2015-08-17T12:56:30-05:00 2014-09-30 KPMG LLP 191 West Nationwide Blvd Ste 500 Columbus OH 432152568 990 2013-10-01 370813229 OSF Healthcare System % MR DANIEL BAKER OSFH 3096552850 800 NE GLEN OAK AVENUE Suite PEORIA IL 616033200 DANIEL E BAKER CFO 6142491929 2015-08-13 true MOLLIE P LONGHOUSE P00294881 6142491929 2013 2016-02-25 16:41:14Z DANIEL E BAKER 800 NE GLEN OAK AVENUE PEORIA IL 61603 1962596548 false X www.osfhealthcare.org X 1880 IL OSF IS A CATHOLIC INTEGRATED HEALTH CARE DELIVERY SYSTEM. DURING FY14 OSF OPERATED 8 HOSPITALS, 5 HOME HEALTH AGENCIES, 4 HOSPICES AND EMPLOYED APPROXIMATELY 630 PHYSICIANS. 11 7 15052 1861 7078334 20136064 14475010 1797771173 1853970006 37761912 36459025 37379708 53432281 1893048857 1958336322 722790 888178 0 0 954485517 971235500 0 0 5030293 832160384 815685912 1787368691 1787809590 105680166 170526732 2485641264 2692360006 1529786816 1758257678 955854448 934102328 X OSF HEALTHCARE SYSTEM IS A CATHOLIC INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH DURING ITS FISCAL YEAR 2014 OPERATED 8 HOSPITALS, 5 HOME HEALTH AGENCIES, 4 HOSPICES, AND EMPLOYED APPROXIMATELY 630 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 PROVID false false 571715538 672500 836241338 INPATIENT SERVICES - SEE SCHEDULE O 489681994 776780243 OUTPATIENT SERVICES - SEE SCHEDULE O 277172972 103204755 PHYSICIAN SERVICES - SEE SCHEDULE O 225551623 215678 182761377 1564122127 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true true true true false false false false false false false false false false false false false false true true true true false false true 843 0 true 15052 true true true false false false false false false false false false X 11 7 false false false false true true true true true true false true true true true true true true true true true IL X MR DANIEL BAKER 3096553638 800 NE GLEN OAK AVE PEORIA IL 61603 X GERALD J MCSHANE MD BOARD MEMBER 40.0 5.0 X 505849 0 48621 JAMES W GIRARDY MD BOARD MEMBER 3.0 0.0 X 384760 0 0 KEVIN D SCHOEPLEIN VICE CHAIRPERSON; CEO 40.0 5.0 X X 1006804 0 54256 SISTER AGNES JOSEPH WILLIAMS OSF ASSISTANT SECRETARY 40.0 0.5 X X 4640 0 0 SISTER DIANE MARIE MCGREW OSF PRESIDENT/TREASURER 40.0 1.0 X X 4640 0 0 SISTER JUDITH ANN DUVALL OSF CHAIRPERSON 40.0 0.5 X X 4640 0 SISTER MARIA ELENA PADILLA OSF BOARD MEMBER 40.0 0.0 X 0 0 0 SISTER ROSE THERESE MANN OSF BOARD MEMBER 40.0 0.0 X 0 0 0 SISTER THERESA ANN BRAZEAU OSF SECRETARY 40.0 1.0 X X 4640 0 0 SISTER M MIKELA MEIDL FSGM BOARD MEMBER 40.0 0.0 X 0 0 0 BRIAN J SILVERSTEIN MD BOARD MEMBER 3.0 0.0 X 0 0 0 DANIEL E BAKER SENIOR VP, CFO 40.0 5.0 X 520753 0 49010 DANIEL R FASSETT MD PHYSICIAN, NEUROSURGERY 40.0 0.0 X 1573017 0 18218 JEFFREY D KLOPPENSTEIN MD PHYSICIAN, NEUROSURGERY 40.0 0.0 X 1142357 0 33962 BRIAN D SIPE MD PHYSICIAN, ORTHOPEDICS 40.0 0.0 X 883451 0 35162 ANDREW J TSUNG MD PHYSICIAN, NEUROSURGERY 40.0 0.0 X 953038 0 29336 DONGWOO J CHANG MD PHYSICIAN, NEUROSURGERY 40.0 0.0 X 950861 0 19672 7939450 0 288237 992 false true false UNIV OF IL COLLEGE OF MEDICINE PO BOX 4196 SPRINGFIELD IL 627084196 TEACHING PHYISICANS 22080785 HINSHAW CULBERTSON LLP 8142 SOLUTIONS CENTER DR CHICAGO IL 606778001 LEGAL 3583005 ASSOC ANESTHESIOLOGISTS SC 8600 N STATE RT 91 SUITE 250 PEORIA IL 616159452 ANESTHESIOLOGY SVS 3017955 ROCKFORD ANESTHESIOLOGISTS ASSOC 2202 HARLEM RD STE 200 LOVES PARK IL 611112754 ANESTHESIOLOGY SVS 1902380 THE ADVISORY BOARD COMPANY 2445 M STREET NW WASHINGTON DC 20037 CONSULTING SERVICES 1237722 70 12012886 2249628 212496 14475010 NET PATIENT SERVICE REVENUE 900099 1847207215 1847207215 LAB 621500 4339453 4339453 AFFILIATED PURCHASING PROGRAM 561499 1443514 1443514 INTEREST 900099 44057 44057 CONSULTING REVENUE 900099 740601 740601 195166 195166 1853970006 36928012 36928012 0 0 2243315 2222276 21039 0 21039 21039 1568963 2037950 -468987 -468987 -468987 0 0 0 TUITION 900099 12269757 12269757 CONTRACT PHARMACY 900099 11202036 11202036 MEANINGFUL USE REVENUE 900099 5018446 5018446 24921003 21545914 315543 3059546 53411242 1958336322 1897243368 7078334 39539610 672500 672500 215678 215678 0 0 1663042 1663042 0 765601855 686525127 77734931 1341797 55803062 49266923 6536139 98373505 87178429 11192301 2775 49794036 44564050 5229986 0 8593728 674533 7919195 634118 502413 131705 0 0 0 72490695 61485888 11004258 549 4352033 4177180 88790 86063 9365728 8386740 936839 42149 21782235 1439972 20342263 0 14609156 13897656 701897 9603 5431192 4230466 1181528 19198 0 2154633 1728099 418126 8408 34836917 750804 34086113 -63769780 -50573023 -13196757 84533458 62992615 21540843 25432656 25352622 80034 SUPPLIES 277024337 276314529 421392 288416 EQUIP RENTAL & MAINT 157122718 141065760 15735972 320986 BAD DEBT 46954250 46954250 MEDICAID FEES 49375342 49375342 64762496 46943574 14908573 2910349 1787809590 1564122127 218657170 5030293 X 2100557 1878743 219572 2242 0 0 228577361 233150989 0 0 328401689 370176513 0 0 0 0 0 0 20627513 19898680 5310827 7360958 1933366228 1081665263 847521266 851700965 731470692 885189503 0 0 41235804 25743529 22041175 22031356 260454937 277107513 2485641264 2692360006 163230943 198507573 0 0 0 0 840264115 861521637 0 0 0 0 0 0 0 0 526291758 698228468 1529786816 1758257678 X 901237483 874653387 38199005 36651689 16417960 22797252 955854448 934102328 2485641264 2692360006 X 170526732 19062513 -211341365 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true false false true 655142 false false 655142 false false MAILING EXPENSES PART II-B, LINE 1D 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 $235,142. 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 $420,000. 37314439 10574853 4207377 91480 217051 51788138 22865122 10590634 4165914 75284 231947 37314439 17139873 2735884 3093976 71508 33103 22865122 7390433 10371045 -557661 63944 17139873 5655845 1551108 526674 343194 7390433 0.60890 0.32770 0.06340 false false 17999670 17999670 1117716723 497088412 620628311 7893588 6888496 1005092 752704037 557568111 195135926 37052210 20120244 16931966 851700965 BOND INSURANCE FEES 6971040 WORKERS' COMP ESCROW DEPOSITS 3775596 THIRD PARTY WITHHOLDINGS 7387964 DUE FROM FOUNDATION 2007661 ASSETS - LIMITED OR RESTRICTED 59448941 FUNDS LIMITED AS TO USE 166895932 OTHER ACCOUNTS 30620379 277107513 0 ESTIMATED SELF INSURANCE LIABILITY 155691630 RETIRE OBLIG - ASBESTOS 3084994 ACCRUED PENSION LIABILITY 410778000 MARKET VALUATION OF SWAP 44478672 THIRD PARTY SETTLEMENT PAYABLE 80918332 DEFERRED COMPENSATION 3276840 698228468 X SCHEDULE 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. SCHEDULE D - PART X - LINE 2: OSF ADOPTED ASC SUBTOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO. 109. THE INTERPRETATION ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, 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. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURES. AS OF SEPTEMBER 30, 2014 AND 2013, OSF DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS. true true X true X 125. true X 600. true true true false true true 54510077 54510077 0.03140 326257340 275183796 51073544 0.02930 380767417 275183796 105583621 0.06070 2172667 548460 1624207 0.00090 58504262 19769918 38734344 0.02230 64237616 43936385 20301231 0.01170 641504 98724 542780 0.00030 733209 733209 0.00040 126289258 64353487 61935771 0.03560 507056675 339537283 167519392 0.09630 21254 21254 21254 21254 true 13815578 461284810 555001104 -93716294 X true true NONE 8 1 SAINT FRANCIS MEDICAL CENTER 530 NE GLEN OAK AVENUE PEORIA IL 61637 X X X X X X 2 SAINT ANTHONY MEDICAL CENTER 5666 EAST STATE STREET ROCKFORD IL 61108 X X X X X 3 ST JOSEPH MEDICAL CENTER 2200 EAST WASHINGTON STREET BLOOMINGTON IL 61701 X X X 4 ST MARY MEDICAL CENTER 3333 NORTH SEMINARY STREET GALESBURG IL 61401 X X X 5 ST FRANCIS HOSPITAL 3401 LUDINGTON STREET ESCANABA MI 49829 X X X 6 SAINT JAMES HOSPITAL 2500 W REYNOLDS STREET PONTIAC IL 61764 X X X 7 OSF HOLY FAMILY MEDICAL CENTER 1000 W HARLEM AVENUE MONMOUTH IL 61462 X X X 8 OSF SAINT LUKE MEDICAL CENTER 1051 W SOUTH STREET KEWANEE IL 61443 X X X SAINT FRANCIS MEDICAL CENTER 1 true X X X X X X X X X 13 true true true X X X X X X X X X X false false true true 200. true 600. true X X X X X X true true X X X X X X false false X X X X true X false false SAINT ANTHONY MEDICAL CENTER 2 true X X X X X X X X X 13 true false true X X X X X X X X X X false false true true 200. true 600. true X X X X X true true X X X X X X true false X X X X true X false false ST JOSEPH MEDICAL CENTER 3 true X X X X X X X X X 13 true false true X X X X X X X X X X false false true true 200. true 600. true X X X X X X true true X X X X X X true false X X X X true X false false ST MARY MEDICAL CENTER 4 true X X X X X X X X X 13 true true true X X X X X X X X X X false false true true 125. true 300. true X X X X X X true true X X X X X X true false X X X X true X false false ST FRANCIS HOSPITAL 5 true X X X X X X X X X 13 true false true X X X X X X X X X X false false true true 200. true 400. false X true true X X X X X X true false X X X X true X false false SAINT JAMES HOSPITAL 6 true X X X X X X X X X 13 true false true X X X X X X X X X X false false true true 125. true 300. true X X X X X X true true X X X X X X true false X X X X true X false false OSF HOLY FAMILY MEDICAL CENTER 7 true X X X X X X X X X 13 true true true X X X X X X X X X X false false true true 125. true 300. true X X X X X X true true X X X X X X true false X X X X true X false false OSF SAINT LUKE MEDICAL CENTER 8 true X X X X X X X X X 12 true false true X X X X X true false true true 125. true 300. true X X X X X X true true X X X X X X true false X X X X true X false false PART V SECTION B NUMBER 3 - 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 4 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. PART V, LINE 7 SEE "NEEDS NOT ADDRESSED" ON PART VI, LINE 2 NEEDS ASSESSMENT EXPLAINED THE BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS: PART V - LINE 12I SAINT FRANCIS MEDICAL CENTER, ST. 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: 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. AMOUNTS BILLED TO UNINSURED OR UNDERINSURED INDIVIDUALS: PART V, LINE 20D SAINT FRANCIS MEDICAL CENTER, ST. ANTHONY MEDICAL CENTER, ST. JOSEPH MEDICAL 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 WHO'S FAMILY INCOME IS 600% OR LESS OF THE FEDERAL POVERTY GUIDELINE 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 FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE TO ANY UNINSURED PATIENT WHO APPLIES AND DOES NOT OTHERWISE QUALIFY FOR FINANCIAL OR CHARITY ASSISTANCE IS LIMITED TO 80% OF GROSS CHARGES. - 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. - MAXIMUM CHARGE: MEANS THE AMOUNT GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE AND DETERMINED BY MULTIPLYING THE GROSS CHARGES FOR ALL EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY SERVICES BY A PERCENTAGE CALCULATED ANNUALLY AND EQUAL TO (1) THE AGGREGATE DOLLAR AMOUNT OF CLAIMS PAID FOR ALL EMERGANCY MEDICAL CARE AND MEDICALLY NECESSARY SERVICES DURING THE 12-MONTH PERIOD ENDED ON THE PRECEDING SEPTEMBER 30 BY BOTH MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE INSURERS AS PRIMARY PAYERS, TOGETHER WITH ANY ASSOCIATED PORTIONS OF THESE CLAIMS PAID BY MEDICARE BENEFICIARIES OR INSURED INDIVIDUALS IN THE FORM OF CO-PAYMENTS, CO-INSURANCE, OR DEDUCTIBLES, DIVIDED BY (II) THE GROSS CHARGES APPLICABLE TO ALL CLAIMS INCLUDED IN CALCULATING THE AMOUNT DUE UNDER CLAUSE (I). NO INSURANCE COMPANY CONTRACT WHICH INCLUDES PROVISIONS FOR INTERIM PAYMENTS SUBJECT TO LATER RECONCILIATION SHALL BE INCLUDED IN THE CALCULATION OF THE MAXIMUM CHARGE. 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 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: - THE MAXIMUM AMOUNT THAT CAN BE COLLECTED IN A 12 MONTH PERIOD FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE TO ANY PATIENT WHO MEETS THE ELIGIBILITY CRITERIA OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY DOES NOT EXCEED 25% OF FAMILY INCOME. DESCRIPTION AND REQUIRMENTS OF FINANCIAL ASSISTANCE POLICY ARE FOUND IN OSF HEALTHCARE SYSTEM POLICY AC-31. - THE AMOUNT BILLED FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE TO ANY UNINSURED PATIENT WHO APPLIES BUT DOES NOT OTHERWISE QUALIFY FOR FINANCIAL OR CHARITY ASSISTANCE IS LIMITED TO 92.5% OF GROSS CHARGES. - AS A PART OF THE MEDICAID EXPANSION IN MICHIGAN AN UNINSURED DISCOUNT PROGRAM BECAME EFFECTIVE APRIL 1, 2014. PRIOR TO RECEIVING FINANCIAL ASSISTANCE ALL SELF PAY ACCOUNTS ARE RUN THROUGH THE UNINSURED DISCOUNT PROCESS. THE INCOME GUIDELINES ARE BASED ON 250% OF THE FEDERAL POVERTY GUIDELINES WHILE THE AMOUNT OF THE DISCOUNT IS BASED ON THE COST TO CHARGE RATIOS FOR IP AND OP SERVICES. THE CURRENT UNINSURED DISCOUNT FOR IP SERVICES IS 48.29% AND FOR OP SERVICES THE DISCOUNT IS 71.29%. PATIENTS DO NOT HAVE TO APPLY FOR THE UNINSURED DISCOUNT. THE DISCOUNT IS APPLIED TO ALL UN-INSURED DURING THE INSURANCE VERIFICATION PROCESS AFTER IT IS DETERMINED THEY DO NOT HAVE INSURANCE. IF A PATIENT HAS A SERVICE THAT IS NOT COVERED UNDER THEIR CURRENT PLAN THEY DO NOT QUALIFY FOR THE UNINSURED DISCOUNT. THE PROGRAM IS ONLY AVAILABLE TO PATIENTS WHO ARE NOT ENROLLED IN AN INSURANCE PLAN. ALL PATIENTS RECEIVE THE GREATEST DISCOUNT AVAILABLE TO THEM UNDER THE UNINSURED DISCOUNT PROGRAM OF THE FINANCIAL ASSISTANCE PROGRAM. ST. MARY MEDICAL CENTER, SAINT JAMES HOSPITAL, OSF HOLY FAMILY MEDICAL CENTER, SAINT LUKE MEDICAL 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 WHO'S FAMILY INCOME IS 300% OR LESS OF THE FEDERAL POVERTY GUIDELINE 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 FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE TO ANY UNINSURED PATIENT WHO APPLIES AND DOES NOT OTHERWISE QUALIFY FOR FINANCIAL OR CHARITY ASSISTANCE IS LIMITED TO 80% OF GROSS CHARGES. - 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. - MAXIMUM CHARGE: MEANS THE AMOUNT GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE AND DETERMINED BY MULTIPLYING THE GROSS CHARGES FOR ALL EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY SERVICES BY A PERCENTAGE CALCULATED ANNUALLY AND EQUAL TO (1) THE AGGREGATE DOLLAR AMOUNT OF CLAIMS PAID FOR ALL EMERGANCY MEDICAL CARE AND MEDICALLY NECESSARY SERVICES DURING THE 12-MONTH PERIOD ENDED ON THE PRECEDING SEPTEMBER 30 BY BOTH MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE INSURERS AS PRIMARY PAYERS, TOGETHER WITH ANY ASSOCIATED PORTIONS OF THESE CLAIMS PAID BY MEDICARE BENEFICIARIES OR INSURED INDIVIDUALS IN THE FORM OF CO-PAYMENTS, CO-INSURANCE, OR DEDUCTIBLES, DIVIDED BY (II) THE GROSS CHARGES APPLICABLE TO ALL CLAIMS INCLUDED IN CALCULATING THE AMOUNT DUE UNDER CLAUSE (I). NO INSURANCE COMPANY CONTRACT WHICH INCLUDES PROVISIONS FOR INTERIM PAYMENTS SUBJECT TO LATER RECONCILIATION SHALL BE INCLUDED IN THE CALCULATION OF THE MAXIMUM CHARGE. THE AMOUNT BILLED TO A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY WILL BE LESS THAN THE AMOUNT OF THE GROSS CHARGES. CHARGES FOR MEDICAL CARE: PART V, LINE 21 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: CHARGES TO PATIENTS WHO WERE ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY WERE DETERMINED IN THE MANNERS DESCRIBED FOR PART I, LINE 3C AND PART V, LINE 20D ABOVE. PATIENTS CHARGED AMOUNT EQUAL TO THE GROSS CHARGE FOR SERVICES PROVIDED: PART V, LINE 22 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: 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. - UNINSURED PATIENTS WHO DID NOT QUALIFY FOR FINANCIAL OR CHARITY ASSISTANCE AND WHO FAILED TO REQUEST THE 20% DISCOUNT OFFERED BY THE HOSPITAL TO ALL SUCH PATIENTS WHO REQUEST THE DISCOUNT. [THE HOSPITAL'S BILLING SYSTEM IS NOT CAPABLE OF AUTOMATICALLY APPLYING THIS DISCOUNT]. - PATIENTS WHOSE MEDICAL BILLS ARE THE RESPONSIBILITY OF A THIRD PARTY PURSUANT TO A CLAIM BROUGHT BY THE PATIENT AGAINST THE THIRD PARTY. ST. FRANCIS HOSPITAL: THE HOSPITAL CHARGED ITS PATIENTS AN AMOUNT EQUAL TO GROSS CHARGES IN THE FOLLOWING CIRCUMSTANCES: - PATIENTS RCEIVING 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. - UNINSURED PATIENTS WHO DID NOT QUALIFY FOR FINANCIAL OR CHARITY ASSISTANCE AND WHO FAILED TO REQUEST THE 7.5% DISCOUNT OFFERED BY THE HOSPITAL TO ALL SUCH PATIENTS WHO REQUEST THE DISCOUNT. [THE HOSPITAL'S BILLING SYSTEM IS NOT CAPABLE OF AUTOMATICALLY APPLYING THE DISCOUNT]. - PATIENTS WHOSE MEDICAL BILLS ARE THE RESPONSIBILITY OF A THIRD PARTY PURSUANT TO A CLAIM BROUGHT BY THE PATIENT AGAINST THE THIRD PARTY. - AS A PART OF THE MEDICAID EXPANSION IN MICHIGAN AN UNINSURED DISCOUNT PROGRAM BECAME EFFECTIVE APRIL 1, 2014. PRIOR TO RECEIVING FINANCIAL ASSISTANCE ALL SELF PAY ACCOUNTS ARE RUN THROUGH THE UNINSURED DISCOUNT PROCESS. THE INCOME GUIDELINES ARE BASED ON 250% OF THE FEDERAL POVERTY GUIDELINES WHILE THE AMOUNT OF THE DISCOUNT IS BASED ON THE COST TO CHARGE RATIOS FOR IP AND OP SERVICES. THE CURRENT UNISURED DISCOUNT FOR IP SERVICES IS 48.29% AND FOR OP SERVICES THE DISCOUNT IS 71.29%. PATIENTS DO NOT HAVE TO APPLY FOR THE UNINSURED DISCOUNT. THE DISCOUNT IS APPLIED TO ALL UN-INSURED DURING THE INSURANCE VERIFICATION PROCESS AFTER IT IS DETERMINED THEY DO NOT HAVE INSURANCE. IF A PATIENT HAS A SERVICE THAT IS NOT COVERED UNDER THEIR CURRENT PLAN THEY DO NOT QUALIFY FOR THE UNINSURED DISCOUNT. THE PROGRAM IS ONLY AVAILABLE TO PATIENTS WHO ARE NOT ENROLLED IN AN INSURANCE PLAN. ALL PATIENTS RECEIVE THE GREATEST DISCOUNT AVAILABLE TO THEM UNDER THE UNINSURED DISCOUNT PROGRAM OF THE FINANCIAL ASSISTANCE PROGRAM. 39 OUTPATIENT REHABILITATION RANDOLPH BLDG SUITE 100 NE RANDOL PEORIA IL 61606 REHAB OUTPATIENT AUDIOLOGY RANDOLPH BLDG SUITE 100 NE RANDOL PEORIA IL 61606 AUDIOLOGY PM&R ASSOCIATES RANDOLPH BLDG SUITE 100 NE RANDOL PEORIA IL 61606 REHAB CENTER FOR INDUSTRIAL REHAB 506 HIGH POINT LANE EAST PEORIA IL 61611 REHAB OUT PATIENT REHABILITATION PENNSYLVANIA MEDICAL BUILDING 200 E PEORIA IL 61603 REHAB PEKIN CANCER TREATMENT CENTER 603 THIRTEENTH STREET PEKIN IL 61554 EKG, ECHO CARDIOLOGY, NUCLEAR STRESS TEST, VASCULAR ULTRASOUND, TREADMILL STRESS T OBSTETRICSGYNECOLOGY CLINIC 320 E ARMSTRONG PEORIA IL 61603 OB/GYNE SERVICES INTERNAL MEDICINE 320 E ARMSTRONG PEORIA IL 61603 AMBULATORY INTERNAL MEDICINE PEDIATRIC AMBULATORY CLINIC 320 E ARMSTRONG PEORIA IL 61603 AMBULATORY PEDIATRIC MEDICINE SAINT CLARE FAMILY HEALTH CENTER 10 SAINT CLARE COURT WASHINGTON IL 61571 LAB, EKG, RADIOLOGY OSF CENTER FOR HEALTH 8600-8800 RT 91 NORTH NORTH PEORIA IL 61615 DIAGNOSTIC IMAGING/LAB/VOICE & SWALLOWING SERVICES OSF SAINT FRANCIS RIVERPLEX 600 NE WATER STREET PEORIA IL 61602 REHAB OSF SAINT FRANCIS HEART HOSPITAL 5405 N KNOXVILLE AVENUE PEORIA IL 61614 NUCLEAR MED, CT SCAN, VASCULAR ULTRASOUND, ECHO CARDIOLOGY, CHEST X-RAY, STRESS TEST OSF HEART HOSPITAL DIAGNOSTIC CENTER 610 PARK AVENUE PEKIN IL 615544650 EKG, NUCLEAR STRESS TEST, VASCULAR ULTRASOUND, ECHO CARDIOLOGY, CHEST X-RAY,STRESS OSF SF RADIATION ONCOLOGY 8948 N WOOD SAGE ROAD PEORIA IL 61615 RADIATION ONCOLOGY OSF SAINT FRANCIS MORTON HEALTH CENTER 435 MAXINE DR MORTON IL 61550 RADIOLOGY, LAB, EEG, EKG, SLEEP LAB SAINT FRANCIS MEDICAL INI REHABILITATION FIVE POINTS WASHINGTON 360 WILMOR R WASHINGTON IL 615711252 REHAB OSF SAINT FRANCIS CENTER FOR HEALTH GLEN 5114 GLEN PARK PLACE PEORIA IL 616144686 DIAGNOSTIC IMAGING/LAB SOUTHRIDGE LABORATORY 4423 MANCHESTER DRIVE ROCKFORD IL 61109 DIAGNOSTIC LAB OUTPATIENT REHABILITATION SERVICES 5510 E STATE STREET ROCKFORD IL 61108 REHAB DIABETES EDUCATION CENTER 5510 E STATE STREET ROCKFORD IL 61108 EDUCATION WOUND HEALING CENTER STATE AND ROXBURY 5668 E STATE STREET ROCKFORD IL 61108 HYPERBARIC OXYGEN THERAPY ROCKFORD CARDIOVASCULAR ASSOCIATES 444 ROXBURY ROAD ROCKFORD IL 61107 CARDIAC AND PULMONARY REHAB / RADIOLOGY AND DIAGNOSTIC SERVICES / SLEEP CENTER OSF CENTER FOR HEALTH-ROCK CUT CROSSING 9951 ROCK CUT CROSSING LOVES PARK IL 611111999 DIAGNOSIC IMAGING LAB ILLINOIS NEUROLOGICAL INSTITUTE AT OSF 535 ROXBURY ROAD ROCKFORD IL 61108 NO PROCEDURES ARE DONE AT THIS LOCATION AT THIS TIME OSF ST FRANCIS HOSPITAL AND MEDICAL GRP N 15995 MAIN ST POWERS MI 49870 DIAGNOSTIC LAB ST FRANCIS HOSPITAL - POWERS CLINIC N 15995 MAIN ST POWERS MI 49870 DIAGNOSTIC X-RAY OSF ST FRANCIS HOSPITAL MEDICAL GROUP 128 MICHIGAN GLADSTONE MI 49837 DIAGNOSTIC X-RAY/LAB OSF ST FRANCIS HOSPITAL MEDICAL GROUP 3409 LUDINGTON ST ESCANABA MI 49829 DIAGNOSTIC X-RAY/LAB ST FRANCIS HOSPITAL- REHAB SERVICES 704 SUPERIOR AVENUE GLADSTONE MI 49837 REHAB OSF SAINT JAMES REHABILITATION 106 SOUTH FIRST STREET FAIRBURY IL 61739 REHAB OSF SAINT JAMES REHABILITATION 105 JOHN STREET DWIGHT IL 60420 REHAB CENTER FOR HEALTH AT FT JESSE 2200 FT JESSE ROAD NORMAL IL 61761 PHYSICAL THERAPY; OCCUPATIONAL THERAPY; AUDIOLOGY, INDUSTRIAL REHAB; PAIN CLINIC; WOUND CARE OSF ST JOSEPH MEDICAL CENTER-COLLEGE AV 1701 EAST COLLEGE AVENUE BLOOMINGTON IL 61704 DIAGNOSTIC IMAGING OSF ST JOSEPH MEDICAL CENTER - REHABILI 1701 EAST COLLEGE AVENUE BLOOMINGTON IL 61704 REHAB EASTLAND MEDICAL PLAZA I 1505 EASTLAND AVENUE BLOOMINGTON IL 61704 REHAB OSF HOLY FAMILY CLINIC 1000 WEST HARLEM AVE MONMOUTH IL 61462 CARDIOLOGY, GENERAL, NERU, PEDIATRIC, PODIATRY SLEEP CENTER OUTPATIENT MEDICAL IMAGING 3375 NORTH SEMINARY ST GALESBURG IL 61401 MAMMO, ULTRASOUND, BONE DENSITY, LIMITED X-RAY CONVENIENT CARE 1701 EAST COLLEGE AVE BLOOMINGTON IL 61704 PROMPT CARE FACILITY PART I, LINE 2: FOR ALL OSF HEALTHCARE SYSTEM HOSPITALS, CHARGES ARE DISCOUNTED CONSISTENTLY BY THE APPLICABLE PERCENTAGE IDENTIFIED BY THE OSF HEALTHCARE FINANCIAL ASSISTANCE GUIDELINES. THE OSF HEALTHCARE SYSTEM FINANCIAL ASSISTANCE POLICY INCLUDES THE ILLINOIS UNINSURED PATIENT DISCOUNT ACT CRITERIA. UNDER THAT ACT, FOR HOSPITALS OTHER THAN RURAL OR CRITICAL ACCESS HOSPITALS, AN UNINSURED PATIENT WHO APPLIES FOR A DISCOUNT MEETS THE CRITERIA IF THE FAMILY INCOME IS NOT MORE THAN 600% OF THE FEDERAL POVERTY INCOME GUIDELINES. PART I, LINE 3C: THE CORPORATION PROVIDES FREE CARE AND DISCOUNTED CARE TO HOSPITAL PATIENTS AND ALL OTHER PATIENTS IN THE FOLLOWING WAYS: - FREE CHARITY ASSISTANCE FOR PATIENTS WHOSE FAMILY INCOME IS LESS THAN 200% OF FEDERAL POVERTY GUIDELINES (FPG) FOR THEIR FAMILY SIZE. - DISCOUNTED CHARITY ASSISTANCE ON A SLIDING SCALE FOR PATIENTS WHOSE FAMILY INCOME IS BETWEEN 200% AND 600% OF FPG FOR THEIR FAMILY SIZE. - CATASTROPHIC CHARITY ASSISTANCE REGARDLESS OF INCOME OR ASSET LEVELS FOR MEDICALLY NECESSARY SERVICES WHICH EXCEED 25% OF ANNUAL FAMILY INCOME. NO PATIENT PAYS MORE THAN 25% OF ANNUAL FAMILY INCOME IN A 12-MONTH PERIOD REGARDLESS OF INCOME OR ASSET LEVELS. - 20% DISCOUNT FOR ALL UNINSURED PATIENTS WHO ARE NOT OTHERWISE ELIGIBLE FOR FREE, DISCOUNTED, OR CATASTROPHIC CHARITY ASSISTANCE. - ALL PATIENTS RECEIVE THE GREATEST REQUESTED DISCOUNT AVAILABLE UNDER ANY OF THESE 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, MEDCAID AND SELF-PAY. PART I, LINE 7G: NET COSTS (TOTAL EXPENSE LESS REVENUE) OF THIRTEEN PHYSICIAN CLINICS ARE INCLUDED AS SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G. SUCH NET COSTS TOTAL $5,436,225. PART I, LINE 7, COLUMN F: BAD DEBT EXPENSE IN THE AMOUNT OF $46,954,250 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: - WELLNESS SCREENINGS AND FIRST AID STATIONS AT COMMUNITY EVENTS SUCH AS STATE FAIRS AND SENIORS CONVENTIONS. - 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, LINE 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 COLLECTIBILITY OF PATIENTS' ACCOUNTS RECEIVABLE, OSF ANALYZES IT'S PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR 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 $46,954,250 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 $13,815,578 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 AND VERIFIED BY AN AUTHORIZED HOSPITAL REPRESENTATIVE BEFORE THE ACCOUNT OF AN UNINSURED 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 DEMONSTRATED THAT THEY HAVE NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET THEIR FINANCIAL OBLIGATIONS - EVEN IF SUCH PATIENTS ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE. - THE CORPORATION SHALL NOT FILE A JUDGMENT LIEN AGAINST THE PRIMARY RESIDENCE OF ANY DEBTOR (EXCEPTIONS MAY BE APPROVED IN RARE CASES BY SENIOR OFFICERS OF THE CORPORATION ONLY). - 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 ATTEMPTS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE HAVE BEEN COMPLETED. SCHEDULE H - PART VI SUPPLEMENTAL INFORMATION - CHNA THE HEALTH SYSTEM COMMENCED WORK DURING ITS FISCAL YEAR 2012 ON CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") FOR EACH OF ITS HOSPITALS, AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE CHNA PROCESS CONTINUED INTO FISCAL YEAR 2013 AND CULMINATED IN A FINAL CHNA FOR EACH OF THE HEALTH SYSTEM'S HOSPITALS BEING APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 29, 2013. SUBSEQUENT TO FISCAL YEAR 2013 AND IN RESPONSE TO THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN EACH RESPECTIVE HOSPITAL'S CHNA, THE HOSPITALS COMPLETED AN IMPLEMENTATION STRATEGY TO ADDRESS THESE CRITICAL HEALTH NEEDS. THE NARRATIVE BELOW INCLUDES AN OUTLINE OF EACH RESPECTIVE HOSPITAL'S GOALS AND SUBSEQUENT ACCOMPLISHMENTS FOR FISCAL YEAR 2014 AS PART OF THE IMPLEMENTATION STRATEGY APPROVED AND ADOPTED BY THE BOARD OF DIRECTORS. SAINT FRANCIS MEDICAL CENTER - PEORIA, IL THE CHNA THAT WAS APPROVED AND ADOPTED FOR SAINT FRANCIS MEDICAL CENTER IDENTIFIED THE FOLLOWING AS THE COMMUNITY'S 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. FY2014 GOALS: ACCESS TO HEALTHCARE *IMBED HEALTHCARE EDUCATION AND SERVICES WITHIN THE INDIGENT POPULATION IN CONJUNCTION WITH EXISTING COMMUNITY RESOURCES. FY2014 ACCOMPLISHMENTS: ACCESS TO HEALTHCARE *EIGHT NEW FAITH COMMUNITY NURSES HAVE COMPLETED THEIR EDUCATION PRE-REQUISITES TO BECOME FAITH COMMUNITY NURSES. *FCN CERTIFICATE COURSE HAS BEEN PUT ON-LINE. FIVE NURSES HAVE COMPLETED THE COURSE. SIX TO SEVEN NURSES INTERESTED IN STARTING COURSE IN FALL. 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%). FY2014 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. FY2014 ACCOMPLISHMENTS: RISKY BEHAVIORS/SUBSTANCE ABUSE *DEVELOPING A PLAN TO ADDRESS RISKY BEHAVIORS 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, SAINT FRANCIS MEDICAL CENTER, PROCTOR, AND PEKIN, INCREASED BY 26.7%. FY2014 GOALS: ASTHMA *INCREASE AWARENESS OF ASTHMA PREVENTION STRATEGIES. *INCREASE COMPLIANCE WITH ASTHMA ACTION PLANS. *REDUCE ASTHMA RELATED PROMPTCARE/EMERGENCY ROOM VISITS AND ADMISSIONS. FY2014 ACCOMPLISHMENTS: ASTHMA *FOCUS IS TO INCREASE THE NUMBER OF PATIENTS WITH COMPLETED ASTHMA ACTION PLANS. *EXTENDING COVERAGE TO ADULT POPULATION. 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 AND ALL THREE COUNTIES ARE HIGHER THAN STATE AVERAGES. FY2014 GOALS: DIABETES *PROMOTE PREVENTION, SCREENING AND EARLY THERAPY FOR METABOLIC SYNDROME, HYPERGLYCEMIA AND DIABETES FOR THE TRI-COUNTY AREA. FY14 ACCOMPLISHMENTS: DIABETES *PROVIDED WEIGHT MANAGEMENT AND OTHER VARIETY CLASSES. *HEALTH SCREENING AT CITY OF REFUGE CATHEDRAL IDENTIFIED NEED: HEALTHY BEHAVIORS THIS 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 15% OF THE POPULATION ENGAGES IN EXERCISE AT LEAST 5 TIMES A WEEK. LESS THAN 5% OF THE POPULATION CONSUMES AT LEAST THE MINIMUM RECOMMENDED SERVINGS OF FRUITS/VEGETABLES IN A DAY. YET, IN TERMS OF SELF-PERCEPTIONS OF PHYSICAL AND MENTAL HEALTH, ALMOST 90% OF THE POPULATION INDICATED THAT THEY WERE IN AVERAGE OR GOOD PHYSICAL HEALTH. FY14 GOALS: HEALTHY BEHAVIORS *INCREASE THE AWARENESS IN AND ENGAGEMENT OF POPULATION ON THE IMPORTANCE OF HEALTH BEHAVIORS: *SLEEP HYGIENE, NUTRITION, EXERCISE, HEALTHY WEIGHT, SAFETY, SPIRITUALITY, AND AVOIDANCE OF SUBSTANCE ABUSE. FY14 ACCOMPLISHMENTS: HEALTHY BEHAVIORS *SEVERAL CLASSES HELD IN DIFFERENT LOCATIONS PROMOTING HEALTH- RELATED BEHAVIORS. *HEALTH FAIRS AND OTHER VARIOUS EVENTS IN COMMUNITY. IDENTIFIED NEED: CANCER THIS NEED IS BASED ON AN INCREASE IN INPATIENT ADMISSIONS FOR ALL CANCER DIAGNOSES. WHILE SOME TYPES OF CANCER HAVE EXPERIENCED DECREASED GROWTH RATES IN RECENT YEARS, LUNG CANCER HAS BEEN STEADILY INCREASING. FY14 GOALS: CANCER *PROMOTE PREVENTION, SCREENING AND EARLY THERAPY FOR THE MAJOR CANCERS OF THE TRI-COUNTY AREA: LUNG, BREAST, COLON, AND PROSTRATE. FY14 ACCOMPLISHMENTS: CANCER *PLANNING FOR SMOKING CESSATION CLASSES IS UNDERWAY. *NOW DOING MEASURES FOR SMOKING, TOBACCO USE, BREAST SCREENING AND COLON CANCER SCREENING. IDENTIFIED NEED: MENTAL HEALTH THIS 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 25% OF RESIDENTS IN THE TRI-COUNTY REGION REPORTED THEY HAD EXPERIENCED 1-7 DAYS WITH POOR MENTAL HEALTH PER MONTH BETWEEN 2007 AND 2009. THESE PERCENTAGES ARE GREATER THAN THE STATE OF ILLINOIS AVERAGE FOR THE SAME TIME FRAME AND REPRESENT A MODEST INCREASE COMPARED TO 2006. FY14 GOALS: MENTAL HEALTH *INCREASE SCREENING AND INTERVENTION IN MENTAL HEALTH ISSUES INCLUDING DEPRESSION, ANXIETY, AND ABUSE. FY14 ACCOMPLISHMENTS: MENTAL HEALTH *IMBEDDED BEHAVIORAL HEALTH PROVIDERS IN THE PRIMARY CARE PRACTICES, PILOTED AT CENTER FOR HEALTH ROUTE 91 IN AUGUST, 2014. IDENTIFIED NEED: OBESITY THIS 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 TRI-COUNTY REGION. IN TERMS OF OBESITY, THE TRI-COUNTY AREA AS A WHOLE IS SIGNIFICANTLY HIGHER THAN THE STATE AVERAGE. CONSIDERING THAT ILLINOIS IS THE 6TH WORSE STATE IN THE U.S. IN TERMS OF OBESITY, THIS IS AN IMPORTANT ISSUE. FY14 GOALS: OBESITY *PROMOTE OBESITY PREVENTION AND HEALTHY LIFESTYLES IN THE TRI-COUNTY REGION. FY14 ACCOMPLISHMENTS: OBESITY *HIRED AN APN FOR WEIGHT MANAGEMENT. *TWO COOKING DEMONSTRATIONS COMPLETED. *NEEDS NOT ADDRESSED THE CHNA CONDUCTED BY THE HOSPITAL IN 2013 ALSO INDENTIFIED "SEXUAL HEALTH", AND "HEART DISEASE" AMONGST THE MANY IMPORTANT COMMUNITY HEALTH NEEDS. A COLLABORATIVE TEAM RECOGNIZED THE IMPACT OF SEXUAL HEALTH, AND HEART DISEASE 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 SEXUAL HEALTH, AND HEART DISEASE. 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 ON JUST SEXUAL HEALTH, AND HEART DISEASE. THE NEEDS OF THOSE IN AREAS OF LOW INCOME POPULATIONS ARE EXACERBATED BY POVERTY, WAITING TOO LONG FOR MEDICAL ATTENTION AND TRANSPORTATION. IT IS FOR THESE REASONS THAT WE ESTABLISHED AND CONTINUE TO SUPPORT CLINICS THAT ARE CONVENIENT AND FINANCIALLY ACCESSIBLE. THE NEEDS OF THOSE IN SPARSELY POPULATED RURAL AREAS AND SMALL COMMUNITIES WITH FEW MEDICAL RESOURCES POSE OTHER CHALLENGES THAT WE HAVE MET BY BECOMING A REGIONAL CENTER AND WORKING CLOSELY WITH LOCAL PROVIDERS. SAINT ANTHONY MEDICAL CENTER - ROCKFORD, IL THE CHNA THAT WAS APPROVED AND ADOPTED FOR SAINT ANTHONY MEDICAL CENTER IDENTIFIED THE FOLLOWING AS THE COMMUNITY'S MOST SIGNIFICANT HEALTH NEEDS: *ACCESS TO HEALTH SERVICES THIS HEALTH NEED IS BASED ON RESULTS FROM SURVEY RESPONDENTS DEFINED AS LIVING IN DEEP POVERTY INDICATED THAT ACCESS TO HEALTHCARE SERVICES IS LIMITED. THIS INCLUDES MEDI SCHEDULE H - PART VI SUPPLEMENTAL INFORMATION - CHNA CONTINUED ST. JOSEPH MEDICAL CENTER - BLOOMINGTON, IL THE CHNA THAT WAS APPROVED AND ADOPTED 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. FY2014 GOALS: ACCESS TO HEALTHCARE *EDUCATING COMMUNITY ABOUT ACCESSING APPROPRIATE CARE AT APPROPRIATE TIME; LINK COMMUNITY TO LOWER COST CARE RESOURCES FY2014 ACCOMPLISHMENTS: ACCESS TO HEALTHCARE *MATERIALS DISTRIBUTED TO OSF SITES AS WELL AS SCHOOL NURSES, HEALTH FAIRS AND COMMUNITY EVENTS 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. FY2014 GOALS: RISKY BEHAVIORS/SUBSTANCE ABUSE *DECREASE ALCOHOL USE AMONG YOUTH FY2014 ACCOMPLISHMENTS: RISKY BEHAVIORS/SUBSTANCE ABUSE *VIDEO COMPLETE AND DISTRIBUTED TO THE BLOOMINGTON/NORMAL PARENTS GROUP 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. FY2014 GOALS: HEALTHY BEHAVIORS *INCREASE USE OF EVIDENCE-BASED INTERVENTIONS FOR SMOKING CESSATION. FY2014 ACCOMPLISHMENTS: HEALTHY BEHAVIORS *MARKETING OUTREACH THAT HAS OCCURRED: RADIO SPOT, HEALTHY CELLS, PANTAGRAPH AND SOCIAL MEDIA *DISCUSSION OF EMERGENCY DEPARTMENT ADDING QUIT SMOKING VERBIAGE TO DISCHARGE INSTRUCTIONS. 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. FY2014 GOALS: MENTAL HEALTH *Link community to existing resources for mental health care FY2014 ACCOMPLISHMENTS: MENTAL HEALTH *Completed radio program and stress less programs. 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. FY2014 GOALS: OBESITY *Access to affordable nutrition/physical activity education FY2014 ACCOMPLISHMENTS: OBESITY *Offered education events at employers and community sites, e.g. St. Marys Church, schools, Western Avenue, Home Sweet Home Ministry, Parish Nurses *Created and developed Garden for community. 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 MCCLEAN 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. FY2014 GOALS: DENTAL *IMPROVEMENT OF DENTAL HEALTH IN MCLEAN COUNTY FY2014 ACCOMPLISHMENTS: DENTAL *MISSION OF MERCY EVENT FLIERS DISTRIBUTED TO EMERGENCY DEPARTMENT, OSFMG OFFICES AND SAINT JAMES HOSPITAL FOR DISPLAY AS WELL AS SIX COMMUNITY ORGANIZATIONS. *NEEDS NOT ADDRESSED THE CHNA CONDUCTED BY THE HOSPITAL IN 2013 ALSO INDENTIFIED "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 ON JUST 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 FOR ST. MARY MEDICAL CENTER IDENTIFIED THE FOLLOWING AS THE COMMUNITY'S MOST SIGNIFICANT HEALTH 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 COUNTY ARE MORE LIKELY TO USE THE EMERGENCY DEPARTMENT. WITH REGARD TO PRESCRIPTION DRUGS, 28% OF INDIVIDUALS LIVING IN POVERTY IN KNOX AND WARREN COUNTIES WERE UNABLE TO FILL A PRESCRIPTION BECAUSE THEY LACKED HEALTH CARE COVERAGE. WITH REGARD TO DENTAL CARE, 35% OF INDIVIDUALS LIVING IN POVERTY IN KNOX AND WARREN COUNTIES NEEDED DENTAL CARE AND WERE UNABLE TO OBTAIN IT AND 15% OF INDIVIDUALS LIVING IN POVERTY IN KNOX AND WARREN COUNTIES NEEDED COUNSELING AND WERE UNABLE TO OBTAIN IT. "AFFORDABILITY" WAS CITED AS THE LEADING IMPEDIMENT TO VARIOUS TYPES OF HEALTH CARE. FY2014 GOALS: ACCESS TO HEALTHCARE *IMPROVE ACCESS TO COMPREHENSIVE QU SCHEDULE H - PART VI SUPPLEMENTAL INFORMATION - CHNA CONTINUED ST. FRANCIS HOSPITAL - ESCANABA, MI THE CHNA THAT WAS APPROVED AND ADOPTED 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 US 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 COUNTY'S AGGREGATE POPULATION AND THOSE LIVING IN POVERTY, DRUG AND ALCOHOL ABUSE WERE PERCEIVED AS THE TWO MOST IMPORTANT UNHEALTHY BEHAVIORS IN THE COMMUNITY. FY2014 GOALS: RISKY BEHAVIORS - SUBSTANCE ABUSE *DECREASE INSTANCES OF RISKY BEHAVIOR AND SUBSTANCE ABUSE IN DELTA COUNTY FY2014 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 END OF Q1FY2014 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 INDICATE 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. FY2014 GOALS: DIABETES *ENCOURAGE HEALTHY BEHAVIORS AMONG RESIDENTS OF DELTA COUNTY TO BETTER MANAGE AND PREVENT THE ONSET OF DIABETES FY2014 ACCOMPLISHMENTS: DIABETES *GRADUATED 1ST CLASS IN PATH TRAINING. *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. 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 PERSONS 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. FY2014 GOALS: COMMUNITY MISPERCEPTIONS *ENCOURAGE HEALTHY BEHAVIORS AMONG RESIDENTS OF DELTA COUNTY, PARTICULARLY WITHIN THE AT-RISK POPULATION FY2014 ACCOMPLISHMENTS: COMMUNITY MISPERCETPIONS *ACHIEVED BY OBTAINING PATIENT CENTERED MEDICAL HOME (PCMH) DESIGNATION. *PROVIDED MONTHLY MEDIA ANNOUNCEMENTS. *ESTABLISHED A COMMITTEE WITH REPRESENTATIVES FROM OSF AND OTHER SERVICE ORGANIZATIONS. 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. FY2014 GOALS: MENTAL HEALTH *ENSURE ACCESS TO MENTAL HEALTH SERVICES IN DELTA COUNTY FY2014 ACCOMPLISHMENTS: MENTAL HEALTH *BEGINNING 4TH QUARTER SIGNED A CONTRACT WITH PATHWAYS TO SUBSIDIZE COSTS ON EXPANDING SERVICES. PATHWAYS HAD PREVIOUSLY SEEN ONLY MEDICAID AND SELF PATIENTS. WILL NOW SEE ALL PATIENTS UPON A REFERRAL FROM OSF. 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. FY2014 GOALS: OBESITY *ENCOURAGE HEALTHY BEHAVIORS AMONG THE CITZENS OF DELTA COUNTY TO MANAGE AND PREVENT THE ONSET OF OBESITY. FY2014 ACCOMPLISHMENTS: OBESITY *INVOLVEMENT IN "FUEL UP TO PLAY 60". *PROVIDE MEDICAL NUTRITION EDUCATION AND TRAINING ON MANAGEMENT AND PREVENTION OF OBESITY. *ON-GOING SUPPORT OF CHAMBER "CENTURY" BIKE RIDE AND COMMUNITY RUN/WALKS. *NEEDS NOT ADDRESSED THE CHNA CONDUCTED BY THE HOSPITAL IN 2013 ALSO INDENTIFIED "CANCER", "HEART DISEASE", "RESPIRATORY ISSUES", "POVERTY - HEALTHY BEHAVIORS", "ACCESS TO HEALTH" AND "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 ON JUST 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 FOR SAINT JAMES HOSPITAL IDENTIFIED THE FOLLOWING AS THE COMMUNITY'S 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 OBESERVES 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 PEOPLE'S 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, RESPONDENT'S INCORRECTLY PERCEIVED "DIABETES", "HEAR 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 OUR FY 2014 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 EIGHT 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 CHARITY ASSISTANCE POLICY IN THE FOLLOWING WAYS: - SIGNS ARE POSTED IN PATIENT REGISTRATION AREAS (INCLUDING EMERGENCY DEPARTMENT REGISTRATION) INFORMING PATIENTS OF THE AVAILABILITY OF CHARITY ASSISTANCE AND THE AVAILABILITY OF FINANCIAL ASSISTANCE REPRESENTATIVES. - PRINTED BROCHURES ARE DISTRIBUTED TO PATIENTS AT REGISTRATION INFORMING THEM OF THE AVAILABILITY OF CHARITY ASSISTANCE AND UNINSURED PATIENTS DISCOUNTS (FOR BOTH INSURED AND UNINSURED PATIENTS), AND FINANCIAL ASSISTANCE REPRESENTATIVES (INCLUDING CONTACT INFORMATION). - A NOTICE OF AVAILABILITY OF THE CORPORATION'S CHARITY CARE 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 IS AVAILABLE FOR DOWNLOAD. - A NOTE REGARDING THE AVAILABILITY OF CHARITY AND FINANCIAL ASSISTANCE (TOGETHER WITH CONTACT PHONE NUMBERS) APPEARS ON EVERY PATIENT BILL AND STATEMENT. - FINANCIAL ASSISTANCE COUNSELORS ARE AVAILABLE IN PERSON AND BY PHONE TO ASSIST PATIENTS IN COMPLETING CHARITY AND FINANCIAL ASSISTANCE APPLICATIONS AND IN DETERMINING ELIGIBILITY AND APPLYING FOR GOVERNMENT PROGRAM BENEFITS, INCLUDING MEDICAID. - THE CORPORATION'S CHARITY CARE 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 2010 WAS 186,494. FOR PEORIA COUNTY, THE MEDIAN HOUSEHOLD INCOME IN 2010 WAS $49,819 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 15.4%. TAZEWELL COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2010 WAS 135,394. FOR TAZEWELL COUNTY, THE MEDIAN HOUSEHOLD INCOME IN 2010 FOR WAS $54,078 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 8.5%. WOODFORD COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2010 WAS 38,664. FOR WOODFORD COUNTY, THE MEDIAN HOUSEHOLD INCOME IN 2010 WAS $65,342 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 7.2%. SAINT ANTHONY MEDICAL CENTER IS LOCATED IN WINNEBAGO COUNTY. WINNEBAGO COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2010 WAS 295,266. FOR WINNEBAGO COUNTY, THE MEDIAN HOUSEHOLD INCOME IN 2010 WAS$45,611 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 12.7%. ST. JOSEPH MEDICAL CENTER IS LOCATED IN MCLEAN COUNTY IN ILLINOIS. MCLEAN COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2010 WAS 169,572. FOR MCLEAN COUNTY, THE MEDIAN HOUSEHOLD INCOME IN 2010 WAS $58,365 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 11%. SAINT JAMES HOSPITAL IS LOCATED IN LIVINGSTON COUNTY IN ILLINOIS. LIVINGSTON COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2010 WAS 38,950. FOR LIVINGSTON COUNTY, THE MEDIAN HOUSEHOLD INCOME IN 2010 WAS $53,745 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 11.0%. ST. MARY MEDICAL CENTER IS LOCATED IN KNOX COUNTY IN ILLINOIS. KNOX COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2010 WAS 52,919. FOR KNOX COUNTY, THE MEDIAN HOUSEHOLD INCOME IN 2010 WAS $38,535 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 15.5%. OSF HOLY FAMILY MEDICAL CENTER IS LOCATED IN WARREN COUNTY IN ILLINOIS. WARREN COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2010 WAS 17,707. FOR WARREN COUNTY, THE MEDIAN HOUSEHOLD INCOME IN 2010 WAS $42,773 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 13.4%. ST. FRANCIS HOSPITAL IS LOCATED IN DELTA COUNTY IN MICHIGAN. DELTA COUNTY IS A METROPOLITAN STATISTICAL AREA AND ITS POPULATION IN 2010 WAS 37,069. FOR DELTA COUNTY, THE MEDIAN HOUSEHOLD INCOME IN 2010 WAS $40,496 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 12.7%. OSF SAINT LUKE MEDICAL CENTER IS LOCATED IN HENRY COUNTY. IT'S POPULATION IN 2010 WAS 50,486. FOR HENRY COUNTY, THE MEDIAN HOUSEHOLD INCOME FROM 2009-2013 WAS $52,940 AND THE PERCENT OF PERSONS BELOW POVERTY LEVEL WAS 10.5%. 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, 2014 FOR IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH IN THE FOLLOWING WAYS: - CAPITAL EXPENDITURES OF APPROXIMATELY $72,658,000 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 $30,839,099 DURING THE FISCAL YEAR FOR ACCREDITED PHYSICIAN RESIDENCY PROGRAMS AND NET COSTS OF APPROXIMATELY $7,895,245 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 $542,779 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 ("SAINT FRANCIS MEDICAL CENTER") IS A 609 LICENSED BED TERTIARY ACUTE CARE TEACHING HOSPITAL LOCATED NEAR DOWNTOWN PEORIA, ILLINOIS. SAINT FRANCIS MEDICAL CENTER OPERATES SEVERAL HOSPITAL-BASED OUTPATIENT FACILITIES IN AND AROUND PEORIA, ILLINOIS. IN ADDITION TO ITS REGULAR HOSPITAL ACCREDITATION, SAINT FRANCIS MEDICAL CENTER HAS RECEIVED DISEASE SPECIFIC CERTIFICATION FROM THE JOINT COMMISSION FOR ITS PRIMARY STROKE NETWORK AND ITS MYOCARDIAL INFARCTION AND ACUTE CORONARY SYNDROME PROGRAMS. THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE AT PEORIA, FOUNDED IN 1970, MAINTAINS ITS PRIMARY TEACHING AFFILIATION WITH SAINT FRANCIS MEDICAL CENTER AND HAS ESTABLISHED 14 FULLY ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS AT SAINT FRANCIS MEDICAL CENTER. CURRENTLY, 231 RESIDENTS AND FELLOWS ARE IN TRAINING AT SAINT FRANCIS MEDICAL CENTER. IN ADDITION TO PROVIDING THE FULL RANGE OF PRIMARY, SECONDARY AND TERTIARY SERVICES, SAINT FRANCIS MEDICAL CENTER PROVIDES CERTAIN SPECIALIZED SERVICES, INCLUDING LEVEL I (HIGHEST LEVEL) TRAUMA SERVICES, LIFE FLIGHT HELICOPTER TRANSPORT SERVICES (USING THE HELICOPTERS OWNED BY OSF AVIATION), ADULT AND PEDIATRIC OPEN HEART SURGERY, PANCREAS AND KIDNEY TRANSPLANTATION SERVICES, NEUROSURGERY AND NEUROLOGY, LEVEL III (HIGHEST LEVEL) PERINATAL SERVICES, RADIATION ONCOLOGY (INCLUDING GAMMA KNIFE AND THE VARIAN TRILOGY UNIT), AND SPECIALIZED SERVICES OF THE CHILDREN'S HOSPITAL OF ILLINOIS (WHICH IS OPERATED AS A PART OF SAINT FRANCIS MEDICAL CENTER). SAINT ANTHONY MEDICAL CENTER ("SAINT ANTHONY") IS A 254 LICENSED BED ACUTE CARE HOSPITAL LOCATED ON THE EAST SIDE OF ROCKFORD, ILLINOIS. SAINT ANTHONY PROVIDES PRIMARY, SECONDARY AND TERTIARY CARE. SAINT ANTHONY PROVIDES CERTAIN SPECIALIZED SERVICES, INCLUDING LEVEL 1(HIGHEST LEVEL) TRAUMA SERVICES, HELICOPTER SERVICES (USING HELICOPTERS OWNED BY OSF AVIATION), ADULT OPEN HEART SURGERY, A REGIONAL BURN UNIT, NEUROSURGERY, AND NEUROLOGY, AND RADIATION ONCOLOGY (INCLUDING VARIAN TRUE BEAM AND STEREOTACTIC RADIO-SURGERY). 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. 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 PROVIDES PRIMARY, SECONDARY AND TERTIARY CARE, INCLUDING OPEN HEART SURGERY. SAINT JAMES HAS 42 LICENSED ACUTE CARE BEDS WHICH ARE ALSO MEDICARE SWING BED APPROVED. THIS HOSPITAL FACILITY IS LOCATED ON THE WEST SIDE OF PONTIAC, ILLINOIS, NEAR INTERSTATE 55. SAINT JAMES IS THE ONLY ACUTE CARE HOSPITAL LOCATED IN LIVINGSTON COUNTY, ILLINOIS. 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. ST. MARY IS A 81 LICENSED BED ACUTE CARE HOSPITAL LOCATED ON THE NORTHEAST SIDE OF GALESBURG, ILLINOIS. IN ADDITION TO PRIMARY AND SECONDARY CARE, INCLUDING DIAGNOSTIC CARDIAC CATHETERIZATION SERVICES, 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. HOLY FAMILY IS A 23 LICENSED ACUTE BED FACILITY LOCATED IN MONMOUTH, ILLINOIS. ALL OF ITS ACUTE BEDS ARE ALSO MEDICARE APPROVED SWING BEDS. ST. FRANCIS HOSPITAL ("ST. FRANCIS HOSPITAL") IS A 25 LICENSED BED CRITICAL ACCESS HOSPITAL LOCATED ON THE WEST SIDE OF ESCANABA, MICHIGAN. AS THE ONLY HOSPITAL IN DELTA COUNTY, MICHIGAN, ST. FRANCIS HOSPITAL PROVIDES A RANGE OF INPATIENT AND OUTPATIENT HOSPITAL, DIAGNOSTIC, THERAPEUTIC AND ANCILLARY SERVICES. OSF SAINT LUKE MEDICAL CENTER IS A 25 BED CRITICAL ACCESS HOSPITAL LOCATED IN KEWANEE, IL. OSF SAINT LUKE MEDICAL CENTER MERGED INTO OSF PURSUANT TO A STATUTORY MERGER ON APRIL 1, 2014 AND HAS BEEN SERVING THE COMMUNITY SINCE 1919. 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 PENNINSULA 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. - ILLINOIS NEUROLOGICAL INSTITUTE - PHYSICIANS, LLC, WHICH PROVIDES PHYSICIAN NEUROSURGERY SERVICES IN CENTRAL ILLINOIS. - HEARTCARE MIDWEST, LTD., WHICH PROVIDES CARDIOLOGY AND CARDIOVASCULAR SURGERY PHYSICIAN SERVICES IN CENTRAL ILLINOIS. - CARDIOVASCULAR INSTITUTE AT OSF, LLC, WHICH PROVIDES CARDIOLOGY AND CARDIOVASCULAR SURGERY PHYSICIAN SERVICES IN PARTS OF NORTHERN ILLINOIS. - OSF MULTISPECIALTY GROUP - EASTERN REGION, LLC, WHICH PROVIDES PRIMARY AND SPECIALTY PHYSICIAN SERVICES IN PARTS OF CENTRAL ILLINOIS. - 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. - OSF PERINATAL ASSOCIATES, LLC, WHICH PROVIDES MATERNAL FETAL MEDICINE PHYSICIAN SERVICES IN CENTRAL ILLINOIS. - OSF MULTISPECIALTY GROUP - WESTERN REGION, LLC, WHICH PROVIDES PRIMARY AND SPECIALTY PHYSICIAN SERVICES IN WESTERN ILLINOIS. - OSF CHILDREN'S MEDICAL GROUP- CONGENITAL HEART CENTER, LLC WHICH PROVIDES PEDIATRIC CARE FOR CARDIOVASCULAR ILLNESSES IN NORTHERN ILLINOIS. - PREFERRED EMERGENCY PHYSICIANS OF ILLINOIS, LLC WHICH PROVIDES PHYSICIAN COVERAGE FOR EMERGENCY DEPARTMENTS. - CENTER FOR HEALTH AMBULATORY SURGERY CENTER, LLC, WHICH PROVIDES AMBULATORY SURGERY SERVICES IN CENTRAL ILLINOIS. - EASTLAND MEDICAL PLAZA SURGICENTER, LLC, WHICH PROVIDES AMBULATORY SURGERY SERVICES IN CENTRAL ILLINOIS. - FORT JESSE IMAGING CENTER, LLC, WHICH PROVIDES MEDICAL IMAGING SERVICES IN CENTRAL ILLINOIS. - SLEEP CENTER OF CENTRAL ILLINOIS, LLC, WHICH PROVIDES MEDICAL TREATMENT FOR SLEEP DISORDERS IN CENTRAL ILLINOIS. - OSF PERINATAL ASSOCIATES, LLC, WHICH PROVIDES PERINATOLOGY SERVICES IN CENTRAL ILLINOIS. - STATE AND ROXBURY, LLC OPERATES A REAL ESTATE MANAGEMENT ORGANIZATION IN ROCKFORD ILLINOIS. - POINT CORE NETWORK SERVICES, LLC IS AN INFORMATION TECHNOLOGY COMPANY THAT PROVIDES STRATEGY, PLANNING, CONSTRUCTION, AND OPERATIONAL SUPPORT FOR THE VOICE, VIDEO AND DATA NETWORKS OF LEADING HEALTHCARE ORGANIZATIONS. PART VI, LINE 7 ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: IL, MI true HEARTLAND COMMUNITY HEALTH 1701 W GARDEN STREET PEORIA IL 61605 371270794 501(C)(3) 500000 support of clinic operations HEART OF ILLINOIS UNITED WAY 509 W HIGH STREET PEORIA IL 61606 370661504 501(C)(3) 50000 support of org operations FOCUS FORWARD CI FUND 331 FULTON STREET PEORIA IL 616021449 371185713 501(C)(3) 50000 support of org operations FRIENDS OF THE CHILDREN OF HAITI PO BOX 789 PEORIA IL 61652 371274477 501(C)(3) 35000 support of org operations CORNERSTONE COMMUNITY WELLNESS PO BOX 57 SHEFIELD IL 61361 455629970 501(C)(3) 20000 support of org operations AMERICAN HEART ASSOCIATION INC 7272 GREENVILE AVENUE DALLAS TX 75231 135613797 501(C)(3) 10000 support of org operations KISHHEALTH SYSTEM ONE KISH HOSPITAL DRIVE DEKALB IL 60115 363649080 501(C)(3) 7500 support of org operations 7 SCHOLARSHIPS 149 215678 SUPPLEMENTAL INFORMATION PROCEDURES FOR MONITORING GRANTS PART I, LINE 2 THE CORPORATION MONITORS THE USE OF GRANT FUNDS IN THE UNITED STATES IN A VARIETY OF WAYS. FOR EDUCATIONAL SCHOLARSHIPS, THE CORPORATION TRACKS AND REVIEWS THE STUDENT'S GRADES AND SUCCESSFUL COURSE COMPLETION EACH SEMESTER. IN SOME CASES, THE CORPORATION'S CHIEF FINANCIAL OFFICER 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. REQUIREMENTS FOR SAINT FRANCIS MEDICAL CENTER SCHOLARSHIP ALL SCHOLARSHIPS ARE APPROVED BY THE SCHOLARSHIP COMMITTEE. NURSING MINIMUM REQUIREMENTS: - GPA 2.5/4.0 SCALE - TWO FAVORABLE ACADEMIC REFERENCES FROM CLINICAL INSTRUCTORS - TWO FAVORABLE EMPLOYER REFERENCES - COMPLETED SCHOLARSHIP APPLICATION FORM - ACCEPTANCE OF THE SCHOLARSHIP REQUIRES THE STUDENT TO SECURE AND START IN AN OSF SAINT FRANCIS MEDICAL CENTER RN STAFF POSITION WITHIN 60 DAYS OF GRADUATION AND REMAIN EMPLOYED IN A 72-80 HOURS/PAY FOR TWO YEARS FOLLOWING COMPLETION OF THE 90 DAY UNIT NURSING ORIENTATION. RADIOLOGY, RADIATION THERAPIST & SONOGRAPHY MINIMUM REQUIREMENTS: - GPA 2.5/4.0 SCALE - TWO FAVORABLE ACADEMIC REFERENCES FROM CLINICAL INSTRUCTORS - TWO FAVORABLE EMPLOYER REFERENCES - COMPLETED SCHOLARSHIP APPLICATION FORM - ACCEPTANCE OF THE SCHOLARSHIP REQUIRES THE STUDENT TO SECURE AND START IN AN OSF SAINT FRANCIS MEDICAL CENTER DIAGNOSTIC RADIOLOGY TECHNOLOGIST STAFF POSITION WITHIN 30 DAYS OF GRADUATION AND REMAIN EMPLOYED FOR TWO YEARS FOLLOWING COMPLETION OF THE DEPARTMENT ORIENTATION. PHARMACY MINIMUM REQUIREMENTS: - INTERVIEW - GPA 2.5/4.0 OR 3.125/5.0 SCALE - TWO FAVORABLE ACADEMIC REFERENCES FROM CLINICAL INSTRUCTORS - TWO FAVORABLE EMPLOYER REFERENCES - COMPLETED SCHOLARSHIP APPLICATION FORM - ACCEPTANCE OF THE SCHOLARSHIP REQUIRES THE STUDENT TO SECURE AND START IN AN OSF SAINT FRANCIS MEDICAL CENTER R.PH. POSITION WITHIN 30 DAYS OF GRADUATION AND REMAIN EMPLOYED FOR TWO YEARS OR THREE YEARS, DEPENDING ON THE MONIES RECEIVED, FOLLOWING COMPLETION OF THE PHARMACY ORIENTATION. RESPIRATORY THERAPY MINIMUM REQUIREMENTS: FOR EXTERNAL CANDIDATES: - MEET ALL ILLINOIS CENTRAL COLLEGE'S (ICC) MINIMUM REQUIREMENTS FOR ADMISSION - GPA 3.0/4.0 SCALE - PASS A WONDERLIC TEST SCORE OF A 3 ON THE VERBAL SECTION AND A 2 ON THE MATH PORTION - TWO FAVORABLE ACADEMIC REFERENCES FROM CLINICAL INSTRUCTORS - TWO FAVORABLE EMPLOYER REFERENCES - A BRIEF 1-2 PAGE TYPED ESSAY EXPLAINING INTEREST AND DESIRE TO ENROLL THE SCHOLARSHIP PROGRAM - INTERVIEW FOR OSF SAINT FRANCIS MEDICAL CENTER EMPLOYEES: - MEET ALL ILLINOIS CENTRAL COLLEGE'S (ICC) MINIMUM REQUIREMENTS FOR ADMISSION - GPA 3.0/4.0 SCALE - PASS A WONDERLIC TEST SCORE OF A 3 ON THE VERBAL SECTION AND A 2 ON THE MATH PORTION - MUST NOT BE ON ANY CURRENT FORMAL LEVELS OF DISCIPLINE - TWO FAVORABLE SUPERVISOR/MANAGER OR DIRECTOR REFERENCES - A BRIEF 1-2 PAGE TYPED ESSAY EXPLAINING INTEREST AND DESIRE TO ENROLL THE SCHOLARSHIP PROGRAM - INTERVIEW MERIT SCHOLARSHIP REQUIREMENT: - GPA 3.4/4.0 SCALE - DEAN'S LIST IN THE SEMESTER PREVIOUS TO POSTING ON STUDENTS ACCOUNT INSTITUTIONAL SCHOLARSHIP REQUIREMENT: - COLLEGE OF NURSING STUDENT IN GOOD ACADEMIC STANDING AND IN FINANCIAL NEED PRESIDENT'S SCHOLARSHIP REQUIREMENT: - GPA 3.55/4.0 SCALE REQUIREMENTS FOR SAINT ANTHONY MEDICAL CENTER SCHOLARSHIPS SCHOLARSHIPS ARE AWARDED BASED ON 50% ACADEMICS, 30% FINANCIAL NEED, AND 20% COMMUNITY SERVICE. THE AWARDS ARE APPROVED BY THE SAINT ANTHONY COLLEGE OF NURSING FINANCIAL AID COMMITTEE. THE ALUMNI MEMORIAL SCHOLARSHIP ARE AWARDED BASED ON 60% ACADEMICS, 30% FINANCIAL NEED, AND 10% COMMUNITY SERVICE. MINIMUM REQUIREMENTS FOR ALL SCHOLARSHIPS: - GPA 2.5/4.0 SCALE - RESUME - TWO FAVORABLE LETTERS OF RECOMMENDATION, AT LEAST ONE FROM A CLINICAL INSTRUCTOR - A BRIEF TYPED ESSAY EXPLAINING INTEREST AND DESIRE TO ENROLL THE SCHOLARSHIP PROGRAM REQUIREMENTS FOR HOLY FAMILY MEDICAL CENTER SCHOLARSHIPS - APPLICATION FOR ASSISTANCE FROM OSF HOLY FAMILY MEDICAL CENTER SIGNIFIES A DESIRE TO WORK AT OSF HFMC AT THE COMPLETION OF THE EDUCATIONAL COURSE WORK. - MEETING DEADLINES IS THE RESPONSIBILITY OF THE APPLICANT. ALL APPLICATION MATERIALS MUST REACH OSF HFMC BY APRIL 1. AWARDS WILL BE MADE BY MAY 31. - FUNDS MAY ONLY BE USED FOR HEALTH CARE-RELATED COURSEWORK AT THE BACHELOR'S DEGREE LEVEL OR BELOW. - RECIPIENTS MUST RESIDE IN WARREN OR HENDERSON COUNTY, ILLINOIS, BE EMPLOYEES OF OSF HOLY FAMILY MEDICAL CENTER, OR RELATED TO EMPLOYEES OF OSF HFMC. - THE MAXIMUM AVAILABLE AMOUNT OF EDUCATIONAL ASSISTANCE IS $3,500 ANNUALLY. THIS AMOUNT WILL BE DISTRIBUTED FOR TUITION, BOOKS, AND LAB FEES. FUNDS MAY NOT BE USED FOR LIVING EXPENSES OR TRANSPORTATION - EACH DISBURSEMENT OF FUNDS REQUIRES THE RECIPIENT SIGN A "STUDENT LOAN PROMISSORY NOTE" WHICH IS FORGIVEN WHEN THE STUDENT BORROWER BECOMES EMPLOYED AT OSF HFMC AT COMPLETION OF THE EDUCATIONAL PROGRAM WITHIN SPECIFIED TIME CONSTRAINTS. THIS MEANS EACH REQUEST FOR FUNDS REQUIRES A PERSONAL APPEARANCE BY THE STUDENT. (ACCORDING TO TAX LAW, DISBURSEMENTS ARE TAXABLE INCOME.) - WHEN FUNDS HAVE BEEN DISTRIBUTED FOR A GIVEN SEMESTER, ADDITIONAL FUNDS WILL NOT BE PAID UNTIL OSF HFMC HAS BEEN FURNISHED WITH A COPY OF PRIOR SEMESTER GRADES, GIVING PROOF OF SUCCESSFUL COMPLETION OF COURSE WORK. A CUMULATIVE 3.0 GRADE POINT AVERAGE OR HIGHER IS REQUIRED. - RECIPIENTS MUST REAPPLY ANNUALLY IF THEY DESIRE FUNDS FOR SUBSEQUENT YEARS. WHILE FUNDS FOR SUBSEQUENT YEARS ARE NOT GUARANTEED, SERIOUS CONSIDERATION WILL BE GIVEN TO THOSE STUDENTS WHO HAVE EXCELLED ACADEMICALLY. - RECEIPT OF EDUCATIONAL ASSISTANCE DOES NOT GUARANTEE THE RECIPIENT WILL BE OFFERED EMPLOYMENT AT THE COMPLETION OF THE EDUCATIONAL PROGRAM. AN APPROPRIATE POSITION MAY NOT BE AVAILABLE AT THAT TIME. IF AN APPROPRIATE POSITION IS AVAILABLE, THE RECIPIENT MUST ACCEPT THE POSITION OR BE PREPARED TO REPAY ANY FUNDS RECEIVED. - WITH MUTUAL AGREEMENT, THE REQUIREMENT TO ACCEPT A POSITION AT OSF HFMC MAY BE MET BY ACCEPTING EMPLOYMENT AT OTHER OSF FACILITIES. X true true X X X X X false true false false false false false false false GERALD J MCSHANE MD BOARD MEMBER 450502 0 0 0 55347 0 36400 0 12221 0 554470 0 0 0 JAMES W GIRARDY MD BOARD MEMBER 384760 0 0 0 0 0 0 0 0 0 384760 0 0 0 KEVIN D SCHOEPLEIN VICE CHAIRPERSON; CEO 903802 0 0 0 103002 0 37817 0 16439 0 1061060 0 0 0 DANIEL E BAKER SENIOR VP, CFO 450524 0 0 0 70229 0 36400 0 12610 0 569763 0 0 0 DANIEL R FASSETT MD PHYSICIAN, NEUROSURGERY 472500 0 1082964 0 17553 0 18200 0 18 0 1591235 0 0 0 JEFFREY D KLOPPENSTEIN MD PHYSICIAN, NEUROSURGERY 463781 0 657522 0 21054 0 18200 0 15762 0 1176319 0 0 0 BRIAN D SIPE MD PHYSICIAN, ORTHOPEDICS 840115 0 0 0 43336 0 18200 0 16962 0 918613 0 0 0 ANDREW J TSUNG MD PHYSICIAN, NEUROSURGERY 464882 0 466801 0 21355 0 18200 0 11136 0 982374 0 0 0 DONGWOO J CHANG MD PHYSICIAN, NEUROSURGERY 911618 0 0 0 39243 0 3904 0 15768 0 970533 0 0 0 SCHEDULE J, PART I, LINE 1A THE CORPORATION REIMBURSES CERTAIN EXECUTIVES FOR SOCIAL CLUB DUES PAID BY SUCH EXECUTIVES. ELIGIBILITY FOR CLUB DUES REIMBURSEMENT IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS AND IS TAKEN INTO CONSIDERATION BY THE COMMITTEE IN DETERMINING FAIR MARKET COMPENSATION. SEE FORM 990 - SCHEDULE O - PART VI - LINES 15A AND 15B FOR AN EXPLANATION OF THE ROLE OF THE HUMAN RESOURCES COMMITTEE AND THE MANNER IN WHICH FAIR MARKET COMPENSATION IS DETERMINED. CLUB DUES ARE NOT ELIGIBLE FOR REIMBURSEMENT IF THE CLUB IN QUESTION DISCRIMINATES ON THE BASIS OF RACE, RELIGION, SEX, NATIONAL ORIGIN, OR OTHER PROHIBITED FACTORS. DUES REIMBURSEMENT IS TREATED AND REPORTED AS TAXABLE COMPENSATION. SCHEDULE J, PART I, LINE 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 FY14, $1,107,975 WAS DEPOSITED INTO THE PLAN AND NO DISTRIBUTIONS WERE MADE. A ILLINOIS FINANCE AUTHORITY 861091967 45203HVN9 2007-08-29 461801780 SEE PART VI false false false B ILLINOIS FINANCE AUTHORITY 861091967 45200FWG0 2009-03-31 249074230 SEE PART VI false false false C ILLINOIS FINANCE AUTHORITY 861091967 2009-08-18 70000000 SEE PART VI false false false D ILLINOIS FINANCE AUTHORITY 861091967 45200F3R8 2010-06-29 158525888 SEE PART VI false false false A 220735000 0 461801780 4457 0 0 3319397 8846375 0 285706088 0 0 2010 true false true true B 2395000 38475000 249074230 4769 0 0 3114169 126677 0 0 0 0 true false true true C 30972856 0 70000000 10904 0 0 0 0 0 70000000 0 0 2010 false false true true D 6025000 0 158535888 45 0 0 2080292 0 0 28000000 0 0 2010 true false true true A false false false false 0 false false false false B false false false false 0 false false false false C false false false false 0 false false false false D false false false false 0 false false false false A false true true true MERRILL LYNCH false true false 0 true false B false true true false 0 false 0 false false C false true true false 0 false 0 false false D false true false false 0 false 0 false false A false B false C false D false A ILLINOIS FINANCE AUTHORITY 861091967 45203HKS0 2012-09-26 191360304 SEE PART VI false false false A 3500000 0 191360304 2583 0 39749427 2402586 0 0 15813583 0 0 2012 true true true true A false false false false 0 false false false false A false true false false 0 false 0 false false A false 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 THE PROJECT; (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 INDEBTDEDNESS DESCRIBED BELOW AND (V) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SYSTEMWIDE BONDS AND THE REFINANCING. ILLINOIS FINANCE AUTHORITY - 03/31/2009 CUSIP# 45200FWD7, 45200FWG0, 45200FWE5, 45200FWF2, 45200FWB1 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 FINANCE 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) PAY OR REIMBURSE THE CORPORATION FOR THE PROJECT; (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 - 09/26/2012 CUSIP #45203HLH3, 45203HLG5, 45203HKS0, 45203HKT8, 45203HKU5, 45203HKV3, 45203HKW1, 45203HKY7, 45203HKZ4, 45203HLA8, 45203HLB6, 45203HLC4, 45203HLD2, 45203HLE0, 45203HLF7 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 THE PROJECT, (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 FINANCE 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 - SEPTEMBER 26, 2013 (SUBSTITUTION DATE) CUSIP # 45203HVM1, 45203HVN0 THE SERIES 2007E & F VARIABLE RATE DEMAND REVENUE BONDS WERE REISSUED WITH IRREVOCABLE TRANSFERABLE LETTERS OF CREDIT. SUPPLEMENTAL INFORMATION 2 SCHEDULE K - PART II - LINE 7 BOND ISSUANCE COSTS BOND ISSUANCE COST 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 SUPPLEMENTAL INFORMATION 3 SCHEDULE K - PART IV - LINE 2C DATE THE REBATE COMPUTATION WAS PERFORMED A NOVEMBER 28, 2011 B MAY 30, 2014 C JUNE 3, 2014 SUPPLEMENTAL INFORMATION 4 SCHEDULE K - PART III - LINE 9, PART IV - LINE 7 AND PART V ALTHOUGH FORMAL WRITTEN PROCEDURES WERE NOT FINALIZED BY YEAR-END, THEY WERE IN PROCESS. 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; AND MONMOUTH, ILLINOIS. AS OF THE CLOSE OF THE REPORTING PERIOD ON SEPTEMBER 30, 2014, THESE EIGHT FACILITIES HAD A COMBINED TOTAL OF 1,208 LICENSED INPATIENT AND RESIDENT BEDS AND OPERATED A COMBINED TOTAL OF 1,189 STAFFED INPATIENT AND RESIDENT BEDS. THEY HAD COMBINED TOTALS OF 54,629 INPATIENT AND RESIDENT DISCHARGES AND 268,317 INPATIENT AND RESIDENT DAYS, INCLUDING 9,813 NEWBORN INPATIENT DAYS. THE SEVEN ACUTE CARE HOSPITALS COLLECTIVELY SERVED 48 COUNTIES. THEY HAD A COMBINED TOTAL OF APPROXIMATELY 2,583 PHYSICIANS ON THEIR MEDICAL STAFFS; INCLUDING APPROXIMATELY 1,309 PHYSICIANS ON THEIR ACTIVE OR ASSOCIATE MEDICAL STAFFS. ONE OF THE HOSPITALS IS A SOLE COMMUNITY HOSPITAL AND TWO 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 SEVEN ACUTE CARE HOSPITALS OWNED AND OPERATED BY OSF HEALTHCARE SYSTEM COLLECTIVELY PROVIDED 1,004,045 OUTPATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2014, INCLUDING 51,205 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 PROVIDED 1,095,683 OFFICE VISITS (NOT INCLUDING SERVICES PROVIDED TO HOSPITAL INPATIENTS AND OUTPATIENTS) AT OFFICES IN 89 SEPARATE LOCATIONS THROUGHOUT CENTRAL AND NORTHERN ILLINOIS AND THE UPPER PENINSULA OF MICHIGAN. FORM 990 - PART III - LINE 4D: HOME HEALTH SERVICES: (EXPENSES $49,167,088 INCLUDING GRANTS OF $NONE)(REVENUE $48,414,272) THE FIVE HOME HEALTH AGENCIES OWNED AND OPERATED BY THE CORPORATION COLLECTIVELY SERVE 32 COUNTIES IN ILLINOIS AND MICHIGAN, ENROLLED 25,493 HOME HEALTH PATIENTS, AND PROVIDED 189,725 HOME HEALTH VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2014. THE FOUR HOSPICE PROGRAMS OWNED AND OPERATED BY THE CORPORATION COLLECTIVELY SERVE 33 COUNTIES IN ILLINOIS AND MICHIGAN, ENROLLED 11,492 HOSPICE PATIENTS, AND PROVIDED 97,573 HOSPICE DAYS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2014. FORM 990 - PART III - LINE 4D: EMERGENCY DEPARTMENT SERVICES: (EXPENSES $78,314,491 INCLUDING GRANTS OF $ NONE) (REVENUE $93,355,661) ALL OF THE SEVEN ACUTE CARE HOSPITALS OF THE CORPORATION PROVIDE 24-HOUR EMERGENCY DEPARTMENT SERVICES. ALL ARE STAFFED BY PHYSICIANS WHO ARE PREDOMINANTLY (BUT NOT ENTIRELY) CERTIFIED IN EMERGENCY MEDICINE BY NATIONAL SPECIALTY BOARDS. THE EMERGENCY DEPARTMENTS OF THE CORPORATION'S ACUTE CARE HOSPITALS PROVIDED 215,308 PATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2014. FORM 990 - PART III - LINE 4D: RESIDENCY PROGRAMS: (EXPENSES $42,757,111 INCLUDING GRANTS OF $ NONE) (REVENUE $34,707) OSF HEALTHCARE SYSTEM HAS ENTERED INTO A MAJOR AFFILIATION AGREEMENT WITH THE UNIVERSITY OF ILLINOIS PROVIDING SIGNIFICANT FINANCIAL AND TEACHING SUPPORT FOR PHYSICIAN RESIDENCY AND FELLOWSHIP PROGRAMS SPONSORED BY THE UNIVERSITY. THE CORPORATION EMPLOYED 231 RESIDENTS AND FELLOWS IN THESE PROGRAMS DURING THE REPORTING PERIOD. FORM 990 - PART III - LINE 4D COLLEGES OF NURSING PROGRAMS: (EXPENSES $12,519,236 INCLUDING GRANTS OF $215,678) (REVENUE $14,364,618) TWO OF THE CORPORATION'S HOSPITALS OPERATE ACCREDITED COLLEGES OF NURSING WHICH AWARD BACCALAUREATE, MASTERS, AND DOCTORATE DEGREES. THERE WERE 2,305 ENROLLEES IN THESE PROGRAMS DURING THE THREE SEMESTERS FALLING WITHIN THE REPORTING PERIOD (FALL 2013, SPRING 2014, AND SUMMER 2014) FORM 990 - PART III - LINE 4D: TRAUMA SERVICES (LEVEL 1): (EXPENSES $9,558,639 INCLUDING GRANTS OF $ NONE) (REVENUE $2,100,593) TWO OF THE CORPORATION'S SEVEN HOSPITALS HAVE BEEN DESIGNATED AS LEVEL I (HIGHEST LEVEL) TRAUMA CENTERS, AND TWO HAVE BEEN DESIGNATED AS LEVEL II TRAUMA CENTERS. LEVEL I TRAUMA CENTERS ARE CONTINUOUSLY STAFFED WITH IN-HOUSE TRAUMA SURGEONS, ANESTHESIA PROVIDERS, AND OTHER SPECIALIZED HEALTH CARE PROFESSIONALS IN ORDER TO PROVIDE IMMEDIATE TRAUMA SURGERY AND OTHER TREATMENT SERVICES TO TRAUMA PATIENTS. THE EXPENSES ABOVE REFLECT THESE STAFFING COSTS. LEVEL I TRAUMA CENTERS ALSO HAVE SPECIAL RESPONSIBILITIES FOR FORMING AND CARRYING OUT AREA-WIDE DISASTER PREPAREDNESS AND EMERGENCY RESPONSE PLANS AND FOR COORDINATING AREA-WIDE TRAUMA SERVICES IN THE EVENT OF MAJOR DISASTERS. FORM 990 - PART III - LINE 4D: EMS FLIGHT & GROUND TRANSPORT SERVICES: (EXPENSES $10,148,972 INCLUDING GRANTS OF $ NONE) (REVENUE $4,898,601) THE CORPORATION PROVIDES EMERGENCY HELICOPTER TRANSPORT SERVICES TO PATIENTS IN NORTHERN AND CENTRAL ILLINOIS USING A FLEET OF FOUR EMS CONFIGURED HELICOPTERS. 391 EMS HELICOPTER PATIENT TRANSPORTS WERE PROVIDED DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2014. A SUBSIDIARY OF THE CORPORATION PROVIDES GROUND AMBULANCE PATIENT TRANSPORT SERVICES IN NORTHERN ILLINOIS. 7,960 GROUND AMBULANCE PATIENT TRANSPORTS PLUS 3,386 WHEELCHAIR PATIENT TRANSPORTS WERE PROVIDED DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2014. FORM 990 - PART III - LINE 4D: COMMUNITY CLINIC, OUTREACH, AND OTHER EDUCATIONAL PROGRAMS: (EXPENSES $8,771,775 INCLUDING GRANTS OF $ NONE) (REVENUE $1,494,524) OSF COMMUNITY PRENATAL CLINIC - BLOOMINGTON, ILLINOIS: THIS CLINIC SERVES UNINSURED AND UNDERINSURED PREGNANT WOMEN IN THE BLOOMINGTON-NORMAL, ILLINOIS COMMUNITIES AND SURROUNDING AREA. THE CLINIC PROVIDES SPANISH-SPEAKING STAFF TO ASSIST PATIENTS WHO HAVE LANGUAGE BARRIERS. PRENATAL SERVICES AND DELIVERIES WERE PROVIDED TO 16 WOMEN DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2014. OSF SISTERS COMMUNITY HEALTHCARE CLINICS - PEORIA, ILLINOIS: THIS CLINIC IS A PRIMARY CARE HOSPITAL BASED RESIDENCY CLINIC WHERE UNINSURED AND UNDERINSURED PATIENTS OF ALL AGES ARE SEEN BY RESIDENT PHYSICIANS UNDER THE DIRECTION OF AN ATTENDING PHYSICIAN. PROFESSIONAL SERVICES INCLUDE ADULT INTERNAL MEDICINE, PEDIATRIC AMBULATORY CARE, AND OBSTETRICS/GYNECOLOGY. OTHER SERVICES INCLUDE X-RAY, LABORATORY, SONOGRAPHY, COUMADIN MANAGEMENT, ADULT AND PEDIATRIC SOCIAL SERVICES, AND FINANCIAL ADVISORY SERVICES. 8,981 PATIENT VISITS WERE PROVIDED DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2014. PARISH NURSING PROGRAM - PEORIA, ILLINOIS: THIS PROGRAM PROVIDES PROFESSIONAL SUPERVISION AND CLINICAL SUPPORT FOR VOLUNTEER NURSES WHO FURNISH MEDICAL SCREENING, EDUCATION AND NURSING SERVICES TO MEMBERS OF CHURCH CONGREGATIONS IN AND AROUND PEORIA, ILLINOIS. PERINATAL OUTREACH PROGRAM - PEORIA, ILLINOIS: THIS PROGRAM PROVIDES PROFESSIONAL EDUCATION AND TRAINING TO CLINICIANS IN COMMUNITY HOSPITALS THROUGHOUT CENTRAL ILLINOIS REGARDING CLINICALLY APPROPRIATE MANAGEMENT AND REFERRAL OF WOMEN WITH HIGH RISK PREGNANCIES. 1,124 HOURS OF EDUCATION AND TRAINING WERE PROVIDED DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2014. COMMUNITY TRAINING CENTER - ROCKFORD, ILLINOIS AND PEORIA, ILLINOIS: THE COMMUNITY TRAINING CENTERS PROVIDE TRAINING TO THE PUBLIC SO THEY ARE PREPARED TO DO BASIC LIFE SUPPORT IN AN EMERGENCY. CLASSES INCLUDE CPR CERTIFICATION AND TRAINING FOR THE AMERICAN HEART ASSOCIATION CERTIFICATIONS SUCH AS BASIC LIFE SUPPORT AND ADVANCED LIFE. PARAMEDICAL EDUCATION - ROCKFORD, ILLINOIS: THIS PROGRAM PROVIDES PRIMARY AND CONTINUING EDUCATION AT NUMEROUS LEVELS OF CERTIFICATION AND LICENSURE PER IDPH RULES AND REGULATIONS. EDUCATION IN AREAS SUCH AS CPR, EMERGENCY MEDICAL RESPONDER, EMT BASIC, EMT INTERMEDIATE AND EMT PARAMEDIC TO NAME A FEW ARE PROVIDED TO OUR SERVICE AREA FIRE AND POLICE FIRST RESPONDERS, BOTH PAID AND VOLUNTEER AS WELL AS TO THE GENERAL PUBLIC. MUCH OF THIS TRAINING IS PROVIDED ON SITE THROUGHOUT OUR SERVICE AREA BUT IS ALSO SUPPORTED BY A STANDALONE OSF EMS TRAINING FACILITY IN ROCKFORD, ILLINOIS. THIS COMMITMENT DEMANDS THOUSANDS OF HOURS THROUGHOUT OUR EMS SYSTEM ANNUALLY. EMT EDUCATION - PEORIA, ILLINOIS: THIS INCLUDES CLASSES PROVIDED TO THE AMBULANCE AND RESCUE SQUADS OF THE CENTRAL ILLINOIS AREA FOR THE TRAINING AND UPDATING OF THE EMPLOYEES AND VOLUNTEERS OF THE SQUADS. THIS SERVICE PROVIDES HUNDREDS OF HOURS OF ONGOING TRAINING THROUGHOUT THE REGION TO FIRST RESPONDERS. MEDICAL TECH EDUCATION - ROCKFORD, ILLINOIS AND PEORIA, ILLINOIS: AT PEORIA THIS IS A YEAR LONG PROGRAM FOR SCIENCE MAJOR STUDENTS THAT WILL BECOME TECHNICIANS IN A HOSPITAL LAB. THIS IS A REQUIRED PROGRAM FOR THE STUDENTS TO COMPLETE THE BACHELOR'S DEGREE AND BE ABLE TO FUNCTION IN THE LAB. THERE ARE USUALLY TEN STUDENTS PER YEAR. ROCKFORD'S CLINICAL LAB HAS AN EXCLUSIVE AFFILIATION WITH THE NORTHERN ILLINOIS UNIVERSITY MEDICAL LABORATORY SCIENCE PROGRAM. THE LAB SERVES AS A CLINICAL TRAINING SITE FOR FOUR STUDENTS ANNUALLY WHO COMPLETE A 33-WEEK CLINICAL ROTATION WHERE THEY ARE ONSITE FOR 24 HOURS EACH WEEK. RADIOLOGY TECH EDUCATION - PEORIA, ILLINOIS: THIS IS A TWO YEAR PROGRAM FOR STUDENTS THAT WISH TO BECOME IMAGING TECHNICIANS IN ANY OF SEVERAL AREAS (DIAGNOSTIC, MRI, CT, SONS, ETC). UPON GRADUATION THE STUDENT IS ABLE TO PROVIDE THE PROCEDURES IN A CLINICAL SETTING. THERE ARE APPROXIMATELY TWENTY STUDENTS PER YEAR. DIETETIC EDUCATION - PEORIA, ILLINOIS: THIS IS A YEAR LONG PROGRAM THAT IS REQUIRED FOR A STUDENT TO BECOME A REGISTERED DIETITIAN. THE STUDENTS ARE PROVIDED TRAINING IN THE PREPARATION OF DIETS, COUNSELING, RESEARCH, AND EXPOSURE TO THE OPERATIONS OF A FOOD SERVICE AREA. THERE ARE APPROXIMATELY TEN STUDENTS PER YEAR. OTHER PROGRAM SERVICES (EXPENSES $14,314,311 INCLUDING GRANTS OF $ NONE) (REVENUE $18,098,401) 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 AND SCHEDULES AND 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 - 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 (5,253,345) NET ASSETS RELEASED FROM RESTRICTION (9,262,274) INCREASE IN PERMANETLY RESTRICTED ASSETS 12,346,932 REVERSAL OF MINIMUM PENSION LIABILITY (151,927,008) SFI & SUBSIDIAIRY INCOME (5,452,139) MINORITY INTEREST (5,603,239) INVESTMENT IN HEALTHCARE MIDWEST (19,143,127) EQUITY TRANSFERS (38,444,195) EARLY EXTINGUISHMENT OF DEBT (2,365,342) TRANSFER TO PARENT (200,000) TRANSFER TO KEWANEE 21,877,000 NET SETTLEMENT OF DERIVATIVE INSTRUMENT (7,914,628) ------------ TOTAL CHANGES IN NET ASSETS OR FUND BALANCE (211,341,365) SCHEDULE R - PART I - (B) PRIMARY ACTIVITY: OSF LIFELINE AMBULANCE, LLC OWNS TEN AMBULANCES AND FOUR WHEEL CHAIR VANS CONFIGURED AND EQUIPPED FOR PATIENT TRANSPORT AND PROVIDES GROUND AMBULANCE SERVICES IN NORTHERN ILLINOIS. POINTCORE, LLC POOLS RESOURCES, SUCH AS DATA STORAGE AND TELECOMMUNICATIONS, TO IMPROVE THE QUALITY OF HEALTHCARE SERVICES TO ITS MEMBERS AND TO THIRD PARTIES. SCHEDULE R - PART II - (B) PRIMARY ACTIVITY: THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS IS THE SOLE MEMBER OF THE CORPORATION AND IS ENGAGED IN ACTIVITIES RELATED TO GOVERNANCE OF THE CORPORATION. OSF HEALTHCARE FOUNDATION RAISES FUNDS TO SUPPORT THE ACTIVITIES OF THE CORPORATION. ST. FRANCIS COMMUNITY CLINIC PROVIDES FREE COMPREHENSIVE HEALTH CARE SERVICES TO THE INDIGENT POPULATION OF THE AREA. OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER OPERATES AN ACUTE CARE HOSPITAL IN OTTAWA THAT PROVIDES EFFICIENT AND QUALITY HEALTHCARE SERVICES CONSISTENT WITH THE NEEDS OF THE COMMNUNITY. OTTAWA REGIONAL HOSPITAL FOUNDATION SUPPORTS AND ENCOURAGES HEALTHCARE SERVICES IN FURTHERANCE OF THE SUPPORT OF AND IN ASSISTANCE TO OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER THROUGH PROVIDING FINANCIAL AND FUNDRAISING ASSISTANCE. OTTAWA REGIONAL HOSPITAL AUXILIARY OPERATES TO PROMOTE AND ADVANCE THE WELFARE OF OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER. OTTAWA REGIONAL HOSPITAL & HEALTHCARE LIABILITY LOSS FUND PROVIDES A VEHICLE FOR SELF-INSURING RISKS ARISING FROM THE OPERATION AND MAINTENANCE OF THE OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER. OSF MULTI-SPECIALTY GROUP HAS BEEN ORGANIZED TO SUPPORT THE MISSION OF OSF HEALTHCARE SYSTEM IN FUTURE YEARS THROUGH THE PROVISION OF QUALITY HEALTHCARE SERVICES RELATED TO COMPREHENSIVE INPATIENT AND OUTPATIENT CARE. IT HAS NOT YET COMMENCED OPERATIONS. OSF HEART & VASCULAR INSTITUTE HAS BEEN ORGANIZED TO SUPPORT THE MISSION OF OSF HEALTHCARE SYSTEM IN FUTURE YEARS THROUGH THE PROVISION OF QUALITY HEALTHCARE SERVICES RELATED TO CARDIOVASCULAR CARE AND TREATMENT. IT HAS NOT YET COMMENCED OPERATIONS. CHILDREN'S HOSPITAL OF ILLINOIS MEDICAL GROUP HAS BEEN ORGANIZED TO SUPPORT THE MISSION OF OSF HEALTHCARE SYSTEM IN FUTURE YEARS THROUGH THE PROVISION OF QUALITY OF HEALTHCARE SERVICES RELATED TO COMPREHENSIVE INPATIENT AND OUTPATIENT CARE FOR CHILDREN. IT HAS NOT YET COMMENCED OPERATIONS. ILLINOIS NEUROSCIENCE INSTITUTE HAS BEEN ORGANIZED TO SUPPORT THE MISSION OF OSF HEALTHCARE SYSTEM IN FUTURE YEARS THROUGH THE PROVISION OF QUALITY HEALTHCARE SERVICES RELATED TO RESEARCH CENTER FOR DIAGNOSIS AND TREATMENT OF BRAIN DISORDERS. IT HAS NOT YET COMMENCED OPERATIONS. SCHEDULE R - PART III - (B) PRIMARY ACTIVITY: CENTER FOR HEALTH AMBULATORY SURGERY CENTER, LLC OPERATES A MULTISPECIALTY AMBULATORY SURGICAL CENTER IN PEORIA, ILLINOIS. STATE AND ROXBURY, LLC OPERATES A REAL ESTATE MANAGEMENT ORGANIZATION IN ROCKFORD, ILLINOIS. EASTLAND MEDICAL PLAZA SURGICENTER, LLC OPERATES A MULTISPECIALTY AMBULATORY SURGERY TREATMENT CENTER IN BLOOMINGTON, ILLINOIS. FORT JESSE IMAGING CENTER, LLC OPERATES A STAND-ALONE MEDICAL IMAGING CENTER IN BLOOMINGTON, ILLINOIS. SLEEP CENTER OF CENTRAL ILLINOIS, LLC OPERATES A STAND-ALONE SLEEP DISORDER DIAGNOSTIC CENTER IN BLOOMINGTON, ILLINOIS. RADIATION ONCOLOGY OF NORTHERN ILLINOIS, LLC OPERATES A RADIATION ONCOLOGY CENTER. POINT CORE NETWORK SERVICES, LLC IS AN INFORMATION TECHNOLOGY COMPANY THAT PROVIDES STRATEGY, PLANNING, CONSTRUCTION, AND OPERATIONAL SUPPORT FOR THE VOICE, VIDEO AND DATA NETWORKS OF LEADING HEALTHCARE ORGANIZATIONS. SCHEDULE R - PART IV - (B) PRIMARY ACTIVITY: OSF SAINT FRANCIS, INC. PROVIDES HEALTHCARE RELATED SERVICES SUCH AS MEDICAL PRACTICE MANAGEMENT, RETAIL PHARMACIES, MOBILE MEDICAL SYSTEMS, DURABLE MEDICAL EQUIPMENT, REAL ESTATE RENTAL AND EQUIPMENT TECHNOLOGY SERVICES. HEARTCARE MIDWEST, LTD. IS A PHYSICIAN GROUP OF CARDIOVASCULAR SPECIALISTS SERVING CENTRAL ILLINOIS. CARDIOVASCULAR INSTITUTE AT OSF, LLC IS A PHYSICIAN GROUP OF CARDIOVASCULAR SPECIALISTS SERVING NORTHERN ILLINOIS. ILLINOIS PATHOLOGIST SERVICES, LLC PROVIDES PATHOLOGY SERVICES IN NORTHERN ILLINOIS. OSF MULTISPECIALTY GROUP - EASTERN REGION, LLC IS A MULTISPECIALTY CLINIC SERVING EASTERN ILLINOIS, OFFERING SERVICES IN ADULT MEDICINE, BEHAVIORAL FAMILY MEDICINE, GENERAL SURGERY, NEUROLOGY, OBSTETRICS, GYNECOLOGY, PEDIATRICS, PHYSIATRY, PULMONOLOGY, RADIOLOGY AND UROLOGY. OSF MULTISPECIALTY GROUP - PEORIA, LLC PROVIDES PEDIATRIC CARE FOR CARDIOVASCULAR ILLNESSES. ILLINOIS NEUROLOGICAL INSTITUTE - PHYSICIANS, LLC PROVIDES A FULL SPECTRUM OF ADULT AND PEDIATRIC CARE FOR ILLNESSES AFFECTING THE BRAIN, SPINAL CORD, AND PERIPHERAL NERVES. ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF, LLC PROVIDES PULMONOLOGY AND CRITICAL CARE SERVICES IN CENTRAL ILLINOIS. OSF PERINATAL ASSOCIATES, LLC PROVIDES MATERNAL FETAL MEDICINE PHYSICIAN SERVICES IN CENTRAL ILLINOIS. OSF MULTISPECIALTY GROUP - WESTERN REGION, LLC IS A MULTISPECIALTY CLINIC SERVING WESTERN ILLINOIS, OFFERING SERVICES IN A WIDE VARIETY OF GENERAL AND SPECIALTY MEDICAL CATEGORIES. OSF CHILDREN'S MEDICAL GROUP - CONGENITAL HEART CENTER, LLC PROVIDES PEDIATRIC CARE FOR CARDIOVASCULAR ILLNESS IN NORTHERN ILLINOIS. PREFERRED EMERGENCY PHYSICIANS OF ILLINOIS, LLC PROVIDES PHYSICIAN COVERAGE FOR EMERGENCY DEPARTMENTS. OTTAWA REGIONAL HEALTHCARE AFFILIATES, INC. IS A HOLDING COMPANY FOR OTTAWA REGIONAL MEDICAL CENTER, INC. OTTAWA REGIONAL MEDICAL CENTER, INC. PROVIDES OUTPATIENT MEDICAL AND DIAGNOSTIC SERVICES. 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