OSF HEALTHCARE SYSTEM: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: OSF HEALTHCARE SYSTEM (EIN 37-0813229)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-15
IRS object ID: 201712279349301641
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-08-15T11:11:23-05:00	ReturnTs
Tax Period End	2016-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	191 West Nationwide Blvd Ste 500	AddressLine1Txt
City	Columbus	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	432152568	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	370813229	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% Mr Michael Allen	InCareOfNm
Business Name Control	OSFH	BusinessNameControlTxt
Phone	3096552850	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 NE GLEN OAK AVE	AddressLine1Txt
City	PEORIA	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	616032300	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SISTER DIANE MARIE MCGREW	PersonNm
Person Title	TREASURER	PersonTitleTxt
Signature	2017-08-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MOLLIE P LONGHOUSE	PreparerPersonNm
PTIN	P00294881	PTIN
Phone	6142492300	PhoneNum
Preparation	2017-08-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL ALLEN	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$2,095,822,950	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.OSFHEALTHCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1880	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	16974	TotalEmployeeCnt
Total Volunteers	1854	TotalVolunteersCnt
Total Gross UBI	$5,858,328	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,921,513	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,379,529	PYContributionsGrantsAmt
CY Contributions Grants	$10,048,687	CYContributionsGrantsAmt
PY Program Service Revenue	$2,056,021,174	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,996,642,668	CYProgramServiceRevenueAmt
PY Investment Income	$32,332,165	PYInvestmentIncomeAmt
CY Investment Income	$36,107,561	CYInvestmentIncomeAmt
PY Other Revenue	$61,836,476	PYOtherRevenueAmt
CY Other Revenue	$50,838,093	CYOtherRevenueAmt
PY Total Revenue	$2,161,569,344	PYTotalRevenueAmt
CY Total Revenue	$2,093,637,009	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,580,471	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,464,782	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,057,125,886	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$952,412,423	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$6,008,519	CYTotalFundraisingExpenseAmt
PY Other Expenses	$888,968,263	PYOtherExpensesAmt
CY Other Expenses	$882,155,277	CYOtherExpensesAmt
PY Total Expenses	$1,947,674,620	PYTotalExpensesAmt
CY Total Expenses	$1,836,032,482	CYTotalExpensesAmt
PY Revenues Less Expenses	$213,894,724	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$257,604,527	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,078,467,872	TotalAssetsBOYAmt
Total Assets EOY	$3,190,122,606	TotalAssetsEOYAmt
Total Liabilities BOY	$2,073,361,611	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,174,363,096	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,005,106,261	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,015,759,510	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	See Schedule O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$579,946,276	ExpenseAmt
Grant	$1,160,174	GrantAmt
Revenue	$907,268,145	RevenueAmt
Desc	INPATIENT SERVICES - SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$575,924,158	ExpenseAmt
Revenue	$897,711,981	RevenueAmt
Desc	OUTPATIENT SERVICES - SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$35,449,478	ExpenseAmt
Revenue	$102,930,800	RevenueAmt
Desc	PHYSICIAN SERVICES - SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$318,074,281	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$304,608	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$127,026,685	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,509,394,193	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	634	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	16974	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	Yes (true)	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Mr Michael Allen	PersonNm
Phone	3096557708	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 NE Glen Oak Ave	AddressLine1Txt
City	Peoria	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61603	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GERALD J MCSHANE MD
BOARD MEMBER	37.0	4.0	Yes (X)	$776,476	$0	$49,808
KEVIN D SCHOEPLEIN
VICE CHAIRPERSON, CEO	37.0	4.0	Yes (X)	$1,839,068	$0	$51,216	Yes (X)
SISTER AGNES JOSEPH WILLIAMS
ASSISTANT SECRETARY	36.0	5.0	Yes (X)	$4,880	$0	$0	Yes (X)
SISTER DIANE MARIE MCGREW OSF
PRESIDENT/TREASURER	36.0	5.0	Yes (X)	$4,880	$0	$0	Yes (X)
SISTER JUDITH ANN DUVALL OSF
CHAIRPERSON	37.0	4.0	Yes (X)	$4,880	$0	$0	Yes (X)
SISTER ROSE THERESE MANN OSF
BOARD MEMBER	37.0	4.0	Yes (X)	$0	$0	$0
SISTER THERESA ANN BRAZEAU
SECRETARY	37.0	4.0	Yes (X)	$4,880	$0	$0	Yes (X)
SISTER M MIKELA MEIDL FSGM
BOARD MEMBER	37.0	4.0	Yes (X)	$0	$0	$0
BRIAN J SILVERSTEIN MD
BOARD MEMBER	38.0	3.0	Yes (X)	$45,000	$0	$0
JAMES W GIRARDY MD
BOARD MEMBER	39.0	2.0	Yes (X)	$0	$0	$0
SISTER MARIA ELENA PADILLA
BOARD MEMBER	39.0	2.0	Yes (X)	$0	$0	$0
MICHAEL ALLEN
CFO	40.0	1.0		$143,106	$0	$10,170	Yes (X)
DANIEL R FASSETT MD
PHYSICIAN, NEUROSURGERY	40.0	0.0		$1,607,327	$0	$18,336		Yes (X)
JEFFREY D KLOPPENSTEIN MD
PHYSICIAN, NEUROSURGERY	40.0	0.0		$1,230,393	$0	$34,698		Yes (X)
ANTHONY m AVELlINO MD
PHYSICIAN, NEUROSURGERY	40.0	0.0		$1,146,604	$0	$35,145		Yes (X)
JON c MICHEL md
PHYSICIAN, PULMONOLOGIST	40.0	0.0		$1,010,821	$0	$28,457		Yes (X)
SUDHIR MUNGEE md
PHYSICIAN, CARDIOLOGIST	40.0	0.0		$1,007,845	$0	$34,698		Yes (X)
DANIEL E BAKER
former cfo	40.0	0.0		$670,310	$0	$53,547			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,496,470	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$316,075	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1442	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UNIV OF IL COLLEGE OF MEDICINE
PO BOX 4196	SPRINGFIELD	IL	627084196	TEACHING PHYSICIANS	$23,314,985
POINTCORE NETWORK SERVICES LLC
222 3RD AVE SUITE 600	CEDAR RAPIDS	IA	52401	IT SERVICES	$3,570,551
HINSHAW CULBERTSON LLP
8142 SOLUTIONS CENTER DR	CHICAGO	IL	606778001	LEGAL	$2,884,271
PEPPER HAMILTON LLP
300 TWO LOGAN SQUARE	PHILADELPHIA	PA	191032799	LEGAL	$2,875,015
ASSOC ANESTHESIOLOGISTS SC
8600 N STATE RT 91 SUITE 250	PEORIA	IL	616159452	ANESTHESIOLOGY SVS	$2,210,925

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	91	CntrctRcvdGreaterThan100KCnt
Related Organizations	$7,917,784	RelatedOrganizationsAmt
Government Grants	$1,892,422	GovernmentGrantsAmt
All Other Contributions	$238,481	AllOtherContributionsAmt
Total Contributions	$10,048,687	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	900099	$1,984,364,601	$1,984,364,601
CONSULTING REVENUE	900099	$6,419,739		$6,419,739
LAB	621500	$4,974,296			$4,974,296
AFFILIATED PURCHASING PROGRAM	561499	$589,753			$589,753
INTEREST	900099	$180,047			$180,047

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$114,232	TotalRevenueColumnAmt
Unrelated Business Revenue	$114,232	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,996,642,668	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,087,773	TotalRevenueColumnAmt
Exclusion	$36,087,773	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,451,024	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,185,941	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$265,083	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$265,083	TotalRevenueColumnAmt
Exclusion	$265,083	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$19,788	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$19,788	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,788	TotalRevenueColumnAmt
Exclusion	$19,788	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
TUITION	900099	$13,355,923	$13,355,923
CONTRACT PHARMACY	900099	$8,361,217	$8,361,217
CONTRACT SERVICES	900099	$4,493,365	$4,493,365

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,362,505	TotalRevenueColumnAmt
Related Or Exempt Func Income	$24,362,505	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$50,573,010	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,093,637,009	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,034,937,611	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,858,328	UnrelatedBusinessRevenueAmt
Exclusion	$42,792,383	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,160,174	TotalAmt
Program Services	$1,160,174	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$304,608	TotalAmt
Program Services	$304,608	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,355,855	TotalAmt
Management And General	$3,355,855	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$729,587,391	TotalAmt
Program Services	$600,746,805	ProgramServicesAmt
Management And General	$128,806,745	ManagementAndGeneralAmt
Fundraising	$33,841	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$54,448,708	TotalAmt
Program Services	$42,265,803	ProgramServicesAmt
Management And General	$12,182,905	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$113,360,784	TotalAmt
Program Services	$97,530,704	ProgramServicesAmt
Management And General	$15,830,080	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$51,659,685	TotalAmt
Program Services	$41,200,923	ProgramServicesAmt
Management And General	$10,458,762	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,764,618	TotalAmt
Program Services	$285,801	ProgramServicesAmt
Management And General	$7,478,817	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$653,127	TotalAmt
Program Services	$519,132	ProgramServicesAmt
Management And General	$133,995	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$85,430,653	TotalAmt
Program Services	$76,264,304	ProgramServicesAmt
Management And General	$9,166,349	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$7,349,555	TotalAmt
Program Services	$428,089	ProgramServicesAmt
Management And General	$6,921,255	ManagementAndGeneralAmt
Fundraising	$211	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,414,042	TotalAmt
Program Services	$8,336,043	ProgramServicesAmt
Management And General	$6,002,990	ManagementAndGeneralAmt
Fundraising	$75,009	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$26,291,359	TotalAmt
Program Services	$2,499,429	ProgramServicesAmt
Management And General	$23,791,930	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,643,093	TotalAmt
Program Services	$13,936,969	ProgramServicesAmt
Management And General	$703,475	ManagementAndGeneralAmt
Fundraising	$2,649	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,468,857	TotalAmt
Program Services	$4,171,056	ProgramServicesAmt
Management And General	$2,294,546	ManagementAndGeneralAmt
Fundraising	$3,255	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,474,570	TotalAmt
Program Services	$1,102,392	ProgramServicesAmt
Management And General	$1,369,573	ManagementAndGeneralAmt
Fundraising	$2,605	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$36,194,447	TotalAmt
Program Services	$4,777,684	ProgramServicesAmt
Management And General	$31,416,763	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	-$22,934,236	TotalAmt
Program Services	-$11,854,011	ProgramServicesAmt
Management And General	-$11,080,225	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$89,372,943	TotalAmt
Program Services	$64,515,639	ProgramServicesAmt
Management And General	$24,857,304	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$17,899,779	TotalAmt
Program Services	$17,316,222	ProgramServicesAmt
Management And General	$583,557	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES	$308,242,418	$307,353,213	$711,837	$177,368
EQUIP RENTAL & MAINT	$158,323,267	$128,909,991	$29,330,413	$82,863
BAD DEBT	$55,394,901	$55,394,901
MEDICAID FEES	$50,445,466	$50,445,466

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,726,418	TotalAmt
Program Services	$1,782,856	ProgramServicesAmt
Management And General	$16,312,844	ManagementAndGeneralAmt
Fundraising	$5,630,718	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,836,032,482	TotalAmt
Program Services	$1,509,394,193	ProgramServicesAmt
Management And General	$320,629,770	ManagementAndGeneralAmt
Fundraising	$6,008,519	FundraisingAmt

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

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$8,160,929	TotalAmt
Program Services	$7,936,903	ProgramServicesAmt
Management And General	$224,026	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$303,450,395	BOYAmt
EOY	$112,431,561	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$389,422,978	BOYAmt
EOY	$408,730,834	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$26,320,539	BOYAmt
EOY	$29,391,468	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$38,173,880	BOYAmt
EOY	$40,600,329	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,121,562,541	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,189,978,110	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$874,638,644	BOYAmt
EOY	$931,584,431	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$946,078,388	BOYAmt
EOY	$1,142,872,839	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$41,807,367	BOYAmt
EOY	$63,134,042	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$27,587,783	BOYAmt
EOY	$27,590,238	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$430,987,898	BOYAmt
EOY	$433,786,864	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,078,467,872	BOYAmt
EOY	$3,190,122,606	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$289,707,375	BOYAmt
EOY	$234,195,614	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,099,184,657	BOYAmt
EOY	$1,113,917,399	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$684,469,579	BOYAmt
EOY	$826,250,083	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,073,361,611	BOYAmt
EOY	$2,174,363,096	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$937,430,687	BOYAmt
EOY	$924,832,492	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$39,482,239	BOYAmt
EOY	$54,901,623	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,193,335	BOYAmt
EOY	$36,025,395	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,005,106,261	BOYAmt
EOY	$1,015,759,510	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,078,467,872	BOYAmt
EOY	$3,190,122,606	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$257,604,527	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$58,839,616	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$305,790,894	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$678,845	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$678,845	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Mailing Expenses	FormAndLineReferenceDesc
Explanation	Form 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 EXPENDITURES RELATED TO MAILING IS MINOR AND THE ACTUAL DOLLAR AMOUNT IS NOT READILY AVAILABLE. LEGISLATIVE CONTACTS PART II-B, LINE 1G SCHEDULE C, PART II-B, LINe 1G INCLUDES LOBBYING EXPENSES PAID TO VARIOUS NATIONAL HEALTH ASSOCIATIONS AS PART OF DUES AND SUBSCRIPTIONS IN THE AMOUNT OF $278,845. IT ALSO 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.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$51,788,138	BeginningYearBalanceAmt
Contributions	$9,619,258	ContributionsAmt
Investment Earnings Or Losses	-$1,943,315	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$81,000	GrantsOrScholarshipsAmt
Other Expenditures	$937,262	OtherExpendituresAmt
End Year Balance	$58,445,819	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$37,314,439	BeginningYearBalanceAmt
Contributions	$10,574,853	ContributionsAmt
Investment Earnings Or Losses	$4,207,377	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$91,480	GrantsOrScholarshipsAmt
Other Expenditures	$217,051	OtherExpendituresAmt
End Year Balance	$51,788,138	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,865,122	BeginningYearBalanceAmt
Contributions	$10,590,634	ContributionsAmt
Investment Earnings Or Losses	$4,165,914	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$75,284	GrantsOrScholarshipsAmt
Other Expenditures	$231,947	OtherExpendituresAmt
End Year Balance	$37,314,439	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,139,873	BeginningYearBalanceAmt
Contributions	$2,735,884	ContributionsAmt
Investment Earnings Or Losses	$3,093,976	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$71,508	GrantsOrScholarshipsAmt
Other Expenditures	$33,103	OtherExpendituresAmt
End Year Balance	$22,865,122	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.51390	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.06470	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.42140	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,470,880	OtherCostOrOtherBasisAmt
Book Value	$21,470,880	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,217,532,991	OtherCostOrOtherBasisAmt
Depreciation	$577,519,156	DepreciationAmt
Book Value	$640,013,835	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,518,549	OtherCostOrOtherBasisAmt
Depreciation	$25,010,981	DepreciationAmt
Book Value	$4,507,568	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$787,577,612	OtherCostOrOtherBasisAmt
Depreciation	$587,447,973	DepreciationAmt
Book Value	$200,129,639	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$65,462,509	OtherCostOrOtherBasisAmt
Book Value	$65,462,509	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$931,584,431	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
BOND INSURANCE FEES	$8,338,773
WORKERS COMP ESCROW DEPOSITS	$3,749,277
THIRD PARTY WITHHOLDINGS	$37,536,029
DUE FROM FOUNDATION	$5,594,130
ASSETS - LIMITED OR RESTRICTED	$91,011,456
FUNDS LIMITED AS TO USE	$254,957,881
OTHER ACCOUNTS	$32,599,318

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$433,786,864	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ESTIMATED SELF INSURANCE LIABI	$165,684,599
RETIRE OBLIG - ASBESTOS	$7,038,481
ACCRUED PENSION LIABILITY	$484,577,998
MARKET VALUATION OF SWAP	$67,937,522
THIRD PARTY SETTLEMENT PAYABLE	$96,837,140
DEFERRED COMPENSATION	$4,174,343

Field	Value	IRS element (for citing)
Total Liability	$826,250,083	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Form Sch D Part V Line 4

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.

Form Sch D Part X Line 2

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, 2016 and 2015, OSF does not have any uncertain tax positions.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,500,849	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,500,849	NetCommunityBenefitExpnsAmt
Total Expense	0.01490	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$357,587,290	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$343,015,620	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,571,670	NetCommunityBenefitExpnsAmt
Total Expense	0.00820	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$384,088,139	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$343,015,620	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,072,519	NetCommunityBenefitExpnsAmt
Total Expense	0.02310	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,708,799	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$593,064	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,115,735	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,833,084	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,054,167	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$49,778,917	NetCommunityBenefitExpnsAmt
Total Expense	0.02800	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,977,392	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,024,683	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,952,709	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,038,130	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$540,080	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$498,050	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,235,732	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,235,732	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100,793,137	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,211,994	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$64,581,143	NetCommunityBenefitExpnsAmt
Total Expense	0.03640	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$484,881,276	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$379,227,614	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$105,653,662	NetCommunityBenefitExpnsAmt
Total Expense	0.05950	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,604	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$59,604	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,604	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$59,604	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,235,594	BadDebtExpenseAmt
Reimbursed By Medicare	$480,768,415	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$520,606,904	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$39,838,489	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

Field	Value	IRS element (for citing)
Hospital Facilities	9	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (9 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Emergency Room OtherEmergencyRoomOtherInd	Critical Access HospitalCriticalAccessHospitalInd
SAINT FRANCIS MEDICAL CENTER
1	530 NE GLEN OAK AVENUE	PEORIA	IL	61637	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
SAINT ANTHONY MEDICAL CENTER
2	5666 EAST STATE STREET	ROCKFORD	IL	61108	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)
ST JOSEPH MEDICAL CENTER
3	2200 EAST WASHINGTON STREET	BLOOMINTON	IL	61701	Yes (X)	Yes (X)				Yes (X)
ST MARY MEDICAL CENTER
4	3333 NORTH SEMINARY STREET	GALESBURG	IL	61401	Yes (X)	Yes (X)				Yes (X)
OSF SAINT ANTHONY'S HEALTH CENTER
5	1 ST ANTHONYS WAY	ALTON	IL	62002	Yes (X)	Yes (X)				Yes (X)
ST FRANCIS HOSPITAL
6	3401 LUDINGTON STREET	ESCANABA	MI	49829	Yes (X)					Yes (X)		Yes (X)
SAINT JAMES HOSPITAL
7	2500 W REYNOLDS STREET	PONTIAC	IL	61764	Yes (X)	Yes (X)				Yes (X)
OSF SAINT LUKE MEDICAL CENTER
8	1051 W SOUTH STREET	KEWANEE	IL	61443	Yes (X)					Yes (X)		Yes (X)
OSF HOLY FAMILY MEDICAL CENTER
9	1000 W HARLEM AVENUE	MONMOUTH	IL	61462	Yes (X)					Yes (X)		Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (9 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	FAP Notice DisplayedFAPNoticeDisplayedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Other Actions TakenOtherActionsTakenInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
saint francis medical center
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	16	false	Yes (true)	false	Yes (true)	Yes (X)	200.	600.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
saint anthony medical center
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	false	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	16	false	Yes (true)	false	Yes (true)	Yes (X)	200.	600.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
st joseph medical center
3	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	16	false	Yes (true)	false	Yes (true)	Yes (X)	200.	600.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
st mary medical center
4	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	16	false	Yes (true)	false	Yes (true)	Yes (X)	125.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
OSF SAINT ANTHONY'S HEALTH CENTER
5	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	16	false	Yes (true)	false	Yes (true)	Yes (X)	200.	600.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
ST FRANCIS HOSPITAL
6	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	false	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	16	false	Yes (true)	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
SAINT JAMES HOSPITAL
7	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	false	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	16	false	Yes (true)	false	Yes (true)	Yes (X)	125.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
OSF SAINT LUKE MEDICAL CENTER
8	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	false	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	16	false	Yes (true)	false	Yes (true)	Yes (X)	125.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
OSF HOLY FAMILY MEDICAL CENTER
9	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	16	false	Yes (true)	false	Yes (true)	Yes (X)	125.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part v section b number 5 - all facilities	OSF hospitals took into account the input of the community members by having these individuals help prioritize the identified needs within each community. In addition, each facility obtained and used resources from or resources provided by these community members.
Part v section b number 6a	ALTHOUGH THE MOST RECENT CHNA WAS CONDUCTED IN FISCAL YEAR 2016, AS INDICATED IN PART V, THIS MOST RECENT CHNA IS APPLICABLE BEGINNING IN FISCAL YEAR 2017 (2016 FORM 990). THE 2015 FORM 990 WAS PREPARED BASED UPON THE FISCAL YEAR 2013 CHNA WHICH IS APPLICABLE TO THE 2013, 2014, AND 2015 RETURN YEARS. Saint Francis medical center - Peoria, IL The tri-county community health-needs assessment is a collaborative undertaking by Unitypoint health - Methodist, OSF saint Francis medical center and proctor hospital. St. Mary medical center - Galesburg, IL The Knox and warren counties community health-needs assessment is a collaborative undertaking by St. Mary medical center and OSF holy family medical center. OSF holy family medical center The Knox and warren counties community health-needs assessment is a collaborative undertaking by St. Mary medical center and OSF holy family medical center. Saint Anthonys health center, Alton, IL The Madison county community health needs assessment was conducted by Saint Anthonys health center, Saint Clares hospital and Alton memorial. The CHNA that was conducted in 2016 for each hospital and was approved and adopted by the OSF board of directors on July 25, 2016 was conducted with one oR more other community hospitals as follows: Saint Francis medical center - Peoria, IL 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. St. Joseph medical center Bloomington, IL The Mclean county CHNA was a collaborative undertaking by St. Joseph medical center and Bromenn medical center.
Part v section b number 6b	THE CHNA THAT WAS CONDUCTED IN 2016 FOR EACH HOSPiTAL AND WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS ON JULY 25, 2016 WAS CONDUCTED WITH ONE OR MORE ORGANIZATIONS OTHER THAN COMMUNITY HOSPITALS as follows: Saint Francis medical center Peoria, IL 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. St. Joseph medical center Bloomington, IL 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.
Part v, line 11	See part VI, line 2, "needs assessment" supplemental info - CHNA - for detailed description on how significant needs are being addressed for each hospital along with the needs not addressed.
Part v, section b, line 7a	https://www.osfhealthcare.org/about/community-health/
Part v, section b, line 16a and 16b	https://www.osfhealthcare.org/billing/financial-assistance/
Part v - line 13b and 13h	Saint Francis medical center, saint Anthony medical center, St. joseph medical center, St. Mary medical center, saint James hospital, OSF holy family medical center, St. Francis hospital, saint Luke medical center, OSF saint Anthony health center: Please refer to the response to schedule h, part i, line 3c for a description of how the above mentioned facilities explained the basis for calculating amounts charged to patients using factors other than FPG.
Part v, section b, line 16I	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.
Part v, section b, line 20e	All OSF hospitals screen all patients with no insurance benefits, or insufficient insurance benefits for presumptive charity care.
Part v, line 22d	Saint Francis medical center, saint Anthony medical center, St. Joseph medical center, OSF saint Anthony health center: The hospital determined the amounts billed to individuals who did not have insurance covering emergency or other medically necessary care in the following ways. The amount billed to the individual was the lowest amount determined under any of the following methods which apply to the individual: - for Illinois residents who incur gross charges in excess of $300 for any one inpatient admission or outpatient encounter, who apply for financial assistance, and whose family income is 200% or less of the federal poverty guidelines for family size, the amount billed is $0.00. If family income is between 201% and 600% of the federal poverty guidelines for their family size, the amount billed is calculated by multiplying gross charges times the hospital's cost to charge ratio determined from its most recently filed Medicare cost report and then multiplying that product times 135%. The amount billed to patients regardless of residency whose family income is not more than 200% of federal poverty guidelines for their family size is $0.00. Discounted financial assistance is available on a sliding scale to patients regardless of residency whose family income is between 201% and 600% of federal poverty guidelines for their family size. 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 is the most generous assistance. -The maximum amount that can be collected in a 12 month period for emergency or other medically necessary care to any patient who applies for financial assistance does not exceed 25% of family income. -The amount billed to financial assistance policy eligible individuals is never more than the amount generally billed (AGB) TO individuals who have insurance covering such care. this maximum charge billed to financial assistance policy eligible individuals is determined by multiplying the gross charges for all emergency and other medically necessary care by a percentage calculated annually and equal to: (i) the aggregate dollar amount of claims allowed for all medical services during the 12-month period ended on the preceding September 30 by both Medicare FFS and all private insurers, together with any associated portions of these claims the Medicare beneficiaries and insured individuals are responsible for paying in the form of co-payments, co-insurance, or deductibles, divided by (ii) the sum of the associated gross charges for those claims. If the amount a health insurer will allow for a claim has NOT been finally determined as OF the last day of the 12 month period used to calculate the AGB percentage, the hospital excludes the amount of the claim from that calculation and includes it in the subsequent 12 month period during which the amount allowed is finally determined. The amount billed to a patient eligible for financial assistance under this policy will be less than the amount of the gross charges. St. Francis hospital: The hospital determined the amounts billed to financial assistance policy eligible individuals for emergency or other medically necessary care in the following ways. The amount billed to the individual was the lowest amount determined under any of the following methods which apply to the individual: -The maximum amount that can be collected in a 12 month period for emergency or other medically necessary care to any patient who applies for financial assistance does not exceed 25% of family income. -Uninsured patients with family income below 250% of the federal poverty guideline qualify for a healthy Michigan law discount equal to the Medicare reimbursement rate plus 15%. Patients do not need to apply for the discount. The discount is applied to all patients determined to have no insurance. If a service is not covered under a patient's plan, they do not qualify for the uninsured discount. The program is available only to patients who are not enrolled in an insurance plan. The amount billed to patients regardless of enrollment in an insurance plan, when family income in not more than 200% of federal poverty guidelines for their family size, is $0.00. Discounted financial assistance is available on a sliding scale to patients regardless of enrollment in an insurance plan when family income is between 201% and 600% of federal poverty guidelines for their family size. 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 is the most generous assistance. -The maximum amount that can be collected in a 12 month period for emergency or other medically necessary care to any patient who applies for financial assistance does not exceed 25% of family income. -The amount billed to financial assistance policy eligible individuals is never more than the amount generally billed (AGB) TO individuals who have insurance covering such care. this maximum charge billed to financial assistance policy eligible individuals is determined by multiplying the gross charges for all emergency and other medically necessary care by a percentage calculated annually and equal to: (i) the aggregate dollar amount of claims allowed for all medical services during the 12-month period ended on the preceding September 30 by both Medicare FFS and all private insurers, together with any associated portions of these claims the Medicare beneficiaries and insured individuals are responsible for paying in the form of co-payments, co-insurance, or deductibles, divided by (ii) the sum of the associated gross charges for those claims. IF THE AMOUNT A HEALTH INSURER WILL ALLOW FOR A CLAIM HAS NOT BEEN FINALLY DETERMINED AS OF THE LAST DAY OF THE 12 MONTH PERIOD USED TO CALCULATE THE AGB PERCENTAGE, THE HOSPITAL EXCLUDES THE AMOUNT OF THE CLAIM FROM THAT CALCULATION AND INCLUDES IT IN THE SUBSEQUENT 12 MONTH PERIOD DURING WHICH THE AMOUNT ALLOWED IS FINALLY DETERMINED. THE AMOUNT BILLED TO A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY WILL BE LESS THAN THE AMOUNT OF THE GROSS CHARGES. THE AMOUNT BILLED TO A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY WILL BE LESS THAN THE AMOUNT OF THE GROSS CHARGES. St. Mary medical center, Saint James hospital, OSF holy family medical center, saint Luke medical center: The hospital determined the amounts billed to financial assistance policy eligible individuals for emergency or other medically necessary care in the following ways. The amount billed to the individual was the lowest amount determined under any of the following methods which apply to the individual: - for Illinois residents who incur gross charges in excess of $300 for any one inpatient admission or outpatient encounter, who apply for financial assistance, and whose family income is 125% or less of the federal poverty guidelines for family size, the amount billed is $0.00. if family income is between 126% and 300% of the federal poverty guidelines for their family size, the amount billed is calculated by multiplying gross charges times the hospital's cost to charge ratio determined from its most recently filed Medicare cost report and then multiplying that product times 135%. The amount billed to patients regardless of residency whose family income in not more than 200% of federal poverty guidelines for their family size is $0.00. Discounted financial assistance is available on a sliding scale to patients regardless of residency whose family income is between 201% and 600% of federal poverty guidelines for their family size. 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 is the most generous assistance. -The maximum amount that can be collected in a 12 month period for emergency or other medically necessary care to any patient who applies for financial assistance does not exceed 25% of family income. -The amount billed to financial assistance policy eligible individuals is never more than the amount generally billed (AGB) to individuals who have insurance covering such care. this maximum charge billed to individuals eligible under the financial assistance policy is determined by multiplying the gross charges for all emergency and other medically necessary care by a percentage calculated annually and equal to: (i) the aggregate dollar amount of claims allowed for all medical services during the 12-month period ended on the preceding September 30 by both Medicare FFS and all private insurers, together with any associated portions of these claims the Medicare beneficiaries and insured individuals are responsible for paying in the form of co-payments, co-insurance, or deductibles, divided by (ii) the sum of the associated gross charges for those clai
Patients charged amount equal to the gross charge for services provided:	part v, line 24 Saint Francis medical center, St. Anthony medical center, St. Joseph medical center, St. Mary medical center, saint James hospital, OSF holy family medical center, Saint Luke medical center, OSF saint Anthony health center: None of the hospitals charged any patient who was eligible for financial assistance an amount equal to the gross charges associated with emergency or other medically necessary care. In the following limited instances, however the hospital charged patients an amount equal to gross charges: -Patients receiving elective medical services other than emergency or other medically necessary care, such as elective cosmetic surgery performed to improve one's appearance and not related to a trauma or disfiguration. -Patients whose medical bills are the responsibility of a third party pursuant to a claim brought by the patient against the third party. -Patients whose medical bills are covered by an automobile insurance medical payment or underinsured policy benefit. St. Francis hospital: The hospital charged its patients an amount equal to gross charges in the following circumstances: -Patients receiving elective medical services other than emergency or other medically necessary care, such as elective cosmetic surgery performed to improve one's appearance and not related to a trauma or disfiguration. -Patients whose medical bills are the responsibility of a third party pursuant to a claim brought by the patient against the third party. -patients whose medical bills are covered by an automobile insurance medical payment or underinsured policy benefit.

Field	Value	IRS element (for citing)
Facility	31	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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 & Occupati
105 John Street	DWIGHT	IL	60420	Physical Therapy
OSF Center for Rehabilitation & Occupati
106 South First Street	FAIRBURY	IL	61739	Physical Therapy; Occupational Therapy
OSF Center for Rehabilitation & Occupati
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 Gro
N 15995 Main St	POWERS	MI	49870	Diagnostic Radiology
OSF St Francis Hospital Medical Group-E
3409 Ludington St	ESCANABA	MI	49829	Diagnostic Radiology
OSF St Francis Hospital Medical Group-G
128 Michigan	GLADSTONE	MI	49837	Diagnostic Radiology
St Francis Hospital- Rehab Services
704 Superior Avenue	GLADSTONE	MI	49837	Physical Therapy; Occupational Therapy; speech therapy
OSF Saint Clare's Hospital
915 East Fifth Street	ALTON	IL	620020340	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 Medcial Center - Belvi
1954 Gateway Center Dr	BELVIDERE	IL	610089303	Laboratory Services
OSF Saint Anthony Medcial Center - Belvi
1916 Gateway Center Dr	BELVIDERE	IL	610089303	Physical Therapy; Occupational Therapy
OSF Center for Health at Rock Cut Crossi
9951 Rock Cut Crossing	LOVES PARK	IL	611111999	Laboratory Services
Rockford Cardiovascular Associates
444 Roxbury Road	ROCKFORD	IL	61107	Cardiac Rehahab
Illinois Medical Center Building
5114 Glen Park Place	Peoria	IL	616144686	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 Five Points Outpatient Rehab SVCS
360 N Wilmore Road	Washington	IL	615711252	Pediatric and Adult Physical Therapy , Aquatic Therapy, Occupational Therapy
OSF Health Services at 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 INI
OSF Outpatient Center for Industrial Reh
520 Highpoint Lane	East Peoria	IL	61611	Physical Therapy, Occupational Therapy
OSF Outpatient Rehab Glen Park
5009 Glen Park Place	Peoria	IL	616144686	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 Radation Oncology at P
603 Thirteenth Street	Pekin	IL	61554	OP Clinic
OSF Women's Health Center
7800 N Sommer Suite 508	Peoria	IL	61615	Physical Therapy, Breast Feeding Resource Center
Radiation Oncology North
8948 N Wood Sage Road	Peoria	IL	61615	OP Clinic
osf st anthony medical center- parkview
1502 parkview ave	rockford	IL	61107	physical therapy; occupational therapy
osf st anthony Med ctr- ct for health
5666 e state street	rockford	IL	611082425	Physical Therapy; Occupational Therapy
osf st joseph medical center sleep lab
2200 e washington st	bloomington	IL	617014323	polysymnography; neurology

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part i, line 3c:	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 patients 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.
Part i, line 7:	Costs reported on lines 7 a, 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 department cost center reports which include both direct and indirect costs less revenue. Line 7g represents 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. Such net costs total $3,703,161.
Part i, line 7, column f:	Bad debt expense in the amount of $55,394,901 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).
Part ii:	Community building activities: The corporation's community building activities promote the health of the communities served in the following ways: -Corporate executives volunteer to serve on boards and committees of community organizations such as united way and others. -Transportation vouchers are given to indigent persons for their personal transportation needs (other than to or from the corporation's facilities).
Part iii, lines 2, 3 and 4:	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 $55,394,901 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 $10,235,594 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 3 includes any amounts that reasonably could be attributable to patients who would likely qualify under the corporation's financial assistance policy.
Part iii, line 8:	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.
Part iii, line 9b:	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 patients eligibility for noncompliant charity before pursuing legal action for nonpayment.
SCHEDULE H - PART VI SUPPLEMENTAL INFORMATION - CHNA	Although the most recent CHNA was conducted in fiscal year 2016, as indicated in Part V, this most recent CHNA is applicable beginning in fiscal year 2017 (2016 Form 990). The 2015 Form 990 was prepared based upon the fiscal year 2013 CHNA which is applicable to the 2013, 2014 and 2015 return years. OSF Healthcare System completed a Community Health Needs Assessment ("CHNA") during fiscal year 2016 for each of its hospitals, as required by Internal Revenue Code section 501(r)(3). The final CHNA for each of the health systems hospitals was approved and adopted by the systems board of directors on July 25, 2016. This most recent CHNA is effective for fiscal years 2017, 2018 and 2019 for each of the hospitals. In response to the significant health needs identified in each respective hospitals 2016 CHNA, the hospitals completed and adopted an implementation strategy to address these critical health needs. The narrative below lists the significant health needs identified for each hospital based on these 2016 CHNAs. St. Francis Hospital Escanaba, MI The Delta County CHNA that was approved and adopted for St. Francis Hospital in July 2016, identified the following significant community health needs: Behavioral Health (Mental and Substance Abuse), Healthy Behaviors and Obesity. Saint Anthony Medical Center Rockford, IL The Winnebago County CHNA that was approved and adopted for Saint Anthony Medical Center in July 2016 identified the following significant community health needs: Access to Health Services, Mental Health and Obesity. Saint James Hospital, known as OSF Saint James-John W. Albrecht Medical Center Pontiac, IL The Livingston County CHNA that was approved and adopted for Saint James Hospital in July 2016 identified the following SIGNIFICANT community health needs: Behavioral Health (Mental and Substance Abuse), Healthy Behaviors and Obesity. St. Joseph Medical Center Bloomington, IL The McLean County CHNA was completed utilizing an executive steering committee with members from St. Joseph Medical Center, Advocate BroMenn Medical Center, the McLean County Health Department, and United Way of McLean County. This joint CHNA was approved and adopted for St. Joseph Medical Center in July 2016 and identified the following significant community health needs: Access to Appropriate Healthcare for the Underserved and Areas of High Socioeconomic Need, Behavioral Health (Mental and Substance Abuse) and Obesity. Saint Francis Medical Center Peoria, IL 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 the members of the Central Illinois Community Health Collaborative: Peoria City/County Health Department, Tazewell County Health Department, Woodford County Health Department, Kindred Hospital, Advocate Eureka Hospital, Hopedale Medical Complex, Pekin Hospital, Heart of Illinois United Way, Heartland Community Health Clinic and Bradley University. This CHNA was approved and adopted for Saint Francis Medical Center in July 2016 and the collaborative group identified the following significant community health needs: Mental Health, Healthy Behaviors and Obesity. St. Mary Medical Center Galesburg, IL The Knox and Warren County CHNA that was approved and adopted for St. Mary Medical Center in July 2016 identified the following significant community health needs: Access to Health Services, Mental Health and Obesity. OSF Healthcare System dba/OSF Saint Luke Medical Center Kewanee, IL The Henry County CHNA that was approved and adopted for Saint Luke Medical Center in July 2016 identified the following significant community health needs: Access to Health Services, Mental Health and Obesity. OSF Healthcare System dba/OSF Saint Anthonys Health Center Alton, IL The Madison County CHNA that was approved and adopted for Saint Anthony Health Center in July 2016 identified the following significant community health needs: Behavioral Health (Mental and substance abuse) and Obesity. osf healthcare ststem dba/OSF Holy Family Medical Center Monmouth, IL The Warren County CHNA that was approved and adopted for OSF Holy Family Medical in July 2016 AND IDENTIFIED THE FOLLOWING SIGNIFICANT community health needs: Healthy Behaviors, Use of Emergency Department as a Primary Source of Medical Care and Heart Disease. The CHNA that was conducted in 2013 for each hospital is still effective for fiscal year ending 2016. The results of the implementation strategies adopted for the community health needs in the 2013 CHNAs are discussed in detail below. Saint Francis Medical Center Peoria, IL The CHNA that was approved and adopted in 2013 for Saint Francis Medical Center identified the following as the communitys most significant health needs: Identified need: access to healthcare This need is based on results from survey respondents defined as living in deep poverty who indicated that access to healthcare services is limited. This includes medical, prescription medications, dental and mental healthcare. Access to medical care, dental care, prescription medication and counseling is limited for those living in deep poverty. Only half of people living in deep poverty seek medical services at a clinic or doctor's office. For this segment of the population, it is very common to seek medical services from an emergency department, or even more concerning is that 13% of this segment of the population will not seek any medical services at all. Fy2016 goals: access to healthcare imbed healthcare education and services within the indigent population in conjunction with existing community resources. Fy2016 accomplishments: access to healthcare partnered with several additional agencies in underserved population areas. participation in local health fairs throughout community. partnered with three local health departments to provide services within community. mobile van WAS approved and out in the community offering various services to provide access to the underserved. navigators WERE assigned to help patients enroll in Medicare and Medicaid services. provided ongoing education to faith based nurses to provide community support in various locations. provided various classes to community on health related education. partnered with local groups to provide staffing, resources or funding. Identified need: risky behaviors/substance abuse This need is based on the prevalence of alcohol, tobacco and marijuana in our community. In the tri-county region, among 8th graders, the average age at first use of alcohol, tobacco and marijuana is 13, 11.5 and 12.4 years respectively. The same average age for 12th graders is 15.9, 14 and 14.9 years respectively. Peoria County is much higher for marijuana use compared to state averages, especially among 12th graders (33% vs. 21%). Fy2016 goals: risky behaviors/substance abuse increase awareness at the junior high and high school level of the consequences of using alcohol, tobacco and marijuana. raise awareness on the importance of substance abuse avoidance. Fy2016 accomplishments: risky behaviors/substance abuse behavioral health physician seeS referrals from OSFMG. pre-employment drug screens, incident related drug screens and education programs provided to SFMC employees and area partnering employers. provided resources to primary care physicians to handle patients with substance abuse. provided appropriate referrals. engagement through screening at local physician offices and hospital. expansion of OSF healthcare systems behavioral health program. Identified need: asthma This need is based on an increase in inpatient admissions for asthma. Inpatient admissions to the Peoria area hospitals including Unitypoint health Methodist/proctor, Saint Francis medical center, proctor, and Pekin hospital, increased by 26.7%. Fy2016 goals: asthma increase awareness of asthma prevention strategies. increase compliance with asthma action plans. reduce asthma related prompt care/emergency room visits and admissions. Fy2016 accomplishments: asthma engagement through primary physician offices to teach patients the signs of an impending asthma attack. offered patient visits to learn more about asthma. worked with local health departments to increase awareness on social determinate factors. Identified need: diabetes By evaluating magnitude of morbidities and growth rates of morbidities, This need is based on an increase in inpatient admissions for diabetes and an increase in the prevalence of diabetes in the general population. Type i and type ii diabetes are increasing the incidence in and all three counties is higher than state averages. Fy2016 goals: diabetes promote prevention, screening and early therapy for metabolic syndrome, hyperglycemia and diabetes for the tri-county area. Fy2016 accomplishments: diabetes diabetes education offered by children's hospital of Illinois. quality measures included 1) pe
Schedule h - part VI supplemental information - chna continued	St. Joseph medical center - Bloomington, IL The chna that was approved and adopted in 2013 for St. Joseph medical center identified the following as the community's most significant health needs: Identified need: access to healthcare This health need is based on results from survey respondents defined as living in deep poverty who indicated that access to healthcare services is limited. This includes medical, prescription medications, dental and mental healthcare. Poverty is a key factor, as 24% of people living in poverty in Mclean County consider the emergency department their primary source of health care. Furthermore, 44% of people in poverty were unable to obtain medical care when they needed it in the past year. Results also suggest a strong correlation between ethnicity and one's ability to obtain medical care. As survey data suggest individuals who identify as black are more likely to use the emergency department, as well as young men, low education and homelessness. With regard to prescription drugs, 46% of individuals living in poverty in Mclean County were unable to fill a prescription in the past year because they lacked health care coverage. with regard to dental care, 44% of individuals living in poverty in Mclean county needed dental care and were unable to obtain it last year and 25% of individuals living in poverty in Mclean county needed counseling and were unable to obtain it in the last year. "Affordability" was cited as the leading impediment to various types of health care. Fy2016 goals: access to healthcare educating community about accessing appropriate care at appropriate time; link community to lower cost care resources. Fy2016 accomplishments: access to healthcare materials distributed to OSF sites as well as school nurses, health fairs and community events. referrals to community clinics. ed navigator to improve access. resource and services to link community where appropriate. Identified need: risky behaviors/substance abuse This health need is based on the prevalence of alcohol, tobacco and marijuana in our community. Risky behaviors are defined as activities that include addiction, chemical dependency and risky sexual behaviors. Note that youth substance usage in Mclean County exceeds the state of Illinois averages for 12th graders in terms of alcohol usage. Fy2016 goals: risky behaviors/substance abuse decrease alcohol use among youth. Fy2016 accomplishments: risky behaviors/substance abuse video distributed to the Bloomington/normal parents group. educational articles included in publications, social media and blogs. collaborated with local community agencies to provide services. Identified need: healthy behaviors This health need based on results from survey respondents defined as living in deep poverty, indicated that there are limited efforts at proactively managing one's own health. This includes limited exercise, poor eating habits and increased incidence of smoking. Only 17% of the Mclean county population engages in exercise 5 or more times per week. Note that residents with higher education and higher income are more likely to engage in exercise. With regard to healthy eating, only 7% of the population consumes the minimum recommended servings of fruits/vegetables in a day. Those more likely to have healthy eating habits include women, older people, people with higher education and more income. Homeless people are less likely to exhibit healthy eating habits. Finally, smoking is on the decline, however, less educated people, men, younger people, non-white residents, those with lower income and homeless people are still more likely to smoke. Fy2016 goals: healthy behaviors increase use of evidence-based interventions for smoking cessation. Fy2016 accomplishments: healthy behaviors marketing outreach that has occurred: radio spot, healthy cells, pantograph and social media. promoted hotline for tobacco. community garden providing fresh fruit and vegetables to local pantry. tracked education at home sweet home ministries and community health care clinic. Identified need: mental health This health need looks at the percent of patients that reported they had experienced 1-7 days with poor mental health per month between 2007 and 2009. This includes mental disabilities, depression and self-perceptions of mental health. Approximately 23% of residents in Mclean County reported they had experienced 1-7 days with poor mental health per month between 2007 and 2009. Approximately 11% of residents in Mclean County reported they had experienced 8-30 days with poor mental health per month between 2007 and 2009. For both segments of residents (those experiencing 1-7 days and 8-30 days with poor mental health per month), each was below the state average for the same time frame. Fy2016 goals: mental health link community to existing resources for mental health care. Fy2016 accomplishments: mental health completed radio program and stress less programs. community educational programs. promoted awareness of mental health resources. Identified need: obesity This health need is based on an increase in the prevalence of obesity in our community population. Research strongly suggests that obesity is a significant problem facing youth and adults nationally, in Illinois, and within the Mclean county region. In terms of obesity, the Mclean county area as a whole is higher than the state average and growing rapidly. There was a 13% increase in the growth of Mclean county residents reporting they were overweight between 2006 (35.0%) and 2009 (39.5%). Considering that Illinois has the 6th highest obesity rate in the U.S., this is an important issue. Fy2016 goals: obesity access to affordable nutrition/physical activity education. Fy2016 accomplishments: obesity offered education events at employers and community sites, e.g. St. Marys church, schools, western avenue, home sweet home ministry, parish nurses. harvested several hundred pounds of produce and donated to home sweet homes. educational classes geared toward weight management. offered educational events to employer and community sites providing education to several thousand residents. Identified need: dental This health need is based on a person's perception of the ability to obtain dental care in their community. While significant research exists linking dental care to numerous diseases, including heart disease, only 51% of the aggregate Mclean county population had a checkup in the last year. Specifically men, younger respondents, non-white ethnicities, less educated people, lower household income and the homeless were less likely to visit a dentist. Fy2016 goals: dental improvement of dental health in Mclean county. Fy2016 accomplishments: dental distributed pediatric toothbrushes or dental kits. participated with community agency attempting to provide access to health services. *needs not addressed The chna conducted by the hospital in 2013 also identified "cancer", "heart disease", "respiratory issues", "diabetes", "community misperceptions", and "woman's health" amongst the many important community health needs. A collaborative team recognized the impact of cancer, heart disease, respiratory issues, diabetes, community misperceptions, and woman's health on the population of patients we serve. As a health care organization we continue to focus resources on patient education, early detection and care, but we understand that we also need to have a greater focus in our communities on those risk factors that contribute to cancer, heart disease, respiratory issues, diabetes, community misperceptions, and woman's health. we anticipate that the greatest overall long term health impact will come from a broader prevention strategy focusing on obesity, healthy behaviors, exercise and smoking; rather than a program focused on cancer, heart disease, respiratory issues, diabetes, community misperceptions, and woman's health. St. Mary medical center - Galesburg, IL The chna that was approved and adopted in 2013 for St. Mary medical center identified the following as the community's most significant health needs. Identified need: access to health care services This health need based on results from survey respondents defined as living in deep poverty indicated that access to healthcare services is limited. This includes medical, prescription medications, dental and mental healthcare. Poverty is a key factor, as 13% of people living in poverty in Knox and warren counties consider the emergency department their primary source of health care. Furthermore, 23% of people in poverty were unable to obtain medical care when they needed it. Results also suggest a strong correlation between ethnicity and socioeconomic status and one's ability to obtain medical care. Survey data suggest individuals who identify as black, possessing less education, and of lower income are more likely to use the emergency department. Furthermore, residents residing in Knox C
Schedule h - part VI supplemental information - chna continued	St. Francis hospital - Escanaba, mi The chna that was approved and adopted in 2013 for St. Francis hospital identified the following as the communities most significant health needs: Identified need: risky behaviors - substance abuse This health need is based on the prevalence of alcohol, tobacco and marijuana in our community. In Delta County, 25% of respondents engage in binge drinking versus 18% in the state of Michigan. Both figures exceed the U.S. national 90th percentile benchmark of 8%. There has also been a 4.5% increase for those identifying themselves as smokers in Delta County between 2005-2007 and 2008-2010. In contrast, there was a decrease for those identifying themselves as smokers for the state of Michigan during same time frame. Thus, delta county is currently 8.5% higher than state of Michigan averages. Additionally, according to survey respondents, for both Delta Countys aggregate population and those living in poverty, drug and alcohol abuse were perceived as the two most important unhealthy behaviors in the community. Fy2016 goals: risky behaviors - substance abuse decrease instances of risky behavior and substance abuse in delta County. Fy2016 accomplishments: risky behaviors/substance abuse reaching out to members of community drug coalition. clinic coordinators tracking spreadsheet on all factors (drug contract, drug screen, maps, pill count, etc.) sponsored life rides provided taxi cab vouchers for new years don't drink and drive program. education on dangers of risky behaviors offered. membership on save council, substance abuse and violence education council. provided education to community members on dangers. established and maintained substance abuse agreements with medical groups. Identified need: diabetes This health need is based on an increase in inpatient admissions for diabetes and an increase in the prevalence of diabetes in the general population. It is estimated that 90-95% of individuals with diabetes have type ii diabetes (previously known as adult-onset diabetes). Diabetes is the leading cause of kidney failure, adult blindness and amputations and is a leading contributor to strokes and heart attacks. Data from the Michigan behavioral risk factor surveillance system indicates that nearly 10% of delta county region residents have diabetes. Compared to data from the state of Michigan (9.5%), the prevalence of diabetes now exceeds the state average. Fy2016 goals: diabetes encourage healthy behaviors among residents of delta county to better manage and prevent the onset of diabetes. Fy2016 accomplishments: diabetes program provided to help people OBTAIN knowledge to handle chronic diseases. provided on-going education and training for management/prevention of diabetes. performed free blood sugar screenings at community events. offer free diabetic support group meetings. trained additional staff on helping to provide education on disease. collaborated with community service organizations to educate population about support groups. Need identified: community misperceptions This health need is based on results from the survey where respondents incorrectly perceived certain behaviors as being relatively unimportant health concerns in the community. This health need observes the gap between patient perceptions of community needs and the actual top causes of mortality in their community. While the response of those living in deep poverty misinterprets some of the most critical needs of the community based on actual mortality data, there is much to be learned from their responses. These peoples perceptions are their reality and forces to acknowledge that we must never lose focus on the individual as we improve the health of the community. OSF healthcare system has developed a care management program to provide those in need with the help they need to improve their individual health and overcome barriers to health. Based on results from the survey, respondents incorrectly perceived, "diabetes", "heart disease", and "dental" as being relatively less important health concerns to the community. These results conflict with mortality data that suggests diabetes rates in Delta County are higher than rates across the state of Michigan. mortality data indicates heart disease is the leading cause of death in delta county, and dental data illustrates delta county residents have undergone annual dental checkups at a lower rate (62.8%) than rates for the state of Michigan (73.8%) and have higher rates of lost teeth due to tooth decay or gum disease (19.9%) versus rates for the state of Michigan (13.8%). moreover, for those respondents living in poverty, misperceptions of programs such as Medicaid and financial assistance programs is evident given that respondents do not seek necessary medical care because they believe they cannot afford to pay. finally, there are misperceptions with respondents' self-perceptions of their own health, as 94% felt that they are either average or above average overall. Fy2016 goals: community misperceptions encourage healthy behaviors among residents of delta county, particularly within the at-risk population. Fy2016 accomplishments: community misperceptions provided monthly media announcements. established a committee with representatives from OSF and other service organizations on quarterly basis. Identified need: mental health This health need looks at the percent of patients that reported they had experienced 1-7 days with poor mental health per month between 2007 and 2009. This includes mental disabilities, depression and self-perceptions of mental health. While there was a slight decrease in average number of mentally unhealthy days indicated by delta county residents between 2010 and 2012 from 4 to 3.5 days in the last month, it is 30% higher when compared to the U.S. 90th percentile. Moreover, among people living in poverty, mental health was rated as the most important health concern. Fy2016 goals: mental health ensure access to mental health services in delta county. Fy2016 accomplishments: mental health worked with pathways to subsidize costs on expanding services. Pathways now sees more than only Medicaid and self-patients. provided financial support to a key provider of mental health. worked with OSF healthcare system as they expand our behavioral health program in each county we serve. Identified need: obesity This health need is based on an increase in the prevalence of obesity in our community population. Research strongly suggests that obesity is a significant problem facing youth and adults nationally, as it has been linked to numerous morbidities (e.g., type ii diabetes, hypertension, cardiovascular disease, cancer, etc.). In Delta County, the rate of obesity has increased from 26.1% to 29.6% in a three-year period. During the same time frame, the percentage of the population that is defined as overweight has risen from 38.6% to 41%. Note that this is almost 6% higher than state of Michigan averages. Fy2016 goals: obesity encourage healthy behaviors among the citizens of delta county to manage and prevent the onset of obesity. Fy2016 accomplishments: obesity involvement in "fuel up to play 60". provided medical nutrition education and training on management and prevention of obesity. on-going support of chamber "century" bike ride and community run/walks. provided medical nutrition education and training to learn how to prevent obesity. supported local runs/walk providing resources etc. *needs not addressed the chna conducted by the hospital in 2013 also identified "cancer", "heart disease", "respiratory issues", "poverty - healthy behaviors", "access to health"dental" amongst the many important community health needs. A collaborative team recognized the impact of cancer, heart disease, respiratory issues, poverty - healthy behaviors, access to health and dental on the population of patients we serve. As a health care organization we continue to focus resources on patient education, early detection and care, but we understand that we also need to have a greater focus in our communities on those risk factors that contribute to cancer, heart disease, respiratory issues, poverty - healthy behaviors, access to health and dental. We anticipate that the greatest overall long term health impact will come from a broader prevention strategy focusing on obesity, exercise and smoking; rather than a program focused on cancer, heart disease, respiratory issues, poverty - healthy behaviors, access to health and dental. Saint James hospital - Pontiac, IL The chna that was approved and adopted in 2013 for Saint James hospital identified the following as the communitys most significant health needs: Identified need: community misperceptions This need is based on results from the survey where respondents incorrectly perceived certain behaviors as being relatively unimportant health concerns in the community. This need observes the gap between patie
Schedule h - part VI supplemental information - chna continued	summary We believe the objectives listed above will help us focus on our communities' most pressing health care needs not only for fy2016 but beyond as well. OSF healthcare exists to care for others, in particular their health and medical related needs. At all levels of OSF there is a very strong commitment to our mission ("to serve persons with the greatest care and love") and in carrying out our mission in the context of our values. Cited earlier, our first value, "justice: personal worth and dignity of every person we serve regardless of race, color, religion and ability to pay." specifically addresses those who are uninsured or under-insured. the sisters of the third order of St. Francis started their healing ministry in 1877 and have been actively growing that ministry in each of the last three centuries because of the healthcare needs of all those in our service areas. Additionally, our leadership throughout OSF is committed to continuing to address unmet health care needs in our service areas by working with their respective county health departments and local social/community service organizations like their united way organizations. There is much to be done, but through collaboration "many hands will make light work."
Schedule h - part VI - 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 - 4 community information - as noted in chna	Saint Francis medical center is located in Peoria County in Illinois and 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 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%. 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%. St. Mary medical center is located in Knox County in Illinois. 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%. 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 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%. OSF saint Anthonys 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 VI - 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, 2016 for improvements in patient care, medical education, and research in the following ways: -Capital expenditures of approximately $162,196,000 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 $40,283,258 during the fiscal year for accredited physician residency programs and net costs of approximately $9,473,092 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 $498,050 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. The following provides a summary of services for each osf hospital: Saint Francis medical center is a 609-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 and 609 licensed beds. A teaching affiliate of the university of Illinois college of medicine at Peoria, osf saint Francis medical center is the Peoria areas 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 childrens hospital of Illinois (which is operated as a part of osf saint Francis medical center). 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 regions 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. 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 all its skilled nursing beds. St. Joseph is s 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 currently operates all of its beds. 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. 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 Systems strategic plans across this entire service area. St. Mary is an 81 licensed bed acute care hospital located on the northeast side of Galesburg, Illinois. St. Mary currently operates 67 acute care beds. 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. 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. 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 Lukes service areas are located primarily in Henry County but extend into portions of Stark and Bureau Counties, approximately 50 miles northwest of Peoria. OSF Saint Anthonys Health Center ("Saint Anthonys - Alton") is located in Alton, Illinois, and is not located within one of the Systems four Regions. Saint Anthonys - 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 Anthonys - 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
Part VI, line 6	Affiliated health care system roles: 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.
Part VI, line 7	All states which organization files a community benefit report: IL, mi

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
UNIVERSITY OF ILL COLLEGE OF MED
1 ILLINI DR	PEORIA	IL	61605	376000511	501(C)3	$425,174	SUPPORT OF CLINIC OPERATION
HEARTLAND COMMUNITY HEALTH
1701 W GARDEN STREET	PEORIA	IL	61605	371270794	501(C)3	$500,000	SUPPORT OF CLINIC OPERATION
HEART OF ILLINOIS UNITED WAY
509 W HIGH ST	PEORIA	IL	61606	370661504	501(C)3	$50,000	SUPPORT OF ORG OPERATIONS
FRIENDS OF WILDLIFE PRAIRIE PARK
3826 N TAYLOR RD	HANNA CITY	IL	61536	208064678	501(C)3	$75,000	SUPPORT OF ORG OPERATIONS
DOWNTOWN DEVELOPMENT CORP OF PEORIA
820 SW ADAMS STREET SUITE 1 A	PEORIA	IL	61602	464486780	501(C)3	$35,000	SUPPORT OF ORG OPERATIONS
ECONOMIC DEVELOPMENT COUNCIL
100 SW WATER ST	PEORIA	IL	61602	371104504	501(C)3	$25,000	SUPPORT OF ORG OPERATIONS
ROCKFORD AREA ECONOMIC DEVELOPMENT COUNCIL
100 PARK AVENUE SUITE 100	ROCKFORD	IL	61101	363055858	501(C)3	$50,000	SUPPORT OF ORG OPERATIONS

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	155	RecipientCnt
Cash Grant	$304,608	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Procedures for monitoring grants	FormAndLineReferenceDesc
Explanation	Form Sch I Part I Line 2 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 COLLEGES OF NURSING IN PEORIA AND ROCKFORD ILLINOIS PROVIDE THEIR RESPECTIVE BOARDS WITH UPDATES REGARDING DISTRIBUTION OF NURSING EDUCATION SCHOLARSHIPS. THE COLLEGES REQUIRE THE APPLICANTS TO SUBMIT A FINANCIAL AID APPLICATION UPON ADMITTANCE. THE SCHOLARSHIP HAS ACADEMIC PERFORMANCE, FINANCIAL NEED CRITERIA, AND HAS A SELECTION COMMITTEE THAT AWARDS THE GRANTS. THE COLLEGE'S MONITOR AND REVIEW THE RECIPIENTS INDIVIDUALLY ON A SEMESTER BASIS FOR SATISFACTORY ACADEMIC PROGRESS AND GOOD STANDING.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GERALD J MCSHANE MD
BOARD MEMBER	$576,571	$0	$156,839	$0	$43,066	$0	$36,850	$0	$12,958	$0	$826,284	$0	$0	$0
KEVIN D SCHOEPLEIN
VICE CHAIRPERSON, CEO	$1,037,970	$0	$719,984	$0	$81,114	$0	$36,850	$0	$14,366	$0	$1,890,284	$0	$0	$0
DANIEL E BAKER
former cfo	$494,947	$0	$143,459	$0	$31,904	$0	$36,850	$0	$16,697	$0	$723,857	$0	$0	$0
MICHAEL ALLEN
CFO	$141,927	$0	$0	$0	$1,179	$0	$5,857	$0	$4,313	$0	$153,276	$0	$0	$0
DANIEL R FASSETT MD
PHYSICIAN, NEUROSURGERY	$470,782	$0	$1,117,275	$0	$19,270	$0	$18,300	$0	$36	$0	$1,625,663	$0	$0	$0
JEFFREY D KLOPPENSTEIN MD
PHYSICIAN, NEUROSURGERY	$483,701	$0	$745,410	$0	$1,282	$0	$18,300	$0	$16,398	$0	$1,265,091	$0	$0	$0
ANTHONY m AVELlINO MD
PHYSICIAN, NEUROSURGERY	$800,201	$0	$324,283	$0	$22,120	$0	$18,300	$0	$16,845	$0	$1,181,749	$0	$0	$0
JON c MICHEL md
PHYSICIAN, PULMONOLOGIST	$618,395	$0	$379,759	$0	$12,667	$0	$16,866	$0	$11,591	$0	$1,039,278	$0	$0	$0
SUDHIR MUNGEE md
PHYSICIAN, CARDIOLOGIST	$443,879	$0	$562,678	$0	$1,288	$0	$18,300	$0	$16,398	$0	$1,042,543	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form Sch J, Part I, Line 1a	FormAndLineReferenceDesc
Explanation	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 1, LINE 3 SEE EXPLANATION IN SCHEDULE O, PART VI, LINE 15A FOR DETAILS REGARDING THE PROCESS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. SCHEDULE J, PART I, LINE 4B OSF HEALTHCARE SYSTEM HAS A DEFERRED COMPENSATION PLAN FOR SELECT KEY EXECUTIVES. THIS PLAN WAS DEVELOPED TO ASSIST WITH ATTRACTING AND RETAINING CERTAIN KEY EXECUTIVES IN THE CORPORATION. THE PLAN IS DESIGNED TO ENCOURAGE THE PARTICIPANTS TO STAY UNTIL A CERTAIN RETIREMENT DATE. IF THE PARTICIPANtS TERMINATE PRIOR TO THEIR TARGET RETIREMENT DATE, THEY FORFEIT WHAT IS IN THE PLAN. THE CORPORATION DETERMINES THE REQUIRED DEPOSITS FOR THE PLAN AT A CONSOLIDATED LEVEL. DURING 2016, $412,000 IN DEPOSITS WERE MADE TO THE PLAN AND NO DISTRIBUTIONS WERE MADE TO THE PLAN.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A	861091967	45203HVM1	2007-08-29	$461,801,780	SEE PART VI	Yes (true)	false	false
ILLINOIS FINANCE AUTHORITY
B	861091967	45200FWG0	2009-03-31	$249,074,230	SEE PART VI	Yes (true)	false	false
ILLINOIS FINANCE AUTHORITY
C	861091967	000000000	2009-08-18	$70,000,000	SEE PART VI	false	false	false
ILLINOIS FINANCE AUTHORITY
D	861091967	45200F3R8	2010-06-29	$158,535,888	SEE PART VI	Yes (true)	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$222,095,000	$112,905,000	$461,801,780	$79,257	$0	$0	$3,319,397	$8,846,375	$0	$285,706,088	$0	$0	2010	Yes (true)	false	Yes (true)	Yes (true)
B	$2,395,000	$122,595,000	$249,074,230	$78,202	$0	$0	$3,114,169	$126,677	$0	$0	$0	$0		Yes (true)	false	Yes (true)	Yes (true)
C	$53,000,000	$0	$70,000,000	$14,968	$0	$0	$0	$0	$0	$70,000,000	$0	$0	2010	false	false	Yes (true)	Yes (true)
D	$6,025,000	$100,710	$158,535,888	$805	$0	$0	$2,080,292	$0	$0	$28,000,000	$0	$0	2010	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false	false
C	false	false	false	false	false	false	false	false
D	false	false	false	false	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
MERRILL LYNCH
A	false	Yes (true)	Yes (true)	Yes (true)	false	Yes (true)	false	0	Yes (true)	false
0
B	false	Yes (true)	Yes (true)	false			false	0	false	false
0
C	false	Yes (true)	Yes (true)	false			false	0	false	false
0
D	false	Yes (true)	false	false			false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false
D	false

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Supplemental Information 1	SCHEDULE K - PART I - BOND ISSUES ILLINOIS FINANCE AUTHORITY - 08/29/2007 CUSIP# 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 (I) FINANCE OR REFINANCE THE COST OF THE ACQUISITION, CONSTRUCTION AND EQUIPPING OF A 441,000 SQ. FT. NEW PATIENT TOWER; (II) PAY CAPITALIZED INTEREST WITH RESPECT TO A PORTION OF THE SYSTEMWIDE BONDS; (III) FUND DEBT SERVICE RESERVE FUNDS FOR CERTAIN OF THE SYSTEMWIDE BONDS; (IV) REFINANCE THE PRIOR INDEBTEDNESS DESCRIBED BELOW AND (V) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SYSTEMWIDE BONDS AND THE REFINANCING. ILLINOIS FINANCE AUTHORITY - 3/31/2009 CUSIP# 45200FWG0, 45200FWE5, 45200FWF2 THE CORPORATION USED THE PROCEEDS OF THE SYSTEMWIDE BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, TO (I) REFINANCE AND REDEEM THE PRIOR BONDS DESCRIBED BELOW; (II) FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2009 BONDS; AND (III) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SYSTEMWIDE BONDS AND THE REFINANCING. ILLINOIS FINANCING AUTHORITY - 08/18/2009 NO CUSIP# (PRIVATE PLACEMENTS) THE CORPORATION USED THE PROCEEDS OF THE SERIES 2009EFG TO PAY OR REIMBURSE THE CORPORATION FOR THE PROJECTS. 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 COPORATION'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. ILLINOIS FINANCE AUTHORITY - 9/26/2012 CUSIP #45203HLH3, 45203HLG5 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2012 BONDS TO (I) 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. 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 PAVILLION") 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. 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 HERINAFTER DEFINED; (II) PAY THE COSTS OF TERMINATING AN INTEREST RATE AGREEMENT RELATED TO THE SERIES 2016 BONDS; AND (III) PAY CERTAIN EPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2016 BONDS AND THE REFUNDING OF THE REFUNDED BONDS.
Supplemental Information 2	SCHEDULE K - PART II - LINE 7 BOND ISSUANCE COSTS BOND ISSUANCE COSTS CREDIT ENHANCEMENT TOTAL A $3,319,397 $8,846,375 $12,165,772 B $3,114,169 $ 126,677 $ 3,240,846 C $ -0- $ -0- $ -0- D $2,080,292 $ -0- $ 2,080,292 E $2,402,586 $ -0- $ 2,402,586 F $4,151,388 $ -0- $ 4,151,388 G $1,623,878 $ -0- $ 1,623,878
Supplemental Information 3	SCHEDULE K - PARKT IV - LINE 2C DATE THE REBATE COMPUTATION WAS PERFORMED A AUGUST 3, 2016 B MAY 30, 2014 C JUNE 3, 2014 D JULY 9, 2015
Supplemental Information 4	SCHEDULE K - PART III - LINE 9, PART IV - LINE 7 AND PART V In April 2017, the organization adopted a written tax-exempt bond compliance policy and implementing procedures which include provisions described in each of the questions.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$6,500,000	$0	$191,360,304	$461	$0	$0	$2,402,586	$0	$0	$15,813,583	$0	$0	2012	Yes (true)	Yes (true)	Yes (true)	Yes (true)
B	$0	$0	$392,744,128	$95,435,538	$2,354,324	$176,705,082	$4,151,388	$0	$0	$57,197,103	$54,185,845	$0		Yes (true)	Yes (true)	false	Yes (true)
C	$0	$0	$121,790,760	$180,143	$0	$120,737,980	$1,623,878	$0	$0	$0	$1,677,400	$0		false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false	false
C	false	false	false	false	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
0
A	false	Yes (true)	false	false	false	0	false	false
BARCLAY'S
B	false	Yes (true)	false	Yes (true)	false	0	false	false	false	Yes (true)
BARCLAY'S
C	false	Yes (true)	false	Yes (true)	false	0	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	DR JAMES W GIRARDY	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$326,760	TransactionAmt
Transaction	SEE PART V INFORMATION	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV - DESCRIPTION OF TRANSACTION	FormAndLineReferenceDesc
Explanation	DR. JAMES W. GIRARDY, A BOARD MEMBER OF THE ORGANIZATION IS THE 100% STOCKHOLDER OF GOODFELLOW MEDICAL CONSULTING, LLC WHICH PROVIDED SERVICES AND RECEIVED FEES FOR A RELATED ORGANIZATION, OSF SAINT ANTHONY'S MEDICAL CENTER IN ROCKFORD ILLINOIS, FOR WHICH HE RECEIVED A 1099 IN THE AMOUNT OF $326,760 DURING 2015.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 PART I	The tax law requires that each legal entity within the OSF Healthcare System complete a separate tax return which appropriately reflects the activities and financial position of the particular organization. This reporting, however, is not reflective of the OSF Healthcare System as a whole. Please see the attached audited financial statements of OSF Healthcare System and Subsidiaries for a complete overview of the System. Form 990 Part I Line 1 OSF IS A CATHOLIC INTEGRATED HEALTH CARE DELIVERY SYSTEM. DURING FY 2016 OSF OPERATED 11 HOSPITALS (9 INCLUDED IN THIS RETURN AND 2 THAT FILE SEPERATE RETURNS), 5 HOME HEALTH AGENCIES, 4 HOSPICES AND EMPLOYED APPROXIMATELY 716 PHYSICIANS. Form 990 Part III Line 1 OSF HEALTHCARE SYSTEM IS A CATHOLIC INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH DURING ITS FISCAL YEAR 2016 OPERATED 11 HOSPITALS, 5 HOME HEALTH AGENCIES, 4 HOSPICES, AND EMPLOYED APPROXIMATELY 716 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. OSF HEALTHCARE SYSTEM WILL PROVIDE COMPREHENSIVE, INTEGRATED, QUALITY CARE, INCLUDING PREVENTIVE, PRIMARY, ACUTE, CONTINUOUS AND REHABILITATIVE HEALTH SERVICES IN THOSE AREAS IN WHICH WE ARE NOW SERVING AND MAY SERVE IN THE FUTURE. SPECIAL EMPHASIS WILL BE PLACED ON MEETING THE PHYSICAL, SPIRITUAL, EMOTIONAL, AND SOCIAL NEEDS OF EVERYONE WHO IS CARED FOR IN THE SYSTEM. THE VISION WILL BE ACCOMPLISHED BY PROVIDING HIGH QUALITY AND ACCESSIBLE COMPREHENSIVE SERVICES IN AN INTEGRATED SYSTEM. SERVICES WILL BE PROVIDED TO PERSONS OF ALL AGES AND SOCIAL STRATA WITH A CONCERN FOR THE DISADVANTAGED AND THE POOR OF BODY AND SPIRIT. THE PHILOSOPHY AND VALUES OF THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES WILL BE THE NORM FOR ALL SERVICES. THE SYSTEM LEADERSHIP WILL NETWORK CLOSELY WITH EACH OTHER IN THEIR OWN AREA AND THROUGHOUT THE SYSTEM. THEY WILL ALSO NETWORK WITH OTHER PROVIDERS WHO HAVE SIMILAR VALUES AND COMPLEMENTARY SERVICES. INHERENT IN THIS DIRECTION FOR THE FUTURE IS: AN EMPHASIS ON PROVIDING A CONTINUUM OF HEALTH CARE SERVICES WHILE MEETING THE SPECIFIC NEEDS OF PEOPLE SERVED. HOSPITAL BASED AND FREE-STANDING PROGRAMS AND SERVICES TO MEET COMMUNITY NEEDS. A COLLABORATIVE RELATIONSHIP BETWEEN THE CONGREGATION AND THE LAITY. NETWORKING AMONG THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS MINISTRIES AND WITH OTHER PROVIDERS AND PURCHASERS. A MARKET DRIVEN RESPONSE TO PEOPLE'S NEEDS. Form 990 Part III Line 4a 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, 2016, THESE NINE FACILITIES HAD A COMBINED TOTAL OF 1,420 LICENSED INPATIENT AND RESIDENT BEDS AND OPERATED A COMBINED TOTAL OF 1,411 STAFFED INPATIENT AND RESIDENT BEDS. THEY HAD COMBINED TOTALS OF 60,887 INPATIENT AND RESIDENT DISCHARGES AND 279,930 INPATIENT AND RESIDENT DAYS, INCLUDING 15,890 NEWBORN INPATIENT DAYS. THE NINE ACUTE CARE HOSPITALS COLLECTIVELY SERVED 53 COUNTIES. THEY HAD A COMBINED TOTAL OF APPROXIMATELY 3,019 PHYSICIANS ON THEIR MEDICAL STAFFS; INCLUDING APPROXIMATELY 1,516 PHYSICIANS ON THEIR ACTIVE OR ASSOCIATE MEDICAL STAFFS. PONTIAC, ILLINOIS IS A SOLE COMMUNITY HOSPITAL AND ESCANABA, MICHIGAN; KEWANEE, ILLINOIS; AND MONMOUTH, ILLINOIS ARE CRITICAL ACCESS HOSPITALS. THE CORPORATION'S HOSPITALS OFFER A BROAD RANGE OF INPATIENT SERVICES. THREE OF THE HOSPITALS PROVIDE OPEN HEART SURGERY SERVICES, TWO OFFER LEVEL II NEONATAL SERVICES, ONE OFFERS LEVEL III NEONATAL SERVICES (HIGHEST LEVEL), AND ONE OFFERS KIDNEY AND PANCREAS ORGAN TRANSPLANT SERVICES. THE CORPORATION HAS ORGANIZED AND OPERATES COMPREHENSIVE CARDIAC AND STROKE CARE NETWORKS IN CENTRAL AND NORTHERN ILLINOIS AND OPERATES THE ONLY COMPREHENSIVE CHILDREN'S HOSPITAL IN CENTRAL ILLINOIS.
Form 990 Part III Line 4b	OUTPATIENT SERVICES: THE NINE ACUTE CARE HOSPITALS OWNED AND OPERATED BY OSF HEALTHCARE SYSTEM COLLECTIVELY PROVIDED 1,355,683 OUTPATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2016, INCLUDING 63,783 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.
Form 990 Part III Line 4c	PHYSICIAN SERVICES: PHYSICIANS EMPLOYED BY OSF HEALTHCARE SYSTEM PROVIDE OFFICE VISITS (NOT INCLUDING SERVICES PROVIDED TO HOSPITAL INPATIENTS AND OUTPATIENTS) AT OFFICES IN LOCATIONS THROUGHOUT CENTRAL AND NORTHERN ILLINOIS AND THE UPPER PENINSULA OF MICHIGAN. DURING FY 2016 MOST PHYSICIAN SERVICES TRANSITIONED TO A NEW 501(C)(3) CORPORATION CALLED OSF MULTI-SPECIALTY GROUP ON 1/1/16.
Form 990 Part III Line 4d	OTHER PROGRAM SERVICES: (EXPENSES $318,074,281 INCLUDING GRANTS OF $304,608) (REVENUE $127,030,001) BEYOND INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES OSF HEALTHCARE SYSTEM ALSO PROVIDES CARE FOR THE FOLLOWING SERVICES: HOME HEALTH SERVICES - FIVE AGENCIES LOCATED IN ILLINOIS AND MICHIGAN. HOSPICE SERVICES - FOUR PROGRAMS LOCATED IN ILLINOIS AND MICHIGAN. EMERGENCY DEPARTMENT SERVICES - ALL ACUTE CARE HOSPITALS PROVIDE 24 HOUR EMERGENCY CARE. RESIDENCY PROGRAMS - OSF HEALTHCARE SYSTEM IS AFFILATED 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 & GROUND TRANSPORT 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 UNDERINSURED COMMUNITY CLINICS IN BLOOMINGTON AND PEORIA. THE CORPORATION ALSO 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. THE CORPORATION ALSO PROVIDES PARAMEDIC EDUCATION, EMT EDUCATION, MEDICAL TECH EDUCATION, RADIOLOGY TECH EDUCATION AND DIETETIC EDUCATION PROGRAMS.
Form 990 Part VI Line 1a	BY ADOPTING CERTAIN PROVISIONS OF THE CORPORATE BYLAWS, THE BOARD OF DIRECTORS HAS DELEGATED BROAD 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 & 7a	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. 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	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 JAMES W. GIRARDY, M.D. 5666 EAST STATE STREET ROCKFORD, IL 61108
Form 990 Part VI Line 11b	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 OUTSIDE AUDITORS, KPMG LLP, FOR REVIEW AND COMMENT. KPMG 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	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. DISCLOSURES ARE RECEIVED AND REVIEWED BY THE CORPORATE COMPLIANCE DIVISION. IF A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED, THEN THE DISCLOSING EMPLOYEE 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 EMPLOYEE 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	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.
Form 990 Part VI Line 15b	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.
Form 990 Part VI Line 18	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 MANNER REQUESTED (IF SUCH DELIVERY METHOD IS AVAILABLE TO THE CORPORATION).
Form 990 Part VI Line 19	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 Line 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 XI, Line 9	OTHER CHANGES IN FUND BALANCE INCLUDE: CHANGE IN UNREALIZED MARKET VALUE OF SWAPS (9,812,679) NET ASSETS RELEASED FROM RESTRICTION (3,402,179) INCREASE IN PERMANETLY RESTRICTED ASSETS 22,812,306 REVERSAL OF MINIMUM PENSION LIABILITY (103,781,755) SFI & SUBSIDIAIRY INCOME 2,504,063 MINORITY INTEREST (4,253,973) INVESTMENT IN HEARTCARE MIDWEST (4,659,601) EQUITY TRANSFERS (21,699,518) EARLY EXTINGUISHMENT OF DEBT (20,482,375) EQUITY TRANSFER - MULTISPECIALTY GROUP (156,816,274) NET SETTLEMENT OF DERIVATIVE INSTRUMENT (8,785,923) STREATOR ACQUISITION 2,587,014 ------------------ TOTAL CHANGES IN NET ASSETS OR FUND BALANCE (305,790,894)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
OSF LIFELINE AMBULANCE LLC
318 ROXBURY ROAD	ROCKFORD	IL	61107	200080542	AMBULANCE SVS	IL	-$1,429,337	$675,504	OSF
POINTCORE LLC
9600 N FRANCISCAN DR	PEORIA	IL	61615	465126926	IT SERVICES	IL	$2,014,601	$267,115	OSF
SAINT ANTHONY'S LLC
915 EAST 5TH STREET	ALTON	IL	62002	371407745	LOW INC HOUSi	IL	$0	$0	OSF

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SISTERS OF THE THIRD ORDER OF STFRANCIS
800 NE GLEN OAK AVE	PEORIA	IL	61603	371259286	PARENT/SU ORG	IL	501(c)(3)	LN11 TYPEII	NA	false
OSF HEALTHCARE FOUNDATION
800 NE GLEN OAK AVE	PEORIA	IL	61603	371259284	SUPPORT ORG	IL	501(c)(3)	LN11 TYPEII	NA	false
ST FRANCIS COMMUNITY CLINIC
530 NE GLEN OAK AVE	PEORIA	IL	61637	370661235	FREE CLINIC	IL	501(c)(3)	LN7	SIS 3RD OSF	false
OTTAWA REGIONAL HOSP & HEALTHCARE CTR
1100 EAST NORRIS DRIVE	OTTAWA	IL	61350	362604009	HOSPITAL	IL	501(c)(3)	LN3	OSF	Yes (true)
OTTAWA REGIONAL HOSPITAL FOUNDATION
1100 EAST NORRIS DRIVE	OTTAWA	IL	61350	364007569	SUPPORT ORG	IL	501(c)(3)	LN11A TYPEI	ORHHC	Yes (true)
OTTAWA REGIONAL HOSPITAL AUXILIARY
1100 EAST NORRIS DRIVE	OTTAWA	IL	61350	363854788	SUPPORT ORG	IL	501(c)(3)	LN11C TYIII	ORHHC	false
OSF MULTI-SPECIALTY GROUP
800 NE GLEN OAK AVE	PEORIA	IL	61603	383852646	HLTHCARE SVCS	IL	501(c)(3)	LN11A TYPEI	OSF	Yes (true)
OSF HEART & VASCULAR INSTITUTE
800 NE GLEN OAK AVE	PEORIA	IL	61603	352422385	HLTHCARE SVCS	IL	501(c)(3)	LN11A TYPEI	OSF	Yes (true)
CHILDREN'S HOSPITAL OF ILLINOIS MED GRP
800 NE GLEN OAK AVE	PEORIA	IL	61603	320353954	HLTHCARE SVCS	IL	501(c)(3)	LN11A TYPEI	OSF	Yes (true)
ILLINOIS NEUROSCIENCE INSTITUTE
800 NE GLEN OAK AVE	PEORIA	IL	61603	364709999	HLTHCARE SVCS	IL	501(c)(3)	LN11A TYPEI	OSF	Yes (true)
MENDOTA COMMUNITY HOSPITAL
1201 E 12TH STREET	MENDOTA	IL	61342	362167785	HOSPITAL	IL	501(c)(3)	LN3	OSF	Yes (true)
SAINT ANTHONY'S PHYSICIAN GROUP
PO BOX 340	ALTON	IL	62002	371365059	HLTHCARE SVCS	IL	501(c)(3)	LN9	OSF	Yes (true)
SISTERS OF ST FRANCIS MARTYR ST GEORGE
PO BOX 9020	ALTON	IL	62002	376034163	RELIGIOUS	IL	501(c)(3)	LN1	OSF	Yes (true)
IPMR
6501 n sheridan road	peoria	IL	61614	370681567	rehab	IL	501(c)(3)	LN3	OSF	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
CTR FOR HEALTH AMB SURGERY CTR
8800 RTE 91 N	PEORIA	IL	61615	205557171	SURGICAL CENTER	IL	OSF	related	$3,405,976	$2,479,508	false	false	0.55500
STATE & ROXBURY LLC
1725 HUNTWOOD DR STE 400	CHERRY VALLEY	IL	61016	261728983	REAL ESTATE MGMT	IL	OSF	related	$150,722	-$399,632	false	false	0.51000
EASTLAND MED PLZ SURGICENTER LLC
1505 EASTLAND DR	BLOOMINGTON	IL	61701	371400643	SURGICAL CENTER	IL	OSF	related	$2,741,008	$6,593,981	false	false	0.52720
FORT JESSE IMAGING CENTER LLC
2200 F JESSE RD STE B	NORMAL	IL	61761	460515604	MEDICAL IMAGING	IL	OSF	related	$705,612	-$88,017	false	false	0.50100
RADIATION ONCOLOGY OF NORTHERN ILLINOIS
1200 STARFIRE DR	OTTAWA	IL	61350	753247165	RADIATION ONCOLG	IL	ORHHC	related	$0	$0	false	false
POINT CORE NETWORK SEVCS LLC
222 3RD AVE SE STE 500	CEDAR RAPIDS	IA	52401	465393141	IT SERVICES	IA	POINTCORELLC	related	$2,014,601	$267,115	false	false	0.50000
ST CLARE'S VILLA LP
915 E 5TH ST	ALTON	IL	62002	371397289	LOW INC HOUSING	IL	OSF	unrelated	-$44,023	$5,580,429	false	Yes (true)	0.00010
FOX RIVER CANCER CENTER
1211 STARFIRE DRIVE	OTTAWA	IL	61350	870805865	oncology	IL	ORHHC	related	$0	$0	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
OSF SAINT FRANCIS INC
800 NE GLEN OAK AVE	PEORIA	IL	61603	363484677	HLTHCARE SVCS	IL	OSF	C Corp	$2,504,063	$175,112,302	1.00000	Yes (true)
HEARTCARE MIDWEST LTD
5405 N KNOXVILLE AVENUE	PEORIA	IL	61614	370996868	CARDIOVASCULAR	IL	OSF	C Corp	-$4,659,601	$0	1.00000	Yes (true)
CARDIOVASCULAR INSTITUTE AT OSF LLC
444 ROXBURY ROAD	ROCKFORD	IL	61107	264225726	CARDIOVASCULAR	IL	OSF	C Corp	-$2,204,824	$0	1.00000	Yes (true)
ILLINOIS PATHOLOGIST SERVICES LLC
5666 EAST STATE STREET	ROCKFORD	IL	61108	800439081	PATHOLOGY SVCS	IL	OSF	C Corp	$145,895	$1,261,169	1.00000	Yes (true)
OSF MULTISPECIALTY GRP-EASTERN REG LLC
1701 E COLLEGE AVE	BLOOMINGTON	IL	61704	300561892	MULTISPEC CLINIC	IL	OSF	C Corp	-$3,290,438	$0	1.00000	Yes (true)
OSF MULTISPECIALTY GRP-PEORIA LLC
530 NE GLEN OAK AVENUE	PEORIA	IL	61637	262800379	PEDIATRIC CARDIOV	IL	OSF	C Corp	-$1,271,903	$0	1.00000	Yes (true)
ILLINOIS NEUROLOGICAL INSTITUTE-PHY LLC
719 N WILLIAM KUMPF BLVD	PEORIA	IL	61605	263109118	PEDIATRIC NEUROLO	IL	OSF	C Corp	-$967,750	$0	1.00000	Yes (true)
ILLINOIS SPEC PHY SVCS AT OSF LLC
1001 MAIN STREET SUITE 200	PEORIA	IL	61606	800462209	PULMONOLOGY	IL	OSF	C Corp	-$1,309,113	$0	1.00000	Yes (true)
OSF PERINATAL ASSOCIATES LLC
4911 EXECUTIVE DRIVE SUITE 200	PEORIA	IL	61614	800498373	MATERNAL FET MED	IL	OSF	C Corp	-$196,988	$0	1.00000	Yes (true)
OSF MULTISPECIALTY GR- WESTERN REG LLC
3315 NORTH SEMINARY STREET	GALESBURG	IL	61401	800608541	MULTISPEC CLINIC	IL	OSF	C Corp	-$1,686,111	$0	1.00000	Yes (true)
OSF CHILDREN'S MEDICAL GROUP-CONGENITAL
5701 STRATHMOOR DRIVE SUITE 1	ROCKFORD	IL	61107	900714643	PEDIATRIC CARDIOV	IL	OSF	C Corp	-$293,790	$0	1.00000	Yes (true)
PREFERRED EMERGENCY PHY OF ILLINOIS LLC
800 NE GLEN OAK AVENUE	PEORIA	IL	61603	900749855	EMERGENCY ROOM	IL	OSF	C Corp	-$517,084	-$250,055	1.00000	Yes (true)
OTTAWA REG HEALTHCARE AFFILIATES INC
1100 EAST NORRIS DRIVE	OTTAWA	IL	61350	263937519	HOLDING COMPANY	IL	ORHHC	C Corp	$0	$0		Yes (true)
OTTAWA REGIONAL MEDICAL CENTER INC
1614 EAST NORRIS DRIVE	OTTAWA	IL	61350	271036071	OUTPATIENT DIAG	IL	ORHHC	C Corp	$0	$0		Yes (true)
ASSOC MED INSTITUTE CONDO ASSOC
6501 N SHERIDAN ROAD	PEORIA	IL	61614	371402305	CONDO ASSOC	IL	OSF	C Corp	$0	$118,610	1.00000	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (58 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
OSF Multi-Specialty Group
a(iv)	$216,090
CENTER FOR HEALTH AMBULATORY SURGERY CENTER
a(iv)	$989,264
EASTLAND MEDICAL PLAZA SURGICENTER LLC
a(iv)	$632,092
HEARTCARE MIDWEST LTD
a(iv)	$77,583
OSF MULTISPECIALTY GROUP - PEORIA LLC
a(iv)	$71,385
OSF PERINATAL ASSOCIATES LLC
a(iv)	$2,047
ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS
a(iv)	$5,239
CARDIOVASCULAR INSTITUTE AT OSF LLC
a(iv)	$391
SAINT ANTHONY PHYSICIAN GROUP
a(iv)	$46,753
OSF SAINT FRANCIS INC
a(iv)	$548,649
ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF
a(iv)	$4,991
OSF MULTISPECIALTY GROUP-WESTERN REGION LLC
a(iv)	$9,701
OSF CHILDREN'S MEDICAL GROUP-CONGENITAL HEART
a(iv)	$250
OSF MULTISPECIALTY GROUP - PEORIA LLC
b	$1,000,000
ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS
b	$1,000,000
CARDIOVASCULAR INSTITUTE AT OSF LLC
b	$2,000,000
OSF MULTISPECIALTY GROUP-EASTERN REGION LLC
b	$3,000,000
ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF
b	$4,000,000
OSF MULTISPECIALTY GROUP-WESTERN REGION LLC
b	$2,000,000
OSF PERINATAL ASSOCIATES LLC
b	$600,000
ILLINOIS PATHOLOGIST SERVICES LLC
b	$2,100,000
HEARTCARE MIDWEST LTD
b	$11,700,000
OSF SAINT FRANCIS INC
k	$7,592,572
CARDIOVASCULAR INSTITUTE AT OSF LLC
k	$112,120
STATE AND ROXBURY LLC
k	$653,722
HEARTCARE MIDWEST LTD
k	$275,484
OSF SAINT FRANCIS INC
l	$21,267,445
OSF MULTISPECIALTY GROUP-EASTERN REGION LLC
l	$5,631,444
CARDIOVASCULAR INSTITUTE AT OSF LLC
l	$3,607,276
ILLINOIS PATHOLOGIST SERVICES LLC
l	$1,543,953
ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF
l	$3,415,591
OSF PERINATAL ASSOCIATES LLC
l	$563,702
OSF MULTISPECIALTY GROUP - PEORIA LLC
l	$1,915,291
ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS
l	$2,657,360
OSF MULTISPECIALTY GROUP-WESTERN REGION LLC
l	$4,138,664
OSF CHILDREN'S MEDICAL GROUP-CONGENITAL HEART
l	$283,567
OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER
l	$3,110,159
OSF SAINT FRANCIS INC
m	$38,808,551
OSF SAINT FRANCIS INC
p	$8,734,480
HEARTCARE MIDWEST LTD
p	$302,272
OSF MULTISPECIALTY GROUP-EASTERN REGION LLC
p	$4,357,595
CARDIOVASCULAR INSTITUTE AT OSF LLC
p	$1,051,859
ILLINOIS PATHOLOGIST SERVICES LLC
p	$628,337
ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF
p	$1,286,340
OSF PERINATAL ASSOCIATES LLC
p	$284,718
OSF MULTISPECIALTY GROUP - PEORIA LLC
p	$129,390
ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS
p	$411,158
OSF MULTISPECIALTY GROUP-WESTERN REGION LLC
p	$259,129
OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER
p	$2,374,579
EASTLAND MEDICAL PLAZA SURGICENTER LLC
s	$2,713,205
FORT JESSE IMAGING CENTER LLC
s	$542,467
CENTER FOR HEALTH AMBULATORY SURGERY CENTER
s	$3,330,000
OSF MULTISPECIALTY GROUP-EASTERN REGION LLC
s	$100,000
ILLINOIS PATHOLOGIST SERVICES LLC
s	$2,075,000
OSF MULTISPECIALTY GROUP - WESTERN REGION LLC
s	$83,000
OSF CHILDREN'S MEDICAL GROUP-CONGENITAL HEART
S	$138,000
PREFERRED EMERGENCY PHYSICIANS OF ILLINOIS
s	$82,378
OSF SAINT FRANCIS INC
S	$37,630,211

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM SCH R PART III	FormAndLineReferenceDesc
Explanation	For purposes of completion, the related organizations listed below are taxable as a partnership. Center for Health Ambulatory Surgery Center, LLC 20-5557171 8800 Route 91 North, Peoria, IL 61615 State and Roxbury, LLC 26-1728983 1725 Huntwood Dr., Ste 400, Cherry Valley, IL 61016 Eastland Medical Plaza Surgicenter, LLC 37-1400643 1505 Eastland Drive, Bloomington, IL 61701 Fort Jesse Imaging Center, LLC 46-0515604 2200 Ft. Jesse Road, Suite B, Normal, IL 61761 Radiation Oncology of Northern Illinois, LLC 75-3247165 1200 Starfire Drive, Ottawa, IL 61350 Point Core Network Services, LLC 46-5393141 222 3rd Ave. S.E. Suite 500, Cedar Rapids, Iowa 52401 Saint Clare's Villa Limited Partnership 37-1397289 915 East 5th Street, Alton, IL 62002 Fox River Cancer Center 87-0805865 1211 Starfire Drive, Ottawa, IL 61350	ExplanationTxt