OSF HEALTHCARE SYSTEM: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OSF HEALTHCARE SYSTEM (EIN 37-0813229)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201402279349302405
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-15T10:12:28-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1191 West Nationwide Blvd Ste 500AddressLine1
CityColumbusCity
StateOHState
ZIP Code432152568ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN370813229EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OSF Healthcare SystemBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MR DANIEL BAKERInCareOfName
Name ControlOSFHNameControl
Phone3096552850Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 NE Glen Oak AvenueAddressLine1
Address Line2SuiteAddressLine2
CityPeoriaCity
StateILState
ZIP Code616033200ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDaniel E BakerName
TitleCFOTitle
Phone6142491929Phone
Date Signed2014-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6142492300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDANIEL E BAKERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1800 NE GLEN OAK AVENUEAddressLine1
CityPEORIACity
StateILState
ZIP Code61603ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1896415307GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.osfhealthcare.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1880YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionOSF Healthcare System is a Catholic Integrated health care delivery system. During FY2013 osf operated 7 hospitals, 1 nursing home, 5 home health agencies, 4 hospices and employed approximately 630 physicians.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees15094TotalNbrEmployees
Total Nbr Volunteers1999TotalNbrVolunteers
Total Gross UBI6335755TotalGrossUBI
Contributions Grants Prior Year53637086ContributionsGrantsPriorYear
Contributions Grants Current Year20136064ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1752743785ProgramServiceRevenuePriorYear
Program Service Revenue CY1797771173ProgramServiceRevenueCY
Investment Income Prior Year36513922InvestmentIncomePriorYear
Investment Income Current Year37761912InvestmentIncomeCurrentYear
Other Revenue Prior Year32275538OtherRevenuePriorYear
Other Revenue Current Year37379708OtherRevenueCurrentYear
Total Revenue Prior Year1875170331TotalRevenuePriorYear
Total Revenue Current Year1893048857TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1895004GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY722790GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year919657664SalariesEtcPriorYear
Salaries Etc Current Year954485517SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year5295017TotalFundrsngExpCurrentYear
Other Expense Prior Year796169733OtherExpensePriorYear
Other Expenses Current Year832160384OtherExpensesCurrentYear
Total Expenses Prior Year1717722401TotalExpensesPriorYear
Total Expenses Current Year1787368691TotalExpensesCurrentYear
Revenues Less Expenses Prior Year157447930RevenuesLessExpensesPriorYear
Revenues Less Expenses CY105680166RevenuesLessExpensesCY
Total Assets BOY2418704402TotalAssetsBOY
Total Assets EOY2485641264TotalAssetsEOY
Total Liabilities BOY1693780438TotalLiabilitiesBOY
Total Liabilities EOY1529786816TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY724923964NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY955854448NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOSF HEALTHCARE SYSTEM IS A CATHOLIC INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH DURING ITS FISCAL YEAR 2013 OPERATED 7 HOSPITALS, 1 NURSING HOME until 2/1/13, 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. OSFMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense598438739Expense
Grants591058Grants
Revenue859769747Revenue
DescriptionInpatient services - SEE Schedule ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense493571933Expense
Revenue699794962Revenue
DescriptionOutpatient Services - SEE Schedule ODescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense269092486Expense
Revenue97657313Revenue
DescriptionPhysician Services - SEE Schedule ODescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp228139938TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt131732TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev173041552TotalOfOtherProgramServiceRev
Total Program Service Expense1589243096TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096868NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees15094NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddresstrueOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMR DANIEL BAKERNamePerson
Telephone Number3096553638TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 NE GLEN OAK AVEAddressLine1
CityPEORIACity
StateILState
ZIP Code61603ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
GERALD J MCSHANE MD
Pres/CEO OSFMG, board member40.05.0X580097047802
JAMES W GIRARDY MD
BOARD MEMBER3.0X14872600
KEVIN D SCHOEPLEIN
Vice Chairperson; CEO40.05.0X25802480301320X
SISTER AGNES JOSEPH WILLIAMS OSF
Assistant Secretary40.00.5X448000X
SISTER DIANE MARIE MCGREW OSF
PRESIDENT/TREASURER40.01.0X448000X
SISTER JUDITH ANN DUVALL OSF
Chairperson40.00.5X448000X
SISTER MARIA ELENA PADILLA OSF
Board Member40.0X000
SISTER ROSE THERESE MANN OSF
Board Member40.0X000
SISTER THERESA ANN BRAZEAU OSF
Secretary40.01.0X448000X
VANCE C PARKHURST
Senior VP, Board Member40.00.5X396411045767
SUSAN CAMPBELL
SENIOR VP, BOARD MEMBER40.0X317589017625
DANIEL E BAKER
Senior VP, CFO40.05.05810540239060X
DANIEL R FASSETT MD
Physician, Neurosurgery0.040.01780345017862X
DALE M GEISS MD
Physician, Vascular Surgery0.040.0101828906054X
JEFFREY D KLOPFENSTEIN MD
Physician, Neurosurgery0.040.01254464032860X
SYED M HUSSAIN MD
Physician, Vascular Surgery0.040.01016900033154X
DONGWOO J CHANG MD
Physician, Neurosurgery0.040.0946275032526X
FieldValueIRS element (for citing)
Total Reportable Comp From Org10638318TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation774030TotalOtherCompensation
Number Individuals GT100 K993NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNIV OF IL COLLEGE OF MEDICINE
PO BOX 4196SPRINGFIELDIL627084196TEACHING PHYSICIANS21510286
HINSHAW CULBERTSON LLP
8142 SOLUTIONS CENTER DRCHICAGOIL606778001LEGAL8190476
ASSOC ANESTHESIOLOGISTS SC
8600 N STATE RT 91 SUITE 250PEORIAIL616159452ANESTHESIOLOGY SVS2709650
ROCKFORD ANESTHESIOLOGISTS ASSOC
2202 HARLEM RD STE 200LOVES PARKIL611112754ANESTHESIOLOGY SVS1579005
THE ADVISORY BOARD COMPANY
2445 M STREET NWWASHINGTONDC20037CONSULTING SERVICES1430584
FieldValueIRS element (for citing)
Number Of Contractors GT100 K69NumberOfContractorsGT100K
Related Organizations5945447RelatedOrganizations
Government Grants11710657GovernmentGrants
All Other Contributions2479960AllOtherContributions
Total Contributions20136064TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE90009917917963621791796362
LAB62150039276423927642
COLLECTION FEE90009919631963
AFFILIATIED PURCHASING PROGRAM56149914742701474270
INTEREST9000998858488584

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column482352TotalRevenueColumn
Unrelated Business Revenue482352UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue1797771173TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column37051790TotalRevenueColumn
Exclusion$37,051,790ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2505663Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2462259Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real43404Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column43404TotalRevenueColumn
Exclusion$43,404ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1614313Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other904191Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other710122Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column710122TotalRevenueColumn
Exclusion$710,122ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
TUITION9000991114581311145813
PHYSICIANS/RNS/STAFF CONTRACT SERVICES90009941117224111722
INCOME FROM JOINT VENTURES90009923477832347783

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column19730986TotalRevenueColumn
Related Or Exempt Function Income16361353RelatedOrExemptFunctionIncome
Unrelated Business Revenue360944UnrelatedBusinessRevenue
Exclusion$3,008,689ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue37336304TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1893048857TotalRevenueColumn
Related Or Exempt Function Income1825763033RelatedOrExemptFunctionIncome
Unrelated Business Revenue6335755UnrelatedBusinessRevenue
Exclusion$40,814,005ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total591058Total
Program Services591058ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total131732Total
Program Services131732ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5857944Total
Management And General5857944ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total738173637Total
Program Services670526564ProgramServices
Management And General66048315ManagementAndGeneral
Fundraising1598758Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total57655638Total
Program Services50816102ProgramServices
Management And General6839536ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total102713338Total
Program Services94121631ProgramServices
Management And General8578776ManagementAndGeneral
Fundraising12931Fundraising

Payroll Taxes PayrollTaxes

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Total50084960Total
Program Services45183244ProgramServices
Management And General4901716ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4732982Total
Program Services1879527ProgramServices
Management And General2853455ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total575643Total
Program Services439345ProgramServices
Management And General136298ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

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Total63549225Total
Program Services57434245ProgramServices
Management And General6114221ManagementAndGeneral
Fundraising759Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total5491837Total
Program Services5328716ProgramServices
Management And General46264ManagementAndGeneral
Fundraising116857Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9256457Total
Program Services8215318ProgramServices
Management And General984559ManagementAndGeneral
Fundraising56580Fundraising

Information Technology InformationTechnology

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Total20858721Total
Program Services2467751ProgramServices
Management And General18390970ManagementAndGeneral

Royalties Royalties

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Total0Total

Occupancy Occupancy

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Total13913064Total
Program Services13252162ProgramServices
Management And General654281ManagementAndGeneral
Fundraising6621Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total5970713Total
Program Services4546158ProgramServices
Management And General1400229ManagementAndGeneral
Fundraising24326Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2328788Total
Program Services1802240ProgramServices
Management And General501934ManagementAndGeneral
Fundraising24614Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total33992790Total
Program Services166738ProgramServices
Management And General33826052ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

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Total-58291423Total
Program Services-48059447ProgramServices
Management And General-10231976ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

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Total80755925Total
Program Services61458296ProgramServices
Management And General19297629ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total23152088Total
Program Services23069446ProgramServices
Management And General82642ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES2776804852760004291419162260894
EQUIP RENTAL & MAINT15916454714655198312314647297917
BAD DEBT765946577659465700
MEDICAID FEES540261955402619500

All Other Expenses AllOtherExpenses

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Program Services42699006ProgramServices
Management And General12813924ManagementAndGeneral
Fundraising2894760Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1787368691Total
Program Services1589243096ProgramServices
Management And General192830578ManagementAndGeneral
Fundraising5295017Fundraising
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total1278498Total
Program Services1101384ProgramServices
Management And General175132ManagementAndGeneral
Fundraising1982Fundraising

Cash Non Interest Bearing CashNonInterestBearing

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BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

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BOY88078588BOY
EOY228577361EOY

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EOY0EOY

Accounts Receivable AccountsReceivable

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BOY437391995BOY
EOY328401689EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

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BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

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BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

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BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

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BOY20605960BOY
EOY20627513EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

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BOY6604229BOY
EOY5310827EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1827294957LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec979773691LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY822336159BOY
EOY847521266EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

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BOY687533607BOY
EOY731470692EOY

Investments Other Securities InvestmentsOtherSecurities

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BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

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BOY35193736BOY
EOY41235804EOY

Intangible Assets IntangibleAssets

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BOY6631798BOY
EOY22041175EOY

Other Assets Total OtherAssetsTotal

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BOY304668066BOY
EOY260454937EOY

Total Assets TotalAssets

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BOY2418704402BOY
EOY2485641264EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

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BOY150349952BOY
EOY163230943EOY

Grants Payable GrantsPayable

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BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

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BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

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BOY845650526BOY
EOY840264115EOY

Escrow Account Liability EscrowAccountLiability

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BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

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BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

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BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

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BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

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BOY697779960BOY
EOY526291758EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1693780438BOY
EOY1529786816EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY683656289BOY
EOY901237483EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY28093608BOY
EOY38199005EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY13174067BOY
EOY16417960EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY724923964BOY
EOY955854448EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2418704402BOY
EOY2485641264EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses105680166ReconcilationRevenueExpenses
Reconciliation Unrealized Invest15743302ReconciliationUnrealizedInvest
Reconcilation Other Changes109507016ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$644,003DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB644003TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Mailing ExpensesPart II-B, Line 1dThe only cost of mailing related to lobbying expenses related to the cost of stamps. The total expenditures related to mailing is minor and the actual dollar amount is not readily available.
Legislative ContactsPart II-B, Line 1gSchedule 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 $204,003. 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 $440,000.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance22865122BeginningOfYearBalance
Contributions10590634Contributions
Grants Or Scholarships4165914GrantsOrScholarships
Other Expenditures-75284OtherExpenditures
Administrative Expenses-231947AdministrativeExpenses
End Of Year Balance37314439EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance17139873BeginningOfYearBalance
Contributions2735884Contributions
Investment Earnings Or Losses3093976InvestmentEarningsOrLosses
Grants Or Scholarships-71508GrantsOrScholarships
Other Expenditures-33103OtherExpenditures
End Of Year Balance22865122EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7390433BeginningOfYearBalance
Contributions10371045Contributions
Investment Earnings Or Losses-557661InvestmentEarningsOrLosses
Grants Or Scholarships-63944GrantsOrScholarships
End Of Year Balance17139873EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5655845BeginningOfYearBalance
Contributions1551108Contributions
Investment Earnings Or Losses526674InvestmentEarningsOrLosses
Grants Or Scholarships-343194GrantsOrScholarships
End Of Year Balance7390433EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2718442BeginningOfYearBalance
Contributions2914621Contributions
Investment Earnings Or Losses32954InvestmentEarningsOrLosses
Grants Or Scholarships-10172GrantsOrScholarships
End Of Year Balance5655845EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.64040BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.30210PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.05750TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis16699352OtherCostOrOtherBasis
Book Value16699352BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1053546324OtherCostOrOtherBasis
Depreciation456271512Depreciation
Book Value597274812BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8196354OtherCostOrOtherBasis
Depreciation6704066Depreciation
Book Value1492288BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis687824524OtherCostOrOtherBasis
Depreciation497882674Depreciation
Book Value189941850BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis61028403OtherCostOrOtherBasis
Depreciation18915439Depreciation
Book Value42112964BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings847521266TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
BOND INSURANCE FEES7398670
WORKERS' COMP ESCROW DEPOSITS4051881
THIRD PARTY WITHHOLDINGS18662150
DUE FROM FOUNDATION2682078
ASSETS - LIMITED OR RESTRICTED54616964
FUNDS LIMITED AS TO USE150481997
OTHER ACCOUNTS22561197
FieldValueIRS element (for citing)
Total Book Value Other Assets260454937TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
ESTIMATED SELF INSURANCE LIABILITIES$141,562,757
RETIRE OBLIG - ASBESTOS$3,003,189
ACCRUED PENSION LIABILITY$264,398,000
MARKET VALUATION OF SWAP$39,225,327
THIRD PARTY SETTLEMENT PAYABLE$74,825,646
DEFERRED COMPENSATION$3,276,839
FieldValueIRS element (for citing)
Total Of Amounts526291758TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierExplanationExplanation
SUPPLEMENTAL INFORMATIONOSF 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, 2012 and 2013, OSF does not have any uncertain tax positions.
Part V, Line 4The 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 H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense90130720TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense90130720NetCommunityBenefitExpense
Percent Of Total Expense0.05270PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense281302581TotalCommunityBenefitExpense
Direct Offsetting Revenue266659960DirectOffsettingRevenue
Net Community Benefit Expense14642621NetCommunityBenefitExpense
Percent Of Total Expense0.00860PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense371433301TotalCommunityBenefitExpense
Direct Offsetting Revenue266659960DirectOffsettingRevenue
Net Community Benefit Expense104773341NetCommunityBenefitExpense
Percent Of Total Expense0.06130PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2116781TotalCommunityBenefitExpense
Direct Offsetting Revenue794808DirectOffsettingRevenue
Net Community Benefit Expense1321973NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense69119744TotalCommunityBenefitExpense
Direct Offsetting Revenue28056434DirectOffsettingRevenue
Net Community Benefit Expense41063310NetCommunityBenefitExpense
Percent Of Total Expense0.02400PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense38666858TotalCommunityBenefitExpense
Direct Offsetting Revenue21116901DirectOffsettingRevenue
Net Community Benefit Expense17549957NetCommunityBenefitExpense
Percent Of Total Expense0.01030PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense1591455TotalCommunityBenefitExpense
Direct Offsetting Revenue141737DirectOffsettingRevenue
Net Community Benefit Expense1449718NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense556315TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense556315NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense112051153TotalCommunityBenefitExpense
Direct Offsetting Revenue50109880DirectOffsettingRevenue
Net Community Benefit Expense61941273NetCommunityBenefitExpense
Percent Of Total Expense0.03620PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense483484454TotalCommunityBenefitExpense
Direct Offsetting Revenue316769840DirectOffsettingRevenue
Net Community Benefit Expense166714614NetCommunityBenefitExpense
Percent Of Total Expense0.09750PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense23210TotalCommunityBuildingExpense
Net Community Building Expense23210NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense23210TotalCommunityBuildingExpense
Net Community Building Expense23210NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$22,049,402BadDebtExpenseAmount
Amount Reimbursed By Medicare466865524AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare559177628CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-92312104MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1NONEBusinessNameLine1
FieldValueIRS element (for citing)
Number Of Hospital Facilities7NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (7 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalChildrens HospitalChildrensHospitalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursCritical Access HospitalCriticalAccessHospital
Saint Francis Medical Center
1530 NE Glen Oak AvenuePeoriaIL61637XXXXXX
Saint Anthony Medical Center
25666 East State StreetRockfordIL61108XXXXX
St Joseph Medical Center
32200 East Washington StreetBloomingtonIL61701XXX
St Mary Medical Center
43333 North Seminary StreetGalesburgIL61401XXX
St Francis Hospital
53401 Ludington StreetEscanabaMI49829XXX
SAINT JAMES HOSPITAL
62500 W REYNOLDS STREETPONTIACIL61764XXX
OSF HOLY FAMILY MEDICAL CENTER
71000 W HARLEM AVENUEMONMOUTHIL61462XXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (7 entries)

Hospital Facility NumberHospitalFacilityNumberCHNA ConductedCHNAConductedCommunity DefinitionCommunityDefinitionCommunity DemographicsCommunityDemographicsExisting ResourcesExistingResourcesHow Data ObtainedHowDataObtainedCommunity Health NeedsCommunityHealthNeedsOther Health IssuesOtherHealthIssuesIdentifying ProcessIdentifyingProcessConsulting ProcessConsultingProcessInformation GapsInformationGapsNeeds Assessment ConductedNeedsAssessmentConductedTake Into AccountTakeIntoAccountOther FacilitiesOtherFacilitiesCHNA Widely AvailableCHNAWidelyAvailableOwn WebsiteOwnWebsiteOn RequestOnRequestAdopt Implement StrategyAdoptImplementStrategyExecute Implement StrategyExecuteImplementStrategyDevelop Community PlanDevelopCommunityPlanParticipate Community PlanParticipateCommunityPlanInclude Operational PlansIncludeOperationalPlansAdopt BudgetAdoptBudgetPrioritize Health NeedsPrioritizeHealthNeedsPrioritize ServicesPrioritizeServicesAll Needs AddressedAllNeedsAddressedOrganization Incur Excise TaxOrganizationIncurExciseTaxEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountState RegulationStateRegulationOther FactorsOtherFactorsExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAttached To InvoicesAttachedToInvoicesPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
Saint Francis Medical Center
1trueXXXXXXXXX13truetruetrueXXXXXXXXXXfalsefalsetruetrue200.true600.trueXXXXXXtruetrueXXXXXXtruefalseXXXXtrueXfalsefalse
Saint Anthony Medical Center
2trueXXXXXXXXX13truefalsetrueXXXXXXXXXXfalsefalsetruetrue200.true600.trueXXXXXtruetrueXXXXXXtruefalseXXXXtrueXfalsefalse
St Joseph Medical Center
3trueXXXXXXXXX13truefalsetrueXXXXXXXXXXfalsefalsetruetrue200.true600.trueXXXXXXtruetrueXXXXXXtruefalseXXXXtrueXfalsefalse
St Mary Medical Center
4trueXXXXXXXXX13truetruetrueXXXXXXXXXXfalsefalsetruetrue200.true400.trueXXXXXXtruetrueXXXXXXtruefalseXXXXtrueXfalsefalse
St Francis Hospital
5trueXXXXXXXXX13truefalsetrueXXXXXXXXXXfalsefalsetruetrue200.true400.trueXtruetrueXXXXXXtruefalseXXXXtrueXfalsefalse
SAINT JAMES HOSPITAL
6trueXXXXXXXXX13truefalsetrueXXXXXXXXXXfalsefalsetruetrue200.true400.trueXXXXXXtruetrueXXXXXXtruefalseXXXXtrueXfalsefalse
OSF HOLY FAMILY MEDICAL CENTER
7trueXXXXXXXXX13truetruetrueXXXXXXXXXXfalsefalsetruetrue200.true400.trueXXXXXXtruetrueXXXXXXtruefalseXXXXtrueXfalsefalse

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities39NumberOfOtherFacilities

Other Facilities OtherFacilities (39 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Outpatient Rehabilitation
Randolph Building Suite 100 NERanPeoriaIL61606Rehab
Outpatient Audiology
Randolph Building Suite 100 NERanPeoriaIL61606Audiology
PM&R Associates
Randolph Building Suite 100 NERanPeoriaIL61606Rehab
Center for Industrial Rehab
506 High Point LaneEast PeoriaIL61611Rehab
Out Patient Rehabilitation
Pennsylvania Medical Building 200 EPeoriaIL61603Rehab
Pekin Cancer Treatment Center
603 Thirteenth StreetPekinIL61554EKG, Echo cardiology, Nuclear stress test, Vascular ultrasound, Treadmill stress T
ObstetricsGynecology Clinic
320 E ArmstrongPeoriaIL61603OB/GYNE Services
Internal Medicine
320 E ArmstrongPeoriaIL61603Ambulatory Internal Medicine
Pediatric Ambulatory Clinic
320 E ArmstrongPeoriaIL61603Ambulatory Pediatric Medicine
Saint Clare Family Health Center
10 Saint Clare CourtWashingtonIL61571Lab, EKG, Radiology
OSF Center for Health
8600-8800 Rt 91 NorthNorth PeoriaIL61615Diagnostic Imaging/Lab/Voice & Swallowing Services
OSF Saint Francis Riverplex
600 N E Water StreetPeoriaIL61602Rehab
OSF Saint Francis Heart Hospital
5405 N Knoxville AvenuePeoriaIL61614Nuclear Med, CT Scan, Vascular ultrasound, Echo cardiology, Chest X-Ray, Stress test
OSF Heart Hospital Diagnostic Center
610 Park AvenuePekinIL615544650EKG, Nuclear stress test, Vascular ultrasound, Echo cardiology, Chest X-Ray,Stress
OSF SF Radiation Oncology
8948 N Wood Sage RoadPeoriaIL61615Radiation oncology
OSF Saint Francis Morton Health Center
435 Maxine DrMortonIL61550Radiology, Lab, EEG, EKG, Sleep lab
Saint Francis Medical INI Rehabilitation
Five Points Washington 360 Wilmor RWashingtonIL615711252Rehab
OSF Saint Francis Center for Health Glen
5114 Glen Park PlacePeoriaIL616144686Diagnostic Imaging/Lab
Southridge Laboratory
4423 Manchester DriveRockfordIL61109Diagnostic Lab
Outpatient Rehabilitation Services
5510 E State StreetRockfordIL61108Rehab
Diabetes Education Center
5510 E State StreetRockfordIL61108Education
Wound Healing Center State and Roxbury
5668 E State StreetRockfordIL61108Hyperbaric Oxygen Therapy
Rockford Cardiovascular Associates
444 Roxbury RoadRockfordIL61107Cardiac and Pulmonary Rehab / Radiology and Diagnostic Services / Sleep Center
OSF Center for Health-Rock Cut Crossing
9951 Rock Cut CrossingLoves ParkIL611111999Diagnostic Imaging/Lab
Illinois Neurological Institute at OSF
535 Roxbury RoadRockfordIL61108No procedures are done at this location at this time
OSF St Francis Hospital and Medical Gro
N 15995 Main StPowersMI49870Diagnostic Lab
St Francis Hospital - Powers Clinic
N 15995 Main StPowersMI49870Diagnostic X-Ray
OSF St Francis Hospital Medical Group
128 MichiganGladstoneMI49837Diagnostic X-Ray/Lab
OSF St Francis Hospital Medical Group
3409 Ludington StEscanabaMI49829Diagnostic X-Ray/Lab
St Francis Hospital- Rehab Services
704 Superior AvenueGladstoneMI49837Rehab
OSF Saint James Rehabilitation
106 South First StreetFairburyIL61739Rehab
OSF Saint James Rehabilitation
105 John StreetDwightIL60420Rehab
Center for Health at Ft Jesse
2200 Ft Jesse RoadNormalIL61761Physical Therapy; Occupational Therapy; Audiology; Industrial Rehab; Pain Clinic; Wound Care
OSF St Joseph Medical Center-College Av
1701 East College AvenueBloomingtonIL61704Diagnostic Imaging
OSF St Joseph Medical Center - Rehabili
1701 East College AvenueBloomingtonIL61704Rehab
Eastland Medical Plaza I
1505 Eastland AvenueBloomingtonIL61704Rehab
OSF Holy Family Clinic
1000 West Harlem AveMonmouthIL61462cardiology, general, neru, pediatric, podiatry sleep center
Outpatient Medical Imaging
3375 North Seminary StGalesburgIL61401mammo, ultrasound, bone density, limited x-ray
Convenient Care
1701 East College AveBloomingtonIL61704PROMPT CARE FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 2:For all OSF Healthcare System hospitals, charges are discounted consistently by the applicable percentage identified by the OSF HealthCare Charity Assistance Guidelines. However, the OSF Healthcare System Charity 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 CARE FOR PATIENTS WHOSE FAMILY INCOME IS LESS THAN 200% OF FEDERAL POVERTY GUIDELINES (FPG) FOR THEIR FAMILY SIZE. - DISCOUNTED CHARITY CARE ON A SLIDING SCALE FOR PATIENTS WHOSE FAMILY INCOME IS BETWEEN 200% AND 600% OF FPG FOR THEIR FAMILY SIZE. - CATASTROPHIC CHARITY CARE 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 CARE. - 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 $5,695,100.
PART I, LINE 7, COLUMN F:BAD DEBT EXPENSE IN THE AMOUNT OF $76,594,657 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 charity care 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 $76,594,657 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 $22,049,402 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. THE CORPORATION UTILIZES A PRESUMPTIVE CHARITY PROCEDURE FOR ALL PATIENTS WHO FAIL TO PROVIDE FINANCIAL INFORMATION NORMALLY CONSIDERED IN MAKING CHARITY ELIGIBILITY DETERMINATIONS BUT FOR WHOM THE CORPORATION IS ABLE TO OBTAIN COMPARABLE INFORMATION FROM INDEPENDENT SOURCES, INCLUDING CONTRACT SERVICE PROVIDERS WHO COMPILE CREDIT BUREAU AND OTHER INFORMATION. WHEN SUCH INDEPENDENT VERIFICATION OF A PATIENT'S FINANCIAL INFORMATION IS OBTAINED, THE CORPORATION APPLIES THE SAME CHARITY DISCOUNT IT WOULD HAVE PROVIDED IF THE PATIENT HAD COMPLETED A CHARITY APPLICATION AND SUBMITTED SUCH FINANCIAL INFORMATION. SUCH PRESUMPTIVE CHARITY DETERMINATIONS MAY BE MADE AT ANY TIME THE NECESSARY FINANCIAL INFORMATION BECOMES AVAILABLE TO THE CORPORATION, AND PATIENTS ARE NOTIFIED IN WRITING OF THE CHARITY DISCOUNT AMOUNTS SO DETERMINED AND APPLIED. 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 CHARITY CARE 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 CHARITY CARE). - 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. - THE CORPORATION'S HOSPITALS ARE REQUIRED TO OFFER A REASONABLE PAYMENT PLAN (BASED ON STATE WAGE GARNISHMENT LIMITS) TO UNINSURED PATIENTS. - 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 CHARITY CARE 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 CHARITY CARE ASSISTANCE HAVE BEEN COMPLETED.
PART V SECTION B NUMBER 3 - ALL FACILITIESOSF 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 4SAINT 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.
Explained the basis for calculating amounts charged to patients:Saint Francis Medical Center, St. Anthony Medical Center, St. Joseph Medical Center, St. Mary Medical Center, Saint James Hospital, OSF Holy Family 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.Part V - LINE 12H
amounts billed to uninsured or underinsured individuals:Saint Francis Medical Center, St. Anthony Medical Center, St. Joseph Medical Center, St. Mary Medical Center, Saint James Hospital, OSF Holy Family 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 BILLED FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE TO ANY PATIENT WHO APPLIES FOR FINANCIAL ASSISTANCE DOES NOT EXCEED 25% OF FAMILY INCOME. -The maximum charge to any patient who qualifies for financial assistance under the hospital's charity policy will not exceed the average dollar amount which would be payable(including any patient or plan participant responsibility amount) for the same services under the terms of the three contracts in effect between the OSF facility providing medical care and private insurance companies on the first day of the fiscal year in which the patient's discharge occurs and which result in the lowest payment amounts. 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 charity 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 BILLED 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.part v, line 20d
charges for medical care: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: 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. It is possible, although unusual, that a patient who was eligible for financial assistance could have been charged more than the amounts generally billed to individuals who had insurance covering such care.part v, line 21
patients charged amount equal to the gross charge for services provided:Saint Francis Medical Center, St. Anthony Medical Center, St. Joseph Medical Center, St. Mary Medical Center, Saint James Hospital, OSF Holy Family 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. 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 for fiscaly 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: *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. *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%). *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%. *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. *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. *CANCER (SPECIFICALLY LUNG 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. *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. *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. *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 on just Sexual Health, and Heart Disease. Fiscal Year Goals 2014 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. The following are the goals being pursued in FY 2014: 1. Imbed healthcare education and services within the indigent population in conjunction with existing community resources. 2. Increase awareness of asthma prevention strategies. 3. Increase compliance with asthma action plans. 4. Reduce asthma related PromptCare/emergency room visits and admissions. 5. Promote prevention, screening and early therapy for the major cancers of the tri-county area: Lung, breast, colon, and prostrate. 6. Promote prevention, screening and early therapy for metabolic syndrome, hyperglycemia and diabetes for the tri-county area. 7. Increase the awareness in and engagement of population on the importance of health behaviors: 8. Sleep hygiene, nutrition, exercise, healthy weight, safety, spirituality, and avoidance of substance use. 9. Increase screening and intervention in mental health issues including depression, anxiety, and abuse. 10. Promote obesity prevention and healthy lifestyles in the Tri-county region. 11. Increase awareness at the Junior High and High School level of the consequences of using alcohol, tobacco and marijuana. 12. Raise awareness on the importance of substance abuse avoidance. Saint Anthony Medical Center - Rockford,part v, line 22
Schedule H - Part VI SUPPLEMENTAL INFORMATION - CHNA CONTINUEDSt. 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: *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. *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. *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. *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. *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. *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. *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 on just Cancer, Heart Disease, Respiratory Issues, Diabetes, Community Misperceptions, and Woman's Health. Fiscal Year Goals 2014 OSF St. Joseph medical center in bloomington has been bringing quality healthcare to the residents of mclean county and surrounding communities since 1880. our services begin at birth and continue throughout life. With 1028 employees and a medical staff of 325 we offer a level II trauma center; a level II nursery for ill babies; medical, surgical, pediatric, obstetric, orthopedic, neuroscience, intensive care and post-intensive care units; a skilled nursing facility; and a wide range of speciality services at our hospital campus, outpatient clinics in bloomington, normal, heyworth, el paso, and clinton (Dewitt County) and through affiliations with providers throughout the state. The following are the goals being pursued in FY 2014: 1. Educating community about accessing appropriate care at appropriate time. 2. Link community to lower cost care resources. 3. Increase use of evidence-based interventions for smoking cessation. 4. Link community to existing resources for mental health care 5. Access to affordable nutrition/physical activity education 6. Increase awareness of resources for providers & community 7. Decrease alcohol use among youth 8. Improvement of dental health in McLean County 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 needs: *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. *Diabetes This Health need is based on an increase in inpatient admissions for diabetes and an increase in the prevlance of diabetes in the general population. There was a 33% increase in teh relative percentage of Knox County residents reporting they were informed they had type II diabetes between 2006 (8.0%) and 2009 (10.6%). For comparison, the percentage of Illinois residents reporting they were informed they had diabetes remained steady between 2006 (8.2%) and 2009 (8.2%). Rates in knox county now exceed the sta
Schedule H - Part VI SUPPLEMENTAL INFORMATION - CHNA CONTINUEDSt. 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: *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. *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. *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. *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. *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. *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 on just Cancer, Heart Disease, Respiratory Issues, Poverty - Healthy Behaviors, Access to Health and Dental. Fiscal Year Goals 2014 The following are the goals being pursued in FY 2014: 1. Increase community awareness of identified key health concerns and their affect on individuals and our community 2. Perform free blood sugar screenings at community events 3. Enhance educational efforts within community to increase awareness of meetings 4. Provide education and training with regard to management/prevention of diabetes 5. Maintain substance abuse prevention efforts in the Medical Group clinics 6. Continue to support efforts of Delta County Substance Abuse & Violence Education (SAVE) Council through Public Health 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: *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", "Heart Disease", "Teen Pregnancy", and "Dental" as being relatively less important health concerns to the community. These results conflict with mortality data that suggests diabetes growth rates in livingston county are higher than growth rates across the state of Illinois; mortality data that indicates heart disease is the leading cause of death in Livingston county; teen pregnancy rates in Livingston County (11.9%) exceed the state of Illinois Rate of (9.6%) for 2009; and the aforementioned dental data suggests (22.3%) of Livingston county residents have not seen a dentist in two or more years. *RISKY BEHAVIORS - SUBSTANCE ABUSE This need is based on the prevalence of alcohol, tobacco and marijuana in our community. Youth substance usage in Livingston County exceeds the State of Illinois averages for 12th graders (alcohol and tobacco usage). There was a 3% increase in the growth rate for the percentage of Livingston County residents reporting they were at risk for binge drinking between 2006 (22.0%) and 2009 (22.7%). For comparison, there was a 10% decrease in the growth rate for Illinois residents reporting they were at risk for binge drinking between 2006 (19.4%) and 2009 (17.5%). There was an 18% increase in the growth rate of Livingston County residents reporting they were current smokers between 2006 (24.3%) and 2009 (28.7%).
Schedule H - Part VI SUPPLEMENTAL INFORMATION - CHNA CONTINUEDSummary 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 six 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 ASSISTANCETHE 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 CHNASaint 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%.
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, 2013 FOR IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH IN THE FOLLOWING WAYS: - CAPITAL EXPENDITURES OF APPROXIMATELY $124,082,374 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 $31,760,119 DURING THE FISCAL YEAR FOR ACCREDITED PHYSICIAN RESIDENCY PROGRAMS AND NET COSTS OF APPROXIMATELY $9,303,191 FOR UNDERGRADUATE AND GRADUATE NURSING EDUCATION PROGRAMS AND OTHER MEDICAL EDUCATION PROGRAMS. SEE SCHEDULE O, FORM 990, PART III, LINE 4D FOR A DESCRIPTION OF SUCH PROGRAMS. - THE CORPORATION INCURRED NET COSTS (EXPENSES MINUS REVENUES) OF APPROXIMATELY $1,449,717 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, 217 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 90 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.
PART VI, LINE 6THE 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.AFFILIATED HEALTH CARE SYSTEM ROLES:
PART VI, LINE 7IL, MIALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT:

Schedule I IRS990ScheduleI

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Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Heartland Community Health
1701 W Garden StreetPeoriaIL61605371270794501(c)(3)250000support of clinic operations
Quality Quest for Heart of Illinois
416 Main St Ste 717PeoriaIL61602263896631501(c)(3)100000SUPPORT OF ORG OPERATIONS
KishHealth System
One Kish Hospital DriveDeKalbIL60115363649080501(c)(3)10000support of org Operations
American Heart Association Inc
7272 Greenville AvenueDallasTX75231135613797501(c)(3)10000support of org Operations
University of Illinois Foundation
1305 W Green StUrbanaIL618012962376006007501(c)(3)40000support of org Operations
Focus Forward CI Fund
331 Fulton StreetPeoriaIL616021449371185713501(c)(3)50000support of org Operations
Peoria Promise Foundation
331 Fulton StreetPeoriaIL616021449134353454501(c)(3)25000Provide college assistance
Boy Scouts of America Council 138
614 NE MadisonPeoriaIL61603370661188501(c)(3)25000support to Peoria area Boy Scouts
FieldValueIRS element (for citing)
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Form990 Schedule I Part III Form990ScheduleIPartIII

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Form990 Schedule I Part IV Form990ScheduleIPartIV

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ExplanationProcedures 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.Explanation

Schedule J IRS990ScheduleJ

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Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DANIEL R FASSETT MD
Physician, Neurosurgery4748840128841401704701785001201798207000
DALE M GEISS MD
Physician, Vascular Surgery46887805461620324905902015201024343000
GERALD J MCSHANE MD
Pres/CEO OSFMG, board member41669201006820627230357000121020627899000
JEFFREY D KLOPFENSTEIN MD
Physician, Neurosurgery482084075833001405001785001501001287324000
KEVIN D SCHOEPLEIN
Vice Chairperson; CEO852823016259540101471028455801676202881568000
SYED M HUSSAIN MD
Physician, Vascular Surgery288997069173003617301814501500901050054000
DONGWOO J CHANG MD
Physician, Neurosurgery908445000378300181000144260978801000
VANCE C PARKHURST
Senior VP, Board Member2902130516780545200350040107630442178000
DANIEL E BAKER
Senior VP, CFO43504507508707092202280050110550820114000
SUSAN CAMPBELL
SENIOR VP, BOARD MEMBER222320042339052930011902057230335214000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSchedule J, Part I, Line 1aIdentifier
ExplanationTHE 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 FY13, $695,941 was deposited into the plan. The participants of the plan are Kevin Schoeplein and Dan Baker. Mr. Schoeplein received a distribution from the plan during the year of $1,402,316 while Mr. Baker did not receive a distribution.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
ILLINOIS FINANCE AUTHORITY
A86109196745200B8E12007-08-29461801780SEE PART VIfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
B86109196745200FWD72009-03-31249074230SEE PART VIfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
C8610919672009-08-1870000000SEE PART VIfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
D86109196745200F3R82010-06-29158535888SEE PART VIfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A21944000004618017803541400331939788463750285706088002010truefalsetruetrue
B23950003943000024907423079860031141691266770000truefalsetruetrue
C29623911070000000110920000070000000002010falsefalsetruetrue
D6025000015853588824830020802920028000000002010truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalsefalse0.000000.000000.00000falsefalsefalsefalse
Bfalsefalsefalsefalse0.000000.000000.00000falsefalsefalsefalse
Cfalsefalsefalsefalse0.000000.000000.00000falsefalsefalsefalse
Dfalsefalsefalsefalse0.000000.000000.00000falsefalsefalsefalse

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsRebate Not Due YetRebateNotDueYet
MERRILL LYNCH
Afalsetruetruetruefalsetruefalse0truefalse
0
Bfalsetruetruefalsefalse0falsefalse
0
Cfalsetruetruefalsefalse0falsefalse
0
Dfalsefalsefalsefalse0falsefalsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Afalse
Bfalse
Cfalse
Dfalse

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN861091967IssuerEIN
CUSIP Number45203HLH3CUSIPNumber
Date Issued2012-09-26DateIssued
Issue Price191360304IssuePrice
Description Of PurposeSEE PART VIDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired1750000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds191360304TotalProceeds
Amount In Reserve Fund2576AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow87473515RefundingEscrow
Issuance Costs From Proceeds2402586IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures15813583CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2012YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrsfalseNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YettrueRebateNotDueYet
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL INFORMATION 10SCHEDULE K - PART I - BOND ISSUES ILLINOIS FINANCE AUTHORITY - 08/29/2007 Cusip# 45200B8E1 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, 4500FWG0, 45200FWE5, 45200FWF2 THE CORPORATION USED THE PROCEEDS OF THE SYSTEMWIDE BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, TO (I) REFINANCE AND REDEEM THE PRIOR BONDS DESCRIBED BELOW; (II) FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2009 BONDS; AND (III) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SYSTEMWIDE BONDS AND THE REFINANCING. ILLINOIS 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 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 20SCHEDULE 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 30SCHEDULE 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 40

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (24 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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; AND OWNed AND OPERATEd ONE LONG-TERM CARE FACILITY IN PEORIA HEIGHTS, ILLINOIS until it was sold on February 1, 2013. AS OF THE CLOSE OF THE REPORTING PERIOD ON SEPTEMBER 30, 2013, THESE EIGHT FACILITIES HAD A COMBINED TOTAL OF 1,192 LICENSED INPATIENT AND RESIDENT BEDS AND OPERATED A COMBINED TOTAL OF 1,206 STAFFED INPATIENT AND RESIDENT BEDS. THEY HAD COMBINED TOTALS OF 58,059 INPATIENT AND RESIDENT DISCHARGES AND 288,869 INPATIENT AND RESIDENT DAYS, INCLUDING 10,192 NEWBORN INPATIENT DAYS. THE SEVEN ACUTE CARE HOSPITALS COLLECTIVELY SERVED 48 COUNTIES. THEY HAD A COMBINED TOTAL OF APPROXIMATELY 2,221 PHYSICIANS ON THEIR MEDICAL STAFFS; INCLUDING APPROXIMATELY 1,253 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 938,598 OUTPATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2013, INCLUDING 49,406 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:Physcian ServicesPHYSICIANS EMPLOYED BY OSF HEALTHCARE SYSTEM PROVIDED 1,089,661 OFFICE VISITS (NOT INCLUDING SERVICES PROVIDED TO HOSPITAL INPATIENTS AND OUTPATIENTS) AT OFFICES IN 78 SEPARATE LOCATIONS THROUGHOUT CENTRAL AND NORTHERN ILLINOIS AND THE UPPER PENINSULA OF MICHIGAN.
FORM 990 - PART III - LINE 4D:Home Health Services:(EXPENSES $49,013,534 INCLUDING GRANTS OF $NONE)(REVENUE $45,141,521) THE five HOME HEALTH AGENCIES OWNED AND OPERATED BY THE CORPORATION COLLECTIVELY SERVE 32 COUNTIES IN ILLINOIS AND MICHIGAN, ENROLLED 26,904 HOME HEALTH PATIENTS, AND PROVIDED 185,717 HOME HEALTH VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2013. THE Four HOSPICE PROGRAMS OWNED AND OPERATED BY THE CORPORATION COLLECTIVELY SERVE 33 COUNTIES IN ILLINOIS AND MICHIGAN, ENROLLED 2,959 HOSPICE PATIENTS, AND PROVIDED 95,752 HOSPICE DAYS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2013.
FORM 990 - PART III - LINE 4D:EMERGENCY DEPARTMENT SERVICES:(EXPENSES $71,730,584 INCLUDING GRANTS OF $ NONE) (REVENUE $90,404,273) 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 211,649 PATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2013.
FORM 990 - PART III - LINE 4D:RESIDENCY PROGRAMS:(EXPENSES $50,727,541 INCLUDING GRANTS OF $ NONE) (REVENUE $98,584) 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 217 RESIDENTS AND FELLOWS IN THESE PROGRAMS DURING THE REPORTING PERIOD.
FORM 990 - PART III - LINE 4DCOLLEGES OF NURSING PROGRAMS:(EXPENSES $11,998,030 INCLUDING GRANTS OF $131,732) (REVENUE $14,726,297) TWO OF THE CORPORATION'S HOSPITALS OPERATE ACCREDITED COLLEGES OF NURSING WHICH AWARD BACCALAUREATE, MASTERS, AND DOCTORATE DEGREES. THERE WERE 2,310 ENROLLEES IN THESE PROGRAMS DURING THE THREE SEMESTERS FALLING WITHIN THE REPORTING PERIOD (FALL 2012, SPRING 2013, AND SUMMER 2013)
FORM 990 - PART III - LINE 4D;TRAUMA SERVICES (LEVEL 1):(EXPENSES $8,920,922 INCLUDING GRANTS OF $ NONE) (REVENUE $1,980,112) 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 $21,402,021 INCLUDING GRANTS OF $ NONE) (REVENUE $12,467,962) THE CORPORATION PROVIDES EMERGENCY HELICOPTER TRANSPORT SERVICES TO PATIENTS IN NORTHERN AND CENTRAL ILLINOIS USING A FLEET OF FOUR EMS CONFIGURED HELICOPTERS. 2,261 EMS HELICOPTER PATIENT TRANSPORTS WERE PROVIDED DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2013. A SUBSIDIARY OF THE CORPORATION PROVIDES GROUND AMBULANCE PATIENT TRANSPORT SERVICES IN NORTHERN ILLINOIS. 9,094 GROUND AMBULANCE PATIENT TRANSPORTS PLUS 4,103 WHEELCHAIR PATIENT TRANSPORTS WERE PROVIDED DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2013.
FORM 990 - PART III - LINE 4D:COMMUNITY CLINIC, Outreach, and Other Educational PROGRAMS:(EXPENSES $6,932,164 INCLUDING GRANTS OF $ NONE) (REVENUE $2,526,755) 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 44 WOMEN DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2013. 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. 26,675 PATIENT VISITS WERE PROVIDED DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2013. 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. 1,102 HOURS OF EDUCATION AND TRAINING WERE PROVIDED DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2013. 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 $7,415,143 INCLUDING GRANTS OF $ NONE) (REVENUE $5,696,048) 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 17,707,453 NET ASSETS RELEASED FROM RESTRICTION (5,252,861) INCREASE IN PERMANETLY RESTRICTED ASSETS 17,019,872 REVERSAL OF MINIMUM PENSION LIABILITY 156,684,824 SFI & SUBSIDIAIRY INCOME (1,244,370) MINORiTY INTEREST 421,264 INVESTMENT IN HEALTHCARE MIDWEST (20,532,387) EQUITY TRANSFERS (43,564,865) EARLY EXTINGUISHMENT OF DEBT (738,097) TRANSFER TO PARENT (250,000) TRANSFER TO OTTAWA (2,250,000) NET SETTLEMENT OF DERIVATIVE INSTRUMENT 1,363,798 LOSS ON DISCONTINUED OPERATIONS OF SAINT CLARE HOME (1,171,045) PRIOR YEAR FOUNDATION CORRECTION (8,696,735) Other 10,165 ------------ TOTAL CHANGES IN NET ASSETS OR FUND BALANCE 109,507,016
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.
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. Ottawa regional cardinal sleep center, LLC was created to be a sleep diagnostic center. It was dissolved on 8/28/2013.
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, HOME THERAPEUTICS, 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 cardinal sleep centr, llc and ottawa regional medical center, inc. Ottawa regional medical center, inc. provides outpatient medical and diagnostic services. OSF Perinatal Associates, LLC Provides Perinatology services in central Illinois.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1OSF Lifeline Ambulance LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1318 Roxbury RoadAddressLine1
CityRockfordCity
StateILState
ZIP Code61107ZIPCode
FieldValueIRS element (for citing)
EIN200080542EIN
Primary ActivitiesSCHEDULE OPrimaryActivities
Legal Domicile StateILLegalDomicileState
Total Income-730652TotalIncome
EOY Assets996386EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OSFBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Sisters of The Third order of St Franci
800 NE Glen OAK AvePeoriaIL61603371259286SCHEDULE OIL501(c)(3)Ln11 TypeIINAfalse
OSF Healthcare Foundation
800 NE Glen OAk AvePeoriaIL61603371259284SCHEDULE OIL501(c)(3)Ln11 TypeIINAfalse
St Francis Community Clinic
530 NE Glen Oak AvePeoriaIL61603370661235SCHEDULE OIL501(c)(3)Ln7sis 3rd osffalse
Ottawa Regional Hospital & Healthcare Ce
1100 East Norris DriveOttawaIL61350362604009SCHEDULE OIL501(c)(3)Ln3OSFfalse
Ottawa Regional Hospital Foundation
1100 East Norris DriveOttawaIL61350364007569SCHEDULE OIL501(c)(3)LN11A TYPE1orhhcfalse
Ottawa Regional Hospital Auxiliary
1100 East Norris DriveOttawaIL61350363854788SCHEDULE OIL501(c)(3)LN11C TpiiiNAfalse
Ottawa Regional Hospital & Healthcare Ce
1100 East Norris DriveOttawaIL61350363612653SCHEDULE OIL501(c)(3)LN11A TYPE1orhhcfalse
OSF Multi-Speciality Group
800 NE Glen Oak AvenuePeoriaIL61603383852646SCHEDULE OIL501(c)(3)LN11A TYPE1OSFfalse
OSF Heart & Vascular Institute
800 NE Glen Oak AvenuePeoriaIL61603352422385SCHEDULE OIL501(c)(3)LN11A TYPE1OSFfalse
Children's Hospital of Illinois Medical
800 NE Glen Oak AvenuePeoriaIL61603320353954SCHEDULE OIL501(c)(3)LN11A TYPE1OSFfalse
Illinois Neuroscience Institute
800 NE Glen Oak AvenuePeoriaIL61603364709999SCHEDULE OIL501(c)(3)LN11A TYPE1OSFfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Center for Health Ambulatory Surgery Cen
8800 Route 91 NorthPeoriaIL61615205557171SCHEDULE OILOSFRelated36314632381433falsefalse0.60250
State and Roxbury LLC
5668 E State StreetRockfordIL61108261728983SCHEDULE OILOSFRelated-416431769773falsefalse0.51000
Eastland Medical Plaza Surgicenter LLC
1505 Eastland DriveBloomingtonIL61701371400643SCHEDULE OILOSFRelated32983776513464falsefalse0.52550
Fort Jesse Imaging Center LLC
220 Ft Jesse Road Suite BNormalIL61761460515604SCHEDULE OILOSFRelated616717281908falsefalse0.50100
Sleep Center of Central Illinois LLC
2204 Eastland Drive Suite 100BloomingtonIL61704810581886SCHEDULE OILOSFRelated220090190493falsefalse0.50050
Radiation Oncology of Northern Illinois
1200 Starfire DriveOttawaIL61350753247165SCHEDULE OILORHHCRelated3772661029517falsefalse0.57000
Ottawa Regional Cardinal Sleep Center
1601 Mercury Circle Suite 2OttawaIL61350273625479SCHEDULE OILORHHCRelated00falsefalse1.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
OSF Saint Francis Inc
800 NE Glen Oak AvePeoriaIL61603363484677SCHEDULE OILOSFC-5670731415245031.00000true
Heartcare Midwest LTD
5405 N Knoxville AvenuePeoriaIL61614370996868SCHEDULE OILOSFC-2053238756190431.00000true
Cardiovascular Institute at OSF LLC
444 Roxbury RoadRockfordIL61107264225726SCHEDULE OILOSFC-75902477826941.00000true
Illinois Pathologist Services LLC
5666 East State StreetRockfordIL61108800439081SCHEDULE OILOSFC1607446075141.00000true
OSF Multispeciality Group-Eastern Region
1701 E College AvenueBloomingtonIL61704300561892SCHEDULE OILOSFC-1283662632037681.00000true
OSF Multispeciality Group-Peoria LLC
530 NE Glen Oak AvenuePeoriaIL61637262800379SCHEDULE OILOSFC-28703351854351.00000true
Ill Neurological Institute-Phy LLC
719 N William Kumpf BlvdPeoriaIL61605263109118SCHEDULE OILOSFC-50815528500561.00000true
Ill Spec Phy Svcs at OSF LLC
1001 Main Street Suite 200PeoriaIL61606800462209SCHEDULE OILOSFC-52694062565271.00000true
OSF Perinatal Associates LLC
4911 Executive Drive Suite 200PeoriaIL61614800498373SCHEDULE OILOSFC-14846131402221.00000true
OSF Multispeciality Group-Western Region
3315 North Seminary StreetGalesburgIL61401800608541SCHEDULE OILOSFC-77549118792021.00000true
OSF Children's Medical Group - Congenita
5701 Strathmoor Drive Suite 1PeoriaIL61603900714643SCHEDULE OILOSFC-10771551468301.00000true
Preferred Emergency Physicians of Illino
800 NE Glen Oak AvenuePeoriaIL61603900749855SCHEDULE OILOSFC-454910-2659281.00000true
Ottawa Regional Healthcare Affiliates
1100 East Norris DriveOttawaIL61350263937519SCHEDULE OILORHHCC-343629455793301.00000false
Ottawa Regional Medical Center Inc
1614 East Norris DriveOttawaIL61350271036071SCHEDULE OILORHHCC-343629455793301.00000false
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (70 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Ottawa Regional Hospital & Healthcare Center
a(i)35625
Center for Health Ambulatory Surgery Center
a(iv)722193
Eastland Medical Plaza Surgicenter LLC
a(iv)567317
Heartcare Midwest Ltd
a(iv)231609
OSF Multispecialty Group - Peoria LLC
a(iv)245866
OSF Perinatal Associates LLC
a(iv)68973
Illinois Neurological Institute - Physicians
a(iv)23143
OSF Saint Francis Inc
a(iv)543079
Illinois Pathologist Services LLC
a(iv)11628
OSF Multispecialty Group-Western Region LLC
a(iv)3035
OSF Children's Medical Group - Congenital Hea
a(iv)32025
OSF Multispecialty Group-Peoria LLC
b2660000
Illinois Neurological Institute - Physicians
b5900000
Cardiovascular Institute at OSF LLC
b6400000
OSF Multispecialty Group-Eastern Region LLC
b12700000
Illinois Specialty Physician Services at OSF
b5030000
OSF Multispecialty Group-Western Region LLC
b7735000
OSF Perinatal Associates LLC
b1860000
OSF Children's Medical Group - Congenital Hea
b1220000
HeartCare Midwest Ltd
b21000000
Ottawa Regional Hospital & Healthcare Center
b2250000
State and Roxbury LLC
d500000
Ottawa Regional Hospital & Healthcare Center
d3000000
OSF Saint Francis Inc
k5729065
Cardiovascular Institute at OSF LLC
k552241
State and Roxbury LLC
k397519
Heartcare Midwest Ltd
k468106
Ottawa Regional Hospital & Healthcare Center
k897
OSF Saint Francis Inc
l10556413
Heartcare Midwest Ltd
l254683
OSF Multispecialty Group-Eastern RegionLLC
l14418707
Cardiovascular Institute at OSF LLC
l8668718
Illinois Pathologist Services LLC
l1212505
Illinois Specialty Physician Services at OSF
l5529237
OSF Perinatal Associates LLC
l2100957
OSF Multispecialty Group-Peoria LLC
l4930416
Illinois Neurological Institute - Physicians
l8307307
OSF Multispecialty Group-Western Region LLC
l8930940
OSF Children's Medical Group - Congenital Hea
l875558
Preferred emergency physicians of illinois
l3027129
Ottawa Regional Hospital & Healthcare Center
l4809128
OSF Saint Francis Inc
m92493248
OSF Saint Francis Inc
p3156091
Heartcare Midwest Ltd
p1342263
OSF Multispecialty Group-Eastern Region LLC
p21713936
Cardiovascular Institute at OSF LLC
p7867469
Illinois Pathologist Services LLC
p787326
Illinois Specialty Physician Services at OSF
p4191268
OSF Perinatal Associates LLC
p1336963
OSF Multispecialty Group-Peoria LLC
p3432774
Illinois Neurological Institute - Physicians
p7378870
OSF Multispecialty Group-Western Region LLC
p11389020
OSF Children's Medical Group - Congenital Hea
p1386184
Preferred emergency physicians of illinois l
p194555
ottawa regional hospital & healthcare center
p413132
Eastland Medical Plaza Surgicenter LLC
s3221393
Sleep Center of Central Illinois LLC
s179690
Fort Jesse Imaging Center LLC
s415153
Center for Health Ambulatory Surgery Center
s4214417
OSF Multispecialty Group-Eastern Region LLC
s900000
Cardiovascular Institute at OSF LLC
s1551537
Illinois Pathologist Services LLC
s2178670
Illinois Specialty Physician Services at OSF
s325000
OSF Perinatal Associates LLC
s1040000
OSF Multispecialty Group-Peoria LLC
s589000
Illinois Neurological Institute - Physicians
s3179000
OSF Multispecialty Group-Western Region LLC
s3850000
osf children's medical group-congenital heart
s1126000
preferred emergency physicians of illinois l
s3025000
OSF Saint Francis Inc
s130360481

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