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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-14T15:52:13-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1191 West Nationwide Blvd Ste 500AddressLine1
CityColumbusCity
StateOHState
ZIP Code432152568ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN370813229EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OSF Healthcare SystemBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOSFHNameControl
Phone3096552850Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 NE GLEN OAK AVENUEAddressLine1
CityPEORIACity
StateILState
ZIP Code616033200ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDaniel E BakerName
TitleCFOTitle
Phone3096552850Phone
Date Signed2012-08-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameKPMG LLPName
Phone6142492300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDaniel E BakerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1800 NE Glen Oak AvenueAddressLine1
CityPeoriaCity
StateILState
ZIP Code61603ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1766847718GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.osfhealthcare.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1880YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionOSF Healthcare System is a Catholic Integrated health care delivery system. During 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 Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees14284TotalNbrEmployees
Total Nbr Volunteers1894TotalNbrVolunteers
Total Gross UBI5705314TotalGrossUBI
Contributions Grants Prior Year15200054ContributionsGrantsPriorYear
Contributions Grants Current Year20962768ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1535080981ProgramServiceRevenuePriorYear
Program Service Revenue CY1679394636ProgramServiceRevenueCY
Investment Income Prior Year31474449InvestmentIncomePriorYear
Investment Income Current Year35856767InvestmentIncomeCurrentYear
Other Revenue Prior Year27648053OtherRevenuePriorYear
Other Revenue Current Year28146582OtherRevenueCurrentYear
Total Revenue Prior Year1609403537TotalRevenuePriorYear
Total Revenue Current Year1764360753TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2078813GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2211639GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year769356668SalariesEtcPriorYear
Salaries Etc Current Year791991821SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year67753TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY100336TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year4138949TotalFundrsngExpCurrentYear
Other Expense Prior Year792006691OtherExpensePriorYear
Other Expenses Current Year857681591OtherExpensesCurrentYear
Total Expenses Prior Year1563509925TotalExpensesPriorYear
Total Expenses Current Year1651985387TotalExpensesCurrentYear
Revenues Less Expenses Prior Year45893612RevenuesLessExpensesPriorYear
Revenues Less Expenses CY112375366RevenuesLessExpensesCY
Total Assets BOY2208781086TotalAssetsBOY
Total Assets EOY2267817172TotalAssetsEOY
Total Liabilities BOY1488288315TotalLiabilitiesBOY
Total Liabilities EOY1515029132TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY720492771NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY752788040NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOSF 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 SYSTEMMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense599520644Expense
Grants2134036Grants
Revenue827173276Revenue
DescriptionInpatient services - SEE Schedule ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense469444431Expense
Grants0Grants
Revenue638624627Revenue
DescriptionOutpatient Services - SEE Schedule ODescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense224868078Expense
Grants0Grants
Revenue83839394Revenue
DescriptionPhysician Services - SEE Schedule ODescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp197864946TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt77603TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev154252877TotalOfOtherProgramServiceRev
Total Program Service Expense1491698099TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondstrueInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096715NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees14284NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddresstrueOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 NE GLEN OAK AVEAddressLine1
CityPEORIACity
StateILState
ZIP Code61603ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
James M Moore
Vice Chairperson; CEO Retired40.0XX1044883012553
Kevin D Schoeplein
Vice Chairperson; CEO40.0XX8617250323488
Vance C Parkhurst
Senior Vice President40.0X353443043085
Gerard J Mcshane MD
President & CEO, Board Member40.0X530740044695
Sister Diane Marie MCGREw OSF
PRESIDENT/TREASURER40.0XX044800
Sister Theresa Ann Brazeau OSF
Secretary40.0XX044800
Sister Judith Ann Duvall OSF
Chairperson40.0XX044800
Sister Rose Therese Mann OSF
Board Member40.0X000
Sister Agnes Joseph Williams OSF
Assistant Secretary40.0XX044800
James W Girardy MD
BOARD MEMBER3.0X000
Sister Maria Elena Padilla OSF
Board Member40.0X000
Leonard E Nevitt
Board Member0.25X000
Susan Campbell
Senior VP, Board Member40.0X284013040594
Daniel E Baker
Senior Vice President & CFO40.0X5323510337339
Syed M Hussain MD
Physician, Vascular Surgery40.01081439027862X
Daniel R Fassett MD
Physician, Neurosurgery40.01673104014055X
Travis D Richardson MD
Physician, Orthopedics40.01240137028409X
Jeffrey D Klopfenstein MD
Physician, Neurosurgery40.01360648033104X
Jan P Skowronski MD
Physician, Cardiologist40.01044290025600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org10006773TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs17920TotalReportableCompFrmRltdOrgs
Total Other Compensation930784TotalOtherCompensation
Number Individuals GT100 K811NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNIV OF IL COLLEGE OF MEDICINE
PO BOX 4196SPRINGFIELDIL627084196TEACHING PHYSICIANS15516095
HINSHAW CULBERTSON LLP
222 N LASALLE ST STE 300 FD-6CHICAGOIL60601LEGAL6888320
ASSOC ANESTHESIOLOGISTS SC
8600 N STATE RT 91 SUITE 250PEORIAIL616159452Anesthesiology Svs2870764
CENTRAL IL PATHOLOGY SC
PO BOX 9190PEORIAIL616129190PATHOLOGY SERVICES1504030
ROCKFORD ANESTHESIOLOGISTS ASSOC
2202 HARLEM RD STE 200LOVES PARKIL611112754Anesthesiology Svs1456200
FieldValueIRS element (for citing)
Number Of Contractors GT100 K54NumberOfContractorsGT100K
Related Organizations8232247RelatedOrganizations
Government Grants12518766GovernmentGrants
All Other Contributions211755AllOtherContributions
Total Contributions20962768TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE90009916740202521674020252
AFFILIATED PURCHASING PROGRAM56149915053491505349
LAB62150038214483821448
FARM INCOME1100004266042660
COLLECTION FEE90009949274927
FieldValueIRS element (for citing)
Total Program Service Revenue1679394636TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column35842592TotalRevenueColumn
Exclusion$35,842,592ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2523459Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2479840Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real43619Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column43619TotalRevenueColumn
Exclusion$43,619ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other21300Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other7125Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other14175Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column14175TotalRevenueColumn
Exclusion$14,175ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
TUITION90009980252318025231
INCOME FROM JOINT VENTURES90009950771815077181
CAFETERIA9000992319952$2,319,952

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column12680599TotalRevenueColumn
Related Or Exempt Function Income11393126RelatedOrExemptFunctionIncome
Unrelated Business Revenue330930UnrelatedBusinessRevenue
Exclusion$956,543ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue28102963TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1764360753TotalRevenueColumn
Related Or Exempt Function Income1698515790RelatedOrExemptFunctionIncome
Unrelated Business Revenue5705314UnrelatedBusinessRevenue
Exclusion$39,176,881ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2134036Total
Program Services2134036ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total77603Total
Program Services77603ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2361850Total
Program Services0ProgramServices
Management And General2361850ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total601938830Total
Program Services565503599ProgramServices
Management And General34929892ManagementAndGeneral
Fundraising1505339Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total49739894Total
Program Services44798504ProgramServices
Management And General4941390ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total92806696Total
Program Services90269424ProgramServices
Management And General2537272ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total45144551Total
Program Services41539542ProgramServices
Management And General3605009ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3751555Total
Program Services2087142ProgramServices
Management And General1664063ManagementAndGeneral
Fundraising350Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total478550Total
Program Services342550ProgramServices
Management And General136000ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total100336Total
Fundraising100336Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total54298694Total
Program Services44386969ProgramServices
Management And General9911725ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total6520801Total
Program Services6042819ProgramServices
Management And General328257ManagementAndGeneral
Fundraising149725Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10219333Total
Program Services9424293ProgramServices
Management And General760701ManagementAndGeneral
Fundraising34339Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total15020385Total
Program Services2876109ProgramServices
Management And General12144276ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total17393594Total
Program Services16380156ProgramServices
Management And General1002888ManagementAndGeneral
Fundraising10550Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total4956736Total
Program Services3772360ProgramServices
Management And General1167342ManagementAndGeneral
Fundraising17034Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2670553Total
Program Services2147676ProgramServices
Management And General512212ManagementAndGeneral
Fundraising10665Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total43187091Total
Program Services282763ProgramServices
Management And General42904328ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total98399305Total
Program Services80940595ProgramServices
Management And General17458710ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total21932282Total
Program Services21867275ProgramServices
Management And General65007ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES254194465253183553719092291820
EQUIP RENTAL & MAINT1422778241352889126731877257035
BAD DEBT911036239110362300
MEDICAID FEES338971973389719700
DATA PROCESSING22319009197675122551497

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total35060594Total
Program Services23583887ProgramServices
Management And General9714951ManagementAndGeneral
Fundraising1761756Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1651985387Total
Program Services1491698099ProgramServices
Management And General156148339ManagementAndGeneral
Fundraising4138949Fundraising
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total1866917Total
Program Services1652106ProgramServices
Management And General211920ManagementAndGeneral
Fundraising2892Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY90378420BOY
EOY105037151EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY8216421BOY
EOY7224184EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY267130376BOY
EOY332073347EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY20139680BOY
EOY19336204EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2333615BOY
EOY6570936EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1826467188LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1013691113LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY842133174BOY
EOY812776075EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY616872557BOY
EOY627988373EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY39917463BOY
EOY39575545EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY6631798BOY
EOY6631798EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY315027582BOY
EOY310603559EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2208781086BOY
EOY2267817172EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY122294587BOY
EOY137154631EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY850302929BOY
EOY832282449EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY515690799BOY
EOY545592052EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1488288315BOY
EOY1515029132EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY669111873BOY
EOY693251306EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY41725824BOY
EOY47706091EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9655074BOY
EOY11830643EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY720492771BOY
EOY752788040EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2208781086BOY
EOY2267817172EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses112375366ReconcilationRevenueExpenses
Reconcilation Other Changes-80080097ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$612,663DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB612663TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Mailing ExpensesPart II-B, Line 1dThe only cost of mailing related to lobbying expenses related to the cost of stamps. The total expenditures related to mailing is minor and the actual dollar amount is not readily available.
Legislative ContactsPart II-B, Line 1gSchedule C, Part II-B, Line 1g includes lobbying expenses paid to various national health associations as part of dues and subscriptions in the amount of $172,663.

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance4602136BeginningOfYearBalance
Contributions2175569Contributions
Investment Earnings Or Losses-25923InvestmentEarningsOrLosses
Grants Or Scholarships34744GrantsOrScholarships
End Of Year Balance6717038EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3235168BeginningOfYearBalance
Contributions1384559Contributions
Investment Earnings Or Losses325603InvestmentEarningsOrLosses
Grants Or Scholarships343194GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance4602136EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2718442BeginningOfYearBalance
Contributions493944Contributions
Investment Earnings Or Losses32954InvestmentEarningsOrLosses
Grants Or Scholarships10172GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance3235168EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis17036517OtherCostOrOtherBasis
Book Value17036517BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis975873533OtherCostOrOtherBasis
Depreciation393498270Depreciation
Book Value582375263BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7564474OtherCostOrOtherBasis
Depreciation6493229Depreciation
Book Value1071245BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis784972426OtherCostOrOtherBasis
Depreciation596334202Depreciation
Book Value188638224BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis41020238OtherCostOrOtherBasis
Depreciation17365412Depreciation
Book Value23654826BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings812776075TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
BOND INSURANCE FEES7248884
WORKERS' COMP ESCROW DEPOSITS4726309
THIRD PARTY WITHHOLDINGS14451739
DUE FROM FOUNDATION2195631
ASSETS - LIMITED OR RESTRICTED59536734
FUNDS LIMITED AS TO USE199460841
OTHER ACCOUNTS22983421
FieldValueIRS element (for citing)
Total Book Value Other Assets310603559TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
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
FieldValueIRS element (for citing)
Total Of Amounts545592052TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
SUPPLEMENTAL INFORMATIONOSF 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 4The organization's endowment funds are used to provide scholarships to nursing students, acquire equipment and support programs of various medical departments of the OSF Healthcare System hospitals.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualAmerican City Bureau Inc ProfessiNameOfIndividual
ActivityConsulting ServicesActivity
Fundraiser Control Of FundsfalseFundraiserControlOfFunds
Gross Receipts0GrossReceipts
Amount Retained By Contractor100336AmountRetainedByContractor
Net To Organization0NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts0TotalGrossReceipts
Total Retained By Contractors100336TotalRetainedByContractors
Total Net To Organization0TotalNetToOrganization
Licensed StatesILLicensedStates
Licensed StatesMILicensedStates

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage175.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense63751889TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense63751889NetCommunityBenefitExpense
Percent Of Total Expense0.03900PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense234065255TotalCommunityBenefitExpense
Direct Offsetting Revenue198493613DirectOffsettingRevenue
Net Community Benefit Expense35571642NetCommunityBenefitExpense
Percent Of Total Expense0.02200PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense297817144TotalCommunityBenefitExpense
Direct Offsetting Revenue198493613DirectOffsettingRevenue
Net Community Benefit Expense99323531NetCommunityBenefitExpense
Percent Of Total Expense0.06100PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1574674TotalCommunityBenefitExpense
Direct Offsetting Revenue412183DirectOffsettingRevenue
Net Community Benefit Expense1162491NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense60115965TotalCommunityBenefitExpense
Direct Offsetting Revenue24923030DirectOffsettingRevenue
Net Community Benefit Expense35192936NetCommunityBenefitExpense
Percent Of Total Expense0.02100PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense28991899TotalCommunityBenefitExpense
Direct Offsetting Revenue10391783DirectOffsettingRevenue
Net Community Benefit Expense18600116NetCommunityBenefitExpense
Percent Of Total Expense0.01100PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense1252274TotalCommunityBenefitExpense
Direct Offsetting Revenue188007DirectOffsettingRevenue
Net Community Benefit Expense1064267NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1892686TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1892686NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense93827498TotalCommunityBenefitExpense
Direct Offsetting Revenue35915003DirectOffsettingRevenue
Net Community Benefit Expense57912496NetCommunityBenefitExpense
Percent Of Total Expense0.03500PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense391644642TotalCommunityBenefitExpense
Direct Offsetting Revenue234408616DirectOffsettingRevenue
Net Community Benefit Expense157236027NetCommunityBenefitExpense
Percent Of Total Expense0.09600PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense22645TotalCommunityBuildingExpense
Net Community Building Expense22645NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense22645TotalCommunityBuildingExpense
Net Community Building Expense22645NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$28,245,902BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare433623306AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare501174620CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-67551314MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

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

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

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

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

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountState RegulationStateRegulationOther FactorsOtherFactorsExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesReport To Credit AgencyReportToCreditAgencyLawsuitLawsuitLien On ResidenceLienOnResidenceNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationOther Actions TakenOtherActionsTakenNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
Saint Francis Medical Center
1truetrue175.true600.trueXXXXXXtruetrueXtruetrueXXXXXXXXtrueXtruetrue
St Anthony Medical Center
2truetrue175.true600.trueXXXXXtruetrueXtruetrueXXXXXXXXtrueXtruetrue
St Joseph Medical Center
3truetrue175.true600.trueXXXXXXtruetrueXtruetrueXXXXXXXXtrueXtruetrue
St Mary Medical Center
4truetrue175.true350.trueXXXXXXtruetrueXtruetrueXXXXXXXXtrueXtruetrue
St Francis Hospital
5truetrue175.true350.trueXtruetrueXtruetrueXXXXXXtrueXtruetrue
SAINT JAMES HOSPITAL
6truetrue175.true350.trueXXXXXXtruetrueXtruetrueXXXXXXXXtrueXtruetrue
OSF HOLY FAMILY MEDICAL CENTER
7truetrue175.true350.trueXXXXXXtruetrueXtruetrueXXXXXXXXtrueXtruetrue

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities45NumberOfOtherFacilities

Other Facilities OtherFacilities (45 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
OSF ST CLARE HOME
5533 NORTH GALENA ROADPEORIA HEIGHTSIL61614LONG-TERM CARE FACILITY
Glen Avenue Diagnostic Center
4911 Executive Drive Main Level SPeoriaIL61614Maternal Fetal Diagnostics
Susan G Komen
4911 Executive Drive Third LevelPeoriaIL61614Diagnostic imaging
Outpatient Rehabilitation
Randolph Building Suite 100 NERanPeoriaIL61606Rehab
Outpatient Audiology
Randolph Building Suite 100 NERanPeoriaIL61606Audiology
PM&R Associates
Randolph Building Suite 100 NERanPeoriaIL61606Rehab
Center for Industrial Rehab
506 High Point LaneEast PeoriaIL61611Rehab
Penn Avenue Diagnostic Center
Pennsylvania Medical Building 200 EPeoriaIL61603Diagnostic services depts closed
Out Patient Rehabilitation
Pennsylvania Medical Building 200 EPeoriaIL61603Rehab
East Peoria Diagnostic Center
100 N E Main Suite 100East PeoriaIL61611Diagnostic Imaging
Breast Center Screening
100 N E Main Suite 100East PeoriaIL61611DIAGNOSTIC IMAGING
Pekin Cancer Treatment Center
603 Thirteenth StreetPekinIL61554EKG, Echo cardiology, Nuclear stress test, Vascular ultrasound, Treadmill stress T
ObstetricsGynecology Clinic
320 E ArmstrongPeoriaIL61603OB/GYNE Services
Internal Medicine
320 E ArmstrongPeoriaIL61603Ambulatory Internal Medicine
Pediatric Ambulatory Clinic
320 E ArmstrongPeoriaIL61603Ambulatory Pediatric Medicine
Saint Clare Family Health Center
10 Saint Clare CourtWashingtonIL61571Lab, EKG, Radiology
OSF Center for Health
8600-8800 Rt 91North PeoriaIL61615Diagnostic Imaging/Lab/Voice & Swallowing Services
OSF Saint Francis Riverplex
600 N E Water StreetPeoriaIL61602Rehab
OSF Saint Francis Heart Hospital
5405 N Knoxville AvenuePeoriaIL61614Nuclear Med, CT Scan, Vascular ultrasound, Echo cardiology, Chest X-Ray, Stress test
OSF Heart Hospital Diagnostic Center
610 Park AvenuePekinIL615544650EKG, Nuclear stress test, Vascular ultrasound, Echo cardiology, Chest X-Ray,Stress
OSF SF Radiation Oncology
8948 N Wood Sage RoadPeoriaIL61615Radiation oncology
OSF Saint Francis Morton Health Center
435 Maxine DrMortonIL61550Radiology, Lab, EEG, EKG, Sleep lab
Saint Francis Medical INI Rehabilitation
Five Points Washington 360 Wilmor RWashingtonIL615711252Rehab
OSF Saint Francis Center for Health Glen
5114 Glen Park PlacePeoriaIL616144686Diagnostic Imaging/Lab
Southridge Laboratory
4423 Manchester DriveRockfordIL61109Diagnostic Lab
Outpatient Rehabilitation Services
5510 E State StreetRockfordIL61108Rehab
Diabetes Education Center
5510 E State StreetRockfordIL61108Education
Wound Healing Center State and Roxbury
5668 E State StreetRockfordIL61108Hyperbaric Oxygen Therapy
Rockford Cardiovascular Associates
444 Roxbury RoadRockfordIL61107Cardiac and Pulmonary Rehab / Radiology and Diagnostic Services / Sleep Center
OSF Center for Health-Rock Cut Crossing
9951 Rock Cut CrossingLoves ParkIL611111999Diagnostic Imaging/Lab
Illinois Neurological Institute at OSF
535 Roxbury RoadRockfordIL61108neurological clinical care, research, and education
OSF St Francis Hospital and Medical Gro
N 15995 Main StPowersMI49870Diagnostic Lab
St Francis Hospital- Powers Clinic
N 15995 Main StPowersMI49870Diagnostic X-Ray
OSF St Francis Hospital Medical Group
128 MichiganGladstoneMI49837Diagnostic X-Ray/Lab
OSF St Francis Hospital Medical Group
3409 Ludington StEscanabaMI49829Diagnostic X-Ray/Lab
St Francis Hospital- Rehab Services
704 Superior AvenueGladstoneMI49837Rehab
OSF Saint James Rehabilitation
106 South First StreetFairburyIL61739Rehab
OSF Saint James Rehabilitation
105 John StreetDwightIL60420Rehab
Center for Health at Ft Jesse
2200 Ft Jesse RoadNormalIL61661Physical Therapy; Occupational Therapy; Audiology; Industrial Rehab; Pain Clinic; Wound Care
OSF St Joseph Medical Center-College Av
1701 East College AvenueBloomingtonIL61704Diagnostic Imaging
OSF St Joseph Medical Center - Rehabili
1701 East College AvenueBloomingtonIL61704Rehab
Eastland Medical Plaza I
1505 Eastland AvenueBloomingtonIL61704Rehab
Convenient Care
1701 East College AvenueBloomingtonIL61704Prompt Care Services
OSF Holy Family Clinic
1000 West Harlem AveMonmouthIL61462PROVIDER BASED RURAL HEALTH CLINIC
Outpatient Medical Imaging
3375 North Seminary StGalesburgIL61401DIAGNOSTIC IMAGING

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

IdentifierIdentifierExplanationExplanationReturn 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 9BTHE 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 agencySaint 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

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Janet Wattles Mental Health Center Inc
526 W State StreetRockfordIL61101362862928501(c)(3)10000To support child and family mental health services in northern Illinois.
University of Illinois Foundation
1305 West Green StreetUrbanaIL618012962376006007501(c)(3)920000To 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 DriveEast PeoriaIL616350001371207827501(c)(3)15000scholarships for at risk students in District 150
Heartland Community Health
1701 W Garden StreetPeoriaIL61605371270794501(c)(3)500000To support the operations of the clinic
Heartland Commerce and Economic Development Fnd
100 SW Water StreetPeoriaIL61602371271212501(c)(3)200000donation for community development in the Peoria area
Bradley University
1501 W Bradley AvenuePeoriaIL61625370661494501(c)(3)60000funding for Bradley Renasissance building development
Peoria Promise Foundation
331 Fulton Street Suite 310PeoriaIL61602134353454501(c)(3)20000To 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 200PeoriaIL61602273278315501(c) 3100000To support the operations of the Foundation
Quality Quest for Heart of Illinois
416 Main St Ste 717PeoriaIL61602263896631501(c) 3250000To support the operations of the organization
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants9TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients81NumberOfRecipients
Amount Of Cash Grant77603AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationProcedures for Monitoring Grants Part I, Line 2 THE CORPORATION MONITORS THE USE OF GRANT FUNDS IN THE UNITED STATES IN A VARIETY OF WAYS. FOR EDUCATIONAL SCHOLARSHIPS, THE CORPORATION TRACKS AND REVIEWS THE STUDENT'S GRADES AND SUCCESSFUL COURSE COMPLETION EACH SEMESTER. IN SOME CASES, THE CORPORATION'S CHIEF FINANCIAL OFFICER OR OTHER REPRESENTATIVE OF THE CORPORATION SERVES ON THE BOARD OF DIRECTORS OR ON THE FINANCE COMMITTEE OF THE GRANTEE ORGANIZATION AND RECEIVES DIRECT INFORMATION REGARDING USE OF GRANT FUNDS IN SUCH CAPACITY. IN OTHER CASES, THE CORPORATION RECEIVES WRITTEN REPORTS AND/OR FINANCIAL STATEMENTS FROM THE GRANTEE ORGANIZATION WHICH INCLUDE INFORMATION REGARDING USE OF GRANT FUNDS. Requirements for Saint Francis Medical Center Scholarship All scholarships are approved by the scholarship committee. Nursing Minimum Requirements: - GPA 2.5/4.0 scale - Two favorable academic references from clinical instructors - Two favorable employer references - Completed scholarship application form - Acceptance of the scholarship requires the student to secure and start in an OSF Saint Francis Medical Center RN staff position within 60 days of graduation and remain employed in a 72-80 hours/pay for two years following completion of the 90 day unit nursing orientation. Radiology, Radiation Therapist & Sonography Minimum Requirements: - GPA 2.5/4.0 scale - Two favorable academic references from clinical instructors - Two favorable employer references - Completed scholarship application form - Acceptance of the scholarship requires the student to secure and start in an OSF Saint Francis Medical Center Diagnostic Radiology Technologist staff position within 30 days of graduation and remain employed for two years following completion of the department orientation. Pharmacy Minimum Requirements: - Interview - GPA 2.5/4.0 or 3.125/5.0 scale - Two favorable academic references from clinical instructors - Two favorable employer references - Completed scholarship application form - Acceptance of the scholarship requires the student to secure and start in an OSF Saint Francis Medical Center R.Ph. position within 30 days of graduation and remain employed for two years or three years, depending on the monies received, following completion of the Pharmacy orientation. Respiratory Therapy Minimum Requirements: For External Candidates: - Meet all Illinois Central College's (ICC) minimum requirements for admission - GPA 3.0/4.0 scale - Pass a Wonderlic Test score of a 3 on the verbal section and a 2 on the math portion - Two favorable academic references from clinical instructors - Two favorable employer references - A brief 1-2 page typed essay explaining interest and desire to enroll the scholarship program - Interview For OSF Saint Francis Medical Center Employees: - Meet all Illinois Central College's (ICC) minimum requirements for admission - GPA 3.0/4.0 scale - Pass a Wonderlic Test score of a 3 on the verbal section and a 2 on the math portion - Must not be on any current formal levels of discipline - Two favorable supervisor/manager or director references - A brief 1-2 page typed essay explaining interest and desire to enroll the scholarship program - Interview Merit Scholarship Requirement: - GPA 3.4/4.0 scale - Dean's List in the semester previous to posting on students account Institutional Scholarship Requirement: - College of Nursing student in good academic standing and in financial need President's Scholarship Requirement: - GPA 3.55/4.0 scale Requirements for Saint Anthony Medical Center Scholarships Scholarships are awarded based on 50% academics, 30% financial need, and 20% community service. The awards are approved by the Saint Anthony College of Nursing Financial Aid Committee. The Alumni Memorial Scholarship are awarded based on 60% academics, 30% financial need, and 10% community service. Minimum requirements for all scholarships: - GPA 2.5/4.0 scale - Resume - Two favorable letters of recommendation, at least one from a clinical instructor - A brief typed essay explaining interest and desire to enroll the scholarship program Requirements for Holy Family Medical Center Scholarships - Application for assistance from OSF Holy Family Medical Center signifies a desire to work at OSF HFMC at the completion of the educational course work. - Meeting deadlines is the responsibility of the applicant. All application materials must reach OSF HFMC by April 1. Awards will be made by May 31. - Funds may only be used for health care-related coursework at the bachelor's degree level or below. - Recipients must reside in Warren or Henderson County, Illinois, be employees of OSF Holy Family Medical Center, or related to employees of OSF HFMC. - The maximum available amount of educational assistance is $3,500 annually. This amount will be distributed for tuition, books, and lab fees. Funds may not be used for living expenses or transportation - Each disbursement of funds requires the recipient sign a "Student Loan Promissory Note" which is forgiven when the student borrower becomes employed at OSF HFMC at completion of the educational program within specified time constraints. This means each request for funds requires a personal appearance by the student. (According to tax law, disbursements are taxable income.) - When funds have been distributed for a given semester, additional funds will not be paid until OSF HFMC has been furnished with a copy of prior semester grades, giving proof of successful completion of course work. A cumulative 3.0 grade point average or higher is required. - Recipients must reapply annually if they desire funds for subsequent years. While funds for subsequent years are not guaranteed, serious consideration will be given to those students who have excelled academically. - Receipt of educational assistance does not guarantee the recipient will be offered employment at the completion of the educational program. An appropriate position may not be available at that time. If an appropriate position is available, the recipient must accept the position or be prepared to repay any funds received. - With mutual agreement, the requirement to accept a position at OSF HFMC may be met by accepting employment at other OSF facilities.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
James M Moore
8337210174993036169067710581501057469000
Kevin D Schoeplein
6539070140483067335030675001679001185265000
Daniel E Baker
42220005763805251303217550156360869742000
Vance C Parkhurst
2833280389060312090315200116440396607000
Syed M Hussain MD
300946076020502028801285601501701109312000
Daniel R Fassett MD
4900000117063201247201405501201687171000
Travis D Richardson MD
69387505427830347901782401059701268558000
Jeffrey D Klopfenstein MD
505865082904102574201809801501701393763000
Gerard J Mcshane MD
4083480807270416650322410125330575514000
Susan Campbell
2008940318740512450289770116170324607000
Jan P Skowronski MD
32500207096210966701387801174001069908000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSocial Club DuesIdentifier
Return ReferenceSchedule J, Part I, Line 1aReturnReference
ExplanationTHE CORPORATION REIMBURSES CERTAIN EXECUTIVES FOR SOCIAL CLUB DUES PAID BY SUCH EXECUTIVES. ELIGIBILITY FOR CLUB DUES REIMBURSEMENT IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS AND IS TAKEN INTO CONSIDERATION BY THE COMMITTEE IN DETERMINING FAIR MARKET COMPENSATION. SEE FORM 990 - SCHEDULE O - PART VI - LINES 15A AND 15B FOR AN EXPLANATION OF THE ROLE OF THE HUMAN RESOURCES COMMITTEE AND THE MANNER IN WHICH FAIR MARKET COMPENSATION IS DETERMINED. CLUB DUES ARE NOT ELIGIBLE FOR REIMBURSEMENT IF THE CLUB IN QUESTION DISCRIMINATES ON THE BASIS OF RACE, RELIGION, SEX, NATIONAL ORIGIN, OR OTHER PROHIBITED FACTORS. DUES REIMBURSEMENT IS TREATED AND REPORTED AS TAXABLE COMPENSATION.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Illinois Finance Authority
86109196745200BBQ02004-05-1296333347See Schedule Ofalsetruefalse
Illinois Finance Authority
86109196745200B8E12007-08-29461801780See Schedule Ofalse
Illinois Finance Authority
86109196745200FWD72009-03-31249074230See Schedule Ofalsefalsefalse
Illinois Finance Authority
8610919672009-08-1870000000See Schedule Ofalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindYear Of Subst CompletionYearOfSubstCompletion
009633334710225355085966386110646200000truefalsetruetrue
00461801780248983480127425737121657720028570608800truefalsetruetrue2010
00249074230122765300233334384324084600000truefalsetruetrue
00700000000000007000000000falsefalsetruetrue2010

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetrue0.000000.000000.00000true
falsefalsefalsefalsetrue0.000000.000000.00000true
falsefalsefalsefalsetrue0.000000.000000.00000true
falsefalsefalsefalsetrue0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedge
(no name)
falsetruetruetrue9.1truefalsefalse
Merrill Lynch
falsetruetruefalsetruefalse0.8
(no name)
falsetruefalsefalsefalsefalse
(no name)
falsetruefalsefalsefalsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJames W Girardy MDNamePerson
FieldValueIRS element (for citing)
RelationshipBoard MemberRelationship
Amount Of Transaction306875AmountOfTransaction
Description Of TransactionSee belowDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE L - PART IVIdentifier
ExplanationTRANSACTIONS 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)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990 - PART III - LINE 4A:INPATIENT SERVICES:OSF HEALTHCARE SYSTEM OWNS AND OPERATES ACUTE CARE HOSPITALS IN ESCANABA, MICHIGAN; ROCKFORD, ILLINOIS; PONTIAC, ILLINOIS; BLOOMINGTON, ILLINOIS; PEORIA, ILLINOIS; GALESBURG, ILLINOIS; AND MONMOUTH, ILLINOIS; AND 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 ServicesPHYSICIANS 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 2BTHERE 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 ISSUESILLINOIS 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 7BOND ISSUANCE COSTSBOND 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 1BCENTER 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 1BOSF 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

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1318 Roxbury RoadAddressLine1
CityRockfordCity
StateILState
ZIP Code61108ZIPCode
FieldValueIRS element (for citing)
EIN200080542EIN
Primary ActivitiesSchedule OPrimaryActivities
Legal Domicile StateILLegalDomicileState
Total Income-848815TotalIncome
EOY Assets839455EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OSFBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Sister of the Third Order of St Francis
800 NE Glen OakPeoriaIL61603371259286Schedule OIL501(C)(3)ln11 typeIINA
OSF Healthcare Foundation
800 NE Glen Oak AvenuePeoriaIL61603371259284Schedule OIL501(C)(3)ln11 typeIINA
St Francis Community Clinic
530 NE GLEN OAK AVENUEPEORIAIL61603370661235SCHEDULE OIL501(C)(3)LN7SISTERS OF T

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Center for Health Ambulatory Surgery Cen
8800 Route 91 NorthPeoriaIL61615205557171Schedule OILOSFRelated40642972595101falsefalse0.60250
State and Roxbury LLC
5668 E State StreetRockfordIL61108261728983Schedule OILOSFRelated-1155331970357falsefalse0.51000
Eastland Medical Plaza Surgicenter LLC
1505 Eastland DriveBloomingtonIL61701371400643Schedule OILOSFRelated40280555868709falsefalse0.50000
Fort Jesse Imaging Center LLC
220 Ft Jesse Road Suite BNormalIL61761460515604Schedule OILOSFRelated393602299470falsefalse0.50100
Sleep Center of Central Illinois LLC
2204 Eastland Drive Suite 100BloomingtonIL61704810581886Schedule OILOSFRelated225816162058falsefalse0.50050

Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
OSF Saint Francis Inc
800 NE Glen Oak AvePeoriaIL61603363484677Schedule OILOSFC-44158671329433941.00000
Heartcare Midwest LTD
5404 N Knoxville AvenuePeoriaIL61614370996868Schedule OILOSFc-1718849547455881.00000
Cardiovascular Institute at OSF LLC
444 Roxbury RoadRockfordIL61107264225726Schedule OILOSFC-79942123902201.00000
Illinois Pathologist Services LLC
5666 East State StreetRockfordIL61108800439081Schedule OILOSFC-5893502668091.00000
OSF Multispecialty Group-Eastern Region
1701 E College AvenueBloomingtonIL61704300561892Schedule OILOSFC-1299828852241211.00000
OSF Multispecialty Group-Peoria LLC
530 NE Glen Oak AvenuePeoriaIL61637262800379Schedule OILOSFC-17204992569181.00000
Ill Neurological Institute-Phy LLC
719 N William Kumpf BlvdPeoriaIL61605263109118Schedule OILOSFC-34692513402271.00000
Ill Spec Phy Svcs at OSF LLC
1001 Main Street Suite 200PeoriaIL61606800462209Schedule OILOSFC-24646262522081.00000
OSF Perinatal Assocaites LLC
4911 Executive Drive Suite 200PeoriaIL61614800498373Schedule OILOSFC-24632752708661.00000
OSF Multispecialty Group-Western Region
3315 North Seminary StreetGalesburgIL61401800608541Schedule OILOSFC-36010147778111.00000
OSF Children's Medical Group - Congenita
5701 Strathmoor Drive Suite 1PeoriaIL61603900714643Schedule OILOSFC-1460961224411.00000
Preferred Emergency Physicians of Illino
800 NE Glen Oak AvenuePeoriaIL61603900749855Schedule OILOSFC-226542819271.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (62 entries)

Transaction TypeTransactionTypeAmount 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
b1900000
Illinois Neurological Institute - Physicians
b3300000
Cardiovascular Institute at OSF LLC
b7700000
OSF Multispecialty Group-Eastern Region LLC
b12000000
Illinois Specialty Physician Services at OSF
b2710000
OSF Multispecialty Group-Western Region LLC
b2001500
OSF Perinatal Associates LLC
b2450000
OSF Children's Medical Group - Congenital Hea
b151500
HeartCare Midwest Ltd
b16078514
State and Roxbury LLC
d712000
OSF Saint Francis Inc
j5961405
Cardiovascular Institute at OSF LLC
j537156
State and Roxbury LLC
j199097
Heartcare Midwest Ltd
j668301
OSF Saint Francis Inc
k7905369
Heartcare Midwest Ltd
k511093
OSF Multispecialty Group-Eastern RegionLLC
k12599906
Cardiovascular Institute at OSF LLC
k10072043
Illinois Pathologist Services LLC
k1210512
Illinois Specialty Physician Services at OSF
k5190274
OSF Perinatal Associates LLC
k1959393
OSF Multispecialty Group-Peoria LLC
k2409114
Illinois Neurological Institute - Physicians
k7717338
OSF Multispecialty Group-Western Region LLC
k7445943
OSF Children's Medical Group - Congenital Hea
k134384
OSF Saint Francis Inc
i76114067
OSF Saint Francis Inc
o1666522
Heartcare Midwest Ltd
o1537168
OSF Multispecialty Group-Eastern Region LLC
o19245419
Cardiovascular Institute at OSF LLC
o8450058
Illinois Pathologist Services LLC
o1160311
Illinois Specialty Physician Services at OSF
o3193879
OSF Perinatal Associates LLC
o1593716
OSF Multispecialty Group-Peoria LLC
o2294217
Illinois Neurological Institute - Physicians
o5685493
OSF Multispecialty Group-Western Region LLC
o8215121
OSF Children's Medical Group - Congenital Hea
o88330
Eastland Medical Plaza Surgicenter LLC
r4034793
Sleep Center of Central Illinois LLC
r250458
Fort Jesse Imaging Center LLC
r305122
Center for Health Ambulatory Surgery Center
r3374000
State and Roxbury LLC
r112200
OSF Multispecialty Group-Peoria LLC
r2913000
Illinois Neurological Institute - Physicians
r9930000
Cardiovascular Institute at OSF LLC
r2512128
OSF Multispecialty Group-Eastern Region LLC
r1110000
Illinois Specialty Physician Services at OSF
r5496000
OSF Perinatal Associates LLC
r1976000
Illinois Pathologist Services LLC
r2457000
OSF Multispecialty Group-Western Region LLC
r8000000
OSF Saint Francis Inc
r102159636

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