABLISHED BY THE CONGREGATION. TODAY OSF SAINT FRANCIS MEDICAL CENTER IS THE LARGEST MEDICAL CENTER IN ILLINOIS LOCATED OUTSIDE OF COOK COUNTY, WITH A MEDICAL STAFF OF MORE THAN 863 PHYSICIANS, 5,642 EMPLOYEES. A TEACHING AFFILIATE OF THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE AT PEORIA, OSF SAINT FRANCIS MEDICAL CENTER IS THE PEORIA AREA'S ONLY LEVEL 1 TRAUMA CENTER AND TERTIARY CARE MEDICAL CENTER. OSF SAINT FRANCIS MEDICAL CENTER IS ALSO HOME TO THE CHILDREN'S HOSPITAL OF ILLINOIS, OSF SAINT FRANCIS HEART HOSPITAL AND THE ILLINOIS NEUROLOGICAL INSTITUTE. IN ADDITION TO PROVIDING THE FULL RANGE OF PRIMARY, SECONDARY AND TERTIARY SERVICES, OSF SAINT FRANCIS MEDICAL CENTER PROVIDES CERTAIN SPECIALIZED SERVICES, INCLUDING LEVEL I (HIGHEST LEVEL) TRAUMA SERVICES, LIFE FLIGHT HELICOPTER TRANSPORT SERVICES (USING THE HELICOPTERS LEASED BY OSF AVIATION), ADULT AND PEDIATRIC OPEN HEART SURGERY, PANCREAS AND KIDNEY TRANSPLANTATION SERVICES, NEUROSURGERY AND NEUROLOGY, LEVEL III (HIGHEST LEVEL) PERINATAL SERVICES, RADIATION ONCOLOGY (INCLUDING GAMMA KNIFE AND THE VARIAN TRILOGY UNIT), AND SPECIALIZED SERVICES OF THE CHILDREN'S HOSPITAL OF ILLINOIS (WHICH IS OPERATED AS A PART OF OSF SAINT FRANCIS MEDICAL CENTER). AS NOTED IN THE CHNA, SAINT FRANCIS MEDICAL CENTER PRIMARILY SERVES THOSE IN THE COUNTIES OF PEORIA, TAZEWELL, AND WOODFORD. PEORIA COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2014 WAS 187,319. FOR PEORIA COUNTY, THE MEDIAN HOUSEHOLD INCOME FROM 2009-2013 WAS $50,712 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 17%. TAZEWELL COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2014 WAS 135,707. FOR TAZEWELL COUNTY, THE MEDIAN HOUSEHOLD INCOME FROM 2009-2013 WAS $56,067 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 9.3%. WOODFORD COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2014 WAS 39,187. FOR WOODFORD COUNTY, THE MEDIAN HOUSEHOLD INCOME FROM 2009-2013 WAS $66,639 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 8.1%. 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. WINNEBAGO COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2014 WAS 288,542. FOR WINNEBAGO COUNTY, THE MEDIAN HOUSEHOLD INCOME FROM 2009-2013 WAS $47,072 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 17%. 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. SAINT JAMES HOSPITAL HAS 42 LICENSED ACUTE CARE BEDS, WHICH INCLUDES 33 MEDICARE APPROVED SWING BEDS. THIS HOSPITAL FACILITY IS LOCATED ON THE WEST SIDE OF PONTIAC, ILLINOIS, NEAR INTERSTATE 55 AND WAS COMPLETED IN SEPTEMBER 2002. SAINT JAMES IS THE ONLY ACUTE CARE HOSPITAL LOCATED IN LIVINGSTON COUNTY, ILLINOIS. THE NEAREST COMPETING HOSPITAL TO SAINT JAMES IS ADVOCATE BROMENN MEDICAL CENTER IN NORMAL, ILLINOIS, WITH 198 (STAFFED) ACUTE CARE BEDS, LOCATED APPROXIMATELY 37 MILES FROM SAINT JAMES. AS NOTED IN THE CHNA, ST. JOSEPH MEDICAL CENTER IS LOCATED IN MCLEAN COUNTY IN ILLINOIS. MCLEAN COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2016 WAS 174,879. FOR MCLEAN COUNTY, THE MEDIAN HOUSEHOLD INCOME IN 2014 WAS $66,355 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 14.7%. SAINT JAMES HOSPITAL IS LOCATED IN LIVINGSTON COUNTY IN ILLINOIS. LIVINGSTON COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2014 WAS 38,476. FOR LIVINGSTON COUNTY, THE MEDIAN HOUSEHOLD INCOME FROM 2009-2013 WAS $54,723 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 10.9%. 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. IN ADDITION TO PRIMARY AND SECONDARY CARE, ST. MARY HAS DESIGNATIONS FROM THE STATE OF ILLINOIS AS A LEVEL II TRAUMA CENTER, A TRAUMA NETWORK RESOURCE HOSPITAL, A LEVEL II PERINATAL CENTER AND A HEMOPHILIA EMERGENCY TREATMENT CENTER. ST. MARY HAS BEEN DESIGNATED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES ("CMS") AS A RURAL REFERRAL CENTER. ST. MARY IS QUALIFIED AS A MEDICARE DEPENDENT HOSPITAL AND THEREBY IS ENTITLED TO ADDITIONAL MEDICARE REIMBURSEMENT. HOLY FAMILY IS A 23 LICENSED BED CRITICAL ACCESS HOSPITAL FACILITY LOCATED IN MONMOUTH, ILLINOIS. ALL OF ITS ACUTE BEDS ARE ALSO MEDICARE APPROVED SWING BEDS. 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 CHNA SHOWS 83% OF PATIENTS COME FROM KNOX AND WARREN COUNTIES. KNOX COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2014 WAS 52,069. FOR KNOX COUNTY, THE MEDIAN HOUSEHOLD INCOME FROM 2009-2013 WAS $40,667 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 17.7%. OSF HOLY FAMILY MEDICAL CENTER IS LOCATED IN WARREN COUNTY IN ILLINOIS. WARREN COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2014 WAS 17,874. FOR WARREN COUNTY, THE MEDIAN HOUSEHOLD INCOME IN 2014 WAS $43,536 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 15.6%. OSF ST. FRANCIS HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED ON THE WEST SIDE OF ESCANABA, MICHIGAN. OSF ST. FRANCIS HOSPITAL IS CURRENTLY LICENSED FOR AND OPERATES 25 INPATIENT BEDS, WHICH INCLUDES TEN MEDICARE APPROVED SWING BEDS. OSF ST. FRANCIS HOSPITAL IS SITUATED ON APPROXIMATELY 82 ACRES OF LAND AT THE WEST END OF THE ESCANABA CITY LIMITS. AS THE ONLY HOSPITAL IN DELTA COUNTY, MICHIGAN, OSF ST. FRANCIS HOSPITAL PROVIDES A RANGE OF INPATIENT AND OUTPATIENT HOSPITAL, DIAGNOSTIC, THERAPEUTIC AND ANCILLARY SERVICES. AS NOTED IN THE CHNA, ST. FRANCIS HOSPITAL IS LOCATED IN DELTA COUNTY IN MICHIGAN. DELTA COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2014 WAS 36,559. FOR DELTA COUNTY, THE MEDIAN HOUSEHOLD INCOME FROM 2009-2013 WAS $49,087 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 17.2%. OSF SAINT LUKE MEDICAL CENTER ("SAINT LUKE"), FORMERLY KNOWN AS KEWANEE HOSPITAL, IS A CRITICAL ACCESS HOSPITAL LOCATED IN KEWANEE, ILLINOIS. THE CORPORATION COMMENCED OPERATIONS AT SAINT LUKE ON MAY 1, 2014. SAINT LUKE IS CURRENTLY LICENSED FOR AND OPERATES 25 INPATIENT BEDS, PROVIDING BASIC, PRIMARY CARE, ANCILLARY SERVICES, CLINICS AND SPECIALTY CLINICS. SAINT LUKE'S SERVICE AREAS ARE LOCATED PRIMARILY IN HENRY COUNTY BUT EXTEND INTO PORTIONS OF STARK AND BUREAU COUNTIES, APPROXIMATELY 50 MILES NORTHWEST OF PEORIA. AS NOTED IN THE CHNA, OSF SAINT LUKE MEDICAL CENTER IS LOCATED IN HENRY COUNTY. ITS POPULATION IN 2014 WAS 49,635. FOR HENRY COUNTY, THE MEDIAN HOUSEHOLD INCOME FROM 2009-2013 WAS $52,940 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 14.4%. 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, 2018 FOR IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH IN THE FOLLOWING WAYS: -CAPITAL EXPENDITURES OF APPROXIMATELY $75,896,000 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 $44,190,333 DURING THE FISCAL YEAR FOR ACCREDITED PHYSICIAN RESIDENCY PROGRAMS AND NET COSTS OF APPROXIMATELY $5,422,271 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 $1,110,475 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 PROVIDES INTEGRATED HEALTH CARE SERVICES THROUGHOUT CENTRAL ILLINOIS, PARTS OF NORTHERN ILLINOIS, AND PARTS OF THE UPPER PENINSULA OF MICHIGAN. THE OSF SYSTEM INCLUDES THE OTHER CORPORATIONS LISTED BELOW, ALL OF WHICH ARE CONTROLLED, DIRECTLY OR INDIRECTLY, BY THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS (THE "CONGREGATION"). ALL AFFILIATED CORPORATIONS (WHETHER TAXABLE OR EXEMPT) APPLY AND FOLLOW THE CHARITY CARE POLICIES OF THE CORPORATION AND ARE OPERATED IN FURTHERANCE OF THE MISSION OF THE CONGREGATION TO PROVIDE COMPREHENSIVE, INTEGRATED, QUALITY CARE, INCLUDING PREVENTIVE, PRIMARY, ACUTE, CONTINUOUS AND REHABILITATIVE HEALTH SERVICES TO THE COMMUNITIES SERVED BY THE CORPORATION AND THE OSF SYSTEM. SPECIAL EMPHASIS IS PLACED ON MEETING THE PHYSICAL, SPIRITUAL, EMOTIONAL, AND SOCIAL NEEDS OF EVERYONE WHO IS CARED FOR IN THE OSF SYSTEM REGARDLESS OF RACE, COLOR, RELIGION AND ABILITY TO PAY. THE AFFILIATED CORPORATIONS ARE: -THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS, WHICH 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 SAINT FRANCIS, INC., AN ILLINOIS BUSINESS CORPORATION, INCORPORATED DECEMBER 23, 1986, WHICH OPERATES FOR-PROFIT BUSINESSES IN SUPPORT OF OSF HEALTHCARE SYSTEM. OSF SAINT FRANCIS, INC. IS THE SOLE SHAREHOLDER OF OSF DESIGN GROUP, INC. AND OSF ASSURANCE COMPANY AND IS THE SOLE MEMBER OF OSF AVIATION, LLC, OSF FINANCE COMPANY, LLC, STATE AND ROXBURY, LLC, AND 124 ADAMS PROPERTY MANAGEMENT, LLC. -OSF AVIATION, LLC, WHICH IS AN FAA PART CERTIFIED CARRIER PROVIDING EMS HELICOPTER SERVICES THROUGHOUT CENTRAL ILLINOIS AND PARTS OF NORTHERN ILLINOIS. -OSF LIFELINE AMBULANCE, LLC, WHICH PROVIDES GROUND AMBULANCE TRANSPORTATION SERVICES IN PARTS OF NORTHERN ILLINOIS. -OSF HEALTHCARE FOUNDATION, AN ILLINOIS NOT-FOR-PROFIT CORPORATION, INCORPORATED JULY 7, 1989, WHICH CONDUCTS FUNDRAISING AND ANY OTHER ACTIVITIES FOR THE BENEFIT OF OSF HEALTHCARE SYSTEM AND IN SUPPORT OF THE MISSION OF THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS. -OSF ASSURANCE COMPANY, A VERMONT GENERAL CORPORATION, INCORPORATED DECEMBER 8, 2004, ORGANIZED FOR THE PURPOSE OF WRITING INSURANCE AND REINSURANCE AS A CAPTIVE INSURANCE COMPANY. OSF SAINT FRANCIS, INC. IS THE SOLE MEMBER OF THIS CORPORATION. -OSF FINANCE COMPANY, LLC, AN ILLINOIS LIMITED LIABILITY COMPANY, ORGANIZED ON NOVEMBER 19, 2007, ORGANIZED TO ISSUE ADJUSTABLE RATE TAXABLE SECURITIES, WHOSE PROCEEDS WILL BE LOANED TO OSF SAINT FRANCIS, INC. FOR VARIOUS PROJECTS. OSF SAINT FRANCIS, INC. IS THE SOLE MEMBER OF THIS CORPORATION. -ILLINOIS PATHOLOGIST SERVICES, LLC, AN ILLINOIS LIMITED LIABILITY COMPANY, ORGANIZED ON JULY 9, 2009, TO PROVIDE PROFESSIONAL PATHOLOGY SERVICES IN THE ROCKFORD, ILLINOIS, AREA. -OSF DESIGN GROUP, INC., AN ILLINOIS BUSINESS CORPORATION, INCORPORATED MAY 20, 2004, WHICH PROVIDES PROFESSIONAL ARCHITECTURAL SERVICES AS A REGISTERED PROFESSIONAL DESIGN FIRM TO OSF HEALTHCARE SYSTEM AND OTHER OSF CORPORATIONS. -OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER, AN ILLINOIS NOT-FOR-PROFIT CORPORATION (FORMERLY NAMED COMMUNITY HOSPITAL OF OTTAWA), INCORPORATED ON DECEMBER 7, 1964. OSF HEALTHCARE SYSTEM BECAME THE SOLE MEMBER OF THIS CORPORATION ON APRIL 30, 2012, AND THE HOSPITAL WAS RENAMED AS D/B/A OSF SAINT ELIZABETH MEDICAL CENTER. -OSF MULTI-SPECIALTY GROUP, AN ILLINOIS NOT-FOR-PROFIT CORPORATION, CREATED ON SEPTEMBER 8, 2011, EMPLOYS PRIMARY CARE AND SPECIALTY PHYSICIANS, MID-LEVEL PROVIDERS, NURSES, AND SUPPORT PERSONNEL TO PROVIDE PROFESSIONAL HEALTH CARE SERVICES. -POINTCORE, LLC, A DELAWARE LIMITED LIABILITY COMPANY, FOUNDED ON MARCH 19, 2014, WHICH WILL IMPROVE THE QUALITY OF HEALTHCARE BY POOLING THE RESOURCES OF ITS MEMBERS TO PROVIDE SERVICES TO ITS MEMBERS AND THIRD PARTIES. -SAINT ANTHONY'S, LLC, A DELAWARE LIMITED LIABILITY COMPANY, CREATED ON APRIL 17, 2000. THE CORPORATION, WITH ITS PRINCIPAL OFFICE IN ALTON, ILLINOIS, OPERATES EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES; SPECIFICALLY, TO OWN, OPERATE OR MAINTAIN THE AFFAIRS OF INSTITUTIONS THAT FOSTER LOW INCOME HOUSING, PROVIDE AND IMPROVE HEALTH SERVICES, PROMOTE PHYSICIAN AND MENTAL WELL-BEING AND INDEPENDENCE AND MOBILIZE COMMUNITY SUPPORT AND RESOURCES TO SERVE SAID HEALTH AND HOUSING NEEDS. OSF HEALTHCARE SYSTEM BECAME THE SOLE MEMBER OF THIS CORPORATION ON NOVEMBER 1, 2014. NDC CORPORATE EQUITY FUND IV, L.P. WAS THE PARTY INVOLVED WITH SAINT ANTHONY'S, LLC IN THE SAINT CLARE'S VILLA, LIMITED PARTNERSHIP IN ALTON, ILLINOIS. ON JANUARY 1, 2017, SAINT ANTHONY'S, LLC BECAME THE SOLE MEMBER OF SAINT CLARE'S VILLA WHEN IT ACCEPTED THE ASSIGNMENT OF NDC'S SHARES ON DECEMBER 31, 2016. -SAINT CLARE'S VILLA, LIMITED PARTNERSHIP, AN ILLINOIS LIMITED PARTNERSHIP, CREATED ON APRIL 17, 2000, BETWEEN SAINT ANTHONY'S, LLC AND NDC CORPORATE EQUITY FUND IV, L.P. SAINT CLARE'S VILLA OPERATES A 64 BED LOW INCOME ASSISTED LIVING FACILITY FOR THE ELDERLY AT 915 EAST FIFTH STREET IN ALTON, ILLINOIS. SAINT ANTHONY'S, LLC BECAME THE SOLE MEMBER OF SAINT CLARE'S VILLA ON JANUARY 1, 2017. -MENDOTA COMMUNITY HOSPITAL, AN ILLINOIS NOT-FOR-PROFIT CORPORATION, CREATED ON MARCH 24, 1944, WITH THE NAME MENDOTA HOSPITAL FOUNDATION. THE NAME OF THE CORPORATION WAS CHANGED TO MENDOTA COMMUNITY HOSPITAL ON JUNE 16, 1967. OSF HEALTHCARE SYSTEM BECAME THE SOLE MEMBER OF THIS CORPORATION ON APRIL 1, 2015, AND THE HOSPITAL WAS RENAMED AS D/B/A OSF SAINT PAUL MEDICAL CENTER. -STATE AND ROXBURY, LLC, AN ILLINOIS LIMITED LIABILITY COMPANY, ESTABLISHED ON JANUARY 10, 2008, WAS ORGANIZED TO ACQUIRE AND OPERATE THE REAL ESTATE AT 5668 EAST STATE STREET, ROCKFORD, ILLINOIS. STATE AND ROXBURY, LLC WAS INITIALLY OWNED BY SAINT ANTHONY MEDICAL CENTER (51%) AND BRENT B. JOHNSON (49%). EFFECTIVE FEBRUARY 1, 2016, SAINT ANTHONY MEDICAL CENTER PURCHASED THE 49% OWNERSHIP OF BRENT B. JOHNSON. OSF SAINT FRANCIS, INC. SUBSEQUENTLY PURCHASED 100% OWNERSHIP OF STATE AND ROXBURY, LLC FROM SAINT ANTHONY MEDICAL CENTER AND BECAME THE SOLE MEMBER. STATE AND ROXBURY, LLC IS A MEMBER MANAGED COMPANY. -OSF COLLEGE OF HEALTH SCIENCES, AN ILLINOIS NOT-FOR-PROFIT CORPORATION, CREATED ON NOVEMBER 7, 2016, HAS OVERSIGHT OVER ONE OR MORE EDUCATIONAL INSTITUTIONS FOR THE TRAINING OF INDIVIDUALS FOR THE PURPOSE OF IMPROVING OR DEVELOPING THEIR CAPABILITIES AND INSTRUCTION OF THE PUBLIC ON SUBJECTS USEFUL TO INDIVIDUALS AND BENEFICIAL TO THE COMMUNITY INCLUDING AND WITHOUT LIMITATION ONE OR MORE COLLEGES OF NURSING. INITIAL DIVISIONS INCLUDE D/B/A SAINT ANTHONY COLLEGE OF NURSING, ROCKFORD, ILLINOIS, AND D/B/A SAINT FRANCIS MEDICAL CENTER COLLEGE OF NURSING, PEORIA, ILLINOIS. -124 ADAMS PROPERTY MANAGEMENT, LLC, AN ILLINOIS LIMITED LIABILITY COMPANY, ORGANIZED ON DECEMBER 11, 2017, OPERATES TO MANAGE 124 ADAMS PROPERTY HOLDINGS, LLC. OSF SAINT FRANCIS, INC. IS THE SOLE MEMBER OF THIS CORPORATION. Schedule H, Part VI, Line 7 State filing of community benefit report IL, MI true BLOOMINGTON YMCA 602 S Main Street Bloomington IL 61701 370662603 501(C)3 0 1960200 Appraisal 6 acres of land New site for YMCA HEARTLAND COMMUNITY HEALTHCARE 1701 W Garden Street Peoria IL 61605 371270794 501(C)3 625000 0 NA NA SUPPORT OF CLINIC OPERATION UNIVERSITY OF ILLINOIS 1 ILLINI DRIVE PEORIA IL 61605 376000511 501(C)3 250000 0 NA NA SUPPORT OF CLINIC OPERATION BELVIDERE PARK DISTRICT 1006 W LINCOLN AV BELVIDERE IL 61008 366005793 BELVIDERE PK DISTRI 80000 0 NA NA SUPPORT FOR FITNESS CENTER WILDLIFE PRARIE STATE PARK 3826 N TAYLOR ROAD HANNA CITY IL 61536 208064678 WILDLIFE PR. ST PK 50000 0 NA NA SUPPORT OF ORG OPERATIONS ST JOSEPH NURSING HOME 401 9TH ST LACON IL 61540 362549037 501(C)3 44628 0 NA NA SUPPORT OF CLINICAL OPERATIONS ILLINOIS WESLEYAN UNIVERSITY 1312 PARK STREET BLOOMINGTON IL 61701 370662594 501(C)3 25000 0 NA NA SUPPORT OF ORG OPERATIONS ROCKFORD AREA ECONOMIC DEVELOPMENT COUNCIL 100 PARK AVENUE SUITE 100 ROCKFORD IL 61101 363055858 501(C)3 25000 0 NA NA SUPPORT OF ORG OPERATIONS GREATER LIVINGSTON COUNTY ECONOMIC DEVELOPMENT COUNCIL 210 W WATER STREET PONTIAC IL 61794 382488748 501(C)3 25000 0 NA NA SUPPORT OF ORG OPERATIONS BLOOMINGTON NORMAL ECONOMIC DEVELOPMENT COUNCIL 200 W COLLEGE AVENUE NORMAL IL 61761 371169886 501(C)3 21000 0 NA NA SUPPORT OF ORG OPERATIONS ALIGNMENT ROCKFORD 6983 815 N CHURCH ST 201 ROCKFORD IL 61103 271329316 501(C)3 10000 0 NA NA SUPPORT OF ORG OPERATIONS 11 0 SCHOLARSHIPS 172 294010 0 NA NA Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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. X true true X X X X false true false false false false false false false Robert C Sehring Vice Chairperson CEO 822949 0 0 0 26582 0 42919 0 25321 0 917770 0 0 0 Kevin D Schoeplein Partial Year - Vice Chairperson CEO 1198405 0 450000 0 73273 0 237590 0 21193 0 1980461 0 0 0 Gerald J McShane MD Board Member 664489 0 0 0 30841 0 43175 0 21114 0 759619 0 0 0 Daniel E Baker Former CFO 498211 0 0 0 1655921 0 140112 0 20418 0 2314662 0 43175 0 Kenneth J Natzke Former CEO East Region 512459 0 0 0 16074 0 30947 0 16396 0 575876 0 0 0 Michael M Allen CFO 558835 0 0 0 1589 0 28482 0 25172 0 614079 0 0 0 Anthony M Avellino MD Partial Year - CEO NSSL/INI 899441 0 75140 0 2180 0 35225 0 25311 0 1037297 0 0 0 Kenneth E Berkovitz MD Partial Year - CEO CVSL 718287 0 0 0 3768 0 23363 0 18649 0 764067 0 0 0 Chad E Boore Chief Executive Officer Eastern Region 309513 0 0 0 7757 0 13033 0 26354 0 356657 0 0 0 Robert L Brandfass SVP Chief Legal Officer 509534 0 0 0 9887 0 39200 0 24840 0 583462 0 0 0 Michelle D Conger Chief Strategy Officer 439698 0 0 0 10176 0 15005 0 23954 0 488833 0 0 0 Roxanna Crosser Chief Executive Officer Western Region 293017 0 0 0 21775 0 33224 0 7681 0 355697 0 0 0 Michael A Cruz MD Chief Executive Officer Central Region 594265 0 0 0 3137 0 43175 0 24055 0 664633 0 0 0 John R Evancho SVP Chief Compliance Officer 247450 0 0 0 8559 0 19252 0 26332 0 301592 0 0 0 Thomas G Hammerton President OSF Healthcare Foundation Chief Development Officer 323860 0 0 0 38708 0 28211 0 18270 0 409049 0 0 0 Stephen E Hippler MD Chief Clinical Officer 525836 0 0 0 15802 0 43175 0 24008 0 608820 0 0 0 John C Horne SVP Chief Supply Chain Officer 336961 0 0 0 8181 0 27779 0 23888 0 396808 0 0 0 Divya-Devi Joshi CEO Children SL 496427 0 0 0 935 0 17225 0 8984 0 523571 0 0 0 James J Mormann Chief Information Officer 535916 0 0 0 8673 0 35225 0 25045 0 604859 0 0 0 David A Schertz Partial Year - CEO Northern Region 567927 0 0 0 11767 0 25175 0 18551 0 623420 0 0 0 Dwight D Stapleton Vice President Clinical Specialty Services 400865 0 0 0 114 0 13250 0 14273 0 428502 0 0 0 Jeffry M Tillery SVP Chief Transformation Officer 500220 0 0 0 13182 0 42797 0 18509 0 574708 0 0 0 Lori L Wiegand Chief Nursing Officer 366572 0 0 0 16273 0 43175 0 18421 0 444441 0 0 0 Leon A Yeh MD VP CMO Emergency Serv 519663 0 4127 0 47 0 35225 0 24746 0 583809 0 0 0 Iftekhar U Ahmad MD Physician 716279 0 148015 0 47 0 17225 0 24096 0 905662 0 0 0 Mete Korkmaz MD Oncologist 771363 0 68586 0 4779 0 39200 0 25204 0 909132 0 0 0 James L McGee MD Physician 892869 0 50000 0 187 0 36848 0 20719 0 1000623 0 0 0 Ekanka Mukhopadhyay MD Physician 397392 0 194466 0 46 0 33238 0 25204 0 650346 0 0 0 Anthony C Zalduendo MD Physician 638451 0 25000 0 87 0 43175 0 22096 0 728809 0 0 0 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 4b Supplemental nonqualified retirement plan DURING 2017, OSF HEALTHCARE SYSTEM MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: KEVIN D. SCHOEPLEIN DANIEL E. BAKER DURING 2017, THE FOLLOWING CONTRIBUTIONS WERE MADE BY OSF HEALTHCARE SYSTEM TO THE PLAN: KEVIN D. SCHOEPLEIN - $194,415 BAKER - $96,937 DURING 2017, DISTRIBUTIONS WERE MADE BY OSF HEALTHCARE SYSTEM FROM THE PLAN: KEVIN D. SCHOEPLEIN - $0 DANIEL E. BAKER - $1,646,820 A ILLINOIS FINANCE AUTHORITY 861091967 45203HVM1 2007-08-29 461801780 SEE PART VI true false false B ILLINOIS FINANCE AUTHORITY 861091967 45200FWG0 2009-03-31 249074230 SEE PART VI true false false C ILLINOIS FINANCE AUTHORITY 861091967 45200F3R8 2010-06-29 158535888 SEE PART VI true false false D ILLINOIS FINANCE AUTHORITY 861091967 45203HLH3 2012-09-26 191360304 SEE PART VI false false false A 335000000 0 485781136 0 17375881 0 3322101 8846375 0 289191716 167045063 0 2010 true false true true B 41825000 83165000 254007670 0 24929 0 3114441 126677 0 4908239 245833384 0 2010 true false true true C 30775000 100710000 160224909 0 0 0 2080352 0 0 42207813 115936744 0 2010 true false true true D 10645000 0 191360308 0 0 0 2402590 0 15813583 173144135 0 2012 true true true true A false false true true false 0.0 0.0 0.0 false false true B false false true true false 0.0 0.0 0.0 false false true C false false true true false 0.0 0.0 0.0 false false true D false false true true false 0.0 0.0 0.0 false false true A false false false true true true MERRILL LYNCH 30.0 false false false false true B false false false true true true MERRILL LYNCH 10.0 false false false false true C false false false true false false false false true D false false false true false false false false true A true B true C true D true Schedule K, Part I, Column (f) SCH K, PART I, COL A ILLINOIS FINANCE AUTHORITY - 08/29/2007 CUSIP# 452000B8E1, 45203HVM1, 45203HVN9 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2007 BONDS WHICH INCLUDED FIXED RATE BONDS, AUCTION BONDS AND VARIABLE RATE BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS TO redeem IHFA Variable Rate Demand Revenue Bonds, Series 2002 outstanding in the aggregate amount of $73,975,000, to repay System-wide bonds $27,984,100 in principal amount of loans, and to repay System-wide bonds approximately $53,450,000 outstanding on draws on lines of credit, of which the proceeds of which were used to pay the costs of constructing and equipping certain facilities of the Corporation. Schedule K, Part I, Column (f) SCH K, PART I, COL B ILLINOIS FINANCE AUTHORITY - 03/31/2009 CUSIP #45200FWG0, 45200FWE5, 45200FWF2 THE CORPORATION USED THE PROCEEDS OF THE SYSTEM-WIDE BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, TO refinance and redeem the IFA Revenue Refunding Bonds, Series 2005A in the amount of $52,825,000, the IFA Revenue Refunding Bonds Series 2005B in the amount of $52,550,000, the IFA Revenue Bonds, Series 2007B in the amount of $40,000,000, the IFA Revenue Bonds, Series 2007C in the amount of $65,000,000 and $44,950,000 of the IFA Revenue Bonds, Series 2007D. Schedule K, Part I, Column (f) SCH K, PART I, COL C 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 D 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 E 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 F 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 2007 Bond Re-Issuance In 2009 , $76,211,426.94 was transferred from the 2007 bond issue to to the 2009A-D bond issue in a refinancing for funded interest, debt service reserve and project funds. All such proceeds were reflected as being expended in the 2007 BCD issue at the original amount. In 2010 , $1,798,674.21 was transferred from the 2007 bond issue to to the 2010A bond issue in a refinancing for, debt service reserve funds. All such proceeds were reflected as being expended in the2007 BCD issue at the original amount. Earnings on funds transferred from the 2007 bond issue to the 2009 and 2010 bond issues are reflected as total proceeds in the 2009 and 2010 bond issues, respectively, from date of transfer, as well as expended in those respective issues. Schedule K, Part II, Line 3 Proceeds differing from issue - 2007 Issue Original issue price was $461,801,780. Investment earnings were $23,979,356 for total proceeds reported of $485,781,136. Schedule K, Part II, Line 3 Proceeds differing from issue - 2009A-D Original issue price was $249,074,230. Investment earnings were $4,933,440 for total proceeds reported of $254,007,670. 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 - 2017ABC Original issue price was $235,000,000. investment earnings were $421,266 for total proceeds reported of $235,421,266. Schedule K, Part I, Column (f) SCH K, PART I, COL G ILLINOIS FINANCE AUTHORITY - 12/20/2017 No CUSIP# - Private Placement The Corporation and the Authority are entering into this Loan Agreement in order to , among other things, obtain moneys which will be used to, together with certain other moneys to (i) pay or reimburse the Corporation or Ottawa Regional Hospital and Healthcare Center (the "User") for the costs of acquiring, construction, remodeling, renovating and equipping certain health care facilities owned by the Corporation or the User; (ii) pay for the purchase by the Corporation of certain assets, including hospital buildings, of Presence Covenant Medical Center in Urbana, Illinois and Presence United Samaritans Medical Center in Danville, Illinois (the "Presence Hospitals"); (iii) refinance certain indebtedness the proceeds of which were used to construct and equip the hospital facilities of Mendota Community Hospital (the "HUD Loan"); (iv) refund the Authority's Revenue Bond, Series 2009G (OSF Healthcare System); and (v) pay certain expenses incurred in connection with the issuance of the Series 2017A Bonds, all as permitted under the Act (collectively, the "Financing Purposes"). Schedule K, Part IV, Line 2c COLUMN A Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 08/03/2016 Schedule K, Part IV, Line 2c COLUMN B Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 05/30/2014 Schedule K, Part IV, Line 2c COLUMN C Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 07/09/2015 Schedule K, Part IV, Line 2c COLUMN D Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 03/15/2017 A ILLINOIS FINANCE AUTHORITY 861091967 45203H5F5 2015-09-29 392744128 SEE PART VI false false false B ILLINOIS FINANCE AUTHORITY 861091967 45204EMD7 2016-09-29 121790760 SEE PART VI false false false C ILLINOIS FINANCE AUTHORITY 861091967 000000000 2017-12-20 235000000 SEE PART VI false false false A 790000 0 394643597 0 9258271 51865520 4151415 0 0 146853861 182514530 0 2018 true true true true B 0 0 121790793 0 0 108839472 1549068 0 0 0 11402253 0 false true true true C 0 0 235421266 0 0 0 1017719 0 0 163509623 47391798 23502126 true false false true A false false true true false 0.0 0.0 0.0 false false true B false false true true false 0.0 0.0 0.0 false false true C false false true true false 0.0 0.0 0.0 false false true A false true false false false false false false true B false true false false false false false false true C false true false false true false false false true A true B true C true Jennifer Uphoff Family Member - Jeffry M. Tillery - Officer 93632 Employment false Matthew Sehring Family Member - Robert Sehring - Officer 87356 Employment false Ryan Sehring Family Member - Robert Sehring - Officer 69864 Employment false David McGrew Family Member - Sister Diane Marie McGrew, O.S.F - Board Member 153437 Employment false Jennifer Stoller Family Member - Lori L Wiegand - Officer 32957 Employment false 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 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 $ 270,745,377 including grants of $ 3,409,838)(Revenue $ 144,386,161) 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 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 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 Revenue - Total Revenue: 19201801, Related or Exempt Function Revenue: 19091525, Unrelated Business Revenue: 92401, Revenue Excluded from Tax Under Sections 512, 513, or 514: 17875; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN UNREALIZED MARKET VALUE OF SWAPS - 16187164; NET ASSETS RELEASED FROM RESTRICTION - -11055635; INCREASE IN PERMANENTLY RESTRICTED ASSETS - 20254691; REVERSAL OF MINIMUM PENSION LIABILITY - 96087612; SFI & SUBSIDIAIRY INCOME - 10248625; MINORITY INTEREST - -8305645; EQUITY TRANSFERS - -XXX-XX-XXXX; INVESTMENT RETURN - 3929704; NET SETTLEMENT OF DERIVATIVE INSTRUMENT - -5374786; LOSS ON EARLY EXTINGUISHMENT OF DEBT - -33524; ASSETS RELEASED FOR OPERATIONS - 154975; SFI EQUITY TRANSFER - 9500000; CONTRIBUTION OF EXCESS ASSETS OVER LIABILITIES - 1535490; OSF LIFELINE AMBULANCE LLC 318 ROXBURY ROAD ROCKFORD IL 61107 200080542 AMBULANCE SVS IL -1410013 1587637 OSF POINTCORE LLC 9600 N FRANCISCAN DR PEORIA IL 61615 465126926 IT SERVICES IL 385040 758282 OSF SAINT ANTHONY'S LLC 915 EAST 5TH STREET ALTON IL 62002 371407745 LOW INC HOUSING IL -391643 3741045 OSF 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 NA false ST FRANCIS COMMUNITY CLINIC 530 NE GLEN OAK AVE PEORIA IL 61637 370661235 FREE CLINIC IL 501(c)(3) 7 SIS 3RD OSF false OTTAWA REGIONAL HOSPITAL & HEALTHCARE CTR 1100 EAST NORRIS DRIVE OTTAWA IL 61350 362604009 HOSPITAL IL 501(c)(3) 3 OSF true OTTAWA REGIONAL HOSPITAL FOUNDATION 1100 EAST NORRIS DRIVE OTTAWA IL 61350 364007569 SUPPORT ORG IL 501(c)(3) Type I ORHHC 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 true OSF HEART & VASCULAR INSTITUTE 800 NE GLEN OAK AVE PEORIA IL 61603 352422385 HLTHCARE SVCS IL 501(c)(3) Type I OSF true CHILDREN'S HOSPITAL OF ILLINOIS MED GRP 800 NE GLEN OAK AVE PEORIA IL 61603 320353954 HLTHCARE SVCS IL 501(c)(3) Type I OSF true ILLINOIS NEUROSCIENCE INSTITUTE 800 NE GLEN OAK AVE PEORIA IL 61603 364709999 HLTHCARE SVCS IL 501(c)(3) Type I OSF true MENDOTA COMMUNITY HOSPITAL 1201 E 12TH STREET MENDOTA IL 61342 362167785 HOSPITAL IL 501(c)(3) 3 OSF true SAINT ANYTHONY'S PHYSICIAN GROUP PO BOX 340 ALTON IL 62002 371365059 HLTHCARE SVCS IL 501(c)(3) 10 OSF true OSF COLLEGE OF HEALTH SCIENCES 800 NE GLEN OAK AVE PEORIA IL 61603 364868939 COLLEGE OF NURSING IL 501(c)(3) 2 OSF true CENTER FOR HEALTH AMBULATORY 8800 RTE 91 N PEORIA IL 61615 205557171 SURGICAL CENTER IL OSF Related 4154625 3248618 false false 0.714 EASTLAND MEDICAL PLAZA 1505 EASTLAND DRIVE Bloomington IL 61701 371400643 SURGICAL CENTER IL OSF Related 2276533 6093195 false false 0.50 FORT JESSE IMAGING CENTER LLC 2200 FT JESSE ROAD NORMAL IL 61761 460515604 MEDICAL IMAGING IL OSF Related 754904 10183 false false 0.501 SAINT CLARE'S VILLA 915 EAST 5TH STREET ALTON IL 62002 371397289 LOW INC HOUSING IL OSF Related -391643 3741045 false true 1 FOX RIVER CANCER CENTER 1211 STARFISH DRIVE OTTAWA IL 61350 870805865 ONCOLOGY IL NA N/A false false OSF SAINT FRANCIS INC 800 NE GLEN OAK AVE PEORIA IL 61603 363484677 HLTHCARE SVCS IL OSF C Corporation 10248625 198245713 1 true ILLINOIS PATHOLOGST SERVICES LLC 5666 EAST STATE STREET ROCKFORD IL 61108 800439081 PATHOLOGY SVCS IL OSF C Corporation -608618 697700 1 true LAKEVIEW MEDICAL OFFICE BUILDING 812 N LOGAN AVENUE DANVILLE IL 61832 371100761 CONDOMINIUM ASSOCIATION IL OSF C Corporation 1033 85109 0.6615 true true true true true false false false false false false true true true false false true false false true OSF Saint Francis Inc A 130418 FMV Center for Health Ambulatory Surgery Center A 1013698 FMV Eastland Medical Plaza Surgicenter LLC A 632092 FMV OSF Saint Francis Inc A 545743 FMV Illinois Pathologist Services LLC B 2700000 FMV OSF Saint Francis Inc D 6048996 FMV OSF Saint Francis Inc K 8057624 FMV OSF Saint Francis Inc L 4378369 FMV Illinois Pathologist Services LLC L 1513688 FMV Ottawa Regional Hospital and Healthcare Center L 781690 FMV OSF Saint Francis Inc M 9947578 FMV OSF Saint Francis Inc P 2753225 FMV Illinois Pathologist Services LLC P 935051 FMV Ottawa Regional Hospital and Healthcare Center P 4533508 FMV Eastland Medical Plaza Surgicenter LLC S 2927893 FMV Fort Jesse Imaging Center LLC S 607733 FMV Center for Health Ambulatory Surgery Center LLC S 4818355 FMV Illinois Pathologist Services LLC S 1933510 FMV OSF Healthcare Foundation C 13736326 FMV Fox River Cancer Center LLC S 509359 FMV OSF Saint Francis Inc S 4856984 FMV Ottawa Regional Hospital and Healthcare Center S 26936576 FMV