OSF HEALTHCARE SYSTEM: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- OSF HEALTHCARE SYSTEM (EIN 37-0813229)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-14
- IRS object ID
- 201212279349303606
- Schema version
- 2010v3.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-14T15:52:13-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 West Nationwide Blvd Ste 500 | AddressLine1 |
| City | Columbus | City |
| State | OH | State |
| ZIP Code | 432152568 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370813229 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSF Healthcare System | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OSFH | NameControl |
| Phone | 3096552850 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 NE GLEN OAK AVENUE | AddressLine1 |
| City | PEORIA | City |
| State | IL | State |
| ZIP Code | 616033200 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Daniel E Baker | Name |
| Title | CFO | Title |
| Phone | 3096552850 | Phone |
| Date Signed | 2012-08-14 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KPMG LLP | Name |
| Phone | 6142492300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Daniel E Baker | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 NE Glen Oak Avenue | AddressLine1 |
| City | Peoria | City |
| State | IL | State |
| ZIP Code | 61603 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1766847718 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.osfhealthcare.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1880 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | OSF Healthcare System is a Catholic Integrated health care delivery system. During 2011 osf operated 7 hospitals, 1 nursing home, 6 home health agencies, 5 hospices and employeed more than 500 physicians. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 14284 | TotalNbrEmployees |
| Total Nbr Volunteers | 1894 | TotalNbrVolunteers |
| Total Gross UBI | 5705314 | TotalGrossUBI |
| Contributions Grants Prior Year | 15200054 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 20962768 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1535080981 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1679394636 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 31474449 | InvestmentIncomePriorYear |
| Investment Income Current Year | 35856767 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 27648053 | OtherRevenuePriorYear |
| Other Revenue Current Year | 28146582 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1609403537 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1764360753 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2078813 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2211639 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 769356668 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 791991821 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 67753 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 100336 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 4138949 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 792006691 | OtherExpensePriorYear |
| Other Expenses Current Year | 857681591 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1563509925 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1651985387 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 45893612 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 112375366 | RevenuesLessExpensesCY |
| Total Assets BOY | 2208781086 | TotalAssetsBOY |
| Total Assets EOY | 2267817172 | TotalAssetsEOY |
| Total Liabilities BOY | 1488288315 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1515029132 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 720492771 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 752788040 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | OSF HEALTHCARE SYSTEM IS A CATHOLIC INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH DURING ITS FISCAL YEAR 2010 OPERATED 7 HOSPITALS, 1 NURSING HOME, 6 HOME HEALTH AGENCIES, 5 HOSPICES, AND EMPLOYED MORE THAN 500 PHYSICIANS. ALL PATIENTS ARE ACCEPTED REGARDLESS OF THEIR ABILITY TO PAY. ALL FACILITIES, SERVICES, PHYSICIANS AND OTHER PROFESSIONAL STAFF OF OSF HEALTHCARE SYSTEM SERVE ALL PATIENTS WITHOUT REGARD TO RACE, RELIGION, AGE, SEX, NATIONAL ORIGIN, PAYER SOURCE OR ABILITY TO PAY. THE BOARD OF DIRECTORS HAS ADOPTED CHARITY CARE POLICIES AND PROCEDURES WHICH APPLY FOR ALL FACILITIES AND SERVICES OF THE CORPORATION. THE AVAILABILITY OF CHARITY CARE IS COMMUNICATED TO PATIENTS IN NUMEROUS WAYS, INCLUDING USE OF FINANCIAL COUNSELORS, PATIENT INFORMATION BROCHURES, AND NOTICES ON PATIENT BILLINGS. CHARITY CARE APPLICATIONS AND INSTRUCTIONS ARE AVAILABLE ON WEBSITES MAINTAINED BY THE CORPORATION AND UPON A REQUEST MADE TO ANY OF THE CORPORATION'S FACILITIES OR OFFICES. OSF HEALTHCARE SYSTEM | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 599520644 | Expense |
| Grants | 2134036 | Grants |
| Revenue | 827173276 | Revenue |
| Description | Inpatient services - SEE Schedule O | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 469444431 | Expense |
| Grants | 0 | Grants |
| Revenue | 638624627 | Revenue |
| Description | Outpatient Services - SEE Schedule O | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 224868078 | Expense |
| Grants | 0 | Grants |
| Revenue | 83839394 | Revenue |
| Description | Physician Services - SEE Schedule O | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 197864946 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 77603 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 154252877 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 1491698099 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | true | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | true | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 715 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 14284 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | true | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MR DANIEL BAKER | NamePerson |
| Telephone Number | 3096553638 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 NE GLEN OAK AVE | AddressLine1 |
| City | PEORIA | City |
| State | IL | State |
| ZIP Code | 61603 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| James M Moore | |||||||
| Vice Chairperson; CEO Retired | 40.0 | X | X | 1044883 | 0 | 12553 | |
| Kevin D Schoeplein | |||||||
| Vice Chairperson; CEO | 40.0 | X | X | 861725 | 0 | 323488 | |
| Vance C Parkhurst | |||||||
| Senior Vice President | 40.0 | X | 353443 | 0 | 43085 | ||
| Gerard J Mcshane MD | |||||||
| President & CEO, Board Member | 40.0 | X | 530740 | 0 | 44695 | ||
| Sister Diane Marie MCGREw OSF | |||||||
| PRESIDENT/TREASURER | 40.0 | X | X | 0 | 4480 | 0 | |
| Sister Theresa Ann Brazeau OSF | |||||||
| Secretary | 40.0 | X | X | 0 | 4480 | 0 | |
| Sister Judith Ann Duvall OSF | |||||||
| Chairperson | 40.0 | X | X | 0 | 4480 | 0 | |
| Sister Rose Therese Mann OSF | |||||||
| Board Member | 40.0 | X | 0 | 0 | 0 | ||
| Sister Agnes Joseph Williams OSF | |||||||
| Assistant Secretary | 40.0 | X | X | 0 | 4480 | 0 | |
| James W Girardy MD | |||||||
| BOARD MEMBER | 3.0 | X | 0 | 0 | 0 | ||
| Sister Maria Elena Padilla OSF | |||||||
| Board Member | 40.0 | X | 0 | 0 | 0 | ||
| Leonard E Nevitt | |||||||
| Board Member | 0.25 | X | 0 | 0 | 0 | ||
| Susan Campbell | |||||||
| Senior VP, Board Member | 40.0 | X | 284013 | 0 | 40594 | ||
| Daniel E Baker | |||||||
| Senior Vice President & CFO | 40.0 | X | 532351 | 0 | 337339 | ||
| Syed M Hussain MD | |||||||
| Physician, Vascular Surgery | 40.0 | 1081439 | 0 | 27862 | X | ||
| Daniel R Fassett MD | |||||||
| Physician, Neurosurgery | 40.0 | 1673104 | 0 | 14055 | X | ||
| Travis D Richardson MD | |||||||
| Physician, Orthopedics | 40.0 | 1240137 | 0 | 28409 | X | ||
| Jeffrey D Klopfenstein MD | |||||||
| Physician, Neurosurgery | 40.0 | 1360648 | 0 | 33104 | X | ||
| Jan P Skowronski MD | |||||||
| Physician, Cardiologist | 40.0 | 1044290 | 0 | 25600 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 10006773 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 17920 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 930784 | TotalOtherCompensation |
| Number Individuals GT100 K | 811 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UNIV OF IL COLLEGE OF MEDICINE | |||||
| PO BOX 4196 | SPRINGFIELD | IL | 627084196 | TEACHING PHYSICIANS | 15516095 |
| HINSHAW CULBERTSON LLP | |||||
| 222 N LASALLE ST STE 300 FD-6 | CHICAGO | IL | 60601 | LEGAL | 6888320 |
| ASSOC ANESTHESIOLOGISTS SC | |||||
| 8600 N STATE RT 91 SUITE 250 | PEORIA | IL | 616159452 | Anesthesiology Svs | 2870764 |
| CENTRAL IL PATHOLOGY SC | |||||
| PO BOX 9190 | PEORIA | IL | 616129190 | PATHOLOGY SERVICES | 1504030 |
| ROCKFORD ANESTHESIOLOGISTS ASSOC | |||||
| 2202 HARLEM RD STE 200 | LOVES PARK | IL | 611112754 | Anesthesiology Svs | 1456200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 54 | NumberOfContractorsGT100K |
| Related Organizations | 8232247 | RelatedOrganizations |
| Government Grants | 12518766 | GovernmentGrants |
| All Other Contributions | 211755 | AllOtherContributions |
| Total Contributions | 20962768 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | 1674020252 | 1674020252 | |
| AFFILIATED PURCHASING PROGRAM | 561499 | 1505349 | 1505349 | |
| LAB | 621500 | 3821448 | 3821448 | |
| FARM INCOME | 110000 | 42660 | 42660 | |
| COLLECTION FEE | 900099 | 4927 | 4927 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1679394636 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 35842592 | TotalRevenueColumn |
| Exclusion | $35,842,592 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2523459 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2479840 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 43619 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 43619 | TotalRevenueColumn |
| Exclusion | $43,619 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 21300 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7125 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 14175 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14175 | TotalRevenueColumn |
| Exclusion | $14,175 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| TUITION | 900099 | 8025231 | 8025231 | |
| INCOME FROM JOINT VENTURES | 900099 | 5077181 | 5077181 | |
| CAFETERIA | 900099 | 2319952 | $2,319,952 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12680599 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11393126 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 330930 | UnrelatedBusinessRevenue |
| Exclusion | $956,543 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 28102963 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1764360753 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1698515790 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 5705314 | UnrelatedBusinessRevenue |
| Exclusion | $39,176,881 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2134036 | Total |
| Program Services | 2134036 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77603 | Total |
| Program Services | 77603 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2361850 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2361850 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 601938830 | Total |
| Program Services | 565503599 | ProgramServices |
| Management And General | 34929892 | ManagementAndGeneral |
| Fundraising | 1505339 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49739894 | Total |
| Program Services | 44798504 | ProgramServices |
| Management And General | 4941390 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92806696 | Total |
| Program Services | 90269424 | ProgramServices |
| Management And General | 2537272 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45144551 | Total |
| Program Services | 41539542 | ProgramServices |
| Management And General | 3605009 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3751555 | Total |
| Program Services | 2087142 | ProgramServices |
| Management And General | 1664063 | ManagementAndGeneral |
| Fundraising | 350 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 478550 | Total |
| Program Services | 342550 | ProgramServices |
| Management And General | 136000 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100336 | Total |
| Fundraising | 100336 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54298694 | Total |
| Program Services | 44386969 | ProgramServices |
| Management And General | 9911725 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6520801 | Total |
| Program Services | 6042819 | ProgramServices |
| Management And General | 328257 | ManagementAndGeneral |
| Fundraising | 149725 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10219333 | Total |
| Program Services | 9424293 | ProgramServices |
| Management And General | 760701 | ManagementAndGeneral |
| Fundraising | 34339 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15020385 | Total |
| Program Services | 2876109 | ProgramServices |
| Management And General | 12144276 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17393594 | Total |
| Program Services | 16380156 | ProgramServices |
| Management And General | 1002888 | ManagementAndGeneral |
| Fundraising | 10550 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4956736 | Total |
| Program Services | 3772360 | ProgramServices |
| Management And General | 1167342 | ManagementAndGeneral |
| Fundraising | 17034 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2670553 | Total |
| Program Services | 2147676 | ProgramServices |
| Management And General | 512212 | ManagementAndGeneral |
| Fundraising | 10665 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43187091 | Total |
| Program Services | 282763 | ProgramServices |
| Management And General | 42904328 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98399305 | Total |
| Program Services | 80940595 | ProgramServices |
| Management And General | 17458710 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21932282 | Total |
| Program Services | 21867275 | ProgramServices |
| Management And General | 65007 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| SUPPLIES | 254194465 | 253183553 | 719092 | 291820 |
| EQUIP RENTAL & MAINT | 142277824 | 135288912 | 6731877 | 257035 |
| BAD DEBT | 91103623 | 91103623 | 0 | 0 |
| MEDICAID FEES | 33897197 | 33897197 | 0 | 0 |
| DATA PROCESSING | 22319009 | 19767512 | 2551497 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35060594 | Total |
| Program Services | 23583887 | ProgramServices |
| Management And General | 9714951 | ManagementAndGeneral |
| Fundraising | 1761756 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1651985387 | Total |
| Program Services | 1491698099 | ProgramServices |
| Management And General | 156148339 | ManagementAndGeneral |
| Fundraising | 4138949 | Fundraising |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Joint Costs | X | JointCosts |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1866917 | Total |
| Program Services | 1652106 | ProgramServices |
| Management And General | 211920 | ManagementAndGeneral |
| Fundraising | 2892 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90378420 | BOY |
| EOY | 105037151 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8216421 | BOY |
| EOY | 7224184 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267130376 | BOY |
| EOY | 332073347 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20139680 | BOY |
| EOY | 19336204 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2333615 | BOY |
| EOY | 6570936 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1826467188 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1013691113 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 842133174 | BOY |
| EOY | 812776075 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 616872557 | BOY |
| EOY | 627988373 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39917463 | BOY |
| EOY | 39575545 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6631798 | BOY |
| EOY | 6631798 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 315027582 | BOY |
| EOY | 310603559 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2208781086 | BOY |
| EOY | 2267817172 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122294587 | BOY |
| EOY | 137154631 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 850302929 | BOY |
| EOY | 832282449 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 515690799 | BOY |
| EOY | 545592052 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1488288315 | BOY |
| EOY | 1515029132 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 669111873 | BOY |
| EOY | 693251306 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41725824 | BOY |
| EOY | 47706091 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9655074 | BOY |
| EOY | 11830643 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 720492771 | BOY |
| EOY | 752788040 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2208781086 | BOY |
| EOY | 2267817172 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 112375366 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -80080097 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | true | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $612,663 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 612663 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Mailing Expenses | Part II-B, Line 1d | The 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 Contacts | Part II-B, Line 1g | Schedule C, Part II-B, Line 1g includes lobbying expenses paid to various national health associations as part of dues and subscriptions in the amount of $172,663. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4602136 | BeginningOfYearBalance |
| Contributions | 2175569 | Contributions |
| Investment Earnings Or Losses | -25923 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 34744 | GrantsOrScholarships |
| End Of Year Balance | 6717038 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3235168 | BeginningOfYearBalance |
| Contributions | 1384559 | Contributions |
| Investment Earnings Or Losses | 325603 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 343194 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 4602136 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2718442 | BeginningOfYearBalance |
| Contributions | 493944 | Contributions |
| Investment Earnings Or Losses | 32954 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 10172 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 3235168 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17036517 | OtherCostOrOtherBasis |
| Book Value | 17036517 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 975873533 | OtherCostOrOtherBasis |
| Depreciation | 393498270 | Depreciation |
| Book Value | 582375263 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7564474 | OtherCostOrOtherBasis |
| Depreciation | 6493229 | Depreciation |
| Book Value | 1071245 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 784972426 | OtherCostOrOtherBasis |
| Depreciation | 596334202 | Depreciation |
| Book Value | 188638224 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 41020238 | OtherCostOrOtherBasis |
| Depreciation | 17365412 | Depreciation |
| Book Value | 23654826 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 812776075 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BOND INSURANCE FEES | 7248884 |
| WORKERS' COMP ESCROW DEPOSITS | 4726309 |
| THIRD PARTY WITHHOLDINGS | 14451739 |
| DUE FROM FOUNDATION | 2195631 |
| ASSETS - LIMITED OR RESTRICTED | 59536734 |
| FUNDS LIMITED AS TO USE | 199460841 |
| OTHER ACCOUNTS | 22983421 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 310603559 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED SELF INSURANCE LIABI | $124,839,658 |
| RETIRE OBLIG - ASBESTOS | $2,959,600 |
| ACCRUED PENSION LIABILITY | $288,930,000 |
| MARKET VALUATION OF SWAP | $52,915,303 |
| THIRD PARTY SETTLEMENT PAYABLE | $74,160,243 |
| DEFERRED COMPENSATION | $1,787,248 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 545592052 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| SUPPLEMENTAL INFORMATION | OSF adopted ASC Subtopic 740-10, Accounting for Uncertainty in Income Taxes - an interpretation of FASB statment 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, 2010 and 2011, OSF does not have a liablity for unrecognized tax benefits. |
| Part V, Line 4 | The organization's endowment funds are used to provide scholarships to nursing students, acquire equipment and support programs of various medical departments of the OSF Healthcare System hospitals. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | true | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Individual | American City Bureau Inc Professi | NameOfIndividual |
| Activity | Consulting Services | Activity |
| Fundraiser Control Of Funds | false | FundraiserControlOfFunds |
| Gross Receipts | 0 | GrossReceipts |
| Amount Retained By Contractor | 100336 | AmountRetainedByContractor |
| Net To Organization | 0 | NetToOrganization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 0 | TotalGrossReceipts |
| Total Retained By Contractors | 100336 | TotalRetainedByContractors |
| Total Net To Organization | 0 | TotalNetToOrganization |
| Licensed States | IL | LicensedStates |
| Licensed States | MI | LicensedStates |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 175. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 600. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 63751889 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 63751889 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03900 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 234065255 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 198493613 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 35571642 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02200 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 297817144 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 198493613 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 99323531 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06100 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1574674 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 412183 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1162491 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 60115965 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 24923030 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 35192936 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02100 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 28991899 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10391783 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18600116 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01100 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1252274 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 188007 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1064267 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1892686 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1892686 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 93827498 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 35915003 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 57912496 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03500 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 391644642 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 234408616 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 157236027 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09600 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 22645 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 22645 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 22645 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 22645 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $28,245,902 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 433623306 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 501174620 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -67551314 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NONE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 7 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (7 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Childrens HospitalChildrensHospital | Teaching HospitalTeachingHospital | Research FacilityResearchFacility | Er24 HoursEr24Hours | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Saint Francis Medical Center | |||||||||||
| 1 | 530 NE Glen Oak Avenue | Peoria | IL | 61637 | X | X | X | X | X | X | |
| St Anthony Medical Center | |||||||||||
| 2 | 5666 East State Street | Rockford | IL | 61108 | X | X | X | X | X | ||
| St Joseph Medical Center | |||||||||||
| 3 | 2200 East Washington Street | Bloomington | IL | 61701 | X | X | X | ||||
| St Mary Medical Center | |||||||||||
| 4 | 3333 North Seminary Street | Galesburg | IL | 61401 | X | X | X | ||||
| St Francis Hospital | |||||||||||
| 5 | 3401 Ludington Street | Escanaba | MI | 49829 | X | X | X | ||||
| SAINT JAMES HOSPITAL | |||||||||||
| 6 | 2500 W REYNOLDS STREET | PONTIAC | IL | 61764 | X | X | X | ||||
| OSF HOLY FAMILY MEDICAL CENTER | |||||||||||
| 7 | 1000 W HARLEM AVENUE | MONMOUTH | IL | 61462 | X | X | X | ||||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (7 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | State RegulationStateRegulation | Other FactorsOtherFactors | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Report To Credit AgencyReportToCreditAgency | LawsuitLawsuit | Lien On ResidenceLienOnResidence | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Other Actions TakenOtherActionsTaken | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Saint Francis Medical Center | |||||||||||||||||||||||||||||
| 1 | true | true | 175. | true | 600. | true | X | X | X | X | X | X | true | true | X | true | true | X | X | X | X | X | X | X | X | true | X | true | true |
| St Anthony Medical Center | |||||||||||||||||||||||||||||
| 2 | true | true | 175. | true | 600. | true | X | X | X | X | X | true | true | X | true | true | X | X | X | X | X | X | X | X | true | X | true | true | |
| St Joseph Medical Center | |||||||||||||||||||||||||||||
| 3 | true | true | 175. | true | 600. | true | X | X | X | X | X | X | true | true | X | true | true | X | X | X | X | X | X | X | X | true | X | true | true |
| St Mary Medical Center | |||||||||||||||||||||||||||||
| 4 | true | true | 175. | true | 350. | true | X | X | X | X | X | X | true | true | X | true | true | X | X | X | X | X | X | X | X | true | X | true | true |
| St Francis Hospital | |||||||||||||||||||||||||||||
| 5 | true | true | 175. | true | 350. | true | X | true | true | X | true | true | X | X | X | X | X | X | true | X | true | true | |||||||
| SAINT JAMES HOSPITAL | |||||||||||||||||||||||||||||
| 6 | true | true | 175. | true | 350. | true | X | X | X | X | X | X | true | true | X | true | true | X | X | X | X | X | X | X | X | true | X | true | true |
| OSF HOLY FAMILY MEDICAL CENTER | |||||||||||||||||||||||||||||
| 7 | true | true | 175. | true | 350. | true | X | X | X | X | X | X | true | true | X | true | true | X | X | X | X | X | X | X | X | true | X | true | true |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 45 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (45 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| OSF ST CLARE HOME | ||||
| 5533 NORTH GALENA ROAD | PEORIA HEIGHTS | IL | 61614 | LONG-TERM CARE FACILITY |
| Glen Avenue Diagnostic Center | ||||
| 4911 Executive Drive Main Level S | Peoria | IL | 61614 | Maternal Fetal Diagnostics |
| Susan G Komen | ||||
| 4911 Executive Drive Third Level | Peoria | IL | 61614 | Diagnostic imaging |
| Outpatient Rehabilitation | ||||
| Randolph Building Suite 100 NERan | Peoria | IL | 61606 | Rehab |
| Outpatient Audiology | ||||
| Randolph Building Suite 100 NERan | Peoria | IL | 61606 | Audiology |
| PM&R Associates | ||||
| Randolph Building Suite 100 NERan | Peoria | IL | 61606 | Rehab |
| Center for Industrial Rehab | ||||
| 506 High Point Lane | East Peoria | IL | 61611 | Rehab |
| Penn Avenue Diagnostic Center | ||||
| Pennsylvania Medical Building 200 E | Peoria | IL | 61603 | Diagnostic services depts closed |
| Out Patient Rehabilitation | ||||
| Pennsylvania Medical Building 200 E | Peoria | IL | 61603 | Rehab |
| East Peoria Diagnostic Center | ||||
| 100 N E Main Suite 100 | East Peoria | IL | 61611 | Diagnostic Imaging |
| Breast Center Screening | ||||
| 100 N E Main Suite 100 | East Peoria | IL | 61611 | DIAGNOSTIC IMAGING |
| Pekin Cancer Treatment Center | ||||
| 603 Thirteenth Street | Pekin | IL | 61554 | EKG, Echo cardiology, Nuclear stress test, Vascular ultrasound, Treadmill stress T |
| ObstetricsGynecology Clinic | ||||
| 320 E Armstrong | Peoria | IL | 61603 | OB/GYNE Services |
| Internal Medicine | ||||
| 320 E Armstrong | Peoria | IL | 61603 | Ambulatory Internal Medicine |
| Pediatric Ambulatory Clinic | ||||
| 320 E Armstrong | Peoria | IL | 61603 | Ambulatory Pediatric Medicine |
| Saint Clare Family Health Center | ||||
| 10 Saint Clare Court | Washington | IL | 61571 | Lab, EKG, Radiology |
| OSF Center for Health | ||||
| 8600-8800 Rt 91 | North Peoria | IL | 61615 | Diagnostic Imaging/Lab/Voice & Swallowing Services |
| OSF Saint Francis Riverplex | ||||
| 600 N E Water Street | Peoria | IL | 61602 | Rehab |
| OSF Saint Francis Heart Hospital | ||||
| 5405 N Knoxville Avenue | Peoria | IL | 61614 | Nuclear Med, CT Scan, Vascular ultrasound, Echo cardiology, Chest X-Ray, Stress test |
| OSF Heart Hospital Diagnostic Center | ||||
| 610 Park Avenue | Pekin | IL | 615544650 | EKG, Nuclear stress test, Vascular ultrasound, Echo cardiology, Chest X-Ray,Stress |
| OSF SF Radiation Oncology | ||||
| 8948 N Wood Sage Road | Peoria | IL | 61615 | Radiation oncology |
| OSF Saint Francis Morton Health Center | ||||
| 435 Maxine Dr | Morton | IL | 61550 | Radiology, Lab, EEG, EKG, Sleep lab |
| Saint Francis Medical INI Rehabilitation | ||||
| Five Points Washington 360 Wilmor R | Washington | IL | 615711252 | Rehab |
| OSF Saint Francis Center for Health Glen | ||||
| 5114 Glen Park Place | Peoria | IL | 616144686 | Diagnostic Imaging/Lab |
| Southridge Laboratory | ||||
| 4423 Manchester Drive | Rockford | IL | 61109 | Diagnostic Lab |
| Outpatient Rehabilitation Services | ||||
| 5510 E State Street | Rockford | IL | 61108 | Rehab |
| Diabetes Education Center | ||||
| 5510 E State Street | Rockford | IL | 61108 | Education |
| Wound Healing Center State and Roxbury | ||||
| 5668 E State Street | Rockford | IL | 61108 | Hyperbaric Oxygen Therapy |
| Rockford Cardiovascular Associates | ||||
| 444 Roxbury Road | Rockford | IL | 61107 | Cardiac and Pulmonary Rehab / Radiology and Diagnostic Services / Sleep Center |
| OSF Center for Health-Rock Cut Crossing | ||||
| 9951 Rock Cut Crossing | Loves Park | IL | 611111999 | Diagnostic Imaging/Lab |
| Illinois Neurological Institute at OSF | ||||
| 535 Roxbury Road | Rockford | IL | 61108 | neurological clinical care, research, and education |
| OSF St Francis Hospital and Medical Gro | ||||
| N 15995 Main St | Powers | MI | 49870 | Diagnostic Lab |
| St Francis Hospital- Powers Clinic | ||||
| N 15995 Main St | Powers | MI | 49870 | Diagnostic X-Ray |
| OSF St Francis Hospital Medical Group | ||||
| 128 Michigan | Gladstone | MI | 49837 | Diagnostic X-Ray/Lab |
| OSF St Francis Hospital Medical Group | ||||
| 3409 Ludington St | Escanaba | MI | 49829 | Diagnostic X-Ray/Lab |
| St Francis Hospital- Rehab Services | ||||
| 704 Superior Avenue | Gladstone | MI | 49837 | Rehab |
| OSF Saint James Rehabilitation | ||||
| 106 South First Street | Fairbury | IL | 61739 | Rehab |
| OSF Saint James Rehabilitation | ||||
| 105 John Street | Dwight | IL | 60420 | Rehab |
| Center for Health at Ft Jesse | ||||
| 2200 Ft Jesse Road | Normal | IL | 61661 | Physical Therapy; Occupational Therapy; Audiology; Industrial Rehab; Pain Clinic; Wound Care |
| OSF St Joseph Medical Center-College Av | ||||
| 1701 East College Avenue | Bloomington | IL | 61704 | Diagnostic Imaging |
| OSF St Joseph Medical Center - Rehabili | ||||
| 1701 East College Avenue | Bloomington | IL | 61704 | Rehab |
| Eastland Medical Plaza I | ||||
| 1505 Eastland Avenue | Bloomington | IL | 61704 | Rehab |
| Convenient Care | ||||
| 1701 East College Avenue | Bloomington | IL | 61704 | Prompt Care Services |
| OSF Holy Family Clinic | ||||
| 1000 West Harlem Ave | Monmouth | IL | 61462 | PROVIDER BASED RURAL HEALTH CLINIC |
| Outpatient Medical Imaging | ||||
| 3375 North Seminary St | Galesburg | IL | 61401 | DIAGNOSTIC IMAGING |
Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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 175% OF FEDERAL POVERTY GUIDELINES (FPG) FOR THEIR FAMILY SIZE. - DISCOUNTED CHARITY CARE ON A SLIDING SCALE FOR PATIENTS WHOSE FAMILY INCOME IS BETWEEN 175% 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 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 $4,540,803. | |
| PART I, LINE 7, COLUMN F: | BAD DEBT EXPENSE IN THE AMOUNT OF $91,103,623 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN SCHEDULE H, PART I, LINE 7, COLUMN (F). | |
| 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. THE CORPORATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BAD DEBT EXPENSE REPORTED ON THE CORPORATION'S FINANCIAL STATEMENTS IS THE AGGREGATE AMOUNT WRITTEN OFF TO BAD DEBT EXPENSE (VALUED AT GROSS CHARGES) NET OF REVERSALS FOR PRESUMPTIVE CHARITY AS EXPLAINED BELOW. BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS 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. | |
| 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 11H |
| Actions the hospital facility took before involving a collections agency | 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 III, Line 9 for a description of actions the above mentioned facilities took before initiating any of the collection actions checked in Schedule H, Part V, line 16. | Part V, Line 17E |
| 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. 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 19d |
| charges for medical care: | Saint Francis Medical Center, St. Anthony Medical Center, St. Joseph Medical Center, St. Mary Medical Center, Saint James Hospital, OSF Holy Family Medical Center, St. Francis Hospital: 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 19D 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 20 |
| 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: THE HOSPITAL CHARGED ITS PATIENTS AN AMOUNT EQUAL TO GROSS CHARGES IN THE FOLLOWING CIRCUMSTANCES: - PATIENTS RECEIVING ELECTIVE MEDICAL SERVICES OTHER THAN EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, SUCH AS ELECTIVE COSMETIC SURGERY PERFORMED TO IMPROVE ONE'S APPEARANCE AND NOT RELATED TO A TRAUMA OR DISFIGURATION. - 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, SUCH ANOTHER DRIVER IN AN AUTO ACCIDENT. St. Francis Hospital: THE HOSPITAL CHARGED ITS PATIENTS AN AMOUNT EQUAL TO GROSS CHARGES IN THE FOLLOWING CIRCUMSTANCES: - PATIENTS RECEIVING ELECTIVE MEDICAL SERVICES OTHER THAN EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, SUCH AS ELECTIVE COSMETIC SURGERY PERFORMED TO IMPROVE ONE'S APPEARANCE AND NOT RELATED TO A TRAUMA OR DISFIGURATION. - 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 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, SUCH ANOTHER DRIVER IN AN AUTO ACCIDENT. | part v, line 21 |
| NEEDS ASSESSMENT: | THE CORPORATION HAS AFFILIATION AGREEMENTS AND ARRANGEMENTS WITH A VARIETY OF OTHER COMMUNITY ORGANIZATIONS ENGAGED IN ASSESSING AND MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY. SUCH ORGANIZATIONS INCLUDE, BUT ARE NOT LIMITED TO, FEDERALLY QUALIFIED HEALTH CENTERS, COMMUNITY CLINICS OPERATED BY OTHER ORGANIZATIONS, LOCAL UNIVERSITIES, COLLEGES OF MEDICINE AND NURSING, AND CIVIC ORGANIZATIONS SUCH AS LOCAL UNITED WAY CHAPTERS. THE CORPORATION IS ENGAGED IN BOTH FORMAL AND INFORMAL COMMUNITY NEEDS ASSESSMENT ACTIVITIES WITH SUCH ORGANIZATIONS. | |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: | THE CORPORATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE CORPORATION'S CHARITY ASSISTANCE POLICY IN THE FOLLOWING WAYS: - SIGNS ARE POSTED IN PATIENT REGISTRATION AREAS (INCLUDING EMERGENCY DEPARTMENT REGISTRATION) INFORMING PATIENTS OF THE AVAILABILITY OF CHARITY ASSISTANCE AND THE AVAILABILITY OF FINANCIAL ASSISTANCE REPRESENTATIVES. - PRINTED BROCHURES ARE DISTRIBUTED TO PATIENTS AT REGISTRATION INFORMING THEM OF THE AVAILABILITY OF CHARITY ASSISTANCE (FOR BOTH INSURED AND UNINSURED PATIENTS), FINANCIAL ASSISTANCE REPRESENTATIVES (INCLUDING CONTACT INFORMATION), AND UNINSURED PATIENT DISCOUNTS. - 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. | |
| COMMUNITY INFORMATION: | Saint Francis Medical Center is located in Peoria County in Illinois and serves those in the counties of Peoria, Tazewell, and Woodford. Peoria County is a metropolitan statistical area and its population in 2011 was 186,834. For Peoria County, the median household income in 2010 was $49,747 and the percent of persons below poverty level was 14.5%. Tazewell County is a metropolitan statistical area and its population in 2011 was 135,661. For Tazewell County, the median household income in 2010 for was $54,232 and the percent of persons below poverty level was 7.9%. Woodford County is a metropolitan statistical area and its population in 2011 was 38,861. For Woodford County, the median household income in 2010 was $65,890 and the percent of persons below poverty level was 7.0%. Saint Anthony Medical Center is located in Winnebago County in Illinois and serves those in the counties of Winnebago and Boone. Winnebago County is a metropolitan statistical area and its population in 2011 was 293,993. For Winnebago County, the median household income in 2010 was $47,198 and the percent of persons below poverty level was 15.9%. Boone County is a metropolitan statistical area and its population in 2011 was 54,367. For Boone County, the median household income in 2010 was $61,210 and the percent of persons below poverty level was 10.4%. St. Joseph Medical Center is located in McLean County in Illinois. McLean County is a metropolitan statistical area and its population in 2011 was 170,556. For McLean County, the median household income in 2010 was $57,642 and the percent of persons below poverty level was 12.9%. Saint James-John W. Albrecht Medical Center is located in Livingston County in Illinois. Livingston County is a metropolitan statistical area and its population in 2011 was 38,885. For Livingston County, the median household income in 2010 was $50,500 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 2011 was 52,917. For Knox County, the median household income in 2010 was $39,465 and the percent of persons below poverty level was 15.5%. Holy Family Medical Center is located in Warren County in Illinois. Warren County is a metropolitan statistical area and its population in 2011 was 17,818. For Warren County, the median household income in 2010 was $41,636 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 2011 was 37,105. For Delta County, the median household income in 2010 was $41,951 and the percent of persons below poverty level was 12.7%. | |
| 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). | |
| 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, 2011 FOR IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH IN THE FOLLOWING WAYS: - CAPITAL EXPENDITURES OF APPROXIMATELY $103,959,660 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 $28,370,004 DURING THE FISCAL YEAR FOR ACCREDITED PHYSICIAN RESIDENCY PROGRAMS AND NET COSTS OF APPROXIMATELY $5,441,858 FOR UNDERGRADUATE AND GRADUATE NURSING 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 $1,064,267 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 616 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 11 fully accredited residency programs and 2 fully accredited fellowship programs at Saint Francis Medical Center. Currently, 183 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 98 licensed acute care bed general 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. | |
| AFFILIATED HEALTH CARE SYSTEM ROLES: | THE CORPORATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM (THE "OSF SYSTEM") WHICH PROVIDES INTEGRATED HEALTH CARE SERVICES THROUGHOUT CENTRAL ILLINOIS, PARTS OF NORTHERN ILLINOIS, AND PARTS OF THE UPPER PENNINSULA OF MICHIGAN. THE OSF SYSTEM INCLUDES THE OTHER CORPORATIONS LISTED BELOW, ALL OF WHICH ARE CONTROLLED, DIRECTLY OR INDIRECTLY, BY THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS (THE "CONGREGATION"). ALL AFFILIATED CORPORATIONS (WHETHER TAXABLE OR EXEMPT) APPLY AND FOLLOW THE CHARITY CARE POLICY OF THE CORPORATION AND ARE OPERATED IN FURTHERANCE OF THE MISSION OF THE CONGREGATION TO PROVIDE COMPREHENSIVE, INTEGRATED, QUALITY CARE, INCLUDING PREVENTIVE, PRIMARY, ACUTE, CONTINUOUS AND REHABILITATIVE HEALTH SERVICES TO THE COMMUNITIES SERVED BY THE CORPORATION AND THE OSF SYSTEM. SPECIAL EMPHASIS IS PLACED ON MEETING THE PHYSICAL, SPIRITUAL, EMOTIONAL, AND SOCIAL NEEDS OF EVERYONE WHO IS CARED FOR IN THE OSF SYSTEM REGARDLESS OF RACE, COLOR, RELIGION AND ABILITY TO PAY. THE AFFILIATED CORPORATIONS ARE: - THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS, WHICH HOLDS THE ASSETS OF THE RELIGIOUS CONGREGATION AND DIRECTS ALL OTHER CORPORATIONS IN THE AFFILIATED HEALTH CARE SYSTEM THROUGH BOARD REPRESENTATION AND THE EXERCISE OF RESERVED POWERS. - OSF SAINT FRANCIS, INC., WHICH PROVIDES HOME INFUSION AND DURABLE MEDICAL EQUIPMENT SERVICES, MOBILE MEDICAL IMAGING SERVICES, MEDICAL EQUIPMENT MAINTENANCE AND REPAIR SERVICES, MEDICAL STAFFING SERVICES, BILLING SERVICES, AND OTHER SERVICES IN SUPPORT OF THE AFFILIATED HEALTH CARE SYSTEM. - OSF AVIATION, LLC, WHICH IS AN FAA PART 135 CERTIFIED CARRIER PROVIDING EMS HELICOPTER SERVICES THROUGHOUT CENTRAL ILLINOIS AND PARTS OF NORTHERN ILLINOIS. - OSF LIFELINE AMBULANCE, LLC, WHICH PROVIDES GROUND AMBULANCE TRANSPORTATION SERVICES IN PARTS OF NORTHERN ILLINOIS. - OSF MULTISPECIALTY GROUP - PEORIA, LLC, WHICH PROVIDES PEDIATRIC CARDIOLOGY PHYSICIAN SERVICES IN CENTRAL ILLINOIS. - ILLINOIS NEUROLOGICAL INSTITUTE - PHYSICIANS, LLC, WHICH PROVIDES PHYSICIAN NEUROSURGERY SERVICES IN CENTRAL ILLINOIS. - HEARTCARE MIDWEST, LTD., WHICH PROVIDES CARDIOLOGY AND CARDIOVASCULAR SURGERY PHYSICIAN SERVICES IN CENTRAL ILLINOIS. - CARDIOVASCULAR INSTITUTE AT OSF, LLC, WHICH PROVIDES CARDIOLOGY AND CARDIOVASCULAR SURGERY PHYSICIAN SERVICES IN PARTS OF NORTHERN ILLINOIS. - OSF MULTISPECIALTY GROUP - EASTERN REGION, LLC, WHICH PROVIDES PRIMARY AND SPECIALTY PHYSICIAN SERVICES IN PARTS OF CENTRAL ILLINOIS. - ILLINOIS PATHOLOGIST SERVICES, LLC, WHICH PROVIDES PROFESSIONAL PATHOLOGY SERVICES IN PARTS OF NORTHERN ILLINOIS. - ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF, LLC, WHICH PROVIDES PULMONOLOGY AND CRITICAL CARE PHYSICIAN SERVICES IN CENTRAL ILLINOIS. - OSF PERINATAL ASSOCIATES, LLC, WHICH PROVIDES MATERNAL FETAL MEDICINE PHYSICIAN SERVICES IN CENTRAL ILLINOIS. - OSF MULTISPECIALTY GROUP - WESTERN REGION, LLC, WHICH PROVIDES PRIMARY AND SPECIALTY PHYSICIAN SERVICES IN WESTERN ILLINOIS. - OSF CHILDREN'S MEDICAL GROUP- CONGENITAL HEART CENTER, LLC WHICH PROVIDES PEDIATRIC CARE FOR CARDIOVASCULAR ILLNESSES IN NORTHERN ILLINOIS. - PREFERRED EMERGENCY PHYSICIANS OF ILLINOIS, LLC WHICH PROVIDES PHYSICIAN COVERAGE FOR EMERGENCY DEPARTMENTS. - CENTER FOR HEALTH AMBULATORY SURGERY CENTER, LLC, WHICH PROVIDES AMBULATORY SURGERY SERVICES IN CENTRAL ILLINOIS. - EASTLAND MEDICAL PLAZA SURGICENTER, LLC, WHICH PROVIDES AMBULATORY SURGERY SERVICES IN CENTRAL ILLINOIS. - FORT JESSE IMAGING CENTER, LLC, WHICH PROVIDES MEDICAL IMAGING SERVICES IN CENTRAL ILLINOIS. - SLEEP CENTER OF CENTRAL ILLINOIS, LLC, WHICH PROVIDES MEDICAL TREATMENT FOR SLEEP DISORDERS IN CENTRAL ILLINOIS. | |
| ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: | IL, MI (HOSPITAL ASSOCIATION, NOT STATE) |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Janet Wattles Mental Health Center Inc | |||||||
| 526 W State Street | Rockford | IL | 61101 | 362862928 | 501(c)(3) | 10000 | To support child and family mental health services in northern Illinois. |
| University of Illinois Foundation | |||||||
| 1305 West Green Street | Urbana | IL | 618012962 | 376006007 | 501(c)(3) | 920000 | To support the campaign to construct a new building and renovate existing facilities at the University of Illinois College of Medicine at Rockford.educational support of the Peoria campus of University of Illinois College of Medicine. |
| Illinois Central College Foundation | |||||||
| One College Drive | East Peoria | IL | 616350001 | 371207827 | 501(c)(3) | 15000 | scholarships for at risk students in District 150 |
| Heartland Community Health | |||||||
| 1701 W Garden Street | Peoria | IL | 61605 | 371270794 | 501(c)(3) | 500000 | To support the operations of the clinic |
| Heartland Commerce and Economic Development Fnd | |||||||
| 100 SW Water Street | Peoria | IL | 61602 | 371271212 | 501(c)(3) | 200000 | donation for community development in the Peoria area |
| Bradley University | |||||||
| 1501 W Bradley Avenue | Peoria | IL | 61625 | 370661494 | 501(c)(3) | 60000 | funding for Bradley Renasissance building development |
| Peoria Promise Foundation | |||||||
| 331 Fulton Street Suite 310 | Peoria | IL | 61602 | 134353454 | 501(c)(3) | 20000 | To be used for the Peoria Promise program providing college assistance to students in the Peoria area that would not normally attend college. |
| General Wayne A Downing Foundation | |||||||
| 121 NE Jefferson Ave Ste 200 | Peoria | IL | 61602 | 273278315 | 501(c) 3 | 100000 | To support the operations of the Foundation |
| Quality Quest for Heart of Illinois | |||||||
| 416 Main St Ste 717 | Peoria | IL | 61602 | 263896631 | 501(c) 3 | 250000 | To support the operations of the organization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 9 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 81 | NumberOfRecipients |
| Amount Of Cash Grant | 77603 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | Procedures for Monitoring Grants Part I, Line 2 THE CORPORATION MONITORS THE USE OF GRANT FUNDS IN THE UNITED STATES IN A VARIETY OF WAYS. FOR EDUCATIONAL SCHOLARSHIPS, THE CORPORATION TRACKS AND REVIEWS THE STUDENT'S GRADES AND SUCCESSFUL COURSE COMPLETION EACH SEMESTER. IN SOME CASES, THE CORPORATION'S CHIEF FINANCIAL OFFICER OR OTHER REPRESENTATIVE OF THE CORPORATION SERVES ON THE BOARD OF DIRECTORS OR ON THE FINANCE COMMITTEE OF THE GRANTEE ORGANIZATION AND RECEIVES DIRECT INFORMATION REGARDING USE OF GRANT FUNDS IN SUCH CAPACITY. IN OTHER CASES, THE CORPORATION RECEIVES WRITTEN REPORTS AND/OR FINANCIAL STATEMENTS FROM THE GRANTEE ORGANIZATION WHICH INCLUDE INFORMATION REGARDING USE OF GRANT FUNDS. Requirements for Saint Francis Medical Center Scholarship All scholarships are approved by the scholarship committee. Nursing Minimum Requirements: - GPA 2.5/4.0 scale - Two favorable academic references from clinical instructors - Two favorable employer references - Completed scholarship application form - Acceptance of the scholarship requires the student to secure and start in an OSF Saint Francis Medical Center RN staff position within 60 days of graduation and remain employed in a 72-80 hours/pay for two years following completion of the 90 day unit nursing orientation. Radiology, Radiation Therapist & Sonography Minimum Requirements: - GPA 2.5/4.0 scale - Two favorable academic references from clinical instructors - Two favorable employer references - Completed scholarship application form - Acceptance of the scholarship requires the student to secure and start in an OSF Saint Francis Medical Center Diagnostic Radiology Technologist staff position within 30 days of graduation and remain employed for two years following completion of the department orientation. Pharmacy Minimum Requirements: - Interview - GPA 2.5/4.0 or 3.125/5.0 scale - Two favorable academic references from clinical instructors - Two favorable employer references - Completed scholarship application form - Acceptance of the scholarship requires the student to secure and start in an OSF Saint Francis Medical Center R.Ph. position within 30 days of graduation and remain employed for two years or three years, depending on the monies received, following completion of the Pharmacy orientation. Respiratory Therapy Minimum Requirements: For External Candidates: - Meet all Illinois Central College's (ICC) minimum requirements for admission - GPA 3.0/4.0 scale - Pass a Wonderlic Test score of a 3 on the verbal section and a 2 on the math portion - Two favorable academic references from clinical instructors - Two favorable employer references - A brief 1-2 page typed essay explaining interest and desire to enroll the scholarship program - Interview For OSF Saint Francis Medical Center Employees: - Meet all Illinois Central College's (ICC) minimum requirements for admission - GPA 3.0/4.0 scale - Pass a Wonderlic Test score of a 3 on the verbal section and a 2 on the math portion - Must not be on any current formal levels of discipline - Two favorable supervisor/manager or director references - A brief 1-2 page typed essay explaining interest and desire to enroll the scholarship program - Interview Merit Scholarship Requirement: - GPA 3.4/4.0 scale - Dean's List in the semester previous to posting on students account Institutional Scholarship Requirement: - College of Nursing student in good academic standing and in financial need President's Scholarship Requirement: - GPA 3.55/4.0 scale Requirements for Saint Anthony Medical Center Scholarships Scholarships are awarded based on 50% academics, 30% financial need, and 20% community service. The awards are approved by the Saint Anthony College of Nursing Financial Aid Committee. The Alumni Memorial Scholarship are awarded based on 60% academics, 30% financial need, and 10% community service. Minimum requirements for all scholarships: - GPA 2.5/4.0 scale - Resume - Two favorable letters of recommendation, at least one from a clinical instructor - A brief typed essay explaining interest and desire to enroll the scholarship program Requirements for Holy Family Medical Center Scholarships - Application for assistance from OSF Holy Family Medical Center signifies a desire to work at OSF HFMC at the completion of the educational course work. - Meeting deadlines is the responsibility of the applicant. All application materials must reach OSF HFMC by April 1. Awards will be made by May 31. - Funds may only be used for health care-related coursework at the bachelor's degree level or below. - Recipients must reside in Warren or Henderson County, Illinois, be employees of OSF Holy Family Medical Center, or related to employees of OSF HFMC. - The maximum available amount of educational assistance is $3,500 annually. This amount will be distributed for tuition, books, and lab fees. Funds may not be used for living expenses or transportation - Each disbursement of funds requires the recipient sign a "Student Loan Promissory Note" which is forgiven when the student borrower becomes employed at OSF HFMC at completion of the educational program within specified time constraints. This means each request for funds requires a personal appearance by the student. (According to tax law, disbursements are taxable income.) - When funds have been distributed for a given semester, additional funds will not be paid until OSF HFMC has been furnished with a copy of prior semester grades, giving proof of successful completion of course work. A cumulative 3.0 grade point average or higher is required. - Recipients must reapply annually if they desire funds for subsequent years. While funds for subsequent years are not guaranteed, serious consideration will be given to those students who have excelled academically. - Receipt of educational assistance does not guarantee the recipient will be offered employment at the completion of the educational program. An appropriate position may not be available at that time. If an appropriate position is available, the recipient must accept the position or be prepared to repay any funds received. - With mutual agreement, the requirement to accept a position at OSF HFMC may be met by accepting employment at other OSF facilities. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James M Moore | |||||||||||||
| 833721 | 0 | 174993 | 0 | 36169 | 0 | 6771 | 0 | 5815 | 0 | 1057469 | 0 | 0 | 0 |
| Kevin D Schoeplein | |||||||||||||
| 653907 | 0 | 140483 | 0 | 67335 | 0 | 306750 | 0 | 16790 | 0 | 1185265 | 0 | 0 | 0 |
| Daniel E Baker | |||||||||||||
| 422200 | 0 | 57638 | 0 | 52513 | 0 | 321755 | 0 | 15636 | 0 | 869742 | 0 | 0 | 0 |
| Vance C Parkhurst | |||||||||||||
| 283328 | 0 | 38906 | 0 | 31209 | 0 | 31520 | 0 | 11644 | 0 | 396607 | 0 | 0 | 0 |
| Syed M Hussain MD | |||||||||||||
| 300946 | 0 | 760205 | 0 | 20288 | 0 | 12856 | 0 | 15017 | 0 | 1109312 | 0 | 0 | 0 |
| Daniel R Fassett MD | |||||||||||||
| 490000 | 0 | 1170632 | 0 | 12472 | 0 | 14055 | 0 | 12 | 0 | 1687171 | 0 | 0 | 0 |
| Travis D Richardson MD | |||||||||||||
| 693875 | 0 | 542783 | 0 | 3479 | 0 | 17824 | 0 | 10597 | 0 | 1268558 | 0 | 0 | 0 |
| Jeffrey D Klopfenstein MD | |||||||||||||
| 505865 | 0 | 829041 | 0 | 25742 | 0 | 18098 | 0 | 15017 | 0 | 1393763 | 0 | 0 | 0 |
| Gerard J Mcshane MD | |||||||||||||
| 408348 | 0 | 80727 | 0 | 41665 | 0 | 32241 | 0 | 12533 | 0 | 575514 | 0 | 0 | 0 |
| Susan Campbell | |||||||||||||
| 200894 | 0 | 31874 | 0 | 51245 | 0 | 28977 | 0 | 11617 | 0 | 324607 | 0 | 0 | 0 |
| Jan P Skowronski MD | |||||||||||||
| 325002 | 0 | 709621 | 0 | 9667 | 0 | 13878 | 0 | 11740 | 0 | 1069908 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Social Club Dues | Identifier |
| Return Reference | Schedule J, Part I, Line 1a | ReturnReference |
| Explanation | THE CORPORATION REIMBURSES CERTAIN EXECUTIVES FOR SOCIAL CLUB DUES PAID BY SUCH EXECUTIVES. ELIGIBILITY FOR CLUB DUES REIMBURSEMENT IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS AND IS TAKEN INTO CONSIDERATION BY THE COMMITTEE IN DETERMINING FAIR MARKET COMPENSATION. SEE FORM 990 - SCHEDULE O - PART VI - LINES 15A AND 15B FOR AN EXPLANATION OF THE ROLE OF THE HUMAN RESOURCES COMMITTEE AND THE MANNER IN WHICH FAIR MARKET COMPENSATION IS DETERMINED. CLUB DUES ARE NOT ELIGIBLE FOR REIMBURSEMENT IF THE CLUB IN QUESTION DISCRIMINATES ON THE BASIS OF RACE, RELIGION, SEX, NATIONAL ORIGIN, OR OTHER PROHIBITED FACTORS. DUES REIMBURSEMENT IS TREATED AND REPORTED AS TAXABLE COMPENSATION. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| Illinois Finance Authority | |||||||
| 861091967 | 45200BBQ0 | 2004-05-12 | 96333347 | See Schedule O | false | true | false |
| Illinois Finance Authority | |||||||
| 861091967 | 45200B8E1 | 2007-08-29 | 461801780 | See Schedule O | false | ||
| Illinois Finance Authority | |||||||
| 861091967 | 45200FWD7 | 2009-03-31 | 249074230 | See Schedule O | false | false | false |
| Illinois Finance Authority | |||||||
| 861091967 | 2009-08-18 | 70000000 | See Schedule O | false | false | false | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Year Of Subst CompletionYearOfSubstCompletion |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 96333347 | 10225355 | 0 | 85966386 | 1106462 | 0 | 0 | 0 | 0 | 0 | true | false | true | true | |
| 0 | 0 | 461801780 | 24898348 | 0 | 127425737 | 12165772 | 0 | 0 | 285706088 | 0 | 0 | true | false | true | true | 2010 |
| 0 | 0 | 249074230 | 12276530 | 0 | 233334384 | 3240846 | 0 | 0 | 0 | 0 | 0 | true | false | true | true | |
| 0 | 0 | 70000000 | 0 | 0 | 0 | 0 | 0 | 0 | 70000000 | 0 | 0 | false | false | true | true | 2010 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Term Of HedgeTermOfHedge |
|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||
| false | true | true | true | 9.1 | true | false | false | |
| Merrill Lynch | ||||||||
| false | true | true | false | true | false | 0.8 | ||
| (no name) | ||||||||
| false | true | false | false | false | false | |||
| (no name) | ||||||||
| false | true | false | false | false | false | |||
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | James W Girardy MD | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Board Member | Relationship |
| Amount Of Transaction | 306875 | AmountOfTransaction |
| Description Of Transaction | See below | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE L - PART IV | Identifier |
| Explanation | TRANSACTIONS WITH INTERESTED PERSONS ROCKFORD SURGICAL SERVICES, S.C. - CALL COVERAGE AGREEMENT: PROVIDES FOR 24-HOUR PER DAY, 7 DAYS PER WEEK ON-CALL COVERAGE BY VASCULAR AND CARDIOVASCULAR SURGEONS AS REQUIRED BY LEVEL I TRAUMA CENTER REGULATIONS AND TO MEET EMTALA COVERAGE REQUIREMENTS. COMPENSATION IS CONSISTENT WITH THE PHYSICIAN AND COMPENSATION SURVEY, ON-CALL PAY RATES BY SPECIALTY, PERFORMED BY SULLIVAN, COTTER & ASSOCIATES, INC., AND MEDICAL GROUP MANAGEMENT ASSOCIATION'S PHYSICIAN COMPENSATION AND PRODUCTIVITY SURVEY. ROCKFORD SURGICAL SERVICES, S.C. - CARDIOVASCULAR SERVICES MEDICAL DIRECTOR AGREEMENT: PROVIDES FOR ADMINISTRATIVE SERVICES OF A MEDICAL DIRECTOR FOR HOSPITAL CARDIOVASCULAR SERVICES. COMPENSATION IS AT AN HOURLY RATE CONSISTENT WITH OTHER MEDICAL DIRECTOR SERVICE AGREEMENTS AND SUBJECT TO AN ANNUAL CAP. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (27 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 OWNS AND OPERATES ONE LONG-TERM CARE FACILITY IN PEORIA HEIGHTS, ILLINOIS. AS OF THE CLOSE OF THE REPORTING PERIOD ON SEPTEMBER 30, 2011, THESE EIGHT FACILITIES HAD A COMBINED TOTAL OF 1,418 LICENSED INPATIENT AND RESIDENT BEDS AND OPERATED A COMBINED TOTAL OF 1,299 STAFFED INPATIENT AND RESIDENT BEDS. THEY HAD COMBINED TOTALS OF 57,577 INPATIENT AND RESIDENT DISCHARGES AND 302,444 INPATIENT AND RESIDENT DAYS, INCLUDING 9,304 NEWBORN INPATIENT DAYS. THE SEVEN ACUTE CARE HOSPITALS COLLECTIVELY SERVED 51 COUNTIES. THEY HAD A COMBINED TOTAL OF APPROXIMATELY 1,944 PHYSICIANS ON THEIR MEDICAL STAFFS; INCLUDING APPROXIMATELY 1,172 PHYSICIANS ON THEIR ACTIVE OR ASSOCIATE MEDICAL STAFFS. TWO OF THE HOSPITALS ARE SOLE COMMUNITY HOSPITALS AND ONE IS A CRITICAL ACCESS HOSPITAL. 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 930,400 OUTPATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2011, INCLUDING 48,072 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 Services | PHYSICIANS EMPLOYED BY OSF HEALTHCARE SYSTEM PROVIDED 949,755 OFFICE VISITS (NOT INCLUDING SERVICES PROVIDED TO HOSPITAL INPATIENTS AND OUTPATIENTS) AT OFFICES IN 67 SEPARATE LOCATIONS THROUGHOUT CENTRAL AND NORTHERN ILLINOIS AND THE UPPER PENINSULA OF MICHIGAN. |
| FORM 990 - PART III - LINE 4D: | Home Health Services: | (EXPENSES $41,765,550 INCLUDING GRANTS OF $NONE)(REVENUE $41,625,034) THE SIX HOME HEALTH AGENCIES OWNED AND OPERATED BY THE CORPORATION COLLECTIVELY SERVE 32 COUNTIES IN ILLINOIS AND MICHIGAN, ENROLLED 23,344 HOME HEALTH PATIENTS, AND PROVIDED 168,531 HOME HEALTH VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2011. THE FIVE HOSPICE PROGRAMS OWNED AND OPERATED BY THE CORPORATION COLLECTIVELY SERVE 35 COUNTIES IN ILLINOIS AND MICHIGAN, ENROLLED 1,773 HOSPICE PATIENTS, AND PROVIDED 91,941 HOSPICE DAYS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2011. |
| FORM 990 - PART III - LINE 4D: | EMERGENCY DEPARTMENT SERVICES: | (EXPENSES $64,511,290 INCLUDING GRANTS OF $ NONE) (REVENUE $84,368,796) 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 206,490 PATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2011. |
| FORM 990 - PART III - LINE 4D: | RESIDENCY PROGRAMS: | (EXPENSES $38,778,471 INCLUDING GRANTS OF $ NONE) (REVENUE $92,642) 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 183 RESIDENTS AND FELLOWS IN THESE PROGRAMS DURING THE REPORTING PERIOD. |
| FORM 990 - PART III - LINE 4D: | COLLEGES OF NURSING PROGRAMS: | (EXPENSES $10,247,570 INCLUDING GRANTS OF $77,603) (REVENUE $8,354,899) TWO OF THE CORPORATION'S HOSPITALS OPERATE ACCREDITED COLLEGES OF NURSING WHICH AWARD BACCALAUREATE, MASTERS, AND DOCTORATE DEGREES. THERE WERE 1,473 ENROLLEES IN THESE PROGRAMS DURING THE THREE SEMESTERS FALLING WITHIN THE REPORTING PERIOD (FALL 2010, SPRING 2011, AND SUMMER 2011) |
| FORM 990 - PART III - LINE 4D: | TRAUMA SERVICES (LEVEL 1): | (EXPENSES $9,016,881 INCLUDING GRANTS OF $ NONE) (REVENUE $185,238) 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 $20,008,733 INCLUDING GRANTS OF $ NONE) (REVENUE $12,945,351) THE CORPORATION PROVIDES EMERGENCY HELICOPTER TRANSPORT SERVICES TO PATIENTS IN NORTHERN AND CENTRAL ILLINOIS USING A FLEET OF FOUR EMS CONFIGURED HELICOPTERS. 2,396 EMS HELICOPTER PATIENT TRANSPORTS WERE PROVIDED DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2011. A SUBSIDIARY OF THE CORPORATION PROVIDES GROUND AMBULANCE PATIENT TRANSPORT SERVICES IN NORTHERN ILLINOIS. 8,132 GROUND AMBULANCE PATIENT TRANSPORTS PLUS 3,626 WHEELCHAIR PATIENT TRANSPORTS WERE PROVIDED DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2011. |
| FORM 990 - PART III - LINE 4D: | COMMUNITY CLINIC, Outreach, and Other Educational PROGRAMS: | (EXPENSES $6,539,756 INCLUDING GRANTS OF $ NONE) (REVENUE $2,134,856) 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 52 WOMEN DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2011. 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. 24,825 PATIENT VISITS WERE PROVIDED DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2011. 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. 1,106 HOURS OF EDUCATION AND TRAINING WERE PROVIDED DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2011. 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 BASIC AND CONTINUING EDUCATION AT VARIOUS EMERGENCY MEDICAL TECHNICIAN (EMT) LEVELS TO OVER 2,500 EMTS WHO SERVE IN THEIR HOME COMMUNITIES. 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 CLINICAL 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 $6,996,695 INCLUDING GRANTS OF $ NONE) (REVENUE $4,546,061) |
| 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 ROMANCATHOLIC 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 ANDOPERATING 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: | LEONARD E. NEVITT 12441 N. COVE CT. DUNLAP, IL. 61525 JAMES W. GIRARDY, M.D. C/O ROCKFORD SURGICAL SERVICE 5688 E. STATE STREET ROCKFORD, IL. 61108 JAMES MOORE 4405 W LONGMEADOW CT PEORIA, IL 61615 | |
| FORM 990 - PART VI - LINE 11A: | 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. INADDITION, 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, THETOTAL 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 APPLICABLEBONUS 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 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 REGISTEREDOFFICE. 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 XI - LINE 5: | OTHER CHANGES IN FUND BALANCE INCLUDE: | CHANGE IN UNREALIZED MARKET VALUE OF SWAPS (13,479,872) NET ASSETS RELEASED FROM RESTRICTION (3,166,430) UNREALIZED GAIN/LOSS (28,600,130) INVESTMENT LOSS (309,593) INCREASE IN PERMANETLY RESTRICTED ASSETS 11,631,859 REVERSAL OF MINIMUM PENSION LIABILITY 3,126,583 SFI & SUBSIDIAIRY INCOME 987,944 NET ASSETS RELEASED FROM RESTRICTION FOR OPERATIONS 22,500 MINOIRTY INTEREST (2,702,558) INVESTMENT IN HEALTHCARE MIDWEST (17,188,495) EQUITY TRANSFERS (32,950,686) ELIMINATION OF MULTI-PEORIA AND INI PRIOR YEAR NET ASSETS 2,548,781 ---------------- TOTAL CHANGES IN NET ASSETS OR FUND BALANCE (80,080,097) |
| SCHEDULE G - LINE 2B | THERE ARE NO RECEIPTS FROM PROFESSIONAL FUNDRAISING. OSF HEALTHCARE SYSTEM SIGNED THE PROFESSIONAL FUNDRAISING CONTRACT AND PAID THE FEE FOR IT. HOWEVER, OSF HEALTHCARE FOUNDATION (A SEPARATE BUT RELATED ENTITY - SEE SCHEDULE R) WILL BE RECEIVING THE RECEIPTS. | |
| SCHEDULE K - PART I - BOND ISSUES | ILLINOIS FINANCE AUTHORITY - 5/12/2004 Cusip# 45200BBQ0 THE PROCEEDS OF THE SERIES 2004 BONDS WERE USED TO (I) REFUND THE $122,000,000 ILLINOIS HELATH FACILITIES AUTHORITY REVENUE BONDS, SERIES 1993 (OSF HEALTHCARE SYSTEM), OUTSTANDING IN THE PRINCIPAL AMOUNT OF $95,330,000 (THE "SERIES 1993 BONDS") (II) ESTABLISH A DEBT SERVICE RESERVE FUND AND (III) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2004 BONDS AND THE REFUNDING OF THE SERIES 1993 BONDS. ILLINOIS FINANCE AUTHORITY - 08/29/2007 Cusip# 45200B8E1 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2007 BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, INCLUDING PROCEEDS FROM THE SALE OF THE AUCTION BONDS AND THE VRIABLE RATE BONDS, 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# THE CORPORATION USED THE PROCEEDS OF THE SERIES 2009EFG TO PAY OR REIMBURSE THE CORPORATION FOR THE PROJECTS. ILLINOIS FINANCE AUTHORITY - 09/10/2008 CUSIP# 45200MS70 THE NOTES WERE ISSUED AS PART OF THE ISSUER'S PROGRAM TO FINANCE EDUCATIONAL AND CULTURAL PROJECTS. THE NOTES ARE SHORT-TERM NOTES AND ADDITIONAL NOTES WILL BE ISSUED TO REFUND THE NOTES. THE VARIOUS NOTES ISSUED TO REFUND THE NOTES WILL NOT HAVE A FINAL MATURITY GREATER THAN SEPTEMBER 10, 2038. 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 ON OR ABOUT AUGUST 2, 2010, THE ILLINOIS HEALTH FACILITY AUTHORITY VARIABLE DEMAND REVENUE BONDS, SERIES 1985B (REVOLVING FUND POOLED FINANCING PROGRAM) AND ILLINOIS FINANCE AUTHORITY VARIABLE RATE REVENUE BONDS, SERIES 2001 IN THE AMOUNT OF $75,000,000 AND $46,050,000, RESPECTIVELY, ON OR ABOUT SEPTEMBER 17, 2010, 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. | |
| SCHEDULE K - PART II - LINE 7 | BOND ISSUANCE COSTS | BOND ISSUANCE COST CREDIT ENHANCEMENT TOTAL A $1,106,462 $0 $1,106,462 B $3,319,397 $8,846,375 $12,165,772 C $3,114,169 $126,677 $3,240,846 D $0 $0 $0 E $170,804 $53,120 $223,924 F $2,080,292 $0 $2,080,292 |
| SCHEDULE R - PART I - (B) PRIMARY ACTIVITY: | OSF LIFELINE AMBULANCE, LLC OWNS 10 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. | |
| SCHEDULE R - PART III - LINE 1B | CENTER FOR HEALTH AMBULATORY SURGERY CENTER, LLC OPERATES AMULTISPECIALTY 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. | |
| SCHEDULE R - PART IV - LINE 1B | 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 INNORTHERN 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 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSF Lifeline Ambulance LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 318 Roxbury Road | AddressLine1 |
| City | Rockford | City |
| State | IL | State |
| ZIP Code | 61108 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200080542 | EIN |
| Primary Activities | Schedule O | PrimaryActivities |
| Legal Domicile State | IL | LegalDomicileState |
| Total Income | -848815 | TotalIncome |
| EOY Assets | 839455 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSF | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Sister of the Third Order of St Francis | |||||||||
| 800 NE Glen Oak | Peoria | IL | 61603 | 371259286 | Schedule O | IL | 501(C)(3) | ln11 typeII | NA |
| OSF Healthcare Foundation | |||||||||
| 800 NE Glen Oak Avenue | Peoria | IL | 61603 | 371259284 | Schedule O | IL | 501(C)(3) | ln11 typeII | NA |
| St Francis Community Clinic | |||||||||
| 530 NE GLEN OAK AVENUE | PEORIA | IL | 61603 | 370661235 | SCHEDULE O | IL | 501(C)(3) | LN7 | SISTERS OF T |
Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Center for Health Ambulatory Surgery Cen | |||||||||||||
| 8800 Route 91 North | Peoria | IL | 61615 | 205557171 | Schedule O | IL | OSF | Related | 4064297 | 2595101 | false | false | 0.60250 |
| State and Roxbury LLC | |||||||||||||
| 5668 E State Street | Rockford | IL | 61108 | 261728983 | Schedule O | IL | OSF | Related | -115533 | 1970357 | false | false | 0.51000 |
| Eastland Medical Plaza Surgicenter LLC | |||||||||||||
| 1505 Eastland Drive | Bloomington | IL | 61701 | 371400643 | Schedule O | IL | OSF | Related | 4028055 | 5868709 | false | false | 0.50000 |
| Fort Jesse Imaging Center LLC | |||||||||||||
| 220 Ft Jesse Road Suite B | Normal | IL | 61761 | 460515604 | Schedule O | IL | OSF | Related | 393602 | 299470 | false | false | 0.50100 |
| Sleep Center of Central Illinois LLC | |||||||||||||
| 2204 Eastland Drive Suite 100 | Bloomington | IL | 61704 | 810581886 | Schedule O | IL | OSF | Related | 225816 | 162058 | false | false | 0.50050 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OSF Saint Francis Inc | |||||||||||
| 800 NE Glen Oak Ave | Peoria | IL | 61603 | 363484677 | Schedule O | IL | OSF | C | -4415867 | 132943394 | 1.00000 |
| Heartcare Midwest LTD | |||||||||||
| 5404 N Knoxville Avenue | Peoria | IL | 61614 | 370996868 | Schedule O | IL | OSF | c | -17188495 | 4745588 | 1.00000 |
| Cardiovascular Institute at OSF LLC | |||||||||||
| 444 Roxbury Road | Rockford | IL | 61107 | 264225726 | Schedule O | IL | OSF | C | -799421 | 2390220 | 1.00000 |
| Illinois Pathologist Services LLC | |||||||||||
| 5666 East State Street | Rockford | IL | 61108 | 800439081 | Schedule O | IL | OSF | C | -589350 | 266809 | 1.00000 |
| OSF Multispecialty Group-Eastern Region | |||||||||||
| 1701 E College Avenue | Bloomington | IL | 61704 | 300561892 | Schedule O | IL | OSF | C | -12998288 | 5224121 | 1.00000 |
| OSF Multispecialty Group-Peoria LLC | |||||||||||
| 530 NE Glen Oak Avenue | Peoria | IL | 61637 | 262800379 | Schedule O | IL | OSF | C | -1720499 | 256918 | 1.00000 |
| Ill Neurological Institute-Phy LLC | |||||||||||
| 719 N William Kumpf Blvd | Peoria | IL | 61605 | 263109118 | Schedule O | IL | OSF | C | -3469251 | 340227 | 1.00000 |
| Ill Spec Phy Svcs at OSF LLC | |||||||||||
| 1001 Main Street Suite 200 | Peoria | IL | 61606 | 800462209 | Schedule O | IL | OSF | C | -2464626 | 252208 | 1.00000 |
| OSF Perinatal Assocaites LLC | |||||||||||
| 4911 Executive Drive Suite 200 | Peoria | IL | 61614 | 800498373 | Schedule O | IL | OSF | C | -2463275 | 270866 | 1.00000 |
| OSF Multispecialty Group-Western Region | |||||||||||
| 3315 North Seminary Street | Galesburg | IL | 61401 | 800608541 | Schedule O | IL | OSF | C | -3601014 | 777811 | 1.00000 |
| OSF Children's Medical Group - Congenita | |||||||||||
| 5701 Strathmoor Drive Suite 1 | Peoria | IL | 61603 | 900714643 | Schedule O | IL | OSF | C | -146096 | 122441 | 1.00000 |
| Preferred Emergency Physicians of Illino | |||||||||||
| 800 NE Glen Oak Avenue | Peoria | IL | 61603 | 900749855 | Schedule O | IL | OSF | C | -22654 | 281927 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (62 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Center for Health Ambulatory Surgery Center | |
| a(iv) | 933502 |
| Eastland Medical Plaza Surgicenter LLC | |
| a(iv) | 567317 |
| Heartcare Midwest Ltd | |
| a(iv) | 156000 |
| OSF Multispecialty Group - Peoria LLC | |
| a(iv) | 235219 |
| OSF Perinatal Associates LLC | |
| a(iv) | 218029 |
| Illinois Neurological Institute - Physicians | |
| a(iv) | 14799 |
| OSF Saint Francis Inc | |
| a(iv) | 379751 |
| Illinois Pathologist Services LLC | |
| a(iv) | 11400 |
| Illinois Specialty Physician Services at OSF | |
| a(iv) | 57352 |
| OSF Multispecialty Group-Western Region LLC | |
| a(iv) | 5067 |
| OSF Children's Medical Group - Congenital Hea | |
| a(iv) | 5220 |
| OSF Multispecialty Group-Peoria LLC | |
| b | 1900000 |
| Illinois Neurological Institute - Physicians | |
| b | 3300000 |
| Cardiovascular Institute at OSF LLC | |
| b | 7700000 |
| OSF Multispecialty Group-Eastern Region LLC | |
| b | 12000000 |
| Illinois Specialty Physician Services at OSF | |
| b | 2710000 |
| OSF Multispecialty Group-Western Region LLC | |
| b | 2001500 |
| OSF Perinatal Associates LLC | |
| b | 2450000 |
| OSF Children's Medical Group - Congenital Hea | |
| b | 151500 |
| HeartCare Midwest Ltd | |
| b | 16078514 |
| State and Roxbury LLC | |
| d | 712000 |
| OSF Saint Francis Inc | |
| j | 5961405 |
| Cardiovascular Institute at OSF LLC | |
| j | 537156 |
| State and Roxbury LLC | |
| j | 199097 |
| Heartcare Midwest Ltd | |
| j | 668301 |
| OSF Saint Francis Inc | |
| k | 7905369 |
| Heartcare Midwest Ltd | |
| k | 511093 |
| OSF Multispecialty Group-Eastern RegionLLC | |
| k | 12599906 |
| Cardiovascular Institute at OSF LLC | |
| k | 10072043 |
| Illinois Pathologist Services LLC | |
| k | 1210512 |
| Illinois Specialty Physician Services at OSF | |
| k | 5190274 |
| OSF Perinatal Associates LLC | |
| k | 1959393 |
| OSF Multispecialty Group-Peoria LLC | |
| k | 2409114 |
| Illinois Neurological Institute - Physicians | |
| k | 7717338 |
| OSF Multispecialty Group-Western Region LLC | |
| k | 7445943 |
| OSF Children's Medical Group - Congenital Hea | |
| k | 134384 |
| OSF Saint Francis Inc | |
| i | 76114067 |
| OSF Saint Francis Inc | |
| o | 1666522 |
| Heartcare Midwest Ltd | |
| o | 1537168 |
| OSF Multispecialty Group-Eastern Region LLC | |
| o | 19245419 |
| Cardiovascular Institute at OSF LLC | |
| o | 8450058 |
| Illinois Pathologist Services LLC | |
| o | 1160311 |
| Illinois Specialty Physician Services at OSF | |
| o | 3193879 |
| OSF Perinatal Associates LLC | |
| o | 1593716 |
| OSF Multispecialty Group-Peoria LLC | |
| o | 2294217 |
| Illinois Neurological Institute - Physicians | |
| o | 5685493 |
| OSF Multispecialty Group-Western Region LLC | |
| o | 8215121 |
| OSF Children's Medical Group - Congenital Hea | |
| o | 88330 |
| Eastland Medical Plaza Surgicenter LLC | |
| r | 4034793 |
| Sleep Center of Central Illinois LLC | |
| r | 250458 |
| Fort Jesse Imaging Center LLC | |
| r | 305122 |
| Center for Health Ambulatory Surgery Center | |
| r | 3374000 |
| State and Roxbury LLC | |
| r | 112200 |
| OSF Multispecialty Group-Peoria LLC | |
| r | 2913000 |
| Illinois Neurological Institute - Physicians | |
| r | 9930000 |
| Cardiovascular Institute at OSF LLC | |
| r | 2512128 |
| OSF Multispecialty Group-Eastern Region LLC | |
| r | 1110000 |
| Illinois Specialty Physician Services at OSF | |
| r | 5496000 |
| OSF Perinatal Associates LLC | |
| r | 1976000 |
| Illinois Pathologist Services LLC | |
| r | 2457000 |
| OSF Multispecialty Group-Western Region LLC | |
| r | 8000000 |
| OSF Saint Francis Inc | |
| r | 102159636 |
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