TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) GERALD J MCSHANE MD...................................................................... BOARD MEMBER	37.0 ................. 4.0	X			776,476	49,808
(2) KEVIN D SCHOEPLEIN...................................................................... VICE CHAIRPERSON, CEO	37.0 ................. 4.0	X	X		1,839,068	51,216
(3) SISTER AGNES JOSEPH WILLIAMS...................................................................... ASSISTANT SECRETARY	36.0 ................. 5.0	X	X		4,880	0
(4) SISTER DIANE MARIE MCGREW OSF...................................................................... PRESIDENT/TREASURER	36.0 ................. 5.0	X	X		4,880	0
(5) SISTER JUDITH ANN DUVALL OSF...................................................................... CHAIRPERSON	37.0 ................. 4.0	X	X		4,880	0
(6) SISTER ROSE THERESE MANN OSF...................................................................... BOARD MEMBER	37.0 ................. 4.0	X			0	0
(7) SISTER THERESA ANN BRAZEAU...................................................................... SECRETARY	37.0 ................. 4.0	X	X		4,880	0
(8) SISTER M MIKELA MEIDL FSGM...................................................................... BOARD MEMBER	37.0 ................. 4.0	X			0	0
(9) BRIAN J SILVERSTEIN MD...................................................................... BOARD MEMBER	38.0 ................. 3.0	X			45,000	0
(10) JAMES W GIRARDY MD...................................................................... BOARD MEMBER	39.0 ................. 2.0	X			0	0
(11) SISTER MARIA ELENA PADILLA...................................................................... BOARD MEMBER	39.0 ................. 2.0	X			0	0
(12) MICHAEL ALLEN...................................................................... CFO	40.0 ................. 1.0		X		143,106	10,170
(13) DANIEL R FASSETT MD...................................................................... PHYSICIAN, NEUROSURGERY	40.0 ................. 0.0			X	1,607,327	18,336
(14) JEFFREY D KLOPPENSTEIN MD...................................................................... PHYSICIAN, NEUROSURGERY	40.0 ................. 0.0			X	1,230,393	34,698
(15) ANTHONY m AVELlINO MD...................................................................... PHYSICIAN, NEUROSURGERY	40.0 ................. 0.0			X	1,146,604	35,145
(16) JON c MICHEL md...................................................................... PHYSICIAN, PULMONOLOGIST	40.0 ................. 0.0			X	1,010,821	28,457
(17) SUDHIR MUNGEE md...................................................................... PHYSICIAN, CARDIOLOGIST	40.0 ................. 0.0			X	1,007,845	34,698

(A) Name and business address	(B) Description of services	(C) Compensation
UNIV OF IL COLLEGE OF MEDICINE, PO BOX 4196 SPRINGFIELD,IL627084196	TEACHING PHYSICIANS	23,314,985
POINTCORE NETWORK SERVICES LLC, 222 3RD AVE SUITE 600 CEDAR RAPIDS,IA52401	IT SERVICES	3,570,551
HINSHAW CULBERTSON LLP, 8142 SOLUTIONS CENTER DR CHICAGO,IL606778001	LEGAL	2,884,271
PEPPER HAMILTON LLP, 300 TWO LOGAN SQUARE PHILADELPHIA,PA191032799	LEGAL	2,875,015
ASSOC ANESTHESIOLOGISTS SC, 8600 N STATE RT 91 SUITE 250 PEORIA,IL616159452	ANESTHESIOLOGY SVS	2,210,925
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 91

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

OSF Healthcare System

Employer identification number

37-0813229

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

OSF Healthcare System

Employer identification number

37-0813229

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization OSF Healthcare System

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization OSF Healthcare System		Employer identification number 37-0813229

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization OSF Healthcare System			Employer identification number 37-0813229
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

OSF Healthcare System

Employer identification number

37-0813229

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

678,845

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

678,845

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Mailing Expenses	Form Sch C Part II-B Line 1b THE ONLY COST OF MAILING RELATED TO LOBBYING EXPENSES IS RELATED TO THE COST OF STAMPS. THE TOTAL EXPENDITURES RELATED TO MAILING IS MINOR AND THE ACTUAL DOLLAR AMOUNT IS NOT READILY AVAILABLE. LEGISLATIVE CONTACTS PART II-B, LINE 1G SCHEDULE C, PART II-B, LINe 1G INCLUDES LOBBYING EXPENSES PAID TO VARIOUS NATIONAL HEALTH ASSOCIATIONS AS PART OF DUES AND SUBSCRIPTIONS IN THE AMOUNT OF $278,845. IT ALSO INCLUDES DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, AND LEGISLATIVE BODIES RELATING TO THE HOSPITAL, PHYSICIAN PAYMENT REFORM, CRITICAL ACCESS, MDH HOSPITAL RATE PROTECTION, ACO ACTIVITIES AND ADOPTION IN MEDICARE. THIS AMOUNTED TO $400,000.

Return Reference

Explanation

Mailing Expenses

Form Sch C Part II-B Line 1b THE ONLY COST OF MAILING RELATED TO LOBBYING EXPENSES IS RELATED TO THE COST OF STAMPS. THE TOTAL EXPENDITURES RELATED TO MAILING IS MINOR AND THE ACTUAL DOLLAR AMOUNT IS NOT READILY AVAILABLE. LEGISLATIVE CONTACTS PART II-B, LINE 1G SCHEDULE C, PART II-B, LINe 1G INCLUDES LOBBYING EXPENSES PAID TO VARIOUS NATIONAL HEALTH ASSOCIATIONS AS PART OF DUES AND SUBSCRIPTIONS IN THE AMOUNT OF $278,845. IT ALSO INCLUDES DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, AND LEGISLATIVE BODIES RELATING TO THE HOSPITAL, PHYSICIAN PAYMENT REFORM, CRITICAL ACCESS, MDH HOSPITAL RATE PROTECTION, ACO ACTIVITIES AND ADOPTION IN MEDICARE. THIS AMOUNTED TO $400,000.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

OSF Healthcare System

Employer identification number

37-0813229

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	58,445,819	51,788,138	37,314,439	22,865,122	17,139,873
b	Contributions ...	8,839,845	9,619,258	10,574,853	10,590,634	2,735,884
c	Net investment earnings, gains, and losses	7,180,954	-1,943,315	4,207,377	4,165,914	3,093,976
d	Grants or scholarships ...	619,990	81,000	91,480	75,284	71,508
e	Other expenditures for facilities and programs ...	716,370	937,262	217,051	231,947	33,103
f	Administrative expenses ....
g	End of year balance ......	73,130,258	58,445,819	51,788,138	37,314,439	22,865,122

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

51.390 %

Permanent endowment SchDMd Bullet

6.470 %

Temporarily restricted endowment SchDMd Bullet

42.140 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	21,470,880		21,470,880
b	Buildings	1,217,532,991	577,519,156	640,013,835
c	Leasehold improvements	29,518,549	25,010,981	4,507,568
d	Equipment ...	787,577,612	587,447,973	200,129,639
e	Other ...	65,462,509		65,462,509
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				931,584,431

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) BOND INSURANCE FEES				8,338,773
(2) WORKERS COMP ESCROW DEPOSITS				3,749,277
(3) THIRD PARTY WITHHOLDINGS				37,536,029
(4) DUE FROM FOUNDATION				5,594,130
(5) ASSETS - LIMITED OR RESTRICTED				91,011,456
(6) FUNDS LIMITED AS TO USE				254,957,881
(7) OTHER ACCOUNTS				32,599,318
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				433,786,864

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
ESTIMATED SELF INSURANCE LIABI	165,684,599
RETIRE OBLIG - ASBESTOS	7,038,481
ACCRUED PENSION LIABILITY	484,577,998
MARKET VALUATION OF SWAP	67,937,522
THIRD PARTY SETTLEMENT PAYABLE	96,837,140
DEFERRED COMPENSATION	4,174,343
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	826,250,083
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

Form Sch D Part V Line 4

THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED TO PROVIDE SCHOLARSHIPS TO NURSING STUDENTS, ACQUIRE EQUIPMENT AND SUPPORT PROGRAMS OF VARIOUS MEDICAL DEPARTMENTS OF THE OSF HEALTHCARE SYSTEM HOSPITALS.

Form Sch D Part X Line 2

Under ASC Subtopic 740-10,Accounting for Uncertainty in Income Taxes An Interpretation of FASB Statement No.109, OSF must recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. As of September 30, 2016 and 2015, OSF does not have any uncertain tax positions.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

OSF Healthcare System

Employer identification number

37-0813229

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 125 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 600 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	26,500,849		26,500,849	1.490 %
b	Medicaid (from Worksheet 3, column a) . . . . .	357,587,290	343,015,620	14,571,670	0.820 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	384,088,139	343,015,620	41,072,519	2.310 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,708,799	593,064	2,115,735	0.120 %
f	Health professions education (from Worksheet 5) . . .	76,833,084	27,054,167	49,778,917	2.800 %
g	Subsidized health services (from Worksheet 6) . . . .	18,977,392	8,024,683	10,952,709	0.620 %
h	Research (from Worksheet 7) .	1,038,130	540,080	498,050	0.030 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,235,732		1,235,732	0.070 %
j	Total. Other Benefits . .	100,793,137	36,211,994	64,581,143	3.640 %
k	Total. Add lines 7d and 7j .	484,881,276	379,227,614	105,653,662	5.950 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	59,604	59,604
8	Workforce development
9	Other
10	Total	59,604	59,604

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

10,235,594

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

480,768,415

Enter Medicare allowable costs of care relating to payments on line 5.....

520,606,904

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-39,838,489

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1NONE
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?9 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	SAINT FRANCIS MEDICAL CENTER 530 NE GLEN OAK AVENUE PEORIA,IL61637	X	X	X	X		X	X	X
2	SAINT ANTHONY MEDICAL CENTER 5666 EAST STATE STREET ROCKFORD,IL61108	X	X		X		X	X
3	ST JOSEPH MEDICAL CENTER 2200 EAST WASHINGTON STREET BLOOMINTON,IL61701	X	X					X
4	ST MARY MEDICAL CENTER 3333 NORTH SEMINARY STREET GALESBURG,IL61401	X	X					X
5	OSF SAINT ANTHONY'S HEALTH CENTER 1 ST ANTHONYS WAY ALTON,IL62002	X	X					X
6	ST FRANCIS HOSPITAL 3401 LUDINGTON STREET ESCANABA,MI49829	X				X		X
7	SAINT JAMES HOSPITAL 2500 W REYNOLDS STREET PONTIAC,IL61764	X	X					X
8	OSF SAINT LUKE MEDICAL CENTER 1051 W SOUTH STREET KEWANEE,IL61443	X				X		X
9	OSF HOLY FAMILY MEDICAL CENTER 1000 W HARLEM AVENUE MONMOUTH,IL61462	X				X		X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	saint francis medical center
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	saint francis medical center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 600.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	saint francis medical center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	saint anthony medical center
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	saint anthony medical center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 600.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	saint anthony medical center
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	st joseph medical center
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	st joseph medical center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 600.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	st joseph medical center
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	st mary medical center
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	st mary medical center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 125.% and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	st mary medical center
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	OSF SAINT ANTHONY'S HEALTH CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	OSF SAINT ANTHONY'S HEALTH CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 600.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	OSF SAINT ANTHONY'S HEALTH CENTER
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ST FRANCIS HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ST FRANCIS HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	ST FRANCIS HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	SAINT JAMES HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SAINT JAMES HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 125.% and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	SAINT JAMES HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	OSF SAINT LUKE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	OSF SAINT LUKE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 125.% and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	OSF SAINT LUKE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	OSF HOLY FAMILY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	OSF HOLY FAMILY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 125.% and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	OSF HOLY FAMILY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Part v section b number 5 - all facilities	OSF hospitals took into account the input of the community members by having these individuals help prioritize the identified needs within each community. In addition, each facility obtained and used resources from or resources provided by these community members.
Part v section b number 6a	ALTHOUGH THE MOST RECENT CHNA WAS CONDUCTED IN FISCAL YEAR 2016, AS INDICATED IN PART V, THIS MOST RECENT CHNA IS APPLICABLE BEGINNING IN FISCAL YEAR 2017 (2016 FORM 990). THE 2015 FORM 990 WAS PREPARED BASED UPON THE FISCAL YEAR 2013 CHNA WHICH IS APPLICABLE TO THE 2013, 2014, AND 2015 RETURN YEARS. Saint Francis medical center - Peoria, IL The tri-county community health-needs assessment is a collaborative undertaking by Unitypoint health - Methodist, OSF saint Francis medical center and proctor hospital. St. Mary medical center - Galesburg, IL The Knox and warren counties community health-needs assessment is a collaborative undertaking by St. Mary medical center and OSF holy family medical center. OSF holy family medical center The Knox and warren counties community health-needs assessment is a collaborative undertaking by St. Mary medical center and OSF holy family medical center. Saint Anthonys health center, Alton, IL The Madison county community health needs assessment was conducted by Saint Anthonys health center, Saint Clares hospital and Alton memorial. The CHNA that was conducted in 2016 for each hospital and was approved and adopted by the OSF board of directors on July 25, 2016 was conducted with one oR more other community hospitals as follows: Saint Francis medical center - Peoria, IL The Tri-County CHNA for Peoria, Woodford and Tazewell counties was completed as a collaborative undertaking by Saint Francis Medical Center and UnityPoint Health-Methodist/Proctor supported by Kindred Hospital, Advocate Eureka Hospital, Hopedale Medical Center and Pekin Hospital. St. Joseph medical center Bloomington, IL The Mclean county CHNA was a collaborative undertaking by St. Joseph medical center and Bromenn medical center.
Part v section b number 6b	THE CHNA THAT WAS CONDUCTED IN 2016 FOR EACH HOSPiTAL AND WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS ON JULY 25, 2016 WAS CONDUCTED WITH ONE OR MORE ORGANIZATIONS OTHER THAN COMMUNITY HOSPITALS as follows: Saint Francis medical center Peoria, IL The Tri-County CHNA for Peoria, Woodford and Tazewell counties was completed as a collaborative undertaking supported by the following organizations other than hospitals: Peoria City/County Health Department, Tazewell County Health Department, Woodford County Health Department, Heart of Illinois United Way, Heartland Community Health Clinic and Bradley University. St. Joseph medical center Bloomington, IL The Mclean county CHNA was a collaborative undertaking conducted with organizations other than hospitals: Mclean county health department and the united way of Mclean County.
Part v, line 11	See part VI, line 2, "needs assessment" supplemental info - CHNA - for detailed description on how significant needs are being addressed for each hospital along with the needs not addressed.
Part v, section b, line 7a	https://www.osfhealthcare.org/about/community-health/
Part v, section b, line 16a and 16b	https://www.osfhealthcare.org/billing/financial-assistance/
Part v - line 13b and 13h	Saint Francis medical center, saint Anthony medical center, St. joseph medical center, St. Mary medical center, saint James hospital, OSF holy family medical center, St. Francis hospital, saint Luke medical center, OSF saint Anthony health center: Please refer to the response to schedule h, part i, line 3c for a description of how the above mentioned facilities explained the basis for calculating amounts charged to patients using factors other than FPG.
Part v, section b, line 16I	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.
Part v, section b, line 20e	All OSF hospitals screen all patients with no insurance benefits, or insufficient insurance benefits for presumptive charity care.
Part v, line 22d	Saint Francis medical center, saint Anthony medical center, St. Joseph medical center, OSF saint Anthony health center: The hospital determined the amounts billed to individuals who did not have insurance covering emergency or other medically necessary care in the following ways. The amount billed to the individual was the lowest amount determined under any of the following methods which apply to the individual: - for Illinois residents who incur gross charges in excess of $300 for any one inpatient admission or outpatient encounter, who apply for financial assistance, and whose family income is 200% or less of the federal poverty guidelines for family size, the amount billed is $0.00. If family income is between 201% and 600% of the federal poverty guidelines for their family size, the amount billed is calculated by multiplying gross charges times the hospital's cost to charge ratio determined from its most recently filed Medicare cost report and then multiplying that product times 135%. The amount billed to patients regardless of residency whose family income is not more than 200% of federal poverty guidelines for their family size is $0.00. Discounted financial assistance is available on a sliding scale to patients regardless of residency whose family income is between 201% and 600% of federal poverty guidelines for their family size. 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 is the most generous assistance. -The maximum amount that can be collected in a 12 month period for emergency or other medically necessary care to any patient who applies for financial assistance does not exceed 25% of family income. -The amount billed to financial assistance policy eligible individuals is never more than the amount generally billed (AGB) TO individuals who have insurance covering such care. this maximum charge billed to financial assistance policy eligible individuals is determined by multiplying the gross charges for all emergency and other medically necessary care by a percentage calculated annually and equal to: (i) the aggregate dollar amount of claims allowed for all medical services during the 12-month period ended on the preceding September 30 by both Medicare FFS and all private insurers, together with any associated portions of these claims the Medicare beneficiaries and insured individuals are responsible for paying in the form of co-payments, co-insurance, or deductibles, divided by (ii) the sum of the associated gross charges for those claims. If the amount a health insurer will allow for a claim has NOT been finally determined as OF the last day of the 12 month period used to calculate the AGB percentage, the hospital excludes the amount of the claim from that calculation and includes it in the subsequent 12 month period during which the amount allowed is finally determined. The amount billed to a patient eligible for financial assistance under this policy will be less than the amount of the gross charges. St. Francis hospital: The hospital determined the amounts billed to financial assistance policy eligible individuals for emergency or other medically necessary care in the following ways. The amount billed to the individual was the lowest amount determined under any of the following methods which apply to the individual: -The maximum amount that can be collected in a 12 month period for emergency or other medically necessary care to any patient who applies for financial assistance does not exceed 25% of family income. -Uninsured patients with family income below 250% of the federal poverty guideline qualify for a healthy Michigan law discount equal to the Medicare reimbursement rate plus 15%. Patients do not need to apply for the discount. The discount is applied to all patients determined to have no insurance. If a service is not covered under a patient's plan, they do not qualify for the uninsured discount. The program is available only to patients who are not enrolled in an insurance plan. The amount billed to patients regardless of enrollment in an insurance plan, when family income in not more than 200% of federal poverty guidelines for their family size, is $0.00. Discounted financial assistance is available on a sliding scale to patients regardless of enrollment in an insurance plan when family income is between 201% and 600% of federal poverty guidelines for their family size. 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 is the most generous assistance. -The maximum amount that can be collected in a 12 month period for emergency or other medically necessary care to any patient who applies for financial assistance does not exceed 25% of family income. -The amount billed to financial assistance policy eligible individuals is never more than the amount generally billed (AGB) TO individuals who have insurance covering such care. this maximum charge billed to financial assistance policy eligible individuals is determined by multiplying the gross charges for all emergency and other medically necessary care by a percentage calculated annually and equal to: (i) the aggregate dollar amount of claims allowed for all medical services during the 12-month period ended on the preceding September 30 by both Medicare FFS and all private insurers, together with any associated portions of these claims the Medicare beneficiaries and insured individuals are responsible for paying in the form of co-payments, co-insurance, or deductibles, divided by (ii) the sum of the associated gross charges for those claims. IF THE AMOUNT A HEALTH INSURER WILL ALLOW FOR A CLAIM HAS NOT BEEN FINALLY DETERMINED AS OF THE LAST DAY OF THE 12 MONTH PERIOD USED TO CALCULATE THE AGB PERCENTAGE, THE HOSPITAL EXCLUDES THE AMOUNT OF THE CLAIM FROM THAT CALCULATION AND INCLUDES IT IN THE SUBSEQUENT 12 MONTH PERIOD DURING WHICH THE AMOUNT ALLOWED IS FINALLY DETERMINED. THE AMOUNT BILLED TO A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY WILL BE LESS THAN THE AMOUNT OF THE GROSS CHARGES. THE AMOUNT BILLED TO A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY WILL BE LESS THAN THE AMOUNT OF THE GROSS CHARGES. St. Mary medical center, Saint James hospital, OSF holy family medical center, saint Luke medical center: The hospital determined the amounts billed to financial assistance policy eligible individuals for emergency or other medically necessary care in the following ways. The amount billed to the individual was the lowest amount determined under any of the following methods which apply to the individual: - for Illinois residents who incur gross charges in excess of $300 for any one inpatient admission or outpatient encounter, who apply for financial assistance, and whose family income is 125% or less of the federal poverty guidelines for family size, the amount billed is $0.00. if family income is between 126% and 300% of the federal poverty guidelines for their family size, the amount billed is calculated by multiplying gross charges times the hospital's cost to charge ratio determined from its most recently filed Medicare cost report and then multiplying that product times 135%. The amount billed to patients regardless of residency whose family income in not more than 200% of federal poverty guidelines for their family size is $0.00. Discounted financial assistance is available on a sliding scale to patients regardless of residency whose family income is between 201% and 600% of federal poverty guidelines for their family size. 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 is the most generous assistance. -The maximum amount that can be collected in a 12 month period for emergency or other medically necessary care to any patient who applies for financial assistance does not exceed 25% of family income. -The amount billed to financial assistance policy eligible individuals is never more than the amount generally billed (AGB) to individuals who have insurance covering such care. this maximum charge billed to individuals eligible under the financial assistance policy is determined by multiplying the gross charges for all emergency and other medically necessary care by a percentage calculated annually and equal to: (i) the aggregate dollar amount of claims allowed for all medical services during the 12-month period ended on the preceding September 30 by both Medicare FFS and all private insurers, together with any associated portions of these claims the Medicare beneficiaries and insured individuals are responsible for paying in the form of co-payments, co-insurance, or deductibles, divided by (ii) the sum of the associated gross charges for those clai
Patients charged amount equal to the gross charge for services provided:	part v, line 24 Saint Francis medical center, St. Anthony medical center, St. Joseph medical center, St. Mary medical center, saint James hospital, OSF holy family medical center, Saint Luke medical center, OSF saint Anthony health center: None of the hospitals charged any patient who was eligible for financial assistance an amount equal to the gross charges associated with emergency or other medically necessary care. In the following limited instances, however the hospital charged patients an amount equal to gross charges: -Patients receiving elective medical services other than emergency or other medically necessary care, such as elective cosmetic surgery performed to improve one's appearance and not related to a trauma or disfiguration. -Patients whose medical bills are the responsibility of a third party pursuant to a claim brought by the patient against the third party. -Patients whose medical bills are covered by an automobile insurance medical payment or underinsured policy benefit. St. Francis hospital: The hospital charged its patients an amount equal to gross charges in the following circumstances: -Patients receiving elective medical services other than emergency or other medically necessary care, such as elective cosmetic surgery performed to improve one's appearance and not related to a trauma or disfiguration. -Patients whose medical bills are the responsibility of a third party pursuant to a claim brought by the patient against the third party. -patients whose medical bills are covered by an automobile insurance medical payment or underinsured policy benefit.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?31
Name and address		Type of Facility (describe)
1	Center for Health at Ft Jesse 2200 Ft Jesse Road NORMAL,IL61761	Physical Therapy; Occupational Therapy; speech therapy; Industrial Rehab
2	OSF St Joseph Medical Center - College 1701 East College Avenue BLOOMINGTON,IL61704	Audiology
3	OSF Center for Rehabilitation & Occupati 105 John Street DWIGHT,IL60420	Physical Therapy
4	OSF Center for Rehabilitation & Occupati 106 South First Street FAIRBURY,IL61739	Physical Therapy; Occupational Therapy
5	OSF Center for Rehabilitation & Occupati 608 North Ladd Street PONTIAC,IL61764	Physical Therapy
6	OSF Saint James Sleep Laboratory 702 Rittenhouse Drive PONTIAC,IL61764	Polysymnography Clinic
7	OSF St Francis Hospital and Medical Gro N 15995 Main St POWERS,MI49870	Diagnostic Radiology
8	OSF St Francis Hospital Medical Group-E 3409 Ludington St ESCANABA,MI49829	Diagnostic Radiology
9	OSF St Francis Hospital Medical Group-G 128 Michigan GLADSTONE,MI49837	Diagnostic Radiology
10	St Francis Hospital- Rehab Services 704 Superior Avenue GLADSTONE,MI49837	Physical Therapy; Occupational Therapy; speech therapy
11	OSF Saint Clare's Hospital 915 East Fifth Street ALTON,IL620020340	skilled nursing
12	OSF Saint Anthony's Cancer Center 815 East Fifth Street ALTON,IL62002	medical oncology
13	OSF Holy Family Clinic 1000 West Harlem Ave MONMOUTH,IL61462	CARDIOLOGY; GENERAL, NERU; PEDIATRIC; PODIATRY SLEEP CENTER
14	OSF Saint Anthony Medcial Center - Belvi 1954 Gateway Center Dr BELVIDERE,IL610089303	Laboratory Services
15	OSF Saint Anthony Medcial Center - Belvi 1916 Gateway Center Dr BELVIDERE,IL610089303	Physical Therapy; Occupational Therapy
16	OSF Center for Health at Rock Cut Crossi 9951 Rock Cut Crossing LOVES PARK,IL611111999	Laboratory Services
17	Rockford Cardiovascular Associates 444 Roxbury Road ROCKFORD,IL61107	Cardiac Rehahab
18	Illinois Medical Center Building 5114 Glen Park Place Peoria,IL616144686	Diagnostic Radiology, Lab, OP Clinic, ECHO, Mammography, US, Xray
19	OSF Center for Health Morton 435 Maxine Drive Morton,IL61550	Diagnostic Radiology, Lab, EKG, OP Clinic,CT, MRI, ECHO, Mammography, US, Xray
20	OSF Five Points Outpatient Rehab SVCS 360 N Wilmore Road Washington,IL615711252	Pediatric and Adult Physical Therapy , Aquatic Therapy, Occupational Therapy
21	OSF Health Services at Riverplex 600 Water Street Peoria,IL61602	Adult Physical Therapy, Cardiac Rehab, Faith Community Nursing, Health
22	OSF Outpatient Services 100 NE Randolph Ave Peoria,IL61606	Physical Therapy, Occupational Health, OP Clinic INI
23	OSF Outpatient Center for Industrial Reh 520 Highpoint Lane East Peoria,IL61611	Physical Therapy, Occupational Therapy
24	OSF Outpatient Rehab Glen Park 5009 Glen Park Place Peoria,IL616144686	Physical Therapy
25	OSF Saint Clare Family Health Center 10 Saint Clare Court 100 Washington,IL61571	Diagnostic Radiology, LAB, EKG, OP Clinic, Mammography, US, Xray
26	OSF Saint Francis Radation Oncology at P 603 Thirteenth Street Pekin,IL61554	OP Clinic
27	OSF Women's Health Center 7800 N Sommer Suite 508 Peoria,IL61615	Physical Therapy, Breast Feeding Resource Center
28	Radiation Oncology North 8948 N Wood Sage Road Peoria,IL61615	OP Clinic
29	osf st anthony medical center- parkview 1502 parkview ave rockford,IL61107	physical therapy; occupational therapy
30	osf st anthony Med ctr- ct for health 5666 e state street rockford,IL611082425	Physical Therapy; Occupational Therapy
31	osf st joseph medical center sleep lab 2200 e washington st bloomington,IL617014323	polysymnography; neurology

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Part i, line 3c:	The corporation provides: -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 provides a financial discount of 100% of billed charges when there are no insurance benefits and the patient satisfies one of the following categories of presumptive eligibility criteria: current Medicaid eligibility, but not on date of service or for non-covered service; mental incapacitation with no one to act on patients behalf; deceased with no estate; and homeless. For OSF hospitals that are not critical access or rural hospitals, enrollment in any one of the following programs with criteria at or below 200% of federal poverty income guidelines establishes a presumptive charity category; WIC; snap, IL free lunch and breakfast program; LIHEAP; receipt of grant assistance for medical services; and enrollment in an organized community-based program providing access to medical care that assesses and documents limited low-income financial status as criteria for membership. -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.
Part i, line 7:	Costs reported on lines 7 a, b, and c are calculated using the ratio of patient care cost-to-charges derived from worksheet 2. Costs reported on lines 7 e, f, g, h, and i are costs derived from general ledger accounts and hospital department cost center reports which include both direct and indirect costs less revenue. Line 7g represents all payers excluding Medicare, Medicaid and self-pay.
Part i, line 7g:	Net costs (total expense less revenue) of physician clinics are included as subsidized health services on part i, line 7g. Such net costs total $3,703,161.
Part i, line 7, column f:	Bad debt expense in the amount of $55,394,901 is included on form 990, part ix, line 24c, column (a), but was subtracted for purposes of calculating the percentages in schedule h, part i, line 7, column (f).
Part ii:	Community building activities: The corporation's community building activities promote the health of the communities served in the following ways: -Corporate executives volunteer to serve on boards and committees of community organizations such as united way and others. -Transportation vouchers are given to indigent persons for their personal transportation needs (other than to or from the corporation's facilities).
Part iii, lines 2, 3 and 4:	In general, and in accordance with Medicare regulations, patient account balances are written off to bad debt expense after reasonable collection efforts have been exhausted and the account has been sent to a collection agency or law firm. Patients' accounts receivable are reduced by an allowance for uncollectible accounts. In evaluating the 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 copayment balances due for which third-party coverage exists for part of the bill), the patients are screened against the OSF financial assistance policy and uninsured discount policy. For any remaining patient responsibility balance, OSF records a provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Bad debt expense of $55,394,901 on form 990, part ix, line 24c is based upon accrual accounting required by generally accepted accounting principles. This amount consequently differs from the bad debt expense of $10,235,594 on schedule h, part iii, line 2 which requires the organization to report aggregate bad debt at cost. Bad debt expense reported on part iii, line 2 is therefore calculated by multiplying gross charges written off to bad debt expense times the ratio of patient care cost-to-charges derived from worksheet 2. Discounts, including any applicable third party payer contractual allowances and any charity care discounts (valued at gross charges), are applied to patient account gross charges to determine the account balance before patient payments. The aggregate amount of all patient payments is then applied to the account balance. When determination is made that no further amounts can be collected in accordance with the corporation's bad debt policy, the remaining balance is written off to bad debt expense. Presumptive charity: charges may be adjusted to provide for a charity discount of 100% of billed charges for medically necessary services provided to an uninsured patient who establishes financial need at time of registration by satisfying one of the following categories of presumptive eligibility criteria. Presumptive charity categories for all OSF hospitals: -homelessness; -deceased with no estate; -mental incapacitation with no one to act on patient's behalf; or -Current Medicaid eligibility, but not on date of service or for non-covered service. for OSF hospital's that are not critical access hospitals or rural hospitals, enrollment in any of the following programs with criteria at or below 200% of the federal poverty income guidelines shall establish a presumptive charity category. -women, infants and children nutrition program (WIC); -supplemental nutrition assistance program (snap); -Illinois free lunch and breakfast program; -low income home energy assistance program (LIHEAP); -enrollment in an organized community-based program providing access to medical care that assesses and documents limited low-income financial status as criterion for membership; or -Receipt of grant assistance for medical services. Therefore, the corporation does not believe that bad debt expense reported on part iii, line 3 includes any amounts that reasonably could be attributable to patients who would likely qualify under the corporation's financial assistance policy.
Part iii, line 8:	100% of the Medicare shortfall should be treated as community benefit. OSF is committed to serving patients, regardless of ability to pay or if the payments to be received will be less than the cost to provide the service, which is the case for Medicare and Medicaid patients. The Medicare allowable costs on line 6 part iii have been calculated by multiplying Medicare charges by the patient care cost to charge ratio derived from worksheet 2. The amount is compared to total Medicare payments received including DSH and IME payments. This shortfall should be treated as a community benefit since it reflects unreimbursed costs to the health system for providing medical services to the Medicare residents of the community.
Part iii, line 9b:	The corporation has a fair billing/collection policy which applies for all patients. The policy includes: -Required information provided in bills to patients (including a requirement that information be provided on how the patient may apply for financial assistance). -Process for patients to inquire about or dispute a bill, including toll-free telephone number, address, contact name, and e-mail address. -Requirements for timely response to patient inquiries. -Conditions which must be satisfied 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 of 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 obtain a body attachment against any patient or guarantor. -The corporation shall not engage in any extraordinary collection actions, such as submitting reports to credit agencies before reasonable efforts 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 patients eligibility for noncompliant charity before pursuing legal action for nonpayment.
SCHEDULE H - PART VI SUPPLEMENTAL INFORMATION - CHNA	Although the most recent CHNA was conducted in fiscal year 2016, as indicated in Part V, this most recent CHNA is applicable beginning in fiscal year 2017 (2016 Form 990). The 2015 Form 990 was prepared based upon the fiscal year 2013 CHNA which is applicable to the 2013, 2014 and 2015 return years. OSF Healthcare System completed a Community Health Needs Assessment ("CHNA") during fiscal year 2016 for each of its hospitals, as required by Internal Revenue Code section 501(r)(3). The final CHNA for each of the health systems hospitals was approved and adopted by the systems board of directors on July 25, 2016. This most recent CHNA is effective for fiscal years 2017, 2018 and 2019 for each of the hospitals. In response to the significant health needs identified in each respective hospitals 2016 CHNA, the hospitals completed and adopted an implementation strategy to address these critical health needs. The narrative below lists the significant health needs identified for each hospital based on these 2016 CHNAs. St. Francis Hospital Escanaba, MI The Delta County CHNA that was approved and adopted for St. Francis Hospital in July 2016, identified the following significant community health needs: Behavioral Health (Mental and Substance Abuse), Healthy Behaviors and Obesity. Saint Anthony Medical Center Rockford, IL The Winnebago County CHNA that was approved and adopted for Saint Anthony Medical Center in July 2016 identified the following significant community health needs: Access to Health Services, Mental Health and Obesity. Saint James Hospital, known as OSF Saint James-John W. Albrecht Medical Center Pontiac, IL The Livingston County CHNA that was approved and adopted for Saint James Hospital in July 2016 identified the following SIGNIFICANT community health needs: Behavioral Health (Mental and Substance Abuse), Healthy Behaviors and Obesity. St. Joseph Medical Center Bloomington, IL The McLean County CHNA was completed utilizing an executive steering committee with members from St. Joseph Medical Center, Advocate BroMenn Medical Center, the McLean County Health Department, and United Way of McLean County. This joint CHNA was approved and adopted for St. Joseph Medical Center in July 2016 and identified the following significant community health needs: Access to Appropriate Healthcare for the Underserved and Areas of High Socioeconomic Need, Behavioral Health (Mental and Substance Abuse) and Obesity. Saint Francis Medical Center Peoria, IL The Tri-County CHNA for Peoria, Woodford and Tazewell counties was completed as a collaborative undertaking by Saint Francis Medical Center and UnityPoint Health Methodist/Proctor supported by the members of the Central Illinois Community Health Collaborative: Peoria City/County Health Department, Tazewell County Health Department, Woodford County Health Department, Kindred Hospital, Advocate Eureka Hospital, Hopedale Medical Complex, Pekin Hospital, Heart of Illinois United Way, Heartland Community Health Clinic and Bradley University. This CHNA was approved and adopted for Saint Francis Medical Center in July 2016 and the collaborative group identified the following significant community health needs: Mental Health, Healthy Behaviors and Obesity. St. Mary Medical Center Galesburg, IL The Knox and Warren County CHNA that was approved and adopted for St. Mary Medical Center in July 2016 identified the following significant community health needs: Access to Health Services, Mental Health and Obesity. OSF Healthcare System dba/OSF Saint Luke Medical Center Kewanee, IL The Henry County CHNA that was approved and adopted for Saint Luke Medical Center in July 2016 identified the following significant community health needs: Access to Health Services, Mental Health and Obesity. OSF Healthcare System dba/OSF Saint Anthonys Health Center Alton, IL The Madison County CHNA that was approved and adopted for Saint Anthony Health Center in July 2016 identified the following significant community health needs: Behavioral Health (Mental and substance abuse) and Obesity. osf healthcare ststem dba/OSF Holy Family Medical Center Monmouth, IL The Warren County CHNA that was approved and adopted for OSF Holy Family Medical in July 2016 AND IDENTIFIED THE FOLLOWING SIGNIFICANT community health needs: Healthy Behaviors, Use of Emergency Department as a Primary Source of Medical Care and Heart Disease. The CHNA that was conducted in 2013 for each hospital is still effective for fiscal year ending 2016. The results of the implementation strategies adopted for the community health needs in the 2013 CHNAs are discussed in detail below. Saint Francis Medical Center Peoria, IL The CHNA that was approved and adopted in 2013 for Saint Francis Medical Center identified the following as the communitys most significant health needs: Identified need: access to healthcare This need is based on results from survey respondents defined as living in deep poverty who indicated that access to healthcare services is limited. This includes medical, prescription medications, dental and mental healthcare. Access to medical care, dental care, prescription medication and counseling is limited for those living in deep poverty. Only half of people living in deep poverty seek medical services at a clinic or doctor's office. For this segment of the population, it is very common to seek medical services from an emergency department, or even more concerning is that 13% of this segment of the population will not seek any medical services at all. Fy2016 goals: access to healthcare imbed healthcare education and services within the indigent population in conjunction with existing community resources. Fy2016 accomplishments: access to healthcare partnered with several additional agencies in underserved population areas. participation in local health fairs throughout community. partnered with three local health departments to provide services within community. mobile van WAS approved and out in the community offering various services to provide access to the underserved. navigators WERE assigned to help patients enroll in Medicare and Medicaid services. provided ongoing education to faith based nurses to provide community support in various locations. provided various classes to community on health related education. partnered with local groups to provide staffing, resources or funding. Identified need: risky behaviors/substance abuse This need is based on the prevalence of alcohol, tobacco and marijuana in our community. In the tri-county region, among 8th graders, the average age at first use of alcohol, tobacco and marijuana is 13, 11.5 and 12.4 years respectively. The same average age for 12th graders is 15.9, 14 and 14.9 years respectively. Peoria County is much higher for marijuana use compared to state averages, especially among 12th graders (33% vs. 21%). Fy2016 goals: risky behaviors/substance abuse increase awareness at the junior high and high school level of the consequences of using alcohol, tobacco and marijuana. raise awareness on the importance of substance abuse avoidance. Fy2016 accomplishments: risky behaviors/substance abuse behavioral health physician seeS referrals from OSFMG. pre-employment drug screens, incident related drug screens and education programs provided to SFMC employees and area partnering employers. provided resources to primary care physicians to handle patients with substance abuse. provided appropriate referrals. engagement through screening at local physician offices and hospital. expansion of OSF healthcare systems behavioral health program. Identified need: asthma This need is based on an increase in inpatient admissions for asthma. Inpatient admissions to the Peoria area hospitals including Unitypoint health Methodist/proctor, Saint Francis medical center, proctor, and Pekin hospital, increased by 26.7%. Fy2016 goals: asthma increase awareness of asthma prevention strategies. increase compliance with asthma action plans. reduce asthma related prompt care/emergency room visits and admissions. Fy2016 accomplishments: asthma engagement through primary physician offices to teach patients the signs of an impending asthma attack. offered patient visits to learn more about asthma. worked with local health departments to increase awareness on social determinate factors. Identified need: diabetes By evaluating magnitude of morbidities and growth rates of morbidities, This need is based on an increase in inpatient admissions for diabetes and an increase in the prevalence of diabetes in the general population. Type i and type ii diabetes are increasing the incidence in and all three counties is higher than state averages. Fy2016 goals: diabetes promote prevention, screening and early therapy for metabolic syndrome, hyperglycemia and diabetes for the tri-county area. Fy2016 accomplishments: diabetes diabetes education offered by children's hospital of Illinois. quality measures included 1) pe
Schedule h - part VI supplemental information - chna continued	St. Joseph medical center - Bloomington, IL The chna that was approved and adopted in 2013 for St. Joseph medical center identified the following as the community's most significant health needs: Identified need: access to healthcare This health need is based on results from survey respondents defined as living in deep poverty who indicated that access to healthcare services is limited. This includes medical, prescription medications, dental and mental healthcare. Poverty is a key factor, as 24% of people living in poverty in Mclean County consider the emergency department their primary source of health care. Furthermore, 44% of people in poverty were unable to obtain medical care when they needed it in the past year. Results also suggest a strong correlation between ethnicity and one's ability to obtain medical care. As survey data suggest individuals who identify as black are more likely to use the emergency department, as well as young men, low education and homelessness. With regard to prescription drugs, 46% of individuals living in poverty in Mclean County were unable to fill a prescription in the past year because they lacked health care coverage. with regard to dental care, 44% of individuals living in poverty in Mclean county needed dental care and were unable to obtain it last year and 25% of individuals living in poverty in Mclean county needed counseling and were unable to obtain it in the last year. "Affordability" was cited as the leading impediment to various types of health care. Fy2016 goals: access to healthcare educating community about accessing appropriate care at appropriate time; link community to lower cost care resources. Fy2016 accomplishments: access to healthcare materials distributed to OSF sites as well as school nurses, health fairs and community events. referrals to community clinics. ed navigator to improve access. resource and services to link community where appropriate. Identified need: risky behaviors/substance abuse This health need is based on the prevalence of alcohol, tobacco and marijuana in our community. Risky behaviors are defined as activities that include addiction, chemical dependency and risky sexual behaviors. Note that youth substance usage in Mclean County exceeds the state of Illinois averages for 12th graders in terms of alcohol usage. Fy2016 goals: risky behaviors/substance abuse decrease alcohol use among youth. Fy2016 accomplishments: risky behaviors/substance abuse video distributed to the Bloomington/normal parents group. educational articles included in publications, social media and blogs. collaborated with local community agencies to provide services. Identified need: healthy behaviors This health need based on results from survey respondents defined as living in deep poverty, indicated that there are limited efforts at proactively managing one's own health. This includes limited exercise, poor eating habits and increased incidence of smoking. Only 17% of the Mclean county population engages in exercise 5 or more times per week. Note that residents with higher education and higher income are more likely to engage in exercise. With regard to healthy eating, only 7% of the population consumes the minimum recommended servings of fruits/vegetables in a day. Those more likely to have healthy eating habits include women, older people, people with higher education and more income. Homeless people are less likely to exhibit healthy eating habits. Finally, smoking is on the decline, however, less educated people, men, younger people, non-white residents, those with lower income and homeless people are still more likely to smoke. Fy2016 goals: healthy behaviors increase use of evidence-based interventions for smoking cessation. Fy2016 accomplishments: healthy behaviors marketing outreach that has occurred: radio spot, healthy cells, pantograph and social media. promoted hotline for tobacco. community garden providing fresh fruit and vegetables to local pantry. tracked education at home sweet home ministries and community health care clinic. Identified need: mental health This health need looks at the percent of patients that reported they had experienced 1-7 days with poor mental health per month between 2007 and 2009. This includes mental disabilities, depression and self-perceptions of mental health. Approximately 23% of residents in Mclean County reported they had experienced 1-7 days with poor mental health per month between 2007 and 2009. Approximately 11% of residents in Mclean County reported they had experienced 8-30 days with poor mental health per month between 2007 and 2009. For both segments of residents (those experiencing 1-7 days and 8-30 days with poor mental health per month), each was below the state average for the same time frame. Fy2016 goals: mental health link community to existing resources for mental health care. Fy2016 accomplishments: mental health completed radio program and stress less programs. community educational programs. promoted awareness of mental health resources. Identified need: obesity This health need is based on an increase in the prevalence of obesity in our community population. Research strongly suggests that obesity is a significant problem facing youth and adults nationally, in Illinois, and within the Mclean county region. In terms of obesity, the Mclean county area as a whole is higher than the state average and growing rapidly. There was a 13% increase in the growth of Mclean county residents reporting they were overweight between 2006 (35.0%) and 2009 (39.5%). Considering that Illinois has the 6th highest obesity rate in the U.S., this is an important issue. Fy2016 goals: obesity access to affordable nutrition/physical activity education. Fy2016 accomplishments: obesity offered education events at employers and community sites, e.g. St. Marys church, schools, western avenue, home sweet home ministry, parish nurses. harvested several hundred pounds of produce and donated to home sweet homes. educational classes geared toward weight management. offered educational events to employer and community sites providing education to several thousand residents. Identified need: dental This health need is based on a person's perception of the ability to obtain dental care in their community. While significant research exists linking dental care to numerous diseases, including heart disease, only 51% of the aggregate Mclean county population had a checkup in the last year. Specifically men, younger respondents, non-white ethnicities, less educated people, lower household income and the homeless were less likely to visit a dentist. Fy2016 goals: dental improvement of dental health in Mclean county. Fy2016 accomplishments: dental distributed pediatric toothbrushes or dental kits. participated with community agency attempting to provide access to health services. *needs not addressed The chna conducted by the hospital in 2013 also identified "cancer", "heart disease", "respiratory issues", "diabetes", "community misperceptions", and "woman's health" amongst the many important community health needs. A collaborative team recognized the impact of cancer, heart disease, respiratory issues, diabetes, community misperceptions, and woman's health on the population of patients we serve. As a health care organization we continue to focus resources on patient education, early detection and care, but we understand that we also need to have a greater focus in our communities on those risk factors that contribute to cancer, heart disease, respiratory issues, diabetes, community misperceptions, and woman's health. we anticipate that the greatest overall long term health impact will come from a broader prevention strategy focusing on obesity, healthy behaviors, exercise and smoking; rather than a program focused on cancer, heart disease, respiratory issues, diabetes, community misperceptions, and woman's health. St. Mary medical center - Galesburg, IL The chna that was approved and adopted in 2013 for St. Mary medical center identified the following as the community's most significant health needs. Identified need: access to health care services This health need based on results from survey respondents defined as living in deep poverty indicated that access to healthcare services is limited. This includes medical, prescription medications, dental and mental healthcare. Poverty is a key factor, as 13% of people living in poverty in Knox and warren counties consider the emergency department their primary source of health care. Furthermore, 23% of people in poverty were unable to obtain medical care when they needed it. Results also suggest a strong correlation between ethnicity and socioeconomic status and one's ability to obtain medical care. Survey data suggest individuals who identify as black, possessing less education, and of lower income are more likely to use the emergency department. Furthermore, residents residing in Knox C
Schedule h - part VI supplemental information - chna continued	St. Francis hospital - Escanaba, mi The chna that was approved and adopted in 2013 for St. Francis hospital identified the following as the communities most significant health needs: Identified need: risky behaviors - substance abuse This health need is based on the prevalence of alcohol, tobacco and marijuana in our community. In Delta County, 25% of respondents engage in binge drinking versus 18% in the state of Michigan. Both figures exceed the U.S. national 90th percentile benchmark of 8%. There has also been a 4.5% increase for those identifying themselves as smokers in Delta County between 2005-2007 and 2008-2010. In contrast, there was a decrease for those identifying themselves as smokers for the state of Michigan during same time frame. Thus, delta county is currently 8.5% higher than state of Michigan averages. Additionally, according to survey respondents, for both Delta Countys aggregate population and those living in poverty, drug and alcohol abuse were perceived as the two most important unhealthy behaviors in the community. Fy2016 goals: risky behaviors - substance abuse decrease instances of risky behavior and substance abuse in delta County. Fy2016 accomplishments: risky behaviors/substance abuse reaching out to members of community drug coalition. clinic coordinators tracking spreadsheet on all factors (drug contract, drug screen, maps, pill count, etc.) sponsored life rides provided taxi cab vouchers for new years don't drink and drive program. education on dangers of risky behaviors offered. membership on save council, substance abuse and violence education council. provided education to community members on dangers. established and maintained substance abuse agreements with medical groups. Identified need: diabetes This health need is based on an increase in inpatient admissions for diabetes and an increase in the prevalence of diabetes in the general population. It is estimated that 90-95% of individuals with diabetes have type ii diabetes (previously known as adult-onset diabetes). Diabetes is the leading cause of kidney failure, adult blindness and amputations and is a leading contributor to strokes and heart attacks. Data from the Michigan behavioral risk factor surveillance system indicates that nearly 10% of delta county region residents have diabetes. Compared to data from the state of Michigan (9.5%), the prevalence of diabetes now exceeds the state average. Fy2016 goals: diabetes encourage healthy behaviors among residents of delta county to better manage and prevent the onset of diabetes. Fy2016 accomplishments: diabetes program provided to help people OBTAIN knowledge to handle chronic diseases. provided on-going education and training for management/prevention of diabetes. performed free blood sugar screenings at community events. offer free diabetic support group meetings. trained additional staff on helping to provide education on disease. collaborated with community service organizations to educate population about support groups. Need identified: community misperceptions This health need is based on results from the survey where respondents incorrectly perceived certain behaviors as being relatively unimportant health concerns in the community. This health need observes the gap between patient perceptions of community needs and the actual top causes of mortality in their community. While the response of those living in deep poverty misinterprets some of the most critical needs of the community based on actual mortality data, there is much to be learned from their responses. These peoples perceptions are their reality and forces to acknowledge that we must never lose focus on the individual as we improve the health of the community. OSF healthcare system has developed a care management program to provide those in need with the help they need to improve their individual health and overcome barriers to health. Based on results from the survey, respondents incorrectly perceived, "diabetes", "heart disease", and "dental" as being relatively less important health concerns to the community. These results conflict with mortality data that suggests diabetes rates in Delta County are higher than rates across the state of Michigan. mortality data indicates heart disease is the leading cause of death in delta county, and dental data illustrates delta county residents have undergone annual dental checkups at a lower rate (62.8%) than rates for the state of Michigan (73.8%) and have higher rates of lost teeth due to tooth decay or gum disease (19.9%) versus rates for the state of Michigan (13.8%). moreover, for those respondents living in poverty, misperceptions of programs such as Medicaid and financial assistance programs is evident given that respondents do not seek necessary medical care because they believe they cannot afford to pay. finally, there are misperceptions with respondents' self-perceptions of their own health, as 94% felt that they are either average or above average overall. Fy2016 goals: community misperceptions encourage healthy behaviors among residents of delta county, particularly within the at-risk population. Fy2016 accomplishments: community misperceptions provided monthly media announcements. established a committee with representatives from OSF and other service organizations on quarterly basis. Identified need: mental health This health need looks at the percent of patients that reported they had experienced 1-7 days with poor mental health per month between 2007 and 2009. This includes mental disabilities, depression and self-perceptions of mental health. While there was a slight decrease in average number of mentally unhealthy days indicated by delta county residents between 2010 and 2012 from 4 to 3.5 days in the last month, it is 30% higher when compared to the U.S. 90th percentile. Moreover, among people living in poverty, mental health was rated as the most important health concern. Fy2016 goals: mental health ensure access to mental health services in delta county. Fy2016 accomplishments: mental health worked with pathways to subsidize costs on expanding services. Pathways now sees more than only Medicaid and self-patients. provided financial support to a key provider of mental health. worked with OSF healthcare system as they expand our behavioral health program in each county we serve. Identified need: obesity This health need is based on an increase in the prevalence of obesity in our community population. Research strongly suggests that obesity is a significant problem facing youth and adults nationally, as it has been linked to numerous morbidities (e.g., type ii diabetes, hypertension, cardiovascular disease, cancer, etc.). In Delta County, the rate of obesity has increased from 26.1% to 29.6% in a three-year period. During the same time frame, the percentage of the population that is defined as overweight has risen from 38.6% to 41%. Note that this is almost 6% higher than state of Michigan averages. Fy2016 goals: obesity encourage healthy behaviors among the citizens of delta county to manage and prevent the onset of obesity. Fy2016 accomplishments: obesity involvement in "fuel up to play 60". provided medical nutrition education and training on management and prevention of obesity. on-going support of chamber "century" bike ride and community run/walks. provided medical nutrition education and training to learn how to prevent obesity. supported local runs/walk providing resources etc. *needs not addressed the chna conducted by the hospital in 2013 also identified "cancer", "heart disease", "respiratory issues", "poverty - healthy behaviors", "access to health"dental" amongst the many important community health needs. A collaborative team recognized the impact of cancer, heart disease, respiratory issues, poverty - healthy behaviors, access to health and dental on the population of patients we serve. As a health care organization we continue to focus resources on patient education, early detection and care, but we understand that we also need to have a greater focus in our communities on those risk factors that contribute to cancer, heart disease, respiratory issues, poverty - healthy behaviors, access to health and dental. We anticipate that the greatest overall long term health impact will come from a broader prevention strategy focusing on obesity, exercise and smoking; rather than a program focused on cancer, heart disease, respiratory issues, poverty - healthy behaviors, access to health and dental. Saint James hospital - Pontiac, IL The chna that was approved and adopted in 2013 for Saint James hospital identified the following as the communitys most significant health needs: Identified need: community misperceptions This need is based on results from the survey where respondents incorrectly perceived certain behaviors as being relatively unimportant health concerns in the community. This need observes the gap between patie
Schedule h - part VI supplemental information - chna continued	summary We believe the objectives listed above will help us focus on our communities' most pressing health care needs not only for fy2016 but beyond as well. OSF healthcare exists to care for others, in particular their health and medical related needs. At all levels of OSF there is a very strong commitment to our mission ("to serve persons with the greatest care and love") and in carrying out our mission in the context of our values. Cited earlier, our first value, "justice: personal worth and dignity of every person we serve regardless of race, color, religion and ability to pay." specifically addresses those who are uninsured or under-insured. the sisters of the third order of St. Francis started their healing ministry in 1877 and have been actively growing that ministry in each of the last three centuries because of the healthcare needs of all those in our service areas. Additionally, our leadership throughout OSF is committed to continuing to address unmet health care needs in our service areas by working with their respective county health departments and local social/community service organizations like their united way organizations. There is much to be done, but through collaboration "many hands will make light work."
Schedule h - part VI - 3 - patient education of eligibility for assistance	the corporation informs and educates patients and persons who are billed for patient care about their eligibility for assistance under government programs and the corporation's 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 web site (and separate web sites of its hospital facilities). 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 - 4 community information - as noted in chna	Saint Francis medical center is located in Peoria County in Illinois and serves those in the counties of Peoria, Tazewell, and Woodford. Peoria County is a metropolitan statistical area and its population in 2014 was 187,319. For Peoria county, the median household income from 2009-2013 was $50,712 and the percent of persons below poverty level was 17%. Tazewell County is a metropolitan statistical area and its population in 2014 was 135,707. For Tazewell county, the median household income from 2009-2013 was $56,067 and the percent of persons below poverty level was 9.3%. Woodford County is a metropolitan statistical area and its population in 2014 was 39,187. For Woodford county, the median household income from 2009-2013 was $66,639 and the percent of persons below poverty level was 8.1%. Saint Anthony medical center is located in Winnebago County. Winnebago County is a metropolitan statistical area and its population in 2014 was 288,542. For Winnebago county, the median household income from 2009-2013 was $47,072 and the percent of persons below poverty level was 17%. St. Joseph medical center is located in Mclean County in Illinois. Mclean County is a metropolitan statistical area and its population in 2016 was 174,879. For Mclean County, the median household income in 2014 was $66,355 and the percent of persons below poverty level was 14.7%. Saint James hospital is located in Livingston County in Illinois. Livingston County is a metropolitan statistical area and its population in 2014 was 38,476. For Livingston county, the median household income from 2009-2013 was $54,723 and the percent of persons below poverty level was 10.9%. St. Mary medical center is located in Knox County in Illinois. Knox County is a metropolitan statistical area and its population in 2014 was 52,069. For Knox county, the median household income from 2009-2013 was $40,667 and the percent of persons below poverty level was 17.7%. OSF holy family medical center is located in Warren County in Illinois. Warren County is a metropolitan statistical area and its population in 2014 was 17,874. For Warren County, the median household income in 2014 was $43,536 and the percent of persons below poverty level was 15.6%. St. Francis hospital is located in Delta County in Michigan. Delta County is a metropolitan statistical area and its population in 2014 was 36,559. For delta county, the median household income from 2009-2013 was $49,087 and the percent of persons below poverty level was 17.2%. OSF saint Luke medical center is located in Henry County. Its population in 2014 was 49,635. For henry county, the median household income from 2009-2013 was $52,940 and the percent of persons below poverty level was 14.4%. OSF saint Anthonys health center is located in Madison County in Illinois. Madison County is a part of the metro-east region of the St. Louis metro area and its population in 2014 was 266,560. For Madison county, the median household income from 2009-2013 was $53,633 and the percent of persons below poverty level was 14.4%.
Schedule h - part VI - 5 - promotion of community health:	The corporation's sponsoring organization is a religious congregation of the Roman Catholic Church known as the sisters of the third order of St. Francis. In accordance with canon law of the Roman Catholic Church and federal tax law applicable to supporting organizations, a majority of the members of the board of directors of the corporation are professed members of the sponsoring religious congregation. Each hospital operated by the corporation has a community advisory board consisting of members of the community who are not directors, officers, or contractors of the corporation. Except for hospital departments which have been closed, or in which clinical privileges have been restricted, for clinical or quality of care reasons by actions of the hospital's medical staff and the board of directors, the corporation extends medical staff privileges to all qualified physicians in its communities. The corporation's surplus funds were used during its fiscal year ended September 30, 2016 for improvements in patient care, medical education, and research in the following ways: -Capital expenditures of approximately $162,196,000 were made during the fiscal year for construction and renovation of patient care facilities and acquisition of medical equipment and other equipment used in patient care and related support services. -The corporation incurred net costs (expenses minus revenues) of approximately $40,283,258 during the fiscal year for accredited physician residency programs and net costs of approximately $9,473,092 for undergraduate and graduate nursing education programs and other medical education programs. See schedule o, form 990, part iii, line 4d for a description of such programs. -The corporation incurred net costs (expenses minus revenues) of approximately $498,050 during the fiscal year for clinical research programs and activities. All of the corporation's hospitals meet the requirements of revenue ruling 69-545 by: -Operating emergency departments which are staffed 24 hours per day by qualified physicians and other medical personnel and which are open to all persons without regard to ability to pay. -Having medical staffs which are open to all qualified physicians, Mid-level providers, podiatrists, and dentists in the community (except where restricted in rare cases for clinical quality reasons by action of the medical staff and the board of directors). -Accepting Medicare, Medicaid and other government program patients. -accepting all patients, including uninsured patients, without regard to their ability to pay. -Using surplus funds to improve their facilities, equipment, patient care, medical training, education, and research as described above. The following provides a summary of services for each osf hospital: Saint Francis medical center is a 609-licensed bed tertiary acute care teaching hospital located near downtown Peoria, Illinois. Founded in 1877, OSF saint Francis medical center was the first hospital established by the congregation. Today OSF saint Francis medical center is the largest medical center in Illinois located outside of Cook County, with a medical staff of more than 863 physicians, 5,642 employees and 609 licensed beds. A teaching affiliate of the university of Illinois college of medicine at Peoria, osf saint Francis medical center is the Peoria areas only level 1 trauma center and tertiary care medical center. OSF saint Francis medical center is also home to the children's hospital of Illinois, OSF saint Francis heart hospital and the Illinois neurological institute. In addition to providing the full range of primary, secondary and tertiary services, osf saint Francis medical center provides certain specialized services, including level i (highest level) trauma services, life flight helicopter transport services (using the helicopters leased by osf aviation), adult and pediatric open heart surgery, pancreas and kidney transplantation services, neurosurgery and neurology, level iii (highest level) perinatal services, radiation oncology (including gamma knife and the Varian trilogy unit), and specialized services of the childrens hospital of Illinois (which is operated as a part of osf saint Francis medical center). Saint Anthony medical center ("saint anthony") is a 254 licensed bed Acute care hospital located on the northeast side of Rockford, Illinois. It is the regions resource center for emergency services. Saint Anthony - Rockford provides primary, secondary and tertiary care, including open heart surgery and is designated by the State of Illinois as a Level I (highest level) Trauma Center and a Regional Burn Unit. Saint Anthony - Rockford operates a fully accredited college of nursing granting baccalaureate, masters and Doctorate of Nursing Practice degrees. OSF St. Joseph Medical Center ("St. Joseph") in Bloomington, Illinois, and OSF Saint James-John W. Albrecht Medical Center ("Saint James") in Pontiac, Illinois are located approximately 35 miles apart and serve partially overlapping markets. Residents of Pontiac and its surrounding areas frequently travel to Bloomington to receive health care services. St. Joseph is a 137-licensed acute care bed and 12 bed skilled nursing care hospital located on the east side of Bloomington, Illinois. St. Joseph currently operates 137 acute care beds and all its skilled nursing beds. St. Joseph is s community-sized hospital that provides a number of high level tertiary services including open heart surgery, endovascular surgery and interventional neuroradiology. Saint James hospital has 42 licensed acute care beds, which includes 33 Medicare approved swing beds. This hospital facility is located on the west side of Pontiac, Illinois, near Interstate 55 and was completed in September 2002. Saint James currently operates all of its beds. Saint James is the only acute care hospital located in Livingston County, Illinois. The nearest competing hospital to Saint James is Advocate BroMenn Medical Center in Normal, Illinois, with 198 (staffed) acute care beds, located approximately 37 miles from Saint James. OSF St. Mary Medical Center ("St. Mary") in Galesburg, Illinois, and OSF Holy Family Medical Center ("Holy Family") in Monmouth, Illinois are located approximately 19 miles apart and serve partially overlapping markets. Residents of Monmouth and its surrounding areas frequently travel to Galesburg to receive health care services. The Corporation has combined management and reporting for St. Mary and Holy Family in order to gain operating efficiencies and execute the Systems strategic plans across this entire service area. St. Mary is an 81 licensed bed acute care hospital located on the northeast side of Galesburg, Illinois. St. Mary currently operates 67 acute care beds. In addition to primary and secondary care, St. Mary has designations from the State of Illinois as a Level II Trauma Center, a Trauma Network Resource Hospital, a Level II perinatal center and a Hemophilia Emergency Treatment Center. St. Mary has been designated by the Centers for Medicare & Medicaid Services ("CMS") as a rural referral center. St. Mary is qualified as a Medicare dependent hospital and thereby is entitled to additional Medicare reimbursement. Holy Family is a 23 licensed bed critical access hospital facility located in Monmouth, Illinois. All of its acute beds are also Medicare approved swing beds. OSF St. Francis Hospital is a critical access hospital located on the west side of Escanaba, Michigan. OSF St. Francis Hospital is currently licensed for and operates 25 inpatient beds, which includes ten Medicare approved swing beds. OSF St. Francis Hospital is situated on approximately 82 acres of land at the west end of the Escanaba city limits. As the only hospital in Delta County, Michigan, OSF St. Francis Hospital provides a range of inpatient and outpatient hospital, diagnostic, therapeutic and ancillary services. OSF Saint Luke Medical Center ("Saint Luke"), formerly known as Kewanee Hospital, is a critical access hospital located in Kewanee, Illinois. The Corporation commenced operations at Saint Luke on May 1, 2014. Saint Luke is currently licensed for and operates 25 inpatient beds, providing basic, primary care, ancillary services, clinics and specialty clinics. Saint Lukes service areas are located primarily in Henry County but extend into portions of Stark and Bureau Counties, approximately 50 miles northwest of Peoria. OSF Saint Anthonys Health Center ("Saint Anthonys - Alton") is located in Alton, Illinois, and is not located within one of the Systems four Regions. Saint Anthonys - Alton is a dual campus (including OSF Saint Clare Hospital), single license, 173-licensed acute care bed and 30 bed skilled nursing care hospital. Saint Anthonys - Alton serves the following communities in Madison County in southwestern Illinois: Alton, Bethalto, East Alton, Foster Township, Godfrey, Hartford, Roxana, South Roxana, Wood River and Wood River Township. The Corporation
Part VI, line 6	Affiliated health care system roles: The corporation is part of an affiliated health care system (the "osf system") which provides integrated health care services throughout central Illinois, parts of northern Illinois, and parts of the upper peninsula of Michigan. The OSF system includes the other corporations listed below, all of which are controlled, directly or indirectly, by the sisters of the third order of St. Francis (the "congregation"). all affiliated corporations (whether taxable or exempt) apply and follow the charity care policy of the corporation and are operated in furtherance of the mission of the congregation to provide comprehensive, integrated, quality care, including preventive, primary, acute, continuous and rehabilitative health services to the communities served by the corporation and the osf system. Special emphasis is placed on meeting the physical, spiritual, emotional, and social needs of everyone who is cared for in the OSF system regardless of race, color, religion and ability to pay. The affiliated corporations are: -The sisters of the third order of St. Francis, which holds the assets of the religious congregation and directs all other corporations in the affiliated health care system through board representation and the exercise of reserved powers. -OSF saint Francis, Inc., which provides home infusion and durable medical equipment services, mobile medical imaging services, medical equipment maintenance and repair services, medical staffing services, billing services, and other services in support of the affiliated health care system. -OSF Aviation, LLC, which is an FAA Part 135 certified carrier providing EMS helicopter services througHout Central Illinois and Parts of Northern Illinois. -OSF lifeline ambulance, llc, which provides ground ambulance transportation services in parts of northern Illinois. -OSF multispecialty group - Peoria, llc, which provides pediatric cardiology physician services in central Illinois effective until December 31, 2016. These providers and services after December 31, 2016 are provided under OSF multi-specialty group which is a separate corporation of which OSF Healthcare System is the sole member. -ILLINOIS NEUROLOGICAL INSTITUTE - PHYSICIANS, LLC, WHICH PROVIDES PHYSICIAN NEUROSURGERY SERVICES IN CENTRAL ILLINOIS effective until December 31, 2016. These providers and services after December 31, 2016 are provided under OSF Multi-specialty group. -Heartcare Midwest, ltd., which provides cardiology and cardiovascular sugery physician services in central illinois. These providers and services after December 31, 2016 are provided under OSF multi-specialty group. -Cardiovascular institute at OSF, llc, which provides cardiology and cardiovascular surgery physician services in parts of northern Illinois Effective until December 31, 2016. These providers and services after December 31, 2016 are provided under OSF multi-specialty group. -OSF multispecialty group - eastern region, llc, which provides primary and specialty physician services in parts of central Illinois Effective until December 31, 2016. These providers and services after December 31, 2016 are provided under OSF multi-specialty group. -Illinois pathologist services, llc, which provides professional pathology services in parts of northern Illinois. -Illinois specialty physician services at OSF, llc, which provides pulmonology and critical care physician services in central Illinois Effective until December 31, 2016. These providers and services after December 31, 2016 are provided under OSF multi-specialty group. -OSF perinatal associates, llc, which provides maternal fetal medicine physician services in central Illinois Effective until December 31, 2016. These providers and services after December 31, 2016 are provided under OSF multi-specialty group. -OSF multispecialty group - western region, llc, which provides primary and specialty physician services in western Illinois Effective until December 31, 2016. These providers and services after December 31, 2016 are provided under OSF multi-specialty group. -OSF children's medical group- congenital heart center, llc which provides pediatric care for cardiovascular illnesses in northern Illinois Effective until December 31, 2016. These providers and services after December 31, 2016 are provided under OSF multi-specialty group. -Preferred emergency physicians of Illinois, llc which provides physician coverage for emergency departments effective until December 31, 2016. These providers and services after December 31, 2016 are provided under OSF Multi-specialty group. -Saint Anthony physician group which provides a variety of general and specialty physicians services in Alton, Illinois.
Part VI, line 7	All states which organization files a community benefit report: IL, mi

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
OSF Healthcare System

Employer identification number
37-0813229

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) UNIVERSITY OF ILL COLLEGE OF MED 1 ILLINI DR PEORIA,IL61605	37-6000511	501(C)3	425,174	SUPPORT OF CLINIC OPERATION
(2) HEARTLAND COMMUNITY HEALTH 1701 W GARDEN STREET PEORIA,IL61605	37-1270794	501(C)3	500,000	SUPPORT OF CLINIC OPERATION
(3) HEART OF ILLINOIS UNITED WAY 509 W HIGH ST PEORIA,IL61606	37-0661504	501(C)3	50,000	SUPPORT OF ORG OPERATIONS
(4) FRIENDS OF WILDLIFE PRAIRIE PARK 3826 N TAYLOR RD HANNA CITY,IL61536	20-8064678	501(C)3	75,000	SUPPORT OF ORG OPERATIONS
(5) DOWNTOWN DEVELOPMENT CORP OF PEORIA 820 SW ADAMS STREET SUITE 1 A PEORIA,IL61602	46-4486780	501(C)3	35,000	SUPPORT OF ORG OPERATIONS
(6) ECONOMIC DEVELOPMENT COUNCIL 100 SW WATER ST PEORIA,IL61602	37-1104504	501(C)3	25,000	SUPPORT OF ORG OPERATIONS
(7) ROCKFORD AREA ECONOMIC DEVELOPMENT COUNCIL 100 PARK AVENUE SUITE 100 ROCKFORD,IL61101	36-3055858	501(C)3	50,000	SUPPORT OF ORG OPERATIONS

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1) SCHOLARSHIPS	155	304,608
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

Procedures for monitoring grants

Form Sch I Part I Line 2 GRANT RECIPIENTS WERE GIVEN GRANTS BASED ON THE NEEDS OF THE MEDICAL COMMUNITY AND THE LOCAL COMMUNITY AT LARGE. LOCAL PRESIDENT'S REVIEW ASSISTANCE REQUESTS AND APPROVE BASED ON NEED. IN SOME CASES, THE CORPORATION'S CEO OR CFO OR OTHER REPRESENTATIVE OF THE CORPORATION SERVES ON THE BOARD OF DIRECTORS OR ON THE FINANCE COMMITTEE OF THE GRANTEE ORGANIZATION AND RECEIVES DIRECT INFORMATION REGARDING USE OF GRANT FUNDS IN SUCH CAPACITY. IN OTHER CASES, THE CORPORATION RECEIVES WRITTEN REPORTS AND/ OR FINANCIAL STATEMENTS FROM THE GRANTEE ORGANIZATION WHICH INCLUDE INFORMATION REGARDING USE OF GRANT FUNDS. THE COLLEGES OF NURSING IN PEORIA AND ROCKFORD ILLINOIS PROVIDE THEIR RESPECTIVE BOARDS WITH UPDATES REGARDING DISTRIBUTION OF NURSING EDUCATION SCHOLARSHIPS. THE COLLEGES REQUIRE THE APPLICANTS TO SUBMIT A FINANCIAL AID APPLICATION UPON ADMITTANCE. THE SCHOLARSHIP HAS ACADEMIC PERFORMANCE, FINANCIAL NEED CRITERIA, AND HAS A SELECTION COMMITTEE THAT AWARDS THE GRANTS. THE COLLEGE'S MONITOR AND REVIEW THE RECIPIENTS INDIVIDUALLY ON A SEMESTER BASIS FOR SATISFACTORY ACADEMIC PROGRESS AND GOOD STANDING.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

OSF Healthcare System

Employer identification number

37-0813229

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1GERALD J MCSHANE MDBOARD MEMBER	(i) (ii)	576,571 ------------- 0	156,839 ------------- 0	43,066 ------------- 0	36,850 ------------- 0	12,958 ------------- 0	826,284 ------------- 0	0 ------------- 0
2KEVIN D SCHOEPLEINVICE CHAIRPERSON, CEO	(i) (ii)	1,037,970 ------------- 0	719,984 ------------- 0	81,114 ------------- 0	36,850 ------------- 0	14,366 ------------- 0	1,890,284 ------------- 0	0 ------------- 0
3DANIEL E BAKERformer cfo	(i) (ii)	494,947 ------------- 0	143,459 ------------- 0	31,904 ------------- 0	36,850 ------------- 0	16,697 ------------- 0	723,857 ------------- 0	0 ------------- 0
4MICHAEL ALLENCFO	(i) (ii)	141,927 ------------- 0	0 ------------- 0	1,179 ------------- 0	5,857 ------------- 0	4,313 ------------- 0	153,276 ------------- 0	0 ------------- 0
5DANIEL R FASSETT MDPHYSICIAN, NEUROSURGERY	(i) (ii)	470,782 ------------- 0	1,117,275 ------------- 0	19,270 ------------- 0	18,300 ------------- 0	36 ------------- 0	1,625,663 ------------- 0	0 ------------- 0
6JEFFREY D KLOPPENSTEIN MDPHYSICIAN, NEUROSURGERY	(i) (ii)	483,701 ------------- 0	745,410 ------------- 0	1,282 ------------- 0	18,300 ------------- 0	16,398 ------------- 0	1,265,091 ------------- 0	0 ------------- 0
7ANTHONY m AVELlINO MDPHYSICIAN, NEUROSURGERY	(i) (ii)	800,201 ------------- 0	324,283 ------------- 0	22,120 ------------- 0	18,300 ------------- 0	16,845 ------------- 0	1,181,749 ------------- 0	0 ------------- 0
8JON c MICHEL mdPHYSICIAN, PULMONOLOGIST	(i) (ii)	618,395 ------------- 0	379,759 ------------- 0	12,667 ------------- 0	16,866 ------------- 0	11,591 ------------- 0	1,039,278 ------------- 0	0 ------------- 0
9SUDHIR MUNGEE mdPHYSICIAN, CARDIOLOGIST	(i) (ii)	443,879 ------------- 0	562,678 ------------- 0	1,288 ------------- 0	18,300 ------------- 0	16,398 ------------- 0	1,042,543 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

Form Sch J, Part I, Line 1a

THE CORPORATION REIMBURSES CERTAIN EXECUTIVES FOR SOCIAL CLUB DUES PAID BY SUCH EXECUTIVES. ELIGIBILITY FOR CLUB DUES REIMBURSEMENT IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS AND IS TAKEN INTO CONSIDERATION BY THE COMMITTEE IN DETERMINING FAIR MARKET COMPENSATION. SEE FORM 990 - SCHEDULE O - PART VI - LINES 15A AND 15B FOR AN EXPLANATION OF THE ROLE OF THE HUMAN RESOURCES COMMITTEE AND THE MANNER IN WHICH FAIR MARKET COMPENSATION IS DETERMINED. CLUB DUES ARE NOT ELIGIBLE FOR REIMBURSEMENT IF THE CLUB IN QUESTION DISCRIMINATES ON THE BASIS OF RACE, RELIGION, SEX, NATIONAL ORIGIN, OR OTHER PROHIBITED FACTORS. DUES REIMBURSEMENT IS TREATED AND REPORTED AS TAXABLE COMPENSATION. SCHEDULE J, PART 1, LINE 3 SEE EXPLANATION IN SCHEDULE O, PART VI, LINE 15A FOR DETAILS REGARDING THE PROCESS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. SCHEDULE J, PART I, LINE 4B OSF HEALTHCARE SYSTEM HAS A DEFERRED COMPENSATION PLAN FOR SELECT KEY EXECUTIVES. THIS PLAN WAS DEVELOPED TO ASSIST WITH ATTRACTING AND RETAINING CERTAIN KEY EXECUTIVES IN THE CORPORATION. THE PLAN IS DESIGNED TO ENCOURAGE THE PARTICIPANTS TO STAY UNTIL A CERTAIN RETIREMENT DATE. IF THE PARTICIPANtS TERMINATE PRIOR TO THEIR TARGET RETIREMENT DATE, THEY FORFEIT WHAT IS IN THE PLAN. THE CORPORATION DETERMINES THE REQUIRED DEPOSITS FOR THE PLAN AT A CONSOLIDATED LEVEL. DURING 2016, $412,000 IN DEPOSITS WERE MADE TO THE PLAN AND NO DISTRIBUTIONS WERE MADE TO THE PLAN.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
OSF Healthcare System

Employer identification number
37-0813229

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	ILLINOIS FINANCE AUTHORITY	86-1091967	45203HVM1	08-29-2007	461,801,780	SEE PART VI	X			X		X
B	ILLINOIS FINANCE AUTHORITY	86-1091967	45200FWG0	03-31-2009	249,074,230	SEE PART VI	X			X		X
C	ILLINOIS FINANCE AUTHORITY	86-1091967	000000000	08-18-2009	70,000,000	SEE PART VI		X		X		X
D	ILLINOIS FINANCE AUTHORITY	86-1091967	45200F3R8	06-29-2010	158,535,888	SEE PART VI	X			X		X
	ILLINOIS FINANCE AUTHORITY	86-1091967	45203HLH3	09-26-2012	191,360,304	SEE PART VI		X		X		X
	ILLINOIS FINANCE AUTHORITY	86-1091967	45203H5F5	09-29-2015	392,744,128	SEE PART VI		X		X		X
	ILLINOIS FINANCE AUTHORITY	86-1091967	45204EMD7	09-29-2016	121,790,760	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	222,095,000		2,395,000		53,000,000		6,025,000
2 Amount of bonds legally defeased ..............	112,905,000		122,595,000		0		100,710
3 Total proceeds of issue ..................	461,801,780		249,074,230		70,000,000		158,535,888
4 Gross proceeds in reserve funds .............	79,257		78,202		14,968		805
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	3,319,397		3,114,169		0		2,080,292
8 Credit enhancement from proceeds .............	8,846,375		126,677		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	285,706,088		0		70,000,000		28,000,000
11 Other spent proceeds .............	0		0		0		0
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2010				2010		2010
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X			X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X
b Exception to rebate? ........
c No rebate due? .........	X		X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X		X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X		X		X
b Name of provider ..........	MERRILL LYNCH		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......		X		X		X
e Was the hedge terminated? ........	X		X		X

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?	X			X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Supplemental Information 1	SCHEDULE K - PART I - BOND ISSUES ILLINOIS FINANCE AUTHORITY - 08/29/2007 CUSIP# 45203HVM1, 45203HVN9 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2007 BONDS WHICH INCLUDED FIXED RATE BONDS, AUCTION BONDS AND VARIABLe RATE BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FuNDs TO (I) FINANCE OR REFINANCE THE COST OF THE ACQUISITION, CONSTRUCTION AND EQUIPPING OF A 441,000 SQ. FT. NEW PATIENT TOWER; (II) PAY CAPITALIZED INTEREST WITH RESPECT TO A PORTION OF THE SYSTEMWIDE BONDS; (III) FUND DEBT SERVICE RESERVE FUNDS FOR CERTAIN OF THE SYSTEMWIDE BONDS; (IV) REFINANCE THE PRIOR INDEBTEDNESS DESCRIBED BELOW AND (V) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SYSTEMWIDE BONDS AND THE REFINANCING. ILLINOIS FINANCE AUTHORITY - 3/31/2009 CUSIP# 45200FWG0, 45200FWE5, 45200FWF2 THE CORPORATION USED THE PROCEEDS OF THE SYSTEMWIDE BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, TO (I) REFINANCE AND REDEEM THE PRIOR BONDS DESCRIBED BELOW; (II) FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2009 BONDS; AND (III) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SYSTEMWIDE BONDS AND THE REFINANCING. ILLINOIS FINANCING AUTHORITY - 08/18/2009 NO CUSIP# (PRIVATE PLACEMENTS) THE CORPORATION USED THE PROCEEDS OF THE SERIES 2009EFG TO PAY OR REIMBURSE THE CORPORATION FOR THE PROJECTS. ILLINOIS FINANCE AUTHORITY - 06/29/2010 CUSIP# 45200F3R8 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2010A BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, TO (I) REFINANCE AND REDEEM, THE ILLINOIS HEALTH FACILITY AUTHORITY VARIABLE DEMAND REVENUE BONDS, SERIES 1985B (REVOLVING FUND POOLED FINANCING PROGRAM) IN THE AMOUNT OF $75,000,000, ILLINOIS FINANCE AUTHORITY VARIABLE RATE REVENUE BONDS, SERIES 2001 IN THE AMOUNT OF $46,050,000, AND THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007D IN THE AMOUNT OF $20,050,000; (II) REIMBURSE THE CORPORATION FOR A PORTION OF THE COST OF CONSTRUCTING AND EQUIPPING THE DATA CENTER, A KEY ELEMENT IN THE IMPLEMENTATION OF THE COPORATION'S INFORMATION MANAGEMENT STRATEGIC PLAN. THAT PLAN INCLUDES, IN ADDITION TO THE DATA CENTER, REPLACEMENT OF EXISTING INFORMATION SYSTEMS WITH NEWER SYSTEMS PROVIDING FULL ELECTRONIC MEDICAL RECORD AND INTEGRATED BILLING FUNCTIONS FOR BOTH HOSPITAL AND AMBULATORY SERVICES; (III) FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2010A BONDS; AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2010A BONDS AND THE REFINANCING OF THE SeRIES 1985B BONDS, THE SERIES 2001 BONDS AND THE SERIES 2007D BONDS. ILLINOIS FINANCE AUTHORITY - 9/26/2012 CUSIP #45203HLH3, 45203HLG5 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2012 BONDS TO (I) PAY OR REIMBURSE THE CORPORATION OR OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER FOR THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING, REMODELING AND EQUIPPING HEALTHCARE FACILITIES, (II) ADVANCE REFUND ALL OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2004, (III) CURRENT REFUND A PORTION OF THE ILLINOIS FINANCE AUTHORITY INSURED VARIABLE RATE DEMAND REVENUE BONDS, SERIES 2007F, (IV) CURRENTLY REFUND ALL OF THE ILLINOIS AUTHORITY VARIABLE RATE DEMAND REVENUE BONDS, SERIES 2007G, (V) ADVANCE REFUND A PORTION OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2009A, (VI) CURRENTLY REFUND ALL OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2009F, (VII) REFINANCE THE PNC BANK LOAN, AND (VIII) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS AND THE REFUNDING OF THE PRIOR BONDS AND PNC BANK LOAN. ILLINOIS FINANCE AUTHORITY - 09/29/2015 CUSIP# 4520H5F5 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2015A BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, (I) ADVANCE REFUND ALL OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007A (OSF HEALTHCARE SYSTEM OUTSTANDING), (II) ADVANCE REFUND ALL OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2009A OUTSTANDING, (III) CURRENTLY REFUND ALL OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2009E CURRENTLY OUTSTANDING, (IV) PAY OR REIMBURSE THE CORPORATION FOR THE COST OF ACQUIRING, CONSTRUCTION, ReNOVATION, REMODELING AND EQUIPPING, CONSTRUCTION OF AN APPROXIMATELY 150,000 SQUARE-FOOT, FOUR STORY PAVILION (THE "ROCKFORD BED PAVILLION") AND THE RENOVATION AND EXPANSION OF THE COMPREHENSIVE CANCER CENTER, EACH AT OSF SAINT ANTHONY MEDICAL CENTER IN ROCKFORD, ILLINOIS. THE RENOVATION OF THE FORMER NEONATAL INTENSIVE CARE UNIT AND THE OUTPATIENT NEUROSCIENCES CENTER, EACH PROJECT TO BECOME PRIVATE INPATIENT ROOMS AT OSF SAINT FRANCIS MEDICAL CENTER IN PEORIA, ILLINOIS. THE CONSTRUCTION OF A NEW PEDIATRIC OPERATION ROOM SUITE AT OSF SAINT FRANCIS MEDICAL CENTER AND THE CONSTRUCTION OF SURGICAL SUITES AT OSF ST. JOSEPH MEDICAL CENTER IN BLOOMINGTON, ILLINOIS (V) PAY CERTAIN CAPITALIZED INTEREST ON THE SERIES 2015A BONDS DURING CONSTRUCTION, (Vi) PAY CERTAIN SWAP TERMINATION COSTS RELATED TO THE SERIES 2015A BONDS; AND (VII) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2015A BONDS AND THE REFINANCE OF THE PRIOR BONDS AND THE PRIOR DEBT. ILLINOIS FINANCE AUTHORITY - 09/29/2016 CUSIP# 45204EMD7 THE CORPORATION WILL USE THE PROCEEDS OF THE SERIES 2016 BONDS TO (I) ADVANCE REFUND THE REFUNDED BONDS, AS HERINAFTER DEFINED; (II) PAY THE COSTS OF TERMINATING AN INTEREST RATE AGREEMENT RELATED TO THE SERIES 2016 BONDS; AND (III) PAY CERTAIN EPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2016 BONDS AND THE REFUNDING OF THE REFUNDED BONDS.
Supplemental Information 2	SCHEDULE K - PART II - LINE 7 BOND ISSUANCE COSTS BOND ISSUANCE COSTS CREDIT ENHANCEMENT TOTAL A $3,319,397 $8,846,375 $12,165,772 B $3,114,169 $ 126,677 $ 3,240,846 C $ -0- $ -0- $ -0- D $2,080,292 $ -0- $ 2,080,292 E $2,402,586 $ -0- $ 2,402,586 F $4,151,388 $ -0- $ 4,151,388 G $1,623,878 $ -0- $ 1,623,878
Supplemental Information 3	SCHEDULE K - PARKT IV - LINE 2C DATE THE REBATE COMPUTATION WAS PERFORMED A AUGUST 3, 2016 B MAY 30, 2014 C JUNE 3, 2014 D JULY 9, 2015
Supplemental Information 4	SCHEDULE K - PART III - LINE 9, PART IV - LINE 7 AND PART V In April 2017, the organization adopted a written tax-exempt bond compliance policy and implementing procedures which include provisions described in each of the questions.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
OSF Healthcare System

Employer identification number
37-0813229

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	ILLINOIS FINANCE AUTHORITY	86-1091967	45203HVM1	08-29-2007	461,801,780	SEE PART VI	X			X		X
B	ILLINOIS FINANCE AUTHORITY	86-1091967	45200FWG0	03-31-2009	249,074,230	SEE PART VI	X			X		X
C	ILLINOIS FINANCE AUTHORITY	86-1091967	000000000	08-18-2009	70,000,000	SEE PART VI		X		X		X
D	ILLINOIS FINANCE AUTHORITY	86-1091967	45200F3R8	06-29-2010	158,535,888	SEE PART VI	X			X		X
	ILLINOIS FINANCE AUTHORITY	86-1091967	45203HLH3	09-26-2012	191,360,304	SEE PART VI		X		X		X
	ILLINOIS FINANCE AUTHORITY	86-1091967	45203H5F5	09-29-2015	392,744,128	SEE PART VI		X		X		X
	ILLINOIS FINANCE AUTHORITY	86-1091967	45204EMD7	09-29-2016	121,790,760	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	222,095,000		2,395,000		53,000,000		6,025,000
2 Amount of bonds legally defeased ..............	112,905,000		122,595,000		0		100,710
3 Total proceeds of issue ..................	461,801,780		249,074,230		70,000,000		158,535,888
4 Gross proceeds in reserve funds .............	79,257		78,202		14,968		805
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	3,319,397		3,114,169		0		2,080,292
8 Credit enhancement from proceeds .............	8,846,375		126,677		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	285,706,088		0		70,000,000		28,000,000
11 Other spent proceeds .............	0		0		0		0
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2010				2010		2010
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X			X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X
b Exception to rebate? ........
c No rebate due? .........	X		X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X		X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X		X		X
b Name of provider ..........	MERRILL LYNCH		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......		X		X		X
e Was the hedge terminated? ........	X		X		X

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?	X			X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Supplemental Information 1	SCHEDULE K - PART I - BOND ISSUES ILLINOIS FINANCE AUTHORITY - 08/29/2007 CUSIP# 45203HVM1, 45203HVN9 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2007 BONDS WHICH INCLUDED FIXED RATE BONDS, AUCTION BONDS AND VARIABLe RATE BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FuNDs TO (I) FINANCE OR REFINANCE THE COST OF THE ACQUISITION, CONSTRUCTION AND EQUIPPING OF A 441,000 SQ. FT. NEW PATIENT TOWER; (II) PAY CAPITALIZED INTEREST WITH RESPECT TO A PORTION OF THE SYSTEMWIDE BONDS; (III) FUND DEBT SERVICE RESERVE FUNDS FOR CERTAIN OF THE SYSTEMWIDE BONDS; (IV) REFINANCE THE PRIOR INDEBTEDNESS DESCRIBED BELOW AND (V) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SYSTEMWIDE BONDS AND THE REFINANCING. ILLINOIS FINANCE AUTHORITY - 3/31/2009 CUSIP# 45200FWG0, 45200FWE5, 45200FWF2 THE CORPORATION USED THE PROCEEDS OF THE SYSTEMWIDE BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, TO (I) REFINANCE AND REDEEM THE PRIOR BONDS DESCRIBED BELOW; (II) FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2009 BONDS; AND (III) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SYSTEMWIDE BONDS AND THE REFINANCING. ILLINOIS FINANCING AUTHORITY - 08/18/2009 NO CUSIP# (PRIVATE PLACEMENTS) THE CORPORATION USED THE PROCEEDS OF THE SERIES 2009EFG TO PAY OR REIMBURSE THE CORPORATION FOR THE PROJECTS. ILLINOIS FINANCE AUTHORITY - 06/29/2010 CUSIP# 45200F3R8 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2010A BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, TO (I) REFINANCE AND REDEEM, THE ILLINOIS HEALTH FACILITY AUTHORITY VARIABLE DEMAND REVENUE BONDS, SERIES 1985B (REVOLVING FUND POOLED FINANCING PROGRAM) IN THE AMOUNT OF $75,000,000, ILLINOIS FINANCE AUTHORITY VARIABLE RATE REVENUE BONDS, SERIES 2001 IN THE AMOUNT OF $46,050,000, AND THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007D IN THE AMOUNT OF $20,050,000; (II) REIMBURSE THE CORPORATION FOR A PORTION OF THE COST OF CONSTRUCTING AND EQUIPPING THE DATA CENTER, A KEY ELEMENT IN THE IMPLEMENTATION OF THE COPORATION'S INFORMATION MANAGEMENT STRATEGIC PLAN. THAT PLAN INCLUDES, IN ADDITION TO THE DATA CENTER, REPLACEMENT OF EXISTING INFORMATION SYSTEMS WITH NEWER SYSTEMS PROVIDING FULL ELECTRONIC MEDICAL RECORD AND INTEGRATED BILLING FUNCTIONS FOR BOTH HOSPITAL AND AMBULATORY SERVICES; (III) FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2010A BONDS; AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2010A BONDS AND THE REFINANCING OF THE SeRIES 1985B BONDS, THE SERIES 2001 BONDS AND THE SERIES 2007D BONDS. ILLINOIS FINANCE AUTHORITY - 9/26/2012 CUSIP #45203HLH3, 45203HLG5 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2012 BONDS TO (I) PAY OR REIMBURSE THE CORPORATION OR OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER FOR THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING, REMODELING AND EQUIPPING HEALTHCARE FACILITIES, (II) ADVANCE REFUND ALL OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2004, (III) CURRENT REFUND A PORTION OF THE ILLINOIS FINANCE AUTHORITY INSURED VARIABLE RATE DEMAND REVENUE BONDS, SERIES 2007F, (IV) CURRENTLY REFUND ALL OF THE ILLINOIS AUTHORITY VARIABLE RATE DEMAND REVENUE BONDS, SERIES 2007G, (V) ADVANCE REFUND A PORTION OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2009A, (VI) CURRENTLY REFUND ALL OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2009F, (VII) REFINANCE THE PNC BANK LOAN, AND (VIII) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS AND THE REFUNDING OF THE PRIOR BONDS AND PNC BANK LOAN. ILLINOIS FINANCE AUTHORITY - 09/29/2015 CUSIP# 4520H5F5 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2015A BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, (I) ADVANCE REFUND ALL OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007A (OSF HEALTHCARE SYSTEM OUTSTANDING), (II) ADVANCE REFUND ALL OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2009A OUTSTANDING, (III) CURRENTLY REFUND ALL OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2009E CURRENTLY OUTSTANDING, (IV) PAY OR REIMBURSE THE CORPORATION FOR THE COST OF ACQUIRING, CONSTRUCTION, ReNOVATION, REMODELING AND EQUIPPING, CONSTRUCTION OF AN APPROXIMATELY 150,000 SQUARE-FOOT, FOUR STORY PAVILION (THE "ROCKFORD BED PAVILLION") AND THE RENOVATION AND EXPANSION OF THE COMPREHENSIVE CANCER CENTER, EACH AT OSF SAINT ANTHONY MEDICAL CENTER IN ROCKFORD, ILLINOIS. THE RENOVATION OF THE FORMER NEONATAL INTENSIVE CARE UNIT AND THE OUTPATIENT NEUROSCIENCES CENTER, EACH PROJECT TO BECOME PRIVATE INPATIENT ROOMS AT OSF SAINT FRANCIS MEDICAL CENTER IN PEORIA, ILLINOIS. THE CONSTRUCTION OF A NEW PEDIATRIC OPERATION ROOM SUITE AT OSF SAINT FRANCIS MEDICAL CENTER AND THE CONSTRUCTION OF SURGICAL SUITES AT OSF ST. JOSEPH MEDICAL CENTER IN BLOOMINGTON, ILLINOIS (V) PAY CERTAIN CAPITALIZED INTEREST ON THE SERIES 2015A BONDS DURING CONSTRUCTION, (Vi) PAY CERTAIN SWAP TERMINATION COSTS RELATED TO THE SERIES 2015A BONDS; AND (VII) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2015A BONDS AND THE REFINANCE OF THE PRIOR BONDS AND THE PRIOR DEBT. ILLINOIS FINANCE AUTHORITY - 09/29/2016 CUSIP# 45204EMD7 THE CORPORATION WILL USE THE PROCEEDS OF THE SERIES 2016 BONDS TO (I) ADVANCE REFUND THE REFUNDED BONDS, AS HERINAFTER DEFINED; (II) PAY THE COSTS OF TERMINATING AN INTEREST RATE AGREEMENT RELATED TO THE SERIES 2016 BONDS; AND (III) PAY CERTAIN EPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2016 BONDS AND THE REFUNDING OF THE REFUNDED BONDS.
Supplemental Information 2	SCHEDULE K - PART II - LINE 7 BOND ISSUANCE COSTS BOND ISSUANCE COSTS CREDIT ENHANCEMENT TOTAL A $3,319,397 $8,846,375 $12,165,772 B $3,114,169 $ 126,677 $ 3,240,846 C $ -0- $ -0- $ -0- D $2,080,292 $ -0- $ 2,080,292 E $2,402,586 $ -0- $ 2,402,586 F $4,151,388 $ -0- $ 4,151,388 G $1,623,878 $ -0- $ 1,623,878
Supplemental Information 3	SCHEDULE K - PARKT IV - LINE 2C DATE THE REBATE COMPUTATION WAS PERFORMED A AUGUST 3, 2016 B MAY 30, 2014 C JUNE 3, 2014 D JULY 9, 2015
Supplemental Information 4	SCHEDULE K - PART III - LINE 9, PART IV - LINE 7 AND PART V In April 2017, the organization adopted a written tax-exempt bond compliance policy and implementing procedures which include provisions described in each of the questions.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

OSF Healthcare System

Employer identification number

37-0813229

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) DR JAMES W GIRARDY	BOARD MEMBER	326,760	SEE PART V INFORMATION		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCHEDULE L, PART IV - DESCRIPTION OF TRANSACTION	DR. JAMES W. GIRARDY, A BOARD MEMBER OF THE ORGANIZATION IS THE 100% STOCKHOLDER OF GOODFELLOW MEDICAL CONSULTING, LLC WHICH PROVIDED SERVICES AND RECEIVED FEES FOR A RELATED ORGANIZATION, OSF SAINT ANTHONY'S MEDICAL CENTER IN ROCKFORD ILLINOIS, FOR WHICH HE RECEIVED A 1099 IN THE AMOUNT OF $326,760 DURING 2015.

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

OSF Healthcare System

Employer identification number

37-0813229

Return Reference	Explanation
FORM 990 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 I Line 1 OSF IS A CATHOLIC INTEGRATED HEALTH CARE DELIVERY SYSTEM. DURING FY 2016 OSF OPERATED 11 HOSPITALS (9 INCLUDED IN THIS RETURN AND 2 THAT FILE SEPERATE RETURNS), 5 HOME HEALTH AGENCIES, 4 HOSPICES AND EMPLOYED APPROXIMATELY 716 PHYSICIANS. Form 990 Part III Line 1 OSF HEALTHCARE SYSTEM IS A CATHOLIC INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH DURING ITS FISCAL YEAR 2016 OPERATED 11 HOSPITALS, 5 HOME HEALTH AGENCIES, 4 HOSPICES, AND EMPLOYED APPROXIMATELY 716 PHYSICIANS. ALL PATIENTS ARE ACCEPTED REGARDLESS OF THEIR ABILITY TO PAY. ALL FACILITIES, SERVICES, PHYSICIANS AND OTHER PROFESSIONAL STAFF OF OSF HEALTHCARE SYSTEM SERVE ALL PATIENTS WITHOUT REGARD TO RACE, RELIGION, AGE, SEX, NATIONAL ORIGIN, PAYER SOURCE OR ABILITY TO PAY. THE BOARD OF DIRECTORS HAS ADOPTED CHARITY CARE POLICIES AND PROCEDURES WHICH APPLY FOR ALL FACILITIES AND SERVICES OF THE CORPORATION. THE AVAILABILITY OF CHARITY CARE IS COMMUNICATED TO PATIENTS IN NUMEROUS WAYS, INCLUDING USE OF FINANCIAL COUNSELORS, PATIENT INFORMATION BROCHURES, AND NOTICES ON PATIENT BILLINGS. CHARITY CARE APPLICATIONS AND INSTRUCTIONS ARE AVAILABLE ON WEBSITES MAINTAINED BY THE CORPORATION AND UPON A REQUEST MADE TO ANY OF THE CORPORATION'S FACILITIES OR OFFICES. OSF HEALTHCARE SYSTEM WILL PROVIDE COMPREHENSIVE, INTEGRATED, QUALITY CARE, INCLUDING PREVENTIVE, PRIMARY, ACUTE, CONTINUOUS AND REHABILITATIVE HEALTH SERVICES IN THOSE AREAS IN WHICH WE ARE NOW SERVING AND MAY SERVE IN THE FUTURE. SPECIAL EMPHASIS WILL BE PLACED ON MEETING THE PHYSICAL, SPIRITUAL, EMOTIONAL, AND SOCIAL NEEDS OF EVERYONE WHO IS CARED FOR IN THE SYSTEM. THE VISION WILL BE ACCOMPLISHED BY PROVIDING HIGH QUALITY AND ACCESSIBLE COMPREHENSIVE SERVICES IN AN INTEGRATED SYSTEM. SERVICES WILL BE PROVIDED TO PERSONS OF ALL AGES AND SOCIAL STRATA WITH A CONCERN FOR THE DISADVANTAGED AND THE POOR OF BODY AND SPIRIT. THE PHILOSOPHY AND VALUES OF THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES WILL BE THE NORM FOR ALL SERVICES. THE SYSTEM LEADERSHIP WILL NETWORK CLOSELY WITH EACH OTHER IN THEIR OWN AREA AND THROUGHOUT THE SYSTEM. THEY WILL ALSO NETWORK WITH OTHER PROVIDERS WHO HAVE SIMILAR VALUES AND COMPLEMENTARY SERVICES. INHERENT IN THIS DIRECTION FOR THE FUTURE IS: AN EMPHASIS ON PROVIDING A CONTINUUM OF HEALTH CARE SERVICES WHILE MEETING THE SPECIFIC NEEDS OF PEOPLE SERVED. HOSPITAL BASED AND FREE-STANDING PROGRAMS AND SERVICES TO MEET COMMUNITY NEEDS. A COLLABORATIVE RELATIONSHIP BETWEEN THE CONGREGATION AND THE LAITY. NETWORKING AMONG THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS MINISTRIES AND WITH OTHER PROVIDERS AND PURCHASERS. A MARKET DRIVEN RESPONSE TO PEOPLE'S NEEDS. Form 990 Part III Line 4a INPATIENT SERVICES: OSF HEALTHCARE SYSTEM OWNS AND OPERATES ACUTE CARE HOSPITALS IN ESCANABA, MICHIGAN; ROCKFORD, ILLINOIS; PONTIAC, ILLINOIS; BLOOMINGTON, ILLINOIS; PEORIA, ILLINOIS; GALESBURG, ILLINOIS; MONMOUTH, ILLINOIS; KEWANEE, ILLINOIS; AND ALTON, ILLINOIS. AS OF THE CLOSE OF THE REPORTING PERIOD ON SEPTEMBER 30, 2016, THESE NINE FACILITIES HAD A COMBINED TOTAL OF 1,420 LICENSED INPATIENT AND RESIDENT BEDS AND OPERATED A COMBINED TOTAL OF 1,411 STAFFED INPATIENT AND RESIDENT BEDS. THEY HAD COMBINED TOTALS OF 60,887 INPATIENT AND RESIDENT DISCHARGES AND 279,930 INPATIENT AND RESIDENT DAYS, INCLUDING 15,890 NEWBORN INPATIENT DAYS. THE NINE ACUTE CARE HOSPITALS COLLECTIVELY SERVED 53 COUNTIES. THEY HAD A COMBINED TOTAL OF APPROXIMATELY 3,019 PHYSICIANS ON THEIR MEDICAL STAFFS; INCLUDING APPROXIMATELY 1,516 PHYSICIANS ON THEIR ACTIVE OR ASSOCIATE MEDICAL STAFFS. PONTIAC, ILLINOIS IS A SOLE COMMUNITY HOSPITAL AND ESCANABA, MICHIGAN; KEWANEE, ILLINOIS; AND MONMOUTH, ILLINOIS ARE CRITICAL ACCESS HOSPITALS. THE CORPORATION'S HOSPITALS OFFER A BROAD RANGE OF INPATIENT SERVICES. THREE OF THE HOSPITALS PROVIDE OPEN HEART SURGERY SERVICES, TWO OFFER LEVEL II NEONATAL SERVICES, ONE OFFERS LEVEL III NEONATAL SERVICES (HIGHEST LEVEL), AND ONE OFFERS KIDNEY AND PANCREAS ORGAN TRANSPLANT SERVICES. THE CORPORATION HAS ORGANIZED AND OPERATES COMPREHENSIVE CARDIAC AND STROKE CARE NETWORKS IN CENTRAL AND NORTHERN ILLINOIS AND OPERATES THE ONLY COMPREHENSIVE CHILDREN'S HOSPITAL IN CENTRAL ILLINOIS.
Form 990 Part III Line 4b	OUTPATIENT SERVICES: THE NINE ACUTE CARE HOSPITALS OWNED AND OPERATED BY OSF HEALTHCARE SYSTEM COLLECTIVELY PROVIDED 1,355,683 OUTPATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2016, INCLUDING 63,783 OUTPATIENT SURGERY VISITS BUT EXCLUDING EMERGENCY DEPARTMENT VISITS. THE CORPORATION'S HOSPITALS OFFER A BROAD RANGE OF OUTPATIENT THERAPEUTIC AND DIAGNOSTIC SERVICES, INCLUDING OUTPATIENT SURGERY AND ADVANCED MEDICAL IMAGING.
Form 990 Part III Line 4c	PHYSICIAN SERVICES: PHYSICIANS EMPLOYED BY OSF HEALTHCARE SYSTEM PROVIDE OFFICE VISITS (NOT INCLUDING SERVICES PROVIDED TO HOSPITAL INPATIENTS AND OUTPATIENTS) AT OFFICES IN LOCATIONS THROUGHOUT CENTRAL AND NORTHERN ILLINOIS AND THE UPPER PENINSULA OF MICHIGAN. DURING FY 2016 MOST PHYSICIAN SERVICES TRANSITIONED TO A NEW 501(C)(3) CORPORATION CALLED OSF MULTI-SPECIALTY GROUP ON 1/1/16.
Form 990 Part III Line 4d	OTHER PROGRAM SERVICES: (EXPENSES $318,074,281 INCLUDING GRANTS OF $304,608) (REVENUE $127,030,001) BEYOND INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES OSF HEALTHCARE SYSTEM ALSO PROVIDES CARE FOR THE FOLLOWING SERVICES: HOME HEALTH SERVICES - FIVE AGENCIES LOCATED IN ILLINOIS AND MICHIGAN. HOSPICE SERVICES - FOUR PROGRAMS LOCATED IN ILLINOIS AND MICHIGAN. EMERGENCY DEPARTMENT SERVICES - ALL ACUTE CARE HOSPITALS PROVIDE 24 HOUR EMERGENCY CARE. RESIDENCY PROGRAMS - OSF HEALTHCARE SYSTEM IS AFFILATED WITH THE UNIVERSITY OF ILLINOIS AND PROVIDES SUPPORT FOR TEACHING OF RESIDENTS AND FELLOWSHIP PROGRAMS. COLLEGE OF NURSING PROGRAMS - TWO OF THE CORPORATIONS HOSPITALS OPERATE ACCREDITED COLLEGES OF NURSING THAT OFFER ACCREDITED BACCALAUREATE, MASTERS, AND DOCTORAL DEGREES. TRAUMA SERVICES (LEVEL 1) - TWO HOSPITALS IN THE SYSTEM ARE DESIGNATED AS LEVEL I TRAUMA (HIGHEST LEVEL) TRAUMA CENTERS AND TWO HAVE BEEN DESIGNATED AS LEVEL II TRAUMA CENTERS. EMS FLIGHT & GROUND TRANSPORT SERVICES - THE CORPORATION PROVIDES HELICOPTER AND GROUND TRANSPORTS TO PATIENTS IN NORTHERN AND CENTRAL ILLINOIS. COMMUNITY CLINIC, OUTREACH AND OTHER EDUCATIONAL PROGRAMS: THE CORPORATION OFFERS TWO UNINSURED AND UNDERINSURED COMMUNITY CLINICS IN BLOOMINGTON AND PEORIA. THE CORPORATION ALSO PROVIDES OUTREACH PROGRAMS TO THE COMMUNITY WITH PARISH NURSING, PERINATAL OUTREACH, AND A COMMUNITY TRAINING CENTER. ALL OF THESE PROGRAMS REACH AT RISK POPULATIONS TO HELP THEM WITH SPECIFIC AND EVERYDAY HEALTHCARE NEEDS. THE CORPORATION ALSO PROVIDES PARAMEDIC EDUCATION, EMT EDUCATION, MEDICAL TECH EDUCATION, RADIOLOGY TECH EDUCATION AND DIETETIC EDUCATION PROGRAMS.
Form 990 Part VI Line 1a	BY ADOPTING CERTAIN PROVISIONS OF THE CORPORATE BYLAWS, THE BOARD OF DIRECTORS HAS DELEGATED BROAD AUTHORITY TO THE EXECUTIVE COMMITTEE OF THE BOARD. THE BYLAWS PROVIDE THAT THE EXECUTIVE COMMITTEE SHALL BE AUTHORIZED TO TAKE SUCH ACTION AS MAY BE NECESSARY ON BEHALF OF THE CORPORATION DURING PERIODS WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION.
Form 990 Part VI Line 6 & 7a	OSF HEALTHCARE SYSTEM HAS NO CORPORATE STOCK OR STOCKHOLDERS. ITS SOLE MEMBER IS THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS, AN ILLINOIS NOT FOR PROFIT CORPORATION, WHICH IS CONTROLLED BY MEMBERS OF A RELIGIOUS CONGREGATION OF THE CATHOLIC CHURCH ALSO KNOWN AS THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS. THE GOVERNING BOARD OF THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS, AN ILLINOIS NOT FOR PROFIT CORPORATION AND THE SOLE MEMBER OF OSF HEALTHCARE SYSTEM, HOLDS RESERVED POWERS TO ELECT AND REMOVE ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF OSF HEALTHCARE SYSTEM.
Form 990 Part VI Line 7b	AS GOVERNED BY CANONICAL AND CIVIL GUIDELINES PERTAINING TO ROMAN CATHOLIC CHURCH PROPERTIES AND AS PROVIDED IN THE BYLAWS, CERTAIN TRANSACTIONS OF OSF HEALTHCARE SYSTEM MAY BE AUTHORIZED ONLY BY VOTE OF THE GOVERNING BOARD OF THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS, WHICH VOTE IS TO BE TAKEN ONLY AFTER CONSIDERING THE ADVICE OF THE BOARD OF DIRECTORS OF OSF HEALTHCARE SYSTEM. THESE TRANSACTIONS ARE AS FOLLOWS: - TO ESTABLISH THE PHILOSOPHY AND MISSION ACCORDING TO WHICH THE CORPORATION OPERATES. - TO AMEND THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS. - TO ELECT AND REMOVE WITH OR WITHOUT CAUSE THE DIRECTORS OF THE CORPORATION. - TO MERGE OR DISSOLVE THE CORPORATION. - TO LEASE, SELL, ENCUMBER OR OTHERWISE ALIENATE REAL PROPERTY OF THE CORPORATION. - TO APPROVE ANY TRANSFER, LEASE, SALE OR ENCUMBRANCE OF PERSONAL PROPERTY OF THE CORPORATION EXCEPT IN THE ORDINARY COURSE OF BUSINESS. - TO APPROVE ANY BORROWING OR DEBT FINANCING IN EXCESS OF A SPECIFIED LIMIT (CURRENTLY $1,000,000) ESTABLISHED BY RESOLUTION OF THE MEMBER. - TO APPOINT (OR APPROVE THE APPOINTMENT OF) OR REMOVE THE CORPORATION'S CHAIRPERSON, CHIEF EXECUTIVE OFFICER, PRESIDENT, REGIONAL PRESIDENT/CHIEF EXECUTIVE OFFICERS, AND THE LOCAL PRESIDENT/CHIEF EXECUTIVE OFFICER OF EACH HEALTH CARE FACILITY AND OPERATING DIVISION OWNED, OPERATED OR CONTROLLED BY THE CORPORATION. - TO APPROVE STRATEGIC PLANS, MANAGEMENT OBJECTIVES AND CAPITAL AND OPERATING BUDGETS OF THE CORPORATION. - TO APPROVE ANY PURCHASE OR OTHER ACQUISITION IN EXCESS OF A SPECIFIED LIMIT (CURRENTLY $1,000,000) ESTABLISHED BY RESOLUTION OF THE MEMBER. - TO REQUIRE A CERTIFIED AUDIT OF THE CORPORATION'S FINANCES AND TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANT TO PERFORM THE AUDIT. - TO APPROVE THE ENGAGEMENT OF ANY OUTSIDE LEGAL COUNSEL TO REPRESENT THE CORPORATION ON A REGULAR BASIS AND THE DISMISSAL OF ANY CURRENT LEGAL COUNSEL REPRESENTING THE CORPORATION ON A REGULAR BASIS. - TO GIVE PRELIMINARY APPROVAL PRIOR TO THE DEVELOPMENT OF, AND TO GIVE FINAL APPROVAL PRIOR TO THE EXECUTION OF, ALL DOCUMENTS TO WHICH THE CORPORATION IS OR WILL BE A PARTY AND WHICH RELATE TO THE CREATION, FORMATION, ORGANIZATION, OR TERMINATION OF ANY OTHER LEGAL ENTITY (WHETHER A CORPORATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, OR ANY OTHER ENTITY) IN WHICH THE CORPORATION WILL HAVE ANY OWNERSHIP INTEREST, MEMBERSHIP INTEREST, POWER TO ELECT OR APPOINT BOARD MEMBERS OR OFFICERS, OR ANY OTHER FORMAL PARTICIPATION ARRANGEMENT, WHETHER ACTING ALONE OR IN CONJUNCTION WITH ANY OTHER PERSON OR ENTITY. FORM 990, PART VI, LINE 9 JAMES W. GIRARDY, M.D. 5666 EAST STATE STREET ROCKFORD, IL 61108
Form 990 Part VI Line 11b	THE INITIAL DRAFT FORM 990 AND ALL REQUIRED SCHEDULES ARE PREPARED USING A MULTI-DISCIPLINARY PROCESS WHICH INCLUDES CORPORATE FINANCE AND ACCOUNTING, CORPORATE LEGAL, CORPORATE COMPLIANCE, AND CORPORATE MARKETING AND COMMUNICATIONS PERSONNEL WHO FOCUS INITIALLY ON SPECIFIC PORTIONS OF THE RETURN. THE COMPLETED DRAFT FORM 990 AND ALL SCHEDULES ARE THEN REVIEWED BY THIS SAME MULTI-DISCIPLINARY TEAM TO ENSURE ACCURACY AND INTEGRATION OF THE INDIVIDUAL PARTS AND SCHEDULES. IN ADDITION, THE INFORMATION AND SCHEDULES OF THE RETURN ARE SENT TO THE CORPORATION'S OUTSIDE AUDITORS, KPMG LLP, FOR REVIEW AND COMMENT. KPMG REVIEWS THE INFORMATION/SCHEDULES AND then prepares and SIGNS THE FINAL RETURN. COMMENTS FROM THE MULTI-DISCIPLINARY TEAM AND FROM THE AUDITORS ARE INCORPORATED INTO A PROPOSED FINAL VERSION OF FORM 990 AND ALL SCHEDULES. THIS PROPOSED FINAL VERSION IS THEN SENT VIA E-MAIL TO ALL OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING. ANY APPROPRIATE CHANGES REQUESTED BY THE OFFICERS AND DIRECTORS ARE THEN INCORPORATED INTO THE FINAL FORM 990 AND ALL SCHEDULES FOR FILING.
Form 990 Part VI Line 12c	DISCLOSURES BY OFFICERS, DIRECTORS AND TRUSTEES, AS WELL AS KEY EMPLOYEES AND EMPLOYEES CHARGED WITH PURCHASING, PROCUREMENT AND CONTRACTING DECISION-MAKING ARE MADE THROUGH AN ELECTRONIC REPORTING SYSTEM. DISCLOSURES ARE RECEIVED AND REVIEWED BY THE CORPORATE COMPLIANCE DIVISION. IF A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED, THEN THE DISCLOSING EMPLOYEE IS NOTIFIED OF THE POTENTIAL CONFLICT AND MAY BE ASKED FOR ADDITIONAL INFORMATION ABOUT THE INTEREST. THE CORPORATE COMPLIANCE DIVISION DETERMINES WHETHER A PLAN TO MANAGE A POSSIBLE OR ACTUAL CONFLICT OF INTEREST IS NEEDED, DISCUSSES THE MANAGEMENT PLAN WITH THE EMPLOYEE AND MONITORS THE EMPLOYEE'S COMPLIANCE WITH THE PLAN. PLANS TO MANAGE CONFLICTS ARE TRACKED THROUGH THE ELECTRONIC DISCLOSURE SYSTEM.
Form 990 Part VI Line 15a	THE BOARD OF DIRECTORS HAS ESTABLISHED A BOARD COMMITTEE KNOWN AS THE HUMAN RESOURCES COMMITTEE WHOSE MEMBERS ARE ALL PROFESSED MEMBERS OF THE RELIGIOUS CONGREGATION KNOWN AS THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS WHO HAVE TAKEN A VOW OF POVERTY. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE CHIEF EXECUTIVE OFFICER (CEO) IS NOT A MEMBER OF THE COMMITTEE. THE PERFORMANCE OF THE CEO AND HIS ACHIEVEMENT OF ANNUAL GOALS IS EVALUATED EACH YEAR BY THE FULL BOARD OF DIRECTORS, AND THIS PERFORMANCE REVIEW IS PROVIDED TO THE COMMITTEE. THE COMMITTEE ALSO OBTAINS COMPENSATION SURVEY DATA AND RECOMMENDATIONS FROM A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT. BASED ON ALL OF THESE FACTORS, THE COMMITTEE SETS THE BASE SALARY AND BENEFITS OF THE CEO AND APPROVES THE EXECUTIVE COMPENSATION PLAN APPLICABLE TO THE CEO. PRIOR TO PAYMENT OF ANY BONUS OR INCENTIVE COMPENSATION, THE TOTAL COMPENSATION FOR THE CEO, INCLUDING BASE SALARY, BENEFITS, AND PROPOSED BONUS OR INCENTIVE COMPENSATION, IS AGAIN REVIEWED BY A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT TO ENSURE THAT NO EXCESS BENEFIT AMOUNT IS PAID OR FURNISHED.
Form 990 Part VI Line 15b	THE BOARD OF DIRECTORS HAS ESTABLISHED A BOARD COMMITTEE KNOWN AS THE HUMAN RESOURCES COMMITTEE WHOSE MEMBERS ARE ALL PROFESSED MEMBERS OF THE RELIGIOUS CONGREGATION KNOWN AS THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS WHO HAVE TAKEN A VOW OF POVERTY. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE COMMITTEE DETERMINES WHICH OFFICERS, KEY EMPLOYEES AND OTHER EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN THE EXECUTIVE COMPENSATION PLAN. BASED ON PERFORMANCE REVIEWS BY THE SUPERVISORS OF SUCH PERSONS AND COMPENSATION SURVEY DATA AND RECOMMENDATIONS FROM A NATIONALLY KNOWN INDEPENDENT COMPENSATION CONSULTANT, THE COMMITTEE APPROVES ANY EXECUTIVE COMPENSATION PLAN APPLICABLE TO KEY EMPLOYEES AND ESTABLISHES THE BASE SALARY AND BENEFITS FOR PLAN PARTICIPANTS. PRIOR TO PAYMENT OF ANY BONUS OR INCENTIVE COMPENSATION, THE TOTAL COMPENSATION FOR EACH KEY EMPLOYEE, INCLUDING BASE SALARY, BENEFITS, AND PROPOSED BONUS OR INCENTIVE COMPENSATION, IS AGAIN REVIEWED BY A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT TO ENSURE THAT NO "EXCESS BENEFIT" AMOUNT IS PAID OR FURNISHED. SOME KEY EMPLOYEES LISTED IN PART VII ARE PRACTICING PHYSICIANS WHO ARE LISTED AS KEY EMPLOYEES AS A RESULT OF THE COMPENSATION THEY RECEIVE AND NOT DUE TO ANY EXECUTIVE OR MANAGEMENT POSITION WHICH THEY HOLD. SUCH PHYSICIANS GENERALLY ARE NOT PARTICIPANTS IN THE EXECUTIVE COMPENSATION PLAN, AND THEIR COMPENSATION, INCLUDING BASE SALARY, BENEFITS, AND ANY APPLICABLE BONUS OR INCENTIVE COMPENSATION, IS ESTABLISHED IN ACCORDANCE WITH NATIONALLY RECOGNIZED PHYSICIAN COMPENSATION SURVEYS AND IS SET FORTH IN WRITTEN EMPLOYMENT AGREEMENTS WHICH ARE APPROVED BY THE BOARD OF DIRECTORS OR ITS EXECUTIVE COMMITTEE.
Form 990 Part VI Line 18	OSF HEALTHCARE SYSTEM MAKES ITS FORM 990, ITS FORM 990-T, AND DOCUMENTATION OF ITS EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE CODE AVAILABLE FOR PUBLIC INSPECTION AND COPYING UPON REQUEST IN ACCORDANCE WITH SECTION 6104 OF THE INTERNAL REVENUE CODE. NAMES AND ADDRESSES OF CONTRIBUTORS ARE NOT DISCLOSED. REQUESTS MAY BE MADE IN PERSON, IN WRITING, OR BY TELEPHONE. REQUESTS MADE IN PERSON ARE ACCEPTED AT THE CORPORATE OFFICE AND AT EACH HOSPITAL FACILITY OF THE CORPORATION. REQUESTS MADE IN WRITING OR BY TELEPHONE TO ANY FACILITY OR LOCATION OF THE CORPORATION ARE FORWARDED TO THE CORPORATE FINANCE AND ACCOUNTING DIVISION, WHICH THEN PROVIDES COPIES OF THE REQUESTED DOCUMENTS IN THE MANNER REQUESTED (IF SUCH DELIVERY METHOD IS AVAILABLE TO THE CORPORATION).
Form 990 Part VI Line 19	THE CORPORATION MAKES ITS ARTICLES OF INCORPORATION, CORPORATE BYLAWS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. ALL REQUESTS ARE FORWARDED TO THE CORPORATE LEGAL DIVISION, WHICH THEN PROVIDES COPIES OF THE REQUESTED DOCUMENTS IN THE MANNER REQUESTED (IF SUCH DELIVERY METHOD IS AVAILABLE TO THE CORPORATION). IN ADDITION, THE CORPORATION'S ARTICLES OF INCORPORATION ARE PUBLICLY AVAILABLE FROM THE OFFICE OF THE ILLINOIS SECRETARY OF STATE OR FROM THE RECORDER OF DEEDS IN WOODFORD COUNTY, ILLINOIS, SITE OF THE CORPORATION'S REGISTERED OFFICE. FINANCIAL STATEMENTS OF THE CORPORATION ARE PUBLICLY AVAILABLE ON THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE OF THE MUNICIPAL SECURITIES RULEMAKING BOARD (MSRB) AND FROM THE ILLINOIS ATTORNEY GENERAL AS PART OF THE CORPORATIONS COMMUNITY BENEFIT REPORT.
Form 990 Part VII Line Section A	REPORTABLE COMPENSATION IN PART VII WAS DETERMINED FROM A REVIEW OF PAYROLL QUERIES FROM THE ORGANIZATION'S AND RELATED ORGANIZATION'S PAYROLL AND GENERAL LEDGER MODULES, YEARLY PAYROLL REPORTS, AND W-2 FILINGS.
Form 990, Part XI, Line 9	OTHER CHANGES IN FUND BALANCE INCLUDE: CHANGE IN UNREALIZED MARKET VALUE OF SWAPS (9,812,679) NET ASSETS RELEASED FROM RESTRICTION (3,402,179) INCREASE IN PERMANETLY RESTRICTED ASSETS 22,812,306 REVERSAL OF MINIMUM PENSION LIABILITY (103,781,755) SFI & SUBSIDIAIRY INCOME 2,504,063 MINORITY INTEREST (4,253,973) INVESTMENT IN HEARTCARE MIDWEST (4,659,601) EQUITY TRANSFERS (21,699,518) EARLY EXTINGUISHMENT OF DEBT (20,482,375) EQUITY TRANSFER - MULTISPECIALTY GROUP (156,816,274) NET SETTLEMENT OF DERIVATIVE INSTRUMENT (8,785,923) STREATOR ACQUISITION 2,587,014 ------------------ TOTAL CHANGES IN NET ASSETS OR FUND BALANCE (305,790,894)

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

OSF Healthcare System

Employer identification number

37-0813229

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) OSF LIFELINE AMBULANCE LLC 318 ROXBURY ROAD ROCKFORD,IL61107 20-0080542	AMBULANCE SVS	IL	-1,429,337	675,504	OSF
(2) POINTCORE LLC 9600 N FRANCISCAN DR PEORIA,IL61615 46-5126926	IT SERVICES	IL	2,014,601	267,115	OSF
(3) SAINT ANTHONY'S LLC 915 EAST 5TH STREET ALTON,IL62002 37-1407745	LOW INC HOUSi	IL	0	0	OSF

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SISTERS OF THE THIRD ORDER OF STFRANCIS 800 NE GLEN OAK AVE PEORIA,IL61603 37-1259286	PARENT/SU ORG	IL	501(c)(3)	LN11 TYPEII	NA		No
(2)OSF HEALTHCARE FOUNDATION 800 NE GLEN OAK AVE PEORIA,IL61603 37-1259284	SUPPORT ORG	IL	501(c)(3)	LN11 TYPEII	NA		No
(3)ST FRANCIS COMMUNITY CLINIC 530 NE GLEN OAK AVE PEORIA,IL61637 37-0661235	FREE CLINIC	IL	501(c)(3)	LN7	SIS 3RD OSF		No
(4)OTTAWA REGIONAL HOSP & HEALTHCARE CTR 1100 EAST NORRIS DRIVE OTTAWA,IL61350 36-2604009	HOSPITAL	IL	501(c)(3)	LN3	OSF	Yes
(5)OTTAWA REGIONAL HOSPITAL FOUNDATION 1100 EAST NORRIS DRIVE OTTAWA,IL61350 36-4007569	SUPPORT ORG	IL	501(c)(3)	LN11A TYPEI	ORHHC	Yes
(6)OTTAWA REGIONAL HOSPITAL AUXILIARY 1100 EAST NORRIS DRIVE OTTAWA,IL61350 36-3854788	SUPPORT ORG	IL	501(c)(3)	LN11C TYIII	ORHHC		No
(7)OSF MULTI-SPECIALTY GROUP 800 NE GLEN OAK AVE PEORIA,IL61603 38-3852646	HLTHCARE SVCS	IL	501(c)(3)	LN11A TYPEI	OSF	Yes
(8)OSF HEART & VASCULAR INSTITUTE 800 NE GLEN OAK AVE PEORIA,IL61603 35-2422385	HLTHCARE SVCS	IL	501(c)(3)	LN11A TYPEI	OSF	Yes
(9)CHILDREN'S HOSPITAL OF ILLINOIS MED GRP 800 NE GLEN OAK AVE PEORIA,IL61603 32-0353954	HLTHCARE SVCS	IL	501(c)(3)	LN11A TYPEI	OSF	Yes
(10)ILLINOIS NEUROSCIENCE INSTITUTE 800 NE GLEN OAK AVE PEORIA,IL61603 36-4709999	HLTHCARE SVCS	IL	501(c)(3)	LN11A TYPEI	OSF	Yes
(11)MENDOTA COMMUNITY HOSPITAL 1201 E 12TH STREET MENDOTA,IL61342 36-2167785	HOSPITAL	IL	501(c)(3)	LN3	OSF	Yes
(12)SAINT ANTHONY'S PHYSICIAN GROUP PO BOX 340 ALTON,IL62002 37-1365059	HLTHCARE SVCS	IL	501(c)(3)	LN9	OSF	Yes
(13)SISTERS OF ST FRANCIS MARTYR ST GEORGE PO BOX 9020 ALTON,IL62002 37-6034163	RELIGIOUS	IL	501(c)(3)	LN1	OSF	Yes
(14)IPMR 6501 n sheridan road peoria,IL61614 37-0681567	rehab	IL	501(c)(3)	LN3	OSF	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) CTR FOR HEALTH AMB SURGERY CTR 8800 RTE 91 N PEORIA,IL61615 20-5557171	SURGICAL CENTER	IL	OSF	related	3,405,976	2,479,508		No			No	55.500 %
(2) STATE & ROXBURY LLC 1725 HUNTWOOD DR STE 400 CHERRY VALLEY,IL61016 26-1728983	REAL ESTATE MGMT	IL	OSF	related	150,722	-399,632		No			No	51.000 %
(3) EASTLAND MED PLZ SURGICENTER LLC 1505 EASTLAND DR BLOOMINGTON,IL61701 37-1400643	SURGICAL CENTER	IL	OSF	related	2,741,008	6,593,981		No			No	52.720 %
(4) FORT JESSE IMAGING CENTER LLC 2200 F JESSE RD STE B NORMAL,IL61761 46-0515604	MEDICAL IMAGING	IL	OSF	related	705,612	-88,017		No			No	50.100 %
(5) RADIATION ONCOLOGY OF NORTHERN ILLINOIS 1200 STARFIRE DR OTTAWA,IL61350 75-3247165	RADIATION ONCOLG	IL	ORHHC	related	0	0		No			No
(6) POINT CORE NETWORK SEVCS LLC 222 3RD AVE SE STE 500 CEDAR RAPIDS,IA52401 46-5393141	IT SERVICES	IA	POINTCORELLC	related	2,014,601	267,115		No			No	50.000 %
(7) ST CLARE'S VILLA LP 915 E 5TH ST ALTON,IL62002 37-1397289	LOW INC HOUSING	IL	OSF	unrelated	-44,023	5,580,429		No		Yes		0.010 %
(8) FOX RIVER CANCER CENTER 1211 STARFIRE DRIVE OTTAWA,IL61350 87-0805865	oncology	IL	ORHHC	related	0	0		No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) OSF SAINT FRANCIS INC 800 NE GLEN OAK AVE PEORIA,IL61603 36-3484677	HLTHCARE SVCS	IL	OSF	C Corp	2,504,063	175,112,302	100.000 %	Yes
(2) HEARTCARE MIDWEST LTD 5405 N KNOXVILLE AVENUE PEORIA,IL61614 37-0996868	CARDIOVASCULAR	IL	OSF	C Corp	-4,659,601	0	100.000 %	Yes
(3) CARDIOVASCULAR INSTITUTE AT OSF LLC 444 ROXBURY ROAD ROCKFORD,IL61107 26-4225726	CARDIOVASCULAR	IL	OSF	C Corp	-2,204,824	0	100.000 %	Yes
(4) ILLINOIS PATHOLOGIST SERVICES LLC 5666 EAST STATE STREET ROCKFORD,IL61108 80-0439081	PATHOLOGY SVCS	IL	OSF	C Corp	145,895	1,261,169	100.000 %	Yes
(5) OSF MULTISPECIALTY GRP-EASTERN REG LLC 1701 E COLLEGE AVE BLOOMINGTON,IL61704 30-0561892	MULTISPEC CLINIC	IL	OSF	C Corp	-3,290,438	0	100.000 %	Yes
(6) OSF MULTISPECIALTY GRP-PEORIA LLC 530 NE GLEN OAK AVENUE PEORIA,IL61637 26-2800379	PEDIATRIC CARDIOV	IL	OSF	C Corp	-1,271,903	0	100.000 %	Yes
(7) ILLINOIS NEUROLOGICAL INSTITUTE-PHY LLC 719 N WILLIAM KUMPF BLVD PEORIA,IL61605 26-3109118	PEDIATRIC NEUROLO	IL	OSF	C Corp	-967,750	0	100.000 %	Yes
(8) ILLINOIS SPEC PHY SVCS AT OSF LLC 1001 MAIN STREET SUITE 200 PEORIA,IL61606 80-0462209	PULMONOLOGY	IL	OSF	C Corp	-1,309,113	0	100.000 %	Yes
(9) OSF PERINATAL ASSOCIATES LLC 4911 EXECUTIVE DRIVE SUITE 200 PEORIA,IL61614 80-0498373	MATERNAL FET MED	IL	OSF	C Corp	-196,988	0	100.000 %	Yes
(10) OSF MULTISPECIALTY GR- WESTERN REG LLC 3315 NORTH SEMINARY STREET GALESBURG,IL61401 80-0608541	MULTISPEC CLINIC	IL	OSF	C Corp	-1,686,111	0	100.000 %	Yes
(11) OSF CHILDREN'S MEDICAL GROUP-CONGENITAL 5701 STRATHMOOR DRIVE SUITE 1 ROCKFORD,IL61107 90-0714643	PEDIATRIC CARDIOV	IL	OSF	C Corp	-293,790	0	100.000 %	Yes
(12) PREFERRED EMERGENCY PHY OF ILLINOIS LLC 800 NE GLEN OAK AVENUE PEORIA,IL61603 90-0749855	EMERGENCY ROOM	IL	OSF	C Corp	-517,084	-250,055	100.000 %	Yes
(13) OTTAWA REG HEALTHCARE AFFILIATES INC 1100 EAST NORRIS DRIVE OTTAWA,IL61350 26-3937519	HOLDING COMPANY	IL	ORHHC	C Corp	0	0		Yes
(14) OTTAWA REGIONAL MEDICAL CENTER INC 1614 EAST NORRIS DRIVE OTTAWA,IL61350 27-1036071	OUTPATIENT DIAG	IL	ORHHC	C Corp	0	0		Yes
(15) ASSOC MED INSTITUTE CONDO ASSOC 6501 N SHERIDAN ROAD PEORIA,IL61614 37-1402305	CONDO ASSOC	IL	OSF	C Corp	0	118,610	100.000 %	Yes

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved
(1) OSF Multi-Specialty Group	a(iv)	216,090
(2) CENTER FOR HEALTH AMBULATORY SURGERY CENTER	a(iv)	989,264
(3) EASTLAND MEDICAL PLAZA SURGICENTER LLC	a(iv)	632,092
(4) HEARTCARE MIDWEST LTD	a(iv)	77,583
(5) OSF MULTISPECIALTY GROUP - PEORIA LLC	a(iv)	71,385
(6) OSF PERINATAL ASSOCIATES LLC	a(iv)	2,047
(7) ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS	a(iv)	5,239
(8) CARDIOVASCULAR INSTITUTE AT OSF LLC	a(iv)	391
(9) SAINT ANTHONY PHYSICIAN GROUP	a(iv)	46,753
(10) OSF SAINT FRANCIS INC	a(iv)	548,649
(11) ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF	a(iv)	4,991
(12) OSF MULTISPECIALTY GROUP-WESTERN REGION LLC	a(iv)	9,701
(13) OSF CHILDREN'S MEDICAL GROUP-CONGENITAL HEART	a(iv)	250
(14) OSF MULTISPECIALTY GROUP - PEORIA LLC	b	1,000,000
(15) ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS	b	1,000,000
(16) CARDIOVASCULAR INSTITUTE AT OSF LLC	b	2,000,000
(17) OSF MULTISPECIALTY GROUP-EASTERN REGION LLC	b	3,000,000
(18) ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF	b	4,000,000
(19) OSF MULTISPECIALTY GROUP-WESTERN REGION LLC	b	2,000,000
(20) OSF PERINATAL ASSOCIATES LLC	b	600,000
(21) ILLINOIS PATHOLOGIST SERVICES LLC	b	2,100,000
(22) HEARTCARE MIDWEST LTD	b	11,700,000
(23) OSF SAINT FRANCIS INC	k	7,592,572
(24) CARDIOVASCULAR INSTITUTE AT OSF LLC	k	112,120
(25) STATE AND ROXBURY LLC	k	653,722
(26) HEARTCARE MIDWEST LTD	k	275,484
(27) OSF SAINT FRANCIS INC	l	21,267,445
(28) OSF MULTISPECIALTY GROUP-EASTERN REGION LLC	l	5,631,444
(29) CARDIOVASCULAR INSTITUTE AT OSF LLC	l	3,607,276
(30) ILLINOIS PATHOLOGIST SERVICES LLC	l	1,543,953
(31) ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF	l	3,415,591
(32) OSF PERINATAL ASSOCIATES LLC	l	563,702
(33) OSF MULTISPECIALTY GROUP - PEORIA LLC	l	1,915,291
(34) ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS	l	2,657,360
(35) OSF MULTISPECIALTY GROUP-WESTERN REGION LLC	l	4,138,664
(36) OSF CHILDREN'S MEDICAL GROUP-CONGENITAL HEART	l	283,567
(37) OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER	l	3,110,159
(38) OSF SAINT FRANCIS INC	m	38,808,551
(39) OSF SAINT FRANCIS INC	p	8,734,480
(40) HEARTCARE MIDWEST LTD	p	302,272
(41) OSF MULTISPECIALTY GROUP-EASTERN REGION LLC	p	4,357,595
(42) CARDIOVASCULAR INSTITUTE AT OSF LLC	p	1,051,859
(43) ILLINOIS PATHOLOGIST SERVICES LLC	p	628,337
(44) ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF	p	1,286,340
(45) OSF PERINATAL ASSOCIATES LLC	p	284,718
(46) OSF MULTISPECIALTY GROUP - PEORIA LLC	p	129,390
(47) ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS	p	411,158
(48) OSF MULTISPECIALTY GROUP-WESTERN REGION LLC	p	259,129
(49) OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER	p	2,374,579
(50) EASTLAND MEDICAL PLAZA SURGICENTER LLC	s	2,713,205
(51) FORT JESSE IMAGING CENTER LLC	s	542,467
(52) CENTER FOR HEALTH AMBULATORY SURGERY CENTER	s	3,330,000
(53) OSF MULTISPECIALTY GROUP-EASTERN REGION LLC	s	100,000
(54) ILLINOIS PATHOLOGIST SERVICES LLC	s	2,075,000
(55) OSF MULTISPECIALTY GROUP - WESTERN REGION LLC	s	83,000
(56) OSF CHILDREN'S MEDICAL GROUP-CONGENITAL HEART	S	138,000
(57) PREFERRED EMERGENCY PHYSICIANS OF ILLINOIS	s	82,378
(58) OSF SAINT FRANCIS INC	S	37,630,211

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

FORM SCH R PART III

For purposes of completion, the related organizations listed below are taxable as a partnership. Center for Health Ambulatory Surgery Center, LLC 20-5557171 8800 Route 91 North, Peoria, IL 61615 State and Roxbury, LLC 26-1728983 1725 Huntwood Dr., Ste 400, Cherry Valley, IL 61016 Eastland Medical Plaza Surgicenter, LLC 37-1400643 1505 Eastland Drive, Bloomington, IL 61701 Fort Jesse Imaging Center, LLC 46-0515604 2200 Ft. Jesse Road, Suite B, Normal, IL 61761 Radiation Oncology of Northern Illinois, LLC 75-3247165 1200 Starfire Drive, Ottawa, IL 61350 Point Core Network Services, LLC 46-5393141 222 3rd Ave. S.E. Suite 500, Cedar Rapids, Iowa 52401 Saint Clare's Villa Limited Partnership 37-1397289 915 East 5th Street, Alton, IL 62002 Fox River Cancer Center 87-0805865 1211 Starfire Drive, Ottawa, IL 61350

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	6
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	16,974
6	Total number of volunteers (estimate if necessary) .............	6	1,854
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	5,858,328
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	1,921,513

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	11,379,529	10,048,687
9	Program service revenue (Part VIII, line 2g) .........	2,056,021,174	1,996,642,668
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	32,332,165	36,107,561
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	61,836,476	50,838,093
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,161,569,344	2,093,637,009
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,580,471	1,464,782
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,057,125,886	952,412,423
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 6,008,519
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	888,968,263	882,155,277
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,947,674,620	1,836,032,482
19	Revenue less expenses. Subtract line 18 from line 12.......	213,894,724	257,604,527
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,078,467,872	3,190,122,606
21	Total liabilities (Part X, line 26).............	2,073,361,611	2,174,363,096
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,005,106,261	1,015,759,510

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 579,946,276 including grants of $ 1,160,174 ) (Revenue $ 907,268,145 )
	INPATIENT SERVICES - SEE SCHEDULE O

4b	(Code: ) (Expenses $ 575,924,158 including grants of $ ) (Revenue $ 897,711,981 )
	OUTPATIENT SERVICES - SEE SCHEDULE O

4c	(Code: ) (Expenses $ 35,449,478 including grants of $ ) (Revenue $ 102,930,800 )
	PHYSICIAN SERVICES - SEE SCHEDULE O

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 318,074,281 including grants of $ 304,608 ) (Revenue $ 127,026,685 )
4e	Total program service expenses1,509,394,193

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,496,470	0	316,075

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) DANIEL E BAKER........................................................................ former cfo	40.0 .......................0.0	X	670,310	0	53,547

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	7,917,784
e	Government grants (contributions)		1e	1,892,422

f	All other contributions, gifts, grants, and similar amounts not included above		1f	238,481

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		10,048,687

		Business Code
2a	NET PATIENT SERVICE REVENUE	900099	1,984,364,601	1,984,364,601
b	CONSULTING REVENUE	900099	6,419,739			6,419,739
c	LAB	621500	4,974,296		4,974,296
d	AFFILIATED PURCHASING PROGRAM	561499	589,753		589,753
e	INTEREST	900099	180,047		180,047
f	All other program service revenue.			114,232		114,232
g Total.Add lines 2a–2f.....			1,996,642,668

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			36,087,773			36,087,773
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		2,451,024
b	Less: rental expenses		2,185,941
c	Rental income or (loss)	0	265,083
d	Net rental income or (loss)......			265,083			265,083
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	19,788
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	19,788
d	Net gain or (loss).....			19,788			19,788
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	TUITION		900099	13,355,923	13,355,923
b	CONTRACT PHARMACY		900099	8,361,217	8,361,217
c	CONTRACT SERVICES		900099	4,493,365	4,493,365
d	All other revenue ....			24,362,505	24,362,505
e	Total. Add lines 11a–11d ......			50,573,010
12	Total revenue. See Instructions......			2,093,637,009	2,034,937,611	5,858,328	42,792,383

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	1,160,174	1,160,174
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	304,608	304,608
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	3,355,855		3,355,855
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	729,587,391	600,746,805	128,806,745	33,841
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	54,448,708	42,265,803	12,182,905
9	Other employee benefits .......	113,360,784	97,530,704	15,830,080
10	Payroll taxes ...........	51,659,685	41,200,923	10,458,762
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	7,764,618	285,801	7,478,817
c	Accounting ...........	653,127	519,132	133,995
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	85,430,653	76,264,304	9,166,349
12	Advertising and promotion ....	7,349,555	428,089	6,921,255	211
13	Office expenses .......	14,414,042	8,336,043	6,002,990	75,009
14	Information technology ......	26,291,359	2,499,429	23,791,930
15	Royalties ..	0
16	Occupancy ...........	14,643,093	13,936,969	703,475	2,649
17	Travel ............	6,468,857	4,171,056	2,294,546	3,255
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	2,474,570	1,102,392	1,369,573	2,605
20	Interest ...........	36,194,447	4,777,684	31,416,763
21	Payments to affiliates .......	-22,934,236	-11,854,011	-11,080,225
22	Depreciation, depletion, and amortization ..	89,372,943	64,515,639	24,857,304
23	Insurance ...	17,899,779	17,316,222	583,557
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SUPPLIES	308,242,418	307,353,213	711,837	177,368
b	EQUIP RENTAL & MAINT	158,323,267	128,909,991	29,330,413	82,863
c	BAD DEBT	55,394,901	55,394,901
d	MEDICAID FEES	50,445,466	50,445,466
e	All other expenses	23,726,418	1,782,856	16,312,844	5,630,718
25	Total functional expenses. Add lines 1 through 24e	1,836,032,482	1,509,394,193	320,629,770	6,008,519
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).	8,160,929	7,936,903	224,026	0

1	Cash–non-interest-bearing ........			0	1	0
2	Savings and temporary cash investments .........			303,450,395	2	112,431,561
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			389,422,978	4	408,730,834
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			26,320,539	8	29,391,468
9	Prepaid expenses and deferred charges ......			38,173,880	9	40,600,329
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,121,562,541
b	Less: accumulated depreciation	10b	1,189,978,110	874,638,644	10c	931,584,431
11	Investments—publicly traded securities .			946,078,388	11	1,142,872,839
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			41,807,367	13	63,134,042
14	Intangible assets ...............			27,587,783	14	27,590,238
15	Other assets. See Part IV, line 11 ...........			430,987,898	15	433,786,864
16	Total assets. Add lines 1 through 15 (must equal line 34)...			3,078,467,872	16	3,190,122,606

17	Accounts payable and accrued expenses .....	289,707,375	17	234,195,614
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	1,099,184,657	20	1,113,917,399
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	684,469,579	25	826,250,083
26	Total liabilities. Add lines 17 through 25..	2,073,361,611	26	2,174,363,096

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	937,430,687	27	924,832,492
28	Temporarily restricted net assets ...........	39,482,239	28	54,901,623
29	Permanently restricted net assets	28,193,335	29	36,025,395
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	1,005,106,261	33	1,015,759,510
34	Total liabilities and net assets/fund balances ........	3,078,467,872	34	3,190,122,606