MENDOTA COMMUNITY HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: MENDOTA COMMUNITY HOSPITAL (EIN 36-2167785)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-13
IRS object ID: 202602259349302205
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-13T12:23:21+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	225 WEST WACKER DRIVE SUITE 2600	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606061224	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	362167785	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MENDOTA COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MEND	BusinessNameControlTxt
Phone	3096552850	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	124 SW ADAMS ST	AddressLine1Txt
City	PEORIA	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61602	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KIRSTEN M LARGENT	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3096552850	PhoneNum
Signature	2026-08-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JENNIFER BURKE	PreparerPersonNm
PTIN	P01342224	PTIN
Phone	3128997000	PhoneNum
Preparation	2026-08-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	OSF SAINT PAUL MEDICAL CENTER	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KIRSTEN M LARGENT	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	124 SW ADAMS ST	AddressLine1Txt
City	PEORIA	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61602	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$69,232,346	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.OSFHEALTHCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1944	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	IN THE SPIRIT OF CHRIST AND THE EXAMPLE OF FRANCIS OF ASSISI, THE MISSION OF OSF HEALTHCARE IS TO SERVE PERSONS WITH THE GREATEST CARE AND LOVE IN A COMMUNITY THAT CELEBRATES THE GIFT OF LIFE.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	202	TotalEmployeeCnt
Total Volunteers	45	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$79,518	PYContributionsGrantsAmt
CY Contributions Grants	$141,487	CYContributionsGrantsAmt
PY Program Service Revenue	$62,880,648	PYProgramServiceRevenueAmt
CY Program Service Revenue	$67,826,207	CYProgramServiceRevenueAmt
PY Investment Income	$9,176	PYInvestmentIncomeAmt
CY Investment Income	$13,345	CYInvestmentIncomeAmt
PY Other Revenue	$1,673,928	PYOtherRevenueAmt
CY Other Revenue	$1,229,569	CYOtherRevenueAmt
PY Total Revenue	$64,643,270	PYTotalRevenueAmt
CY Total Revenue	$69,210,608	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$32,099,204	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$34,054,558	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$28,954,662	PYOtherExpensesAmt
CY Other Expenses	$31,807,436	CYOtherExpensesAmt
PY Total Expenses	$61,053,866	PYTotalExpensesAmt
CY Total Expenses	$65,861,994	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,589,404	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,348,614	CYRevenuesLessExpensesAmt
Total Assets BOY	$42,175,757	TotalAssetsBOYAmt
Total Assets EOY	$45,113,100	TotalAssetsEOYAmt
Total Liabilities BOY	$13,741,412	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$11,977,710	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$28,434,345	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$33,135,390	NetAssetsOrFundBalancesEOYAmt
Mission	IN THE SPIRIT OF CHRIST AND THE EXAMPLE OF FRANCIS OF ASSISI, THE MISSION OF OSF HEALTHCARE IS TO SERVE PERSONS WITH THE GREATEST CARE AND LOVE IN A COMMUNITY THAT CELEBRATES THE GIFT OF LIFE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$52,539,553	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$68,893,623	RevenueAmt
Desc	MENDOTA COMMUNITY HOSPITAL IS LICENSED TO OPERATE 25 PATIENT BEDS. THE HOSPITAL PROVIDED $3,438,563 IN FINANCIAL ASSISTANCE TO THE COMMUNITY DURING FISCAL YEAR 2025. THE HOSPITAL'S SERVICES PROVIDED DURING FISCAL YEAR 2025 ARE AS FOLLOWS: PATIENT DAYS OF 1,765 OUTPATIENT VISITS OF 52,275, PATIENT VISITS TO THE EMERGENCY ROOM OF 7,318.	Desc
Total Program Service Expenses	$52,539,553	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	202	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	Yes (true)	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KIRSTEN M LARGENT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3096552850	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	124 SW ADAMS ST	AddressLine1Txt
City	PEORIA	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61602	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (64 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROBERT C SEHRING
VICE CHAIRPERSON CHIEF EXECUTIVE OFFICER	1.0	43.0	Yes (X)	Yes (X)	$0	$3,128,164	$53,798
SISTER AGNES JOSEPH WILLIAMS OSF
CHAIRPERSON (BEGINNING OCT 2024); BOARD MEMBER	1.0	44.0	Yes (X)	Yes (X)	$0	$0	$0
SISTER JUDITH ANN DUVALL OSF
TREASURER (BEGINNING OCT 2024); BOARD MEMBER	1.0	44.0	Yes (X)	Yes (X)	$0	$0	$0
SISTER ROSE THERESE MANN OSF
ASSISTANT SECRETARY (BEGINNING OCT 2024); BOARD MEMBER	1.0	44.0	Yes (X)	Yes (X)	$0	$0	$0
SISTER THERESA ANN BRAZEAU OSF
SECRETARY	1.0	44.0	Yes (X)	Yes (X)	$0	$0	$0
BRIAN J SILVERSTEIN MD
BOARD MEMBER	1.0	42.0	Yes (X)		$0	$45,000	$0
GERALD J MCSHANE MD
BOARD MEMBER	1.0	42.0	Yes (X)		$0	$195,721	$35,731
SISTER M ANGELICA NEUMANN FSGM
BOARD MEMBER (THROUGH AUG 2025)	1.0	43.0	Yes (X)		$0	$0	$0
SISTER M BEATA ZIEGLER FSGM
BOARD MEMBER	1.0	43.0	Yes (X)		$0	$0	$0
SISTER M MIKELA MEIDL FSGM
BOARD MEMBER/ EVP, CHIEF MINISTRY OFFICER OSF HEALTHCARE	1.0	43.0	Yes (X)		$0	$0	$0
SISTER TERESA PAUL SELAMAT OSF
BOARD MEMBER (BEGINNING OCT 2024)	1.0	44.0	Yes (X)		$0	$0	$0
ALEC GRABOWSKI
PRESIDENT, OSF HEALTHCARE SAINT ANTHONY MEDICAL CENTER (BEGINNING APR 2025)	1.0	41.0		Yes (X)	$0	$0	$0
AUGUST J QUERCIAGROSSA
CHIEF EXECUTIVE OFFICER, WESTERN REGION	1.0	41.0		Yes (X)	$0	$811,546	$114,277
CAROL A FRIESEN
CHIEF EXECUTIVE OFFICER, EASTERN REGION	1.0	41.0		Yes (X)	$0	$963,839	$142,385
CHRISTOPHER M CURRY
PRESIDENT, OSF HEALTHCARE DIVINE MERCY CONTINUING CARE HOSPITAL (FKA OSF TRANSITIONAL CARE HOSPITAL)	1.0	41.0		Yes (X)	$0	$365,797	$27,110
DAVID FERGUS
CHIEF SUPPLY CHAIN OFFICER	1.0	41.0		Yes (X)	$0	$653,467	$52,366
DAVID M HALL
CHIEF INFORMATION OFFICER	1.0	41.0		Yes (X)	$0	$700,865	$59,673
DAWN C TROMPETER
PRESIDENT, SAINT PAUL MC (THRU APR 2025); OSF SAINT ELIZABETH MC; ASSOC REGIONAL CEO, WESTERN REGION	20.0	24.0		Yes (X)	$0	$477,176	$33,096
DERRICK FRAZIER
PRESIDENT, OSF HEALTHCARE SAINT JAMES-JOHN W. ALBRECHT MEDICAL CENTER	1.0	41.0		Yes (X)	$0	$374,131	$27,239
EMILY A SHIELDS
CHIEF STRATEGY OFFICER, OSF HEALTHCARE (BEGINNING FEB 2025)	1.0	41.0		Yes (X)	$0	$261,549	$44,258
EUNMEE SHIM
PRESIDENT, OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER (BEGINNING JAN 2025)	1.0	41.0		Yes (X)	$0	$0	$0
GINA E ARNETT THOMPSON
CHIEF INTEGRITY OFFICER (BEGINNING FEB 2025)	1.0	41.0		Yes (X)	$0	$0	$0
HEATHER J BOMSTAD
PRESIDENT. OSF HEALTHCARE SAINT CLARE MEDICAL CENTER/ SAINT PAUL MEDICAL CENTER (BEG MAY 2025)	16.0	26.0		Yes (X)	$0	$263,244	$43,558
JACQUELINE D KERNAN
PRESIDENT, OSF SAINT LUKE MC (THRU DEC 2024); SAINT CLARE & SAINT KATHERINE MC (BEG DEC 2024)	1.0	41.0		Yes (X)	$0	$387,548	$40,160
JAMES J MORMANN
CHIEF EXECUTIVE OFFICER, INTEGRATED SOLUTIONS	1.0	41.0		Yes (X)	$0	$1,080,309	$53,629
JASON R RODEGHERO
PRESIDENT, OSF HOME CARE AND REHAB SERVICES	1.0	41.0		Yes (X)	$0	$423,940	$45,165
JENNIFER L ULRICH
INTERIM PRESIDENT, OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER (THROUGH DEC 2024)	1.0	41.0		Yes (X)	$0	$331,450	$42,752
JOHN T BARNHART
PRESIDENT, HEART OF MARY MEDICAL CENTER & SACRED HEART MEDICAL CENTER	1.0	41.0		Yes (X)	$0	$512,478	$50,297
JOSEPH E GREGORY
PRESIDENT, OSF MEDICAL GROUP (BEGINNING APR 2025)	1.0	42.0		Yes (X)	$0	$0	$0
KATHLEEN M KINSELLA
PRESIDENT, OSF HEALTHCARE LITTLE COMPANY OF MARY MEDICAL CENTER	1.0	41.0		Yes (X)	$0	$569,501	$34,420
KELLY A JEFFERSON
PRESIDENT, OSF HEALTHCARE ST. FRANCIS HOSPITAL & MEDICAL GROUP	1.0	41.0		Yes (X)	$0	$382,446	$47,350
KIMBERLY D RUSSO
CHIEF EXECUTIVE OFFICER, CENTRAL REGION (BEGINNING APR 2025)	1.0	41.0		Yes (X)	$0	$0	$0
KIRSTEN M LARGENT
CHIEF FINANCIAL OFFICER (BEGINNING NOV 2024)	1.0	42.0		Yes (X)	$0	$584,124	$46,876
LEON A YEH MD
VP CHIEF MEDICAL OFFICER EMERGENCY SERV	1.0	41.0		Yes (X)	$0	$765,086	$32,791
LISA A SCHEPERS
INTERIM PRESIDENT, OSF HEALTHCARE SAINT ANTHONY'S HEALTH CENTER (THROUGH DEC 2024)	1.0	41.0		Yes (X)	$0	$270,494	$37,609
LISA DEKEZEL
PRESIDENT, OSF HEALTHCARE HOLY FAMILY MEDICAL CENTER AND OSF HEALTHCARE ST. MARY MEDICAL CENTER	1.0	41.0		Yes (X)	$0	$448,872	$49,967
LORI L WIEGAND
CHIEF NURSING OFFICER (THROUGH MAY 2025)	1.0	41.0		Yes (X)	$0	$810,483	$31,919
MEGAN L ZAKRZEWSKI
PRESIDENT, OSF HEALTHCARE CHILDREN'S HOSPITAL OF ILLINOIS	1.0	41.0		Yes (X)	$0	$130,074	$5,961
MELINDA B COOLING
CHIEF NURSE AND ADVANCED PRACTICE PROVIDER EXECUTIVE, OSF HEALTHCARE	1.0	41.0		Yes (X)	$0	$457,499	$52,995
MICHAEL A CRUZ MD
CHIEF OPERATING OFFICER	1.0	41.0		Yes (X)	$0	$1,371,878	$53,711
MICHAEL A WELLS
PRESIDENT, OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTER	1.0	41.0		Yes (X)	$0	$650,361	$43,661
MICHAEL M ALLEN
CHIEF FINANCIAL OFFICER (THROUGH NOV 2024)	1.0	42.0		Yes (X)	$0	$1,131,177	$146,901
MICHELLE D CONGER
PRESIDENT, OSF HEALTHCARE (BEG 1/25)/ CSO/CEO, OSF/ONCALL DIGITAL HEALTH (THRU 12/24)	1.0	42.0		Yes (X)	$0	$1,058,683	$134,087
PAULA A CARYNSKI
PRESIDENT, OSF HEALTHCARE SAINT ANTHONY MEDICAL CENTER (THROUGH JAN 2025)	1.0	41.0		Yes (X)	$0	$654,075	$43,632
RALPH VELAZQUEZ MD
SYSTEM CHIEF MEDICAL OFFICER	1.0	41.0		Yes (X)	$0	$1,017,708	$53,147
ROBERT G ANDERSON
CHIEF EXECUTIVE OFFICER, CENTRAL REGION (THROUGH JAN 2025)	1.0	41.0		Yes (X)	$0	$1,064,395	$44,471
ROBERT L BRANDFASS
SVP CHIEF LEGAL OFFICER	1.0	41.0		Yes (X)	$0	$923,798	$53,549
SHAWN E PIERS MD
INTERIM PRESIDENT, OSF MEDICAL GROUP (THROUGH MAR 2025)	1.0	42.0		Yes (X)	$0	$520,676	$42,933
SHELLEY A PARN
CHIEF HUMAN RESOURCES OFFICER	1.0	41.0		Yes (X)	$0	$631,863	$77,567
STEPHANIE H STOVALL
CHIEF QUALITY OFFICER	1.0	41.0		Yes (X)	$0	$162,837	$10,209
THOMAS G HAMMERTON
PRESIDENT OSF HEALTHCARE FOUNDATION AND CHIEF DEVELOPMENT OFFICER	1.0	42.0		Yes (X)	$0	$633,062	$111,048
TIM J VEGA
CHIEF POPULATION HEALTH OFFICER	1.0	41.0		Yes (X)	$0	$580,883	$36,728
ZACHARY M YODER
PRESIDENT, OSF HEALTHCARE SAINT ANTHONY'S HEALTH CENTER (BEGINNING JAN 2025)	1.0	41.0		Yes (X)	$0	$0	$0
BROOKE A YUCUS
ADVANCED PRACTICE NURSE	40.0	0			$161,643	$0	$11,010	Yes (X)
CANDACE R RAMIREZ
ADVANCED PRACTICE NURSE	40.0	0.0			$162,934	$9,883	$39,998	Yes (X)
KATHERINE R RIVA-FOSTER MD
PHYSICIAN	40.0	0			$311,336	$0	$16,531	Yes (X)
KEITH CHRISTENSEN
ADVANCED PRACTICE NURSE	40.0	0.0			$157,998	$10,913	$15,684	Yes (X)
MARCELA R LEMUS
ADVANCED PRACTICE NURSE	40.0	0.0			$164,972	$13,187	$31,667	Yes (X)
ELIZABETH A DAVIDSON
FORMER INTERIM PRESIDENT, OSF HEALTHCARE SAINT JAMES-JOHN W. ALBRECHT MEDICAL CENTER	0.0	0.0			$0	$266,858	$38,464		Yes (X)
ERIN N ROGERS
FORMER INTERIM PRESIDENT, OSF HEALTHCARE HEART OF MARY MEDICAL CENTER	0.0	0.0			$0	$172,817	$43,196		Yes (X)
JEFFRY M TILLERY
FORMER PRESIDENT, OSF MEDICAL GROUP	0.0	0.0			$0	$542,808	$25,437		Yes (X)
JERRY W RUMPH
FORMER PRESIDENT, OSF HEALTHCARE SAINT ANTHONY'S HEALTH CENTER	0.0	0.0			$0	$187,225	$10,380		Yes (X)
JOHN R EVANCHO
FORMER SVP CHIEF INTEGRITY OFFICER	0.0	0.0			$0	$299,433	$29,059		Yes (X)
NED HILL
FORMER PRESIDENT, OSF HEALTHCARE SACRED HEART MEDICAL CENTER	0.0	0.0			$0	$171,090	$24,997		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$958,883	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$27,470,413	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,343,449	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	29	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EPSS LLC NORTH WEST SERIES	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12528 SR 78	AddressLine1Txt
City	HAVANA	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62644	ZIPCd

Field	Value	IRS element (for citing)
Services	EMERGENCY SERVICES PHYSICIANS	ServicesDesc
Compensation	$2,371,549	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$123,893	RelatedOrganizationsAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$17,594	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$141,487	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT REVENUE	622110	$67,618,317	$67,618,317	$0	$0
CONTRACTED PHARMACY	622110	$207,890	$207,890	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$67,826,207	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,345	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$13,345	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$66,282	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$66,282	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$66,282	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$66,282	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$29,844	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$21,738	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,106	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$8,106	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA	624200	$87,765	$0	$0	$87,765
AFFILIATE SERVICES	621300	$1,003,379	$1,003,379	$0	$0
		$0	$0	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$64,037	TotalRevenueColumnAmt
Related Or Exempt Func Income	$64,037	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,155,181	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,210,608	TotalRevenueColumnAmt
Related Or Exempt Func Income	$68,893,623	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$175,498	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$27,176,416	TotalAmt
Program Services	$26,018,765	ProgramServicesAmt
Management And General	$1,157,651	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$618,602	TotalAmt
Program Services	$563,112	ProgramServicesAmt
Management And General	$55,490	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,215,679	TotalAmt
Program Services	$4,855,316	ProgramServicesAmt
Management And General	$360,363	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,043,861	TotalAmt
Program Services	$977,548	ProgramServicesAmt
Management And General	$66,313	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$15,009	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$15,009	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,709,742	TotalAmt
Program Services	$2,647,043	ProgramServicesAmt
Management And General	$62,699	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,989	TotalAmt
Program Services	$173	ProgramServicesAmt
Management And General	$2,816	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$799,130	TotalAmt
Program Services	$549,579	ProgramServicesAmt
Management And General	$249,551	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$23,971	TotalAmt
Program Services	$22,982	ProgramServicesAmt
Management And General	$989	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$636,670	TotalAmt
Program Services	$636,670	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$71,764	TotalAmt
Program Services	$58,209	ProgramServicesAmt
Management And General	$13,555	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$9,281	TotalAmt
Program Services	$5,158	ProgramServicesAmt
Management And General	$4,123	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,384	TotalAmt
Program Services	$5,384	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$10,661,883	TotalAmt
Program Services	$2,379,144	ProgramServicesAmt
Management And General	$8,282,739	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,000,106	TotalAmt
Program Services	$374,479	ProgramServicesAmt
Management And General	$625,627	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$510,790	TotalAmt
Program Services	$510,790	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES AND PHARMACEUTICALS	$5,398,140	$5,398,140	$0	$0
CONTRACTS AND REPAIRS	$3,852,622	$2,591,242	$1,261,380	$0
BAD DEBTS	$2,339,555	$2,339,555	$0	$0
PROVIDER TAX	$1,834,886	$1,834,886	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,935,514	TotalAmt
Program Services	$771,378	ProgramServicesAmt
Management And General	$1,164,136	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$65,861,994	TotalAmt
Program Services	$52,539,553	ProgramServicesAmt
Management And General	$13,322,441	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$466	BOYAmt
EOY	$466	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$137,093	BOYAmt
EOY	$137,826	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,229,197	BOYAmt
EOY	$7,880,626	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$883,610	BOYAmt
EOY	$930,129	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$195,875	BOYAmt
EOY	$382,356	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$44,423,297	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$21,982,427	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$22,540,719	BOYAmt
EOY	$22,440,870	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$212,373	BOYAmt
EOY	$242,386	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$12,976,424	BOYAmt
EOY	$13,098,441	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$42,175,757	BOYAmt
EOY	$45,113,100	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,373,623	BOYAmt
EOY	$1,729,417	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,367,789	BOYAmt
EOY	$10,248,293	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$13,741,412	BOYAmt
EOY	$11,977,710	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$26,275,792	BOYAmt
EOY	$30,854,819	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,158,553	BOYAmt
EOY	$2,280,571	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$28,434,345	BOYAmt
EOY	$33,135,390	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$42,175,757	BOYAmt
EOY	$45,113,100	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,348,614	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,761	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$1,346,670	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$15,009	OtherActivitiesAmt
Total Lobbying Expenditures	$15,009	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION'S LOBBYING ACTIVITIES INCLUDE PAYING MEMBERSHIP DUES TO THE ILLINOIS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION, WHO PARTICIPATE IN LOBBYING ACTIVITIES ON BEHALF OF HEALTHCARE ORGANIZATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,119,566	BeginningYearBalanceAmt
Investment Earnings Or Losses	$106,179	InvestmentEarningsOrLossesAmt
End Year Balance	$1,225,745	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$948,338	BeginningYearBalanceAmt
Investment Earnings Or Losses	$171,228	InvestmentEarningsOrLossesAmt
End Year Balance	$1,119,566	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$831,713	BeginningYearBalanceAmt
Investment Earnings Or Losses	$116,625	InvestmentEarningsOrLossesAmt
End Year Balance	$948,338	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,034,874	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$172,177	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$30,984	GrantsOrScholarshipsAmt
End Year Balance	$831,713	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$854,817	BeginningYearBalanceAmt
Investment Earnings Or Losses	$225,552	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$45,495	GrantsOrScholarshipsAmt
End Year Balance	$1,034,874	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.5062	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.4938	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$3,597,000	OtherCostOrOtherBasisAmt
Book Value	$3,597,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$22,655,990	OtherCostOrOtherBasisAmt
Depreciation	$7,877,878	DepreciationAmt
Book Value	$14,778,112	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$2,257,862	OtherCostOrOtherBasisAmt
Depreciation	$1,017,729	DepreciationAmt
Book Value	$1,240,133	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$15,816,539	OtherCostOrOtherBasisAmt
Depreciation	$13,086,820	DepreciationAmt
Book Value	$2,729,719	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$95,906	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$95,906	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$22,440,870	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
GOODWILL	$10,817,871
RESTRICTED FOUNDATION ASSETS	$2,280,570

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$13,098,441	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
ASSET RETIREMENT OBLIGATION	$138,038
ADVANCES DUE CORP-TERM
LEASE OBLIGATIONS	$196,490
MEDICARE ADVANCE PAYMENTS
DEFERRED INCOME - BLUE CROSS
DEFERRED INCOME - OTHER
FEDERAL PANDEMIC FUNDS
DUE TO OSF	$1,943,782
DUE TO PCI	$7,276,102
INCREMENTAL MEDICAID ASSESSMENT TAX	$693,881

Field	Value	IRS element (for citing)
Total Liability	$10,248,293	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS

THE ENDOWMENT IS HELD BY OSF HEALTHCARE FOUNDATION, A RELATED 501(C)(3) ENTITY. PROCEEDS OF THE ENDOWMENT, AS DICTATED BY THE DONORS, ARE USED AS BEST DETERMINED BY THE FOUNDATION COUNCIL.

SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE

OSF IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED BY SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. UNDER ASC SUBTOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO. 109, OSF AND PCI MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AS OF SEPTEMBER 30, 2025 OR 2024, OSF AND PCI DO NOT HAVE ANY UNCERTAIN TAX POSITIONS.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,379,480	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,379,480	NetCommunityBenefitExpnsAmt
Total Expense	0.02095	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,628,636	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,079,766	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,548,870	NetCommunityBenefitExpnsAmt
Total Expense	0.02352	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$14,008,116	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,079,766	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,928,350	NetCommunityBenefitExpnsAmt
Total Expense	0.04446	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$341,129	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,241	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$316,888	NetCommunityBenefitExpnsAmt
Total Expense	0.00481	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,672	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$99,672	NetCommunityBenefitExpnsAmt
Total Expense	0.00151	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,531,957	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,506,059	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,025,898	NetCommunityBenefitExpnsAmt
Total Expense	0.15223	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,428,737	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,428,737	NetCommunityBenefitExpnsAmt
Total Expense	0.03688	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$34,401,495	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,530,300	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,871,195	NetCommunityBenefitExpnsAmt
Total Expense	0.19543	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$48,409,611	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,610,066	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,799,545	NetCommunityBenefitExpnsAmt
Total Expense	0.23989	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,067,144	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$23,969,467	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$28,693,678	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,724,211	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MENDOTA COMMUNITY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1401 E 12TH STREET	AddressLine1Txt
City	MENDOTA	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61342	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.OSFHEALTHCARE.ORG/SAINT-PAUL/	WebsiteAddressTxt
State License	IL0005819	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MENDOTA COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	25	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.osfhealthcare.org/patients-visitors/about/community-health	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.osfhealthcare.org/patients-visitors/about/community-health	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	THE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED AS SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SEE CHNA FOR FURTHER INFORMATION.
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1	FACILITY , 1 - MENDOTA COMMUNITY HOSPITAL. FOR THE 2025 CHNA, MENDOTA COMMUNITY HOSPITAL D/B/A SAINT PAUL MEDICAL CENTER SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) CURRENT PUBLIC HEALTH ADMINISTRATOR AT THE LASALLE COUNTY HEALTH DEPT. AND CURRENT HEALTH EDUCATOR AND PUBLIC INFORMATION FROM THE LASALLE COUNTY HEALTH DEPT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE PRIOR AND NEW 2025 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WAS RECEIVED FROM A COLLABORATIVE TEAM CREATED TO CONDUCT THE CHNA, WHICH INCLUDED CONSUMER ADVOCATES, REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, ACADEMIC EXPERTS AND HEALTH EDUCATORS, LOCAL GOVERNMENT OFFICIALS, ADMINISTRATORS FROM LOCAL SCHOOL DISTRICTS, HEALTH CARE PROVIDERS AND COMMUNITY HEALTH CENTERS, EXECUTIVE DIRECTOR OF IL VALLEY PADS HOMELESS SHELTER PROGRAM, PROGRAM COORDINATOR FOR THE YOUTH SERVICE BUREAU OF IL VALLEY SERVING THE LATINO POPULATION ENROLLED IN PUBLIC BENEFITS, EXECUTIVE DIRECTOR OF UNITED WAY, AND EXECUTIVE DIRECTOR OF MENDOTA AREA SENIOR SERVICES. MEMBERS OF THE COLLABORATIVE TEAM BY NAME, AFFILIATIONS, TITLE AND EXPERTISE ARE LISTED IN APPENDIX 1 TO THE 2025 CHNA.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1	FACILITY , 1 - MENDOTA COMMUNITY HOSPITAL DBA OSF SAINT PAUL MEDICAL CENTER - MENDOTA, IL. THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR 2025 FOR LASALLE COUNTY WAS A COLLABORATIVE UNDERTAKING BY OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER DBA OSF SAINT ELIZABETH MEDICAL CENTER AND MENDOTA COMMUNITY HOSPITAL DBA OSF SAINT PAUL MEDICAL CENTER. THE CHNA HIGHLIGHTS THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN LASALLE COUNTY.
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1	FACILITY , 1 - MENDOTA COMMUNITY HOSPITAL. MENDOTA COMMUNITY HOSPITAL DBA OSF SAINT PAUL MEDICAL CENTER COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2022 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2022. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2023, 2024 AND 2025. THEY ALSO APPROVED AND ADOPTED A NEW CHNA JULY 25, 2025, EFFECTIVE FOR FISCAL YEARS 2026, 2027 AND 2028. THE LASALLE COUNTY CHNA WAS DONE AS A COLLABORATIVE UNDERTAKING BY OSF SAINT ELIZABETH AND OSF SAINT PAUL MEDICAL CENTERS TO HIGHLIGHT THE HEALTH NEEDS AND WELL BEING OF RESIDENTS IN LASALLE COUNTY. THE COLLABORATIVE TEAM IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: HEALTHY BEHAVIORS, BEHAVIORAL HEALTH AND HEALTHY AGING. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE HOSPITALS DEVELOPED AN IMPLEMENTATION STRATEGY DESCRIBING THE ACTIONS THE HOSPITALS INTEND TO TAKE TO ADDRESS BOTH PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITALS PLAN TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITALS REVIEW THEIR IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKE REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITALS HAVE ADDRESSED THE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. HEALTHY BEHAVIORS DEFINED AS - ACTIVE LIVING, HEALTHY EATING AND OBESITY GOALS. ACTIVE LIVING: GOAL: INCREASE TOTAL ACTIVITY OF CITIZENS IN LASALLE COUNTY OVER THE NEXT 3 YEARS AS EVIDENCED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY. OUTCOME METRIC: DECREASE TOTAL NUMBER OF RESPONDENTS THAT INDICATED THEY DO NOT EXERCISE AT ALL FROM 22% TO 20% BY 2025. TACTICS AND PROGRESS FOR FY 2025: (1) INCREASE AWARENESS OF ALL CURRENT AVAILABLE ACTIVITIES BY SEASON THROUGH PROMOTION ON SOCIAL MEDIA. FY25 PROGRESS: COLLECTED & SHARED INFORMATION FROM 1. LASALLE 2. MARSEILLES 3. MENDOTA 4. OGLESBY 5. OTTAWA 6. PERU 7. SENECA 8. UTICA LEADERS SHARED ON HEALTHIER LASALLE COUNTY WEBPAGE, OSF I-80 FACEBOOK PAGES, AND LIVE WELL STREATOR FACEBOOK PAGE (2) INCREASE KNOWLEDGE/AWARENESS FOR PARTICIPATION IN ACTIVITIES. FY25 PROGRESS: COLLECTED & SHARED INFORMATION FROM 1. LASALLE, 2. MARSEILLES 3. MENDOTA 4. OGLESBY 5. OTTAWA 6. PERU 7. SENECA 8. UTICA LEADERS SHARED ON HEALTHIER LASALLE COUNTY WEBPAGE, OSF I-80 FACEBOOK PAGES, AND LIVE WELL STREATOR FACEBOOK PAGE. (3) PROMOTE THE USE OF BIKE ROUTES/WALKING PATHS IN MENDOTA, OTTAWA AND STREATOR. FY25 PROGRESS: PROMOTED THE UNIVERSITY OF ILLINOIS EXTENSION'S WALKING GUIDE OF LASALLE, BUREAU, MARSHALL AND PUTNAM COUNTIES ON THE HEALTHIER LASALLE COUNTY WEBPAGE, AT OSF CENTER FOR HEALTH STREATOR'S WAITING ROOM DIGITAL SCREENS, IN THE HEALTH INFORMATION RESOURCE CENTER. 2. LIVE WELL STREATOR HELD AN OUTDOOR SCAVENGER HUNT AT HOPALONG CASSIDY TRAIL 11 PARTICIPANTS. 3. LIVE WELL STREATOR PARTNERED WITH THE STREATOR WALKING CLUB TO PROMOTE TWO MOVE WITH THE MAYOR EVENTS IN THE STREATOR CITY PARK. 4. PARTICIPATED IN THE CITY OF MENDOTA'S WALKABILITY INSTITUTE 5. SPONSORED THE MARSEILLES LIONS CLUB GOBBLE WOBBLE 5K RUN. (4) INCREASE OFFERING OF THE HEALTHY KIDS U PROGRAM. FY25 PROGRESS: 1. OTTAWA YMCA UTILIZED HKU PROGRAMMING MODULES DURING THEIR 2025 KIDS SUMMER CAP. 2. PROMOTED HKU FRUIT AND VEGETABLE MODULE AT: STREATOR HEAD START ON MAR 2025. 3. PROMOTED GO, SLOW, WHOA FOOD ACTIVITY AT STREATOR YMCA HEALTHY KIDS DAY ON APRIL 26, 2025. 4. CO-HOSTED SPRING INTO HEALTH AT OTTAWA YMCA. 5. RESOURCE TABLE AT STREATOR'S LIBERTY FEST-KIDS KORNER ON JULY 5TH. 6. WENONA DAYS ON AUGUST 7, 2025, AT WENONA CITY PARK AND 7. LASALLE COUNTY 4-H FAIR ON JULY 10 & 11, 2025. 8. LEHIGH GIRLS CAMP, OGLESBY IL, JULY 24TH. HEALTHY EATING: GOAL: INCREASE COMMUNITY CONSUMPTION OF FRUITS/VEGETABLES IN LASALLE COUNTY. OUTCOME METRIC: INCREASE THE NUMBER OF RESPONDENTS THAT CONSUME 3 TO 5 SERVINGS OF FRUITS AND VEGETABLES PER DAY FROM 32% TO 34% BY 2025. FY25 PROGRESS: (1) COLLECTED & SHARED INFORMATION FROM 1. LASALLE, 2. MARSEILLES 3. MENDOTA 4. OGLESBY 5. OTTAWA 6. PERU 7. SENECA 8. UTICA LEADERS SHARED ON HEALTHIER LASALLE COUNTY WEBPAGE, OSF I-80 FACEBOOK PAGES, AND LIVE WELL STREATOR FACEBOOK PAGE. (2) INCREASED POUNDS PRODUCED IN COMMUNITY GARDENS. PROGRESS FOR FY2025: OSF MENDOTA, OTTAWA, AND STREATOR GARDENS HARVESTED 4,030 POUNDS OF PRODUCE WHICH WAS DONATED TO LOCAL FOOD PANTRIES. (3) INCREASE OFFERINGS OF THE HEALTHY KIDS U PROGRAM. FY25 PROGRESS: 1. OTTAWA YMCA UTILIZED HKU PROGRAMMING MODULES DURING KIDS SUMMER CAMP. 2. PARTICIPATED IN STREATOR PUBLIC LIBRARY EVENT AND PROMOTED "RETHINK YOUR DRINK" ON FEB 1, 2025. 3. PROMOTED "RETHINK YOUR DRINK" AT STREATOR YMCA HEALTHY KIDS DAY ON APRIL 26, 2025. 4. CO-HOSTED SPRING INTO HEALTH AT OTTAWA YMCA. 5. RESOURCE TABLE AT STREATOR'S LIBERTY FEST-KIDS KORNER ON JULY 5TH. 6. WENONA DAYS ON AUGUST 7, 2025, AT WENONA CITY PARK AND 5. LEASE BACK TO SCHOOL BASH FOR STUDENTS WITH DISABILITIES EVENT ON AUGUST 15, 2025. 6. OTTAWA ELEMENTARY'S BACK TO SCHOOL EVENT AUGUST 18, 2025. 7. PARTICIPATED IN WALLACE SCHOOL'S SCIENCE, WELLNESS & BOOK FAIR ON FEB. 13TH, 2025; INFUSED WATER RECIPES. 8. PROVIDED HEALTH RESOURCES AT MENDOTA ELEMENTARY SCHOOL CINO DE MAYO CELEBRATION ON MAY 6, 2025. (4) CONDUCT THE ILLINOIS JR. CHEF'S COOKING SCHOOL IN THREE COMMUNITIES. FY25 PROGRESS: 1. PROMOTED AND SUPPORTED ILLINOIS JUNIOR CHEF WHICH HOSTED 80 STUDENTS OVERALL AT: MANLIUS: JUNE 2-6; SHEFFIELD: JUNE 9-13; STREATOR: JUNE 23-26; SPRING VALLEY: JULY 7-11; MENDOTA: JULY 21-25. 2. CO-HOSTED KIDS IN THE KITCHEN AT OTTAWA YMCA ON OCT 29TH, 2025. MENTAL HEALTH GOAL: INCREASE THE OVERALL COMMUNITY UNDERSTANDING OF MENTAL HEALTH NEEDS AND SERVICES IN LASALLE COUNTY OUTCOME METRIC: DECREASE THE NUMBER OF SUICIDE DEATHS IN LASALLE COUNTY BY 2% BY 2025. TACTICS FOR PROGRESS IN FY 2025: (1) INCREASE EDUCATIONAL OPPORTUNITIES FOR MENTAL HEALTH. FY25 PROGRESS: 1. ASSISTED AT NORTH CENTRAL BEHAVIORAL HEALTH'S TEEN SHOWCASE AT ILLINOIS VALLEY COMMUNITY COLLEGE FOR 600 TEENS. 2. PARTICIPATED IN OVERDOSE AWARENESS WALK ON AUG 23RD, 2025. 3. OSF SAINT ELIZABETH BEHAVIORAL HEALTH HAD A RESOURCE TABLE AT NELL'S WOODLAND EARTH DAY CELEBRATION ON MAY 5, 2025. 4. LIVE WELL STREATOR HELD A COMMUNITY CLEAN UP OF STREATOR PARKS FROM SEPT 18-20 TO PROMOTE THE MENTAL HEALTH BENEFITS OF BEING OUTDOORS. 5. THE OSF ON CALL KING CARE-A-VAN PROMOTED SILVER CLOUD MONTHLY AT OTTAWA & PERU PADS HOMELESS SHELTERS, OTTAWA YMCA, PERU PUBLIC LIBRARY, OGLESBY PUBLIC LIBRARY, AND UTICA PUBLIC LIBRARY. THEY ALSO PROMOTED IT AT ONE TIME EVENTS: LASALLE COUNTY VETERANS EXPO, PERU POLICE DEPARTMENT CAR SEAT CHECK, YMCA STREATOR SPORT PHYSICALS, AND THE ILLINOIS VALLEY COMMUNITY COLLEGE HEALTH FAIR. 6. THE OSF I-80 MARKET SANE COORDINATOR WORKED WITH 28 PATIENTS IN FY2025 TO PROVIDE COUNSELING AND MENTAL HEALTH RESOURCES. (2) INCREASED UTILIZATION OF BEHAVIORAL HEALTH NAVIGATOR. PROGRESS FOR FY2025: 261 ADULT REFERRALS SUBSTANCE ABUSE GOAL: REDUCE OVERALL SUBSTANCE ABUSE IN MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS IN LASALLE COUNTY. OUTCOME METRIC: AN OVERALL REDUCTION OF 2% IN EACH SUBSTANCE CATEGORY FOR PAST YEAR USAGE OF 8TH, 10TH, AND 12TH GRADERS AS REPORTED BY THE ILLINOIS YOUTH SURVEY, UNIVERSITY OF ILLINOIS 2022 LASALLE COUNTY REPORT. TACTICS FOR PROGRESS IN FY 2025: (1) INCREASE EDUCATIONAL OPPORTUNITIES FOR SUBSTANCE ABUSE. FY25 PROGRESS: PROMOTED BODY IMAGE AND SELF-ESTEEM FACTS ON APRIL 25, 2025, STREATOR YMCA HEALTHY KIDS DAY (75 ATTENDEES). 2.. LIBERTY FEST-KIDS KORNER IN THE STREATOR CITY PARK ON JULY 5, 2025 (100+ ATTENDEES). 3. HELD DRUG TAKE BACK EVENTS AT STREATOR CITY PARK ON JUNE 21, 2025 (COLLECTED 65 POUNDS OF PILLS & 15 POUNDS OF CREAMS, LIQUIDS & INHALERS) AND 4. SHARED A LINK TO THE LASALLE COUNTY 708 MENTAL HEALTH BOARD'S NEW WEBSITE ON HEALTHIER LASALLE COUNTY WEBPAGE. 5. SPONSORED STREATOR OVERDOSE AWARENESS MEMORIAL WALK ON AUGUST 23, 2025. 6. HAD A RESOURCE TABLE AT THE MOLLY YACKO MEMORIAL 5K RUN, RUN TODAY FOR TOMORROW EVENT ON JUNE 22, 2025.
SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1	FACILITY , 1 - MENDOTA COMMUNITY HOSPITAL. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENERAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1	FACILITY , 1 - MENDOTA COMMUNITY HOSPITAL. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE.
SCHEDULE H, PART V, SECTION B, LINE 15 FACILITY , 1	FACILITY , 1 - MENDOTA COMMUNITY HOSPITAL. THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY , 1	FACILITY , 1 - MENDOTA COMMUNITY HOSPITAL. A PLAIN LANGUAGE SUMMARY OF THE FAP IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS, INFORMATION ABOUT FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS IS INCLUDED ON OR WITH THE OSF PATIENT BILLING STATEMENT, AND OSF PROVIDES COPIES OF THE PLAIN LANGUAGE SUMMARY AND THE FAP APPLICATION FORM TO REFERRING STAFF PHYSICIANS.

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Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C CRITERIA FOR FREE OR DISCOUNTED CARE	CATASTROPHIC CHARITY ASSISTANCE REGARDLESS OF INCOME OR ASSET LEVELS FOR MEDICALLY NECESSARY SERVICES WHICH EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT DUE IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES CATASTROPHIC CHARITY IS MORE GENEROUS. PRESUMPTIVE CHARITY: CHARGES MAY BE ADJUSTED TO PROVIDE FOR A CHARITY DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO AN UNINSURED PATIENT WHO ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA. PRESUMPTIVE CHARITY CATEGORIES FOR ALL OSF HOSPITALS: -HOMELESSNESS; - DECEASED WITH NO ESTATE; - MENTAL INCAPACITATION WITH NO ONE TO ACT ON PATIENT'S BEHALF; OR - CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. ALL PATIENTS RECEIVE THE GREATEST REQUESTED DISCOUNT AVAILABLE UNDER ANY OF THE OSF PROGRAMS. NO ASSET TESTS ARE USED. EXCEPT AS OTHERWISE NOTED, THESE POLICIES APPLY BOTH TO UNINSURED PATIENTS AND TO INSURED PATIENTS WITH RESPECT TO THE PATIENT RESPONSIBILITY AMOUNT.
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE	MEDICARE COST TO CHARGE RATIO
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT	IN GENERAL, AND IN ACCORDANCE WITH MEDICARE REGULATIONS, PATIENT ACCOUNT BALANCES ARE WRITTEN OFF TO BAD DEBT EXPENSE AFTER REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED AND THE ACCOUNT HAS BEEN SENT TO A COLLECTION AGENCY OR LAW FIRM. PATIENTS' ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENTS' ACCOUNTS RECEIVABLE, OSF ANALYZES PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, OSF ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH PATIENT RESPONSIBILITY (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE PATIENTS ARE SCREENED AGAINST THE OSF FINANCIAL ASSISTANCE POLICY AND UNINSURED DISCOUNT POLICY. FOR ANY REMAINING PATIENT RESPONSIBILITY BALANCE, OSF RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. BAD DEBT EXPENSE OF 2,339,555 ON FORM 990, PART IX, LINE 24B IS BASED UPON ACCRUAL ACCOUNTING REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THIS AMOUNT CONSEQUENTLY DIFFERS FROM THE BAD DEBT EXPENSE OF 1,067,144 ON SCHEDULE H, PART III, LINE 2 WHICH REQUIRES THE ORGANIZATION TO REPORT AGGREGATE BAD DEBT AT COST. BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS THEREFORE CALCULATED BY MULTIPLYING GROSS CHARGES WRITTEN OFF TO BAD DEBT EXPENSE TIMES THE MEDICARE COST-TO-CHARGE RATIO DERIVED FROM THE MEDICARE COST REPORT.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY	DISCOUNTS, INCLUDING ANY APPLICABLE THIRD PARTY PAYER CONTRACTUAL ALLOWANCES AND ANY FINANCIAL ASSISTANCE DISCOUNTS (VALUED AT GROSS CHARGES), ARE APPLIED TO PATIENT ACCOUNT GROSS CHARGES TO DETERMINE THE ACCOUNT BALANCE BEFORE PATIENT PAYMENTS. THE AGGREGATE AMOUNT OF ALL PATIENT PAYMENTS IS THEN APPLIED TO THE ACCOUNT BALANCE. WHEN DETERMINATION IS MADE THAT NO FURTHER AMOUNTS CAN BE COLLECTED IN ACCORDANCE WITH THE CORPORATION'S BAD DEBT POLICY, THE REMAINING BALANCE IS WRITTEN OFF TO BAD DEBT EXPENSE. PRESUMPTIVE CHARITY: CHARGES MAY BE ADJUSTED TO PROVIDE FOR A CHARITY DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO AN UNINSURED PATIENT WHO ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA. PRESUMPTIVE CHARITY CATEGORIES FOR ALL OSF HOSPITALS: -HOMELESSNESS; -DECEASED WITH NO ESTATE; -MENTAL INCAPACITATION WITH NO ONE TO ACT ON PATIENT'S BEHALF; OR -CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. THEREFORE, THE CORPORATION DOES NOT BELIEVE THAT BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 INCLUDES ANY AMOUNTS THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY UNDER THE CORPORATION'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	PLEASE SEE PAGE 21 OF NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	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 USING THE MEDICARE COST TO CHARGE RATIO. THE AMOUNT IS COMPARED TO TOTAL MEDICARE PAYMENTS RECEIVED INCLUDING DSH AND IME PAYMENTS. SHOULD THERE BE A SHORTFALL, IT WOULD BE TREATED AS A COMMUNITY BENEFIT SINCE IT REFLECTS UN-REIMBURSED COSTS FOR PROVIDING MEDICAL SERVICES TO THE MEDICARE RESIDENTS OF THE COMMUNITY.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	THE CORPORATION HAS A SELF-PAY BILLING COLLECTION POLICY WHICH APPLIES FOR ALL PATIENTS. THE POLICY INCLUDES: -REQUIRED INFORMATION PROVIDED IN BILLS TO PATIENTS (INCLUDING A REQUIREMENT THAT INFORMATION BE PROVIDED ON HOW THE PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE). -PROCESS FOR PATIENTS TO INQUIRE ABOUT OR DISPUTE A BILL, INCLUDING TOLL-FREE TELEPHONE NUMBER, ADDRESS, CONTACT NAME AND E-MAIL ADDRESS. -REQUIREMENTS FOR TIMELY RESPONSE TO PATIENT INQUIRIES. -CONDITIONS WHICH MUST BE SATISFIED BEFORE PATIENT MAY BE SENT TO A COLLECTION AGENCY OR ATTORNEY. -LEGAL ACTION FOR NON-PAYMENT OF A PATIENT BILL MAY NOT BE INITIATED UNTIL AN AUTHORIZED HOSPITAL OFFICIAL HAS DETERMINED THAT ALL CONDITIONS IN THE CORPORATION'S POLICY (INCLUDING ALL THE FOREGOING POLICY PROVISIONS) HAVE BEEN SATISFIED FOR INITIATING LEGAL ACTION. -LEGAL ACTION MAY NOT BE PURSUED AGAINST UNINSURED PATIENTS WHO HAVE CLEARLY DEMONSTRATED THAT THEY HAVE NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET THEIR FINANCIAL OBLIGATIONS - EVEN IF SUCH PATIENTS DO NOT APPLY FOR FINANCIAL ASSISTANCE. -THE CORPORATION SHALL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS, SUCH AS SUBMITTING REPORTS TO CREDIT AGENCIES BEFORE REASONABLE ATTEMPTS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE HAVE BEEN COMPLETED. -IF A PATIENT RECEIVES AN APPLICATION FOR FINANCIAL ASSISTANCE BUT FAILS TO RETURN IT, OSF WILL TRY TO USE SECONDARY SOURCES TO DETERMINE THE PATIENT'S ELIGIBILITY FOR NON COMPLIANT CHARITY BEFORE PURSUING LEGAL ACTION FOR NONPAYMENT. IF A COMPLETE APPLICATION IS RECEIVED DURING THE APPLICATION PERIOD, OSF WILL SUSPEND EXTRAORDINARY COLLECTION ACTIONS AND MAKE A DETERMINATION OF ELIGIBILITY FOR ASSISTANCE. IF THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, OSF WILL ISSUE APPROPRIATE REFUNDS AND REVERSE ANY EXTRAORDINARY COLLECTION ACTIONS TAKEN, AS MORE FULLY DESCRIBED IN THE OSF FAIR BILLING - COLLECTION POLICY.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	- MENDOTA COMMUNITY HOSPITAL: LINE 16A URL: HTTPS://WWW.OSFHEALTHCARE.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	- MENDOTA COMMUNITY HOSPITAL: LINE 16B URL: HTTPS://WWW.OSFHEALTHCARE.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	- MENDOTA COMMUNITY HOSPITAL: LINE 16C URL: HTTPS://WWW.OSFHEALTHCARE.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	MENDOTA COMMUNITY HOSPITAL DBA OSF SAINT PAUL MEDICAL CENTER COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2025 AS PREVIOUSLY STATED. THE CHNA IS UPDATED EVERY 3 YEARS AND CORRESPONDING IMPLEMENTATION STRATEGY IS REFRESHED YEARLY. NOT ONLY DOES THE PLAN GET REFRESHED YEARLY, BUT EACH ACTION ITEM HAS A RESPONSIBLE PARTY INVOLVED TO GET THE WORK ASSOCIATED WITH THE NEED ACCOMPLISHED. THE NEW CHNA WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS ON JULY 25, 2025 AND THE CORRESPONDING IMPLEMENTATION STRATEGY WAS APPROVED JANUARY 26, 2026. THE ASSOCIATED PLAN GOALS AND ACCOMPLISHMENTS ARE LISTED IN THIS YEARS FILING. LEADERSHIP WITHIN OSF SIT ON VARIOUS COMMUNITY ADVISORY BOARDS TO STAY CONNECTED TO THE OTHER AGENCIES WITHIN THE COMMUNITY. THIS WORK ALIGNS WITH OUR MISSION STATEMENT TO SERVE PERSONS WITH THE GREATEST CARE AND LOVE IN A COMMUNITY THAT CELEBRATES THE GIFT OF LIFE.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	THE CORPORATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, IN ENGLISH AND IN ANY OTHER LANGUAGE SPOKEN BY POPULATIONS WITH LIMITED ENGLISH PROFICIENCY THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY OF THE HOSPITAL, IN THE FOLLOWING WAYS: -SIGNS ARE POSTED IN PATIENT REGISTRATION AREAS (INCLUDING EMERGENCY DEPARTMENT REGISTRATION) INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, THE AVAILABILITY OF FINANCIAL ASSISTANCE COUNSELORS, AND HOW TO OBTAIN A COPY OF THE OSF FINANCIAL ASSISTANCE POLICY AND APPLICATION. -A PLAIN LANGUAGE SUMMARY OF THE OSF FINANCIAL ASSISTANCE POLICY IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS AND INCLUDED IN THE BILLING STATEMENT MAILED PRIOR TO INITIATING EXTRAORDINARY COLLECTION ACTIONS. IN ADDITION, THE PLAIN LANGUAGE SUMMARY AND APPLICATION ARE PROVIDED TO REFERRING STAFF PHYSICIANS. -OSF MAKES REASONABLE EFFORTS TO ORALLY NOTIFY PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY AND HOW TO OBTAIN ASSISTANCE IN APPLYING. -A NOTICE OF AVAILABILITY OF THE CORPORATION'S FINANCIAL ASSISTANCE AND UNINSURED PATIENT DISCOUNT POLICIES IS PROMINENTLY AVAILABLE ON THE CORPORATION'S WEBSITE. THE APPLICATION FORM WITH INSTRUCTIONS AND THE PLAIN LANGUAGE SUMMARY IS AVAILABLE FOR DOWNLOAD. -A NOTE REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE (TOGETHER WITH CONTACT PHONE NUMBERS) APPEARS ON EVERY PATIENT BILLING STATEMENT AS WELL AS THE WEBSITE WHERE COPIES OF THE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY MAY BE OBTAINED. -FINANCIAL ASSISTANCE COUNSELORS ARE AVAILABLE IN PERSON AND BY PHONE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND IN DETERMINING ELIGIBILITY AND APPLYING FOR GOVERNMENT PROGRAM BENEFITS, INCLUDING MEDICAID. -THE CORPORATION'S FINANCIAL ASSISTANCE POLICY IS FILED WITH THE ILLINOIS ATTORNEY GENERAL AND IS AVAILABLE TO THE PUBLIC.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	MENDOTA COMMUNITY HOSPITAL DBA OSF SAINT PAUL MEDICAL CENTER IS LOCATED IN LASALLE COUNTY. THE OSF SAINT PAUL MEDICAL CENTER SERVICE COMMUNITY IS LOCATED PRIMARILY IN LASALLE COUNTY BUT EXTENDS INTO PORTIONS OF LEE, BUREAU, AND DEKALB COUNTIES. WITH REGARD TO RACE AND ETHNIC BACKGROUND, LASALLE COUNTY IS LARGELY HOMOGENOUS, YET IN RECENT YEARS, THE COUNTY IS BECOMING MORE DIVERSE. DATA FROM 2023 SUGGEST THAT WHITE ETHNICITY COMPRISES 84.7% OF THE POPULATION IN LASALLE COUNTY. HOWEVER, THE NON-WHITE POPULATION OF LASALLE COUNTY HAS BEEN SLIGHTLY DECREASING FROM 15.4% IN 2019 TO 15.3% IN 2023, WITH BLACK ETHNICITY COMPRISING 2.9% OF THE POPULATION, HISPANIC/LATINO (LATINX) ETHNICITY COMPRISING 10.3% OF THE POPULATION, AND MULTI-RACIAL ETHNICITY COMPRISING 1.5% OF THE POPULATION.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	MENDOTA COMMUNITY HOSPITAL DBA OSF SAINT PAUL MEDICAL CENTER 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. THEY HAVE A COMMUNITY ADVISORY BOARD CONSISTING OF MEMBERS OF THE COMMUNITY WHO ARE NOT DIRECTORS, OFFICERS, OR CONTRACTORS OF MENDOTA. 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, MENDOTA EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITIES. THE MENDOTA SURPLUS FUNDS WERE USED DURING ITS FISCAL YEAR ENDED SEPTEMBER 30, 2025. FOR IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. MENDOTA HOSPITAL MEETS THE REQUIREMENTS OF REVENUE RULING 69-545 BY: -OPERATING AN EMERGENCY DEPARTMENT WHICH IS STAFFED 24 HOURS PER DAY BY QUALIFIED PHYSICIANS AND OTHER MEDICAL PERSONNEL AND WHICH IS 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. MENDOTA HOSPITAL PARTNERS WITH OTHER LOCAL SERVICE AGENCIES TO ENSURE ACCESS FOR RURAL HEALTHCARE INCLUDING OFFERING SPACE TO OTHER AGENCIES TO CO-LOCATE UNDER ONE ROOF. OSF ON CALL OFFERS A 24/7 ONLINE ACCESS TO MEDICAL CARE VIA SMARTPHONE, TABLET OR COMPUTER. THE HOSPITAL FORMED A TRANSIT PARTNERSHIP UNDER THE CITY OF OTTAWA AND NORTH CENTRAL AREA TRANSIT (NCAT).
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	THE CORPORATION IS PART OF AN AFFILIATED HEALTHCARE SYSTEM (THE "OSF SYSTEM"), WHICH IS AN INTEGRATED HEALTH SYSTEM THAT OPERATES ACUTE CARE HOSPITALS, HOME CARE. HOME HEALTHCARE SERVICES, TWO COLLEGES OF NURSING, A MEDICAL TRAINING SIMULATION CENTER, AND OTHER HEALTHCARE FACILITIES IN ILLINOIS AND MICHIGAN. THE OSF SYSTEM WAS PREVIOUSLY CONTROLLED BY THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS (THE "CONGREGATION"). IN 2024 THE CONGREGATION PARTNERED WITH THE CATHOLIC DIOCESE OF PEORIA TO CREATE A DIOCESAN PUBLIC JURIDIC PERSON NAMED OSF HEALTHCARE MINISTRIES (THE "OSF MINISTRIES"). OSF MINISTRIES ASSUMED SPONSORSHIP AND SOLE CORPORATE MEMBERSHIP OF THE OSF SYSTEM. IT DIRECTS ALL OTHER CORPORATIONS IN THE AFFILIATED HEALTHCARE SYSTEM THROUGH BOARD REPRESENTATION AND THE EXERCISE OF RESERVE POWERS. ALL AFFILIATED ENTITIES APPLY AND FOLLOW THE FINANCIAL ASSISTANCE POLICIES OF THE CORPORATION AND ARE OPERATED IN FURTHERANCE OF THE MISSION TO PROVIDE COMPREHENSIVE, DURABLE MEDICAL EQUIPMENT, INTEGRATED QUALITY CARE TO THE COMMUNITIES SERVED BY THE CORPORATION. THE OSF SYSTEM'S CORPORATE OFFICE IN PEORIA, ILLINOIS. (THE "CORPORATE OFFICE"), PROVIDES CORPORATE MANAGEMENT SERVICES AS WELL AS DIRECTION, CONSULTATION AND ASSISTANCE TO THE ADMINISTRATION OF THE OSF SYSTEM'S HEALTHCARE FACILITIES AND SUBSIDIARY CORPORATIONS. THE PRIMARY AFFILIATED CORPORATIONS OF THE OSF SYSTEM ARE THE FOLLOWING: OSF MINISTRIES, OSF MULTI-SPECIALTY GROUP, AND POINTCORE, INC. OSF MULTI-SPECIALTY GROUP WAS INCORPORATED IN 2011. VIRTUALLY ALL PHYSICIANS AND ADVANCED PRACTICE PROVIDERS PROVIDING PROFESSIONAL SERVICES THROUGH THE OSF SYSTEM'S ACUTE CARE HOSPITAL FACILITIES AND AMBULATORY PRACTICE SETTINGS (WITH A FEW LIMITED EXCEPTIONS) PROVIDE SERVICES PURSUANT TO EMPLOYMENT AGREEMENTS OR PROFESSIONAL SERVICE AGREEMENTS WITH OSF MULTI-SPECIALTY GROUP. OSF MEDICAL GROUP IS A D/B/A OF OSF MULTI-SPECIALTY GROUP. POINTCORE, INC., FORMERLY KNOWN AS OSF ST. FRANCIS, INC., WAS ORIGINALLY INCORPORATED IN 1986 AND IS ENGAGED IN THE FOLLOWING LINES OF BUSINESS: RETAIL PHARMACIES, RETAIL SHOPS, A MOBILE MEDICAL SYSTEM, EMERGENCY MEDICAL TRANSPORTATION, HOME THERAPEUTICS, REAL ESTATE, EQUIPMENT TECHNOLOGY SERVICES, TELECOMMUNICATIONS, ELECTRONIC HEALTH RECORDS, TELEHEALTH SERVICES, AND CONSULTING SERVICES. POINTCORE, INC. ALSO PARTICIPATES IN VARIOUS HEALTH RELATED JOINT VENTURES. OSF HEALTHCARE FOUNDATION WAS INCORPORATED IN 1989 TO CONDUCT FUNDRAISING AND OTHER ACTIVITIES FOR THE BENEFIT OF OSF SYSTEM AND IN SUPPORT OF THE MISSION OF THE CONGREGATION. OSF HEALTHCARE SYSTEM BECAME THE SOLE MEMBER OF OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER IN 2012, AND THE HOSPITAL WAS RENAMED OSF SAINT ELIZABETH MEDICAL CENTER. MENDOTA COMMUNITY HOSPITAL, FORMERLY KNOWN AS MENDOTA HOSPITAL FOUNDATION, WAS INCORPORATED IN 1944. OSF HEALTHCARE SYSTEM BECAME THE SOLE MEMBER OF MENDOTA COMMUNITY HOSPITAL IN 2015, AND THE HOSPITAL WAS RENAMED OSF SAINT PAUL MEDICAL CENTER.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	IL

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (48 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT C SEHRING
VICE CHAIRPERSON CHIEF EXECUTIVE OFFICER	$0	$1,783,421	$0	$1,042,741	$0	$302,002	$0	$17,250	$0	$36,548	$0	$3,181,962	$0	$0
GERALD J MCSHANE MD
BOARD MEMBER	$0	$195,721	$0	$0	$0	$0	$0	$9,000	$0	$26,731	$0	$231,452	$0	$0
ELIZABETH A DAVIDSON
FORMER INTERIM PRESIDENT, OSF HEALTHCARE SAINT JAMES-JOHN W. ALBRECHT MEDICAL CENTER	$0	$213,126	$0	$42,189	$0	$11,543	$0	$13,578	$0	$24,886	$0	$305,322	$0	$0
JOHN R EVANCHO
FORMER SVP CHIEF INTEGRITY OFFICER	$0	$189,067	$0	$109,138	$0	$1,228	$0	$9,789	$0	$19,270	$0	$328,492	$0	$0
NED HILL
FORMER PRESIDENT, OSF HEALTHCARE SACRED HEART MEDICAL CENTER	$0	$166,953	$0	$0	$0	$4,137	$0	$8,770	$0	$16,227	$0	$196,087	$0	$0
ERIN N ROGERS
FORMER INTERIM PRESIDENT, OSF HEALTHCARE HEART OF MARY MEDICAL CENTER	$0	$161,817	$0	$10,862	$0	$138	$0	$9,258	$0	$33,938	$0	$216,013	$0	$0
JERRY W RUMPH
FORMER PRESIDENT, OSF HEALTHCARE SAINT ANTHONY'S HEALTH CENTER	$0	$176,658	$0	$0	$0	$10,567	$0	$9,298	$0	$1,082	$0	$197,605	$0	$0
JEFFRY M TILLERY
FORMER PRESIDENT, OSF MEDICAL GROUP	$0	$229,377	$0	$201,560	$0	$111,871	$0	$17,028	$0	$8,409	$0	$568,245	$0	$0
MICHAEL M ALLEN
CHIEF FINANCIAL OFFICER (THROUGH NOV 2024)	$0	$732,214	$0	$370,555	$0	$28,408	$0	$116,065	$0	$30,836	$0	$1,278,078	$0	$0
ROBERT G ANDERSON
CHIEF EXECUTIVE OFFICER, CENTRAL REGION (THROUGH JAN 2025)	$0	$687,600	$0	$267,209	$0	$109,586	$0	$17,250	$0	$27,221	$0	$1,108,866	$0	$0
JOHN T BARNHART
PRESIDENT, HEART OF MARY MEDICAL CENTER & SACRED HEART MEDICAL CENTER	$0	$392,751	$0	$118,914	$0	$813	$0	$17,250	$0	$33,047	$0	$562,775	$0	$0
HEATHER J BOMSTAD
PRESIDENT. OSF HEALTHCARE SAINT CLARE MEDICAL CENTER/ SAINT PAUL MEDICAL CENTER (BEG MAY 2025)	$0	$191,040	$0	$41,315	$0	$30,889	$0	$10,669	$0	$32,889	$0	$306,802	$0	$0
ROBERT L BRANDFASS
SVP CHIEF LEGAL OFFICER	$0	$650,575	$0	$245,225	$0	$27,998	$0	$17,250	$0	$36,299	$0	$977,347	$0	$0
PAULA A CARYNSKI
PRESIDENT, OSF HEALTHCARE SAINT ANTHONY MEDICAL CENTER (THROUGH JAN 2025)	$0	$452,989	$0	$171,480	$0	$29,606	$0	$17,250	$0	$26,382	$0	$697,707	$0	$0
MICHELLE D CONGER
PRESIDENT, OSF HEALTHCARE (BEG 1/25)/ CSO/CEO, OSF/ONCALL DIGITAL HEALTH (THRU 12/24)	$0	$740,168	$0	$291,798	$0	$26,717	$0	$99,534	$0	$34,553	$0	$1,192,770	$0	$0
MELINDA B COOLING
CHIEF NURSE AND ADVANCED PRACTICE PROVIDER EXECUTIVE, OSF HEALTHCARE	$0	$315,802	$0	$121,603	$0	$20,094	$0	$11,551	$0	$41,444	$0	$510,494	$0	$0
MICHAEL A CRUZ MD
CHIEF OPERATING OFFICER	$0	$859,454	$0	$381,210	$0	$131,214	$0	$17,250	$0	$36,461	$0	$1,425,589	$0	$0
CHRISTOPHER M CURRY
PRESIDENT, OSF HEALTHCARE DIVINE MERCY CONTINUING CARE HOSPITAL (FKA OSF TRANSITIONAL CARE HOSPITAL)	$0	$285,280	$0	$79,870	$0	$647	$0	$3,718	$0	$23,392	$0	$392,907	$0	$0
LISA DEKEZEL
PRESIDENT, OSF HEALTHCARE HOLY FAMILY MEDICAL CENTER AND OSF HEALTHCARE ST. MARY MEDICAL CENTER	$0	$320,665	$0	$118,266	$0	$9,941	$0	$17,250	$0	$32,717	$0	$498,839	$0	$0
DAVID FERGUS
CHIEF SUPPLY CHAIN OFFICER	$0	$454,555	$0	$173,555	$0	$25,357	$0	$17,250	$0	$35,116	$0	$705,833	$0	$0
DERRICK FRAZIER
PRESIDENT, OSF HEALTHCARE SAINT JAMES-JOHN W. ALBRECHT MEDICAL CENTER	$0	$301,695	$0	$71,852	$0	$584	$0	$3,802	$0	$23,437	$0	$401,370	$0	$0
CAROL A FRIESEN
CHIEF EXECUTIVE OFFICER, EASTERN REGION	$0	$671,849	$0	$267,182	$0	$24,808	$0	$99,824	$0	$42,561	$0	$1,106,224	$0	$0
DAVID M HALL
CHIEF INFORMATION OFFICER	$0	$489,325	$0	$187,260	$0	$24,280	$0	$17,250	$0	$42,423	$0	$760,538	$0	$0
THOMAS G HAMMERTON
PRESIDENT OSF HEALTHCARE FOUNDATION AND CHIEF DEVELOPMENT OFFICER	$0	$430,654	$0	$176,131	$0	$26,277	$0	$69,942	$0	$41,106	$0	$744,110	$0	$0
KELLY A JEFFERSON
PRESIDENT, OSF HEALTHCARE ST. FRANCIS HOSPITAL & MEDICAL GROUP	$0	$261,503	$0	$97,478	$0	$23,465	$0	$14,886	$0	$32,464	$0	$429,796	$0	$0
JACQUELINE D KERNAN
PRESIDENT, OSF SAINT LUKE MC (THRU DEC 2024); SAINT CLARE & SAINT KATHERINE MC (BEG DEC 2024)	$0	$267,419	$0	$103,161	$0	$16,968	$0	$14,861	$0	$25,299	$0	$427,708	$0	$0
KATHLEEN M KINSELLA
PRESIDENT, OSF HEALTHCARE LITTLE COMPANY OF MARY MEDICAL CENTER	$0	$393,062	$0	$150,513	$0	$25,926	$0	$15,381	$0	$19,039	$0	$603,921	$0	$0
KIRSTEN M LARGENT
CHIEF FINANCIAL OFFICER (BEGINNING NOV 2024)	$0	$438,408	$0	$143,791	$0	$1,925	$0	$17,250	$0	$29,626	$0	$631,000	$0	$0
JAMES J MORMANN
CHIEF EXECUTIVE OFFICER, INTEGRATED SOLUTIONS	$0	$754,049	$0	$299,476	$0	$26,784	$0	$17,250	$0	$36,379	$0	$1,133,938	$0	$0
SHELLEY A PARN
CHIEF HUMAN RESOURCES OFFICER	$0	$464,900	$0	$166,212	$0	$751	$0	$58,848	$0	$18,719	$0	$709,430	$0	$0
SHAWN E PIERS MD
INTERIM PRESIDENT, OSF MEDICAL GROUP (THROUGH MAR 2025)	$0	$442,747	$0	$77,167	$0	$762	$0	$14,142	$0	$28,791	$0	$563,609	$0	$0
AUGUST J QUERCIAGROSSA
CHIEF EXECUTIVE OFFICER, WESTERN REGION	$0	$564,216	$0	$221,512	$0	$25,818	$0	$78,044	$0	$36,233	$0	$925,823	$0	$0
JASON R RODEGHERO
PRESIDENT, OSF HOME CARE AND REHAB SERVICES	$0	$312,221	$0	$111,237	$0	$482	$0	$17,250	$0	$27,915	$0	$469,105	$0	$0
LISA A SCHEPERS
INTERIM PRESIDENT, OSF HEALTHCARE SAINT ANTHONY'S HEALTH CENTER (THROUGH DEC 2024)	$0	$228,748	$0	$41,350	$0	$396	$0	$13,865	$0	$23,744	$0	$308,103	$0	$0
EMILY A SHIELDS
CHIEF STRATEGY OFFICER, OSF HEALTHCARE (BEGINNING FEB 2025)	$0	$194,965	$0	$43,524	$0	$23,060	$0	$11,369	$0	$32,889	$0	$305,807	$0	$0
STEPHANIE H STOVALL
CHIEF QUALITY OFFICER	$0	$140,144	$0	$0	$0	$22,693	$0	$5,456	$0	$4,753	$0	$173,046	$0	$0
DAWN C TROMPETER
PRESIDENT, SAINT PAUL MC (THRU APR 2025); OSF SAINT ELIZABETH MC; ASSOC REGIONAL CEO, WESTERN REGION	$0	$328,399	$0	$124,936	$0	$23,841	$0	$15,422	$0	$17,674	$0	$510,272	$0	$0
JENNIFER L ULRICH
INTERIM PRESIDENT, OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER (THROUGH DEC 2024)	$0	$283,383	$0	$48,007	$0	$60	$0	$9,202	$0	$33,550	$0	$374,202	$0	$0
TIM J VEGA
CHIEF POPULATION HEALTH OFFICER	$0	$453,891	$0	$101,313	$0	$25,679	$0	$7,879	$0	$28,849	$0	$617,611	$0	$0
RALPH VELAZQUEZ MD
SYSTEM CHIEF MEDICAL OFFICER	$0	$656,168	$0	$259,428	$0	$102,112	$0	$17,250	$0	$35,897	$0	$1,070,855	$0	$0
MICHAEL A WELLS
PRESIDENT, OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTER	$0	$485,363	$0	$162,740	$0	$2,258	$0	$17,250	$0	$26,411	$0	$694,022	$0	$0
LORI L WIEGAND
CHIEF NURSING OFFICER (THROUGH MAY 2025)	$0	$513,242	$0	$204,924	$0	$92,317	$0	$17,250	$0	$14,669	$0	$842,402	$0	$0
LEON A YEH MD
VP CHIEF MEDICAL OFFICER EMERGENCY SERV	$0	$585,151	$0	$118,962	$0	$60,973	$0	$17,049	$0	$15,742	$0	$797,877	$0	$0
KEITH CHRISTENSEN
ADVANCED PRACTICE NURSE	$126,041	$10,908	$29,493	$0	$2,464	$5	$2,980	$112	$11,623	$969	$172,601	$11,994	$0	$0
MARCELA R LEMUS
ADVANCED PRACTICE NURSE	$149,920	$12,072	$11,813	$1,108	$3,239	$7	$8,522	$682	$20,176	$2,287	$193,670	$16,156	$0	$0
CANDACE R RAMIREZ
ADVANCED PRACTICE NURSE	$129,599	$9,879	$31,080	$0	$2,255	$4	$8,579	$530	$28,513	$2,376	$200,026	$12,789	$0	$0
KATHERINE R RIVA-FOSTER MD
PHYSICIAN	$269,518	$0	$36,718	$0	$5,100	$0	$5,112	$0	$11,419	$0	$327,867	$0	$0	$0
BROOKE A YUCUS
ADVANCED PRACTICE NURSE	$133,357	$0	$25,816	$0	$2,470	$0	$8,112	$0	$2,898	$0	$172,653	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN

TO AID IN RETAINING KEY EMPLOYEES, A 457(F) RETIREMENT ALLOWANCE PLAN IS AVAILABLE TO EXECUTIVES. EACH YEAR THE PLAN PROVIDES CREDITS, EXPRESSED AS DOLLAR AMOUNTS, DETERMINED BY A PERCENTAGE OF EACH PARTICIPANT'S BASE SALARY. THE PERCENTAGE FOR EACH PARTICIPANT IS DEFINED IN THE PLAN. THE DEFERRED ALLOWANCE IS DEPOSITED IN AN ACCOUNT FOR EACH PARTICIPANT AND INVESTED IN SECURITIES SELECTED BY THE PARTICIPANT FROM A MENU OF AVAILABLE OPTIONS. VESTED BENEFITS, WITH INVESTMENTS GAINS OR LOSSES, ARE PAID TO PARTICIPANTS AS REGULAR TAXABLE INCOME. THE PLAN DEFINES PROVISIONS FOR DISTRIBUTION OF BENEFITS IN THE EVENT OF THE PARTICIPANT'S DEATH OR SEPARATION OF EMPLOYMENT PRIOR TO THE ELECTED VESTING DATE. THE AMOUNTS BELOW; DEFERRED IN THE CURRENT YEAR AND PAID IN THE CURRENT YEAR, RESPECTIVELY, ARE INCLUDED IN THE AMOUNTS REPORTED ON SCHEDULE J, PART II, COLUMNS B(III), (C), OR (F). MICHAEL ALLEN $98,815/ $0 ROBERT ANDERSON $0/ $82,003 MICHELLE CONGER $87,775/ $0 ROXANNA CROSSER $0/ $21,231 MICHAEL CRUZ $0/ $101,578 CAROL FRIESEN $82,574/ $0 THOMAS HAMMERTON $52,692/ $0 SHELLEY PARN $50,964 / $0 AUGUST QUERCIAGROSSA $67,857/ $0 ROBERT SEHRING $0 / $264,524 JEFFRY TILLERY $0 / $85,762 RALPH VELAZQUEZ $0 / $77,081 LORI WIEGAND $0 / $61,930

SCHEDULE J, PART I, LINE 3 SCH J, PART I, LINE 3

THE BOARD OF DIRECTORS HAS ESTABLISHED A BOARD COMMITTEE KNOWN AS THE HUMAN RESOURCES COMMITTEE WHOSE MEMBERS ARE ALL PROFESSED MEMBERS OF A RELIGIOUS CONGREGATION THAT OWNS OR IS ASSOCIATED WITH THE HEALTHCARE SYSTEM 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, 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 PART I	THE TAX LAW REQUIRES THAT EACH LEGAL ENTITY WITHIN THE OSF HEALTHCARE SYSTEM COMPLETE A SEPARATE TAX RETURN WHICH APPROPRIATELY REFLECTS THE ACTIVITIES AND FINANCIAL POSITION OF THE PARTICULAR ORGANIZATION. THIS REPORTING, HOWEVER, IS NOT REFLECTIVE OF THE OSF HEALTHCARE SYSTEM AS A WHOLE. PLEASE SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS OF OSF HEALTHCARE SYSTEM AND SUBSIDIARIES FOR A COMPLETE OVERVIEW OF THE SYSTEM.
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS	COMPENSATION FOR THE ORGANIZATION'S OTHER OFFICERS IS PAID BY OSF HEALTHCARE SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. 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 SAINT FRANCIS THAT OWNS OR IS ASSOCIATED WITH THE HEALTHCARE SYSTEM WHO HAVE TAKEN A VOW OF POVERTY. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE COMMITTEE DETERMINES WHICH OFFICERS, KEY EMPLOYEES AND OTHER EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN THE EXECUTIVE COMPENSATION PLAN. BASED ON PERFORMANCE REVIEWS BY THE SUPERVISORS OF SUCH PERSONS AND COMPENSATION SURVEY DATA AND RECOMMENDATIONS FROM A NATIONALLY KNOWN INDEPENDENT COMPENSATION CONSULTANT, THE COMMITTEE APPROVES ANY EXECUTIVE COMPENSATION PLAN APPLICABLE TO KEY EMPLOYEES AND ESTABLISHES THE BASE SALARY AND BENEFITS FOR PLAN PARTICIPANTS. PRIOR TO PAYMENT OF ANY BONUS OR INCENTIVE COMPENSATION, THE TOTAL COMPENSATION FOR EACH KEY EMPLOYEE, INCLUDING BASE SALARY, BENEFITS, AND PROPOSED BONUS OR INCENTIVE COMPENSATION, IS AGAIN REVIEWED BY A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT TO ENSURE THAT NO "EXCESS BENEFIT" AMOUNT IS PAID OR FURNISHED. SOME KEY EMPLOYEES LISTED IN PART VII ARE PRACTICING PHYSICIANS WHO ARE LISTED AS KEY EMPLOYEES AS A RESULT OF THE COMPENSATION THEY RECEIVE AND NOT DUE TO ANY EXECUTIVE OR MANAGEMENT POSITION WHICH THEY HOLD. SUCH PHYSICIANS GENERALLY ARE NOT PARTICIPANTS IN THE EXECUTIVE COMPENSATION PLAN, AND THEIR COMPENSATION, INCLUDING BASE SALARY, BENEFITS, AND ANY APPLICABLE BONUS OR INCENTIVE COMPENSATION, IS ESTABLISHED IN ACCORDANCE WITH NATIONALLY RECOGNIZED PHYSICIAN COMPENSATION SURVEYS AND IS SET FORTH IN WRITTEN EMPLOYMENT AGREEMENTS (WHICH ARE APPROVED BY THE BOARD OF DIRECTORS OR ITS EXECUTIVE COMMITTEE) AND/OR THE PHYSICIAN AND ADVANCED PRACTICE PROVIDER COMPENSATION PLAN DOCUMENT (WHICH IS APPROVED BY THE HUMAN RESOURCES COMMITTEE). BECAUSE THE ORGANIZATION'S OTHER OFFICERS ARE NOT PAID BY THE FILING ORGANIZATION, THE FORM 990 INSTRUCTIONS REQUIRE THIS TO BE ANSWERED "NO."
FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS	ON NOVEMBER 1, 2024, SOLE CORPORATE MEMBERSHIP AND CATHOLIC SPONSORSHIP OF OSF HEALTHCARE SYSTEM (THE FILING ORGANIZATION'S SOLE MEMBER) TRANSFERRED FROM THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS TO A NEWLY FORMED, ILLINOIS NOT-FOR-PROFIT CORPORATION, OSF HEALTHCARE MINISTRIES (THE TRANSFER). OSF HEALTHCARE MINISTRIES (PARENT) IS A DIOCESAN PUBLIC JURIDIC PERSON UNDER THE CATHOLIC DIOCESE OF PEORIA. THE ENTIRETY OF THE BOARD OF DIRECTORS OF OSF HEALTHCARE MINISTRIES IS COMPOSED OF PROFESSED SISTERS WHO ARE MEMBERS OF THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS. AS A PART OF THE TRANSFER, THE ORGANIZATION'S BYLAWS HAVE BEEN AMENDED ACCORDINGLY. THIS AMENDMENT REMOVED THE REQUIREMENT THAT A MAJORITY OF THE MEMBERS OF THE GOVERNING BOARD OF THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS SHALL AT ALL TIMES BE DIRECTORS OF THE ORGANIZATION.
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS	OSF HEALTHCARE SYSTEM IS THE SOLE CORPORATE MEMBER OF MENDOTA COMMUNITY HOSPITAL.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	THE GOVERNING BOARD OF OSF HEALTHCARE MINISTRIES, 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. OSF HEALTHCARE SYSTEM (AS SOLE MEMBER OF THE FILING ORGANIZATION) HOLDS RESERVED POWERS TO ELECT AND REMOVE ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF MENDOTA COMMUNITY HOSPITAL.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	RESERVED POWERS: THE FOLLOWING POWERS ARE RESERVED FOR THE MEMBER: A) TO ESTABLISH, APPROVE, OR MODIFY THE PHILOSOPHY, VISION, VALUES, AND MISSION ACCORDING TO WHICH THE CORPORATION OPERATES. (B) TO AMEND THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS. (C) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION. (D) TO MERGE OR CONSOLIDATE THE CORPORATION WITH OTHER ENTITIES OR TO DISSOLVE THE CORPORATION. (E) TO ACQUIRE AN INTEREST IN AN EXISTING ENTITY OR TO ESTABLISH A NEW ENTITY. (F) TO LEASE, SELL, ENCUMBER OR OTHERWISE ALIENATE ANY REAL PROPERTY OR INTEREST IN REAL PROPERTY OF THE CORPORATION. (G) TO APPROVE ANY TRANSFER, LEASE, SALE OR ENCUMBRANCE OF PERSONAL PROPERTY OF THE CORPORATION EXCEPT IN THE ORDINARY COURSE OF BUSINESS. (H) TO APPROVE ANY BORROWING OR DEBT FINANCING ON BEHALF OF THE CORPORATION. (I) TO APPOINT, DISCIPLINE, TERMINATE AND REMOVE THE CORPORATION'S OPERATING DIVISION PRESIDENT. (J) TO APPOINT AND REMOVE THE CORPORATION'S CHAIRPERSON, VICE CHAIRPERSON(S), CHIEF EXECUTIVE OFFICER, PRESIDENT, SECRETARY, AND TREASURER, AND THE ASSISTANT SECRETARY AND ASSISTANT TREASURER, IF ANY. (K) TO APPROVE OR AMEND STRATEGIC PLANS, MANAGEMENT OBJECTIVES, AND CAPITAL AND OPERATING BUDGETS OF THE CORPORATION. (L) TO APPROVE ANY PURCHASE OR OTHER AQUISITION BY THE CORPORATION THAT IS NOT INCLUDED IN ITS CAPITAL BUDGET AND EXCEEDS ONE MILLION DOLLARS ($1,000,000) PER ITEM. (M) TO NAME OR RENAME ANY HOSPITAL OR MEDICAL CENTER OWNED AND OPERATED BY THE CORPORATION. (N) TO REQUIRE A CERTIFIED AUDIT OF FINANCES OF THE CORPORATION AND TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANT TO PERFORM THE AUDIT. (O) TO APPROVE THE ENGAGEMENT OF AND TO DISMISS ANY OUTSIDE LEGAL COUNSEL TO REPRESENT THE CORPORATION ON A REGULAR BASIS OR IN CONNECTION WITH ANY MATTER DEEMED BY THE MEMBER, IN GOOD FAITH, TO HAVE SIGNIFICANCE FOR THE CORPORATION AS A WHOLE. (P) 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. (Q) TO TAKE ANY AND ALL ACTIONS DEEMED NECESSARY, IN THE SOLE JUDGEMENT OF THE MEMBER BOARD TO PROTECT AND PRESERVE THE TAX-EXEMPT STATUS AND PUBLIC CHARITY STATUS OF THE CORPORATION OR THE MEMBER AND ANY TAX-EXEMPT AFFILIATE OF THE CORPORATION OR THE MEMBER (INCLUDING FEDERAL AND STATE INCOME TAX EXEMPTIONS, PROPERTY TAX EXEMPTIONS, AND SALES TAX EXEMPTIONS); PROVIDED THE MEMBER BOARD HAS GIVEN A WRITTEN REQUEST TO THE BOARD TO TAKE ACTION OR REFRAIN FROM TAKING ACTION, WHICH WOULD HAVE SUFFICIENTLY PROTECTED AND PRESERVED SUCH TAX-EXEMPT AND PUBLIC CHARITY STATUS, AND THE BOARD HAS FAILED TO PROMPTLY TAKE SUCH ACTION OR REFRAIN FROM TAKING SUCH ACTION.
FORM 990, PART VI, LINE 9 INTERESTED PERSON NOT AT ORGANIZATION'S ADDRESS	BRIAN SILVERSTEIN, M.D. 1000 ELM RIDGE DRIVE GLENCOE, IL 60022
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	THE PROPOSED FINAL VERSION OF THE FORM 990 IS PROVIDED VIA AN ONLINE PORTAL 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 BEFORE FILING.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	DISCLOSURES BY OFFICERS, DIRECTORS AND TRUSTEES, AS WELL AS KEY EMPLOYEES AND EMPLOYEES CHARGED WITH PURCHASING, PROCUREMENT AND CONTRACTION DECISION-MAKING ARE MADE THROUGH AN ELECTRONIC REPORTING SYSTEM ON AN ANNUAL BASIS. DISCLOSURES ARE RECEIVED AND REVIEWED BY THE CORPORATE COMPLIANCE DIVISION ON AN ANNUAL BASIS. 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. THE CORPORATE COMPLIANCE DIVISION DETERMINES WHETHER A PLAN TO MANAGE A POSSIBLE OR ACTUAL CONFLICT OF INTEREST IS NEEDED, DISCUSSES THE MANGEMENT 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 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES	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 SAINT FRANCIS THAT OWNS OR IS ASSOCIATED WITH THE HEALTHCARE SYSTEM 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 ESTABLISHED 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. THE COMPENSATION REVIEW IS DONE ANNUALLY.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE	- TOTAL REVENUE: 64037, RELATED OR EXEMPT FUNCTION REVENUE: 64037, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ;
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	INTER-COMPANY TRANSFERS - -439371; NET ASSETS RELEASED FROM RESTRICTIONS - 122018; EQUITY TRANSFERS - 1664023; TOTAL - 1346670;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SISTERS OF THE THIRD ORDER OF ST FRANCIS
124 SW ADAMS ST	PEORIA	IL	61602	371259286	SUPPORT ORG	IL	501(C)(3)	1	NA	false
OSF HEALTHCARE FOUNDATION
124 SW ADAMS ST	PEORIA	IL	61602	371259284	SUPPORT ORG	IL	501(C)(3)	TYPE II	OSF	false
OTTAWA REGIONAL HOSP & HEALTHCARE CTR
124 SW ADAMS ST	PEORIA	IL	61602	362604009	HOSPITAL	IL	501(C)(3)	3	OSF	false
OSF MULTI-SPECIALTY GROUP
124 SW ADAMS ST	PEORIA	IL	61602	383852646	HLTHCARE SVCS	IL	501(C)(3)	TYPE I	OSF	false
OSF HEALTHCARE SYSTEM
124 SW ADAMS ST	PEORIA	IL	61602	370813229	HOSPITAL	IL	501(C)(3)	3	OSF HEALTHCARE MINISTRIES	false
OSF HEALTHCARE MINISTRIES
124 SW ADAMS ST	PEORIA	IL	61602	993020045	PARENT/SU ORG	IL	501(C)(3)	1	THE BISHOP OF THE CATHOLIC DIOCESE OF PEORIA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Address Line2USAddress/AddressLine2Txt
CENTER FOR HEALTH AMBULATORY SURGERY CENTER LLC
8800 N STATE ROUTE 91	PEORIA	IL	61615	205557171	SURGICAL CENTER	IL	NA	N/A	false	false
FT JESSE IMAGING CENTER LLC
2200 FT JESSE ROAD	NORMAL	IL	61761	460515604	MEDICAL IMAGING	IL	NA	N/A	false	false	SUITE B
FOX RIVER CANCER CENTER LLC
1211 STARFIRE DR	OTTAWA	IL	61350	870805865	ONCOLOGY	IL	NA	N/A	false	false
ONCALL IMAGING LLC
2510 LOCUST ST	STERLING	IL	61081	921514438	MEDICAL IMAGING	IL	NA	N/A	false	false
UP CARDIOLOGY PARTNERS LLC
3401 LUDINGTON STREET	ESCANABA	MI	49829	994511220	CARDIOLOGY EQUIPMENT	MI	NA	N/A	false	false
124 ADAMS PROPERTY MANAGEMENT LLC
124 SW ADAMS STREET	PEORIA	IL	61602	352620119	REAL ESTATE	IL	NA	N/A	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
POINTCORE INC
124 SW ADAMS ST	PEORIA	IL	61602	363484677	HLTHCARE SVCS	IL	NA	C CORPORATION	false
ILLINOIS PATHOLOGIST SERVICES LLC
5666 EAST STATE STREET	ROCKFORD	IL	61108	800439081	PATHOLOGY SVCS	IL	NA	C CORPORATION	false
SOUTHWEST HEALTH SYSTEMS INC
2800 WEST 95TH STREET	EVERGREEN PARK	IL	60805	363425830	HEALTHCARE SERVICES	IL	NA	C CORPORATION	false
OSF AVIATION LLC
124 SW ADAMS ST	PEORIA	IL	61602	300032408	MEDICAL TRANSPORTATION	IL	NA	C CORPORATION	false
OSF FINANCE COMPANY LLC
124 SW ADAMS STREET	PEORIA	IL	61602	261479218	FINANCE COMPANY	IL	NA	C CORPORATION	false
POINTCORE SUPPLY CHAIN SERVICES LLC
124 SW ADAMS STREET	PEORIA	IL	61602	853966960	SUPPLY CHAIN SERVICES	IL	NA	C CORPORATION	false

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