2018-08-13T11:00:24-05:00 2017-09-30 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2016-10-01 370813229 OSF Healthcare System OSFH 3096552850 800 NE GLEN OAK AVE Peoria IL 61603 MICHAEL M ALLEN CFO 2018-08-13 true Rachel Spurlock P00520729 5023263996 2016 2022-09-23 18:48:47Z MICHAEL M ALLEN 800 NE GLEN OAK AVE Peoria IL 61603 2180778649 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 5 16717 1728 6309128 1609706 10048687 8620722 1996642668 2068613572 36107561 59545239 50838093 41236810 2093637009 2178016343 1464782 1153710 0 952412423 925065571 0 6943222 882155277 947837001 1836032482 1874056282 257604527 303960061 3190122606 3296088110 2174363096 2057198791 1015759510 1238889319 X OSF HEALTHCARE SYSTEM IS A CATHOLIC INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH DURING ITS FISCAL YEAR 2017 OPERATED 11 HOSPITALS, 5 HOME HEALTH AGENCIES, 4 HOSPICES, AND EMPLOYED APPROXIMATELY 722 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 624735040 960755194 OUTPATIENT SERVICES: THE NINE ACUTE CARE HOSPITALS OWNED AND OPERATED BY OSF HEALTHCARE SYSTEM COLLECTIVELY PROVIDED 1,434,966 OUTPATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2017, INCLUDING 64,221 OUTPATIENT SURGERY VISITS BUT 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. 589320470 923341950 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; AND ALTON, ILLINOIS. AS OF THE CLOSE OF THE REPORTING PERIOD ON SEPTEMBER 30, 2017, THESE NINE FACILITIES HAD A COMBINED TOTAL OF 1,368 LICENSED INPATIENT AND RESIDENT BEDS. THEY HAD COMBINED TOTALS OF 64,676 INPATIENT AND RESIDENT DISCHARGES AND 298,534 INPATIENT AND RESIDENT DAYS, INCLUDING 15,910 NEWBORN INPATIENT DAYS. THE NINE ACUTE CARE HOSPITALS COLLECTIVELY SERVED 53 COUNTIES. PONTIAC, ILLINOIS IS A SOLE COMMUNITY HOSPITAL AND ESCNAABA, 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. 89659068 109990136 All of the nine 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 244,366 patient visits during the reporting period ended September 30, 2017. 223245189 1153710 109341510 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. 223245189 1153710 109341510 1526959767 true true false true false 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 false false false false false false true true true true false false true 759 0 true 16717 true true true false false false false false false false false false X 9 5 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 Theresa Ann Brazeau OSF Secretary 40.0 8.0 X X 5040 0 0 Sister Judith Ann Duvall OSF Chairperson 40.0 8.0 X X 5040 0 0 Sister Diane Marie McGrew OSF President and Treasurer 40.0 8.0 X X 5040 0 0 Kevin D Schoeplein Vice Chairperson CEO 40.0 8.0 X X 1857528 0 262853 Sister Agnes Joseph Williams OSF Assistant Secretary 40.0 8.0 X X 5040 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 797430 0 72789 Sister M Mikela Meidl FSGM Board Member 40.0 8.0 X 0 0 0 Brian Silverstein MD Board Member 40.0 7.0 X 45000 0 0 Michael M Allen CFO 40.0 7.0 X 617871 0 41692 Anthony M Avellino MD CEO NSSL/INI 40.0 6.0 X 1089331 0 61015 Kenneth E Berkovitz MD CEO CVSL 40.0 6.0 X 814382 0 29051 Robert L Brandfass SVP Chief Legal Officer 40.0 6.0 X 578648 0 60554 Michelle D Conger Chief Strategy Officer 40.0 6.0 X 472435 0 40685 John R Evancho SVP Chief Compliance Officer 40.0 6.0 X 286039 0 47024 Thomas G Hammerton President OSF Healthcare Foundation Chief Development Officer 40.0 8.0 X 417901 0 45793 Stephen E Hippler MD Chief Clinical Officer 40.0 6.0 X 524004 0 77859 John C Horne SVP Chief Supply Chain Officer 40.0 6.0 X 396728 0 49112 Divya-Devi Joshi CEO Children SL 40.0 6.0 X 552122 0 22639 James J Mormann Chief Information Officer 40.0 6.0 X 558076 0 60734 Kenneth J Natzke CEO East Region 40.0 6.0 X 590863 0 62762 David A Schertz CEO Northern Region 40.0 6.0 X 657171 0 56719 Robert C Sehring CEO Central Region 40.0 6.0 X 715477 0 65956 Jeffry M Tillery SVP Chief Transformation Officer 40.0 6.0 X 531260 0 73816 Lori L Wiegand Chief Nursing Officer 40.0 6.0 X 408778 0 70063 Leon A Yeh MD VP CMO Emergency Serv 40.0 6.0 X 568436 0 56518 Iftekhar U Ahmad MD Physician 40.0 0 X 790699 0 40195 Mete Korkmaz MD Oncologist 40.0 0 X 647711 0 64857 James L McGee MD Physician 40.0 0 X 943454 0 68572 Richard E Nora MD Med Dir Oncology 40.0 0 X 598477 0 46568 Anthony C Zalduendo MD Physician 40.0 0 X 633329 0 63118 Daniel E Baker Former CFO 40.0 6.0 X 607312 0 172699 16720622 0 1713644 597 true true true University Of Illinois College of Medicine PO Box 4196 Springfield IL 627084196 Teaching Physicians 29382715 PointCore Network Services LLC 222 3rd Ave Suite 600 Cedar Rapids IA 52401 IT Services 4532621 Hinshaw and Culbertson LLP 8142 Solutions Center Dr Chicago IL 606778001 Legal Services 4410591 Cord Construction Co 1322 E State Street Rockford IL 61104 Construction Services 3995980 Associated Anesthesiologists SC 8600 N State Route 91 Suite 250 Peoria IL 616159452 Anesthesiologists Services 2164715 108 X 0 0 0 6967333 1380246 273143 0 8620722 Net Patient Service Revenue 621110 2055732555 2055732555 Consulting Revenue 523000 6695874 6695874 Lab 621500 5612626 5612626 Affiliated Purchasing Program 561499 499307 499307 Related Party Loan Interest 900099 73210 72113 1097 0 0 0 0 2068613572 59566138 59566138 2791698 2700588 91110 0 91110 91110 40819 61718 0 -20899 -20899 -20899 Tuition 611430 13190365 13190365 Contract Pharmacy 621110 7137185 7137185 Contract Services 523000 3535306 3535306 17282844 17137505 125082 20257 41145700 2178016343 2103428790 6309128 59657703 919533 919533 234177 234177 0 0 0 0 15381803 12431573 2950230 358784 147535 211249 0 683222487 547170111 136019078 33298 47542359 33988679 13553680 0 124841412 110498076 14343336 0 53718726 39073152 14645574 0 0 0 0 0 3233309 3233309 0 708851 708851 0 661796 0 661796 0 0 0 0 0 0 0 97214686 80951792 16262894 0 8139011 350484 7788208 319 14643311 5537354 9103801 2156 30550145 1260541 29289604 0 0 0 0 0 16232260 15265285 964483 2492 6984386 4602767 2380261 1358 0 0 0 0 1935918 1124033 811885 0 35502853 8485574 27017279 0 0 0 95214471 68652163 26562308 0 18684469 18001655 682814 0 Medical Supplies 314105715 313261873 647497 196345 Equip Rental & Maint 158735211 132121065 26582194 31952 Bad Debt 65409804 65409804 Medicaid Fees 63332630 63332630 16548175 4139911 5732962 6675302 1874056282 1526959767 340153293 6943222 X 8582615 8182550 400065 112431561 150345942 408730834 488132199 0 0 0 29391468 34843640 40600329 48648614 2259685638 1258832510 931584431 1000853128 1142872839 1033210946 0 63134042 68188034 27590238 32013838 433786864 439851769 3190122606 3296088110 234195614 212729178 1113917399 1092831347 826250083 751638266 2174363096 2057198791 X 924832492 1132481065 54901623 63521223 36025395 42887031 1015759510 1238889319 3190122606 3296088110 X 303960061 18811680 -99641932 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true 0 false false true 400000 false true 261796 661796 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 $261,796. 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 $400,000. 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 $261,796. 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 $400,000. 73130258 5667852 9778204 231331 1126284 87218699 58445819 8839845 7180954 619990 716370 73130258 51788138 9619258 -1943315 81000 937262 58445819 37314439 10574853 4207377 91480 217051 51788138 22865122 10590634 4165914 75284 231947 37314439 0.4645 0.432 0.1035 false false 22530643 22530643 1300482021 628797120 671684901 31378061 26550808 4827253 817429233 603484582 213944651 87865680 87865680 1000853128 BOND INSURANCE FEES 7639763 WORKERS COMP ESCROW DEPOSITS 4664945 THIRD PARTY WITHHOLDINGS 35551727 DUE FROM FOUNDATION 1094144 ASSETS - LIMITED OR RESTRICTED 106489177 FUNDS LIMITED AS TO USE 234035290 OTHER ACCOUNTS 50376723 439851769 ESTIMATED SELF INSURANCE LIAB 180519175 RETIRE OBLIG - ASBESTOS 7174981 ACCRUED PENSION LIABILITY 418840250 MARKET VALUATION OF SWAP 46257943 THIRD PARTY SETTLEMENT PAYABLE 92347963 DEFERRED COMPENSATION 6497954 751638266 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, 2017 AND 2016, OSF DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS. true true X true X 125 true X 600 true true false true true 24272852 0 24272852 0.0130 369787866 324963740 44824126 0.0239 0 0 0 0.0 0 0 394060718 324963740 69096978 0.0369 6680893 601547 6079346 0.0032 82865556 26980952 55884604 0.0298 18884517 7695655 11188862 0.0060 2145970 806734 1339236 0.0007 2118993 0 2118993 0.0011 0 0 112695929 36084888 76611041 0.0409 0 0 506756647 361048628 145708019 0.0778 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 244059 244059 0.0001 0 0.0 0 0.0 0 0 244059 0 244059 0.0001 true 12859231 506497705 522381678 -15883973 X true true None 9 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 ST JOSEPH MEDICAL CENTER 2200 EAST WASHINGTON STREET BLOOMINGTON IL 61701 https://www.osfhealthcare.org/st-joseph/ IL0002535 X X X 4 ST MARY MEDICAL CENTER 3333 NORTH SEMINARY STREET GALESBURG IL 61401 https://www.osfhealthcare.org/st-mary/ IL0002675 X X X 5 OSF SAINT ANTHONY'S HEALTH CENTER 1 ST ANTHONYS WAY ALTON IL 62002 https://www.osfhealthcare.org/saint-anthonys/ IL0005942 X X X 6 ST FRANCIS HOSPITAL 3401 LUDINGTON STREET ESCANABA MI 49829 https://www.osfhealthcare.org/st-francis/ MI1060000051 X X X X 7 SAINT JAMES HOSPITAL 2500 W REYNOLDS STREET PONTIAC MI 61764 https://www.osfhealthcare.org/saint-james/ IL0005264 X X X 8 OSF SAINT LUKE MEDICAL CENTER 1051 W SOUTH STREET KEWANEE IL 61443 https://www.osfhealthcare.org/saint-luke/ IL0005926 X X X X 9 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 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 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 JOSEPH MEDICAL CENTER 3 false false true 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 ST MARY MEDICAL CENTER 4 false false true 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 125.0 300.0 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 5 false false true 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 FRANCIS HOSPITAL 6 false false true 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/ PART X HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ PART 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 7 false false true 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 125.0 300.0 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 8 false false true 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 125.0 300.0 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 9 false false true 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 125.0 300.0 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 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 AND WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS ON JULY 25, 2016. 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. 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 GOALS: MAINTAIN OR INCREASE THE PERCENTAGE OF ADULTS CONSUMING 3 OR MORE SERVINGS OF FRUITS AND VEGETABLES PER DAY FROM 35% TO 50%; MAINTAIN OR INCREASE THE PERCENTAGE OF INDIVIDUALS EXERCISING IN THE LAST WEEK FROM 66% TO 71%; MONITOR SLEEP HYGIENE, NUTRITION, EXERCISE, HEALTHY WEIGHT, SAFETY, SPIRITUALITY, AND AVOIDANCE OF SUBSTANCE USE. MEASUREMENT AND PROGRESS FY17: (1)MEASUREMENT: ESTABLISH BASELINE OF THE UTILIZATION OF VAN TO PROVIDE HEALTHY BEHAVIORS EDUCATION TO NEIGHBORHOODS/ SCHOOLS WITH THE GREATEST PERCENTAGE OF POVERTY. PROGRESS FY2017: PROGRAM: CARE-A-VAN FAITH COMMUNITY NURSING RESULTS - CARE-A-VAN FAITH COMMUNITY NURSING 75 (2) ESTABLISH BASELINE OF CHURCHES SERVICED BY FAITH COMMUNITY NURSING. ESTABLISH BASELINE OF VOLUNTEER FAITH COMMUNITY NURSES ENGAGED WITH THEIR CHURCHES. PROGRESS FY2017: FAITH COMMUNITY NURSING PROGRAMS: 8,941 (3) ESTABLISH BASELINE RELATING TO PARTICIPATION RATES IN EDUCATIONAL PROGRAMMING. PROGRESS FY2017: PROVIDED ASTHMA AND HEALTH SCREENINGS AT A BASKETBALL CAMP FOR UNDERPRIVILEGED YOUTH. ALSO DISTRIBUTED HYGIENE KITS; MARKETING WORKED WITH CENTRAL STATES MEDIA ON SPONSORED POSTS PROMOTING HEALTHY LIVES 4 KIDS EVENTS IN PEORIA AND TAZEWELL COUNTY. THE POSTS WERE VIEWED 75308 VIA FACEBOOK AND INSTAGRAM; DIETETIC INTERNS WORKED WITH KIDS TO MAKE HEALTHY FAMILY FRIEND SNACKS. MARKETING CREATED A CAMPAIGN TO FEATURE THIS AS A 4 PART SERIES. THESE WERE VIEWED 1847 TIMES; OSF HEALTHCARE CHILDREN'S HOSPITAL OF ILLINOIS AND KOHL'S CARES HELD TWO HEALTHY LIVES 4 KIDS DAYS. THESE EVENTS WERE PACKED WITH INTERACTIVE GAMES AND ACTIVITIES THE WHOLE FAMILY COULD ENJOY, INCLUDING AN OBSTACLE COURSE, A KID-FRIENDLY RECIPE STATION, DANCING AND MUCH MORE TO PROMOTE HEALTH AND WELLNESS IN CHILDREN. EACH CHILD RECEIVED A VARIETY OF GIVEAWAYS RELATED TO WELLNESS INCLUDING A WRIST PEDOMETER, WALL CLOCK, WATER BOTTLE AND LUNCH CONTAINER. 375 PEOPLE ATTENDED THE TWO EVENT; IN ADDITION, ADVOCACY ATTENDED 80 OTHER EVENTS TO PROMOTE NUTRITION AND EXERCISE AND SAW OVER 11,000 PEOPLE. (4) ESTABLISH BASELINE OF OSF EMPLOYEES ENGAGED IN WORKSITE WELLNESS, RESIDENTIAL WELLNESS, OR SCHOOL WELLNESS ACTIVITIES. ESTABLISH BASELINE OF BUSINESSES ENGAGED IN OSF EMPLOYER SERVICES. PROGRESS FY2017: PEORIA FARM TO TABLE FOOD SAMPLES: 250; NUTRITION/WEIGHT MANAGEMENT: 250 SERVED; SYNERGY EMPLOYEES PROVIDED EDUCATION ON EXERCISE AND NUTRITION; PJ STAR FIT FOR LIFE BLOG; WMBD THIS MORNING - (25 RELEASES); WYZZ GOOD DAY CENTRAL IL - (20 RELEASES); WPNV 106.3 FM RADIO - PUBLIC SERVICE ANNOUNCEMENT; OSF HEALTHCARE RECIPE WEBSITE - (30 RECIPE POSTINGS); HEARTLAND CLINIC - MEDICAL NUTRITION THERAPY (11 SESSIONS); WEEK-TV NOON SHOW - (9 PROGRAMS); OSF NEWS ROOM - INTERMITTENT FASTING; GLUTEN FREE COOKING CLASS - GLUTEN FREE RECIPES; UFS STROKE FAIR - LOW SODIUM, BBQ MEATBALLS; OSF HEALTHCARE YOU TUBE - CHINESE FIVE SPICED; CITY OF EAST PEORIA - SMART SNACKING HEALTH FAIR; OSF AT THE RIVERPLEX - COOKING FOR ONE COOKING CLASS; RIVERPLEX - HEART HEALTHY MONTH HEALTH FAIR; HYVEE - HEART HEALTH MONTH HEALTH FAIR; RIVERPLEX - HEART HEALTHY COOKING DEMO; WMBD LIVING WELL - EVENT PROMO - HEART HEALTHY COOKING CLASS; COURTYARD ESTATES - BONE HEALTH/HEALTHY EATING FOR SENIORS. 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 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. MEASUREMENT AND PROGRESS FROM FY17: (1) ESTABLISH BASELINE OF PERSONAL WELLNESS PROFILES PERFORMED. PROGRESS FY17: SFMC ADULT BEHAVIORAL HEALTH PROGRAM CONDUCTED 5,375 PATIENT VISITS. CONSISTENT NUMBERS FROM 2016 AND AN INCREASE OF 1300 VISITS FROM 2015. PATIENT OUTCOMES REFLECT 90% OF PATIENTS REPORT AN IMPROVED LEVEL OF COPING IN THEIR LIFE AND 95% SHOW SIGNIFICANT REDUCTION OF DEPRESSION SYMPTOMS; CHOI DIRECTOR OF BUSINESS DEVELOPMENT IS A MEMBER OF THE OSF BEHAVIORAL HEALTH OPERATIONS COUNCIL WHICH MEETS MONTHLY TO PLAN AND IMPLEMENT TACTICS RELATED TO CARE COORDINATION AND TELE PSYCH; HELD PARENT TRAINING EVENT ON SUICIDE AWARENESS PRESENTED BY CHILD'S PSYCHIATRIST; PLANNED DISTRICT 150 STAFF TRAINING ON MENTAL HEALTH TO OCCUR FY 18 TO BE PRESENTED BY CHILD SYCHIATRIST. (2) ESTABLISH BASELINE OF PERCENTAGE OF DEPRESSION SCREENS PERFORMED ON INPATIENTS PER YEAR AT SFMC. PROGRESS FY2017: COLLABORATED WITH OSF MULTISPECIALTY GROUP TO PLAN ROLL OUT OF ROUTINE MENTAL HEALTH SCREENING IN PEDIATRIC PRACTICE DURING 2018. (3) ESTABLISH BASELINE OF PATIENTS TREATED BY SFMC ADULT BEHAVIORAL HEALTH PROGRAM PER YEAR. PROGRESS FY2017: HELD PARENT TRAINING EVENT ON SUICIDE AWARENESS PRESENTED BY CHILD PSYCHIATRIST; PLANNED DISTRICT 150 STAFF TRAINING ON MENTAL HEALTH TO OCCUR FY 18 TO BE PRESENTED BY CHILD PSYCHIATRIST; ADDITIONAL FAITH BASED NURSING PROGRAMS. (4) ESTABLISH BASELINE OF PATIENTS TREATED BY OSFMG BEHAVIORAL HEALTH PER YEAR. PROGRESS FY2017: ESTABLISHED BASELINE. RELATED ACCOMPLISHMENTS: IN COOPERATION WITH HEARTLAND HEALTHCARE CENTER, THE OSF PEDIATRIC SOCIAL WORKER FACILITATED TELE-PSYCHIATRY SERVICES FOR PEDIATRIC PATIENTS AND PARENTS TO ACCESS PSYCHIATRIC SERVICES AND MEDICATIONS. 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. 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 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. ACCESS TO HEALTH SERVICES GOAL: TO FACILITATE ACCESS TO APPROPRIATE MEDICAL SERVICES FOR RESIDENTS OF WINNEBAGO COUNTY; TO PROVIDE COORDINATED AND COLLABORATIVE EMS TRAINING THROUGHOUT THE WINNEBAGO COUNTY COMMUNITY. MEASUREMENT AND PROGRESS FROM FY2017: (1) THIRTY DAY ALL CAUSE READMISSION RATE OF PATIENTS DISCHARGED TO A SKILLED NURSING FACILITY. PROGRESS FY2017: TARGET 8% AT QUARTER 4 RESULTS WERE 8.43% (2) RATIO OF SAMC CAMPUS PROMPT CARE VISITS TO ED VISIT. PROGRESS FY2017: PROMPT CARE OPENED 4/19/18. (3) PERCENTAGE OF NEW PRIMARY CARE PATIENT APPOINTMENTS WITHIN 7 DAYS. PROGRESS FY2017: 3 YEAR TARGET 70%, END OF FY2017 - 44.02%. (4) NUMBER OF UNIQUE PRIMARY CARE PATIENTS SEEN. PROGRESS FY2017: PER QUARTER, Q1-66201; Q2-67088; Q3-67702; Q4-67243. (5) GROWTH RATE OF ON CALL VIRTUAL ED/PROMPT CARE VISITS. PROGRESS FY2017: 3931 ADDITIONAL PROGRESS FOR FY2017: OSF HEALING PATHWAYS CANCER RESOURCE CENTER - BASELINE # OF UNIQUE CLIENTS ACCESSING FREE SERVICES IN FY17 WAS 12 NEW CLIENTS PER QUARTER. MENTAL HEALTH GOAL: TO IMPROVE THE MENTAL HEALTH OF INDIVIDUALS LIVING WITHIN WINNEBAGO COUNTY. MEASUREMENT AND PROGRESS FROM FY2017: (1) SAMC READMISSION RATE OF PATIENTS WITH A MENTAL HEALTH ICD-10 CODES SEQUENCED ORDERED ONE THROUGH FIVE. PROGRESS FY2017: TARGET 8%, QUARTER 1-11.6%; QUARTER 2-11.1%; QUARTER 3-10.9%; QUARTER 4-10.9% (2) PERCENTAGE OF COMPLETED ANNUAL DEPRESSION SCREENS PERFORMED BY PRIMARY CARE) FY17 TARGET 76% - FY17 ACTUAL 83.9% (3) GROWTH RATE OF OSF ON CALL VIRTUAL ED/URGENT CARE VISITS. PROGRESS FY2017:3931 (4) RATIO OF PARTICIPANTS IN POST-PARTUM CLINICS TO DELIVERIES. PROGRESS FY2017: 37.2% OBESITY GOAL: PROVIDE OPPORTUNITIES TO COMBAT ADULT AND CHILDHOOD OBESITY. MEASUREMENT: NUMBER OF RESIDENTS RECEIVING NUTRITIONAL CONSULTS BY LICENSED PROVIDER. PROGRESS FY 2017: 810. MEASUREMENT AND PROGRESS FROM FY2017: (1) NUMBER OF PARTICIPANTS ACCESSING BASIC HEALTH SCREENING TESTS AT COMMUNITY EVENTS: PROGRESS FY2017: 243. (2) ADDITIONAL COLLABORATION INCLUDES BUT IS NOT LIMITED TO: COLLABORATION WITH LOCAL PLANT-A-ROW COLLECTION OF EXCESS FRESH PRODUCE FROM LOCAL GARDENS. IN FY17 WE INCREASED OUR TOTAL COLLECTION TO 1169 POUNDS. HMR TRACKS PARTICIPANTS WHO MEET/EXCEED NATIONAL CRITERIA EACH QUARTER IN THREE 4 WEEK WEIGHT LOSS PROGRAMS. 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. 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 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 FROM FY2017: (1)#OF LOCATIONS WHERE FLYERS REGARDING THE APPROPRIATE USE OF THE EMERGENCY ROOM ARE DISTRIBUTED AND/OR THE IMPORTANCE OF HAVING A MEDICAL HOME. PROGRESS FY2017: 22 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 FY2017: AS OF DECEMBER 2017, 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 FY2017: BASELINE ESTABLISHED IS 1,480 VISITS AT THE MEDICAL CENTER. (4) EXPLORE UTILIZING COMMUNITY HEALTH WORKERS IN McLEAN COUNTY. PROGRESS FY2017: COORDINATING APPROPRIATE ACCESS TO COMPREHENSIVE CARE (CAATCH) PILOT AT COMMUNITY HEALTH CARE CLINIC INITIATED JULY 2017; SEVEN REFERRALS FROM SJMC IN FY17 (2 MONTHS) TO ESTABLISH PATIENTS WITH PRIMARY CARE PROVIDERS. BEHAVIORAL HEALTH GOAL: BY 2020, REDUCE BEHAVIORAL HEALTH STIGMA TO INCREASE EARLIER ACCESS TO CARE MEASUREMENT AND PROGRESS FROM FY2017: (1) # OF MENTAL HEALTH FIRST AID COURSES SPONSORED BY SJMC. PROGRESS FY2017: SJMC HOSTED THREE COURSES FOR COMMUNITY MEMBERS. (2) # OF McLEAN COUNTY COMMUNITY MEMBERS TRAINED IN MENTAL HEALTH FIRST AID PER YEAR. PROGRESS FY2017: 76 COMMUNITY MEMBERS TRAINED AT EVENTS HOSTED AT SJMC (3) # OF CAMPAIGN MESSAGES, AND TYPES, AIMED AT REDUCING BEHAVIORAL HEALTH STIGMA. PROGRESS FY2017: CAMPAIGN SUBCOMMITTEE BEGAN MEETING IN 9/17 TO EXPLORE OFFERING A COLLABORATIVE BEHAVIORAL HEALTH CAMPAIGN. SJMC REPRESENTATIVES ARE PART OF THE PLANNING DISCUSSION. (4): ADVOCATE BROMENN MEDICAL CENTER AND SJMC WILL DEVELOP A PLAN IN 2017 TO TRAIN CLINICAL AND NON-CLINICAL STAFF IN MENTAL HEALTH FIRST AID. PROGRESS FY2017: SJMC IDENTIFIED AN EMPLOYEE WHO WILL ATTEND INSTRUCTOR TRAINING IN 2018. RELATED ACCOMPLISHMENTS: THERE WERE 2,556 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. 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 FROM FY17: (1) ESTABLISH A BASELINE FOR THE # OF FREE PROGRAMS/EVENTS PROMOTING PHYSICAL ACTIVITY IN THE COMMUNITY BY THE McLEAN COUNTY WELLNESS COALITION (MCWC). PROGRESS FY2017: 59 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 FY2017: 15,930 MEMBERS. THIS INCLUDED 3,363 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 FY2017: 22 PROGRAMS (4) ESTABLISH A BASELINE FOR THE NUMBER OF EMPLOYEES PARTICIPATING IN PROGRAMS PROMOTING PHYSICAL ACTIVITY IN THE WORKPLACE BY THE MCWC. PROGRESS FY17: 576 EMPLOYEES (5) WALK SCORES (BASELINE: BLOOMINGTON - 35; NORMAL - 36, WALKSCORE.COM, 2016). PROGRESS FY2017: 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. (7) # OF POUNDS OF PRODUCE DISTRIBUTED AT VEGGIE OASIS. PROGRESS FY2017: 5,200 POUNDS DISTRIBUTED. (8) # OF EVENTS WHERE HEALTHY VEGETABLE RECIPES ARE PROVIDED (BASELINE: 6 EVENTS, MCWC, 2016. PROGRESS FY2017: 7 EVENTS. RELATED ACCOMPLISHMENTS: 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. SJMC HAS TEN RAISED BEDS AND DONATED OVER 470 POUNDS OF FRESH VEGETABLES TO HOME SWEET HOME MINISTRIES, SUMMER 2017, TO USE AT THE BREAD FOR LIFE CO-OP. 1,951 PARTICIPANTS IN SJMC COMMUNITY PRESENTATIONS RELATED TO NUTRITION. 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. SJMC STAFF ASSISTED WITH REVISING THE CO-OP LAYOUT TO HIGHLIGHT HEALTHY FOOD OPTIONS. 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. 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 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 FROM FY17: (1) INCREASE PARTICIPATION: ADDITION OF ONE SCHOOL EACH YEAR TO HOST A HEALTHY EATING AND EXERCISE EDUCATIONAL EVENT. PROGRESS FY2017: HEALTHY KIDS EVENT HOSTED AT GALESBURG HIGH SCHOOL. (2): INCREASE PARTICIPATION: % OF MISSION PARTNER PARTICIPATION IN OSF4LIFE PROGRAM (% TBD) INCREASE PARTICIPATION: % OF COMMUNITY MEMBER'S PARTICIPATION IN COMMIT TO FIT CHALLENGE (BASELINE 30%). PROGRESS FY2017: MISSION PARTNER PARTICIPATION IN OSF4LIFE PROGRAM WENT WELL. (3) INCREASE PARTICIPATION: % OF COMMUNITY MEMBER'S PARTICIPATION IN COMMIT TO FIT CHALLENGE (BASELINE 30%). PROGRESS FY2017: COLLABORATED WITH THE YMCA ON THE COMMIT TO FIT CHALLENGE. 219 PARTICIPANTS. 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 FROM FY17: (1) INCREASE ACCESS: PROVIDE FLU SHOTS IN THE WORKPLACE TO DECREASE FLU HOSPITALIZATIONS AND SEVERITY OF FLU SYMPTOMS. PROGRESS FY2017: FLU SHOTS ADMINISTERED AT KING GRADE SCHOOL (2) INCREASE ACCESS: PROVIDE INTERPRETING SERVICES BY BREAKING DOWN LANGUAGE BARRIERS AND COMMUNICATE WITH NON-ENGLISH SPEAKERS PATIENTS. PROGRESS FY2017: THE PHONE INTERPRETER SYSTEM WAS USED A TOTAL OF 431 TIMES; THE VIDEO INTERPRETER SYSTEM WAS USED 13,003 MINUTES IN 2017. KNOX COUNTY UNMET NEEDS COMMITTEE HAS BEEN WORKING TO BRING COUNTY RESOURCES TOGETHER TO ESTABLISH A "ONE-STOP" SHOP TYPE OF RESOURCE FOR PEOPLE NEEDING ASSISTANCE. 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 FROM FY17: (1)INCREASE AWARENESS: RESOURCE LINK CARE COORDINATOR WILL MEET WITH ALL NEW PROVIDERS, SCHOOLS, AND OTHER SOCIAL SERVICES ABOUT SERVICES. PROGRESS FY2017: MET WITH SAFE HARBOR TO WORK OUT REFERRAL PROCESS FOR RESOURCE LINK; RESOURCE LINK PRESENTATION TO THE FOLLOWING GROUPS: PROVIDER MEETING IN KEWANEE, DISTRICT 205 SCHOOL, HENRY/STARK COUNTY SPECIAL EDUCATION DEPT., KNOX COMMUNITY HEALTH CENTER, YMCA SOLUTIONS PROGRAM STAFF, BIG BROTHER BIG SISTER, ADVISORY GROUP, KNOX COUNTY HUMAN SERVICE COUNCIL AND BRIDGEWAY. (1B) EDUCATION IN THE SCHOOLS ON PEDIATRIC DEPRESSION, PEDIATRIC ANXIETY, AND SUICIDE. (1C) PARTICIPATION IN THE BLUE RIBBON TASK FORCE: CHILD ABUSE PREVENTION GROUP. ATTENDED MULTIPLE MEETINGS FOR THE BLUE RIBBON TASK FORCE. (2) INCREASE ACCESS: FILL PRIMARY CARE BEHAVIORAL HEALTH PROVIDER POSITION. INCREASE AWARENESS: CONTINUE MARKETING AND DISTRIBUTING RESOURCE LINK AND 2-1-1 INFORMATION. PROGRESS FY2017: FOR CHILD ABUSE AWARENESS MONTH OSF IS DIRECTLY INVOLVED IN MANY OF THE EVENTS: PUTTING UP PIN WHEELS APRIL 3-7 TO HELP PROMOTE CHILD ABUSE AWARENESS OSF HAS COSPONSORED THE FREE MOVIE NIGHT ($250). WE HAD MULTIPLE OSF REPRESENTATIVES PRESENT FOR THE HANDS AROUND THE COURTHOUSE EVENT. 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 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 PROGRESS FROM FY17: (1) ESTABLISH A BASELINE FOR THE NUMBER OF PROGRAMS/EVENTS PROMOTING PHYSICAL ACTIVITY OFFERED BY OSF SAINT ANTHONY'S HEALTH CENTER. PROGRESS FY2017: EDUCATION EVENTS WITH PHYSICAL AND OCCUPATIONAL THERAPISTS WERE HELD AT COMMUNITY SITES, INCLUDING SPRING AND FALL HEALTH FAIR AT SENIOR SERVICES PLUS, ARGOSY EMPLOYEE HEALTH FAIR; RADIO BROADCAST ON HEART HEALTH AND NUTRITION; FIT & FLEXIBLE 6-WEEK PHYSICAL FITNESS PROGRAM. (2) DEVELOP A PROCESS TO INTRODUCE NUTRITIONAL EDUCATION/INFORMATION IN OSF SAINT ANTHONY'S PRIMARY CARE OFFICE. PROGRESS FY2017: CLINICIANS DOWNLOAD NUTRITIONAL GUIDANCE FOR PATIENTS, AS WELL AS DIRECT PATIENTS TO OSF HEALTHCARE HEALTH AND WELLNESS RESOURCES AND HEALTH CENTER LIBRARIES. (3) CONTINUALLY ADD COMMUNITY RESOURCE INFORMATION TO THE OSF SAINT ANTHONY'S WEBSITE. PROGRESS FY2017: UPDATES WERE MADE TO WEBSITE NUTRITION AND RECIPE RESOURCE TOOLS FOR ACCESS TO NUTRITIONAL VALUES IN RECIPES. (4) UTILIZE HEART CHECK STATION TO PROMOTE NUTRITIONAL AND FITNESS INFORMATION. PROGRESS FY2017: HEART HEALTH NUTRITION AND FITNESS MATERIALS WERE PLACED AT HEART CHECK STATION AT ALTON MALL. PROMOTION THROUGH SOCIAL MEDIA AND PRESS RELEASE. (5) HOST A FOOD DRIVE. PROGRESS FY2017: FOOD DRIVE HELD TO BENEFIT SALVATION ARMY. (6) WORKFORCE WELLNESS PLAN. PROGRESS FY2017: AN OSF 4LIFE WELLNESS FAIR WAS OFFERED TO MISSION PARTNERS. (7) NUMBER OF EVENTS AND PEOPLE AT OSF SAINT ANTHONY'S NUTRITION/EXERCISE EVENTS AND/OR OUTREACH PARTNERSHIPS IN THE COMMUNITY. PROGRESS FY2017: 242 FIT AND FLEXIBLE PARTICIPANTS. (8) NUMBER OF PATIENTS RECEIVING NUTRITION EDUCATION AND INFORMATION. PROGRESS FY2017: 192 WERE PROVIDED HEART HEALTH ON-SITE EDUCATION DURING AMERICAN HEART MONTH MEASUREMENT. (9) NUMBER OF VISITS TO WEBSITE, SOCIAL MEDIA AND HEART CHECK STATION RE: NUTRITION AND FITNESS MESSAGING. PROGRESS FY2017: 8721 VISITS WERE MADE TO THE HEART CHECK STATION IN 2017; (9B) 1013 VIDEO VIEWS ON FACEBOOK FOR HEALTHY HOLIDAY EATING WITH DIETITIAN. 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 FROM FY17: (1)ESTABLISH A BASELINE FOR THE NUMBER OF PROGRAMS/EVENTS FOR MENTAL HEALTH OFFERED BY OSF SAINT ANTHONY'S HEALTH CENTER. PROGRESS FY2017: PLANNING MEETING WITH MANAGER OF PSYCHOLOGICAL SERVICES RESULTED IN COMMUNITY OUTREACH ACTIVITIES FOR MENTAL HEALTH INCLUDING FREE COMMUNITY SCREENINGS FOR DEPRESSION AND ANXIETY, ALONG WITH TARGETED DISTRIBUTION OF MENTAL HEALTH EDUCATIONAL MATERIALS; AND A COMMUNITY EDUCATION PROGRAM FOR IMPROVING AND MAINTAINING MENTAL WELLNESS; SERIES OF LUNCH AND LEARN PROGRAMS WERE HELD TO INFORM MEDICAL PROVIDERS AND THE COMMUNITY OF RESOURCES AVAILABLE FOR BEHAVIORAL HEALTH AND WELLNESS; FLAIRE MAGAZINE ARTICLE ON STRESS MANAGEMENT; 1 LETTER TO NEWS EDITOR ON FIGHTING STIGMA; 1 NEWS COLUMN ON "WHAT IS THERAPY". (2) ESTABLISH A BASELINE FOR THE NUMBER OF PROGRAMS/EVENTS FOR SUBSTANCE ABUSE OFFERED BY OSF SAINT ANTHONY'S HEALTH CENTER. PROGRESS FY2017: EDUCATIONAL PROGRAM FOR THE COMMUNITY TARGETING ALCOHOL ABUSE FOR NATIONAL ALCOHOL AWARENESS MONTH - "RETHINKING DRINKING". FREE ALCOHOL SCREENINGS AND CONSULTATIONS FOR ADULTS WERE OFFERED IN APRIL 2017; DRUG FACTS MATERIALS DISTRIBUTED AT EMS FAMILY FAIR. (3) ESTABLISH A BASELINE FOR THE # PROGRAMS/EVENTS FOR TOBACCO USE OFFERED BY OSF SAINT ANTHONY'S HEALTH CENTER. PROGRESS FY2017: A SMOKING CESSATION PROGRAM WAS HELD IN CONJUNCTION WITH THE AMERICAN CANCER SOCIETY IN THE FIRST QUARTER OF 2017. (4) DEVELOP MENTAL HEALTH, SUBSTANCE ABUSE, TOBACCO USE MESSAGING AIMED AT REDUCING STIGMA/ABUSE/USE, DISTRIBUTING THROUGH SOCIAL MEDIA. PROGRESS FY2017: SOCIAL MEDIA MESSAGES FOR MENTAL HEALTH, SUBSTANCE ABUSE, AND ALCOHOL AWARENESS WERE DEVELOPED IN COLLABORATION WITH BEHAVIORAL HEALTH MANAGER. (5) ADD COMMUNITY RESOURCE INFORMATION TO THE OSF SAINT ANTHONY'S WEBSITE. PROGRESS FY2017: 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 FY2017: 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 FY2017: 229 REACHED THROUGH THESE MENTAL HEALTH PROGRAMS OFFERED IN 2017: 1 LUNCH AND LEARN WITH DR. SHANNON WALKER; 4 INFORMATIONAL TABLE EVENTS; 2 SCREENING DATES FOR DEPRESSION AND ANXIETY 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. 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 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 FROM FY2017: (1)TRACK NUMBER OF SCHOOLS WHO PARTICIPATE IN "FUEL UP" PROGRAMS. CURRENTLY FIVE PARTICIPATING. GOAL IS TO ADD TWO MORE SCHOOLS. PROGRESS FY2017: 5 SCHOOLS PARTICIPATING (2)TRACK NUTRITIONAL COUNSELING SESSIONS. PROGRESS FY2017: PROVIDED NUTRITIONAL CONSULTS TO 160 PATIENTS. (3) TRACK NUMBER OF NUTRITIONAL CLASSES. PROGRESS FY2017: HOSTED 22 SESSIONS (4) TRACK SPONSORSHIP OF COMMUNITY ACTIVITIES THAT SUPPORT ACTIVE LIFESTYLES. PROGRESS FY2017: PARTICIPATED IN 20 HEALTH FAIRS BEHAVIORAL HEALTH GOAL: IMPROVE ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES IN DELTA COUNTY MEASUREMENT AND PROGRESS FROM FY2017: (1) TRACK FUNDS PROVIDED TO PATHWAYS/CSS TO MAINTAIN MENTAL HEALTH SERVICES. PROGRESS FY2017: PROVIDED $3000 PER MONTH (2)COMPLETE BUSINESS CASE FOR PROVISION OF MENTAL HEALTH SERVICES WITHIN THE OSF MULTISPECIALTY GROUP IN DELTA COUNTY. PROGRESS FY2017: THIS IS IN THE PLANNING PHASES THROUGH BEHAVIORAL HEALTH SERVICES TO EMBED MENTAL HEALTH. (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 FY2017: 800 SUBSTANCE AGREEMENTS IN PLACE. (4) PARTNER WITH LOCAL PUBLIC SAFETY DEPARTMENT TO PLAN SEMI-ANNUAL OPIOID RECOVERY AND MEDICATION TAKE BACK EVENTS. PROGRESS FY2017: PARTICIPATED IN TWO STATEWIDE DRUG RECOVERY PROGRAMS THROUGH MICHIGAN OPEN. (5) CONTINUE ACTIVE PARTICIPATION IN DRUG ABUSE PREVENTION TASK FORCE. PROGRESS FY2017: CONTINUED ACTIVE PARTICIPATION IN LOCAL DRUG ABUSE PREVENTION TASK FORCE WITH SAVE COUNCIL AND COMMUNITIES THAT CARE COUNCIL. (6) TRACK NUMBER OF "LIFE RIDES" PROVIDED ON NEW YEAR'S EVE 2017/2018. PROGRESS FY2017: PROVIDED 500 "LIFE RIDES" ON NEW YEARS' EVE. 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 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 FROM FY2017: (1) INCREASED PARTICIPATION: ADDITION OF ONE NEW AREA SCHOOL PARTICIPATION IN A HEALTHY BEHAVIORS. PROGRESS FY2017: 4-H FAIR PARTICIPATION INCLUDING EDUCATION TO 70 CHILDREN ALONG WITH 20 PARTICIPANTS IN A 4-H SCIENCE DAY ADDRESSING THE BENEFITS OF EXERCISE AND HEALTHY BEHAVIORS; HEALTHY BEVERAGES PROGRAM PROVIDED TO 52 4-H MEMBERS AND THEIR PARENTS. (2) INCREASED PARTICIPATION: PERCENTAGE OF MISSION PARTNER PARTICIPATION IN THE OSF 4LIFE PROGRAM. PROGRESS FY2017: OSF MISSION PARTNERS PARTICIPATED IN ANNUAL RUN FOR RESPECT THROUGH PONTIAC HIGH SCHOOL. (3) INCREASED AWARENESS: HEALTHY BEHAVIOR EDUCATION AND/OR DEMONSTRATIONS AT 6 TO 10 COMMUNITY EVENTS ANNUALLY. PROGRESS FY2017: DIABETES SUPPORT GROUP MEETINGS HELD MONTHLY AVERAGING 10 TO 15 PARTICIPANTS PER MEETING. PRE-DIABETES CLASSES HELD THROUGHOUT THE YEAR. DIETITIAN PROVIDING NUTRITION EDUCATION SESSIONS TO VARIOUS COMMUNITY GROUPS THROUGHOUT THE YEAR. LIFE AFTER LOSS GROUP SESSIONS HELD TWO TIMES PER MONTH. HOSTED CHAMBER MIX AND MINGLE FOR 40 WITH FOCUS ON HEALTH AND WELLNESS EDUCATION. SPONSORED AND PROVIDED EDUCATION THROUGH GIVE AND GROW GARDEN IN FAIRBURY WITH HARVEST GOING TO AREA FOOD PANTRIES. ON SJH CAMPUS, IN COLLABORATION WITH UNITED WAY, ESTABLISHED AND COORDINATED THE GROWING WELL GARDEN WITH THE HARVEST OF 650 LBS. OF PRODUCE DISTRIBUTED TO AREA FOOD PANTRIES. FOOD COLLECTION DRIVE COORDINATED WITH MISSION PARTNER FOR DONATIONS TO LOCAL FOOD PANTRIES. PARTICIPATION AT SENIOR HEALTH FAIR AT EVEN GLOW LODGE WITH INFORMATION/EDUCATION ON PHYSICAL ACTIVITY AND DIABETES MANAGEMENT. WITH THE SAINT JAMES FOUNDATION, HOSTED TWO LIVE EVENTS WITH 150 WOMAN DISCUSSING HEALTHY LIFESTYLES. 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 FROM FY2017: (1) ADDITION OF ONE OSF ONSITE LOCATION FOR IHR COUNSELING SERVICES. PROGRESS FY2017: ADDED PONTIAC SAINT JAMES CAMPUS LOCATION FOR CO-LOCATION OF IHR COUNSELOR. TOTAL OF 424 CHILDREN SEEN IN 2017 AT ALL CO-LOCATION OSF LOCATIONS. (2) INCREASED ACCESS: 10% INCREASE IN PATIENT REFERRALS FROM OSF TO BEHAVIORAL HEALTHCARE PROVIDERS. PROGRESS FY2017: 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. (3) INCREASED AWARENESS: PARTICIPATION BY OSF MISSION PARTNERS AND OTHER COMMUNITY CAREGIVERS IN ONE TO TWO BEHAVIORAL HEALTH EDUCATION PROGRAMS ANNUALLY. PROGRESS FY2017: HELD MENTAL HEALTH TRAINING COURSE FOR OSF AND COMMUNITY EMS PROVIDERS. 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 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 FROM FY17: (1)TRACK NUMBER OF IMMUNIZATIONS GIVEN AT LOCAL SCHOOLS. PROGRESS FY2017: A TEAM OF CAREGIVERS ATTENDED LOCAL SCHOOL ENROLLMENTS TO EDUCATE AND OBTAIN AUTHORIZATIONS FOR FLU IMMUNIZATIONS. (2) MEASURE AND TRACK THE IMPACT ON SCHOOL ABSENCES DUE TO THE IMMUNIZATIONS. PROGRESS FY2017: ADMINISTERED 908 FREE FLU IMMUNIZATIONS TO SCHOOL AGED CHILDREN AND THEIR TEACHERS. (3) TRACK NUMBER OF PARTICIPANTS IN THE WELLNESS EDGE FOR KIDS. PROGRESS FY2017: A TEAM OF HEALTHCARE PROVIDERS SPENT TIME AT THE HOUSING AUTHORITY FOR THE WELLNESS EDGE SUMMER PROGRAM PROVIDING EDUCATION ON HEATHY BEHAVIORS. 54 HIGH RISK YOUTH PARTICIPANTS (4) TRACK NUMBER OF EDUCATIONAL AND LOCAL SPONSORSHIPS SUPPORTING PHYSICAL ACTIVITY AND HEALTHY EATING. PROGRESS FY2017: HOSTED A COMMUNITY EVENT "MUMS THE WORD" WITH A CARE PROVIDER SHARING PREVENTATIVE CARE EDUCATIONAL MATERIAL, 50 COMMUNITY PARTICIPANTS; ATHLETIC TRAINING SERVICES PROVIDED FOR SCHOOL ACTIVITIES TO PROVIDE EDUCATION AND ENSURE SAFETY OF STUDENT ATHLETES. HOSTED 5K RUN/WALK, 70 PARTICIPANTS. CHAIRED THE PREVENTATIVE INITIATIVE ADVISORY MADE UP OF A COMMUNITY COLLABORATIVE. (5) OFFER COMMUNITY LUNCH AND LEARNS AT LEAST TWICE A YEAR. PROGRESS FY2017: ) HOSTED MULTIPLE LUNCH & LEARN COMMUNITY EVENTS SUCH AS "LOVE YOUR HEART". (6) PROVIDE NUTRITION AND CONCUSSION EDUCATION STUDENT ATHLETES LEAST ONCE PER YEAR. PROGRESS FY2017: 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 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; ASSIST FAMILIES IN GAINING ACCESS TO COMMUNITY RESOURCES. MEASUREMENT AND PROGRESS FROM FY17: (1) TRACK COUNSELOR VISITS IN OSF MEDICAL GROUP-KEWANEE PROVIDING EARLY INTERVENTION DEPRESSION SCREENING AND SUPPORT. PROGRESS FY2017: RECRUITMENT OF BEHAVIORAL HEALTH COUNSELOR; 1A) ADDITION OF PSYCHIATRY E-CONSULTS FOR AMBULATORY PRIMARY CARE PROVIDERS; MANAGEMENT OF AGGRESSIVE BEHAVIOR EDUCATION FOR MISSION PARTNERS IN HIGH RISK AREAS. (2) PROVIDE 24 HOUR SITTER COVERAGE. PROGRESS FY2017: PROVIDED SITTER COVERAGE AND DESIGNATED SPECIFIC FTE'S TO ENSURE THE SAFETY OF AT RISK PATIENTS. (3) INCREASE COMMUNITY ENGAGEMENT (ATTENDANCE) AT MONTHLY SURVIVORS OF SUICIDE SUPPORT GROUP MEETINGS. PROGRESS FY2017: ACTIVE MEMBERS OF THE HENRY COUNTY MENTAL HEALTH ALLIANCE, WITH THE CHAIRPERSON BEING AN OSF SLMC MISSION PARTNER; 3A) PROVIDE MEETING ROOM FOR THE MONTHLY SURVIVORS OF SUICIDE LOSS SUPPORT GROUP; 3B) COLLABORATION WITH THE HENRY CO MENTAL HEALTH ALLIANCE FOR PLANNING A COMMUNITY EDUCATION DAY; 3C) SPONSOR OF THE 2017 HENRY COUNTY MENTAL HEALTH ALLIANCE MENTAL HEALTH WALK, APPROXIMATELY 350 COMMUNITY MEMBERS. (4) REDUCE BEHAVIORAL HEALTH RELATED EMERGENCY DEPARTMENT VISITS IMPACTED BY PREVENTIVE CARE AND EDUCATIONAL RESOURCES. PROGRESS FY2017: 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 FY2017: DEVELOPMENT OF A DRUG TAKE BACK PROGRAM; DRUG AND ALCOHOL TASK FORCE COMMUNITY COLLABORATIVE. 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 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 FROM FY17: (1) PROVIDE HEALTHY WEIGHT, HEALTHY YOU. PROGRESS FY2017: DEVELOPED PHASE II OF HEALTHY WEIGHT, HEALTHY YOU AND OFFERED 20 CLASSES THROUGHOUT THE YEAR. (2) OFFER HEALTH AND WELLNESS EDUCATION AT MONMOUTH COLLEGE. PROGRESS FY2017: PARTICIPATED IN 2 HEALTH FAIRS WITHIN THE COUNTY. (3) PARTICIPATE IN 2 AREA HEALTH FAIRS. PROGRESS FY2017: OFFERED MULTIPLE FLU SHOT CLINICS. (4) OFFER KIDS' SAFETY DAY. PROGRESS FY2017: OFFERED KIDS' SAFETY DAY. (5) OFFER A1C SCREENINGS AT 4 LOCAL EVENTS. PROGRESS FY2017: OFFERED A1C SCREENINGS ON 7 OCCASIONS. (6) DEVELOP AND IMPLEMENT HEALTHY WEIGHT...HEALTHY YOU PHASE II PROGRAM. OFFER 20 CLASSES WITHIN THE FISCAL YEAR. PROGRESS FY2017: OFFERED LUNCH AND LEARNS ON VARIOUS TOPICS TO THE COMMUNITY 4 TIMES THROUGHOUT THE YEAR. (7) OFFER TWO PODIATRY SCREENINGS. PROGRESS FY2017: OFFERED TWO PODIATRY SCREENINGS. (8) OFFER TWO DERMATOLOGY SCREENINGS. PROGRESS FY2017: OFFERED TWO DERMATOLOGY SCREENINGS. (9) PROVIDE EDUCATION IN AREA SCHOOLS FOUR TIMES IN THE FISCAL YEAR. PROGRESS FY2017: 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 FY2017: PROVIDED A MEN'S HEALTH EVENT THAT INCLUDED BLOOD SCREENINGS. PROVIDED WOMEN'S HEALTH EVENT INCLUDING A HEART HEALTHY TALK BY AN OSF CARDIOLOGIST. 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 FROM FY17: (1)MONMOUTH COLLEGE EDUCATION ON OSF ON-CALL, OFFER 2 PROGRAMS PER YEAR. PROGRESS FY2017: OFFERED EDUCATION AT MONMOUTH COLLEGE ON OSF ON-CALL DURING FRESHMAN ORIENTATION AND FAMILY WEEKEND. (2) WORK GROUP IN THE EMERGENCY DEPARTMENT WILL IDENTIFY THE TOP 20 ED USERS IN FY16 AND DROP THEIR ED USAGE BY 10%. PROGRESS FY2017: 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 IN FY 17. PROGRESS FY2017: 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 IN FY 17. PROGRESS FY2017: COMPLEX CASE MANAGEMENT CONTACTED 59 WARREN COUNTY RESIDENTS BY MARCH 2017. WE DISCONTINUED THE ONEROUS TASK OF COUNTING THE NUMBER OF CONTACTS, HOWEVER THE CASE MANAGER CONTINUED TO WORK ON CASES INVOLVING WARREN COUNTY RESIDENTS. (5) DISTRIBUTE 1500 CARDS IN THE COMMUNITY DESCRIBING THE PROPER CARE TO SEEK FOR COMMON HEALTH ISSUES. PROGRESS FY2017: SENT OUT APPROXIMATELY 1500 CARDS REGARDING THE PROPER POINT OF CARE TO COMMUNITY MEMBERS. HEART DISEASE GOAL: CREATE AN AWARENESS OF CARDIAC RELATED HEALTH ISSUES WITHIN THE COMMUNITY. MEASUREMENT AND PROGRESS FROM FY17: (1)PROVIDE 4 BLOOD PRESSURE SCREENINGS TO THE COMMUNITY. PROGRESS FY2017: OFFERED 4 BLOOD PRESSURE SCREENINGS TO THE COMMUNITY. (2) OFFER 2 PULSE OX AND HEART RATE SCREENINGS IN THE FISCAL YEAR. PROGRESS FY2017: OFFERED TWO PULSE OX AND HEART RATE SCREENINGS TO COMMUNITY. (3) INVESTIGATE THE OPPORTUNITY TO PROVIDE AED EDUCATION TO LOCAL SCHOOL DISTRICTS AND BUSINESS THAT HAVE THE EQUIPMENT. PROGRESS FY2017: LOCAL SCHOOLS WERE CONTACTED REGARDING THE NEED FOR AED TRAINING. THE RESULT WAS THAT THERE IS CURRENTLY NO NEED. (4) OFFER A "BREATHING EASY" PRESENTATION TO THE COMMUNITY. PROGRESS FY2017: THE DIRECTOR OF RESPIRATORY THERAPY CONDUCTED A BREATHING AND RESPIRATION PRESENTATION DURING ONE OF THE LUNCH AND LEARNS. (5) OFFER CARDIOLOGIST-LED EDUCATION TO THE COMMUNITY TWICE WITHIN THE FISCAL YEAR. PROGRESS FY2017: OFFERED CARDIOLOGIST EDUCATION TO THE COMMUNITY 2 TIMES DURING THE YEAR, ONE DURING THE WOMEN'S HEALTH EVENT, WHICH ALSO FOCUSED ON WOMEN'S HEART HEALTH. (6) DEVELOP AND PROMOTE HEART HEALTHY COOKING PROGRAM, TRACK ATTENDEES. PROGRESS FY2017: DEVELOPED A HEART HEALTHY COOKING PROGRAM ATTENDED BY 6 MEMBERS OF THE COMMUNITY. 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. 0 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 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 THE CORPORATION PROVIDES: -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 REQUESTED 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, AND IS NOT LOCATED WITHIN ONE OF THE SYSTEM'S FOUR REGIONS. SAINT ANTHONY'S - ALTON IS A DUAL CAMPUS (INCLUDING OSF SAINT CLARE HOSPITAL), SINGLE LICENSE, 173-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%. 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 $65,409,804 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 HEALTH CARE ACCESS AND TRANSPORTATION 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 $65,409,804 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 $12,859,231 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 Schedule H, Part V, Section B, Line 16a FAP website - SAINT FRANCIS MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - SAINT ANTHONY MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. JOSEPH MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. MARY MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - OSF SAINT ANTHONY'S HEALTH CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. FRANCIS HOSPITAL: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ PART; - SAINT JAMES HOSPITAL: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - OSF SAINT LUKE MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - OSF HOLY FAMILY MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website - SAINT FRANCIS MEDICAL CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - SAINT ANTHONY MEDICAL CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. JOSEPH MEDICAL CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. MARY MEDICAL CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - OSF SAINT ANTHONY'S HEALTH CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. FRANCIS HOSPITAL: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ PART; - SAINT JAMES HOSPITAL: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - OSF SAINT LUKE MEDICAL CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - OSF HOLY FAMILY MEDICAL CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - SAINT FRANCIS MEDICAL CENTER: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - SAINT ANTHONY MEDICAL CENTER: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. JOSEPH MEDICAL CENTER: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. MARY MEDICAL CENTER: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - OSF SAINT ANTHONY'S HEALTH CENTER: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. FRANCIS HOSPITAL: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - SAINT JAMES HOSPITAL: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - OSF SAINT LUKE MEDICAL CENTER: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - OSF HOLY FAMILY MEDICAL CENTER: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; 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 APPLICATION FORM WITH INSTRUCTIONS AND THE PLAIN LANGUAGE SUMMARY IS 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 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 - ROCKFORD OPERATES 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 CURRENTLY OPERATES 137 ACUTE CARE BEDS AND 12 SKILLED NURSING BEDS. 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, 2017 FOR IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH IN THE FOLLOWING WAYS: -CAPITAL EXPENDITURES OF APPROXIMATELY $167,671,000 WERE MADE DURING THE FISCAL YEAR FOR CONSTRUCTION AND RENOVATION OF PATIENT CARE FACILITIES AND ACQUISITION OF MEDICAL EQUIPMENT AND OTHER EQUIPMENT USED IN PATIENT CARE AND RELATED SUPPORT SERVICES. -THE CORPORATION INCURRED NET COSTS (EXPENSES MINUS REVENUES) OF APPROXIMATELY $47,788,186 DURING THE FISCAL YEAR FOR ACCREDITED PHYSICIAN RESIDENCY PROGRAMS AND NET COSTS OF APPROXIMATELY $8,334,284 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 $1,339,236 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 POLICY 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., WHICH PROVIDES HOME INFUSION AND DURABLE MEDICAL EQUIPMENT SERVICES, MOBILE MEDICAL IMAGING SERVICES, MEDICAL EQUIPMENT MAINTENANCE AND REPAIR SERVICES, MEDICAL STAFFING SERVICES, BILLING SERVICES, AND OTHER SERVICES IN SUPPORT OF THE AFFILIATED HEALTH CARE SYSTEM. -OSF AVIATION, LLC, WHICH IS AN FAA PART 135 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 MULTISPECIALTY GROUP - PEORIA, LLC, WHICH PROVIDES PEDIATRIC CARDIOLOGY PHYSICIAN SERVICES IN CENTRAL ILLINOIS - EFFECTIVE UNTIL DECEMBER 31, 2016. THESE PROVIDERS AND SERVICES AFTER DECEMBER 31, 2016 ARE PROVIDED UNDER OSF MULTI-SPECIALTY GROUP WHICH IS A SEPARATE CORPORATION OF WHICH OSF HEALTHCARE SYSTEM IS THE SOLE MEMBER. -ILLINOIS NEUROLOGICAL INSTITUTE - PHYSICIANS, LLC, WHICH PROVIDES PHYSICIAN NEUROSURGERY SERVICES IN CENTRAL ILLINOIS EFFECTIVE UNTIL DECEMBER 31, 2016. THESE PROVIDERS AND SERVICES AFTER DECEMBER 31, 2016 ARE PROVIDED UNDER OSF MULTI-SPECIALTY GROUP. -HEARTCARE MIDWEST, LTD., WHICH PROVIDES CARDIOLOGY AND CARDIOVASCULAR SUGERY PHYSICIAN SERVICES IN CENTRAL ILLINOIS. THESE PROVIDERS AND SERVICES AFTER DECEMBER 31, 2016 ARE PROVIDED UNDER OSF MULTI-SPECIALTY GROUP. -CARDIOVASCULAR INSTITUTE AT OSF, LLC, WHICH PROVIDES CARDIOLOGY AND CARDIOVASCULAR SURGERY PHYSICIAN SERVICES IN PARTS OF NORTHERN ILLINOIS EFFECTIVE UNTIL DECEMBER 31, 2016. THESE PROVIDERS AND SERVICES AFTER DECEMBER 31, 2016 ARE PROVIDED UNDER OSF MULTI-SPECIALTY GROUP. -OSF MULTISPECIALTY GROUP - EASTERN REGION, LLC, WHICH PROVIDES PRIMARY AND SPECIALTY PHYSICIAN SERVICES IN PARTS OF CENTRAL ILLINOIS EFFECTIVE UNTIL DECEMBER 31, 2016. THESE PROVIDERS AND SERVICES AFTER DECEMBER 31, 2016 ARE PROVIDED UNDER OSF MULTI-SPECIALTY GROUP. -ILLINOIS PATHOLOGIST SERVICES, LLC, WHICH PROVIDES PROFESSIONAL PATHOLOGY SERVICES IN PARTS OF NORTHERN ILLINOIS. -ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF, LLC, WHICH PROVIDES PULMONOLOGY AND CRITICAL CARE PHYSICIAN SERVICES IN CENTRAL ILLINOIS EFFECTIVE UNTIL DECEMBER 31, 2016. THESE PROVIDERS AND SERVICES AFTER DECEMBER 31, 2016 ARE PROVIDED UNDER OSF MULTI-SPECIALTY GROUP. -OSF PERINATAL ASSOCIATES, LLC, WHICH PROVIDES MATERNAL FETAL MEDICINE PHYSICIAN SERVICES IN CENTRAL ILLINOIS EFFECTIVE UNTIL DECEMBER 31, 2016. THESE PROVIDERS AND SERVICES AFTER DECEMBER 31, 2016 ARE PROVIDED UNDER OSF MULTI-SPECIALTY GROUP. -OSF MULTISPECIALTY GROUP - WESTERN REGION, LLC, WHICH PROVIDES PRIMARY AND SPECIALTY PHYSICIAN SERVICES IN WESTERN ILLINOIS EFFECTIVE UNTIL DECEMBER 31, 2016. THESE PROVIDERS AND SERVICES AFTER DECEMBER 31, 2016 ARE PROVIDED UNDER OSF MULTI-SPECIALTY GROUP. -OSF CHILDREN'S MEDICAL GROUP- CONGENITAL HEART CENTER, LLC WHICH PROVIDES PEDIATRIC CARE FOR CARDIOVASCULAR ILLNESSES IN NORTHERN ILLINOIS EFFECTIVE UNTIL DECEMBER 31, 2016. THESE PROVIDERS AND SERVICES AFTER DECEMBER 31, 2016 ARE PROVIDED UNDER OSF MULTI-SPECIALTY GROUP. -PREFERRED EMERGENCY PHYSICIANS OF ILLINOIS, LLC WHICH PROVIDES PHYSICIAN COVERAGE FOR EMERGENCY DEPARTMENTS EFFECTIVE UNTIL DECEMBER 31, 2016. THESE PROVIDERS AND SERVICES AFTER DECEMBER 31, 2016 ARE PROVIDED UNDER OSF MULTI-SPECIALTY GROUP. -SAINT ANTHONY PHYSICIAN GROUP WHICH PROVIDES A VARIETY OF GENERAL AND SPECIALTY PHYSICIANS SERVICES IN ALTON, ILLINOIS. -Institute of Physical Medicine & Rehabilitation (IPMR) which provides rehabilitation therapy services throughout Illinois. Schedule H, Part VI, Line 7 State filing of community benefit report IL, MI true Heartland Community Healthcare 1701 W Garden Street Peoria IL 61605 371270794 501(c) 3 375000 0 N/A N/A Support of Clinic Operation University of Illinois 1 Illini Drive Peoria IL 61605 376000511 501(c) 3 312533 0 N/A N/A Support of Clinic Operation Illinois Wesleyan University 1312 Park Street Bloomington IL 61701 370662594 501(c)3 50000 0 N/A N/A Support of Org Operations Wildlife Prairie State Park 3826 N Taylor Road Hanna City IL 61536 208064678 501(c)3 50000 0 N/A N/A Support of Org Operations Downtown Development Corporation of Peoria 820 SW Adams Street Suite 1A Peoria IL 61602 464486780 501(c)3 35000 0 N/A N/A Support of Org Operations Greater Livingston County Economic Development Council 210 W Water Street Pontiac IL 61794 382488748 501(c)3 25000 0 N/A N/A Support of Org Operations Greater Peoria Economic Development Council 100 SW Water Steet Peoria IL 61602 371104504 501(c)3 25000 0 N/A N/A Support of Org Operations Rosecrance Incorporated 1601 N Universtiy Drive Rockford IL 611075317 363874007 501(c)3 20000 0 N/A N/A Support of Org Operations Rockford Area Economic Development Council 100 Park Avenue Suite 100 Rockford IL 61101 363055858 501(c)3 12000 0 N/A N/A Support of Org Operations Ottawa Kiwanis Foundation NFP 801 Evans Street Ottawa IL 61350 475206350 501(c)3 10000 0 N/A N/A Support of Org Operations Morton Economic Development Council 415 W Jefferson Street Morton IL 61550 370856139 501(c)3 5000 0 N/A N/A Support of Org Operations 11 0 SCHOLARSHIPS 126 234177 0 N/A N/A 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 Kevin D Schoeplein Vice Chairperson CEO 1153478 0 637523 0 66528 0 242607 0 20246 0 2120382 0 0 0 Gerald J McShane MD Board Member 657198 0 117268 0 22964 0 55100 0 17689 0 870219 0 0 0 Daniel E Baker Former CFO 521345 0 74599 0 11369 0 148593 0 24106 0 780012 0 0 0 Michael M Allen CFO 507450 0 108966 0 1455 0 16294 0 25399 0 659563 0 0 0 Anthony M Avellino MD CEO NSSL/INI 857769 0 229456 0 2105 0 36550 0 24465 0 1150346 0 0 0 Kenneth E Berkovitz MD CEO CVSL 688458 0 122329 0 3595 0 24621 0 4430 0 843433 0 0 0 Robert L Brandfass SVP Chief Legal Officer 479749 0 89078 0 9821 0 36550 0 24004 0 639201 0 0 0 Michelle D Conger Chief Strategy Officer 394837 0 69642 0 7956 0 17957 0 22728 0 513121 0 0 0 John R Evancho SVP Chief Compliance Officer 235021 0 43111 0 7906 0 21898 0 25126 0 333062 0 0 0 Thomas G Hammerton President OSF Healthcare Foundation Chief Development Officer 311676 0 56035 0 50191 0 31978 0 13816 0 463695 0 0 0 Stephen E Hippler MD Chief Clinical Officer 443207 0 78446 0 2351 0 55100 0 22759 0 601863 0 0 0 John C Horne SVP Chief Supply Chain Officer 329119 0 59451 0 8159 0 26427 0 22685 0 445840 0 0 0 Divya-Devi Joshi CEO Children SL 473984 0 78103 0 35 0 13250 0 9389 0 574761 0 0 0 James J Mormann Chief Information Officer 466145 0 83399 0 8532 0 36550 0 24184 0 618809 0 0 0 Kenneth J Natzke CEO East Region 484869 0 85959 0 20035 0 43685 0 19078 0 653625 0 0 0 David A Schertz CEO Northern Region 547227 0 98325 0 11619 0 37100 0 19619 0 713890 0 0 0 Robert C Sehring CEO Central Region 591542 0 105442 0 18493 0 41591 0 24365 0 781433 0 0 0 Jeffry M Tillery SVP Chief Transformation Officer 448552 0 80335 0 2373 0 54860 0 18956 0 605075 0 0 0 Lori L Wiegand Chief Nursing Officer 339031 0 60740 0 9007 0 51031 0 19032 0 478841 0 0 0 Leon A Yeh MD VP CMO Emergency Serv 478750 0 89640 0 46 0 33441 0 23077 0 624954 0 0 0 Iftekhar U Ahmad MD Physician 536391 0 254261 0 46 0 15900 0 24295 0 830894 0 0 0 Mete Korkmaz MD Oncologist 594837 0 43427 0 9447 0 41850 0 23007 0 712568 0 0 0 James L McGee MD Physician 893266 0 50000 0 187 0 48773 0 19799 0 1012026 0 0 0 Richard E Nora MD Med Dir Oncology 452510 0 145852 0 114 0 46529 0 39 0 645045 0 0 0 Anthony C Zalduendo MD Physician 598242 0 35000 0 87 0 41850 0 21268 0 696447 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 2016, 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 2016, THE FOLLOWING CONTRIBUTIONS WERE MADE BY OSF HEALTHCARE SYSTEM TO THE PLAN: KEVIN D. SCHOEPLEIN - $187,507 DANIEL E. BAKER - $93,493 DURING 2016, NO DISTRIBUTIONS WERE MADE BY OSF HEALTHCARE SYSTEM FROM THE PLAN: KEVIN D. SCHOEPLEIN - $0 DANIEL E. BAKER - $0 A ILLINOIS FINANCE AUTHORITY 861091967 45203HVM1 461801780 SEE PART VI true false false B ILLINOIS FINANCE AUTHORITY 861091967 45200FWG0 249074230 SEE PART VI true false false C ILLINOIS FINANCE AUTHORITY 861091967 000000000 2009-08-18 70000000 SEE PART VI false false false D ILLINOIS FINANCE AUTHORITY 861091967 45200F3R8 158535888 SEE PART VI true false false A 222095000 112905000 485781136 17375881 3322101 8846375 289191716 167045063 2010 true false true true B 41825000 83165000 254007670 24929 3114441 126677 4908239 245833384 true false true true C 53500000 70045713 70045713 2010 false false true true D 16430000 100710000 160224909 2080352 42207813 115936744 2010 true false 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 true true B false false false true true true MERRILL LYNCH 30.0 false false false false true C false false false true true 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 F 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 F 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 F ILLINOIS FINANCING AUTHORITY - 08/18/2009 NO CUSIP# (PRIVATE PLACEMENTS) The Corporation used the proceeds of the Series 2009EFG for the acquisition and implementation of an EPIC electronic medical records system and other hospital information systems, and other capital improvements to the Illinois hospital facilities. Schedule K, Part I, Column (f) SCH K, PART I, COL F 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 F 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 F 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 2009 bond issue in a refinancing for funded interest, debt service reserve and project funds. All such proceeds were reflected as being expended in this issue at the original amount. In 2010 , $1,798,674.21 was transferred from the 2007 bond issue to to the 2010 bond issue in a refinancing for, debt service reserve funds. All such proceeds were reflected as being expended in this 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 - 2009E-G Original issue price was $70,000,000. Investment earnings were $45,713 for total proceeds reported of $70,045,713. 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 $1,689,915 for total proceeds reported of $394,434,043. 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 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 06/03/2014 Schedule K, Part IV, Line 2c COLUMN D 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 A Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 03/15/2017 A ILLINOIS FINANCE AUTHORITY 861091967 45203HLH3 191360304 SEE PART VI false false false B ILLINOIS FINANCE AUTHORITY 861091967 45203H5F5 392744128 SEE PART VI false false false C ILLINOIS FINANCE AUTHORITY 861091967 45204EMD7 121790760 SEE PART VI false false false A 8000000 191360308 2402590 15813583 173144135 2012 true true true true B 394434043 6104573 169584084 4151415 2198767 103511598 232181283 62597406 true true false true C 121790793 114814720 1549068 120241725 false 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 A false false false true false false false false true B false true false false false false false false true C false true false false false false false false true A true B true C true Jennifer Uphoff Family Member - Jeffry M. Tillery - Officer 60698 Employment false Matthew Sehring Family Member - Robert Sehring - Officer 86837 Employment false Ryan Sehring Family Member - Robert Sehring - Officer 56966 Employment false David McGrew Family Member - Sister Diane Marie McGrew, O.S.F - Board Member 154283 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, SPRIRITUAL, 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 $ 223,245,189 including grants of $ 1,153,710)(Revenue $ 109,341,510) 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 All other revenue - Total Revenue: 17137505, Related or Exempt Function Revenue: 17137505, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Catering - Total Revenue: 94279, Related or Exempt Function Revenue: , Unrelated Business Revenue: 94279, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Farming - Total Revenue: 51060, Related or Exempt Function Revenue: , Unrelated Business Revenue: 30803, Revenue Excluded from Tax Under Sections 512, 513, or 514: 20257; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN UNREALIZED MARKET VALUE OF SWAPS - 21679579; NET ASSETS RELEASED FROM RESTRICTION - -4542716; INCREASE IN PERMANENTLY RESTRICTED ASSETS - 14273799; REVERSAL OF MINIMUM PENSION LIABILITY - 69727667; SFI & SUBSIDIAIRY INCOME - 8850691; MINORITY INTEREST - -4918657; EQUITY TRANSFERS - -XXX-XX-XXXX; INVESTMENT RETURN - 5750154; NET SETTLEMENT OF DERIVATIVE INSTRUMENT - 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