Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 10-01-2017 , and ending 09-30-2018
BCheck if applicable:
CName of organization
OSF Healthcare System
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
800 NE GLEN OAK AVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Peoria, IL61603
D Employer identification number

37-0813229
E Telephone number

G Gross receipts $ 2,484,986,242
F Name and address of principal officer:
MICHAEL M ALLEN
800 NE GLEN OAK AVE
Peoria,IL61603
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.OSFHEALTHCARE.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1880
M State of legal domicile: IL
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: In the spirit of Christ and the example of Francis of Assisi, the Mission of OSF Healthcare is to serve persons with the greatest care and love in a community that celebrates the gift of life.
2 Check this box MediumBullet
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 2019 (Part V, line 2a) ...... 5 17,744
6 Total number of volunteers (estimate if necessary) ............. 6 2,212
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 6,260,712
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 2,132,098
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 8,620,722 15,739,541
9 Program service revenue (Part VIII, line 2g) ......... 2,068,613,572 2,357,884,312
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 59,545,239 49,473,868
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 41,236,810 57,192,220
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 2,178,016,343 2,480,289,941
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,153,710 3,409,838
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 925,065,571 1,052,639,995
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet5,989,107    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 947,837,001 1,107,566,486
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,874,056,282 2,163,616,319
19 Revenue less expenses. Subtract line 18 from line 12....... 303,960,061 316,673,622
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 3,296,088,110 3,759,557,955
21 Total liabilities (Part X, line 26)............. 2,057,198,791 2,237,524,751
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,238,889,319 1,522,033,204
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: OSF HEALTHCARE SYSTEM IS A CATHOLIC INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH DURING ITS FISCAL YEAR 2018 OPERATED 13 HOSPITALS, 5 HOME HEALTH AGENCIES, 4 HOSPICES, AND EMPLOYED APPROXIMATELY 857 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.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 708,131,804 including grants of $   ) (Revenue $ 1,061,883,872 )
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; ALTON, ILLINOIS; URBANA, ILLINOIS; AND DANVILLE,ILLINOIS. AS OF THE CLOSE OF THE REPORTING PERIOD ON SEPTEMBER 30, 2018, THESE ELEVEN FACILITIES HAD A COMBINED TOTAL OF 1,752 LICENSED INPATIENT AND RESIDENT BEDS. THEY HAD COMBINED TOTALS OF 69,583 INPATIENT AND RESIDENT DISCHARGES AND 320,197 INPATIENT AND RESIDENT DAYS, INCLUDING 18,052 NEWBORN INPATIENT DAYS. THE NINE ACUTE CARE HOSPITALS COLLECTIVELY SERVED 57 COUNTIES. 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.
4b (Code:   ) (Expenses $ 680,480,367 including grants of $   ) (Revenue $ 1,063,555,248 )
OUTPATIENT SERVICES: THE ELEVEN ACUTE CARE HOSPITALS OWNED AND OPERATED BY OSF HEALTHCARE SYSTEM COLLECTIVELY PROVIDED 1,506,630 OUTPATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2018, 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.
4c (Code:   ) (Expenses $ 105,257,007 including grants of $   ) (Revenue $ 138,888,226 )
All of the eleven acute care hospitals of the corporation provide 24-hour emergency department services. All are staffed by physicians who are predominantly (but not entirely) certified in emergency medicine by national specialty boards. The emergency departments of the corporation's acute care hospitals provided 278,476 patient visits during the reporting period ended September 30, 2018.
(Code:   ) (Expenses $ 270,745,377 including grants of $ 3,409,838 ) (Revenue $ 144,386,161 )
Other program services beyond outpatient, inpatient and emergency department services include: Home Health Services - Five Agencies located in Illinois and Michigan. Hospice Services - Four programs located in Illinois and Michigan. Residency Programs - OSF Healthcare System is affiliated 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 and Ground Transportation 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 under insured community clinics in Bloomington and Peoria. Outreach programs - The corporation 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. Education - The corporation provides paramedic education, EMT education, medical tech education, radiology tech education and dietetic education programs.
4d Other program services (Describe in Schedule O.)
(Expenses $ 270,745,377 including grants of $ 3,409,838 ) (Revenue $ 144,386,161 )
4e Total program service expensesMediumBullet1,764,614,555
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III..
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part III..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
Yes
 
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
1,731
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
17,744
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
Yes
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
 
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
9
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
6
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
Yes
 
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
IL
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletMICHAEL ALLEN800 NE GLEN OAK AVE   PEORIA,IL61603 (309) 655-7708
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Sister Diane Marie McGrew OSF
 
President and Treasurer
40.0
.................
8.0
X   X       5,200 0 0
(2) Sister Judith Ann Duvall OSF
 
Chairperson
40.0
.................
8.0
X   X       5,200 0 0
(3) Robert C Sehring
 
Vice Chairperson CEO
40.0
.................
8.0
X   X       849,531 0 68,240
(4) Kevin D Schoeplein
 
Partial Year - Vice Chairperson CEO
40.0
.................
8.0
X   X       1,721,678 0 258,783
(5) Sister Theresa Ann Brazeau OSF
 
Secretary
40.0
.................
8.0
X   X       5,200 0 0
(6) Sister Agnes Joseph Williams OSF
 
Assistant Secretary
40.0
.................
8.0
X   X       5,200 0 0
(7) Sister Rose Therese Mann OSF
 
Board Member
40.0
.................
8.0
X           0 0 0
(8) Gerald J McShane MD
 
Board Member
40.0
.................
7.0
X           695,330 0 64,289
(9) Sister M Mikela Meidl FSGM
 
Board Member
40.0
.................
8.0
X           0 0 0
(10) Brian Silverstein MD
 
Board Member
1.0
.................
7.0
X           45,000 0 0
(11) Michael M Allen
 
CFO
40.0
.................
7.0
    X       560,425 0 53,654
(12) Anthony M Avellino MD
 
Partial Year - CEO NSSL/INI
40.0
.................
6.0
    X       976,761 0 60,536
(13) Kenneth E Berkovitz MD
 
Partial Year - CEO CVSL
40.0
.................
6.0
    X       722,055 0 42,012
(14) Chad E Boore
 
Chief Executive Officer Eastern Region
40.0
.................
6.0
    X       317,270 0 39,387
(15) Robert L Brandfass
 
SVP Chief Legal Officer
40.0
.................
6.0
    X       519,421 0 64,040
(16) Michelle D Conger
 
Chief Strategy Officer
40.0
.................
6.0
    X       449,874 0 38,959
(17) Roxanna Crosser
 
Chief Executive Officer Western Region
40.0
.................
6.0
    X       314,792 0 40,905
Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Michael A Cruz MD
 
Chief Executive Officer Central Region
40.0
.......................6.0
    X       597,403 0 67,230
(19) John R Evancho
 
SVP Chief Compliance Officer
40.0
.......................6.0
    X       256,009 0 45,584
(20) Thomas G Hammerton
 
President OSF Healthcare Foundation Chief Development Officer
40.0
.......................8.0
    X       362,569 0 46,481
(21) Stephen E Hippler MD
 
Chief Clinical Officer
40.0
.......................6.0
    X       541,637 0 67,183
(22) John C Horne
 
SVP Chief Supply Chain Officer
40.0
.......................6.0
    X       345,142 0 51,666
(23) Divya-Devi Joshi
 
CEO Children SL
40.0
.......................6.0
    X       497,362 0 26,209
(24) James J Mormann
 
Chief Information Officer
40.0
.......................6.0
    X       544,589 0 60,270
(25) David A Schertz
 
Partial Year - CEO Northern Region
40.0
.......................6.0
    X       579,694 0 43,726
(26) Dwight D Stapleton
 
Vice President Clinical Specialty Services
40.0
.......................6.0
    X       400,979 0 27,523
(27) Jeffry M Tillery
 
SVP Chief Transformation Officer
40.0
.......................6.0
    X       513,402 0 61,306
(28) Lori L Wiegand
 
Chief Nursing Officer
40.0
.......................6.0
    X       382,846 0 61,596
(29) Leon A Yeh MD
 
VP CMO Emergency Serv
40.0
.......................6.0
    X       523,837 0 59,971
(30) Iftekhar U Ahmad MD
 
Physician
40.0
.......................0
        X   864,341 0 41,321
(31) Mete Korkmaz MD
 
Oncologist
40.0
.......................0
        X   844,728 0 64,404
(32) James L McGee MD
 
Physician
40.0
.......................0
        X   943,056 0 57,567
(33) Ekanka Mukhopadhyay MD
 
Physician
40.0
.......................0
        X   591,904 0 58,442
(34) Anthony C Zalduendo MD
 
Physician
40.0
.......................0
        X   663,537 0 65,271
(35) Daniel E Baker
 
Former CFO
0.0
.......................0.0
          X 2,154,132 0 160,530
(36) Kenneth J Natzke
 
Former CEO East Region
0.0
.......................0.0
          X 528,533 0 47,343
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 19,328,636 0 1,844,429
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet724
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
University Of Illinois College of Medicine

PO Box 4196
Springfield,IL627084196
Teaching Physicians 34,955,478
Mayo Clinic

PO Box 4006
Rochester,MN55903
Laboratory Services 5,513,131
PointCore Network Services LLC

222 3rd Ave Suite 600
Cedar Rapids,IA52401
IT Services 4,854,685
Hinshaw and Culbertson LLP

8142 Solutions Center Dr
Chicago,IL606778001
Legal Services 3,250,635
Associated Anesthesiologists SC

8600 N State Route 91
Suite 250
Peoria,IL616159452
Anesthesiologists Services 2,022,853
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet107
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 13,735,326
e Government grants (contributions)1e 1,478,365
f All other contributions, gifts, grants, and similar amounts not included above1f 525,850
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 15,739,541
 Program Service RevenueAmt Business Code
2a Net Patient Service Revenue 621110 2,342,593,342 2,342,593,342    
b Consulting Revenue 523000 9,122,659 9,122,659    
c Lab 621500 5,394,448   5,394,448  
d Affiliated Purchasing Program 561499 643,445   643,445  
e Related Party Loan Interest 900099 130,418   130,418  
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f .....MediumBullet 2,357,884,312
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 47,203,354     47,203,354
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   2,678,836 6a
b Less: rental expenses   2,594,398 6b
c Rental income or (loss) 0 84,438 6c
d Net rental income or (loss).......MediumBullet 84,438     84,438
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 1,984,332 2,388,085 7a
b Less: cost or other basis and sales expenses 763,130 1,338,773 7b
c Gain or (loss) 1,221,202 1,049,312 7c
d Net gain or (loss).........MediumBullet 2,270,514     2,270,514
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a Insurance Credit 524298 15,939,944 15,939,944    
b Tuition 611430 14,058,414 14,058,414    
c Contract Pharmacy 621110 7,907,623 7,907,623    
d All other revenue .... 19,201,801 19,091,525 92,401 17,875
e Total. Add lines 11a–11d ...... MediumBullet 57,107,782
12 Total revenue. See instructions.....MediumBullet 2,480,289,941 2,408,713,507 6,260,712 49,576,181
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 3,115,828 3,115,828
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 294,010 294,010
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0 0
4 Benefits paid to or for members ....... 0 0
5 Compensation of current officers, directors, trustees, and key employees ........... 16,677,769 13,342,215 3,335,554 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 437,246 180,988 256,258 0
7 Other salaries and wages........ 787,326,240 613,782,973 173,449,739 93,528
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 48,584,283 34,166,978 14,417,305 0
9 Other employee benefits ....... 140,346,804 124,015,223 16,331,581 0
10 Payroll taxes ........... 59,267,653 42,024,824 17,242,829 0
11 Fees for services (non-employees):        
a Management ...... 0 0 0 0
b Legal ......... 2,811,647 0 2,811,647 0
c Accounting ........... 901,000 0 901,000 0
d Lobbying ........... 910,985 0 910,985 0
e Professional fundraising services. See Part IV, line 17 0 0
f Investment management fees ...... 0 0 0 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 97,972,476 81,282,881 16,689,595 0
12 Advertising and promotion .... 7,060,035 396,785 6,663,250 0
13 Office expenses ....... 14,186,293 5,043,053 9,142,604 636
14 Information technology ...... 33,538,427 1,101,580 32,436,258 589
15 Royalties .. 0 0 0 0
16 Occupancy ........... 16,925,258 16,047,071 877,759 428
17 Travel ............ 8,231,306 5,168,221 3,062,577 508
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0 0 0 0
19 Conferences, conventions, and meetings .... 1,813,478 793,973 1,018,855 650
20 Interest ........... 40,479,008 12,810,571 27,668,437 0
21 Payments to affiliates ....... 0 0 0 0
22 Depreciation, depletion, and amortization .. 106,996,425 78,581,265 28,415,160 0
23 Insurance ... 10,583,922 9,820,967 762,955 0
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 Medical Supplies 354,403,377 353,250,026 937,309 216,042
b Equip Rental & Maint 226,909,628 192,464,799 34,429,804 15,025
c Bad Debt 100,275,185 100,275,185 0 0
d Medicaid Fees 75,843,641 75,843,641 0 0
e All other expenses 7,724,395 811,498 1,251,196 5,661,701
25 Total functional expenses. Add lines 1 through 24e 2,163,616,319 1,764,614,555 393,012,657 5,989,107
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 MediumBullet if following SOP 98-2 (ASC 958-720). 6,997,197 6,638,780 358,417 0
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1  
2 Savings and temporary cash investments ......... 150,345,942 2 174,383,682
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 488,132,199 4 448,040,909
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6 0
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............ 34,843,640 8 46,238,403
9 Prepaid expenses and deferred charges ...... 48,648,614 9 48,000,136
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,517,443,102
b Less: accumulated depreciation 10b 1,329,458,206 1,000,853,128 10c 1,187,984,896
11 Investments—publicly traded securities . 1,033,210,946 11 1,232,348,785
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 68,188,034 13 115,358,042
14 Intangible assets ............... 32,013,838 14 34,414,226
15 Other assets. See Part IV, line 11 ........... 439,851,769 15 472,788,876
16 Total assets. Add lines 1 through 15 (must equal line 33)... 3,296,088,110 16 3,759,557,955
Liabilities 17 Accounts payable and accrued expenses ..... 212,729,178 17 265,646,659
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities ......... 1,092,831,347 20 1,263,249,507
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
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 751,638,266 25 708,628,585
26 Total liabilities. Add lines 17 through 25.. 2,057,198,791 26 2,237,524,751
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions ..........   27  
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 1,238,889,319 32 1,522,033,204
33 Total liabilities and net assets/fund balances ........ 3,296,088,110 33 3,759,557,955
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
2,480,289,941
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,163,616,319
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
316,673,622
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
1,238,889,319
5
Net unrealized gains (losses) on investments ...............
5
27,922,707
6
Donated services and use of facilities .................
6
0
7
Investment expenses .....................
7
0
8
Prior period adjustments .....................
8
0
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-61,452,444
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
1,522,033,204
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID: 17005876
Software Version: 2017v2.2
Form 990, Special Condition Description:
Special Condition Description
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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
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).
8
 
 
9a
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.
9a
 
 
b
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.
9b
 
 
c
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.
9c
 
 
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
 
 
b
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
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
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 2019 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-2019
(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2019. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2020. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
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) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Name of the organization
OSF Healthcare System
 
Employer identification number

37-0813229
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




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
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
OSF Healthcare System
 
Employer identification number
37-0813229
Part I
Contributors
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


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2019)

Additional Data


Software ID: 17005876
Software Version: 2017v2.2
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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
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) 2019

Schedule C (Form 990 or 990-EZ) 2019
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(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? ...................................................................................................................

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) 2016 (b) 2017 (c) 2018 (d) 2019 (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) 2019


Schedule C (Form 990 or 990-EZ) 2019
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|No
(b)
Amount
1
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:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
Yes
 
0
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
595,822
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
315,163
j
Total. Add lines 1c through 1i ....................................................................................................
910,985
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
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."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
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
Schedule C, Part II-A, Line 1b, Column (a) 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 EXPEDITURES RELATED TO MAILING IS MINOR AND THE ACTUAL DOLLAR AMOUNT IS NOT READILY AVAILABLE.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1I INCLUES LOBBYING EXPENSES PAID TO VARIOUS NATIONAL HEALTH ASSOCIATIONS AS PART OF DUES AND SUBSCRIPTIONS IN THE AMOUNT OF $315,163. LINE 1G 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 $595,822.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1I INCLUES LOBBYING EXPENSES PAID TO VARIOUS NATIONAL HEALTH ASSOCIATIONS AS PART OF DUES AND SUBSCRIPTIONS IN THE AMOUNT OF $315,163. LINE 1G 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 $595,822.
Schedule C (Form 990 or 990EZ) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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.
1a
If the organization elected, as permitted under FASB 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.
b
If the organization elected, as permitted under FASB 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 $  
2
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 FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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 .... 87,218,699 73,130,258 58,445,819 51,788,138 37,314,439
b Contributions ... 18,736,098 5,667,852 8,839,845 9,619,258 10,574,853
c Net investment earnings, gains, and losses 6,534,121 9,778,204 7,180,954 -1,943,315 4,207,377
d Grants or scholarships ... 188,034 231,331 619,990 81,000 91,480
e Other expenditures for facilities
and programs ...
1,458,266 1,126,284 716,370 937,262 217,051
f Administrative expenses ....          
g End of year balance ...... 110,842,618 87,218,699 73,130,258 58,445,819 51,788,138
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet48 %
b
Permanent endowment SchDMd Bullet41.5 %
c
Term endowment SchDMd Bullet10.5 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 .....   43,585,888 43,585,888
b Buildings ....   1,517,991,483 678,776,334 839,215,149
c Leasehold improvements   33,351,907 25,942,364 7,409,543
d Equipment ....   851,290,277 624,739,508 226,550,769
e Other .....   71,223,547 0 71,223,547
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,187,984,896
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other 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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program 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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
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)WORKERS COMP ESCROW DEPOSITS 5,475,561
(2)THIRD PARTY WITHHOLDINGS 16,803,393
(3)DUE FROM FOUNDATION 1,026,340
(4)ASSETS - LIMITED OR RESTRICTED 119,537,088
(5)FUNDS LIMITED AS TO USE 197,089,446
(6)OTHER ACCOUNTS 74,443,846
(7)457B DEFERRED COMPENSATION 58,413,202
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 472,788,876
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  
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 708,628,585
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) 2019

Schedule D (Form 990) 2019
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
Schedule D, Part V, Line 4 Intended uses of endowment funds THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED TO PROVIDE SCHOLARSHIPS TO NURSING STUDENTS, ACQUIRE EQUIPMENT AND SUPPORT PROGRAMS OF VARIOUS MEDICAL DEPARTMENTS OF THE OSF HEALTHCARE SYSTEM HOSPITALS.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote OSF IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED BY SECTION 501(c)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPTED FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(C)(3) OF THE CODE. SFI AND VARIOUS SUBSIDIARIES ARE FOR-PROFIT CORPORATIONS THAT RECOGNIZE INCOME TAXES UNDER THE ASSET-AND-LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING THE ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN INCOME IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. 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, 2018 AND 2017, OSF DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS.
Schedule D (Form 990) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
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
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
b
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: . . . . . . . .
3b
Yes
 
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
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? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (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) . . .
    28,452,015 0 28,452,015 1.32 %
b Medicaid (from Worksheet 3, column a) . . . . .     442,220,399 367,442,764 74,777,635 3.46 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     0 0 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 470,672,414 367,442,764 103,229,650 4.77 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     5,905,612 676,851 5,228,761 0.24 %
f Health professions education (from Worksheet 5) . . .     80,523,917 31,328,027 49,195,890 2.27 %
g Subsidized health services (from Worksheet 6) . . . .     31,356,554 16,950,709 14,405,845 0.67 %
h Research (from Worksheet 7) .     2,205,632 1,095,157 1,110,475 0.05 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     4,282,632   4,282,632 0.20 %
j Total. Other Benefits . . 0 0 124,274,347 50,050,744 74,223,603 3.43 %
k Total. Add lines 7d and 7j . 0 0 594,946,761 417,493,508 177,453,253 8.20 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members
        0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy     472,346   472,346 0.02 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 472,346 0 472,346 0.02 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
20,206,227
3
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. ......
3
0
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
574,143,621
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
601,942,636
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-27,799,015
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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) 2019
Schedule H (Form 990) 2019
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?11Name, 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)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 SAINT FRANCIS MEDICAL CENTER
530 NE GLEN OAK AVENUE
PEORIA,IL61637
https://www.osfhealthcare.org/saint-francis/
IL0002394
X X X X   X X X    
2 SAINT ANTHONY MEDICAL CENTER
5666 EAST STATE STREET
ROCKFORD,IL61108
https://www.osfhealthcare.org/saint-anthony/
IL0002253
X X   X   X X      
3 OSF HEART OF MARY MEDICAL CENTER
1400 W PARK STREET
URBANA,IL61801
https://www.osfhealthcare.org/heart-of-mary/
IL0006080
X X   X     X      
4 OSF SACRED HEART MEDICAL CENTER
812 N LOGAN AVENUE
DANVILLE,IL61832
https://www.osfhealthcare.org/sacred-heart/
IL0006072
X X         X      
5 ST JOSEPH MEDICAL CENTER
2200 EAST WASHINGTON STREET
BLOOMINGTON,IL61701
https://www.osfhealthcare.org/st-joseph/
IL0002535
X X         X      
6 OSF SAINT ANTHONY'S HEALTH CENTER
1 ST ANTHONYS WAY
ALTON,IL62002
https://www.osfhealthcare.org/saint-anthonys/
IL0005942
X X         X      
7 ST MARY MEDICAL CENTER
3333 NORTH SEMINARY STREET
GALESBURG,IL61401
https://www.osfhealthcare.org/st-mary/
IL0002675
X X         X      
8 SAINT JAMES HOSPITAL
2500 W REYNOLDS STREET
PONTIAC,MI61764
https://www.osfhealthcare.org/saint-james/
IL0005264
X X         X      
9 ST FRANCIS HOSPITAL
3401 LUDINGTON STREET
ESCANABA,MI49829
https://www.osfhealthcare.org/st-francis/
MI1060000051
X X     X   X      
10 OSF SAINT LUKE MEDICAL CENTER
1051 W SOUTH STREET
KEWANEE,IL61443
https://www.osfhealthcare.org/saint-luke/
IL0005926
X X     X   X      
11 OSF HOLY FAMILY MEDICAL CENTER
1000 W HARLEM AVENUE
MONMOUTH,IL61462
https://www.osfhealthcare.org/holy-family/
IL0005439
X X     X   X      
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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):
1
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
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 No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/
b
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
SAINT FRANCIS MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SAINT FRANCIS MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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):
2
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 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 ................. 5 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.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
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 No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/
b
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
SAINT ANTHONY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SAINT ANTHONY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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 HEART OF 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):
3
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2 Yes  
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 17
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
OSF HEART OF MARY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/
b
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
OSF HEART OF MARY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
OSF HEART OF MARY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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 SACRED HEART 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):
4
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2 Yes  
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 17
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
OSF SACRED HEART MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/
b
(HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
OSF SACRED HEART MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
OSF SACRED HEART MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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):
5
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
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 No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.osfhealthcare.org/billing/financial-assistance/
b
https://www.osfhealthcare.org/billing/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
ST JOSEPH MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ST JOSEPH MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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):
6
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 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 ................. 5 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.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
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 No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/
b
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
OSF SAINT ANTHONY'S HEALTH CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
OSF SAINT ANTHONY'S HEALTH CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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):
7
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 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 ................. 5 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.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
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 No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/
b
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
ST MARY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ST MARY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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):
8
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 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 ................. 5 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.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SAINT JAMES HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/
b
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
SAINT JAMES HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SAINT JAMES HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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):
9
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 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 ................. 5 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.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ST FRANCIS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.osfhealthcare.org/billing/financial-assistance/
b
https://www.osfhealthcare.org/billing/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
ST FRANCIS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ST FRANCIS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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):
10
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 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 ................. 5 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.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
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 No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/
b
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
OSF SAINT LUKE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
OSF SAINT LUKE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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):
11
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 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 ................. 5 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.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
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 No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/
b
HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
OSF HOLY FAMILY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
OSF HOLY FAMILY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
Schedule H, Part V, Section B, Line 3E The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - SAINT FRANCIS MEDICAL CENTER. FOR THE 2016 CHNA, OSF HEALTHCARE CENTER d/b/a OSF FRANCIS MEDICAL CENTER SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) ADMINISTRATORS FROM THE PEORIA, WOODFORD AND TAZEWELL COUNTY HEALTH DEPARTMENTS. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WAS RECEIVED FROM A COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE TRI-COUNTY COMMUNITY IN CONDUCTING THE 2016 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES, REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, HEALTH CARE PROVIDERS INCLUDING KINDRED HOSPITAL, ADVOCATE EUREKA HOSPITAL, HOPEDALE MEDICAL COMPLEX, PEKIN HOSPITAL, THE CHIEF MEDICAL OFFICER OF A FEDERALLY QUALIFIED HEALTH CENTER AND EPIDEMIOLOGISTS WORKING WITH THE PEORIA AND TAZEWELL COUNTY HEALTH DEPARTMENTS, HEART OF ILLINOIS UNITED WAY, HEARTLAND COMMUNITY HEALTH CLINIC AND BRADLEY UNIVERSITY. MEMBERS OF THE COLLABORATIVE TEAM BY NAME, AFFILIATIONS, TITLE AND EXPERTISE ARE LISTED IN APPENDIX 1 TO THE 2016 CHNA.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - SAINT FRANCIS MEDICAL CENTER. 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. THE CHNA THAT WAS CONDUCTED IN 2016 WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS ON JULY 25, 2016. THE NEXT TRI-COUNTY CHNA HAS BEEN DEVELOPED AND WILL BE APPROVED AND MADE WIDELY AVAILABLE TO THE PUBLIC PRIOR TO OUR FISCAL YEAR END 2019.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - SAINT FRANCIS MEDICAL CENTER. 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.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SAINT FRANCIS MEDICAL CENTER. OSF SAINT FRANCIS MEDICAL CENTER COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2016 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE TRI COUNTY CHNA (PEORIA, WOODFORD AND PEORIA COUNTIES) WAS DONE AS A COLLABORATIVE UNDERTAKING TO HIGHLIGHT THE HEALTH NEEDS AND WELL BEING OF RESIDENTS IN THE COUNTY AREA. THE COLLABORATIVE TEAM IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: HEALTHY BEHAVIORS AND BEHAVIORAL HEALTH. HEALTHY BEHAVIORS IS DEFINED AS ACTIVE LIVING AND HEALTHY EATING AND THEIR IMPACT ON OBESITY. BEHAVIORAL HEALTH ADDRESSES MENTAL HEALTH AND SUBSTANCE ABUSE. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE HOSPITAL DEVELOPED AN IMPLEMENTATION STRATEGY DESCRIBING THE ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS BOTH PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED BOTH PRIORITY HEALTH NEEDS IS PROVIDED BELOW. HEALTHY BEHAVIORS - ACTIVE LIVING, HEALTHY EATING AND OBESITY GOALS: INCREASE PERCENTAGE OF ADULTS CONSUMING THREE OR MORE SERVINGS OF FRUITS AND VEGETABLES PER DAY; INCREASE THE PERCENTAGE OF INDIVIDUALS EXERCISING WITH IN THE LAST WEEK; MONITOR SLEEP HYGIENE, NUTRITION, EXERCISE, HEALTHY WEIGHT, SAFETY, SPIRITUALITY, AND AVOIDANCE OF SUBSTANCE USE. THE 2016 GOALS IDENTIFIED FOR HEALTHY BEHAVIORS WERE ACHIEVED: * THE PERCENTAGE OF ADULTS CONSUMING THREE OR MORE SERVINGS OF FRUITS AND VEGETABLES PER DAY INCREASED BY 5% FROM 2016 TO 2019. * THE PERCENTAGE OF INDIVIDUALS EXERCISING IN THE LAST WEEK INCREASED FROM 2016 TO 2019. THE NUMBER OF RESPONDENTS INDICATING THEY EXERCISED ONE OR MORE TIMES IN THE LAST WEEK INCREASED BY 11%. * SLEEP HYGIENE, NUTRITION, EXERCISE, HEALTHY WEIGHT, SAFETY, SPIRITUALTY AND AVOIDANCE OF SUBSTANCE ABUSE WAS MONITORED THROUGH STRATEGIC INITIATIVES OF THE FAITH COMMUNITY NURSING PROGRAM (FCN), CARE-A-VAN AND OTHER PROGRAMING. THE FOLLOWING ACTIVITIES AND INITIATIVES HELPED TO SUPPORT THE GOALS FOR HEALTHY BEHAVIORS FROM 2016 TO 2018: OSF'S FCN PROGRAM OFFERS A UNIQUE PARTNERSHIP BETWEEN TWO HEALING ENTITIES; OUR HOSPITALS AND THE FAITH COMMUNITY. THE FOCUS OF THE PROGRAM IS ON PREVENTATIVE HEALTHCARE AND INDIVIDUALS ARE HELPED TO LEAD HEALTHIER LIVES THROUGH EDUCATION, SCREENING AND REFERRALS TO COMMUNITY RESOURCES. THE FCNS ALSO STAFF THE OSF CARE-A-VAN, WHICH IS A MOBILE HEALTH CENTER THAT CONNECTS RESIDENTS WITH SCREENINGS, IMMUNIZATION, EDUCATION, HEALTH RISK ASSESSMENTS, SIGNING UP FOR HEALTHCARE COVERAGE, EXPLORING ADVANCED CARE PLANNING AND MORE. STRATEGIC INITIATIVES OF THE FCN PROGRAM AND CARE-A-VAN WERE EXECUTED AND BASELINE UTILIZATION TO PROVIDE HEALTHY BEHAVIORS EDUCATION TO NEIGHBORHOODS AND SCHOOLS WITH THE GREATEST PERCENTAGE OF POVERTY WAS ESTABLISHED. SINCE ESTABLISHED IN 2016, THE CARE-A-VAN HAS SERVED THE FOLLOWING COMMUNITY MEMBERS: * 426 IN FY16; * 538 IN FY17; * 929 IN FY18 CONTINUED CONNECTIONS WITH VOLUNTEER NURSES AND FAITH-BASED ORGANIZATIONS HELPED THE FCN PROGRAM TO EXPAND COMMUNITY OUTREACH. FCN PARTNERSHIPS AND OUTREACH INCLUDED: * 20 FAITH-BASED ORGANIZATIONS AND 27 NURSES IN FY16 * 29 FAITH-BASED ORGANIZATIONS, 22 NURSES AND 23,000 OUTREACH CONTACTS IN FY17 * 27 FAITH-BASED ORGANIZATIONS, 21 NURSES AND 28,000 OUTREACH CONTACTS IN FY18 ADDITIONAL COMMUNITY OUTREACH ACTIVITIES FOR THE CARE-A-VAN AND FCNS INCLUDED, BUT WERE NOT LIMITED TO, EDUCATION AT: * THE RIVERFRONT MARKET; * SENIOR AND CAREGIVER EXPO; * WALK WITH THE CARE-A-VAN EVENT; * HY-VEE HEART HEALTHY EVENT ADDITIONAL SERVICES WERE PROVIDED IN CONJUNCTION WITH OUR PARTNER ORGANIZATIONS, SUCH AS SOPHIA'S KITCHEN, SOUTHSIDE MISSION, CATHOLIC CHARITIES, NEIGHBORHOOD HOUSE, FRIENDSHIP HOUSE, SALVATION ARMY, DREAM CENTER AND OTHERS. OSF PROVIDED NUTRITION AND EXERCISE EDUCATION AIMED AT HEALTHY BEHAVIORS AND A BASELINE RELATING TO PARTICIPATION RATES WAS ESTABLISHED. NUTRITION AND EXERCISE ACTIVITIES AND INITIATIVES FROM 2016 TO 2018 ARE AS FOLLOWS, BUT ARE NOT LIMITED TO: * ANNUAL OSF WOMEN'S LIFESTYLE SHOW, WHICH HAD 3,000 ATTENDEES IN 2016, 3,250 IN 2017 AND 3,000 IN 2018 * OVER 1200 CHILDREN PARTICIPATED IN NATIONAL WALK TO SCHOOL DAY * ASTHMA AND HEALTH SCREENINGS WERE PROVIDED AND HYGIENE KITS DISTRIBUTED DURING BASKETBALL CAMPS FOR UNDERPRIVILEGED YOUTH * 100+ NUTRITION EDUCATION EVENTS AND COOKING DEMONSTRATIONS, REACHING OVER 10,000 INDIVIDUALS, WHICH INCLUDED COOKING CLASS IN PARTNERSHIPS WITH THE PEORIA RIVERPLEX, RIVERPLEX HEART HEALTHY MONTH FAIR, UFS STROKE FAIR, CITY OF EAST PEORIA SMART SNACKING FAIR AND MORE. * MEDICAL NUTRITION THERAPY WAS PROVIDED BY A DIETITIAN TO 66 PATIENTS AT HEARTLAND HEALTH SERVICES * DIETETIC INTERNS WORKED WITH CHILDREN TO MAKE HEALTHY FAMILY-FRIENDLY SNACKS AND A CAMPAIGN WAS CREATED TO SHARE THIS WORK ON SOCIAL MEDIA. THE CAMPAIGN WAS VIEWED 1,847 TIMES * OSF CHILDREN'S ADVOCACY ATTENDED 80 OTHER EVENTS TO PROMOTE NUTRITION AND EXERCISE AND INTERACTED WITH OVER 11,000 COMMUNITY MEMBERS. * OVER 2,500 FITNESS TRACKERS WERE DISTRIBUTED TO CHILDREN * BACK TO SCHOOL AND HEALTHY LIVES 4 KIDS EVENTS SERVING THOUSANDS OF CHILDREN. * OSF HEALTHCARE CHILDREN'S HOSPITAL OF ILLINOIS AND KOHL'S CARES HOLD HEALTHY LIVES 4 KIDS DAYS. THESE EVENTS WERE PACKED WITH INTERACTIVE GAMES AND ACTIVITIES THAT FAMILIES ENJOYED WHICH PROMOTED HEALTH AND WELLNESS IN CHILDREN. EACH CHILD RECEIVED A VARIETY OF GIVEAWAYS RELATED TO WELLNESS AT THE EVENTS. * SPONSORED POSTS PROMOTING HEALTHY LIVES 4 KIDS EVENTS IN PEORIA AND TAZEWELL COUNTY WHICH WERE VIEWED 75,308 TIMES VIA FACEBOOK AND INSTAGRAM. * PEORIA FARM TO TABLE FOOD SAMPLES WERE GIVEN TO OVER 250 COMMUNITY MEMBERS. MEDIA AND SOCIAL MEDIA INTERACTION WAS USED TO HELP OSF IMPROVE COMMUNICATION AND EDUCATION OF HEALTHY BEHAVIORS. BETWEEN 2016 AND 2018: * APPROXIMATELY 40 HEALTHY RECIPES WERE SHARED VIA OSF SOCIAL MEDIA * OVER 50 ARTICLES FROM OSF DIETITIANS WERE POSTED ON THE PEORIA JOURNAL STAR FIT FOR LIFE BLOG * OSF DIETITIANS APPEARED OVER 100 TIMES ON LOCAL TELEVISION AND RADIO OSF4LIFE, OSF'S WORKSITE WELLNESS PROGRAM, WAS ROLLED OUT IN MAY, 2016. THROUGH THIS PROGRAM A BASELINE FOR OSF EMPLOYEES ENGAGED WELLNESS WAS ESTABLISHED. PARTICIPATION CONTINUES TO INCREASE, WITH THE FOLLOWING NUMBER OF EMPLOYEES (MISSION PARTNERS) ENROLLED IN THE PROGRAM EACH YEAR: * 405 IN FY16 * 1,349 IN FY17 * 2,083 IN FY18 IN ADDITION TO WORKING WITH OSF MISSION PARTNERS, OSF4LIFE'S TEAM PARTICIPATED IN 12 COMMUNITY OUTREACH EVENTS SPONSORED BY LOCAL BUSINESSES AND PROVIDED HEALTHY BEHAVIORS EDUCATION AND PRESENTATIONS FOR EMPLOYERS. THE WHOLESOME FOOD FUND (WFF) IS A PARTNERSHIP FORMED IN 2010 BETWEEN OSF SAINT FRANCIS MEDICAL CENTER, THE PEORIA RIVERFRONT MARKET, AND COMMUNITY FOUNDATION OF CENTRAL IL. WFF ALLOWS PEOPLE TO DOUBLE THEIR DOLLARS TO PURCHASE FRESH, LOCALLY GROWN PRODUCE AT THE MARKET, BENEFITTING LOCAL FARMERS, RESIDENTS AND THE ENVIRONMENT. DIETITIANS PROVIDED EDUCATION ON NUTRITION AND FOOD PREP TO WFF CUSTOMERS. THE GARDEN OF HOPE, A COMMUNITY GARDEN, IS A COLLABORATIVE EFFORT BETWEEN ST. ANN'S CATHOLIC CHURCH, OSF SAINT FRANCIS MEDICAL CENTER AND OTHER COMMUNITY PARTNERS. LOCATED ON THE CITY OF PEORIA'S SOUTH SIDE, THE COMMUNITY GARDEN SERVES A DUAL PURPOSE OF GROWING NUTRITIOUS FOODS FOR PEOPLE IN NEED WHILE ALSO IMPROVING AND BEAUTIFYING THE COMMUNITY. THE GARDEN ALSO SERVES AS A HOST TO COMMUNITY EVENTS AND NUTRITION EDUCATION. IN 2018, 1300+ PLANTS AND OVER 350 CUPS OF PRODUCE WERE HARVESTED AND DISTRIBUTED TO THE COMMUNITY. MENTAL HEALTH GOALS: IMPROVE MENTAL HEALTH WITHIN THE TRI-COUNTY POPULATIONS; INCREASE THE PERCENTAGE OF ADULTS WHO SELF-REPORTED GOOD OR BETTER MENTAL HEALTH FROM 72% TO 75% WITH A STRETCH GOAL OF 80%. (HP2020 HEALTH RELATED QUALITY OF LIFE/WELL-BEING OBJECTIVE 1.2); DECREASE THE PERCENTAGE OF PEOPLE WITH POOR HEALTH DAYS, CURRENT IS 35%; INCREASE SCREENING AND INTERVENTION IN MENTAL HEALTH ISSUES INCLUDING DEPRESSION AND (SAFE HOME) ABUSE. MENTAL HEALTH'S MEASUREMENT AND IMPACT: OSF SAINT FRANCIS MEDICAL CENTER INCREASED SCREENINGS AND INTERVENTIONS FOR MENTAL HEALTH CONCERNS, INCLUDING DEPRESSION AND (SAFE HOME) ABUSE.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - SAINT FRANCIS MEDICAL CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - SAINT FRANCIS MEDICAL CENTER. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. IN ADDITION, ENROLLMENT IN ANY ONE OF THE FOLLOWING PROGRAMS WITH CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY INCOME GUIDELINES ESTABLISHES ELIGIBILITY FOR PRESUMPTIVE CHARITY: WIC; SNAP; LIHEAP, IL FREE LUNCH AND BREAKFAST PROGRAM; RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES; OR 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.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - Saint Francis Medical Center. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - SAINT FRANCIS MEDICAL CENTER. A PLAIN LANGUAGE SUMMARY 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.
Schedule H, Part V, Section B, Line 3E The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - SAINT ANTHONY MEDICAL CENTER. FOR THE 2016 CHNA, OSF HEALTHCARE CENTER d/b/a OSF SAINT ANTHONY MEDICAL CENTER SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) PUBLIC HEALTH ADMINISTRATORS FROM THE WINNEBAGO COUNTY HEALTH DEPARTMENT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM A COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2016 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES, REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, INCLUDING THE CEO OF YWCA ROCKFORD, EXECUTIVE DIRECTOR & GENERAL COUNSEL OF NORTHWESTERN IL AREA AGENCY ON AGING, VP OF YWCA LA VOZ LATINA, PRESIDENT OF GOODWILL INDUSTRIES OF NORTHERN IL WISCONSIN STATELINE AREA AND BOARD OF DIRECTOR FOR ROCKFORD SCHOOL DISTRICT 205; AND HEALTH CARE PROVIDERS INCLUDING THE CHIEF MEDICAL OFFICER AND CHIEF SURGICAL OFFICER OF THE FACILITY, AND THE FOUNDER OF PHYSICIANS' IMMEDIATE CARE. MEMBERS OF THE COLLABORATIVE TEAM BY NAME, AFFILIATIONS, TITLE AND EXPERTISE ARE LISTED IN APPENDIX 1 TO THE 2016 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SAINT ANTHONY MEDICAL CENTER. OSF SAINT ANTHONY MEDICAL CENTER COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2016 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(r)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE WINNEBAGO COUNTY CHNA WAS DONE AS A COLLABORATIVE UNDERTAKING TO HIGHLIGHT THE HEALTH NEEDS AND WELL BEING OF RESIDENTS IN THE WINNEBAGO COUNTY AREA. THE COLLABORATIVE COMMUNITY PARTNERS IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: ACCESS TO HEALTH SERVICES, MENTAL HEALTH AND OBESITY. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE HOSPITAL DEVELOPED AN IMPLEMENTATION STRATEGY DESCRIBING THE ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS ALL THREE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. FY2016 - 2018 Access to Health Services Goal *Facilitate access to appropriate medical services for residents of Winnebago County. Access to Health Services Measurement and Key Accomplishments (1) Tracking of thirty day all-cause readmission rate for patients discharged to a skilled nursing facility. -Created metrics to improve readmission rates of patients discharged to a skilled nursing facility. Achieved improvements in metrics making ongoing target 8%. (2) Tracked ratio of campus prompt care visits to Emergency Department at levels one, two and three. -The prompt care opened April of 2018. The current ratio is 61.2%. (3) Tracked percentage of new primary care patient appointments made within seven days. -Percentage ranged from 40-50%. OSF Healing Pathways Cancer Resource Center had unique clients accessing free services in all years with at least 12 new clients per quarter. (4) Tracked number of unique primary care patients. -Patient number increased each year with over 250,000 through the three years. (5) Tracked the growth rate of the OSF On-Call virtual Emergency Department/Prompt Care visits. -Served over 3500 annually in the OSF on-call. Partnered to provide the Parish Nursing Program for community engagement. -Three parish nurses serve approximately 1540 clients in our community each year. All services are provided free of charge and include home, hospital, nursing home visits, office visits, education events, blood pressure screenings and providing over 70 participants with free skin checks annually and referrals to specialists for suspicious lesions. -Advanced Care Planning has been involved in the Annual Center for Cancer Care Skin Checks that were held. FY2016 - 2018 Mental Health Goal *To improve the mental health of individuals living within Winnebago County. Mental Health Measurement and Key Accomplishments (1) Tracked readmission rate of patients with a mental health ICD-10 dx codes. -Readmission rates of patients with a mental health diagnosis average 10%. (2) Tracked percentage of completed annual depression screens performed at primary care office. -Active participation in system-wide Behavioral Health initiative, the goal of which is the development of the OSF future state behavioral health delivery network that takes into account the needs of the community we serve and the community resources that are already in place. Performed a continuum of care functional assessment of mental health screening at all access points. Evaluated and enhanced primary pediatric anxiety and depression screening tools and interventions throughout the pediatric service line. Target of 80% has been made each year. (3) Tracked growth rate of the On Call virtual Emergency Department and Prompt Care Visits. -Have been able to serve over 10,000 patients. (4) Tracked the number of Social Service placements facilitated through Rosecrance, the local Mental Health provider. -Exceeded targets by incorporating mental health screening tools into disease specific support groups. (5) Ratio of participants in Post-Partum Clinics to deliveries, including screenings were tracked. -Target of 90% was met each year. Cancer Care provided over 70 participants with free skin checks each year and referrals to specialists for suspicious lesions. See the Parish Nursing Program for additional detail. FY2016 - 2018 Obesity Goal *To provide opportunities in order to combat adult and childhood obesity. Obesity Measurement and Key Accomplishments (1) Tracked number of residents receiving nutritional consults by a licensed provider. -Educated over 3,000 community members on nutritional consults in three years. (2) Tracked number of participants accessing basic health screening tests at community events. -Educated over 1,200, exceeding targets. (3) Increased collaboration with community partners. -Partnered with local Plant-a-Row for collection of excess fresh produce from local gardens. Total collection was approximately 4000lbs of fresh produce. Increased our participation each year. (4) Tracked participants who met or exceeded national criteria each quarter in a 3-4 Week Weight Loss programs. -Decision Free Diet program had 89% meet their goal (Gold standard 86% National average 59%). -Healthy Solutions program had 63% meet their goal (Gold standard 77% National average 58%). -Phase 2 program had 67% met their goal (Gold standard 82% National average 62%). Participated in Health fairs and events. A pre and post survey was completed. After receiving educational information and answering all the questions, over 50% of those individuals stated that they would change their diet and/or activity and would contact their Primary Care Physician to determine their eligibility for FIT testing.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - SAINT ANTHONY MEDICAL CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - SAINT ANTHONY MEDICAL CENTER. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. IN ADDITION, ENROLLMENT IN ANY ONE OF THE FOLLOWING PROGRAMS WITH CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY INCOME GUIDELINES ESTABLISHES ELIGIBILITY FOR PRESUMPTIVE CHARITY: WIC; SNAP; LIHEAP, IL FREE LUNCH AND BREAKFAST PROGRAM; RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES; OR 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.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - SAINT ANTHONY MEDICAL CENTER. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - SAINT ANTHONY MEDICAL CENTER. 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.
Schedule H, Part V, Section B, Line 2 The Organization executed an Asset Purchase Agreement dated September 11, 2017 with Presence Health Network, Presence Central and Suburban Hospitals Network and Presence Healthcare Services d/b/a Presence Medical Group ("Presence Entities"). Under the transaction that closed on February 1, 2018, the Presence Entities sold to the Organization the facilities, furniture, furnishings, equipment and supplies used in and related to the operation of two hospitals and Presence physician practice sites, and the Organization commenced operating the hospitals on February 1, 2018. The hospitals acquired were Presence United Samaritans Medical Center in Vermillion County, Illinois, and now known as OSF Sacred Heart Medical Center, and Presence Covenant Medical Center in Champaign County, Illinois, and now known as OSF Heart of Mary Medical Center. Effective February 1, 2018, the hospitals adopted and implemented the Organization's Financial Assistance Policy, Fair Billing - Collection Policy, and EMTALA Policy. Pursuant to §1.501(r)-3(d), the Organization will satisfy the requirements of §501(r)-3 governing Community Health Needs Assessments with respect to the hospitals by September 30, 2020, which is the last day of the Organization's second taxable year beginning after the date on which the hospital facilities were acquired. The Organization will adopt implementation strategies related to the Community Health Needs Assessments on or before February 15, 2021.
Schedule H, Part V, Section B, Line 3E  
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - OSF HEART OF MARY MEDICAL CENTER. THE ORGANIZATION COMMENCED OPERATING THE HOSPITAL ON FEBRUARY 1, 2018. PURSUANT TO §1.501(R)-3(D), THE ORGANIZATION WILL SATISFY THE REQUIREMENTS OF §501(R)-3 GOVERNING COMMUNITY HEALTH NEEDS ASSESSMENTS WITH RESPECT TO THE HOSPITAL BY SEPTEMBER 30, 2020, WHICH IS THE LAST DAY OF THE ORGANIZATION'S SECOND TAXABLE YEAR BEGINNING AFTER THE DATE ON WHICH THE HOSPITAL FACILITY WAS ACQUIRED. THE ORGANIZATION WILL ADOPT IMPLEMENTATION STRATEGIES RELATED TO THIS COMMUNITY HEALTH NEEDS ASSESSMENT ON OR BEFORE FEBRUARY 15, 2021.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - OSF HEART OF MARY MEDICAL CENTER. THE ORGANIZATION COMMENCED OPERATING THE HOSPITAL ON FEBRUARY 1, 2018. THE ORGANIZATION WILL SATISFY THE REQUIREMENTS GOVERNING COMMUNITY HEALTH NEEDS ASSESSMENTS BY SEPTEMBER 30, 2020. A COPY OF THE CHNA REPORT FOR THE CHNA CONDUCTED IN 2018 BY PRESENCE COVENANT MEDICAL CENTER IN CHAMPAIGN COUNTY, ILLINOIS, AND NOW KNOWN AS OSF HEART OF MARY MEDICAL CENTER, IS PUBLISHED ON THE HOSPITAL FACILITY'S WEBSITE: HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ The CHNA Report for the CHNA conducted in 2018 reports input was obtained from surveys including surveys completed by hand at the public health district and at various local community organizations, surveys completed by 89 Community Agency Representatives, and surveys completed by county residents. The 89 Community Agency Representatives represented more than 55 different agencies.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - OSF HEART OF MARY MEDICAL CENTER. PRESENCE COVENANT MEDICAL CENTER IN CHAMPAIGN COUNTY, ILLINOIS, AND NOW KNOWN AS OSF HEART OF MARY MEDICAL CENTER, PARTNERED WITH CARLE FOUNDATION HOSPITAL TO CONDUCT AND DOCUMENT ITS COMMUNITY HEALTH NEEDS ASSESSMENT.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - OSF HEART OF MARY MEDICAL CENTER. PRESENCE COVENANT MEDICAL CENTER IN CHAMPAIGN COUNTY, ILLINOIS, AND NOW KNOWN AS OSF HEART OF MARY MEDICAL CENTER, PARTNERED WITH THE CHAMPAIGN-URBANA PUBLIC HEALTH DISTRICT AND UNITED WAY OF CHAMPAIGN COUNTY TO CONDUCT AND DOCUMENT ITS COMMUNITY HEALTH NEEDS ASSESSMENT.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - OSF HEART OF MARY MEDICAL CENTER. THE ORGANIZATION COMMENCED OPERATING THE HOSPITAL ON FEBRUARY 1, 2018. THE ORGANIZATION WILL ADOPT IMPLEMENTATION STRATEGIES ON OR BEFORE FEBRUARY 15, 2021 RELATED TO THE COMMUNITY HEALTH NEEDS ASSESSMENT TO BE CONDUCTED ON OR BEFORE SEPTEMBER 30, 2020. A COPY OF THE COMMUNITY HEALTH PLAN PREPARED IN 2018 BY PRESENCE COVENANT MEDICAL CENTER IN CHAMPAIGN COUNTY, ILLINOIS, AND NOW KNOWN AS OSF HEART OF MARY MEDICAL CENTER, IS PUBLISHED ON THE HOSPITAL FACILITY'S WEBSITE: HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - OSF Heart of Mary Medical Center. Catastrophic Financial Assistance is available when charges exceed 25% of annual Family Income. The amount billed is adjusted to 25% of Family Income when OSF determines this adjustment is the most generous assistance.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - OSF Heart of Mary Medical Center. Presumptive Financial Assistance is available and provides for a discount of 100% of billed charges for medically necessary services provided to a patient with no insurance benefits, when the patient establishes financial need at time of registration by satisfying one of the following categories of Presumptive Eligibility Criteria: Homelessness; Deceased with no Estate; Mental Incapacitation with no one to act on the patient's behalf; and current Medicaid eligibility, but not on date of service or for non-covered service. In addition, enrollment in any one of the following programs with criteria at or below 200% of the Federal Poverty Income Guidelines establishes eligibility for presumptive Charity: WIC; SNAP; LIHEAP; IL Free Lunch and Breakfast Program; receipt of Grant Assistance for medical services; or 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.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - OSF Heart of Mary Medical Center. The Financial Assistance Policy directs patients to staff in the Patient Financial Services and Admitting Areas at OSF Hospitals for assistance in obtaining answers to questions regarding the Policy.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - OSF Heart of Mary Medical Center. 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
Schedule H, Part V, Section B, Line 2 The Organization executed an Asset Purchase Agreement dated September 11, 2017 with Presence Health Network, Presence Central and Suburban Hospitals Network and Presence Healthcare Services d/b/a Presence Medical Group ("Presence Entities"). Under the transaction that closed on February 1, 2018, the Presence Entities sold to the Organization the facilities, furniture, furnishings, equipment and supplies used in and related to the operation of two hospitals and Presence physician practice sites, and the Organization commenced operating the hospitals on February 1, 2018. The hospitals acquired were Presence United Samaritans Medical Center in Vermillion County, Illinois, and now known as OSF Sacred Heart Medical Center, and Presence Covenant Medical Center in Champaign County, Illinois, and now known as OSF Heart of Mary Medical Center. Effective February 1, 2018, the hospitals adopted and implemented the Organization's Financial Assistance Policy, Fair Billing - Collection Policy, and EMTALA Policy. Pursuant to §1.501(r)-3(d), the Organization will satisfy the requirements of §501(r)-3 governing Community Health Needs Assessments with respect to the hospitals by September 30, 2020, which is the last day of the Organization's second taxable year beginning after the date on which the hospital facilities were acquired. The Organization will adopt implementation strategies related to the Community Health Needs Assessments on or before February 15, 2021.
Schedule H, Part V, Section B, Line 3E  
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - OSF Sacred Heart Medical Center. The Organization commenced operating the Hospital on February 1, 2018. Pursuant to §1.501(r)-3(d), the Organization will satisfy the requirements of §501(r)-3 governing Community Health Needs Assessments with respect to the Hospital by September 30, 2020, which is the last day of the Organization's second taxable year beginning after the date on which the Hospital facility was acquired. The Organization will adopt implementation strategies related to this Community Health Needs Assessment on or before February 15, 2021. The CHNA Report for the CHNA conducted in 2017 reports input was obtained from surveys developed for completion on-line and by hand and distributed with the assistance of the UIC School of Nursing to ensure the survey sample represented all of the communities within Vermilion County including rural, urban, villages and cities. In addition, 50 individuals representing a variety of agencies and organizations served on a Community Advisory Committee providing input from the community.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - OSF Sacred Heart Medical Center. The Organization commenced operating the Hospital on February 1, 2018. The Organization will satisfy the requirements governing Community Health Needs Assessments by September 30, 2020. A copy of the CHNA Report for the CHNA conducted in 2017 by Presence United Samaritans Medical Center in Vermillion County, Illinois, and now known as OSF Sacred Heart Medical Center, is published on the Hospital facility's website: HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ The CHNA Report for the CHNA conducted in 2017 reports input was obtained from surveys developed for completion on-line and by hand and distributed with the assistance of the UIC School of Nursing to ensure the survey sample represented all of the communities within Vermilion County including rural, urban, villages and cities. In addition, 50 individuals representing a variety of agencies and organizations served on a Community Advisory Committee providing input from the community.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - OSF Sacred Heart Medical Center. Presence United Samaritans Medical Center in Vermillion County, Illinois, and now known as OSF Sacred Heart Medical Center, partnered with Carle Hoopeston Regional Health Center to conduct and document its Community Health Needs Assessment.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - OSF Sacred Heart Medical Center. Presence United Samaritans Medical Center in Vermillion County, Illinois, and now known as OSF Sacred Heart Medical Center, partnered with the Vermilion County Health Department and the United Way of Danville Area to conduct and document its Community Health Needs Assessment.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - OSF Sacred Heart Medical Center. The Organization commenced operating the Hospital on February 1, 2018. The Organization will adopt implementation strategies on or before February 15, 2021 related to the Community Health Needs Assessment to be conducted on or before September 30, 2020. A copy of the Community Health Plan prepared in 2017 by Presence United Samaritans Medical Center in Vermillion County, Illinois, and now known as OSF Sacred Heart Medical Center, is published on the Hospital facility's website: HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - OSF Sacred Heart Medical Center. Catastrophic Financial Assistance is available when charges exceed 25% of annual Family Income. The amount billed is adjusted to 25% of Family Income when OSF determines this adjustment is the most generous assistance.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - OSF Sacred Heart Medical Center. Presumptive Financial Assistance is available and provides for a discount of 100% of billed charges for medically necessary services provided to a patient with no insurance benefits, when the patient establishes financial need at time of registration by satisfying one of the following categories of Presumptive Eligibility Criteria: Homelessness; Deceased with no Estate; Mental Incapacitation with no one to act on the patient's behalf; and current Medicaid eligibility, but not on date of service or for non-covered service. In addition, enrollment in any one of the following programs with criteria at or below 200% of the Federal Poverty Income Guidelines establishes eligibility for presumptive Charity: WIC; SNAP; LIHEAP; IL Free Lunch and Breakfast Program; receipt of Grant Assistance for medical services; or 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.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - OSF Sacred Heart Medical Center. The Financial Assistance Policy directs patients to staff in the Patient Financial Services and Admitting Areas at OSF Hospitals for assistance in obtaining answers to questions regarding the Policy.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - OSF Sacred Heart Medical Center. 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.
Schedule H, Part V, Section B, Line 3E The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ST JOSEPH MEDICAL CENTER. OSF HEALTHCARE CENTER d/b/a ST. JOSEPH MEDICAL CENTER, ADVOCATE BROMENN MEDICAL CENTER, THE McLEAN COUNTY HEALTH DEPARTMENT, AND UNITED WAY OF McLEAN COUNTY, WITH THE GUIDANCE OF THE McLEAN COUNTY COMMUNITY HEALTH COUNCIL, COLLABORATED TOGETHER FOR THE FIRST TIME TO CONDUCT THE 2016 McLEAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT LED TO THE DEVELOPMENT OF THE McLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN. THE PURPOSE OF THE McLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN IS TO IMPROVE THE HEALTH OF McLEAN COUNTY RESIDENTS BY DEVELOPING AND MAINTAINING PARTNERSHIPS TO IMPLEMENT INTERVENTIONS, ENCOURAGE HEALTH AND HEALTHCARE ACCESS AWARENESS, AND PROMOTE HEALTHY LIFESTYLE CHOICES THAT CAN IMPROVE HEALTH AND REDUCE THE RISK OF DEATH AND DISABILITY. FOR THE 2016 CHNA, THE COLLABORATIVE SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) McLEAN COUNTY HEALTH DEPARTMENT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT SOCIAL SERVICE ORGANIZATIONS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED THROUGH THE FORMATION OF THE McLEAN COUNTY COMMUNITY HEALTH COUNSEL. THIS COLLABORATIVE TEAM WAS CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2016 CHNA AND TO IMPROVE POPULATION HEALTH. THE McLEAN COUNTY COMMUNITY HEALTH COUNSEL INCLUDED 7 REPRESENTATIVES FROM THE McLEAN COUNTY HEALTH DEPARTMENT; CONSUMER ADVOCATES; REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS INCLUDING UNITED WAY OF McLEAN COUNTY, ECONOMIC DEVELOPMENT COUNSEL, MARCFIRST SPICE SERVING DEVELOPMENTAL DISABILITIES/EARLY CHILDHOOD, AND THE McLEAN COUNTY CENTER FOR HUMAN SERVICES; LOCAL GOVERNMENT OFFICIALS; REPRESENTATIVES FROM McLEAN COUNTY AND BLOOMINGTON SCHOOL DISTRICTS AS WELL AS A REPRESENTATIVE FROM THE REGIONAL OFFICE OF EDUCTION AND FROM THE IL STATE UNIVERSITY SCHOOL OF SOCIAL WORK; AND HEALTH CARE PROVIDERS INCLUDING A COMMUNITY HEALTH CARE CLINIC, IMMANUEL HEALTH CENTER AND A FEDERALLY QUALIFIED HEALTH CENTER. MEMBERS OF THE McLEAN COUNTY COMMUNITY HEALTH COUNCIL IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED ON PAGES 7 AND 8 OF THE 2016 CHNA.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - ST JOSEPH MEDICAL CENTER. THE CHNA THAT WAS CONDUCTED IN 2016 WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS ON JULY 25, 2016: THE MCLEAN COUNTY CHNA WAS A COLLABORATIVE UNDERTAKING BY ST. JOSEPH MEDICAL CENTER AND BROMENN MEDICAL CENTER.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - ST JOSEPH MEDICAL CENTER. 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.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ST JOSEPH MEDICAL CENTER. OSF ST. JOSEPH MEDICAL CENTER ("SJMC") COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2016 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE COLLABORATIVE TEAM CONDUCTING THE CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: ACCESS TO APPROPRIATE HEALTH CARE FOR THE UNDERSERVED AND AREAS OF HIGH SOCIOECONOMIC NEED, BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE) AND OBESITY. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE COLLABORATIVE TEAM DEVELOPED A JOINT IMPLEMENTATION STRATEGY, WHICH DESCRIBES THE ACTIONS SJMC INTENDS TO TAKE TO ADDRESS THE THREE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. ACCESS TO APPROPRIATE HEALTHCARE FOR THE UNDERSERVED AND AREAS OF HIGH SOCIOECONOMIC NEED GOAL: *BY 2020, DECREASE BARRIERS TO UTILIZING PRIMARY CARE IN 61701 IN ORDER TO REDUCE USE OF HOSPITAL EMERGENCY DEPARTMENTS (ER) FOR NON-EMERGENT CONDITIONS. MEASUREMENT AND PROGRESS FOR FY 2018: (1) NUMBER OF LOCATIONS WHERE FLYERS REGARDING THE APPROPRIATE USE OF THE EMERGENCY ROOM ARE DISTRIBUTED AND/OR THE IMPORTANCE OF HAVING A MEDICAL HOME. -PROGRESS: TWENTY-SEVEN LOCATIONS OFFER INFORMATION REGARDING WHEN TO USE AN URGENT CARE VS. AN ER, INCLUDING FOUR OSF PROMPT CARE SITES. INFORMATION ALSO DISTRIBUTED THROUGH OSF DIRECT MAIL CAMPAIGNS TO LOCAL RESIDENTS. (2) ESTABLISH A BASELINE FOR THE NUMBER OF ORGANIZATIONS RECEIVING PATIENT - CENTERED MEDICAL HOME (PCMH) RECOGNITION. -PROGRESS: FOUR ORGANIZATIONS WITH 11 SITES IN MCLEAN COUNTY HAVE PCMH DESIGNATION, INCLUDING EIGHT OSF MEDICAL GROUP SITES. (3) ESTABLISH A BASELINE FOR THE # OF LOW ACUITY VISITS TO SJMC'S EMERGENCY DEPARTMENT BY PATIENTS WITH MEDICAID OR SELF-PAY AS PAYER. -PROGRESS: BASELINE ESTABLISHED WITH OVER 2,500 VISITS AT THE MEDICAL CENTER. (4) EXPLORE UTILIZING COMMUNITY HEALTH WORKERS IN MCLEAN COUNTY. -PROGRESS: COORDINATED APPROPRIATE ACCESS TO COMPREHENSIVE CARE (CAATCH) PILOT AT COMMUNITY HEALTH CARE CLINIC. TWO HUNDRED AND SIXTY-FIVE REFERRALS WERE MADE FROM SJMC TO ESTABLISH PATIENTS WITH PRIMARY CARE PROVIDERS. -OSF HEALTHCARE MEDICAL GROUP CONTINUES AN INTEGRATED CARE MODEL IN ALL LOCAL PRIMARY CARE OFFICES TO IMPROVE ACCESS TO CARE. THIS IS ACCOMPLISHED THROUGH TEAM-BASED CARE, IN WHICH PHYSICIANS, ADVANCED CARE PROVIDERS, NURSES, BEHAVIORAL HEALTH SPECIALISTS, DIETICIANS, PHARMACISTS AND SOCIAL WORKERS COORDINATE PROVIDING THE MOST APPROPRIATE LEVEL OF CARE FOR PATIENTS. -SJMC EMPLOYS AN ED NAVIGATOR WHO ASSISTS PATIENTS WITH REFERRALS TO PRIMARY CARE PROVIDERS AND OTHER SERVICES IN THE COMMUNITY. OSF MEDICAL GROUP OPENED A NEW PRIMARY CARE SITE WITH URGENT CARE ACCESS IN NORTH NORMAL, NEAR RAAB ROAD, GIVING NEW MEDICAL ACCESS TO THOSE IN THAT AREA. BEHAVIORAL HEALTH GOAL: *BY 2020, REDUCE BEHAVIORAL HEALTH STIGMA TO INCREASE EARLIER ACCESS TO CARE MEASUREMENT AND PROGRESS: (1) NUMBER OF MENTAL HEALTH FIRST AID COURSES SPONSORED BY SJMC. -PROGRESS: SJMC HOSTED THREE COURSES PER YEAR FOR COMMUNITY MEMBERS AND FOUR COURSES FOR EMPLOYEES. (2)NUMBER OF MCLEAN COUNTY COMMUNITY MEMBERS TRAINED IN MENTAL HEALTH FIRST AID PER YEAR. -PROGRESS: APPOXIMATELY 80 COMMUNITY MEMBERS TRAINED AT EVENTS HOSTED AT SJMC PER YEAR. (3) # OF CAMPAIGN MESSAGES, AND TYPES, AIMED AT REDUCING BEHAVIORAL HEALTH STIGMA. - -PROGRESS: CAMPAIGN SUBCOMMITTEE BEGAN MEETING IN 9/17 TO EXPLORE OFFERING A COLLABORATIVE BEHAVIORAL HEALTH CAMPAIGN. SJMC REPRESENTATIVES ARE PART OF THE PLANNING DISCUSSION. SINCE INCEPTION, OVER 41,000 PEOPLE HAVE ACCESSED THIS DATA. -RELATED ACCOMPLISHMENTS: THERE WERE OVER 3,500 PARTICIPANTS AT SJMC COMMUNITY PRESENTATIONS RELATED TO STRESS MANAGEMENT. THE MCLEAN COUNTY BOARD HOSTED A COMMUNITY BEHAVIORAL HEALTH FORUM ON MAY 18, 2017. APPROXIMATELY 100 INDIVIDUALS WERE IN ATTENDANCE AND PRESENTATIONS ON A VARIETY OF BEHAVIORAL HEALTH ISSUES WERE HELD. TWO SJMC LEADERS ASSISTED WITH THE PLANNING AND ORGANIZING OF THE EVENT. CHESTNUT HEALTH SYSTEMS IN PARTNERSHIP WITH ADVOCATE BROMENN MEDICAL CENTER, THE MCLEAN COUNTY HEALTH DEPARTMENT AND SJMC WAS AWARDED A GRANT BY THE ILLINOIS DIVISION OF MENTAL HEALTH, DEPARTMENT OF HEALTH AND HUMAN SERVICES, TO HOST A TWO-DAY ADVERSE CHILDHOOD EXPERIENCES (ACES) MASTER TRAINING FOR 25 INDIVIDUALS. THE TRAINING COURSE WAS HELD ON OCTOBER 12TH AND 13TH WITH INSTRUCTORS FROM THE FOLLOWING ORGANIZATIONS IN MCLEAN COUNTY: ADVOCATE BROMENN MEDICAL CENTER; BABY FOLD; CENTER FOR YOUTH AND FAMILY SOLUTIONS; CHESTNUT HEALTH SYSTEMS; DISTRICT 87; HOME SWEET HOME MINISTRIES; MCLEAN COUNTY COURT SERVICES; MCLEAN COUNTY HEALTH DEPARTMENT; PATH; PROJECT OZ; REGIONAL OFFICE OF EDUCATION #17; AND OSF HEALTHCARE. CHESTNUT HEALTH SYSTEMS IN PARTNERSHIP WITH ADVOCATE BROMENN MEDICAL CENTER, THE MCLEAN COUNTY HEALTH DEPARTMENT AND SJMC WAS AWARDED THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) TECHNICAL ASSISTANCE AWARD IN DECEMBER 2017 FROM THE NATIONAL CENTER ON TRAUMA-INFORMED CARE. -OSF HEALTHCARE IMPLEMENTED SILVERCLOUD, A SECURE, IMMEDIATE ACCESS TO ON-LINE SUPPORTED COGNITIVE BEHAVIORAL THERAPY PROGRAMS FOR THE COMMUNITY. SILVERCLOUD FOCUSES ON IMPROVING DEPRESSION AND ANXIETY LEVELS AMONG ADULT INDIVIDUALS. -SJMC WAS GRANTED FUNDS FOR BEHAVIORAL HEALTH INITIATIVES TO TRAIN OSF EMPLOYEES TO BETTER IMPACT PATIENTS WHO STRUGGLE WITH A MENTAL HEALTH DIAGNOSES. FUNDING WENT TO THE CENTER FOR HUMAN SERVICES FOR EDUCATION, TOOLS AND RESOURCES TO PROVIDE THE TRAINING. OBESITY GOAL *BY 2020, PURSUE POLICY, SYSTEM AND ENVIRONMENTAL CHANGES TO MAINTAIN OR INCREASE THE PERCENTAGE OF PEOPLE LIVING AT A HEALTHY BODY WEIGHT IN MCLEAN COUNTY. MEASUREMENT AND PROGRESS: (1) ESTABLISH A BASELINE FOR THE # OF FREE PROGRAMS/EVENTS PROMOTING PHYSICAL ACTIVITY IN THE COMMUNITY BY THE MCLEAN COUNTY WELLNESS COALITION (MCWC). -PROGRESS: OVER 70 EVENTS (2) ESTABLISH A BASELINE FOR THE # OF COMMUNITY MEMBERS PARTICIPATING IN FREE PROGRAMS/EVENTS PROMOTING PHYSICAL ACTIVITY IN THE COMMUNITY BY THE MCWC. -PROGRESS: 17,000 MEMBERS. THIS INCLUDED OVER 4,000 PARTICIPANTS AT SJMC COMMUNITY PRESENTATIONS RELATED TO PHYSICAL ACTIVITY. (3) ESTABLISH A BASELINE FOR THE # OF PROGRAMS PROMOTING PHYSICAL ACTIVITY IN THE WORKPLACE BY THE MCWC. -PROGRESS: 92 PROGRAMS (4) ESTABLISH A BASELINE FOR THE NUMBER OF EMPLOYEES PARTICIPATING IN PROGRAMS PROMOTING PHYSICAL ACTIVITY IN THE WORKPLACE BY THE MCWC. -PROGRESS: 11,858 EMPLOYEES (5) WALK SCORES (BASELINE: BLOOMINGTON - 35; NORMAL - 36, WALKSCORE.COM, 2016). -PROGRESS: BLOOMINGTON - 35; NORMAL - 38 (6) COORDINATE FOOD ACCESS SUMMIT IN 2017. PROGRESS FY2017: COMPLETED MARCH 2017. SJMC STAFF PLAYED A ROLE IN PLANNING AND ORGANIZING THE EVENT. OVER 80 ATTENDED (7)NUMBER OF POUNDS OF PRODUCE DISTRIBUTED AT VEGGIE OASIS. -PROGRESS: OVER 15,000 POUNDS DISTRIBUTED IN THREE YEARS. (8) NUMBER OF EVENTS WHERE HEALTHY VEGETABLE RECIPES ARE PROVIDED (BASELINE: 6 EVENTS, MCWC, 2016. -PROGRESS: 30 EVENTS. -OSF HEALTHCARE SJMC SPONSORED PROJECT FIT AMERICA ($20,000 GRANT) TO HEYWORTH HIGH SCHOOL - IMPLEMENTED FALL 2017. PROJECT FIT AMERICA ENHANCES PHYSICAL EDUCATION THROUGH CURRICULUM, INDOOR AND OUTDOOR FITNESS EQUIPMENT. -HOME SWEET HOME MINISTRIES AND THE COMMUNITY HEALTH CARE CLINIC LAUNCHED A FOOD FARMACY PILOT PROGRAM IN AUGUST 2017. THE PROGRAM PROVIDES PATIENTS AT THE CLINIC WHO HAVE DIABETES OR HEART DISEASE A PRESCRIPTION PASS, WHICH CAN BE USED TO OBTAIN FREE PRODUCE THROUGH 12 VISITS TO THE BREAD FOR LIFE FOOD CO-OP. IN 2017, 19 INDIVIDUALS PARTICIPATED, 61 SHOPPING TRIPS WERE TAKEN, AND FAR MORE FRESH PRODUCE AND HEALTHY ITEMS ARE BEING TAKEN THAN BEFORE THE FOOD FARMACY PROGRAM WAS INITIATED. IN 2018, SJMC STAFF ASSISTED WITH PROVIDING HEALTHY FOOD RECIPES FOR THE PARTICIPANTS IN THE PROGRAM. -SJMC DEVELOPED A PROGRAM CALLED SMART MEALS IN WHICH INGREDIENTS, RECIPES AND EDUCATION MATERIALS ARE GIVEN TO THE COMMUNITY. SJMC DEVELOPED THE RECIPES, BOUGHT THE FOOD, BAGGED THE FOOD, AND PROMOTED THE SERVICE TO THE COMMUNITY. APPROXIMATELY 1000 PEOPLE RECEIVED A SMARTMEALS FOR FREE IN 2018. -THE CENTER FOR HEALTHY LIFESTYLES AT SJMC PARTNERED WITH THE BOYS AND GIRLS CLUB TO OFFER A NUTRITION PROGRAM FOR THE 5TH GRADE MEMBERS TO HELP EDUCATE AND BRING AWARENESS (THROUGH TASTE-TESTING NEW FOODS, UNDERSTANDING IMPORTANCE OF EATING THESE FOODS, AND SIMPLE WAYS TO PREPARE THEM) . THIS 6-WEEK PROGRAM WAS HELD IN THE SUMMER OF 2018.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - ST JOSEPH MEDICAL CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - ST JOSEPH MEDICAL CENTER. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. IN ADDITION, ENROLLMENT IN ANY ONE OF THE FOLLOWING PROGRAMS WITH CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY INCOME GUIDELINES ESTABLISHES ELIGIBILITY FOR PRESUMPTIVE CHARITY: WIC; SNAP; LIHEAP, IL FREE LUNCH AND BREAKFAST PROGRAM; RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES; OR 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.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - ST.JOSEPH MEDICAL CENTER. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - ST JOSEPH MEDICAL CENTER. A PLAIN LANGAGE 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.
Schedule H, Part V, Section B, Line 3E The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - OSF SAINT ANTHONY'S HEALTH CENTER. OSF HEALTHCARE CENTER d/b/a SAINT ANTHONY'S HEALTH CENTER FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2016 MADISON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT LED TO THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY DESIGNED TO IMPROVE THE HEALTH OF THE AREA'S RESIDENTS BY DEVELOPING AND IMPLEMENTING INTERVENTIONS TO ADDRESS SIGNIFICANT PRIORITY HEALTH NEEDS. FOR THE 2016 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) THE HEALTH PROMOTION MANAGER AT MADISON COUNTY HEALTH DEPARTMENT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH TO ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM THE COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2016 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES; REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS INCLUDING PRESIDENT OF THE RIVER BEND GROWTH ASSOCIATION, WHICH IS THE CHAMBER OF COMMERCE AND ECONOMIC DEVELOPMENT AGENCY IN MADISON COUNTY, ASSOCIATE EXECUTIVE DIRECTOR OF SENIOR SERVICES PLUS, INC., DIRECTOR OF OASIS WOMEN'S CENTER AND CERTIFIED DOMESTIC VIOLENCE PROFESSIONAL, EXECUTIVE DIRECTOR OF BOYS & GIRLS CLUB OF ALTON AND ASSISTANT FOOTBALL COACH AT ALTON HIGH SCHOOL, VP FOR THE COMMUNITY BEHAVIORAL HEALTHCARE ASSOCIATION OF IL, DIRECTOR FOR IL REGION FOR UNITED WAY OF GREATER ST. LOUIS; ASSISTANT SUPERINTENDENT OF THE ALTON SCHOOL DISTRICT, AND HEALTH CARE EDUCATORS AND PROVIDERS INCLUDING AN ADULT NURSE PRACTITIONER AND DIRECTOR OF NURSING EDUCTION AT LEWIS AND CLARK COMMUNITY COLLEGE, REGISTERED DIETICIAN, INTERIM CHIEF NURSING OFFICER FOR THE FACILITY, PHYSICIAN ASSISTANT WHO IS A PROVIDER AT A NON-PROFIT MEDICAL MISSIONARY GROUP, AND A BOARD CERTIFIED FAMILY PRACTICE PHYSICIAN. MEMBERS OF THE COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2016 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - OSF SAINT ANTHONY'S HEALTH CENTER. OSF SAINT ANTHONY'S HEALTH CENTER ("SAHC") COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2016 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE COLLABORATIVE TEAM CONDUCTING THE CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: OBESITY, AND BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE/TOBACCO USE. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE COLLABORATIVE TEAM DEVELOPED AN IMPLEMENTATION STRATEGY THAT DESCRIBES THE ACTIONS SAHC INTENDS TO TAKE TO ADDRESS THE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. OBESITY GOAL: *INCREASE AWARENESS OF NUTRITION AND FITNESS RESOURCES FOR PROVIDERS AND COMMUNITY MEASUREMENT AND PROGRES (1) ESTABLISH A BASELINE FOR THE NUMBER OF PROGRAMS/EVENTS PROMOTING PHYSICAL ACTIVITY OFFERED BY OSF SAINT ANTHONY'S HEALTH CENTER. -PROGRESS: EDUCATIONAL EVENTS WITH PHYSICAL AND OCCUPATIONAL THERAPISTS WERE HELD AT COMMUNITY SITES, INCLUDING A SPRING HEALTH FAIR AT SENIOR SERVICES PLUS, UNITED METHODIST VILLAGE, RETIRED NURSES GROUP, AND GIRLS NIGHT OUT FOR BREAST HEALTH. FIT & FLEXIBLE 6-WEEK PHYSICAL FITNESS PROGRAM OFFERED THROUGHOUT THE YEARS. INCLUDING SPRING AND FALL HEALTH FAIR AT SENIOR SERVICES PLUS, ARGOSY EMPLOYEE HEALTH FAIR AND RADIO BROADCAST ON HEART HEALTH AND NUTRITION. (2) DEVELOP A PROCESS TO INTRODUCE NUTRITIONAL EDUCATION/INFORMATION IN OSF SAINT ANTHONY'S PRIMARY CARE OFFICE. -PROGRESS: CLINICIANS DOWNLOADED NUTRITIONAL GUIDANCE FOR PATIENTS, AS WELL AS DIRECTED PATIENTS TO OSF HEALTHCARE'S HEALTH AND WELLNESS RESOURCES. UP-TO-DATE DIET EDUCATION ON NORMAL AND DISEASE CONDITIONS CAN BE DOWNLOADED OR PRINTED. DIETITIANS PROVIDED DIET EDUCATION TO PATIENTS PER CLINICAL CARE PROCESSES AND STAFF WHEN REQUESTED. PROVIDED A LEADER FOR THE MADISON COUNTY PARTNERSHIP COMMUNITY HEALTH-OBESITY REDUCTION COMMITTEE, WORKING TO COLLABORATE EFFORTS OF ORGANIZATIONS TO PROMOTE HEATHY ENVIRONMENTS AND LIFESTYLES. THE PROJECT DEVELOPED HEALTHY EATING SIGNAGE FOR THE COMMUNITY. (3) CONTINUALLY ADD COMMUNITY RESOURCE INFORMATION TO THE OSF SAINT ANTHONY'S WEBSITE. -PROGRESS: UPDATES HAVE BEEN MADE TO THE WEBSITE ON NUTRITION. RECIPES WITH A SEARCH TOOL AND ADDED NUTRITIONAL VALUES AND VIDEOS FOR INSTRUCTION. (4) UTILIZE HEART CHECK STATION TO PROMOTE NUTRITIONAL AND FITNESS INFORMATION. -PROGRESS: HEART HEALTH NUTRITION AND FITNESS MATERIALS HAVE BEEN UPDATED AND PLACED AT THE HEART CHECK STATION IN 2017. (5) HOST A FOOD DRIVE. -PROGRESS: HOLIDAY FOOD DRIVE CHALLENGE HAS BEEN HELD TO BENEFIT THE CRISIS FOOD PANTRY. INCLUDING DEPARTMENT LEVEL FOOD DRIVES THROUGHOUT THE YEAR. (6) WORKFORCE WELLNESS PLAN. -PROGRESS: AN OSF 4LIFE WELLNESS PROGRAM WAS ROLLED OUT TO EMPLOYEES. ACTIVITIES ARE ONGOING THROUGH THE OSF SYSTEM. DIETITIANS HELP TO PROVIDE HEALTH COACHES ON THE OSF4LIFE PORTAL AND COMMUNICATE WITH ENROLLED PARTICIPANTS. (7) NUMBER OF EVENTS AND PEOPLE AT OSF SAINT ANTHONY'S NUTRITION/EXERCISE EVENTS AND/OR OUTREACH PARTNERSHIPS IN THE COMMUNITY. -PROGRESS: SERVED OVER 600 COMMUNITY MEMBERS ON EDUCATION FOR NUTRITION AND FITNESS; SERVED OVER 350 WITH A FIT AND FLEXIBLE PROGRAM; EDUCATED 200 AT SENIOR SERVICES PLUS; PROVIDED EDUCATION TO 36 AT AN EMPLOYEE EVENT; EDUCATION PROVIDED TO 150 AT GIRLS NIGHT OUT; EDUCATED APPROX. 270 AT THE FALL HEALTH FAIR AND PARTNERED WITH UNITED METHODIST VILLAGE TO EDUCATE 50 RESIDENTS. (8) NUMBER OF PATIENTS RECEIVING NUTRITION EDUCATION AND INFORMATION. -PROGRESS: APPROXIMATELY 600 PRIMARY CARE PATIENTS WITH OSF MEDICAL GROUP WERE GIVEN REFERRALS FOR NUTRITION EDUCATION / INFORMATION. (9) NUMBER OF VISITS TO WEBSITE, SOCIAL MEDIA AND HEART CHECK STATION RE: NUTRITION AND FITNESS MESSAGING. -PROGRESS: Over 9,000 VISITS WERE MADE TO THE HEART CHECK STATION; (9B) Over 1,000 VIDEO VIEWS ON FACEBOOK FOR HEALTHY HOLIDAY EATING WITH DIETITIAN. ABLE TO REACH OVER 1,000 ON SOCIAL MEDIA FOR POSTS ON HEALTHY FOOD CHOICES AND NUTRITION. (10) TRACKED NUMBER OF VISITS TO HEART CHECK STATION -PROGRESS: THIS NEW METRIC PRODUCED 8,111 VISITS TO THE HEART CHECK STATION IN 2018. (11) TRACKED NUMBER OF PERSONS SERVED THROUGH FOOD DRIVES. PROGESS: APPROXIMATELY 167 MEALS WERE PROVIDED BY FIVE PALLETS OF FOOD COLLECTED AT HOLIDAY FOOD DRIVE. BEHAVIORAL HEALTH GOALS: LINK COMMUNITY TO EXISTING RESOURCES FOR MENTAL HEALTH CARE; INCREASE AWARENESS AND ENGAGEMENT TO DECREASE SUBSTANCE ABUSE (MARIJUANA, OPIATES, ETC.) AND TOBACCO USE IN MADISON COUNTY AND INCREASE REFERRALS INTO APPROPRIATE TREATMENT PROGRAMS. MEASUREMENT AND PROGRESS: (1) ESTABLISH A BASELINE FOR THE NUMBER OF PROGRAMS/EVENTS FOR MENTAL HEALTH OFFERED BY OSF SAINT ANTHONY'S HEALTH CENTER. -PROGRESS: PROVIDED FREE COMMUNITY SCREENINGS HELD FOR DEPRESSION AND ANXIETY THAT INCLUDED TARGETED DISTRIBUTION OF MENTAL HEALTH MATERIALS; PROVIDED A SPEAKER TO CARING CIRCLE WOMEN'S GROUP ON HANDLING STRESS; PROVIDED ADDITIONAL SPEAKERS TO A STROKE SUPPORT GROUP; PRESENTED AT A CHURCH BANQUET ON HEALTHY COMMUNICATION, IN ADDITION TO PRESENTING AT UNITED METHODIST VILLAGE ON DEMENTIA; APPROXIMATELY SIX MENTAL HEALTH PROGRAMS OR EVENTS OCCURRED EACH YEAR. REACHING 230 COMMUNITY MEMBERS PER YEAR; (2) ESTABLISH A BASELINE FOR THE NUMBER OF PROGRAMS/EVENTS FOR SUBSTANCE ABUSE OFFERED BY OSF SAINT ANTHONY'S HEALTH CENTER. -PROGRESS: PROVIDED SITTER COVERAGE AND DESIGNATED SPECIFIC FULL TIME EMPLOYEES TO ENSURE THE SAFETY OF AT-RISK PATIENTS; PROVIDED AN OPIOID EDUCATION PROGRAM FOR CAREGIVERS ON USING BEHAVIORAL HEALTH FOR MANAGEMENT OF CHRONIC PAIN; PRESENTED TO COPE PLASTICS ON OPIOID ADDICTION; PARTICIPATED ON THE RADIO WBGZ ON ALCOHOL ADDICTION; APPROXIMATELY THREE PRESENTATIONS FOR SUBSTANCE ABUSE WERE COMPLETED EACH YEAR, REACHING ABOUT 115 PER SESSION. (3) ESTABLISH A BASELINE FOR THE # PROGRAMS/EVENTS FOR TOBACCO USE OFFERED BY OSF SAINT ANTHONY'S HEALTH CENTER. -PROGRESS: AN AMERICAN CANCER SOCIETY FRESHSTART SMOKING CESSATION WAS HELD IN THE 4TH QUARTER OF 2018; A LUNCH AND LEARN WAS OFFERED TO THE COMMUNITY REGARDING THE HEALTH EFFECTS OF SMOKING AS RELATED TO CANCER; SMOKING CESSATION MATERIALS WERE DISTRIBUTED AT VARIOUS HEALTH FAIRS FOR UNITED METHODIST VILLAGE; APPROXIMATELY FIVE PROGRAMS OR EVENTS FOR TOBACCO USE PER YEAR WERE CONDUTED, REACHING ABOUT 600 EACH YEAR. (4) DEVELOP MENTAL HEALTH, SUBSTANCE ABUSE, TOBACCO USE MESSAGING AIMED AT REDUCING STIGMA/ABUSE/USE, DISTRIBUTING THROUGH SOCIAL MEDIA. -PROGRESS: DISTRIBUTED MATERIALS THROUGH SOCIAL MEDIA OR THROUGH COMMUNITY RESOURCE INFORMATION ON THE OSF SAINT ANTHONY'S WEBSITE; SOCIAL MEDIA MESSAGES FOR MENTAL HEALTH, SUBSTANCE ABUSE, AND ALCOHOL AWARENESS WERE DEVELOPED IN COLLABORATION WITH BEHAVIORAL HEALTH AND ONCOLOGY NURSES/SMOKING CESSATION FACILITATORS; NEW BLOGPOSTS POSTED ON WEBSITE TO ADDRESS: ANXIETY, STRESS, SUICIDE STIGMA, SEASONAL AND WORKPLACE OVEREATING, SMOKING CESSATION, SEDENTARY LIFESTYLES, REDUCING SUGAR INTAKE, YOUTH VAPING, NUTRITIONAL MANDATES, EXERCISE, AND WEIGHT LOSS (5) ADDED COMMUNITY RESOURCE INFORMATION TO THE OSF SAINT ANTHONY'S WEBSITE. -PROGRESS: COLLABORATED WITH BEHAVIORAL HEALTH MANAGER TO UPDATE EXISTING WEB PAGE IDENTIFYING COUNSELING SERVICES OFFERED. (6) ESTABLISH A BASELINE FOR NUMBER OF PATIENTS SEEN THROUGH THE ED WITH BEHAVIORAL HEALTH DIAGNOSES. -PROGRESS: ED PATIENTS NOW TRANSFERRED TO OSF BEHAVIORAL HEALTH NAVIGATOR FOR FOLLOW UP. A FORM WAS CREATED TO FACILITATE THE TRANSFER BETWEEN SERVICES. (7) NUMBER OF PROGRAMS/EVENTS FOR MENTAL HEALTH OFFERED BY OSF SAINT ANTHONY'S HEALTH CENTER. -PROGRESS: IN 2018, 2696 VIEWS FOR SOCIAL MEDIA POSTS ON MENTAL HEALTH, SUBSTANCE ABUSE, AND TOBACCO USE OCCURRED. IN 2018, 2315 VIEWS FOR SOCIAL MEDIA MESSAGING ON SILVERCLOUD, A FREE MENTAL HEALTH SERVICES. 94 VIEWS ON SOCIAL MEDIA FOR BLOG POSTS ON MENTAL HEALTH. 679 OR 96.86% OF PATIENTS SEEN IN THE ED WITH BEHAVIORAL HEALTH PROBLEMS, RECEIVED AN INTERVENTION BASED ON THEIR RESPONSES TO A RISK OF SUICIDE QUESTIONNAIRE (RSQ). IN ADDITION, FOUR ONCOLOGY CLINICIANS RECEIVED THEIR TRAINING FOR AMERICAN CANCER SOCIETY FRESHSTART SMOKING CESSATION CLASSES. FOLLOWING THE FINAL CLASS, COMMUNICATION WITH A LOCAL.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - OSF SAINT ANTHONY'S HEALTH CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - OSF SAINT ANTHONY'S HEALTH CENTER. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. IN ADDITION, ENROLLMENT IN ANY ONE OF THE FOLLOWING PROGRAMS WITH CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY INCOME GUIDELINES ESTABLISHES ELIGIBILITY FOR PRESUMPTIVE CHARITY: WIC; SNAP; LIHEAP, IL FREE LUNCH AND BREAKFAST PROGRAM; RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES; OR 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.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - OSF SAINT ANTHONY'S HEALTH CENTER. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - OSF SAINT ANTHONY'S HEALTH CENTER. 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.
Schedule H, Part V, Section B, Line 3E The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ST MARY MEDICAL CENTER. OSF HEALTHCARE CENTER d/b/a ST. MARY MEDICAL CENTER FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2016 KNOX COUNTY AND WARREN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT LED TO THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY DESIGNED TO IMPROVE THE HEALTH OF THE AREA'S RESIDENTS BY DEVELOPING AND IMPLEMENTING INTERVENTIONS TO ADDRESS SIGNIFICANT PRIORITY HEALTH NEEDS. FOR THE 2016 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) THE PUBLIC HEALTH ADMINISTRATOR AS WELL AS THE DIVISION DIRECTOR OF HEALTH PROTECTION FROM THE KNOX COUNTY HEALTH DEPARTMENT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED TO ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM THE COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2016 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED 2 REPRESENTATIVES FROM THE KNOX COUNTY HEALTH DEPARTMENT; CONSUMER ADVOCATES; REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS INCLUDING THE EXECUTIVE DIRECTOR OF THE GALESBURG COMMUNITY FOUNDATION, THE EXECUTIVE DIRECTOR OF THE UNITED WAY OF KNOX COUNTY AND CHAIR OF THE EMERGENCY FOOD AND SHELTER PROGRAM, AND THE CEO OF THE KNOX COUNTY YMCA; AND HEALTH CARE PROVIDERS INCLUDING THE PRESIDENT AND THE CHIEF NURSING OFFICER OF THE HOSPITAL FACILITY AS WELL AS A LICENSED CLINICAL PROFESSIONAL COUNSELOR. MEMBERS OF THE COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2016 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ST MARY MEDICAL CENTER. OSF ST. MARY MEDICAL CENTER ("SMMC") COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2016 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE COLLABORATIVE TEAM CONDUCTING THE CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: OBESITY, MENTAL HEALTH, AND ACCESS TO HEALTH CARE. IN RESPONSE TO THESE THREE PRIORITY HEALTH NEEDS, THE COLLABORATIVE TEAM DEVELOPED AN IMPLEMENTATION STRATEGY THAT DESCRIBES THE ACTIONS SMMC INTENDS TO TAKE TO ADDRESS THE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. OBESITY GOALS: *INCREASE THE PERCEPTION THAT OVERWEIGHT AND OBESITY ARE SIGNIFICANT PUBLIC HEALTH RISKS; INCREASE THE PROPORTION OF PERSONS WHO KNOW THE HEALTH RISKS AND DISEASES ASSOCIATED WITH OVERWEIGHT AND OBESITY; INCREASE THE PROPORTION OF PERSONS WHO KNOW THE ENVIRONMENTAL SOCIOECONOMIC AND FACTORS THAT CONTRIBUTE TO OBESITY; INCREASE THE PROPORTION OF ADULTS WHO KNOW THEIR OWN WEIGHT STATUS AND THEIR CHILDREN'S WEIGHT STATUS AND; IMPROVE LIFELONG HEALTHY EATING AND PHYSICAL ACTIVITY. MEASUREMENT AND PROGRESS: (1) INCREASE PARTICIPATION: ADDITION OF ONE SCHOOL EACH YEAR TO HOST A HEALTHY EATING AND EXERCISE EDUCATIONAL EVENT. -PROGRESS: ATTENDED KNOXVILLE HIGH SCHOOL ANNUALLY TO EDUCATE STUDENTS ON HEALTHY EATING AND DRINKING CHOICES. APPROXIMATELY 500 STUDENTS WERE GIVEN THIS EDUCATION IN ALL YEARS. COLLABORATED WITH SILAS-WILLARD ELEMENTARY SCHOOL IN THE WALKING SCHOOL BUS PROGRAM. 10-15 CHILDREN PARTICIPATED IN THE 2 DAYS PER SCHOOL YEAR ANNUALLY. (2): INCREASED PARTICIPATION OF THE PERCENTAGE OF COMMUNITY MEMBER'S THAT ATTEND THE COMMIT TO FIT CHALLENGE ANNUALLY. -PROGRESS: COLLABORATED WITH THE YMCA TO BE ABLE TO PROVIDE EDUCATION TO OVER 400 PARTICIPANTS IN THE PAST THREE YEARS. (3) INCREASED AWARENESS IN HEALTHY BEHAVIOR EDUCATION OR DEMONSTRATIONS AT COMMUNITY EVENTS. -DIETICIAN PROVIDED ONE ON ONE DIABETES EDUCATION THROUGHOUT THE YEARS BASED ON PHYSICIAN REFERRALS. -PARTICIPATED AT WOMEN'S HEART FAIRS ANNUALLY REGARDING HEALTHY BEHAVIORS, SERVING OVER 300 PARTICIPANTS. -PARTICIPATED IN HEALTHY LIVES 4 KIDS EVENTS HOSTED AT KNOX COLLEGE SERVING OVER 100 PARTICIPANTS. -PARTICIPATED EACH YEAR IN YMCA HEALTHY KIDS DAY, SERVING 50 PARTICIPANTS ANNUALLY. -COLLABORATED WITH KLEINE PEDIATRIC WELLNESS AT CEDAR CREEK HOUSING AUTHORITY TO PROVIDE EDUCATION TO CHILDREN AND PARENTS REGARDING HEALTHY BEHAVIORS. INCLUDING FOOD, EXERCISE, AND ACTIVITIES. -ANNUAL GARDEN CONTINUES ON THE SAINT MARY MEDICAL CENTER PROPERTY. -DIETICIAN PUBLISHED MONTHLY ARTICLE REGARDING HEALTHY BEHAVIORS IN LOCAL NEWSPAPER PUBLICATION. -EMPLOYEES COLLABORATED TO CREATE FOOD DRIVES WITH KNOX COUNTY COUNCIL FOR HUMAN SERVICES. DONATED OVER 300 LBS. EACH YEAR OF FOOD FOR LOCAL FOOD PANTRIES (4) INCREASED PARTICIPATION IN THE CLINTON HEALTH MATTERS INITIATIVE (CHMI) WORKGROUP. -COLLABORATED WITH CHMI AND RIVERBED FOOD BANK TO BRING A DISTRIBUTION CENTER TO KNOX COUNTY. ACCESS TO HEALTH SERVICES GOALS: IMPROVE ACCESS TO COMPREHENSIVE QUALITY HEALTH CARE SERVICES; INCREASE THE NUMBER OF PRACTICING PHYSICIANS AND ADVANCED PRACTICE PROVIDERS; REDUCE THE PORTION OF PEOPLE WHO ARE UNABLE TO OBTAIN OR DELAY IN OBTAINING NECESSARY MEDICAL CARE, DENTAL CARE, PRESCRIPTION MEDICATIONS OR MENTAL HEALTH CARE; REDUCE THE PROPORTION OF HOSPITAL EMERGENCY DEPARTMENT VISITS IN WHICH THE WAIT TIME TO SEE AN EMERGENCY DEPARTMENT CLINICIAN EXCEEDS THE RECOMMENDED TIMEFRAME; IMPROVE THE COMMUNITY'S UNDERSTANDING OF THE SERVICES AVAILABLE; MODERNIZING SURGERY PROJECT FOR ACCESS; PROVIDE CENTRALIZED LOCATION FOR OUTPATIENT SERVICES TO PROVIDE ACCESS AND; AMBULATORY CLINIC REMODEL TO INCREASE THE NUMBER OF EXAMS ROOMS. MEASUREMENT AND PROGRESS: (1) INCREASED ACCESS IN PROVIDING CPR TRAINING TO ORGANIZATIONS IN THE WORKPLACE. -CPR CLASSES WERE GIVEN AT FIRE DEPARTMENTS AND HIGH SCHOOLS THROUGHOUT THE YEARS. (2) INCREASED ACCESS TO PROVIDE BLOOD PRESSURE SCREENINGS WITHIN THE COMMUNITY. -BLOOD PRESSURE SCREENINGS WERE CONDUCTED AT NUMEROUS HOUSING AUTHORITIES, FOOD PANTRIES, CHURCHES, AND AVAILABLE WEEKLY AT THE MEDICAL CENTER. (3) INCREASED ACCESS IN PROVIDING FLU SHOTS TO THE COMMUNITY IN ORDER TO DECREASE FLU HOSPITALIZATIONS AND SEVERITY OF FLU SYMPTOMS. -FLU SHOTS WERE NOT ONLY GIVEN TO 100'S OF OUR EMPLOYEES BUT ALSO GIVEN OUT AT WELLS PET FOODS, AND AREA GRADE SCHOOLS ANNUALLY. (4) PROVIDED ACCESS TO STUDENTS WHO WERE UNABLE TO ATTEND OR SCHEDULE THEIR SCHOOL PHYSICALS. -HIGH SCHOOL PHYSICALS WERE PROVIDED AT GALESBURG HIGH SCHOOL ANNUALLY. (5) INCREASED ACCESS IN PROVIDING INTERPRETER SERVICES BY BREAKING DOWN LANGUAGE BARRIERS AND COMMUNICATE WITH NON-ENGLISH SPEAKING PATIENTS. -PROVIDED EFFECTIVE, ACCURATE, AND TIMELY COMMUNICATION SERVICES FOR PATIENTS, COMPANIONS, AND/OR PATIENT REPRESENTATIVES. THESE SERVICES INCLUDED VISUAL, SPEECH IMPAIRMENTS, INABILITY TO WRITE, AND/OR HEARING IMPAIRMENTS 24 HOURS A DAY, 7 DAYS A WEEK. (6) INCREASED ACCESS IN PROVIDING EDUCATION ON OSF MY CHART FOR TEST RESULTS, COMMUNICATION WITH DOCTORS, AND SCHEDULING APPOINTMENTS. -KIOSKS HAVE BEEN AVAILABLE AT OSF GALESBURG CLINIC AND OSF MEDICAL GROUP WITH ASSISTANCE TO SIGN-UP FOR OSF MY CHART PROVIDING EDUCATION TO PATIENTS IN ORDER TO MANAGE THEIR OWN HEALTH. (7) PARTICIPATED IN LOCAL UNMET NEEDS COMMITTEE. COLLABORATED WITH ORGANIZATIONS SUCH AS, BUT NOT LIMITED TO, CHURCHES, UNITED WAY, SALVATION ARMY, ETC. -OSF REPRESENTATION ON ALL LOCAL AREA COMMITTEES IN ORDER TO PROVIDE RESOURCE OR ACCESS WHERE APPLICABLE. MENTAL HEALTH GOALS: STRIVE TO ASSURE THAT PATIENT'S RECEIVE SERVICES THAT ARE INDIVIDUALIZED, SAFE AND REHABILITATIVE IN NATURE; TO PROVIDE SUPPORT TO AND ENHANCE COMMUNITY ALCOHOL, TOBACCO AND OTHER DRUG ABUSE PREVENTION EFFORTS, THEREBY ENHANCING OVERALL HEALTH OF THE COMMUNITY AND; ASSIST FAMILIES IN GAINING ACCESS TO COMMUNITY RESOURCES. MEASUREMENT AND PROGRESS: (1) INCREASED AWARENESS WITH THE RESOURCE LINK CARE COORDINATOR TO MEET WITH ALL NEW PROVIDERS, SCHOOLS, AND OTHER SOCIAL SERVICES ABOUT SERVICES. THIS AWARENESS HAS BEEN DONE IN SEVERAL WAYS INCLUDING: -PARTICIPATION IN THE BLUE RIBBON TASK FORCE ANNUALLY (CHILD ABUSE AWARENESS/PREVENTION) -EACH MONDAY OF APRIL 2018, 100 TO 200 BLUE PINWHEELS WERE PUT IN THE GROUND AT 3 DIFFERENT SITES IN GALESBURG TO HELP RAISE AWARENESS. -MET WITH DISTRICT SUPERINTENDENT OF SCHOOLS TO DISCUSS WAYS THE CHILDREN'S HOSPITAL AND THE RESOURCE LINK DEPARTMENT CAN SUPPORT OUR SCHOOL DISTRICT. -A PRIMARY CARE BEHAVIORAL HEALTH PROVIDER POSITION WAS FILLED AT THE OSF MEDICAL GROUP. -COORDINATED WITH KNOX/WARREN/HENDERSON COUNTIES SYSTEM OF CARE DEVELOPMENT CONSISTING OF COMMUNITY AGENCIES TO HELP YOUTH RECEIVE CARE THEY NEED IN AREAS SUCH AS COUNSELING, PSYCHIATRY, SUBSTANCE ABUSE, DOMESTIC ABUSE, FOOD INSECURITY, ETC. -RESOURCE LINK EDUCATION WAS GIVEN TO: SAFE HARBOR; ADMINISTRATIVE TEAM FOR DISTRICT 205; HENRY/STARK COUNTY SPECIAL EDUCATION DEPT.; YMCA SOLUTIONS PROGRAM STAFF; KNOX COMMUNITY HEALTH CENTER; BIG BROTHER BIG SISTER PROGRAM; REGIONAL OFFICE OF EDUCATION; PARENTS AS TEACHERS PROGRAM STAFF; EDUCATION IN THE SCHOOLS; DISTRICT 205 STAFF (354 PEOPLE); JACOBSON DISTRICT 205 SCHOOLS; EDUCATION STAFF AND -REGIONAL SUPERINTENDENT OF SCHOOLS. -A BEHAVIORAL HEALTH NAVIGATOR WAS HIRED AND THEY PROVIDED EDUCATION TO: RESOURCE LINK ADVISORY GROUP; KNOX COUNTY HUMAN SERVICE COUNCIL; HENRY COUNTY MENTAL HEALTH ALLIANCE, KEWANEE; OSF MEDICAL GROUP PROVIDER MEETING, GALESBURG; KNOX COMMUNITY HEALTH CENTER; BRIDGEWAY; WIRC VICTIMS ADVOCATE; WARREN COUNTY HUMAN SERVICE COUNCIL MEETING. -MARKETING AND DISTRIBUTION OF THE RESOURCE LINK AND THE 211 UNITED WAY PROGRAM: HANDS AROUND THE COURTHOUSE EVENT AT THE KNOX COUNTY COURTHOUSE; LOCAL AGENCIES DEVELOPED THE UNMET NEEDS COMMITTEE TO IDENTIFY BARRIERS FOR FAMILIES STRUGGLING WITH VARIOUS HEALTH AND FINANCIAL ISSUES; 297 REFERRALS FOR PSYCHIATRIC CARE. (242 ATTENDED APPOINTMENT); CO-SPONSORED THE FREE MOVIE NIGHT; MULTIPLE OSF REPRESENTATIVES PRESENT AT LOCAL COMMUNITY EVENTS.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - ST MARY MEDICAL CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - ST MARY MEDICAL CENTER. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - ST. MARY MEDICAL CENTER. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - ST MARY MEDICAL CENTER. 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.
Schedule H, Part V, Section B, Line 3E The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - SAINT JAMES HOSPITAL. OSF HEALTHCARE CENTER d/b/a SAINT JAMES HOSPITAL - JOHN W. ALBRECHT MEDICAL CENTER ("SJH") FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2016 LIVINGSTON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT LED TO THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY DESIGNED TO IMPROVE THE HEALTH OF THE AREA'S RESIDENTS BY DEVELOPING AND IMPLEMENTING INTERVENTIONS TO ADDRESS SIGNIFICANT PRIORITY HEALTH NEEDS. FOR THE 2016 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) THE DIRECTOR OF THE LIVINGSTON COUNTY HEALTH DEPARTMENT AND THE DIRECTOR OF HEALTH EDUCATION & MARKETING FOR THE LIVINGSTON COUNTY HEALTH DEPARTMENT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT ALL ORGANIZATIONS THAT SPECIFICALLY TARGET LOW-INCOME RESIDENTS SUCH AS FOOD PANTRIES. 3) THE 2013 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM THE COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2016 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES; REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS INCLUDING THE EXECUTIVE DIRECTOR OF THE INSTITUTE FOR HUMAN RESOURCES AND DIRECTORS SITTING ON THE FOLLOWING BOARDS: STATEWIDE COMMUNITY BEHAVIORAL HEALTH ASSOCIATION, LIVINGSTON COUNTY HOUSING, LIVINGSTON COUNTY UNITED WAY, AND THE EXECUTIVE BOARD OF THE LIVINGSTON COUNTY CHILDREN'S NETWORK; AND HEALTH CARE EDUCATORS AND PROVIDERS INCLUDING THE FACILITY'S VP OF PATIENT CARE SERVICES - CHIEF NURSING OFFICER, EDUCATION MANAGER, AND THE MANAGER OF ITS EMERGENCY DEPARTMENT, REGISTERED NURSES, A CERTIFIED HEALTH EDUCATION SPECIALIST, AND A LICENSED CLINICAL SOCIAL WORKER. MEMBERS OF THE COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2016 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SAINT JAMES HOSPITAL. SJH COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2016 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE COLLABORATIVE TEAM CONDUCTING THE CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: HEALTHY BEHAVIORS DEFINED AS ACTIVE LIVING AND HEALTHY EATING AND THEIR IMPACT ON OBESITY, AND BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE COLLABORATIVE TEAM DEVELOPED AN IMPLEMENTATION STRATEGY THAT DESCRIBES THE ACTIONS SJH INTENDS TO TAKE TO ADDRESS THE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. HEALTHY BEHAVIORS AND OBESITY GOAL: *INCREASED AWARENESS AND ENGAGEMENT IN REDUCING OBESITY AND PROMOTING HEALTHY BEHAVIORS IN ORDER TO IMPROVE LIVINGSTON COUNTY RESIDENTS' OVERALL HEALTH. MEASUREMENT AND PROGRESS: (1) INCREASED PARTICIPATION: ADDITION OF ONE NEW AREA SCHOOL PARTICIPATION IN A HEALTHY BEHAVIORS. -PROGRESS: PARTNERED WITH LOCAL SCHOOLS TO EDUCATE THEM ON HEALTHY BEHAVIORS, DENTAL HYGIENE AND PHYSICAL ACTIVITY THROUGH VARIOUS PROGRAMS THROUGHOUT THE THREE YEARS. THESE PROGRAMS HELPED OVER 150 CHILDREN. IN ADDITION, PARTNERSHIP WITH THE BOYS AND GIRLS CLUBS IN ALL LIVINGSTON COUNTY LOCATIONS HAS BEEN INCREASED TO PROVIDE ADDITIONAL RESOURCES. INCREASED PARTICIPATION IN THE 4-H FAIR HAS GIVEN KNOWLEDGE TO OVER 180 CHILDREN ALONG WITH 60 PARTICIPANTS WHO BUILT A FITNESS TRACKER AT A 4-H SCIENCE EVENT TO HELP WITH THE BENEFITS OF EXERCISE AND HEALTHY BEHAVIORS. (2) INCREASED PARTICIPATION: PERCENTAGE OF MISSION PARTNER (EMPLOYEE) PARTICIPATION IN THE OSF 4LIFE PROGRAM. -PROGRESS: THROUGH THIS EXPANDED PARTICIPATION, OSF EMPLOYEES NOT ONLY JOINED THE PROGRAM AND GAINED KNOWLEDGE ABOUT HEALTHY BEHAVIORS BUT ALSO PARTICIPATED IN ANNUAL RUNS SUCH AS "RUN FOR RESPECT" THROUGH PONTIAC HIGH SCHOOL AND COMMUNITY WALKS SUCH AS "AMERICAN HEART WALK.". (3) INCREASED AWARENESS: HEALTHY BEHAVIOR EDUCATION AND/OR DEMONSTRATIONS AT LEAST 6 COMMUNITY EVENTS ANNUALLY. -PROGRESS: DIABETES SUPPORT GROUP MEETINGS HELD MONTHLY AVERAGING 10-15 PARTICIPANTS PER MEETING; PRE-DIABETES CLASSES HELD THROUGHOUT THE YEARS, THESE INCLUDED 5 - 10 PARTICIPANTS PER SESSION; LAUNCHING OF A NEW DIABETES PREVENTION PROGRAM. THIS IS AN ANNUAL PROGRAM TO MONITOR AND HELP PATIENTS AVOID GETTING DIABETES. THE FIRST SESSION WAS HELD, AND 24 PARTICIPANTS WERE ABLE TO TAKE ADVANTAGE OF THIS NEW ANNUAL PROGRAM; A SAINT JAMES HOSPITAL DIETITIAN HAS PROVIDED NUTRITION EDUCATION SESSIONS TO VARIOUS COMMUNITY GROUPS THROUGHOUT THE THREE YEARS WITH AVERAGES OF 75-150 PARTICIPANTS PER YEAR; A PROGRAM ENTITLED "LIFE AFTER LOSS" HELD GROUP SESSIONS 2 TIMES PER MONTH WITH 3-10 PARTICIPANTS AT EACH SESSION ANNUALLY; SEVERAL "WE LIVE" EVENTS HELPING APPROXIMATELY 150 PER EVENT. THE EVENT HAS HELPED WOMAN DISCUSS MAINTAINING HEALTH HABITS DURING THE HOLIDAYS. IN ADDITION, THIS PROGRAM HAS HEART HEALTH SCREENINGS, EATING HEALTHY FUN FOOD AND EDUCATION ON DANCE EXERCISES; PROVIDED SCREENINGS TO AG HEALTH AND A SAFETY FAIR. THESE INCLUDED WELLNESS CHECKS AND SAFETY INFORMATION TO AG COMMUNITY. APPROXIMATELY 145 PARTICIPANTS ANNUALLY; ON THE SAINT JAMES CAMPUS, IN COLLABORATION WITH UNITED WAY, ESTABLISHED AND COORDINATED THE GROWING WELL GARDEN WITH A HARVEST OF APPROXIMATELY 2,400 LBS. OF PRODUCE DISTRIBUTED TO AREA FOOD PANTRIES; FALL OF 2018, A GROWING WELL ORCHARD WAS PLANTED; COLLECTION DRIVES INCLUDING FOOD AND HYGIENE PRODUCTS HAVE BEEN ONGOING, DONATING ITEMS TO LOCAL FOOD PANTRIES AND COMMUNITY AGENCIES. BEHAVIORAL HEALTH GOAL: *INCREASE AWARENESS OF AND ACCESS TO BEHAVIORAL HEALTH (BOTH MENTAL HEALTH AND SUBSTANCE ABUSE) SERVICES FOR LIVINGSTON COUNTY RESIDENTS. INCREASED AWARENESS AND ENGAGEMENT TO DECREASE INSTANCES OF RISKY BEHAVIOR AND SUBSTANCE ABUSE TO PROTECT THE HEALTH, SAFETY, AND QUALITY OF LIFE FOR ALL IN LIVINGSTON COUNTY, ESPECIALLY CHILDREN. MEASUREMENT AND PROGRESS: (1) ADDITION OF ONE OSF ONSITE LOCATION FOR IHR COUNSELING SERVICES. -PROGRESS: ADDED PONTIAC SAINT JAMES CAMPUS LOCATION FOR CO-LOCATION OF IHR COUNSELOR. (2) INCREASED ACCESS: 10% INCREASE IN PATIENT REFERRALS FROM OSF TO BEHAVIORAL HEALTHCARE PROVIDERS. -PROGRESS: PARTICIPATION ON THE OSF PEDS COUNCIL, INCLUDING COLLABORATION WITH LIVINGSTON COUNTY CHILDREN'S NETWORK (LCCN), ON AREA GRADE SCHOOL AGE STUDENT GROWTH AND DEVELOPMENT PROGRAMS. WORK CLOSELY WITH NEW OSFMSG BEHAVIORAL HEALTH COORDINATOR FOR ADULT RESOURCES AND PLACEMENTS COUNSELORS WERE ADDED TO CHENOA AND THE REYNOLDS STREET CAMPUS LOCATIONS; PARTICIPATED IN THE OSF PEDIATRICS COUNCIL, INCLUDING COLLABORATION WITH LIVINGSTON COUNTY CHILDREN'S NETWORK (LCCN), GIVES US THE ABILITY TO ASSIST WITH LOCAL AREA GRADE SCHOOL STUDENT GROWTH AND DEVELOPMENTAL PROGRAMS. IN ADDITION, WORKED CLOSELY WITH THE NEW BEHAVIORAL HEALTH COORDINATOR FOR ADULT RESOURCES AND PLACEMENTS. (3) INCREASED AWARENESS: PARTICIPATION BY OSF MISSION PARTNERS AND OTHER COMMUNITY CAREGIVERS IN ONE TO TWO BEHAVIORAL HEALTH EDUCATION PROGRAMS ANNUALLY. -PROGRESS: HELD MENTAL HEALTH TRAINING COURSES FOR OSF AND COMMUNITY EMERGENCY MEDICAL SERVICE PROVIDERS; EDUCATION PROVIDED BY HOSPITAL EXECUTIVES ON OPIOID CRISIS AND HOW OSF IS WORKING WITH PONTIAC AND LIVINGSTON COUNTY TO INCREASE AWARENESS; EDUCATION PROVIDED TO 110 PROVIDERS ON THE SILVER CLOUD MOBILE APP AND THE SERVICES AVAILABLE TO COMMUNITY MEMBERS; DEVELOPED PROCESSES AND PROCEDURES TO REDUCE THE USE OF OPIOIDS AND ASSURE ALL PATIENTS HAVE A CURRENT MEDICATION MANAGEMENT AGREEMENT. SINCE THESE AGREEMENTS HAVE BEGUN SAINT JAMES HOSPITAL HAS SEEN A SIGNIFICANTLY LOWER OPIOID PRESCRIPTION USAGE.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - SAINT JAMES HOSPITAL. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - SAINT JAMES HOSPITAL. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - SAINT JAMES HOSPITAL. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - SAINT JAMES HOSPITAL. A PLAIN LANGUAGE SUMMARY OF THE FAP IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS, INFORMATION ABOUT FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS IS INCLUDED ON OR WITH THE OSF PATIENT BILLING STATEMENT, AND OSF PROVIDES COPIES OF THE PLAIN LANGUAGE SUMMARY AND THE FAP APPLICATION FORM TO REFERRING STAFF PHYSICIANS.
Schedule H, Part V, Section B, Line 3E The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ST FRANCIS HOSPITAL. OSF HEALTHCARE CENTER d/b/a ST FRANCIS HOSPITAL FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2016 DELTA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT LED TO THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY DESIGNED TO IMPROVE THE HEALTH OF THE AREA'S RESIDENTS BY DEVELOPING AND IMPLEMENTING INTERVENTIONS TO ADDRESS SIGNIFICANT PRIORITY HEALTH NEEDS. FOR THE 2016 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) THE HEALTH OFFICER FOR THE PUBLIC HEALTH DELTA & MENOMINEE COUNTIES. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH TO ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM THE COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2016 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES; REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS INCLUDING MENOMINEE, DELTA AND SCHOOLCRAFT COMMUNITY ACTION AGENCY AND HUMAN RESOURCES AUTHORITY, EXECUTIVE DIRECTOR OF THE TRI-COUNTY SAFE HARBOR, INC. SERVING VICTIMS OF DOMESTIC VIOLENCE, EXECUTIVE DIRECTOR OF UNITED WAY DELTA COUNTY, COMMUNITY PLANNER FOR CENTRAL UPPER PENINSULA PLANNING AND DEVELOPMENT REGIONAL COMMISSION, TWO REPRESENTATIVES FROM YMCA DELTA CENTER, AND THE EXECUTIVE DIRECTOR OF CATHOLIC SOCIAL SERVICES OF THE UPPER PENINSULA; AS WELL AS HEALTH CARE EDUCATORS AND PROVIDERS INCLUDING THE FACILITY'S LEAD SOCIAL WORKER/CASE MANAGER, CHIEF NURSING OFFICER, A REGISTERED DIETICIAN/CERTIFIED DIABETIC EDUCATOR AND ITS PATIENT SAFETY OFFICER/RISK MANAGER, A PHYSICIAN BOARD CERTIFIED IN FAMILY MEDICINE, A HEALTH OCCUPATION INSTRUCTOR IN THE DELTA-SCHOOLCRAFT INTERMEDIATE SCHOOL DISTRICT, AND A NURSING HOME ADMINISTRATOR. MEMBERS OF THE COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2016 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ST FRANCIS HOSPITAL. ST. FRANCIS HOSPITAL COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2016 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE COLLABORATIVE TEAM CONDUCTING THE CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: HEALTHY BEHAVIOR DEFINED AS ACTIVE LIVING, HEALTHY EATING AND THEIR IMPACT ON OBESITY, AND BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE COLLABORATIVE TEAM DEVELOPED AN IMPLEMENTATION STRATEGY THAT DESCRIBES THE ACTIONS ST. FRANCIS HOSPITAL INTENDS TO TAKE TO ADDRESS THE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. HEALTHY BEHAVIORS GOAL: *ENCOURAGE HEALTHY BEHAVIORS AMONG THE CITIZENS OF DELTA COUNTY TO MANAGE AND PREVENT THE ONSET OF OBESITY WITH A GOAL OF REDUCING OBESITY AMONG CHILDREN AGES 10-17 AND ADULTS. MEASUREMENT AND PROGRESS: (1)TRACK NUMBER OF SCHOOLS WHO PARTICIPATE IN "FUEL UP" PROGRAMS. -PROGRESS: PROGRAM HAS FIVE SCHOOLS PARTICIPATING IN FUEL UP. THIS PROGRAM OFFERS HEALTHY BEHAVIORS TO DELTA COUNTY CHILDREN. (2)TRACK NUTRITIONAL COUNSELING SESSIONS. -PROGRESS: PROVIDED OVER 350 PATIENTS WITH NUTRITIONAL CONSULTS (3) TRACK NUMBER OF NUTRITIONAL CLASSES. -PROGRESS: HOSTED OVER 22 SESSIONS PER YEAR OF AN INTENSE DIABETES, PREVENTION PROGRAM SERVING THREE PARTICIPANTS PER SESSION (4) TRACK SPONSORSHIP OF COMMUNITY ACTIVITIES THAT SUPPORT ACTIVE LIFESTYLES. -PROGRESS: PARTICIPATED IN OVER 20 HEALTH FAIRS ANNUALLY. THESE INCLUDED GLUCOSE, CHOLESTEROL AND BLOOD PRESSURE SCREENINGS; PROVIDED PHYSICIAN SPEAKERS FOR THREE YMCA, ASK AN EXPERT SERIES. PROVIDED ADMINISTRATIVE AND MATERIAL SUPPORT TO FIRST AID STATIONS AT THE UPPER PENINSULA STATE FAIR AND SYMETRA PROFESSIONAL GOLF TOURNAMENTS; IN ADDITION, SPONSORED 17 YEARLY ACTIVITIES INCLUDING: DELTA COUNTY SUICIDE PREVENTION TASK FORCE - END THE SILENCE WALK/RUN TO NAME A FEW BEHAVIORAL HEALTH GOAL: *IMPROVE ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES IN DELTA COUNTY MEASUREMENT AND PROGRESS: (1) TRACK FUNDS PROVIDED TO PATHWAYS/CSS TO MAINTAIN MENTAL HEALTH SERVICES. -PROGRESS: PROVIDED $3000 PER MONTH (2)COMPLETE BUSINESS CASE FOR PROVISION OF MENTAL HEALTH SERVICES WITHIN THE OSF MULTISPECIALTY GROUP IN DELTA COUNTY. -PROGRESS: MENTAL HEALTH SERVICES WITHIN THE MULTI-SPECIALTY GROUP ACHIEVED WITH SUPPORT OF THE OSF PHYSICIAN ENTERPRISE SERVICES. HIRED AN APP WHO IS DUAL BOARD CERTIFIED IN FAMILY MEDICINE AND PSYCHIATRY. HIRED AN LMSW WHO IS NOW EMBEDDED IN THE PRIMARY CARE PRACTICES THAT WILL PROVIDE BRIEF THERAPEUTIC INTERVENTIONS. THIS LMSW PROVIDES DIAGNOSIS AND TREATMENT FOR BEHAVIORAL HEALTH CONDITIONS AND WORKS WITH PATIENTS ON BEHAVIORAL CHANGE SUCH AS SMOKING CESSATION, WEIGHT LOSS, ETC (3)ESTABLISH SUBSTANCE AGREEMENTS WITH PATIENTS IDENTIFIED AS CHRONIC OPIOID USERS WHO HAVE OBTAINED PRESCRIPTIONS FROM MULTIPLE PROVIDERS (3 OR MORE PROVIDERS) IN ONE YEAR. - -PROGRESS: ESTABLISHED A SUBSTANCE AGREEMENT WITH PATIENTS WHO IDENTIFIED AS CHRONIC OPIOID USERS (SEE ABOVE). COMPLETED OVER 1600 SUBSTANCE AGREEMENTS. IN ADDITION, RECENT CHANGES IN MICHIGAN PRESCRIBING LAWS WILL ASSIST IN EFFORT TO REDUCE OPIOID USE DISORDERS (4) PARTNER WITH LOCAL PUBLIC SAFETY DEPARTMENT TO PLAN SEMI-ANNUAL OPIOID RECOVERY AND MEDICATION TAKE BACK EVENTS. -PROGRESS: PARTICIPATED IN TWO STATEWIDE DRUG RECOVERY PROGRAMS THROUGH MICHIGAN OPEN. (5) CONTINUE ACTIVE PARTICIPATION IN DRUG ABUSE PREVENTION TASK FORCE. -PROGRESS: ACTIVE PARTICIPATION IN DRUG ABUSE PREVENTION TASK FORCE KEPT ANNUALLY, WITH SAVE COUNCIL AND COMMUNITIES THAT CARE COUNCIL. (6) TRACK NUMBER OF "LIFE RIDES" PROVIDED ON NEW YEAR'S EVE. -PROGRESS: THE PROGRAM OFFERS A RIDE TO DELTA COUNTY RESIDENTS ON NEW YEAR'S EVE. THESE "LIFERIDES" PROVIDED ANNUALLY HAVE HELPED OVER 1500 COMMUNITY MEMBERS STAY SAFE IN THE past three years.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - ST FRANCIS HOSPITAL. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - ST FRANCIS HOSPITAL. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - ST FRANCIS HOSPITAL. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - ST FRANCIS HOSPITAL. A PLAIN LANGUAGE SUMMERY 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.
Schedule H, Part V, Section B, Line 3E The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - OSF SAINT LUKE MEDICAL CENTER. OSF HEALTHCARE CENTER d/b/a SAINT LUKE MEDICAL CENTER ("SLMC") FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2016 HENRY COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT LED TO THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY DESIGNED TO IMPROVE THE HEALTH OF THE AREA'S RESIDENTS BY DEVELOPING AND IMPLEMENTING INTERVENTIONS TO ADDRESS SIGNIFICANT PRIORITY HEALTH NEEDS. FOR THE 2016 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) ADMINISTRATOR OF THE HENRY AND STARK COUNTY HEALTH DEPARTMENTS. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM THE COLLABORATIVE TEAM CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2016 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES; REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS INCLUDING THE EXECUTIVE DIRECTOR OF THE YMCA OF KEWANEE, VP OF BEHAVIORAL HEALTH SERVICES FOR BRIDGEWAY, INC., AND DIRECTORS SITTING ON THE FOLLOWING BOARDS: KEWANEE SCHOOLS FOUNDATION, KEWANEE KIWANIS CLUB, CHAIR OF THE ABILITIES PLUS PREVENTION INITIATIVE ADVISORY BOARD, HOUSING AUTHORITY OF HENRY COUNTY, AND THE KEWANEE ECONOMIC DEVELOPMENT CORPORATION; HEALTH CARE EDUCATORS AND PROVIDERS INCLUDING THE FACILITY'S DIRECTOR OF REHABILITATION SERVICES AND VP-CHIEF NURSING OFFICER, A COMMUNITY AND ECONOMIC DEVELOPMENT EDUCATOR FOR THE UNIVERSITY OF IL EXTENSION, AND A LICENSED CLINICAL PROFESSIONAL COUNSELOR AND NATIONALLY CERTIFIED MENTAL HEALTH FIRST AID USA INSTRUCTOR; SUPERINTENDENT OF THE KEWANEE COMMUNITY UNIT SCHOOL DISTRICT 229, AND A RETIRED EDUCATOR WITH 34 YEARS EXPERIENCE AS A TEACHER, COACH AND PRINCIPAL. MEMBERS OF THE COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2016 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - OSF SAINT LUKE MEDICAL CENTER. SLMC COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2016 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE COLLABORATIVE TEAM CONDUCTING THE CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: HEALTHY BEHAVIORS DEFINED AS ACTIVE LIVING AND HEALTHY EATING AND THEIR IMPACT ON OBESITY, AND BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE COLLABORATIVE TEAM DEVELOPED AN IMPLEMENTATION STRATEGY THAT DESCRIBES THE ACTIONS SLMC INTENDS TO TAKE TO ADDRESS THE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. HEALTHY BEHAVIORS AND OBESITY GOALS: IMPROVE LIFELONG HEALTHY EATING AND PHYSICAL ACTIVITY IN YOUTH; INCREASE THE PERCEPTION THAT OVERWEIGHT AND OBESITY ARE SIGNIFICANT PUBLIC HEALTH RISKS; AND INCREASE THE NUMBER OF YOUTH RECEIVING FLU SHOTS. MEASUREMENT AND PROGRESS: (1)TRACK NUMBER OF IMMUNIZATIONS GIVEN AT LOCAL SCHOOLS. -PROGRESS: A TEAM OF CAREGIVERS ATTENDED THE LOCAL SCHOOL ENROLLMENTS TO EDUCATE AND OBTAIN AUTHORIZATIONS FOR FLU IMMUNIZATIONS; ADMINISTERED OVER 3,000 FREE FLU IMMUNIZATIONS TO SCHOOL AGED-CHILDREN AND THEIR TEACHERS. (2) MEASURE AND TRACK THE IMPACT ON SCHOOL ABSENCES DUE TO THE IMMUNIZATIONS. -PROGRESS: ADMINISTERED FREE FLU IMMUNIZATIONS TO SCHOOL AGED CHILDREN AND THEIR TEACHERS, CURRENTLY EVALUATING RESULTS TO IMPROVE PROGRAM. (3) TRACK NUMBER OF PARTICIPANTS IN THE WELLNESS EDGE FOR KIDS. -PROGRESS: A TEAM OF HEALTHCARE PROVIDERS SPENT TIME AT THE HOUSING AUTHORITY FOR THE WELLNESS EDGE SUMMER PROGRAM PROVIDING EDUCATION ON HEATHY BEHAVIORS. APPROXIMATELY 150 HIGH RISK YOUTH PARTICIPANTS IN ALL YEARS (4) TRACK NUMBER OF EDUCATIONAL AND LOCAL SPONSORSHIPS SUPPORTING PHYSICAL ACTIVITY AND HEALTHY EATING. -PROGRESS: ATHLETIC TRAINING SERVICES WERE PROVIDED FOR SCHOOL ACTIVITIES TO GIVE EDUCATION AND ENSURE SAFETY OF STUDENT ATHLETES; HOSTED A 5K RUN/WALK WITH APPROXIMATELY 370 PARTICIPANTS; HOSTED A COMMUNITY EVENT CALLED "MUMS THE WORD" WITH A CARE PROVIDER SHARING PREVENTATIVE CARE EDUCATIONAL MATERIAL. EDUCATED 100 COMMUNITY PARTICIPANTS; SAINT LUKE MEDICAL CENTER CHAIRED THE PREVENTATIVE INITIATIVE ADVISORY GROUP MADE UP OF A COMMUNITY COLLABORATIVE. SEVERAL AT-RISK CHILDREN FROM AREA FAMILIES PARTICIPATED IN THE PROGRAM; PROVIDED PARKINSON'S DISEASE EDUCATION, WEEKLY SUPPORT GROUP AND EXERCISE, AND CHAIRED THE PREVENTATIVE INITIATIVE ADVISORY MADE UP OF A COMMUNITY COLLABORATIVE. (5) OFFER COMMUNITY LUNCH AND LEARNS AT LEAST TWICE A YEAR. -PROGRESS: HOSTED MULTIPLE LUNCH & LEARN COMMUNITY EVENTS SUCH AS "LOVE YOUR HEART". (6) PROVIDE NUTRITION AND CONCUSSION EDUCATION FOR STUDENT ATHLETES AT LEAST ONCE PER YEAR. -PROGRESS: CONCUSSION MANAGEMENT SEMINAR 20 COMMUNITY COACHES, SCHOOL NURSES & ADMINISTRATORS, HEALTHCARE PROVIDERS AND PARENTS; REACHING A BROADER GROUP OF YOUTH PARTICIPATING IN COMMUNITY ACTIVITIES. BEHAVIORAL HEALTH GOALS: *STRIVE TO ASSURE THAT PATIENTS RECEIVE SERVICES THAT ARE INDIVIDUALIZED, SAFE AND REHABILITATIVE IN NATURE; TO PROVIDE SUPPORT TO AND ENHANCE COMMUNITY ALCOHOL, TOBACCO AND OTHER DRUG ABUSE PREVENTION EFFORTS, THEREBY ENHANCING OVERALL HEALTH OF THE COMMUNITY; ASSIST FAMILIES IN GAINING ACCESS TO COMMUNITY RESOURCES. MEASUREMENT AND PROGRESS: (1) TRACK COUNSELOR VISITS IN OSF MEDICAL GROUP-KEWANEE PROVIDING EARLY INTERVENTION DEPRESSION SCREENING AND SUPPORT. -PROGRESS: RECRUITMENT OF BEHAVIORAL HEALTH COUNSELOR; ADDITION OF PSYCHIATRY E-CONSULTS FOR AMBULATORY PRIMARY CARE PROVIDERS; ADDED CLASSES ON MANAGEMENT OF AGGRESSIVE BEHAVIOR EDUCATION FOR MISSION PARTNERS IN HIGH RISK AREAS (2) PROVIDE 24 HOUR SITTER COVERAGE. -PROGRESS: PROVIDED SITTER COVERAGE AND DESIGNATED SPECIFIC FULL TIME EMPLOYEES TO ENSURE THE SAFETY OF AT RISK PATIENTS. (3) INCREASE COMMUNITY ENGAGEMENT (ATTENDANCE) AT MONTHLY SURVIVORS OF SUICIDE SUPPORT GROUP MEETINGS. -PROGRESS: ACTIVE MEMBERS OF THE HENRY COUNTY MENTAL HEALTH ALLIANCE, WITH THE CHAIRPERSON BEING AN OSF SLMC MISSION PARTNER; PROVIDED MEETING ROOM FOR THE MONTHLY SURVIVORS OF SUICIDE LOSS SUPPORT GROUP; COLLABORATIED WITH THE HENRY CO MENTAL HEALTH ALLIANCE FOR PLANNING A COMMUNITY EDUCATION DAY; SPONSORED THE 2017 HENRY COUNTY MENTAL HEALTH ALLIANCE MENTAL HEALTH WALK, APPROXIMATELY 350 COMMUNITY MEMBERS. ATTENDED AND SUPPORTED THE 2018 MENTAL HEALTH CONFERENCE ORGANIZED BY HENRY COUNTY; SPONSORED THE 2018 HENRY COUNTY MENTAL HEALTH ALLIANCE MENTAL HEALTH WALK - APPROXIMATELY 300 COMMUNITY MEMBERS ATTENDED. (4) REDUCE BEHAVIORAL HEALTH RELATED EMERGENCY DEPARTMENT VISITS IMPACTED BY PREVENTIVE CARE AND EDUCATIONAL RESOURCES. -PROGRESS: HOSTED "SUICIDE TALK WORKSHOP VIA PARTNERSHIP WITH THE HENRY COUNTY MENTAL HEALTH ALLIANCE, 40 COMMUNITY MEMBERS IN ATTENDANCE; SUPPORT COMMUNITY PARKINSON'S DISEASE AWARENESS WALK AND SUPPORT GROUP (5) PROVIDE BEHAVIORAL HEALTH AND/OR SUBSTANCE ABUSE EDUCATION AT LEAST ONCE PER YEAR FOR MISSION PARTNERS AND MEDICAL GROUP PROVIDERS. -PROGRESS: DEVELOPMENT OF A DRUG TAKE BACK PROGRAM; DRUG AND ALCOHOL TASK FORCE COMMUNITY COLLABORATIVE. PARTICIPATED IN A HOSPITAL-WIDE SKILLS LAB, WITH THE BEHAVIORAL HEALTH NAVIGATOR PROVIDING INFORMATION ON SUICIDE PREVENTION AND AWARENESS.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - OSF SAINT LUKE MEDICAL CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - OSF SAINT LUKE MEDICAL CENTER. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - OSF SAINT LUKE MEDICAL CENTER. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - OSF SAINT LUKE MEDICAL CENTER. 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.
Schedule H, Part V, Section B, Line 3E The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - OSF HOLY FAMILY MEDICAL CENTER. OSF HEALTHCARE CENTER d/b/a HOLY FAMILY MEDICAL CENTER ("HFMC") FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2016 WARREN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT LED TO THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY DESIGNED TO IMPROVE THE HEALTH OF THE AREA'S RESIDENTS BY DEVELOPING AND IMPLEMENTING INTERVENTIONS TO ADDRESS SIGNIFICANT PRIORITY HEALTH NEEDS. FOR THE 2016 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) DIRECTOR AT THE HENDERSON COUNTY HEALTH DEPARTMENT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE 2013 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WERE RECEIVED FROM THE COLLABORATIVE TEAM CREATED TO ENGAGE THE COMMUNITY IN CONDUCTING THE 2016 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES; THE FACILITY'S COORDINATOR OF DIABETES SERVICES AND DIABETIC EDUCATOR WHO IS A CERTIFIED EXERCISE SPECIALIST IN CARDIAC PULMONARY REHAB AND CERTIFIED DIABETIC EDUCATOR, AND ITS PRESIDENT WHO IS A MEMBER OF THE AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES AND THE IL CRITICAL ACCESS HOSPITAL NETWORK; AN IEPA CERTIFIED WATER OPERATOR, AND AN MS RN WHO HAS SERVED AS CHIEF NURSING OFFICER AT TWO CRITICAL ACCESS HOSPITALS. MEMBERS OF THE COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2016 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - OSF HOLY FAMILY MEDICAL CENTER. HFMC COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2016 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(r)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2016. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2017, 2018 AND 2019. THE COLLABORATIVE TEAM CONDUCTING THE CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: HEALTHY BEHAVIORS DEFINED AS ACTIVE LIVING AND HEALTHY EATING, USE OF EMERGENCY DEPARTMENT AS A PRIMARY SOURCE OF MEDICAL CARE, AND HEART DISEASE. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE COLLABORATIVE TEAM DEVELOPED AN IMPLEMENTATION STRATEGY THAT DESCRIBES THE ACTIONS HFMC INTENDS TO TAKE TO ADDRESS THE PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER HOSPITALS OR ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITAL REVIEWS ITS IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKES REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITAL HAS ADDRESSED THESE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. HEALTHY BEHAVIORS GOAL: *PROVIDE EDUCATIONAL OPPORTUNITIES WITHIN THE COMMUNITY TO INSTILL THE IMPORTANCE OF HEALTH AND WELLNESS. MEASUREMENT AND PROGRESS: (1) PROVIDE HEALTHY WEIGHT, HEALTHY YOU. -PROGRESS: DEVELOPED PHASE II OF HEALTHY WEIGHT, HEALTHY YOU AND OFFERED 20 CLASSES THROUGHOUT EACH YEAR. (2) OFFER HEALTH AND WELLNESS EDUCATION AT MONMOUTH COLLEGE. -PROGRESS: PARTICIPATED IN 2 HEALTH FAIRS WITHIN THE COUNTY. (3) PARTICIPATE IN TWO AREA HEALTH FAIRS IN 2017 & 2018. -PROGRESS: ANNUALLY JOINED AT LEAST TWO HEALTH FAIRS WITHIN THE COMMUNITY. (4) OFFER KIDS' SAFETY DAY. -PROGRESS: OFFERED KIDS' SAFETY DAY TO OVER 250 PARTICIAPATES ANNUALLY. (5) OFFER A1C SCREENINGS AT 4 LOCAL EVENTS. -PROGRESS: INCREASED PARTICPATION BY ADDING SCREENINGS AT HEALTH FAIRS. (6) DEVELOP AND IMPLEMENT HEALTHY WEIGHT...HEALTHY PROGRAMS. -PROGRESS: OFFERED LUNCH AND LEARNS ON VARIOUS TOPICS TO THE COMMUNITY 4 TIMES ANNUALLY. (7) OFFER TWO PODIATRY SCREENINGS. -PROGRESS: OFFERED TWO PODIATRY SCREENINGS ANNUALLY. (8) OFFER TWO DERMATOLOGY SCREENINGS. -PROGRESS: OFFERED TWO DERMATOLOGY SCREENINGS ANNUALLY. (9) PROVIDE EDUCATION IN AREA SCHOOLS FOUR TIMES IN THE FISCAL YEAR. -PROGRESS: PRESENTATIONS ON HAND HYGIENE WERE OFFERED AT SEVERAL AREA SCHOOLS FOR YOUNG CHILDREN. (10) PROVIDE A MEN'S HEALTH EVENT; PROVIDE A WOMEN'S HEALTH EVENT. -PROGRESS: PROVIDED A MEN'S HEALTH EVENT THAT INCLUDED BLOOD SCREENINGS. PROVIDED WOMEN'S HEALTH EVENT INCLUDING A HEART HEALTHY TALK BY AN OSF CARDIOLOGIST IN 2017 & 2018. USE OF THE EMERGENCY DEPARTMENT AS A PRIMARY SOURCE OF MEDICAL CARE GOAL: *PROVIDE CARE TO PATIENTS IN THE APPROPRIATE LOCATION, DECREASE NON- EMERGENT CARE IN THE EMERGENCY DEPARTMENT. MEASUREMENT AND PROGRESS: (1)MONMOUTH COLLEGE EDUCATION ON OSF ON-CALL, OFFER 2 PROGRAMS PER YEAR. -PROGRESS: OFFERED EDUCATION AT MONMOUTH COLLEGE ON OSF ON-CALL DURING FRESHMAN ORIENTATION AND FAMILY WEEKEND IN 2017 & 2018. (2) WORK GROUP IN THE EMERGENCY DEPARTMENT WILL IDENTIFY THE TOP 20 ED USERS IN FY16 AND DROP THEIR ED USAGE BY 10%. -PROGRESS: ASSEMBLED AN EMERGENCY DEPARTMENT UTILIZATION TEAM. IDENTIFIED "TOP 25 USERS" AND WORKED WITH CASE MANAGEMENT TO DECREASE THE UTILIZATION OF THOSE PATIENTS RESULTING IN A DECREASE OF 58% IN THE NUMBER OF VISITS FOR THOSE 25 PATIENTS. (3) EDUCATION THROUGH THE WARREN COUNTY HOUSING AUTHORITY WILL BE OFFERED AT LEAST ONCE ANNUALLY. -PROGRESS: EDUCATED RESIDENTS OF THE WARREN COUNTY HOUSING AUTHORITY ON THE PROPER LEVEL OF CARE TO SEEK FOR COMMON AILMENTS. (4) COMPLEX CASE MANAGEMENT WILL CONTACT 50 WARREN COUNTY RESIDENTS ANNUALLY. -PROGRESS: COMPLEX CASE MANAGEMENT CONTACTED 50 OR MORE WARREN COUNTY RESIDENTS ANNUALLY. (5) DISTRIBUTE 1500 CARDS IN THE COMMUNITY DESCRIBING THE PROPER CARE TO SEEK FOR COMMON HEALTH ISSUES. -PROGRESS: SENT OUT APPROXIMATELY 1500 CARDS REGARDING THE PROPER POINT OF CARE TO COMMUNITY MEMBERS ANUALLY HEART DISEASE GOAL: *CREATE AN AWARENESS OF CARDIAC RELATED HEALTH ISSUES WITHIN THE COMMUNITY. MEASUREMENT AND PROGRESS: (1)PROVIDE BLOOD PRESSURE SCREENINGS TO THE COMMUNITY. -PROGRESS: OFFERED AT LEAST THREE BLOOD PRESSURE SCREENINGS TO THE COMMUNITY ANNUALLY. (2) OFFER 2 PULSE OX AND HEART RATE SCREENINGS. -PROGRESS: OFFERED TWO PULSE OX AND HEART RATE SCREENINGS TO COMMUNITY ANNUALLY. (3) OFFER A "BREATHING EASY" PRESENTATION TO THE COMMUNITY. -PROGRESS: THE DIRECTOR OF RESPIRATORY THERAPY CONDUCTED A BREATHING AND RESPIRATION PRESENTATION DURING THE LUNCH AND LEARNS. (4) OFFER CARDIOLOGIST-LED EDUCATION TO THE COMMUNITY TWICE WITHIN THE FISCAL YEAR. -PROGRESS: OFFERED CARDIOLOGIST EDUCATION TO THE COMMUNITY TWO TIMES ANNUALLY, ONE DURING THE WOMEN'S HEALTH EVENT, WHICH ALSO FOCUSED ON WOMEN'S HEART HEALTH. (6) DEVELOPED AND PROMOTED HEART HEALTHY COOKING PROGRAM. -PROGRESS: DEVELOPED A HEART HEALTHY COOKING PROGRAM ATTENDED BY SIX MEMBERS OF THE COMMUNITY IN 2017 & 2018.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - OSF HOLY FAMILY MEDICAL CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENEROUS ASSISTANCE.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - OSF HOLY FAMILY MEDICAL CENTER. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - OSF HOLY FAMILY MEDICAL CENTER. THE FINANCIAL ASSISTANCE POLICY DIRECTS PATIENTS TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - OSF HOLY FAMILY MEDICAL CENTER. 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.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
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?51
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 & Occupational Health - Dwight
105 JOHN STREET
DWIGHT,IL60420
PHYSICAL THERAPY
4 OSF CENTER FOR REHABILITATION & Occupational Health - Fairbury
106 SOUTH FIRST STREET
FAIRBURY,IL61739
PHYSICAL THERAPY; OCCUPATIONAL THERAPY
5 OSF CENTER FOR REHABILITATION & Occupational Health - Pontiac
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 GROUP - Powers Clinic (RHC)
N 15995 MAIN ST
POWERS,MI49870
DIAGNOSTIC RADIOLOGY
8 OSF ST FRANCIS HOSPITAL MEDICAL GROUP - Escanaba (RHC)
3409 LUDINGTON ST
ESCANABA,MI49829
DIAGNOSTIC RADIOLOGY
9 OSF ST FRANCIS HOSPITAL MEDICAL GROUP - Gladstone (RHC)
128 MICHIGAN
GLADSTONE,MI49837
DIAGNOSTIC RADIOLOGY
10 ST FRANCIS HOSPITAL - REHAB SERVICES
704 SUPERIOR AVE
GLADSTONE,MI49837
PHYSICAL THERAPY; OCCUPATIONAL THERAPY; SPEECH THERAPY
11 OSF SAINT CLARE'S HOSPITAL
915 EAST FIFTH STREET
ALTON,IL62002
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 MEDICAL CENTER - BELVIDERE
1954 GATEWAY CENTER DR
BELVIDERE,IL61008
LABORATORY SERVICES
15 OSF SAINT ANTHONY MEDICAL CENTER - BELVIDERE REHAB
1916 GATEWAY CENTER DR
BELVIDERE,IL61008
PHYSICAL THERAPY; OCCUPATIONAL THERAPY
16 OSF CENTER FOR HEALTH AT ROCK CUT CROSSING
9951 ROCK CUT CROSSING
LOVES PARK,IL61111
LABORATORY SERVICES
17 ROCKFORD CARDIOVASCULAR ASSOCIATES
444 ROXBURY ROAD
ROCKFORD,IL61107
CARDIAC REHAB
18 OSF Center for Health Glen Park
5114 GLEN PARK PLACE
PEORIA,IL61614
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 Rehabilitation at Five Points
360 N WILMORE ROAD
WASHINGTON,IL61571
PEDIATRIC AND ADULT PHYSICAL THERAPY, AQUATIC THERAPY, OCCUPATIONAL THERAPY
21 OSF Wellness Services at the 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
23 OSF OUTPATIENT CENTER FOR INDUSTRIAL REH
520 HIGHPOINT LANE
EAST PEORIA,IL61611
PHYSICAL THERAPY, OCCUPATIONAL THERAPY
24 OSF Rehabilitation - Glen Park
5009 GLEN PARK PLACE
PEORIA,IL61614
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 Radiation Oncology at Pekin Cancer Center
603 THIRTEENTH STREET
PEKIN,IL61554
Radiation Oncology
27 OSF WOMEN'S HEALTH CENTER
7800 N SOMMER SUITE 508
PEORIA,IL61615
PHYSICAL THERAPY, BREAST FEEDING RESOURCE CENTER
28 OSF Saint Francis Medical Center - Radiation Oncology
8948 N WOOD SAGE ROAD
PEORIA,IL61615
Radiation Oncology
29 OSF SAINT ANTHONY MEDICAL CENTER - PARKVIEW
1502 PARKVIEW AVE
ROCKFORD,IL61107
PHYSICAL THERAPY; OCCUPATIONAL THERAPY
30 OSF SAINT ANTHONY MEDICAL CENTER - Center For Health on State
5666 E STATE STREET
ROCKFORD,IL61108
PHYSICAL THERAPY; OCCUPATIONAL THERAPY
31 OSF ST JOSEPH MEDICAL CENTER SLEEP LAB
2200 E WASHINGTON ST
BLOOMINGTON,IL61701
POLYSYMNOGRAPHY; NEUROLOGY
32 OSF Saint Elizabeth Medical Center Sleep Center
1601 Mercury Circle Suite 200
Ottawa,IL61350
POLYSYMNOGRAPHY
33 Ottawa Medical Center Radiology Services
1614 East Norris Drive
Ottawa,IL61350
Diagnostic Radiology
34 OSF Healthcare Ottawa South
1640 First Avenue
Ottawa,IL61350
Occupational Health
35 OSF Center for Health - Streator
111 Spring Street
Streator,IL61364
Emergency
36 OSF Rehabilitation - Bartonville
1119 W Garfield
Bartonville,IL61607
Physical Therapy
37 OSF Rehabilitation - Chillicothe
120 N 4th St
Chillicothe,IL61523
Physical Therapy
38 OSF Rehabilitation - Metamora
709 W Mt Vernon
Metamora,IL61548
Physical Therapy
39 OSF Senior World - Morton
730 W Jefferson St Suite 200
Morton,IL61550
Adult Day Services, Geriatric Services
40 OSF Center for Health - Pekin
3422A Court St
Pekin,IL61554
Diagnostic Radiology, Ultrasound, Laboratory Services/EKG
41 OSF Saint Francis Lab Services at Heartland at Broadway - Pekin
2709 Broadway Street
Pekin,IL61554
Laboratory Draw Station
42 OSF Healthcare Cardiovascular Institute - Pekin
610 Park Avenue
Pekin,IL61554
Nuclear and Treadmill Stress Test, Echocardiograms, Vascular Ultrasound
43 OSF Rehabilitation - Pekin
2359 Broadway St
Pekin,IL61554
Adult Physical Therapy; Pediatric Occupational Therapy; Speech Therapy
44 OSF Center for Health - Route 91
8600-8800 Rt 91
North Peoria,IL61615
CT, Diagnostic Radiology, Lab, EKG, MRI, Pain Clinic, Mammography, PT OT, Hyperbaric Services, EKG
45 OSF HealthCare Cardiovascular Institute
5405 N Knoxville Ave
PEORIA,IL61614
Echocardiograms, Nuclear and Treadmill Stress Test, Vascular Ultrasound, Infusion Clinic, Sleep Lab
46 OSF Saint Francis Outpatient Services at Illinois Medical Center Building
1001 Main St
PEORIA,IL61603
Pulmonary Rehab, Cancer Services, Physical Therapy
47 Women's Health Center
7800 N Sommer Suite 508
PEORIA,IL61615
Breastfeeding Resource Center, Family Planning, Pelvic Floor Physical Therapy
48 OSF Rehabilitation-Gwynn and OSF Saint Francis Outpatient Diagnostics at OS
F HealthCare Orthopedics
303 N William Kumpf Blvd
PEORIA,IL61605
MRI, Physical Therapy, Occupational Therapy
49 OSF Rehabilitation - Kumpf
719 N William Kumpf Blvd Suite 200
PEORIA,IL61605
Physical Therapy
50 OSF Rehabilitation - Sheridan
6501 N Sheridan Rd
PEORIA,IL61614
Physical Therapy; Occupational Therapy; Speech Therapy, Industrial Rehab
51 OSF Senior World - Peoria
719 N William Kumpf Blvd Suite 300
PEORIA,IL61605
Adult Day Services, Geriatric Services
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 10
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
Schedule H, Part I, Line 3c FACTORS OTHER THEN FPG -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 PATIENT'S 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 DISCOUNT AVAILABLE UNDER ANY OF THE OSF PROGRAMS. NO ASSET TESTS ARE USED. -EXCEPT AS OTHERWISE NOTED, THESE POLICIES APPLY BOTH TO UNINSURED PATIENTS AND TO INSURED PATIENTS WITH RESPECT TO THE PATIENT RESPONSIBILITY AMOUNT.
Schedule H, Part VI, Line 4 COMMUNITY INFORMATION OSF SAINT ANTHONY'S HEALTH CENTER ("SAINT ANTHONY'S - ALTON") IS LOCATED IN ALTON, ILLINOIS. THE HEALTH CENTER PROVIDES GENERAL HEALTH SERVICES TO RESIDENTS WITHIN ITS GEOGRAPHIC COMMUNITY, INCLUDING ACUTE INPATIENT SERVICES AND AMBULATORY SERVICES SUCH AS CANCER CARE, SURGICAL SERVICES, CARDIAC CARE AND REHABILITATION. SAINT ANTHONY'S - ALTON IS A DUAL CAMPUS (INCLUDING OSF SAINT CLARE HOSPITAL), SINGLE LICENSE, 140-LICENSED ACUTE CARE BED AND 30 BED SKILLED NURSING CARE HOSPITAL. SAINT ANTHONY'S - 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 COMMENCED OWNERSHIP AND OPERATIONS OF SAINT ANTHONY'S - ALTON ON NOVEMBER 1, 2014. AS NOTED IN THE CHNA, OSF SAINT ANTHONY'S 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%. OSF HEART OF MARY MEDICAL CENTER IS A 206-BED COMPREHENSIVE HEALTH CARE FACILITY SERVING CHAMPAIGN-URBANA, ILLINOIS. ITS ROOTS DATE BACK TO 1919 WHEN IT WAS FOUNDED BY THE SERVANTS OF THE HOLY HEART OF MARY. THE STAFF OF NEARLY 700 PROVIDES STATE-OF-THE-ART THERAPEUTIC, DIAGNOSTIC, MEDICAL, SURGICAL, AND SUPPORT SERVICES. OSF HEART OF MARY HAS BEEN RECOGNIZED FOR ITS TREATMENT OF HEART FAILURE, STROKE, PERINATAL CARE AND TOTAL KNEE AND HIP PLACEMENT, IN ADDITION TO BEING HOME TO THE AREA'S ONLY ADULT BEHAVIORAL HEALTH UNIT IN A HOSPITAL SETTING. ITS DESIGN INCORPORATES A HOLISTIC APPROACH TO CARE, MUCH LIKE ITS BLESSED BEGINNINGS BIRTHING CENTER THAT INCLUDES HOME-LIKE BIRTHING SUITS. AS NOTED IN THE CHNA, THE CENSUS BUREAU ESTIMATED THE POPULATION TO BE 208,419 RESIDENTS, A 3.6% INCREASE SINCE 2010. CLOSE TO 20% OF CHAMPAIGN COUNTY RESIDENTS LIVE IN POVERTY, AND 54% OF CHILDREN ATTENDING PUBLIC SCHOOLS WERE ELIGIBLE FOR FREE OR REDUCED PRICE LUNCHES. VIOLENT CRIME IN CHAMPAIGN COUNTY IS MUCH HIGHER THAN THE STATE AND NATIONAL AVERAGES. THE LEADING CAUSE OF DEATH IN CHAMPAIGN COUNTY IS CANCER, WITH A RATE OF 129.8 PER 100,000 POPULATIONS. OSF SACRED HEART MEDICAL CENTER IS A 174-BED COMPREHENSIVE HEALTH CARE FACILITY SERVING DANVILLE, ILLINOIS. IT WAS ESTABLISHED IN 1882 BY THE FRANCISCAN SISTERS OF THE SACRED HEART. THE STAFF OF NEARLY 500 PROVIDES STATE-OF-THE ART THERAPEUTIC, DIAGNOSTIC, MEDICAL, SURGICAL, AND SUPPORT SERVICE TO PATIENTS AND THEIR FAMILIES. PERFORMANCE ON NATIONAL PATIENT SAFETY GOALS, AND JOINT COMMISSION CORE MEASURES ARE CONSISTENTLY EXAMINED, WITH DATA REPORTED PUBLICLY. KEY SERVICES INCLUDE A 24-HOUR PHYSICIAN-STAFFED EMERGENCY DEPARTMENT, THE ONLY FULL-SERVICE CANCER CENTER IN VERMILION COUNTY, CARDIOVASCULAR TESTING, DIAGNOSTICS, TREATMENT, AND REHABILITATION, BIRTHING CENTER, SLEEP CENTER, PRIMARY STROKE CENTER, AND MORE. AS NOTED IN THE CHNA, VERMILION COUNTY'S POPULATION CONTINUES TO DROP. THERE WAS A 5.5% DECREASE IN TOTAL POPULATION FROM 2000-2015. VERMILION COUNTY HAS A HIGHER PERCENTAGE OF PERSONS WITH DISABILITIES THAN ILLINOIS AND THE UNITED STATES. ACCORDING TO THE 2016 ILLINOIS POVERTY REPORT, 19% OF VERMILION COUNTY'S POPULATION WAS LIVING AT OR ABOVE POVERTY LEVEL IN 2014. FOR THE SCHOOL YEAR 2015-2016, VERMILION COUNTY HAD A VERY HIGH PERCENTAGE OF 64.48% OF CHILDREN WHO QUALIFIED FOR FREE AND REDUCED LUNCH. THE MEDIAN HOUSEHOLD INCOME IS $42,548, WHICH IS LOWER THAN ILLINOIS' MEDIAN INCOME OF $57,444.
Schedule H, Part V, Section B, Line 11 SAINT FRANCIS MEDICAL CENTER THE FOLLOWING ACTIVITIES AND INITIATIVES HELPED TO SUPPORT THE IDENTIFIED GOALS FOR MENTAL HEALTH FROM 2016 TO 2018: DEPRESSION SCREENING TOOLS WERE IMPLEMENTED: * A DEPRESSION SCREENING TOOL WAS UTILIZED IN THE OSF MEDICAL GROUP OFFICES. THIS TOOL WAS USED FOR SCREENING PURPOSES ON ALL INPATIENTS. IF THIS TOOL SCREEN WAS POSITIVE, AN ADDITIONAL LEVEL OF SCREENING WAS COMPLETED. BASELINES WERE ESTABLISHED FOR PATIENTS TREATED FOR MENTAL HEALTH. PATIENTS TREATED BY OSF SAINT FRANCIS MEDICAL CENTER ADULT BEHAVIORAL HEALTH PROGRAM INCLUDE: * 6,203 IN FY16 * 6,155 IN FY17 * 7,023 IN FY18 PATIENTS TREATED WITHIN OSF MEDICAL GROUP PSYCH OFFICES INCLUDE: * 10,738 IN FY16 * 11,952 IN FY17 * 11,272 IN FY18 THE BEHAVIORAL HEALTH OPERATIONS COUNCIL FOR THE OSF SYSTEM MEETS MONTHLY TO PLAN AND IMPLEMENT TACTICS RELATED TO BEHAVIORAL HEALTH CARE COORDINATION AND TELE-PSYCH. A WEB BASED RESOURCE CALLED SILVER CLOUD WAS LAUNCHED IN 2017. SILVER CLOUD OFFERS SECURE, IMMEDIATE ACCESS TO ONLINE SUPPORTED COGNITIVE BEHAVIORAL THERAPY PROGRAMS, TAILORED TO THE INDIVIDUAL'S SPECIFIC NEEDS. SINCE ITS LAUNCH IN APRIL 2017, THERE WERE 547 SILVER CLOUD USERS IN THE PEORIA REGION. IN COLLABORATION WITH HEARTLAND HEALTH SERVICES, TELE-PSYCHIATRY SERVICES HAVE BEEN PROVIDED TO HEARTLAND HEALTH CLINIC AND OSF COMMUNITY CLINIC PATIENTS. FROM OCTOBER 2017 TO DECEMBER 2018, 150+ TELE-PSYCH VISITS OCCURRED AND 100+ REFERRALS RECEIVED. A STRIVE TRAUMA RECOVERY PROGRAM PROVIDED FREE, COMPREHENSIVE PSYCHOLOGICAL SERVICES AS WELL AS RESOURCE MANAGEMENT AND SUPPORT SERVICES FOR INDIVIDUALS 14 AND OLDER WHO HAVE BEEN A VICTIM OF TRAUMA FROM A CRIME THAT HAS OCCURRED IN THE PREVIOUS 3 YEARS. THE PROGRAM OFFERS ASSESSMENTS, COUNSELING AND CASE MANAGEMENT FOR BOTH INPATIENTS AND OUTPATIENTS. THIS WAS A GRANT-FUNDED PROGRAM PROVIDED IN COLLABORATION WITH PEORIA PUBLIC SCHOOLS, CHILDREN'S HOME, AREA POLICE DEPARTMENTS, LOCAL DOMESTIC VIOLENCE SHELTERS, LEGAL SERVICES AND OTHER COMMUNITY AGENCIES. THE PROGRAM WAS IMPLEMENTED IN THE FALL OF 2018. SINCE ITS IMPLEMENTATION, 52 PATIENT ENCOUNTERS HAVE OCCURRED IN 2018. THE PROGRAM HAS GROWN SIGNIFICANTLY TO 269 PATIENT ENCOUNTERS BEING COMPLETED IN THE FIRST TWO QUARTERS OF 2019. VARIOUS OTHER COMMUNITY EVENTS FOCUSING ON MENTAL HEALTH OCCURRED INCLUDING PARENT TRAINING ON SUICIDE AWARENESS AND MENTAL HEALTH TRAINING FOR STAFF OF DISTRICT 150
Schedule H, Part V, Section B, Line 8 Adoption of Implementation Strategy OSF Sacred Heart Medical Center: The Organization commenced operating the Hospital on February 1, 2018. The Organization will adopt implementation strategies on or before February 15, 2021 related to the Community Health Needs Assessment to be conducted on or before September 30, 2020. A copy of the Community Health Plan prepared in 2017 by Presence United Samaritans Medical Center in Vermillion County, Illinois, and now known as OSF Sacred Heart Medical Center, is published on the Hospital facility's website and includes a 5-year strategic plan developed in collaboration with the Vermilion County Board of Health and the community partners on the Community Advisory Committee prior to the date the Organization commenced operating the Hospital: HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/ OSF Heart of Mary Medical Center: The Organization commenced operating the Hospital on February 1, 2018. The Organization will adopt implementation strategies on or before February 15, 2021 related to the Community Health Needs Assessment to be conducted on or before September 30, 2020. A copy of the Community Health Plan prepared in 2018 by Presence Covenant Medical Center in Champaign County, Illinois, and now known as OSF Heart of Mary Medical Center, is published on the Hospital facility's website and includes objectives and strategies adopted prior to the date the Organization commenced operating the Hospital: HTTPS://WWW.OSFHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/
Schedule H, Part V, Section B, Line 10 most recently adopted implementation strategy OSF Sacred Heart Medical Center: THE PRIOR HEALTH SYSTEM ADOPTED IT'S IMPLEMENTATIONS STRATEGY IN 2017. OSF HEALTHCARE SYSTEM WILL ADOPT IMPLEMENTATION STRATEGIES RELATED TO THIS COMMUNITY HEALTH NEEDS ASSESSMENT ON OR BEFORE FEBRUARY 15, 2021 TO MEET OUR REGULATORY REQUIREMENTS. OSF Heart of Mary Medical Center: THE PRIOR HEALTH SYSTEM ADOPTED IT'S IMPLEMENTATIONS STRATEGY IN 2017. OSF HEALTHCARE SYSTEM WILL ADOPT IMPLEMENTATION STRATEGIES RELATED TO THIS COMMUNITY HEALTH NEEDS ASSESSMENT ON OR BEFORE FEBRUARY 15, 2021 TO MEET OUR REGULATORY REQUIREMENTS.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance COSTS REPORTED ON LINES 7A, 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 DEPARTMENTS COST CENTER REPORTS WHICH INCLUDE BOTH DIRECT AND INDIRECT COSTS LESS REVENUE. LINE 7G REPRSENTS 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. PART I, LINE 7, COLUMN F: BAD DEBT EXPENSE IN THE AMOUNT OF $100,275,185 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).
Schedule H, Part II Community Building Activities THESE COSTS INCLUDE THE DEDICATED STAFF TIME WORKING WITH COMMUNITY AGENCIES TO SUPPORT POLICIES AND PROGRAMS THAT IMPROVE THE HEALTH CARE ACCESS AND TRANSPORTATION OF RESOURCES TO ITS COMMUNITY MEMBERS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount IN GENERAL, AND IN ACCORDANCE WITH MEDICARE REGULATIONS, PATIENT ACCOUNT BALANCES ARE WRITTEN OFF TO BAD DEBT EXPENSE AFTER REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED AND THE ACCOUNT HAS BEEN SENT TO A COLLECTION AGENCY OR LAW FIRM. PATIENTS' ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENTS' ACCOUNTS RECEIVABLE, OSF ANALYZES PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, OSF ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH PATIENT RESPONSIBILITY (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND 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 $100,275,185 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 $20,166,684 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 2 INCLUDES ANY AMOUNTS THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY UNDER THE CORPORATION'S FINANCIAL ASSISTANCE POLICY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PLEASE SEE PAGE 20 AND 21 OF NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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 PATIENT'S ELIGIBILITY FOR NONCOMPLIANT CHARITY BEFORE PURSUING LEGAL ACTION FOR NONPAYMENT. IF A COMPLETE APPLICATION IS RECEIVED DURING THE APPLICATION PERIOD, OSF WILL SUSPEND EXTRAORDINARY COLLECTION ACTIONS AND MAKE A DETERMINATION OF ELIGIBILITY FOR ASSISTANCE. IF THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, OSF WILL ISSUE APPROPRIATE REFUNDS AND REVERSE ANY EXTRAORDINARY COLLECTION ACTIONS TAKEN, AS MORE FULLY DESCRIBED IN THE OSF FAIR BILLING - COLLECTION POLICY.
Schedule H, Part V, Section B, Line 16a FAP website - SAINT FRANCIS MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - SAINT ANTHONY MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - OSF HEART OF MARY MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/; - OSF SACRED HEART MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/; - ST. JOSEPH MEDICAL CENTER: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF SAINT ANTHONY'S HEALTH CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. MARY MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - SAINT JAMES HOSPITAL: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. FRANCIS HOSPITAL: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF SAINT LUKE MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - OSF HOLY FAMILY MEDICAL CENTER: Line 16a URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website - SAINT FRANCIS MEDICAL CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - SAINT ANTHONY MEDICAL CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - OSF HEART OF MARY MEDICAL CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/; - OSF SACRED HEART MEDICAL CENTER: Line 16b URL: (HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/; - ST. JOSEPH MEDICAL CENTER: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF SAINT ANTHONY'S HEALTH CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. MARY MEDICAL CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - SAINT JAMES HOSPITAL: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. FRANCIS HOSPITAL: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF SAINT LUKE MEDICAL CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - OSF HOLY FAMILY MEDICAL CENTER: Line 16b URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - SAINT FRANCIS MEDICAL CENTER: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - SAINT ANTHONY MEDICAL CENTER: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - OSF HEART OF MARY MEDICAL CENTER: Line 16c URL: (HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/; - OSF SACRED HEART MEDICAL CENTER: Line 16c URL: (HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINACIAL-ASSISTANCE/; - ST. JOSEPH MEDICAL CENTER: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF SAINT ANTHONY'S HEALTH CENTER: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. MARY MEDICAL CENTER: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - SAINT JAMES HOSPITAL: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - ST. FRANCIS HOSPITAL: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - OSF SAINT LUKE MEDICAL CENTER: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/; - OSF HOLY FAMILY MEDICAL CENTER: Line 16c URL: HTTPS://WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/;
Schedule H, Part VI, Line 2 Needs assessment THE CORPORATION COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2016 AS PREVIOUSLY STATED. THE CHNA IS UPDATED EVERY 3 YEARS AND CORRESPONDING IMPLEMENTATION STRATEGY IS REFRESHED YEARLY. NOT ONLY DOES THE IMPLEMENTATION STRATEGY PLAN GET REFRESHED YEARLY, BUT EACH ACTION ITEM HAS A RESPONSIBLE PARTY INVOLVED TO GET THE WORK ASSOCIATED WITH THE NEED ACCOMPLISHED. LEADERSHIP WITHIN OSF SIT ON VARIOUS COMMUNITY ADVISORY BOARDS TO STAY CONNECTED TO THE OTHER AGENCIES WITHIN THE COMMUNITY. THIS WORK ALIGNS WITH OUR MISSION STATEMENT TO SERVE PERSONS WITH THE GREATEST CARE AND LOVE IN A COMMUNITY THAT CELEBRATES THE GIFT OF LIFE.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE CORPORATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, IN ENGLISH AND IN ANY OTHER LANGUAGE SPOKEN BY POPULATIONS WITH LIMITED ENGLISH PROFICIENCY THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY OF THE HOSPITAL, IN THE FOLLOWING WAYS: -SIGNS ARE POSTED IN PATIENT REGISTRATION AREAS (INCLUDING EMERGENCY DEPARTMENT REGISTRATION) INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, THE AVAILABILITY OF FINANCIAL ASSISTANCE COUNSELORS, AND HOW TO OBTAIN A COPY OF THE OSF FINANCIAL ASSISTANCE POLICY AND APPLICATION. -A PLAIN LANGUAGE SUMMARY OF THE OSF FINANCIAL ASSISTANCE POLICY IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS AND INCLUDED IN THE BILLING STATEMENT MAILED PRIOR TO INITIATING EXTRAORDINARY COLLECTION ACTIONS. IN ADDITION, THE PLAIN LANGUAGE SUMMARY AND APPLICATION ARE PROVIDED TO REFERRING STAFF PHYSICIANS. -OSF MAKES REASONABLE EFFORTS TO ORALLY NOTIFY PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY AND HOW TO OBTAIN ASSISTANCE IN APPLYING. -A NOTICE OF AVAILABILITY OF THE CORPORATION'S FINANCIAL ASSISTANCE AND UNINSURED PATIENT DISCOUNT POLICIES IS PROMINENTLY AVAILABLE ON THE CORPORATION'S WEB SITE (AND SEPARATE WEB SITES OF ITS HOSPITAL FACILITIES). THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM AND INSTRUCTIONS WITH THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE FOR DOWNLOAD. -A NOTE REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE (TOGETHER WITH CONTACT PHONE NUMBERS) APPEARS ON EVERY PATIENT BILLING STATEMENT AS WELL AS THE WEBSITE WHERE COPIES OF THE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY MAY BE OBTAINED. -FINANCIAL ASSISTANCE COUNSELORS ARE AVAILABLE IN PERSON AND BY PHONE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND IN DETERMINING ELIGIBILITY AND APPLYING FOR GOVERNMENT PROGRAM BENEFITS, INCLUDING MEDICAID. -THE CORPORATION'S FINANCIAL ASSISTANCE POLICY IS FILED WITH THE ILLINOIS ATTORNEY GENERAL AND IS AVAILABLE TO THE PUBLIC.
Schedule H, Part VI, Line 4 Community information THE FOLLOWING DEMOGRAPHICS WERE TAKEN FROM THE 2016 CHNA, THESE DOCOGRAPHICS WILL BE UPDATED IN NEXT YEAR'S REPORT. SAINT FRANCIS MEDICAL CENTER IS A 629-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. A TEACHING AFFILIATE OF THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE AT PEORIA, OSF SAINT FRANCIS MEDICAL CENTER IS THE PEORIA AREA'S 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 CHILDREN'S HOSPITAL OF ILLINOIS (WHICH IS OPERATED AS A PART OF OSF SAINT FRANCIS MEDICAL CENTER). AS NOTED IN THE CHNA, SAINT FRANCIS MEDICAL CENTER PRIMARILY 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 ("SAINT ANTHONY") IS A 254 LICENSED BED ACUTE CARE HOSPITAL LOCATED ON THE NORTHEAST SIDE OF ROCKFORD, ILLINOIS. IT IS THE REGION'S 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 COLLEGE OF NURSING IS AN INTEGRAL PART OF THE HOSPTIAL. IT'S A FULLY ACCREDITED COLLEGE OF NURSING GRANTING BACCALAUREATE, MASTERS AND DOCTORATE OF NURSING PRACTICE DEGREES. AS NOTED IN THE CHNA, 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%. 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 IS A 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 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. AS NOTED IN THE CHNA, 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%. 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 SYSTEM'S STRATEGIC PLANS ACROSS THIS ENTIRE SERVICE AREA. AS NOTED IN THE CHNA, ST. MARY IS AN 81 LICENSED BED ACUTE CARE HOSPITAL LOCATED ON THE NORTHEAST SIDE OF GALESBURG, ILLINOIS. 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. AS NOTED IN THE CHNA, ST. MARY MEDICAL CENTER IS LOCATED IN KNOX COUNTY IN ILLINOIS AND PRIMARILY SERVES RESIDENTS LIVING IN KNOX AND WARREN COUNTIES. THE CHNA SHOWS 83% OF PATIENTS COME FROM KNOX AND WARREN COUNTIES. 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%. 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. AS NOTED IN THE CHNA, 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 ("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 LUKE'S SERVICE AREAS ARE LOCATED PRIMARILY IN HENRY COUNTY BUT EXTEND INTO PORTIONS OF STARK AND BUREAU COUNTIES, APPROXIMATELY 50 MILES NORTHWEST OF PEORIA. AS NOTED IN THE CHNA, 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%.
Schedule H, Part VI, Line 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, 2018 FOR IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH IN THE FOLLOWING WAYS: -CAPITAL EXPENDITURES OF APPROXIMATELY $75,896,000 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 $44,190,333 DURING THE FISCAL YEAR FOR ACCREDITED PHYSICIAN RESIDENCY PROGRAMS AND NET COSTS OF APPROXIMATELY $5,422,271 FOR UNDERGRADUATE AND GRADUATE NURSING EDUCATION PROGRAMS AND OTHER MEDICAL EDUCATION PROGRAMS. SEE SCHEDULE O, FORM 990, PART III, LINE 4D FOR A DESCRIPTION OF SUCH PROGRAMS. -THE CORPORATION INCURRED NET COSTS (EXPENSES MINUS REVENUES) OF APPROXIMATELY $1,110,475 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. SEE SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION FOR A SUMMARY OF SERVICES EACH OSF HOSPITAL PROVIDES. OSF HEALTHCARE SYSTEM IS CHARGED WITH PROMOTING COMMUNITY HEALTH. THE OSF CENTER FOR HEALTH IN STREATOR IS BEING TRANSFORMED INTO A HUB THAT NOT ONLY TAKES CARE OF THE PHYSICAL HEALTH OF INDIVIDUALS, BUT ENDEAVORS TO POSITIVELY SHAPE THE ENVIRONMENT, SOCIAL AND ECONOMIC STATUS AND LIFESTYLE CHOICES OF THE ENTIRE COMMUNITY. THE ORGANIZATION IS ENLISTING A VARIETY OF COMMUNITY-BASED ORGANIZATIONS TO CO-LOCATE WITHIN THE CENTER FOR HEALTH, MAKING THE FACILITY A CONVENIENT SPACE FOR HEALTH AND WELLNESS NEEDS. OSF IS UTILIZING SOFTWARE DEVELOPED BY PIECE TECHNOLOGIES, A PART OF THE OSF VENTURES PORTFOLIO, TO BRIDGE THE INFORMATION GAP THAT IS TYPICALLY PREVALENT AMONG SOCIAL SERVICE ORGANIZATIONS AND HEALTH CARE PROVIDERS. COMMUNITY-BASED GROUPS AND OSF WILL HAVE THE ABILITY TO BETTER COMMUNICATE ABOUT PATIENTS' WELL-BEING AND INTERVENE SOONER IN THEIR HEALTH CARE. OSF PARTNERS WITH INCUBATORS, ACCELERATORS, CORPORATIONS AND UNIVERSITIES OUTSIDE OF THE MINISTRY TO DISCOVER TECHNOLOGY, PRODUCTS AND SERVICES WE CAN FURTHER DEVELOP TO MEET OUR NEEDS, TEST, PILOT AND/OR IMPLEMENT THROUGHOUT THE HEALTH CARE SYSTEM. ONE OF THESE PARTNERSHIPS INCLUDES PATIENT WISDOM. PATIENT WISDOM IS A DIGITAL PLATFORM THAT COLLECTS AND SHARES PATIENT STORIES TO IMPROVE HEALTH AND THE EXPERIENCE OF CARE FOR THE PHYSICIAN/PATIENT RELATIONSHIP. OSF IS FOCUSING EFFORTS AND RESOURCES FOR ADDITIONAL INNOVATION PROJECTS IN THE FOLLOWING AREAS: "ADVANCING SIMULATION; "MORE FOR THOSE WITH LESS", "RADICAL ACCESS TO CARE AND AGING IN PLACE". MORE ON THIS CAN BE FOUND HERE: HTTPS://WWW.OSFHEALTHCARE.ORG/INNOVATION/ OSF HAS CREATED A BEHAVIORAL HEALTH UNIT AT THE SYSTEM LEVEL TO HELP CLOSE GAPS WITH BEHAVIORAL HEALTH NEEDS THROUGH THE COMMUNITIES WE SERVE. OSF NOW OFFERS ON CALL 24/7 ONLINE ACCESS TO MEDICAL CARE VIA SMART PHONE, TABLET OR COMPUTER. THE ABOVE ARE JUST A FEW EXAMPLES OF HOW OSF HEALTHCARE SYSTEM IS PROMOTING COMMUNITY HEALTH.
Schedule H, Part VI, Line 6 Affiliated health care system 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 POLICIES 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., AN ILLINOIS BUSINESS CORPORATION, INCORPORATED DECEMBER 23, 1986, WHICH OPERATES FOR-PROFIT BUSINESSES IN SUPPORT OF OSF HEALTHCARE SYSTEM. OSF SAINT FRANCIS, INC. IS THE SOLE SHAREHOLDER OF OSF DESIGN GROUP, INC. AND OSF ASSURANCE COMPANY AND IS THE SOLE MEMBER OF OSF AVIATION, LLC, OSF FINANCE COMPANY, LLC, STATE AND ROXBURY, LLC, AND 124 ADAMS PROPERTY MANAGEMENT, LLC. -OSF AVIATION, LLC, WHICH IS AN FAA PART 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 HEALTHCARE FOUNDATION, AN ILLINOIS NOT-FOR-PROFIT CORPORATION, INCORPORATED JULY 7, 1989, WHICH CONDUCTS FUNDRAISING AND ANY OTHER ACTIVITIES FOR THE BENEFIT OF OSF HEALTHCARE SYSTEM AND IN SUPPORT OF THE MISSION OF THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS. -OSF ASSURANCE COMPANY, A VERMONT GENERAL CORPORATION, INCORPORATED DECEMBER 8, 2004, ORGANIZED FOR THE PURPOSE OF WRITING INSURANCE AND REINSURANCE AS A CAPTIVE INSURANCE COMPANY. OSF SAINT FRANCIS, INC. IS THE SOLE MEMBER OF THIS CORPORATION. -OSF FINANCE COMPANY, LLC, AN ILLINOIS LIMITED LIABILITY COMPANY, ORGANIZED ON NOVEMBER 19, 2007, ORGANIZED TO ISSUE ADJUSTABLE RATE TAXABLE SECURITIES, WHOSE PROCEEDS WILL BE LOANED TO OSF SAINT FRANCIS, INC. FOR VARIOUS PROJECTS. OSF SAINT FRANCIS, INC. IS THE SOLE MEMBER OF THIS CORPORATION. -ILLINOIS PATHOLOGIST SERVICES, LLC, AN ILLINOIS LIMITED LIABILITY COMPANY, ORGANIZED ON JULY 9, 2009, TO PROVIDE PROFESSIONAL PATHOLOGY SERVICES IN THE ROCKFORD, ILLINOIS, AREA. -OSF DESIGN GROUP, INC., AN ILLINOIS BUSINESS CORPORATION, INCORPORATED MAY 20, 2004, WHICH PROVIDES PROFESSIONAL ARCHITECTURAL SERVICES AS A REGISTERED PROFESSIONAL DESIGN FIRM TO OSF HEALTHCARE SYSTEM AND OTHER OSF CORPORATIONS. -OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER, AN ILLINOIS NOT-FOR-PROFIT CORPORATION (FORMERLY NAMED COMMUNITY HOSPITAL OF OTTAWA), INCORPORATED ON DECEMBER 7, 1964. OSF HEALTHCARE SYSTEM BECAME THE SOLE MEMBER OF THIS CORPORATION ON APRIL 30, 2012, AND THE HOSPITAL WAS RENAMED AS D/B/A OSF SAINT ELIZABETH MEDICAL CENTER. -OSF MULTI-SPECIALTY GROUP, AN ILLINOIS NOT-FOR-PROFIT CORPORATION, CREATED ON SEPTEMBER 8, 2011, EMPLOYS PRIMARY CARE AND SPECIALTY PHYSICIANS, MID-LEVEL PROVIDERS, NURSES, AND SUPPORT PERSONNEL TO PROVIDE PROFESSIONAL HEALTH CARE SERVICES. -POINTCORE, LLC, A DELAWARE LIMITED LIABILITY COMPANY, FOUNDED ON MARCH 19, 2014, WHICH WILL IMPROVE THE QUALITY OF HEALTHCARE BY POOLING THE RESOURCES OF ITS MEMBERS TO PROVIDE SERVICES TO ITS MEMBERS AND THIRD PARTIES. -SAINT ANTHONY'S, LLC, A DELAWARE LIMITED LIABILITY COMPANY, CREATED ON APRIL 17, 2000. THE CORPORATION, WITH ITS PRINCIPAL OFFICE IN ALTON, ILLINOIS, OPERATES EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES; SPECIFICALLY, TO OWN, OPERATE OR MAINTAIN THE AFFAIRS OF INSTITUTIONS THAT FOSTER LOW INCOME HOUSING, PROVIDE AND IMPROVE HEALTH SERVICES, PROMOTE PHYSICIAN AND MENTAL WELL-BEING AND INDEPENDENCE AND MOBILIZE COMMUNITY SUPPORT AND RESOURCES TO SERVE SAID HEALTH AND HOUSING NEEDS. OSF HEALTHCARE SYSTEM BECAME THE SOLE MEMBER OF THIS CORPORATION ON NOVEMBER 1, 2014. NDC CORPORATE EQUITY FUND IV, L.P. WAS THE PARTY INVOLVED WITH SAINT ANTHONY'S, LLC IN THE SAINT CLARE'S VILLA, LIMITED PARTNERSHIP IN ALTON, ILLINOIS. ON JANUARY 1, 2017, SAINT ANTHONY'S, LLC BECAME THE SOLE MEMBER OF SAINT CLARE'S VILLA WHEN IT ACCEPTED THE ASSIGNMENT OF NDC'S SHARES ON DECEMBER 31, 2016. -SAINT CLARE'S VILLA, LIMITED PARTNERSHIP, AN ILLINOIS LIMITED PARTNERSHIP, CREATED ON APRIL 17, 2000, BETWEEN SAINT ANTHONY'S, LLC AND NDC CORPORATE EQUITY FUND IV, L.P. SAINT CLARE'S VILLA OPERATES A 64 BED LOW INCOME ASSISTED LIVING FACILITY FOR THE ELDERLY AT 915 EAST FIFTH STREET IN ALTON, ILLINOIS. SAINT ANTHONY'S, LLC BECAME THE SOLE MEMBER OF SAINT CLARE'S VILLA ON JANUARY 1, 2017. -MENDOTA COMMUNITY HOSPITAL, AN ILLINOIS NOT-FOR-PROFIT CORPORATION, CREATED ON MARCH 24, 1944, WITH THE NAME MENDOTA HOSPITAL FOUNDATION. THE NAME OF THE CORPORATION WAS CHANGED TO MENDOTA COMMUNITY HOSPITAL ON JUNE 16, 1967. OSF HEALTHCARE SYSTEM BECAME THE SOLE MEMBER OF THIS CORPORATION ON APRIL 1, 2015, AND THE HOSPITAL WAS RENAMED AS D/B/A OSF SAINT PAUL MEDICAL CENTER. -STATE AND ROXBURY, LLC, AN ILLINOIS LIMITED LIABILITY COMPANY, ESTABLISHED ON JANUARY 10, 2008, WAS ORGANIZED TO ACQUIRE AND OPERATE THE REAL ESTATE AT 5668 EAST STATE STREET, ROCKFORD, ILLINOIS. STATE AND ROXBURY, LLC WAS INITIALLY OWNED BY SAINT ANTHONY MEDICAL CENTER (51%) AND BRENT B. JOHNSON (49%). EFFECTIVE FEBRUARY 1, 2016, SAINT ANTHONY MEDICAL CENTER PURCHASED THE 49% OWNERSHIP OF BRENT B. JOHNSON. OSF SAINT FRANCIS, INC. SUBSEQUENTLY PURCHASED 100% OWNERSHIP OF STATE AND ROXBURY, LLC FROM SAINT ANTHONY MEDICAL CENTER AND BECAME THE SOLE MEMBER. STATE AND ROXBURY, LLC IS A MEMBER MANAGED COMPANY. -OSF COLLEGE OF HEALTH SCIENCES, AN ILLINOIS NOT-FOR-PROFIT CORPORATION, CREATED ON NOVEMBER 7, 2016, HAS OVERSIGHT OVER ONE OR MORE EDUCATIONAL INSTITUTIONS FOR THE TRAINING OF INDIVIDUALS FOR THE PURPOSE OF IMPROVING OR DEVELOPING THEIR CAPABILITIES AND INSTRUCTION OF THE PUBLIC ON SUBJECTS USEFUL TO INDIVIDUALS AND BENEFICIAL TO THE COMMUNITY INCLUDING AND WITHOUT LIMITATION ONE OR MORE COLLEGES OF NURSING. INITIAL DIVISIONS INCLUDE D/B/A SAINT ANTHONY COLLEGE OF NURSING, ROCKFORD, ILLINOIS, AND D/B/A SAINT FRANCIS MEDICAL CENTER COLLEGE OF NURSING, PEORIA, ILLINOIS. -124 ADAMS PROPERTY MANAGEMENT, LLC, AN ILLINOIS LIMITED LIABILITY COMPANY, ORGANIZED ON DECEMBER 11, 2017, OPERATES TO MANAGE 124 ADAMS PROPERTY HOLDINGS, LLC. OSF SAINT FRANCIS, INC. IS THE SOLE MEMBER OF THIS CORPORATION.
Schedule H, Part VI, Line 7 State filing of community benefit report IL, MI
Schedule H (Form 990) 2019
Additional Data


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Software Version: 2017v2.2

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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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
OSF Healthcare System
 
Employer identification number
37-0813229
Part I
General Information on Grants and Assistance
1
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? ........................
2
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
noncash assistance
(h) Purpose of grant
or assistance
(1) BLOOMINGTON YMCA
602 S Main Street
Bloomington,IL61701
37-0662603 501(C)3 0 1,960,200 Appraisal 6 acres of land New site for YMCA
(2) HEARTLAND COMMUNITY HEALTHCARE
1701 W Garden Street
Peoria,IL61605
37-1270794 501(C)3 625,000 0 NA NA SUPPORT OF CLINIC OPERATION
(3) UNIVERSITY OF ILLINOIS
1 ILLINI DRIVE
PEORIA,IL61605
37-6000511 501(C)3 250,000 0 NA NA SUPPORT OF CLINIC OPERATION
(4) BELVIDERE PARK DISTRICT
1006 W LINCOLN AV
BELVIDERE,IL61008
36-6005793 BELVIDERE PK DISTRI 80,000 0 NA NA SUPPORT FOR FITNESS CENTER
(5) WILDLIFE PRARIE STATE PARK
3826 N TAYLOR ROAD
HANNA CITY,IL61536
20-8064678 WILDLIFE PR. ST PK 50,000 0 NA NA SUPPORT OF ORG OPERATIONS
(6) ST JOSEPH NURSING HOME
401 9TH ST
LACON,IL61540
36-2549037 501(C)3 44,628 0 NA NA SUPPORT OF CLINICAL OPERATIONS
(7) ILLINOIS WESLEYAN UNIVERSITY
1312 PARK STREET
BLOOMINGTON,IL61701
37-0662594 501(C)3 25,000 0 NA NA SUPPORT OF ORG OPERATIONS
(8) ROCKFORD AREA ECONOMIC DEVELOPMENT COUNCIL
100 PARK AVENUE
SUITE 100
ROCKFORD,IL61101
36-3055858 501(C)3 25,000 0 NA NA SUPPORT OF ORG OPERATIONS
(9) GREATER LIVINGSTON COUNTY ECONOMIC DEVELOPMENT COUNCIL
210 W WATER STREET
PONTIAC,IL61794
38-2488748 501(C)3 25,000 0 NA NA SUPPORT OF ORG OPERATIONS
(10) BLOOMINGTON NORMAL ECONOMIC DEVELOPMENT COUNCIL
200 W COLLEGE AVENUE
NORMAL,IL61761
37-1169886 501(C)3 21,000 0 NA NA SUPPORT OF ORG OPERATIONS
(11) ALIGNMENT ROCKFORD
6983 815 N CHURCH
ST 201
ROCKFORD,IL61103
27-1329316 501(C)3 10,000 0 NA NA SUPPORT OF ORG OPERATIONS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
11
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019

Schedule I (Form 990) 2019
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
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) SCHOLARSHIPS 172 294,010 0 NA NA
(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
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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 COLLEGE 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) 2019



Additional Data


Software ID: 17005876
Software Version: 2017v2.2


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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
OSF Healthcare System
 
Employer identification number

37-0813229
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
If any of the boxes on 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 .........
1b
Yes
 
2
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 on Line 1a? ..
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1Robert C Sehring
 
Vice Chairperson CEO
(i)

(ii)
822,949
-------------
0
0
-------------
0
26,582
-------------
0
42,919
-------------
0
25,321
-------------
0
917,770
-------------
0
0
-------------
0
2Kevin D Schoeplein
 
Partial Year - Vice Chairperson CEO
(i)

(ii)
1,198,405
-------------
0
450,000
-------------
0
73,273
-------------
0
237,590
-------------
0
21,193
-------------
0
1,980,461
-------------
0
0
-------------
0
3Gerald J McShane MD
 
Board Member
(i)

(ii)
664,489
-------------
0
0
-------------
0
30,841
-------------
0
43,175
-------------
0
21,114
-------------
0
759,619
-------------
0
0
-------------
0
4Daniel E Baker
 
Former CFO
(i)

(ii)
498,211
-------------
0
0
-------------
0
1,655,921
-------------
0
140,112
-------------
0
20,418
-------------
0
2,314,662
-------------
0
43,175
-------------
0
5Kenneth J Natzke
 
Former CEO East Region
(i)

(ii)
512,459
-------------
0
0
-------------
0
16,074
-------------
0
30,947
-------------
0
16,396
-------------
0
575,876
-------------
0
0
-------------
0
6Michael M Allen
 
CFO
(i)

(ii)
558,835
-------------
0
0
-------------
0
1,589
-------------
0
28,482
-------------
0
25,172
-------------
0
614,079
-------------
0
0
-------------
0
7Anthony M Avellino MD
 
Partial Year - CEO NSSL/INI
(i)

(ii)
899,441
-------------
0
75,140
-------------
0
2,180
-------------
0
35,225
-------------
0
25,311
-------------
0
1,037,297
-------------
0
0
-------------
0
8Kenneth E Berkovitz MD
 
Partial Year - CEO CVSL
(i)

(ii)
718,287
-------------
0
0
-------------
0
3,768
-------------
0
23,363
-------------
0
18,649
-------------
0
764,067
-------------
0
0
-------------
0
9Chad E Boore
 
Chief Executive Officer Eastern Region
(i)

(ii)
309,513
-------------
0
0
-------------
0
7,757
-------------
0
13,033
-------------
0
26,354
-------------
0
356,657
-------------
0
0
-------------
0
10Robert L Brandfass
 
SVP Chief Legal Officer
(i)

(ii)
509,534
-------------
0
0
-------------
0
9,887
-------------
0
39,200
-------------
0
24,840
-------------
0
583,462
-------------
0
0
-------------
0
11Michelle D Conger
 
Chief Strategy Officer
(i)

(ii)
439,698
-------------
0
0
-------------
0
10,176
-------------
0
15,005
-------------
0
23,954
-------------
0
488,833
-------------
0
0
-------------
0
12Roxanna Crosser
 
Chief Executive Officer Western Region
(i)

(ii)
293,017
-------------
0
0
-------------
0
21,775
-------------
0
33,224
-------------
0
7,681
-------------
0
355,697
-------------
0
0
-------------
0
13Michael A Cruz MD
 
Chief Executive Officer Central Region
(i)

(ii)
594,265
-------------
0
0
-------------
0
3,137
-------------
0
43,175
-------------
0
24,055
-------------
0
664,633
-------------
0
0
-------------
0
14John R Evancho
 
SVP Chief Compliance Officer
(i)

(ii)
247,450
-------------
0
0
-------------
0
8,559
-------------
0
19,252
-------------
0
26,332
-------------
0
301,592
-------------
0
0
-------------
0
15Thomas G Hammerton
 
President OSF Healthcare Foundation Chief Development Officer
(i)

(ii)
323,860
-------------
0
0
-------------
0
38,708
-------------
0
28,211
-------------
0
18,270
-------------
0
409,049
-------------
0
0
-------------
0
16Stephen E Hippler MD
 
Chief Clinical Officer
(i)

(ii)
525,836
-------------
0
0
-------------
0
15,802
-------------
0
43,175
-------------
0
24,008
-------------
0
608,820
-------------
0
0
-------------
0
17John C Horne
 
SVP Chief Supply Chain Officer
(i)

(ii)
336,961
-------------
0
0
-------------
0
8,181
-------------
0
27,779
-------------
0
23,888
-------------
0
396,808
-------------
0
0
-------------
0
18Divya-Devi Joshi
 
CEO Children SL
(i)

(ii)
496,427
-------------
0
0
-------------
0
935
-------------
0
17,225
-------------
0
8,984
-------------
0
523,571
-------------
0
0
-------------
0
19James J Mormann
 
Chief Information Officer
(i)

(ii)
535,916
-------------
0
0
-------------
0
8,673
-------------
0
35,225
-------------
0
25,045
-------------
0
604,859
-------------
0
0
-------------
0
20David A Schertz
 
Partial Year - CEO Northern Region
(i)

(ii)
567,927
-------------
0
0
-------------
0
11,767
-------------
0
25,175
-------------
0
18,551
-------------
0
623,420
-------------
0
0
-------------
0
21Dwight D Stapleton
 
Vice President Clinical Specialty Services
(i)

(ii)
400,865
-------------
0
0
-------------
0
114
-------------
0
13,250
-------------
0
14,273
-------------
0
428,502
-------------
0
0
-------------
0
22Jeffry M Tillery
 
SVP Chief Transformation Officer
(i)

(ii)
500,220
-------------
0
0
-------------
0
13,182
-------------
0
42,797
-------------
0
18,509
-------------
0
574,708
-------------
0
0
-------------
0
23Lori L Wiegand
 
Chief Nursing Officer
(i)

(ii)
366,572
-------------
0
0
-------------
0
16,273
-------------
0
43,175
-------------
0
18,421
-------------
0
444,441
-------------
0
0
-------------
0
24Leon A Yeh MD
 
VP CMO Emergency Serv
(i)

(ii)
519,663
-------------
0
4,127
-------------
0
47
-------------
0
35,225
-------------
0
24,746
-------------
0
583,809
-------------
0
0
-------------
0
25Iftekhar U Ahmad MD
 
Physician
(i)

(ii)
716,279
-------------
0
148,015
-------------
0
47
-------------
0
17,225
-------------
0
24,096
-------------
0
905,662
-------------
0
0
-------------
0
26Mete Korkmaz MD
 
Oncologist
(i)

(ii)
771,363
-------------
0
68,586
-------------
0
4,779
-------------
0
39,200
-------------
0
25,204
-------------
0
909,132
-------------
0
0
-------------
0
27James L McGee MD
 
Physician
(i)

(ii)
892,869
-------------
0
50,000
-------------
0
187
-------------
0
36,848
-------------
0
20,719
-------------
0
1,000,623
-------------
0
0
-------------
0
28Ekanka Mukhopadhyay MD
 
Physician
(i)

(ii)
397,392
-------------
0
194,466
-------------
0
46
-------------
0
33,238
-------------
0
25,204
-------------
0
650,346
-------------
0
0
-------------
0
29Anthony C Zalduendo MD
 
Physician
(i)

(ii)
638,451
-------------
0
25,000
-------------
0
87
-------------
0
43,175
-------------
0
22,096
-------------
0
728,809
-------------
0
0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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
Schedule J, Part I, Line 1a Health or social club dues or initiation fees 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 I, Line 4b Supplemental nonqualified retirement plan DURING 2017, OSF HEALTHCARE SYSTEM MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: KEVIN D. SCHOEPLEIN DANIEL E. BAKER DURING 2017, THE FOLLOWING CONTRIBUTIONS WERE MADE BY OSF HEALTHCARE SYSTEM TO THE PLAN: KEVIN D. SCHOEPLEIN - $194,415 BAKER - $96,937 DURING 2017, DISTRIBUTIONS WERE MADE BY OSF HEALTHCARE SYSTEM FROM THE PLAN: KEVIN D. SCHOEPLEIN - $0 DANIEL E. BAKER - $1,646,820
Schedule J (Form 990) 2019

Additional Data


Software ID: 17005876
Software Version: 2017v2.2

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
OSF Healthcare System
 
Employer identification number
37-0813229
Part
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
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 45200F3R8 06-29-2010 158,535,888 SEE PART VI X     X   X
D 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
ILLINOIS FINANCE AUTHORITY
 
86-1091967 000000000 12-20-2017 235,000,000 SEE PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 335,000,000 41,825,000 30,775,000 10,645,000
2 Amount of bonds legally defeased .............. 0 83,165,000 100,710,000 0
3 Total proceeds of issue .................. 485,781,136 254,007,670 160,224,909 191,360,308
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 17,375,881 24,929 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 3,322,101 3,114,441 2,080,352 2,402,590
8 Credit enhancement from proceeds ............. 8,846,375 126,677 0 0
9 Working capital expenditures from proceeds ............. 0 0 0  
10 Capital expenditures from proceeds ............. 289,191,716 4,908,239 42,207,813 15,813,583
11 Other spent proceeds ............. 167,045,063 245,833,384 115,936,744 173,144,135
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2010 2010 2010 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........
               
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........
               
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
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) 2019

Schedule K (Form 990) 2019
Page 2
Part
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? X   X   X   X  
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 ....SchKMediumBullet 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 ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
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? .............                
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
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   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part 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
 
MERRILL LYNCH
 
 
 
 
 
c Term of hedge ......... 3000 % 1000 %    
d Was the hedge superintegrated? ......   X   X        
e Was the hedge terminated? ........   X   X        
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part
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 ..........  
 
 
 
 
 
 
 
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
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
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part I, Column (f) SCH K, PART I, COL A ILLINOIS FINANCE AUTHORITY - 08/29/2007 CUSIP# 452000B8E1, 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 redeem IHFA Variable Rate Demand Revenue Bonds, Series 2002 outstanding in the aggregate amount of $73,975,000, to repay System-wide bonds $27,984,100 in principal amount of loans, and to repay System-wide bonds approximately $53,450,000 outstanding on draws on lines of credit, of which the proceeds of which were used to pay the costs of constructing and equipping certain facilities of the Corporation.
Schedule K, Part I, Column (f) SCH K, PART I, COL B ILLINOIS FINANCE AUTHORITY - 03/31/2009 CUSIP #45200FWG0, 45200FWE5, 45200FWF2 THE CORPORATION USED THE PROCEEDS OF THE SYSTEM-WIDE BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, TO refinance and redeem the IFA Revenue Refunding Bonds, Series 2005A in the amount of $52,825,000, the IFA Revenue Refunding Bonds Series 2005B in the amount of $52,550,000, the IFA Revenue Bonds, Series 2007B in the amount of $40,000,000, the IFA Revenue Bonds, Series 2007C in the amount of $65,000,000 and $44,950,000 of the IFA Revenue Bonds, Series 2007D.
Schedule K, Part I, Column (f) SCH K, PART I, COL C 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 CORPORATION'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.
Schedule K, Part I, Column (f) SCH K, PART I, COL D ILLINOIS FINANCE AUTHORITY - 09/26/2012 CUSIP #45203HLH3, 45203HLG5 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2012 BONDS TO (1) 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.
Schedule K, Part I, Column (f) SCH K, PART I, COL E 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 PAVILION") 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.
Schedule K, Part I, Column (f) SCH K, PART I, COL F 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 HEREINAFTER DEFINED; (II) PAY THE COSTS OF TERMINATING AN INTEREST RATE AGREEMENT RELATED TO THE SERIES 2016 BONDS; AND (III) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2016 BONDS AND THE REFUNDING OF THE 2010A REFUNDED BONDS.
Schedule K, Part II 2007 Bond Re-Issuance In 2009 , $76,211,426.94 was transferred from the 2007 bond issue to to the 2009A-D bond issue in a refinancing for funded interest, debt service reserve and project funds. All such proceeds were reflected as being expended in the 2007 BCD issue at the original amount. In 2010 , $1,798,674.21 was transferred from the 2007 bond issue to to the 2010A bond issue in a refinancing for, debt service reserve funds. All such proceeds were reflected as being expended in the2007 BCD issue at the original amount. Earnings on funds transferred from the 2007 bond issue to the 2009 and 2010 bond issues are reflected as total proceeds in the 2009 and 2010 bond issues, respectively, from date of transfer, as well as expended in those respective issues.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2007 Issue Original issue price was $461,801,780. Investment earnings were $23,979,356 for total proceeds reported of $485,781,136.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2009A-D Original issue price was $249,074,230. Investment earnings were $4,933,440 for total proceeds reported of $254,007,670.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2010 Original issue price was $158,535,888. Investment earnings were $1,689,021 for total proceeds reported of $160,224,909.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2012 Original issue price was $191,360,304. Investment earnings were $4 for total proceeds reported of $191,360,308.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2015 Original issue price was $392,744,128. Investment earnings were $1,899,469 for total proceeds reported of $394,643,597.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2016 Original issue price was $121,790,760. Investment earnings were $33 for total proceeds reported of $121,790,793.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2017ABC Original issue price was $235,000,000. investment earnings were $421,266 for total proceeds reported of $235,421,266.
Schedule K, Part I, Column (f) SCH K, PART I, COL G ILLINOIS FINANCE AUTHORITY - 12/20/2017 No CUSIP# - Private Placement The Corporation and the Authority are entering into this Loan Agreement in order to , among other things, obtain moneys which will be used to, together with certain other moneys to (i) pay or reimburse the Corporation or Ottawa Regional Hospital and Healthcare Center (the "User") for the costs of acquiring, construction, remodeling, renovating and equipping certain health care facilities owned by the Corporation or the User; (ii) pay for the purchase by the Corporation of certain assets, including hospital buildings, of Presence Covenant Medical Center in Urbana, Illinois and Presence United Samaritans Medical Center in Danville, Illinois (the "Presence Hospitals"); (iii) refinance certain indebtedness the proceeds of which were used to construct and equip the hospital facilities of Mendota Community Hospital (the "HUD Loan"); (iv) refund the Authority's Revenue Bond, Series 2009G (OSF Healthcare System); and (v) pay certain expenses incurred in connection with the issuance of the Series 2017A Bonds, all as permitted under the Act (collectively, the "Financing Purposes").
Schedule K, Part IV, Line 2c COLUMN A Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 08/03/2016
Schedule K, Part IV, Line 2c COLUMN B Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 05/30/2014
Schedule K, Part IV, Line 2c COLUMN C Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 07/09/2015
Schedule K, Part IV, Line 2c COLUMN D Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 03/15/2017
Schedule K (Form 990) 2019

Additional Data


Software ID: 17005876
Software Version: 2017v2.2


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
OSF Healthcare System
 
Employer identification number
37-0813229
Part
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
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 45200F3R8 06-29-2010 158,535,888 SEE PART VI X     X   X
D 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
ILLINOIS FINANCE AUTHORITY
 
86-1091967 000000000 12-20-2017 235,000,000 SEE PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 335,000,000 41,825,000 30,775,000 10,645,000
2 Amount of bonds legally defeased .............. 0 83,165,000 100,710,000 0
3 Total proceeds of issue .................. 485,781,136 254,007,670 160,224,909 191,360,308
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 17,375,881 24,929 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 3,322,101 3,114,441 2,080,352 2,402,590
8 Credit enhancement from proceeds ............. 8,846,375 126,677 0 0
9 Working capital expenditures from proceeds ............. 0 0 0  
10 Capital expenditures from proceeds ............. 289,191,716 4,908,239 42,207,813 15,813,583
11 Other spent proceeds ............. 167,045,063 245,833,384 115,936,744 173,144,135
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2010 2010 2010 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........
               
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........
               
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
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) 2019

Schedule K (Form 990) 2019
Page 2
Part
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? X   X   X   X  
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 ....SchKMediumBullet 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 ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
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? .............                
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
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   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part 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
 
MERRILL LYNCH
 
 
 
 
 
c Term of hedge ......... 3000 % 1000 %    
d Was the hedge superintegrated? ......   X   X        
e Was the hedge terminated? ........   X   X        
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part
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 ..........  
 
 
 
 
 
 
 
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
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
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part I, Column (f) SCH K, PART I, COL A ILLINOIS FINANCE AUTHORITY - 08/29/2007 CUSIP# 452000B8E1, 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 redeem IHFA Variable Rate Demand Revenue Bonds, Series 2002 outstanding in the aggregate amount of $73,975,000, to repay System-wide bonds $27,984,100 in principal amount of loans, and to repay System-wide bonds approximately $53,450,000 outstanding on draws on lines of credit, of which the proceeds of which were used to pay the costs of constructing and equipping certain facilities of the Corporation.
Schedule K, Part I, Column (f) SCH K, PART I, COL B ILLINOIS FINANCE AUTHORITY - 03/31/2009 CUSIP #45200FWG0, 45200FWE5, 45200FWF2 THE CORPORATION USED THE PROCEEDS OF THE SYSTEM-WIDE BONDS, TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, TO refinance and redeem the IFA Revenue Refunding Bonds, Series 2005A in the amount of $52,825,000, the IFA Revenue Refunding Bonds Series 2005B in the amount of $52,550,000, the IFA Revenue Bonds, Series 2007B in the amount of $40,000,000, the IFA Revenue Bonds, Series 2007C in the amount of $65,000,000 and $44,950,000 of the IFA Revenue Bonds, Series 2007D.
Schedule K, Part I, Column (f) SCH K, PART I, COL C 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 CORPORATION'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.
Schedule K, Part I, Column (f) SCH K, PART I, COL D ILLINOIS FINANCE AUTHORITY - 09/26/2012 CUSIP #45203HLH3, 45203HLG5 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2012 BONDS TO (1) 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.
Schedule K, Part I, Column (f) SCH K, PART I, COL E 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 PAVILION") 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.
Schedule K, Part I, Column (f) SCH K, PART I, COL F 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 HEREINAFTER DEFINED; (II) PAY THE COSTS OF TERMINATING AN INTEREST RATE AGREEMENT RELATED TO THE SERIES 2016 BONDS; AND (III) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2016 BONDS AND THE REFUNDING OF THE 2010A REFUNDED BONDS.
Schedule K, Part II 2007 Bond Re-Issuance In 2009 , $76,211,426.94 was transferred from the 2007 bond issue to to the 2009A-D bond issue in a refinancing for funded interest, debt service reserve and project funds. All such proceeds were reflected as being expended in the 2007 BCD issue at the original amount. In 2010 , $1,798,674.21 was transferred from the 2007 bond issue to to the 2010A bond issue in a refinancing for, debt service reserve funds. All such proceeds were reflected as being expended in the2007 BCD issue at the original amount. Earnings on funds transferred from the 2007 bond issue to the 2009 and 2010 bond issues are reflected as total proceeds in the 2009 and 2010 bond issues, respectively, from date of transfer, as well as expended in those respective issues.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2007 Issue Original issue price was $461,801,780. Investment earnings were $23,979,356 for total proceeds reported of $485,781,136.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2009A-D Original issue price was $249,074,230. Investment earnings were $4,933,440 for total proceeds reported of $254,007,670.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2010 Original issue price was $158,535,888. Investment earnings were $1,689,021 for total proceeds reported of $160,224,909.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2012 Original issue price was $191,360,304. Investment earnings were $4 for total proceeds reported of $191,360,308.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2015 Original issue price was $392,744,128. Investment earnings were $1,899,469 for total proceeds reported of $394,643,597.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2016 Original issue price was $121,790,760. Investment earnings were $33 for total proceeds reported of $121,790,793.
Schedule K, Part II, Line 3 Proceeds differing from issue - 2017ABC Original issue price was $235,000,000. investment earnings were $421,266 for total proceeds reported of $235,421,266.
Schedule K, Part I, Column (f) SCH K, PART I, COL G ILLINOIS FINANCE AUTHORITY - 12/20/2017 No CUSIP# - Private Placement The Corporation and the Authority are entering into this Loan Agreement in order to , among other things, obtain moneys which will be used to, together with certain other moneys to (i) pay or reimburse the Corporation or Ottawa Regional Hospital and Healthcare Center (the "User") for the costs of acquiring, construction, remodeling, renovating and equipping certain health care facilities owned by the Corporation or the User; (ii) pay for the purchase by the Corporation of certain assets, including hospital buildings, of Presence Covenant Medical Center in Urbana, Illinois and Presence United Samaritans Medical Center in Danville, Illinois (the "Presence Hospitals"); (iii) refinance certain indebtedness the proceeds of which were used to construct and equip the hospital facilities of Mendota Community Hospital (the "HUD Loan"); (iv) refund the Authority's Revenue Bond, Series 2009G (OSF Healthcare System); and (v) pay certain expenses incurred in connection with the issuance of the Series 2017A Bonds, all as permitted under the Act (collectively, the "Financing Purposes").
Schedule K, Part IV, Line 2c COLUMN A Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 08/03/2016
Schedule K, Part IV, Line 2c COLUMN B Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 05/30/2014
Schedule K, Part IV, Line 2c COLUMN C Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 07/09/2015
Schedule K, Part IV, Line 2c COLUMN D Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 03/15/2017
Schedule K (Form 990) 2019

Additional Data


Software ID: 17005876
Software Version: 2017v2.2

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 section 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 (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
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?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
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) 2019
Schedule L (Form 990 or 990-EZ) 2019
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?
Yes No
(1) Jennifer Uphoff
 
Family Member - Jeffry M. Tillery - Officer 93,632 Employment   No
(2) Matthew Sehring
 
Family Member - Robert Sehring - Officer 87,356 Employment   No
(3) Ryan Sehring
 
Family Member - Robert Sehring - Officer 69,864 Employment   No
(4) David McGrew
 
Family Member - Sister Diane Marie McGrew, O.S.F - Board Member 153,437 Employment   No
(5) Jennifer Stoller
 
Family Member - Lori L Wiegand - Officer 32,957 Employment   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2




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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
OSF Healthcare System
 
Employer identification number

37-0813229
Return Reference Explanation
Form 990, Part I, Line 1 PART I THE TAX LAW REQUIRES THAT EACH LEGAL ENTITY WITHIN THE OSF HEALTHCARE SYSTEM COMPLETE A SEPARATE TAX RETURN WHICH APPROPRIATELY REFLECTS THE ACTIVITIES AND FINANCIAL POSITION OF THE PARTICULAR ORGANIZATION. THIS REPORTING, HOWEVER, IS NOT REFLECTIVE OF THE OSF HEALTHCARE SYSTEM AS A WHOLE. PLEASE SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS OF OSF HEALTHCARE SYSTEM AND SUBSIDIARIES FOR A COMPLETE OVERVIEW OF THE SYSTEM.
Form 990, Part III, Line 1 PART III, LINE 1, CONTINUED 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 DRIVE RESPONSE TO PEOPLE'S NEEDS.
Form 990, Part III, Line 4d Description of other program services (Expenses $ 270,745,377 including grants of $ 3,409,838)(Revenue $ 144,386,161) Other program services beyond outpatient, inpatient and emergency department services include: Home Health Services - Five Agencies located in Illinois and Michigan. Hospice Services - Four programs located in Illinois and Michigan. Residency Programs - OSF Healthcare System is affiliated 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 and Ground Transportation 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 under insured community clinics in Bloomington and Peoria. Outreach programs - The corporation 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. Education - The corporation provides paramedic education, EMT education, medical tech education, radiology tech education and dietetic education programs.
Form 990, Part VI, Line 1a Delegate broad authority to a committee BY ADOPTING CERTAIN PROVISIONS OF THE CORPORATE BYLAWS, THE BOARD OF DIRECTORS HAS DELEGATED BOARD 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 Classes of members or stockholders 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.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body 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 Decisions requiring approval by members or stockholders 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 Interested person not at organization's address BRIAN SILVERSTEIN, M.D. 711 APPLE TREE LANE GLENCOE, IL 60022
Form 990, Part VI, Line 11b Review of form 990 by governing body 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 TAX CONSULTANTS, CROWE LLP, FOR REVIEW AND COMMENT. CROWE LLP 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 Conflict of interest policy 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 ON AN ANNUAL BASIS. DISCLOSURES ARE RECEIVED AND REVIEWED BY THE CORPORATE COMPLIANCE DIVISION. IF A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED, THEN THE DISCLOSING INDIVIDUAL 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 INDIVIDUAL 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 Process to establish compensation of top management official 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. THE COMPENSATION REVIEW IS DONE ANNUALLY IN NOVEMBER.
Form 990, Part VI, Line 15b Process to establish compensation of other employees THE BOARD OF DIRECTORS HAS ESTABLISHED A BOARD COMMITTEE KNOWN AS THE HUMAN RESOURCES COMMITTEE WHOSE MEMBERS ARE ALL PROFESSED MEMBERS OF THE RELIGIOUS CONGREGATION KNOWN AS THE SISTERS OF THE THIRD ORDER OF 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. THE COMPENSATION REVIEW IS DONE ANNUALLY IN NOVEMBER.
Form 990, Part VI, Line 19 Required documents available to the public 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 OSF HEALTHCARE SYSTEM 37-0813229 MANNER REQUESTED (IF SUCH DELIVERY METHOD IS AVAILABLE TO THE CORPORATION). THE CORPORATION MAKES ITS ARTICLES OF INCORPORATION, CORPORATE BYLAWS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. ALL REQUESTS ARE FORWARDED TO THE CORPORATE LEGAL DIVISION, WHICH THEN PROVIDES COPIES OF THE REQUESTED DOCUMENTS IN THE MANNER REQUESTED (IF SUCH DELIVERY METHOD IS AVAILABLE TO THE CORPORATION). IN ADDITION, THE CORPORATION'S ARTICLES OF INCORPORATION ARE PUBLICLY AVAILABLE FROM THE OFFICE OF THE ILLINOIS SECRETARY OF STATE OR FROM THE RECORDER OF DEEDS IN WOODFORD COUNTY, ILLINOIS, SITE OF THE CORPORATION'S REGISTERED OFFICE. FINANCIAL STATEMENTS OF THE CORPORATION ARE PUBLICLY AVAILABLE ON THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE OF THE MUNICIPAL SECURITIES RULEMAKING BOARD (MSRB) AND FROM THE ILLINOIS ATTORNEY GENERAL AS PART OF THE CORPORATIONS COMMUNITY BENEFIT REPORT.
Form 990, Part VII, Section A PART VII, SECTION A REPORTABLE COMPENSATION IN PART VII WAS DETERMINED FROM A REVIEW OF PAYROLL QUERIES FROM THE ORGANIZATION'S AND RELATED ORGANIZATION'S PAYROLL AND GENERAL LEDGER MODULES, YEARLY PAYROLL REPORTS, AND W-2 FILINGS.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Revenue - Total Revenue: 19201801, Related or Exempt Function Revenue: 19091525, Unrelated Business Revenue: 92401, Revenue Excluded from Tax Under Sections 512, 513, or 514: 17875;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN UNREALIZED MARKET VALUE OF SWAPS - 16187164; NET ASSETS RELEASED FROM RESTRICTION - -11055635; INCREASE IN PERMANENTLY RESTRICTED ASSETS - 20254691; REVERSAL OF MINIMUM PENSION LIABILITY - 96087612; SFI & SUBSIDIAIRY INCOME - 10248625; MINORITY INTEREST - -8305645; EQUITY TRANSFERS - -XXX-XX-XXXX; INVESTMENT RETURN - 3929704; NET SETTLEMENT OF DERIVATIVE INSTRUMENT - -5374786; LOSS ON EARLY EXTINGUISHMENT OF DEBT - -33524; ASSETS RELEASED FOR OPERATIONS - 154975; SFI EQUITY TRANSFER - 9500000; CONTRIBUTION OF EXCESS ASSETS OVER LIABILITIES - 1535490;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
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 -1,410,013 1,587,637 OSF
 
(2) POINTCORE LLC
9600 N FRANCISCAN DR
PEORIA,IL61615
46-5126926
IT SERVICES IL 385,040 758,282 OSF
 
(3) SAINT ANTHONY'S LLC
915 EAST 5TH STREET
ALTON,IL62002
37-1407745
LOW INC HOUSING IL -391,643 3,741,045 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?
Yes No
(1)SISTERS OF THE THIRD ORDER OF ST FRANCIS
800 NE GLEN OAK AVE

PEORIA,IL61603
37-1259286
PARENT/SU ORG IL 501(c)(3) Type I NA
 
 
No
(2)OSF HEALTHCARE FOUNDATION
800 NE GLEN OAK AVE

PEORIA,IL61603
37-1259284
SUPPORT ORG IL 501(c)(3) Type II NA
 
 
No
(3)ST FRANCIS COMMUNITY CLINIC
530 NE GLEN OAK AVE

PEORIA,IL61637
37-0661235
FREE CLINIC IL 501(c)(3) 7 SIS 3RD OSF
 
 
No
(4)OTTAWA REGIONAL HOSPITAL & HEALTHCARE CTR
1100 EAST NORRIS DRIVE

OTTAWA,IL61350
36-2604009
HOSPITAL IL 501(c)(3) 3 OSF
 
Yes
 
(5)OTTAWA REGIONAL HOSPITAL FOUNDATION
1100 EAST NORRIS DRIVE

OTTAWA,IL61350
36-4007569
SUPPORT ORG IL 501(c)(3) Type I ORHHC
 
Yes
 
(6)OTTAWA REGIONAL HOSPITAL AUXILIARY
1100 EAST NORRIS DRIVE

OTTAWA,IL61350
36-3854788
SUPPORT ORG IL 501(c)(3) Type I ORHHC
 
 
No
(7)OSF MULTI-SPECIALTY GROUP
800 NE GLEN OAK AVE

PEORIA,IL61603
38-3852646
HLTHCARE SVCS IL 501(c)(3) Type I OSF
 
Yes
 
(8)OSF HEART & VASCULAR INSTITUTE
800 NE GLEN OAK AVE

PEORIA,IL61603
35-2422385
HLTHCARE SVCS IL 501(c)(3) Type I 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) Type I OSF
 
Yes
 
(10)ILLINOIS NEUROSCIENCE INSTITUTE
800 NE GLEN OAK AVE

PEORIA,IL61603
36-4709999
HLTHCARE SVCS IL 501(c)(3) Type I OSF
 
Yes
 
(11)MENDOTA COMMUNITY HOSPITAL
1201 E 12TH STREET

MENDOTA,IL61342
36-2167785
HOSPITAL IL 501(c)(3) 3 OSF
 
Yes
 
(12)SAINT ANYTHONY'S PHYSICIAN GROUP
PO BOX 340

ALTON,IL62002
37-1365059
HLTHCARE SVCS IL 501(c)(3) 10 OSF
 
Yes
 
(13)OSF COLLEGE OF HEALTH SCIENCES
800 NE GLEN OAK AVE

PEORIA,IL61603
36-4868939
COLLEGE OF NURSING IL 501(c)(3) 2 OSF
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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


Yes No Yes No
(1) CENTER FOR HEALTH AMBULATORY

8800 RTE 91 N
PEORIA,IL61615
20-5557171
SURGICAL CENTER IL OSF
 
Related 4,154,625 3,248,618   No     No 71.4 %
(2) EASTLAND MEDICAL PLAZA

1505 EASTLAND DRIVE
Bloomington,IL61701
37-1400643
SURGICAL CENTER IL OSF
 
Related 2,276,533 6,093,195   No     No 50 %
(3) FORT JESSE IMAGING CENTER LLC

2200 FT JESSE ROAD
NORMAL,IL61761
46-0515604
MEDICAL IMAGING IL OSF
 
Related 754,904 10,183   No     No 50.1 %
(4) SAINT CLARE'S VILLA

915 EAST 5TH STREET
ALTON,IL62002
37-1397289
LOW INC HOUSING IL OSF
 
Related -391,643 3,741,045   No   Yes   100 %
(5) FOX RIVER CANCER CENTER

1211 STARFISH DRIVE
OTTAWA,IL61350
87-0805865
ONCOLOGY IL NA
 
N/A       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?
Yes No
(1) OSF SAINT FRANCIS INC

800 NE GLEN OAK AVE
PEORIA,IL61603
36-3484677
HLTHCARE SVCS IL OSF
 
C Corporation 10,248,625 198,245,713 100 % Yes  
(2) ILLINOIS PATHOLOGST SERVICES LLC

5666 EAST STATE STREET
ROCKFORD,IL61108
80-0439081
PATHOLOGY SVCS IL OSF
 
C Corporation -608,618 697,700 100 % Yes  
(3) LAKEVIEW MEDICAL OFFICE BUILDING

812 N LOGAN AVENUE
DANVILLE,IL61832
37-1100761
CONDOMINIUM ASSOCIATION IL OSF
 
C Corporation 1,033 85,109 66.15 % Yes  








Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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
No
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 .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
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
(d)
Method of determining amount involved
(1) OSF Saint Francis Inc

A 130,418 FMV
(2) Center for Health Ambulatory Surgery Center

A 1,013,698 FMV
(3) Eastland Medical Plaza Surgicenter LLC

A 632,092 FMV
(4) OSF Saint Francis Inc

A 545,743 FMV
(5) Illinois Pathologist Services LLC

B 2,700,000 FMV
(6) OSF Saint Francis Inc

D 6,048,996 FMV
(7) OSF Saint Francis Inc

K 8,057,624 FMV
(8) OSF Saint Francis Inc

L 4,378,369 FMV
(9) Illinois Pathologist Services LLC

L 1,513,688 FMV
(10) Ottawa Regional Hospital and Healthcare Center

L 781,690 FMV
(11) OSF Saint Francis Inc

M 9,947,578 FMV
(12) OSF Saint Francis Inc

P 2,753,225 FMV
(13) Illinois Pathologist Services LLC

P 935,051 FMV
(14) Ottawa Regional Hospital and Healthcare Center

P 4,533,508 FMV
(15) Eastland Medical Plaza Surgicenter LLC

S 2,927,893 FMV
(16) Fort Jesse Imaging Center LLC

S 607,733 FMV
(17) Center for Health Ambulatory Surgery Center LLC

S 4,818,355 FMV
(18) Illinois Pathologist Services LLC

S 1,933,510 FMV
(19) OSF Healthcare Foundation

C 13,736,326 FMV
(20) Fox River Cancer Center LLC

S 509,359 FMV
(21) OSF Saint Francis Inc

S 4,856,984 FMV
(22) Ottawa Regional Hospital and Healthcare Center

S 26,936,576 FMV
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2019

Additional Data


Software ID: 17005876
Software Version: 2017v2.2