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)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 10-01-2021 , and ending 09-30-2022
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)
124 SW Adams St
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Peoria, IL61602
D Employer identification number

37-0813229
E Telephone number

G Gross receipts $ 3,206,955,870
F Name and address of principal officer:
MICHAEL M ALLEN
124 SW Adams St
Peoria,IL61602
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 11
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 7
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 21,684
6 Total number of volunteers (estimate if necessary) ............. 6 1,029
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 8,728,163
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 3,381,816
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 84,621,776 82,750,201
9 Program service revenue (Part VIII, line 2g) ......... 2,888,963,105 2,973,514,296
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 190,741,373 84,006,988
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 68,723,286 55,429,492
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 3,233,049,540 3,195,700,977
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,726,006 3,902,908
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) 1,316,628,076 1,360,550,156
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet242,365    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,317,628,698 1,530,552,345
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,635,982,780 2,895,005,409
19 Revenue less expenses. Subtract line 18 from line 12....... 597,066,760 300,695,568
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 5,560,746,183 5,108,469,746
21 Total liabilities (Part X, line 26)............. 2,840,824,840 2,888,643,077
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,719,921,343 2,219,826,669
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 (2021)
Form 990 (2021)
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 2022 OPERATED 15 HOSPITALS, 8 HOME HEALTH AGENCIES, 8 HOSPICES, AND EMPLOYED APPROXIMATELY 1,159 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 FINANCIAL ASSISTANCE POLICIES AND PROCEDURES WHICH APPLY FOR ALL FACILITIES AND SERVICES OF THE CORPORATION. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS COMMUNICATED TO PATIENTS IN NUMEROUS WAYS, INCLUDING USE OF FINANCIAL COUNSELORS, PATIENT INFORMATION BROCHURES, AND NOTICES ON PATIENT BILLINGS. FINANCIAL ASSISTANCE 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 $ 944,900,536 including grants of $ 0 ) (Revenue $ 1,339,799,728 )
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; DANVILLE,ILLINOIS; Princeton, Illinois; AND EVERGREEN PARK, ILLINOIS. AS OF THE CLOSE OF THE REPORTING PERIOD ON SEPTEMBER 30, 2022, THESE Thirteen FACILITIES HAD A COMBINED TOTAL OF 1,969 LICENSED INPATIENT AND RESIDENT BEDS. THEY HAD COMBINED TOTALS OF 72,717 INPATIENT AND RESIDENT DISCHARGES AND 398,497 INPATIENT AND RESIDENT DAYS. THE TEN ACUTE CARE HOSPITALS COLLECTIVELY SERVED 63 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 $ 920,691,327 including grants of $ 0 ) (Revenue $ 1,313,292,589 )
OUTPATIENT SERVICES: THE Thirteen ACUTE CARE HOSPITALS OWNED AND OPERATED BY OSF HEALTHCARE SYSTEM COLLECTIVELY PROVIDED 1,877,056 OUTPATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2022, 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 $ 150,776,172 including grants of $ 0 ) (Revenue $ 185,043,188 )
All thirteen of the 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 333,734 patient visits during the reporting period ended September 30, 2022.
(Code:   ) (Expenses $ 324,884,362 including grants of $ 3,902,908 ) (Revenue $ 165,056,844 )
Other program services beyond outpatient, inpatient and emergency department services include: Home Health Services - Eight Agencies located in Illinois and Michigan. Hospice Services - Eight 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 corporation's 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 $ 324,884,362 including grants of $ 3,902,908 ) (Revenue $ 165,056,844 )
4e Total program service expensesMediumBullet2,341,252,397
Form 990 (2021)
Form 990 (2021)
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 Rev. Proc. 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 VClick to see attachment......
10
Yes
 
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.........Click to see attachment
14b
Yes
 
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 (2021)
Form 990 (2021)
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 the 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 line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
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 on 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
1,931
b
Enter the number of Forms W-2G included on 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 (2021)
Form 990 (2021)
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
21,684
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
 
No
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 the instructions and file Form 4720, Schedule N.
15
Yes
 
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
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
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
11
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
7
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 on 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 on 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 on 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 (1024 or 1024-A, if applicable), 990, and 990-T (section 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 M ALLEN124 SW Adams St   PEORIA,IL61602 (309) 655-2850
Form 990 (2021)
Form 990 (2021)
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 the 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, Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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 the 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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(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) Robert C Sehring
 
Vice Chairperson Chief Executive Officer
40.0
.................
4.0
X   X       2,650,545 0 42,606
(2) Sister Agnes Joseph Williams OSF
 
Assistant Secretary
40.0
.................
4.0
X   X       0 0 0
(3) Sister Diane Marie McGrew OSF
 
President and Treasurer
40.0
.................
4.0
X   X       0 0 0
(4) Sister Judith Ann Duvall OSF
 
Chairperson
40.0
.................
4.0
X   X       0 0 0
(5) Sister Theresa Ann Brazeau OSF
 
Secretary
40.0
.................
4.0
X   X       0 0 0
(6) Brian J Silverstein MD
 
Board Member
40.0
.................
3.0
X           45,000 0 0
(7) Gerald J McShane MD
 
Board Member
40.0
.................
3.0
X           30,700 152,878 29,878
(8) Sister M Angelica Neumann FSGM
 
Board Member
40.0
.................
3.0
X           0 0 0
(9) Sister M Beata Ziegler FSGM
 
Board Member
40.0
.................
3.0
X           0 0 0
(10) Sister M Mikela Meidl FSGM
 
Board Member
40.0
.................
4.0
X           0 0 0
(11) Sister Rose Therese Mann OSF
 
Board Member
40.0
.................
4.0
X           0 0 0
(12) August J Querciagrossa
 
Chief Executive Officer Western Region
40.0
.................
2.0
    X       562,037 0 40,856
(13) Bradley V Solberg
 
President, OSF HealthCare Saint James- John W. Albrecht MC
40.0
.................
2.0
    X       473,668 0 44,167
(14) Carol A Friesen
 
Chief Executive Officer Eastern Region
40.0
.................
2.0
    X       772,415 0 50,315
(15) Chad E Boore
 
Chief Executive Officer Eastern Region (Through Aug 2022)
40.0
.................
2.0
    X       713,662 0 47,689
(16) David M Hall
 
SVP Info Systems/Chief Information Officer
40.0
.................
2.0
    X       614,445 0 46,225
(17) Dawn C Trompeter
 
President, OSF Healthcare St. Elizabeth MC/ St. Paul MC
1.0
.................
41.0
    X       0 399,396 38,232
Form 990 (2021)
Form 990 (2021)
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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(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) Jacqueline D Kernan
 
President, OSF HealthCare St Clare Medical Center St Luke MC
40.0
.......................2.0
    X       349,542 0 35,713
(19) James J Mormann
 
Chief Information Officer
40.0
.......................2.0
    X       989,677 0 48,832
(20) Jared C Rogers
 
President, OSF HealthCare Heart of Mary Medical Center
40.0
.......................2.0
    X       547,842 0 37,511
(21) Jason R Rodeghero
 
President, OSF Home Care and Rehab Services
40.0
.......................2.0
    X       351,552 0 40,237
(22) Jeffry M Tillery
 
President, OSF Medical Group
40.0
.......................2.0
    X       0 942,742 40,704
(23) Jerry W Rumph
 
President, OSF HealthCare Saint Anthony's Health Center
40.0
.......................2.0
    X       337,803 0 16,128
(24) John R Evancho
 
SVP Chief Compliance Officer
40.0
.......................2.0
    X       433,915 0 42,434
(25) Kathleen M Kinsella
 
President, OSF HealthCare Little Company of Mary Medical Center
40.0
.......................2.0
    X       510,038 0 28,658
(26) Kelly A Jefferson
 
President, OSF HealthCare St. Francis Hospital Medical Group
40.0
.......................2.0
    X       226,816 0 34,247
(27) Leon A Yeh MD
 
VP Chief Medical Officer Emergency Serv
40.0
.......................2.0
    X       720,064 0 25,269
(28) Lisa DeKezel
 
President, OSF HealthCare Holy Family MC and St. Mary MC
40.0
.......................2.0
    X       377,167 0 29,413
(29) Lori L Wiegand
 
Chief Nursing Officer
40.0
.......................2.0
    X       673,410 0 24,691
(30) Lynn A Fulton
 
President, OSF HealthCare St. Joseph Medical Center
40.0
.......................2.0
    X       486,071 0 40,570
(31) Michael A Cruz MD
 
Chief Operating Officer
40.0
.......................2.0
    X       1,119,188 0 48,596
(32) Michael A Wells
 
President CHOI
40.0
.......................2.0
    X       340,691 0 30,146
(33) Michael M Allen
 
Chief Financial Officer
40.0
.......................3.0
    X       1,112,574 0 42,879
(34) Michelle D Conger
 
Chief Strategy Officer, OSF Healthcare/ CEO OnCall Digital Health
40.0
.......................2.0
    X       906,223 0 35,892
(35) Ned Hill
 
President, OSF HealthCare Sacred Heart Medical Center
40.0
.......................2.0
    X       156,173 0 15,096
(36) Paula A Carynski
 
President, OSF HealthCare Saint Anthony Medical Center
40.0
.......................2.0
    X       595,645 0 41,762
(37) Ralph Velazquez MD
 
System Chief Medical Officer
40.0
.......................2.0
    X       853,298 0 43,644
(38) Robert G Anderson
 
Chief Executive Officer Central Region
40.0
.......................2.0
    X       729,059 0 34,907
(39) Robert L Brandfass
 
SVP Chief Legal Officer
40.0
.......................2.0
    X       862,096 0 36,626
(40) Roxanna Crosser
 
Chief Executive Officer Western Region
40.0
.......................2.0
    X       680,825 0 29,894
(41) Shelley A Nguyen
 
Chief Human Resources Officer
40.0
.......................2.0
    X       268,708 0 24,519
(42) Stephen E Hippler MD
 
Chief Clinical Officer
40.0
.......................2.0
    X       1,065,555 0 50,320
(43) Thomas G Hammerton
 
President OSF Healthcare Foundation Chief Development Officer
1.0
.......................42.0
    X       604,139 0 42,145
(44) Iftekhar U Ahmad MD
 
Physician
40.0
.......................0
        X   932,914 0 44,490
(45) Ismael Shaukat
 
Physician
40.0
.......................0
        X   791,127 0 40,270
(46) James L McGee MD
 
Physician
40.0
.......................0
        X   1,058,239 0 36,676
(47) Mete Korkmaz
 
Oncologist
40.0
.......................0
        X   772,279 0 47,408
(48) Shylendra B Sreenivasappa
 
Oncologist
40.0
.......................0
        X   802,201 0 41,179
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 25,517,303 1,495,016 1,470,824
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 MediumBullet1,599
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
 
No
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
PointCore Construction LLC

601 SW Water St
Peoria,IL61602
Construction Services 77,187,972
NORTH AMERICAN PARTNERS IN ANESTHESIA

PO BOX 69
GLEN HEAD,NY115450069
Anesthesiologists Services 13,371,629
Assoc Anesthesiologists SC

8600 N State Route 91 Ste 250
Peoria,GA616159452
Anesthesiologists Services 12,319,608
Power Construction Company LLC

8750 W Bryn Mawr Ave
Suite 500
Chicago,IL60631
Construction Services 7,782,451
Mayo Clinic

PO Box 4006
Rochester,MN55903
Laboratory Services 7,678,416
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet103
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 15,109,670
e Government grants (contributions)1e 59,550,227
f All other contributions, gifts, grants, and similar amounts not included above1f 8,090,304
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 82,750,201
 Program Service RevenueAmt Business Code
2a Net Patient Service Revenue 621110 2,963,982,157 2,963,982,157    
b Lab 621511 8,584,362   8,584,362  
c Consulting Revenue 621500 907,406 907,406    
d Interest on Notes Receivable 900099 40,371   40,371  
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f .....MediumBullet 2,973,514,296
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 84,126,602   -3,137 84,129,739
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   3,694,408 6a
b Less: rental expenses   3,398,318 6b
c Rental income or (loss) 0 296,090 6c
d Net rental income or (loss).......MediumBullet 296,090     296,090
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 2,896,049   7a
b Less: cost or other basis and sales expenses 3,015,663   7b
c Gain or (loss) -119,614 0 7c
d Net gain or (loss).........MediumBullet -119,614     -119,614
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 21,564,961
b Less: cost of goods sold .. 10b 4,840,912
c Net income or (loss) from sales of inventory..MediumBullet 16,724,049     16,724,049
Business Code Miscellaneous Revenue
11a Tuition 611710 11,293,705 11,293,705    
b Contract Pharmacy 621110 8,028,925 8,028,925    
c Cafeteria 624200 3,406,247 3,406,247    
d All other revenue .... 15,680,476 15,573,909 106,567 0
e Total. Add lines 11a–11d ...... MediumBullet 38,409,353
12 Total revenue. See instructions.....MediumBullet 3,195,700,977 3,003,192,349 8,728,163 101,030,264
Form 990 (2021)
Form 990 (2021)
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 .... 3,578,675 3,578,675
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 324,233 324,233
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 23,650,967 18,920,774 4,730,193  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 1,134,069 492,867 641,202  
7 Other salaries and wages........ 1,027,377,357 776,356,364 250,945,601 75,392
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 43,365,870 32,098,692 11,264,539 2,639
9 Other employee benefits ....... 184,181,068 137,067,634 47,113,434  
10 Payroll taxes ........... 80,840,825 62,615,477 18,219,603 5,745
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 3,117,167 45,321 3,071,846  
c Accounting ........... 1,123,422   1,123,422  
d Lobbying ........... 1,003,966   1,003,966  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 331,912,298 315,090,026 16,822,272 0
12 Advertising and promotion .... 8,088,711 194,603 7,894,108  
13 Office expenses ....... 16,235,295 6,982,126 9,251,692 1,477
14 Information technology ...... 41,838,647 2,248,506 39,590,141  
15 Royalties ..        
16 Occupancy ........... 26,655,009 25,443,086 1,211,923  
17 Travel ............ 4,865,984 3,029,073 1,836,911  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 4,052,464 789,346 3,263,118  
20 Interest ........... 45,616,097 116,514 45,499,583  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 113,240,584 81,517,272 31,723,312  
23 Insurance ... 87,530,081 86,283,390 1,246,691  
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 487,610,763 486,839,093 655,226 116,444
b Equip Rental Maint 210,763,660 154,360,787 56,401,864 1,009
c Bad Debt 34,816,643 34,816,643    
d Medicaid Fees 103,308,762 103,308,762    
e All other expenses 8,772,792 8,733,133 0 39,659
25 Total functional expenses. Add lines 1 through 24e 2,895,005,409 2,341,252,397 553,510,647 242,365
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).        
Form 990 (2021)
Form 990 (2021)
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 ........ 0 1 0
2 Savings and temporary cash investments ......... 428,280,892 2 239,976,251
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 435,114,986 4 399,211,773
5 Loans and other receivables from 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) ...
0 6 0
7 Notes and loans receivable, net ........... 0 7 0
8 Inventories for sale or use ............ 70,134,182 8 70,566,809
9 Prepaid expenses and deferred charges ...... 68,309,106 9 78,149,641
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,443,060,900
b Less: accumulated depreciation 10b 1,685,177,644 1,535,261,973 10c 1,757,883,256
11 Investments—publicly traded securities . 2,492,321,111 11 1,813,050,449
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 146,974,739 13 174,652,760
14 Intangible assets ............... 50,810,490 14 51,423,333
15 Other assets. See Part IV, line 11 ........... 333,538,704 15 523,555,474
16 Total assets. Add lines 1 through 15 (must equal line 33)... 5,560,746,183 16 5,108,469,746
Liabilities 17 Accounts payable and accrued expenses ..... 401,515,099 17 344,250,460
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 909,904 19 9,904
20 Tax-exempt bond liabilities ......... 1,129,040,165 20 1,642,047,867
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 .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 1,309,359,672 25 902,334,846
26 Total liabilities. Add lines 17 through 25.. 2,840,824,840 26 2,888,643,077
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 .......... 2,532,019,781 27 2,052,433,080
28 Net assets with donor restrictions ........... 187,901,562 28 167,393,589
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 ........... 2,719,921,343 32 2,219,826,669
33 Total liabilities and net assets/fund balances ........ 5,560,746,183 33 5,108,469,746
Form 990 (2021)
Form 990 (2021)
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
3,195,700,977
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,895,005,409
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
300,695,568
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
2,719,921,343
5
Net unrealized gains (losses) on investments ...............
5
-589,756,932
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-211,033,310
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
2,219,826,669
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 on
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 (2021)
Form 990 (2021)
Additional Data


Software ID: 21014044
Software Version: 2021v4.2
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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
2021
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) 2021

Schedule A (Form 990) 2021
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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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 5 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) 2021

Schedule A (Form 990) 2021
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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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 on 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) 2021

Schedule A (Form 990) 2021
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
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 on 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 on 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) 2021

Schedule A (Form 990) 2021
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 on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

Schedule A (Form 990) 2021
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 0.015 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 0.035 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) 2021

Schedule A (Form 990) 2021
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2021 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2021
(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, 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 2021. 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 2022. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
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) 2021


Additional Data


Software ID: 21014044
Software Version: 2021v4.2
Schedule B
(Form 990)
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
2021
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) (2021)
Schedule B (Form 990) (2021) 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) (2021)
Schedule B (Form 990) (2021)
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) (2021)
Schedule B (Form 990) (2021)
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) (2021)
Additional Data


Software ID: 21014044
Software Version: 2021v4.2
SCHEDULE C
(Form 990)

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
2021
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.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
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) 2018 (b) 2019 (c) 2020 (d) 2021 (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) 2021


Schedule C (Form 990) 2021
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
 
639,419
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
364,547
j
Total. Add lines 1c through 1i ....................................................................................................
1,003,966
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 $364,547. 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 $639,419.
Schedule C (Form 990) 2021


Additional Data


Software ID: 21014044
Software Version: 2021v4.2

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
2021
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) 2021

Schedule D (Form 990) 2021
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 .... 171,255,117 134,893,648 122,600,381 110,842,618 87,218,699
b Contributions ... 1,014,827 13,447,047 9,749,241 10,571,244 18,736,098
c Net investment earnings, gains, and losses -26,799,938 29,091,735 6,416,527 5,896,184 6,534,121
d Grants or scholarships ... 523,954 529,940 152,799 540,428 188,034
e Other expenditures for facilities
and programs ...
6,560,499 5,647,373 3,719,702 4,169,237 1,458,266
f Administrative expenses ....          
g End of year balance ...... 138,385,553 171,255,117 134,893,648 122,600,381 110,842,618
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet40.85 %
b
Permanent endowment SchDMd Bullet52.88 %
c
Term endowment SchDMd Bullet6.27 %
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 .....   91,648,158 91,648,158
b Buildings ....   1,890,509,924 845,166,005 1,045,343,919
c Leasehold improvements   38,001,797 27,804,480 10,197,317
d Equipment ....   1,163,512,020 812,207,159 351,304,861
e Other .....   259,389,001 0 259,389,001
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,757,883,256
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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)THIRD PARTY WITHHOLDINGS 27,113,575
(2)DUE FROM FOUNDATION 1,987,459
(3)ASSETS - LIMITED OR RESTRICTED 167,393,589
(4)FUNDS LIMITED AS TO USE 211,079,411
(5)OTHER ACCOUNTS 41,267,147
(6)457B DEFERRED COMPENSATION 74,714,293
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 523,555,474
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  
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 902,334,846
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) 2021

Schedule D (Form 990) 2021
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 (the Code) and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Under ASC Subtopic 740-10, Accounting for Uncertainty in Income Taxes - An Interpretation of FASB Statement No. 109, OSF and PCI must recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. As of September 30, 2022 or 2021, OSF and PCI do not have any uncertain tax positions.
Schedule D (Form 990) 2021


Additional Data


Software ID: 21014044
Software Version: 2021v4.2




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
OSF Healthcare System
 
Employer identification number

37-0813229
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region
(f) Total expenditures
for and investments
in the region
Europe (Including Iceland and Greenland) 0 0 Investments N/A 951,209
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 951,209
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 951,209
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount
of noncash
assistance
(h) Description
of noncash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
noncash
assistance
(g) Description
of noncash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2021
Additional Data


Software ID: 21014044
Software Version: 2021v4.2



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
2021
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) . . .
    30,487,187   30,487,187 1.05 %
b Medicaid (from Worksheet 3, column a) . . . . .     623,854,468 546,801,183 77,053,285 2.66 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .         0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 654,341,655 546,801,183 107,540,472 3.71 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     7,269,208 1,298,173 5,971,035 0.21 %
f Health professions education (from Worksheet 5) . . .     95,592,077 35,029,942 60,562,135 2.09 %
g Subsidized health services (from Worksheet 6) . . . .     167,756,165 117,636,501 50,119,664 1.73 %
h Research (from Worksheet 7) .     1,502,307   1,502,307 0.05 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     3,681,397   3,681,397 0.13 %
j Total. Other Benefits . . 0 0 275,801,154 153,964,616 121,836,538 4.21 %
k Total. Add lines 7d and 7j . 0 0 930,142,809 700,765,799 229,377,010 7.92 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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     887,119   887,119 0.03 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 887,119 0 887,119 0.03 %
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
11,037,860
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
600,322,971
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
694,132,268
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-93,809,297
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) 2021
Schedule H (Form 990) 2021
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?13Name, 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 ST JOSEPH MEDICAL CENTER
2200 EAST WASHINGTON STREET
BLOOMINGTON,IL61701
https://www.osfhealthcare.org/st-joseph/
IL0002535
X X         X      
4 OSF HEART OF MARY MEDICAL CENTER
1400 W PARK STREET
URBANA,IL61801
https://www.osfhealthcare.org/heart-of-mary/
IL0006080
X X   X     X      
5 OSF SACRED HEART MEDICAL CENTER
812 N LOGAN AVENUE
DANVILLE,IL61832
https://www.osfhealthcare.org/sacred-heart/
IL0006072
X X         X      
6 ST MARY MEDICAL CENTER
3333 NORTH SEMINARY STREET
GALESBURG,IL61401
https://www.osfhealthcare.org/st-mary/
IL0002675
X X         X      
7 OSF SAINT ANTHONY'S HEALTH CENTER
1 ST ANTHONYS WAY
ALTON,IL62002
https://www.osfhealthcare.org/saint-anthonys/
IL0005942
X X         X      
8 ST FRANCIS HOSPITAL
3401 LUDINGTON STREET
ESCANABA,MI49829
https://www.osfhealthcare.org/st-francis/
MI1060000051
X X     X   X      
9 SAINT JAMES HOSPITAL
2500 W REYNOLDS STREET
PONTIAC,MI61764
https://www.osfhealthcare.org/saint-james/
IL0005264
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      
12 LITTLE COMPANY OF MARY MEDICAL CENTER
2800 W 95TH STREET
EVERGREEN PARK,IL60805
https://www.osfhealthcare.org/little-company-of-mary/
IL0006163
X X   X     X      
13 Saint Clare Medical Center
530 Park Ave E
Princeton,IL61356
https://www.osfhealthcare.org/saint-clare/
IL0006254
X X     X   X      
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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 22
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 22
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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 22
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 22
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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):
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   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 22
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 22
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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):
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   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 22
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 22
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) 2021
Schedule H (Form 990) 2021
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/financial-assistance/
b
https://www.osfhealthcare.org/billing/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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):
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 22
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 22
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) 2021
Schedule H (Form 990) 2021
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/financial-assistance/
b
https://www.osfhealthcare.org/billing/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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):
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 22
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 22
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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):
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 22
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 22
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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):
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 22
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 22
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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):
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 22
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 22
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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 22
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 22
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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 22
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 22
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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) 2021
Schedule H (Form 990) 2021
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)
LITTLE COMPANY 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):
12
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 22
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 22
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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
LITTLE COMPANY 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/financial-assistance/
b
https://www.osfhealthcare.org/billing/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
LITTLE COMPANY 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) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
LITTLE COMPANY 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) 2021
Schedule H (Form 990) 2021
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 Clare 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):
13
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 22
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 22
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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Saint Clare 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) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
Saint Clare 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) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Saint Clare 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) 2021
Schedule H (Form 990) 2021
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 2022 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 PRIOR AND CURRENT CHNAs are 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 2022 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 2022 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 2019 WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS ON JULY 29, 2019. THE CHNA THAT WAS CONDUCTED IN 2022 WAS APPROVED AND ADOPTED ON JULY 25, 2022
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 2019 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 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. FOR ADDITIONAL INFORMATION SEE CHNA IMPLEMENTATION STRATEGY. HEALTHY BEHAVIORS AND OBESITY: ACTIVE LIVING - GOAL 1: REDUCE THE PROPORTION OF ADULTS CONSIDERED OBESE IN THE TRI-COUNTY AREA. OUTCOME METRIC 1: REDUCE THE PERCENTAGE OF ADULTS IN THE TRI-COUNTY AREA CONSIDERED OBESE BY 2% (PEORIA 33%, TAZEWELL 33%, AND WOODFORD- 28%) BY DECEMBER 31, 2022. *INCREASE NUMBER OF PERSONS RECEIVING PRODUCE VOUCHERS BY 2%. BASELINE: 428. FY2022- 608 VOUCHERS. *PROVIDE HEALTHY EATING AND ACTIVE LIVING EDUCATION AND AWARENESS THROUGH COMMUNITY OUTREACH AND PUBLIC OR SOCIAL MEDIA. FY2022 - 72 COMMUNITY OUTREACH EVENTS AND SOCIAL MEDIA ACTIVITIES. *INCREASE PARTICIPATION IN THE MEDICAL EXERCISE PROGRAM. FY2022 - 34,328 ENCOUNTERS *INCREASE ENROLLMENT IN THE WEIGHT MANAGEMENT CLINIC. FY2022 - 7,148 VISITS GOAL 2: REDUCE THE PROPORTION OF YOUTH (GRADES 8-12) IN THE TRI-COUNTY AREA, WHO SELF-REPORT BEING OVERWEIGHT AND OBESE. OUTCOME METRIC 2: REDUCE THE PROPORTION OF YOUTH (GRADES 8-12) IN THE TRI-COUNTY AREA, WHO SELF-REPORT BEING OVERWEIGHT AND OBESE BY 2% BY DECEMBER 31, 2022. 11% TO 17% OF YOUTH REPORT BEING OVERWEIGHT AND 13% OF YOUTH REPORT BEING OBESE PER THE ILLINOIS YOUTH SURVEY. *EXPAND THE BREAST FEEDING RESOURCE CENTER'S COMMUNITY OUTREACH EFFORTS. FY2022 - 1187 ENCOUNTERS AND 75 COMMUNITY OUTREACH EVENTS. *CONTINUE TO COLLABORATE TO OFFER HEALTHY KIDS U IN MOTION PROGRAM. FY2022 - FOUR PROGRAMS OFFERED, WITH A TOTAL OF 36 PARTICIPANTS. GOAL 3: DECREASE FOOD INSECURITY IN POPULATIONS RESIDING IN THE TRI-COUNTY AREA. OUTCOME METRIC 3: DECREASE FOOD INSECURITY IN POPULATIONS RESIDING IN THE TRI-COUNTY AREA BY 1% BY DECEMBER 31, 2022. THE PERCENTAGE OF HOUSEHOLDS REPORTING FOOD INSECURITY IN THE TRI-COUNTY AREA INCLUDE 16% IN PEORIA, 10% IN TAZEWELL AND 9% IN WOODFORD. *ASSESS FOR SOCIAL DETERMINANTS OF HEALTH. PILOT IN 61603 61605 ZIP CODES. DETERMINE BASELINE FOR NUMBER OF ASSESSMENTS FOR SOCIAL DETERMINANT OF HEALTH COMPLETED. DETERMINE BASELINE FOR FOOD INSECURITY. 767 PATIENTS COMPLETED A SOCIAL DETERMINANT OF HEALTH ASSESSMENT. 145 (19%) PATIENTS WERE DETERMINED TO BE FOOD INSECURE FY2022, 767 PATIENTS COMPLETED A SOCIAL DETERMINANT OF HEALTH ASSESSMENT. 145 (19%) PATIENTS WERE DETERMINED TO BE FOOD INSECURE. *PILOT SMART MEALS PROGRAM. PILOTED IN WOUND CLINIC, SISTERS CLINIC AND CARE-A-VAN. DETERMINE BASELINE FOR NUMBER OF SMART MEALS DISTRIBUTED. *EXPAND GARDENS OF HOPE COMMUNITY OUTREACH EFFORTS. INCREASE NUMBER OF VOLUNTEER HOURS BY 10%. BASELINE: 1000 HOURS (FY19). INCREASE NUMBER OF CHILDREN EDUCATED FROM BY 10%. BASELINE: 23 (FY19). FY2022 - 1299 VOLUNTEER HOURS (29% INCREASE), 34 CHILDREN WERE EDUCATED IN THE GARDEN (40% INCREASE). *EXPAND FCN/CARE-A-VAN OUTREACH. INCREASE NUMBER OF REFERRALS BY 2%. BASELINE: 4163 (FY19). FY2022 - 4,196 REFERRALS CANCER- BREAST, LUNG AND COLORECTAL: GOAL 1: REDUCE THE FEMALE BREAST CANCER DEATH RATE IN THE TRI-COUNTY AREA. OUTCOME METRIC 1: REDUCE THE FEMALE BREAST CANCER DEATH RATE IN THE TRI-COUNTY AREA BY 1% BY DECEMBER 31, 2022. THE BREAST CANCER AGE-ADJUSTED DEATH RATE FOR 2011 TO 2015 IS 22.7 FOR PEORIA COUNTY, 18.7 FOR TAZEWELL COUNTY AND 24.4 FOR WOODFORD COUNTY. *INCREASE SCREENING MAMMOGRAMS PROVIDED BY 200. BASELINE: 25,025. FY2022: 22,672 SCREENING MAMMOGRAMS. *INCREASE NUMBER OF HIGH-RISK ASSESSMENTS PROVIDED BY 10%. BASELINE: 435 HIGH-RISK ASSESSMENTS. FY2022 - 8418 HIGH RISK ASSESSMENTS. *INCREASE NUMBER OF EDUCATION AND AWARENESS ACTIVITIES FROM 10 TO 12. *INCREASE NUMBER OF COLONOSCOPIES PROVIDED BY 1000. FY2022 - 5446 COLONOSCOPIES. *PROVIDE COLORECTAL CANCER EDUCATION AND AWARENESS THROUGH COMMUNITY OUTREACH. FY2022 - 900+ PERSONS REACHED 10 EDUCATION AND AWARENESS ACTIVITIES *EVALUATE THE DISTRIBUTION OF NON-INVASIVE SCREENING TEST KITS. FY2022 - 11 KITS DISTRIBUTED GOAL 2: REDUCE THE LUNG CANCER DEATH RATE IN THE TRI-COUNTY AREA. OUTCOME METRIC 2: REDUCE THE LUNG CANCER DEATH RATE IN THE TRI-COUNTY AREA BY 1% BY DECEMBER 31, 2022. *INCREASE NUMBER OF PARTICIPANTS IN THE SMOKING CESSATION PROGRAM. FY2022: 3 *PROVIDE LUNG CANCER AWARENESS AND PREVENTION EDUCATION THROUGH COMMUNITY OUTREACH. FY2022 - 560+ NUMBER OF PERSONS REACHED AND 8+ EDUCATION AND AWARENESS ACTIVITIES. *INCREASE THE NUMBER OF LOW DOES CT LUNG CANCER SCREENINGS PROVIDED. FY2022 - 2223 LUNG CANCER SCREENINGS MENTAL HEALTH GOAL 1: DECREASE THE NUMBER OF SUICIDES IN THE TRI-COUNTY AREA. OUTCOME METRIC 1: DECREASE THE NUMBER OF SUICIDES IN THE TRI-COUNTY AREA BY 10% BY DECEMBER 31, 2022. SUICIDE DEATH RATE PER 100,000 IN 2015 WAS 10.9 IN PEORIA COUNTY, 12.0 IN TAZEWELL COUNTY AND 15.8 IN WOODFORD COUNTY ACCORDING TO THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH. *SCREEN PATIENTS RECEIVING OUTPATIENT BEHAVIORAL HEALTH SERVICES FOR SUICIDE RISK. FY2022: 96% SCREENED. GOAL 2: DECREASE THE NUMBER OF RESIDENTS IN THE TRI-COUNTY AREA WHO REPORTED FEELING DEPRESSED OR ANXIOUS IN THE PAST 30 DAYS. OUTCOME METRIC 2: DECREASE THE NUMBER OF RESIDENTS IN THE TRI-COUNTY AREA WHO REPORTED FEELING DEPRESSED OR ANXIOUS IN THE PAST 30 DAYS BY 10% BY DECEMBER 31, 2022. THE 2019 CHNA REPORTED THAT 46% OF TRI-COUNTY RESIDENTS REPORTED FEELING DEPRESSED AT LEAST ONE TO TWO DAYS IN THE PAST 30 DAYS; 9% EXPERIENCED DEPRESSION MORE THAN FIVE DAYS IN THE PAST 30 DAYS AND 40% REPORTED THEY FELT ANXIOUS OR STRESSED AT LEAST ONE TO TWO DAYS IN THE PAST 30 DAYS; 7% EXPERIENCED ANXIETY OR STRESS MORE THAN FIVE DAYS. *IMPLEMENT PRESCRIPTIONS FOR PLAY PROGRAM. FY2022: 230 PRESCRIPTIONS FOR PLAY *INCREASE OUTPATIENT BEHAVIORAL HEALTH ENCOUNTERS BY 2%. FY2022- 18,616 ENCOUNTERS. *INCREASE RESOURCE LINK ENCOUNTERS. FY2022 - 486 ENCOUNTERS. *INCREASE STRIVE TRAUMA RECOVERY SERVICES PROVIDED IN A COMMUNITY SETTING. FY2022: 1363 VISITS WERE PROVIDED IN A COMMUNITY SETTING (50% INCREASE). *PROVIDE FREE ACCESS TO DIGITAL BEHAVIORAL HEALTH SOLUTION - SILVERCLOUD. 376 UTILIZING APP. *PROVIDE FREE BEHAVIORAL HEALTH NAVIGATION SERVICES. FY2022: 1356 PROVIDED GOAL 3: USE SOCIAL DETERMINANTS OF HEALTH (SDOH) TO IDENTIFY PATIENTS AT INCREASED RISK OF POOR MENTAL HEALTH AND CONNECT THEM TO COMMUNITY ORGANIZATIONS IN ORDER TO IMPROVE MENTAL HEALTH OUTCOMES. OUTCOME MEASURE 3: DECREASE THE PERCENTAGE OF RESPONDENTS STATING THEY HAVE POOR OVERALL MENTAL HEALTH BY 1%. BASELINE: PER THE 2019 CHNA SURVEY, 8% OF RESPONDENTS STATED THEY HAVE POOR OVERALL MENTAL HEALTH. NOT HAVING BASIC HUMAN NEEDS IS LIKELY LINKED TO POOR MENTAL HEALTH. IF A SURVEY RESPONDENT DOES NOT HAVE HOUSING, FOOD, TRANSPORTATION (ETC.), THEIR OVERALL STATE OF MENTAL HEALTH WOULD LIKELY BE RATED LOWER. *IMPLEMENT SCREENING OF PATIENTS FOR SDOH. SCREEN AND CONNECT. NUMBER OF PATIENTS SCREENED. FY2022: 30135 *TRACK NUMBER OF PATIENTS REFERRED TO COMMUNITY BASED ORGANIZATIONS (CBO). FY2022: 834 *TRACK NUMBER OF MISSION PARTNERS EDUCATED FOR CONTINUED ROLL-OUT. COMPLETED *TRACK NUMBER OF PATIENT REFERRALS TO OSF CARE MANAGEMENT AND SOCIAL WORKERS. FY2022: 196. SUBSTANCE USE - GOAL: REDUCE THE RATE OF DRUG INDUCED DEATHS WITHIN THE TRI-COUNTY. OUTCOME MEASURE: BY DECEMBER 31, 2022, REDUCE THE RATE OF DRUG-INDUCED DEATHS WITHIN THE TRI-COUNTY BY 10%. 2018 IL VITAL RECORDS OVERDOSE DATA INDICATES 51 OVERDOSES IN PEORIA COUNTY, 26 IN TAZEWELL COUNTY AND 3 IN WOODFORD COUNTY. *INCREASE POUNDS OF MEDICATION COLLECTED AND DESTROYED BY 10%. FY2022: 305 LBS. *PRACTICE OPIOID STEWARDSHIP. TRACK HIGH-RISK OPIOID MEDICATION DATA. REPORT HIGH-RISK OPIOID MEDICATION DATA TO HOSPITAL LEADERSHIP MONTHLY. ACHIEVE TARGET FOR PARENTERAL OPIOID REDUCTION. HIGH-RISK MEDICATION DATA IS REPORTED TO HOSPITAL LEADERSHIP MONTHLY. TARGETS HAVE BEEN ACHIEVED. OPIOID MEDICATIONS ARE TRACKED AND MONITORED THROUGH THE OPIOID DATABASE, WHICH IS ROUTINELY UPDATED. HIGH-RISK MEDICATION DATA IS REPORTED TO HOSPITAL LEADERSHIP MONTHLY. TARGETS HAVE BEEN ACHIEVED. *COLLABORATE TO PROMOTE COMMUNITY NARCAN EFFORTS. COLLECT AND PROVIDE NARCAN ADMINISTRATION DATA MONTHLY. IMPLEMENT OVERDOSE EDUCATION AND NALOXONE DISTRIBUTION (OEND) PROGRAM. FY2022: NARCAN ADMINISTRATION DATA IS SHARED WITH THE PEORIA CITY/COUNTY HEALTH DEPARTMENT MONTHLY.
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.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - Saint Francis Medical Center. THE FINANCIAL ASSISTANCE POLICY IS AVAIABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - SAINT FRANCIS 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 ANTHONY MEDICAL CENTER. FOR THE 2022 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 PRIOR AND CURRENT CHNA's Were 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 2022 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 2022 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 2019 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 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. THE COLLABORATIVE TEAM IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS AND PRIORITIZED ALL TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. FOR ADDITIONAL INFORMATION PLEASE SEE CHNA IMPLEMENTATION STRATEGY. HEALTHY BEHAVIORS: OUTCOME METRIC 1: DECREASE THE PERCENTAGE OF WINNEBAGO COUNTY RESIDENTS WITH HYPERTENSION AND ELEVATED CHOLESTEROL LEVELS BY 1%. BASELINE: 34.9% WITH HYPERTENSION AND 39% WITH ELEVATED CHOLESTEROL (BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM [BRFSS]). *INCREASE COMMUNITY AND CORPORATE HEALTH SCREENINGS. FY2022: ONE EVENT COMPLETED WITH 14 PARTICIPANTS. *PROVIDE EDUCATION TO HOSPITALISTS TO INCREASE REFERRALS TO OUTPATIENT DIETITIANS. FY2022: BASELINE WASN'T ORIGINALLY TRACKED. SO BASELINE IS CURRENTLY 752 REFERRALS FOR THE YEAR. *OFFER NUTRITION/FITNESS CLASSES. FY2022: FITNESS CENTER NOW CLOSED. GOAL 1: DECREASE PREVALENCE OF ADULTS 20+ WHO ARE OBESE IN WINNEBAGO COUNTY OUTCOME METRIC 2: DECREASE THE NUMBER OF RESIDENTS THAT ARE OBESE BY 1%. BASELINE: ADULTS 20+ WHO ARE OBESE 33.3% IN WINNEBAGO COUNTY (PER CENTERS FOR DISEASE CONTROL AND PREVENTION 2016). *INCREASE INDIVIDUAL DIETITIAN CONSULTATIONS. INCREASE DIETICIAN CONSULT APPOINTMENTS BY 5% EACH YEAR. FY2022: 1761 CONSULTS. MENTAL HEALTH -SUBSTANCE ABUSE - GOAL 1: IMPROVE COMMUNITY COMPLIANCE WITH PROPER DRUG DISPOSAL PROCESSES TO DECREASE THE AVAILABILITY OF PRESCRIPTION AND NON-PRESCRIPTION DRUGS UTILIZED FOR SUBSTANCE ABUSE. OUTCOME METRIC 1: INCREASE NUMBER OF POUNDS OF UNUSED MEDICATIONS THAT ARE DISPOSED OF IN THE DRUG TAKE BACK BOX AT SAMC BY 10%. INCREASE MARKETING TO IMPROVE COMMUNITY AWARENESS AND UTILIZATION OF THE DRUG TAKE BACK PROGRAM. FY2022: DUE TO COVID-19 MARKETING CAMPAIGN NOT INITIATED OUTCOME METRIC 2: INCREASE NUMBER OF POUNDS OF UNUSED MEDICATIONS THAT ARE DISPOSED OF IN THE DRUG TAKE BACK BOX AT SAMC BY 10%. *DECREASE NUMBER OF TABLETS ORDERED PER OPIOID PRESCRIPTION. ED PHYSICIANS. TRACK NUMBER OF TABLETS PER OPIOID PRESCRIPTION TO ESTABLISH BASELINE. DECREASE NUMBER OF TABLETS ORDERED PER PRESCRIPTION BY 10% OF BASELINE BY 2022. FY2022: 14 TABLETS/PRESCRIPTION. *PROVIDE FREE ACCESS TO DIGITAL BEHAVIORAL HEALTH SOLUTION - SILVERCLOUD. FY2022: 51 PARTICIPANTS. *PROVIDE FREE BEHAVIORAL HEALTH NAVIGATION SERVICE. FY2022: 494 PARTICIPANTS GOAL 2: REDUCE THE NUMBER OF DEATHS IN WINNEBAGO COUNTY DUE TO SUICIDE OUTCOME METRIC 3: REDUCE THE NUMBER OF AGE-ADJUSTED DEATHS DUE TO SUICIDE TO 13 (PER 100,000) BASELINE: (PER CENTERS FOR DISEASE CONTROL AND PREVENTION 2015-2017) AGE-ADJUSTED DEATHS DUE TO SUICIDE WAS 13.5 (PER 100,000). *ALL PATIENTS 12 YEARS OF AGE AND OLDER WHO ARE SEEN IN THE ED OR INPATIENT OR OUTPATIENT UNIT WHO ARE BEING EVALUATED OR TREATED FOR A BEHAVIORAL HEALTH CONDITION WILL BE SCREENED FOR SUICIDE RISK. 95% OF ED PATIENTS SCREENED FOR SUICIDE USING THE COLUMBIA SUICIDE SEVERITY RATING SCALE (C-SSRS). FY2022, 93.76%. *ALL PATIENTS WITH SCREENING RESULTING IN A MODERATE TO HIGH SCORE REQUIRE A PROVIDER ASSESSMENT. SUICIDE ASSESSMENT COMPLETED FOR 100% OF PATIENTS SCORING MODERATE OR HIGH RISK ON THE C-SSRS TOOL. FY2022, 55.73%. *CONTRACTED SERVICES WITH ROSECRANCE TO PROVIDE EVALUATION AND REFERRALS OR PLACEMENT TO AT RISK ED PATIENTS. INCREASE REFERRALS OF AT RISK ED PATIENTS TO ROSECRANCE BY 1% ANNUALLY. FY2022, 28%. GOAL 3: USE SOCIAL DETERMINANTS OF HEALTH (SDOH) TO IDENTIFY PATIENTS AT INCREASED RISK OF POOR MENTAL HEALTH AND CONNECT THEM TO COMMUNITY ORGANIZATIONS IN ORDER TO IMPROVE MENTAL HEALTH OUTCOMES. OUTCOME MEASURE 4: DECREASE THE PERCENTAGE OF RESPONDENTS STATING THEY HAVE POOR OVERALL MENTAL HEALTH BY 1%. BASELINE: PER THE CHNA SURVEY, 8% OF RESPONDENTS STATED THEY HAVE POOR OVERALL MENTAL HEALTH. NOT HAVING BASIC HUMAN NEEDS IS LIKELY LINKED TO POOR MENTAL HEALTH. IF A SURVEY RESPONDENT DOES NOT HAVE HOUSING, FOOD, TRANSPORTATION (ETC.), THEIR OVERALL STATE OF MENTAL HEALTH WOULD LIKELY BE RATED LOWER. *IMPLEMENT SCREENING OF PATIENTS FOR SDOH. SCREEN AND CONNECT. NUMBER OF PATIENTS SCREENED. FY2022: 11,047 SCREENED. *TRACK NUMBER OF PATIENTS REFERRED TO COMMUNITY BASED ORGANIZATIONS (CBO). FY2022, 247 TRACKED. *TRACK NUMBER OF MISSION PARTNERS EDUCATED FOR CONTINUED ROLL-OUT. FY2022, COMPLETED. *TRACK NUMBER OF PATIENT REFERRALS TO OSF CARE MANAGEMENT AND SOCIAL WORKERS. FY2022 -379. CANCER: GOAL: DECREASE THE DEATH RATE IN WINNEBAGO COUNTY DUE TO LUNG CANCER OUTCOME METRIC: DECREASE THE AGE- ADJUSTED DEATH RATE DUE TO LUNG CANCER IN WINNEBAGO COUNTY TO 50.6 (PER 100,000). BASELINE: (PER NATIONAL CANCER INSTITUTE 2012-2016) THE AGE-ADJUSTED DEATH RATE IN WINNEBAGO COUNTY WAS 51.6 (PER 100,000). *PROVIDE OSF SMOKING CESSATION CLASSES EVERY QUARTER. FY2022: EDUCATED RESIGNED *ANNUAL EDUCATION TO COMMUNITY MEDICAL PROVIDERS ON LUNG CANCER SCREENING CRITERIA, SHARED DECISION-MAKING VISIT, AND HOW TO ORDER. FY2022: 859 CT LUNG *ENFORCE TOBACCO FREE CAMPUS. FY2022: 198 CITATIONS
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.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - SAINT ANTHONY MEDICAL CENTER. THE FINANCIAL ASSISTANCE POLICY IS AVAIABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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 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 2022 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 2022 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 PRIOR AND CURRENT CHNA'S 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 COUNCIL. THIS COLLABORATIVE TEAM WAS CREATED TO ENGAGE THE ENTIRE COMMUNITY IN CONDUCTING THE 2022 CHNA AND TO IMPROVE POPULATION HEALTH. THE McLEAN COUNTY COMMUNITY HEALTH COUNCIL 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 THE 2022 CHNA.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - ST JOSEPH MEDICAL CENTER. THE CHNA THAT WAS CONDUCTED IN 2019 WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS ON JULY 29, 2019; THE CHNA THAT WAS CONDUCTED IN 2022 WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS ON JULY 25, 2022 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 2019 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 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. THE FORMATION OF THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL IN APRIL 2015 MARKED AN IMPORTANT MILESTONE FOR COMMUNITY HEALTH IN MCLEAN COUNTY. THE FOLLOWING THREE SIGNIFICANT HEALTH NEEDS WERE SELECTED BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL TO BE ADDRESSED IN THE 2020-2022 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN: * ACCESS TO APPROPRIATE CARE * BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE) * HEALTHY EATING/ACTIVE LIVING FOR ADDITIONAL INFORMATION SEE ATTACHED CHNA IMPLEMENTATION STRATEGY. ACCESS TO APPROPRIATE HEALTHCARE GOAL: ENSURE APPROPRIATE ACCESS TO CARE TO IMPROVE THE HEALTH AND WELL-BEING OF OUR RESIDENTS, NEIGHBORHOODS AND COUNTY BY 2023. TACTICS AND PROGRESS: *NUMBER OF PATIENTS SERVED THROUGH THE COMMUNITY HEALTH CARE CLINIC'S COORDINATING APPROPRIATE ACCESS TO COMPREHENSIVE CARE (CAATCH) PROGRAM, A PARTNERSHIP WITH SJMC. FY2022 PROGRESS: Over 350 PATIENTS SERVED THROUGH THE CHCC CATCH PROGRAM; RELATED PROGRESS REPORT ACCOMPLISHMENTS OSF HEALTHCARE AND CHESTNUT HEALTH SYSTEMS BROUGHT COMMUNITY HEALTH WORKERS TO BLOOMINGTON-NORMAL TO ASSIST INDIVIDUALS WITH CHRONIC HEALTH CONDITIONS TO IMPROVE THEIR OVERALL HEALTH AND WELLNESS THROUGH A GRANT. *OSF 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, DIETITIANS, PHARMACISTS AND SOCIAL WORKERS COORDINATE PROVIDING THE MOST APPROPRIATE LEVEL OF CARE FOR PATIENTS. *OSF ST. JOSEPH EMPLOYS AN ED NAVIGATOR WHO ASSISTS PATIENTS WITH REFERRALS TO PRIMARY CARE PROVIDERS AND OTHER SERVICES IN THE COMMUNITY. *OSF ST. JOSEPH MEDICAL CENTER OPENED THE OSF CANCER CENTER TO PROVIDE SERVICES FROM DIAGNOSIS THROUGH TREATMENT TO SURVIVORSHIP. MONTHLY SUPPORT GROUP SESSIONS ARE OFFERED BY AN INTERDISCIPLINARY TEAM. *COVID-19 EDUCATION AND VACCINATIONS WERE PROVIDED. *OSF HEALTHCARE EXPANDED ORTHOPEDIC PROVIDERS TO THE BLOOMINGTON-NORMAL OFFICE THROUGH OSF ORTHOPEDICS IN 2022 AND CONTINUES TO PROVIDE SERVICES TO COMMUNITY. *OSF ST. JOSEPH PROVIDED FREE, 1 SERIES, 6-WEEK EDUCATION SESSIONS TO THEIR PATIENTS WHO STRUGGLED WITH CHRONIC DISEASES/ILLNESSES. EDUCATION WAS PROVIDED BY A REGISTERED DIETITIAN, EXERCISE PHYSIOLOGIST, AND PHYSICIAN ASSISTANT. PROGRAM WAS BASED ON LIFESTYLE MEDICINE. *OSF HEALTHCARE SPONSORED THE PEACE MEAL SENIOR NUTRITION PROGRAM AND DELIVERED 145,665 MEALS TO SENIORS LIVING IN MCLEAN COUNTY. ANNUAL ASSESSMENTS ARE COMPLETED IN WHICH REFERRALS WERE MADE FOR THOSE WHO NEEDED ADDITIONAL SOCIAL SERVICES. BEHAVIORAL HEALTH GOAL 1: ADVANCE A SYSTEMIC COMMUNITY APPROACH TO ENHANCE BEHAVIORAL HEALTH AND WELL-BEING BY 2023. TACTICS AND PROGRESS: * NUMBER OF MENTAL HEALTH FIRST AID COURSES SPONSORED BY OSF ST. JOSEPH MEDICAL CENTER. FY2022 PROGRESS: HOSTED FOUR COURSES FOR COMMUNITY MEMBERS *NUMBER OF MCLEAN COUNTY COMMUNITY MEMBERS TRAINED IN MEDICAL HEALTH FIRST AID PER YEAR. FY2022 PROGRESS: 32 COMMUNITY MEMBERS TRAINED AT EVENTS HOSTED AT SJMC (325 TOTAL TRAINED IN MCLEAN COUNTY) *CONVENED A BEHAVIORAL HEALTH FORUM IN PARTNERSHIP WITH OTHER COMMUNITY AGENCIES. FY2022 PROGRESS: 258 PEOPLE ATTENDED. *BI-MONTHLY SOCIAL MEDIA MESSAGES WILL BE POSTED WITH COLLABORATING AGENCIES BEING TAGGED TO SHARE THE SAME MESSAGE. FY2022 PROGRESS: 4,860 PERSONS WERE REACHED THROUGH FACEBOOK. *CONDUCTED A BEHAVIORAL HEALTH GAP IN SERVICES ASSESSMENT TO DETERMINE CURRENT STRENGTHS, NEEDS AND SERVICE GAPS IN MCLEAN COUNTY, SPECIFICALLY RELATED TO MENTAL HEALTH AND SUBSTANCE USE SERVICES. FY2022 PROGRESS: COMPLETED RELATED PROGRESS REPORT ACCOMPLISHMENTS *THERE WERE 27 PARTICIPANTS AT OSF ST. JOSEPH COMMUNITY PRESENTATIONS RELATED TO STRESS MANAGEMENT. *OSF HEALTHCARE PROVIDED 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. *2,563 TELEMEDICINE VISITS OFFERED THROUGH OSF MEDICAL GROUP - BEHAVIORAL HEALTH THROUGHOUT THE YEAR. GOAL 2: USE SOCIAL DETERMINANTS OF HEALTH (SDOH) TO IDENTIFY PATIENTS AT INCREASED RISK OF POOR MENTAL HEALTH AND CONNECT THEM TO COMMUNITY ORGANIZATIONS IN ORDER TO IMPROVE MENTAL HEALTH OUTCOMES. OUTCOME MEASURE 2: DECREASE THE PERCENTAGE OF RESPONDENTS STATING THEY HAVE POOR OVERALL MENTAL HEALTH BY 1%. BASELINE: PER THE 2019 CHNA SURVEY, 8% OF RESPONDENTS STATED THEY HAVE POOR OVERALL MENTAL HEALTH. NOT HAVING BASIC HUMAN NEEDS IS LIKELY LINKED TO POOR MENTAL HEALTH. IF A SURVEY RESPONDENT DOES NOT HAVE HOUSING, FOOD, TRANSPORTATION (ETC.), THEIR OVERALL STATE OF MENTAL HEALTH WOULD LIKELY BE RATED LOWER. *IMPLEMENT SCREENING OF PATIENTS FOR SDOH. SCREEN AND CONNECT. NUMBER OF PATIENTS SCREENED. FY2022 PROGRESS: 15,295 SCREENED. *TRACK NUMBER OF PATIENTS REFERRED TO COMMUNITY BASED ORGANIZATIONS (CBO). FY2022 PROGRESS: 407 REFERRED. *TRACK NUMBER OF MISSION PARTNERS EDUCATED FOR CONTINUED ROLL-OUT. COMPLETED *TRACK NUMBER OF PATIENT REFERRALS TO OSF CARE MANAGEMENT AND SOCIAL WORKERS. FY2022 PROGRESS: 134. HEALTHY BEHAVIORS Goal: Promote healthy eating and active living to strengthen the health and well-being of our community by 2023. Social Determinants of Health Areas of Focus: Food Insecurity, Workforce Development *TRACK NUMBER OF FREE PROGRAMS THAT EDUCATE ON WAYS TO EAT HEALTHY. FY2020 PROGRESS: 33 FREE PROGRAMS OFFERED. 717 PEOPLE PARTICIPATED. 25 FREE APPS WERE PROMOTED. FY2022: 91 FREE PROGRAMS OFFERED. 3,666 PEOPLE PARTICIPATED. 25 FREE APPS WERE PROMOTED. *PROMOTE HEALTHY EATING ACCESS. FY2022 PROGRESS: 1667 PEOPLE RECEIVED SMARTMEALS. FY2022: 1,667 SMART MEALS DONATED. *COMMUNITY VEGETABLE GARDENS. FY2022 PROGRESS: 292 POUNDS OF PRODUCE WAS DONATED TO HOME SWEET HOME MINISTRIES *NUMBER OF PEOPLE PARTICIPATING IN PROGRAMS PROMOTING PHYSICAL ACTIVITY. FY2022 PROGRESS: 4,568 PEOPLE PARTICIPATED IN 51 OF THE PROGRAMS OFFERED. *PROMOTE THE 5-2-1-0 CAMPAIGN.FY2020 PROGRESS: 350 CHILDREN AND FAMILIES. FY2022: 116 CHILDREN AND FAMILIES. RELATED PROGRESS REPORT ACCOMPLISHMENTS *3,666 PARTICIPANTS IN OSF ST. JOSEPH COMMUNITY PRESENTATIONS RELATED TO NUTRITION. *THE CENTER FOR HEALTHY LIFESTYLES PROVIDED A PROGRAM CALLED HEALTHY KIDS U TO 28 OBESE AND OVERWEIGHT CHILDREN. *OSF ST. JOSEPH SPONSORED ($2,500) GIRLS ON THE RUN PROGRAM. 30 INDIVIDUALS PARTICIPATED IN THE PROGRAM AT THREE SCHOOL LOCATIONS. *OSF ST. JOSEPH SPONSORED STUDENT HEALTH 101 ($4,000) TO NORMAL COMMUNITY AND NORMAL COMMUNITY WEST HIGH SCHOOLS. WEEKLY WELLNESS EDUCATION WAS PROVIDED TO EVERY STUDENT AND THEIR GUARDIAN VIA EMAIL. *OSF ST. JOSEPH PROVIDED FITNESS CENTER ACCESS TO 84 INDIVIDUALS FOR FREE IN 2022. *IN 2022, OSF HEALTHCARE PROVIDED 145,665 MEALS TO THE SENIOR POPULATION IN MCLEAN COUNTY TO HELP REDUCE FOOD INSECURITY AND MALNUTRITION. SURVEY RESULTS FROM THE CLIENTS STATE THE FOLLOWING: THE PERSON WHO DELIVERS THE MEALS IS FRIENDLY AND RESPECTFUL: 99.36%; I EAT A HEALTHIER VARIETY OF FOODS BECAUSE I RECEIVE PEACE MEAL: 94.54%; AS A RESULT OF RECEIVING HOME DELIVERED MEALS, I BELIEVE MY HEALTH HAS IMPROVED AND I FEEL BETTER: 74.6%; BECAUSE I RECEIVE HOME DELIVERED MEALS, I CAN CONTINUE TO LIVE IN MY OWN HOUSE 91.65%; BECAUSE I RECEIVE HOME DELIVERED MEALS, I FEEL I AM BETTER PREPARED TO MAKE HEALTHFUL AND NUTRITIOUS CHOICES: 97.1%. *OSF ST. JOSEPH DONATED 95 JARS OF PEANUT BUTTER TO MIDWEST FOOD BANK. *OSF ST. JOSEPH DONATED $170 TO HOME SWEET HOME MINISTRIES FOR THEIR FOOD CO-OPERATIVE. *OSF ST. JOSEPH MEDICAL CENTER DONATED $555 TO THE BOYS AND GIRLS CLUB FOR THE WELL-BEING OF THEIR COMMUNITY MEMBERS. *839 PEOPLE WERE EDUCATED ON CHRONIC DISEASE MANAGEMENT/RISK REDUCTION PROGRAMMING
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.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - ST.JOSEPH MEDICAL CENTER. THE FINANCIAL ASSISTANCE POLICY IS AVAIABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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 facility CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - OSF HEART OF MARY MEDICAL CENTER. FOR THE 2022 CHNA, OSF HEART OF MARY MEDICAL CENTER SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) PUBLIC HEALTH ADMINISTRATORS FROM THE URBANA 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 PRIOR CHNA's ARE 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 2022 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES, REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, INCLUDING CARLE HEALTHCARE SYSTEM. MEMBERS OF THE COLLABORATIVE TEAM BY NAME, AFFILIATIONS, TITLE AND EXPERTISE ARE LISTED IN APPENDIX 1 TO THE 2022 CHNA.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - OSF HEART OF MARY MEDICAL CENTER. OSF HEART OF MARY MEDICAL CENTER LOCATED IN CHAMPAIGN COUNTY, ILLINOIS, 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. OSF HEART OF MARY MEDICAL CENTER LOCATED IN CHAMPAIGN COUNTY, ILLINOIS, 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 2021 TAX YEAR REPRESENTS THE FINAL YEAR OF THE IMPLEMENTATION STRATEGY ADOPTED AS PART OF THE 2019 CHNA. THE CHAMPAIGN COUNTY COMMUNITY HEALTH-NEEDS ASSESSMENT (CHNA) IS A COLLABORATIVE UNDERTAKING BY OSF HEART OF MARY MEDICAL CENTER, CARLE HOSPITAL, CHAMPAIGN-URBANA PUBLIC HEALTH DISTRICT, AND UNITED WAY OF CHAMPAIGN COUNTY TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN CHAMPAIGN COUNTY. THE COLLABORATIVE TEAM IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS AND PRIORITIZED ALL TO BE ADDRESSED IN THE 2019 COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. FOR ADDITIONAL INFORMATION. SEE CHNA IMPLEMENTATION STRATREGY. * BEHAVIORAL HEALTH * HEALTHY BEHAVIORS OBESITY * VIOLENCE BEHAVIORAL HEALTH - MENTAL HEALTH: IMPROVEMENT PLAN GOALS: EXPAND BEHAVIORAL HEALTH CAPACITY FOR CHAMPAIGN COUNTY RESIDENTS AND PROMOTE EDUCATION AND TRAINING ON MENTAL AND BEHAVIORAL HEALTH TO REDUCE STIGMA. *EXPAND ACCESS TO FREE DIGITAL BEHAVIORAL HEALTH SOLUTION - SILVERCLOUD. FY2022: 56 UTILIZING APP. *PROVIDE FREE BEHAVIORAL HEALTH NAVIGATION SERVICES TO EXPAND CAPACITY. FY2022: 513 NAVIGATORS GOAL: COLLABORATE WITH COMMUNITY PARTNERS TO HELP CREATE A BEHAVIORAL HEALTH TRIAGE CENTER AND TARGETED YOUTH PREVENTION PROGRAMS FOR CHAMPAIGN COUNTY RESIDENTS. TACTICS AND PROGRESS FOR FY2022: * WORK WITH COMMUNITY COLLABORATIVE TO ROLLOUT BEHAVIORAL HEALTH TRIAGE CENTER. FY2022: PROGRAM WAS MOVED UNDER ROSECRANCE AND WILL PARTNER AS NEEDED. * COLLABORATE WITH LOCAL AGENCIES TO PROVIDE EDUCATION ON TARGETED YOUTH PROGRAMS AROUND BEHAVIORAL HEALTH. FY2022: 4 EVENTS * INCREASE OUTPATIENT BEHAVIORAL HEALTH ACCESS TO ADULTS. FY2022: 5,010 BEHAVIORAL HEALTH VISITS REDUCING OBESITY AND PROMOTING HEATHY LIFESTYLES GOAL: INCREASE ACCESS TO PHYSICAL ACTIVITY IN CHAMPAIGN COUNTY INCLUDING EDUCATION ON PHYSICAL ACTIVITY PRESCRIPTION PROGRAMS. * PROVIDE EDUCATION TO PATIENTS ON PHYSICAL ACTIVITY PROGRAMS THROUGH PARTICIPATION IN COMMUNITY FITNESS. FY2022: 40 PARTICIPANTS IN THE COMMUNITY FITNESS PROGRAM * DISTRIBUTE AND PROMOTE EDUCATION ON ACTIVE LIVING THROUGH TRADITIONAL AND SOCIAL MEDIA. FY2022: 30 ACTIVE LIFESTYLE POSTS WERE MADE ON THE HMMC FACEBOOK PAGE GOAL: INCREASE ACCESS TO PHYSICAL ACTIVITY IN CHAMPAIGN COUNTY INCLUDING EDUCATION ON PHYSICAL ACTIVITY PRESCRIPTION PROGRAMS. * INCREASE THE NUMBER OF PEOPLE SERVED BY NUTRITIONAL COUNSELING SESSIONS. FY2022: 73 OUTPATIENT DIETARY VISITS (2) INCREASE COMMUNITY RESOURCE CENTERS CONTACTS. FY2022: DUE TO REDISTRIBUTION OF WORK IT WAS MOVED. NEW DATABASE IS GOING TO BE ESTABLISHED IN 2022 (3) INCREASE DISTRIBUTION OF SMARTMEALS TO SENIORS IN OUR FAITH IN ACTION PROGRAM. FY2022: 250 SMART MEALS WERE DISTRIBUTED TO SENIORS IN OUR FAITH AND ACTION PROGRAM. (4) DISTRIBUTE AND PROMOTE EDUCATION ON HEALTHY EATING THROUGH TRADITIONAL AND SOCIAL MEDIA. FY2022: 37 HEALTHY EATING POSTS WERE MADE ON THE HMMC FACEBOOK PAGE. VIOLENCE GOAL: ADDRESS VIOLENCE IN CHAMPAIGN COUNTY BY PROMOTING POLICE-COMMUNITY RELATIONS, INCREASING COMMUNITY ENGAGEMENT, AND HELPING TO REDUCE COMMUNITY VIOLENCE BY PARTNERING IN LOCAL INITIATIVES. 1) INCREASE NUMBER OF CONTACTS FROM OUR SENIOR SERVICES DEPARTMENT TO ASSESS RISK OF VIOLENCE AND CONNECT INDIVIDUALS TO NEEDED SERVICES. FY22: 1,329 CONTACTS WERE MADE (2) INCREASE COMMUNITY RESOURCE CENTER CONTACTS TO ASSESS RISK OF VIOLENCE AND CONNECT INDIVIDUALS TO NEEDED SERVICES. DUE TO REDISTRIBUTION OF WORK IT WAS MOVED. NEW DATABASE IS GOING TO BE ESTABLISHED IN 2022. (3) PARTNER WITH CHAMPAIGN COUNTY COMMUNITY COALITION TO PARTICIPATE IN ACTIVITIES AND EVENTS DESIGNED TO IMPROVE POLICE- COMMUNITY RELATIONS AND PROMOTE COMMUNITY ENGAGEMENT. FY2022: 1,039 CONTACTS RECORDED IN FY2022. NEW DATABASE ESTABLISHED IN 2ND QUARTER OF 2022, FOLLOWED BY LEARNING CURVE. STAFF TURNOVER/REDISTRIBUTION OF WORK WITH ED TAKING OVER ED CALL BACKS. PARTNERED WITH CHAMPAIGN COUNTY COMMUNITY COALITION (WWW.CHAMPAIGNCOMMUNITYCOALITION.ORG)
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.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - OSF Heart of Mary Medical Center. THE FINANCIAL ASSISTANCE POLICY IS AVAIABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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 3E The significant health needs were prioritized as significant health needs of the community and identified through the CHNA. See facility CHNA for further information.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - OSF Sacred Heart Medical Center. FOR THE 2022 CHNA, OSF SACRED HEART MEDICAL CENTER SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) PUBLIC HEALTH ADMINISTRATORS FROM THE URBANA 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 PRIOR CHNA's ARE 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 2022 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES, REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, INCLUDING CARLE HEALTHCARE SYSTEM. MEMBERS OF THE COLLABORATIVE TEAM BY NAME, AFFILIATIONS, TITLE AND EXPERTISE ARE LISTED IN APPENDIX 1 TO THE 2022 CHNA.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - OSF Sacred Heart Medical Center. OSF Sacred Heart Medical Center located in Vermillion County, Illinois, 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. OSF Sacred Heart Medical Center located in Vermillion County, Illinois, partnered with Carle Hoopeston Regional Health Center 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 2021 TAX YEAR REPRESENTS THE FINAL YEAR OF THE IMPLEMENTATION STRATEGY ADOPTED AS PART OF THE 2019 CHNA. THE VERMILION COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS A COLLABORATIVE UNDERTAKING BY OSF SACRED HEART MEDICAL CENTER, CARLE HOOPESTON REGIONAL HEALTH CENTER, VERMILION COUNTY HEALTH DEPARTMENT, AND UNITED WAY OF DANVILLE AREA, INC. VERMILION COUNTY BROUGHT TOGETHER THE CONCERNS OF THE COMMUNITY AND COMMUNITY PARTNERS TO IDENTIFY COMMUNITY ISSUES CRITICAL IN DEVELOPING A COMMUNITY HEALTH PLAN. THE COLLABORATIVE TEAM IDENTIFIED FOUR SIGNIFICANT HEALTH NEEDS. OSF SACRED HEART MEDICAL CENTER PRIORITIZED THREE TO BE ADDRESSED IN THE 2019 COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. *BEHAVIORAL HEALTH *INCOME/POVERTY *VIOLENCE BEHAVIORAL HEALTH - MENTAL HEALTH GOAL: EXPAND BEHAVIORAL HEALTH CAPACITY FOR VERMILION COUNTY RESIDENTS AND PROMOTE EDUCATION AND TRAINING ON MENTAL AND BEHAVIORAL HEALTH TO REDUCE STIGMA. * PROVIDE FREE ACCESS TO DIGITAL BEHAVIORAL HEALTH PREVENTIVE SOLUTION - SILVER CLOUD FY2022: 20 UTILIZING APP * PROVIDE FREE BEHAVIORAL HEALTH NAVIGATION SERVICES TO INCREASE ACCESS.FY2022: 60 GIVEN NAVIGATION SERVICES. * DISTRIBUTE AND PROMOTE EDUCATION ON MENTAL HEALTH FIRST AID TRAINING THROUGH TRADITIONAL AND SOCIAL MEDIA. FY2022: THE MENTAL HEALTH 708 BOARD SPONSORED 20 TRAINING WHICH WE PROMOTED LOCALLY. * INCREASE OUTPATIENT BEHAVIORAL HEALTH ACCESS.FY2022: 5,010 BEHAVIORAL HEALTH VISITS. GOAL: COLLABORATE WITH COMMUNITY PARTNERS TO SUPPORT MENTAL HEALTH FIRST AID TRAINING AND PROMOTE EDUCATION OF TARGETED PREVENTION PROGRAMS FOR VERMILION COUNTY RESIDENTS. * DISTRIBUTE AND PROMOTE EDUCATION ON MENTAL HEALTH FIRST AID TRAINING THROUGH TRADITIONAL AND SOCIAL MEDIA. *PARTNER WITH VERMILION COUNTY TO PROMOTE EDUCATION ON BEHAVIORAL HEALTH AND TARGETED PROGRAMS. FY2022: BEGAN A PEDIATRIC MENTAL HEALTH PROGRAM IN THE SUMMER OF 22. COMPLETED 8 EVENTS AND SERVED OVER 200 KIDS. PARTNERED WITH 5 NEWS SCHOOLS, THE HOPE CENTER, THE BOYS GIRLS CLUB AND THE YMCA. INCOME/POVERTY GOAL: ADDRESS THE POVERTY RATE IN VERMILION COUNTY BY PROMOTING POST GRADUATE PATHS TO HIGH SCHOOL STUDENTS AND INCREASING AWARENESS OF COMMUNITY RESOURCES AND ASSISTANCE PROGRAMS. * DEVELOP CARE-A-VAN PROGRAM TO BETTER REACH UNDERSERVED POPULATIONS. FY2022: THE VAN WAS UTILIZED AT 11 EVENTs IN FY22, all CENTERED ON EDUCATION AND OUTREACH TO UNDERSERVED POPULATIONS. * IMPROVE OUTREACH TO LOCAL EMPLOYERS TO PROVIDE EDUCATION AND NEEDED RESOURCES TO THE UNDERSERVED. THIS DEPARTMENT WAS ABLE TO EXTEND OUTREACH TO 4 ADDITIONAL EMPLOYERS IN FY22 ATTENDEES 24. * INCREASE SENIOR CONTACTS TO PROVIDE RESOURCES AND REFERRALS. FY2022: PROVIDED 454 CONTACTS AND REFERRALS TO SENIORS IN VERMILION COUNTY. * PROMOTE POST GRADUATE PATHS TO HIGH SCHOOLS TO DECREASE POVERTY RATE. FY2022: ATTENDED 1 EVENT IN NOVEMBER TO SPEAK TO HIGH SCHOOL STUDENTS ABOUT CAREER OPPORTUNITIES IN HEALTH CARE FOOD INSECURITY GOAL: ADDRESS FOOD INSECURITY IN VERMILION COUNTY. * INCREASE DISTRIBUTION OF SMARTMEALS TO SENIORS IN OUR FAITH IN ACTION PROGRAM. FY2022: DISTRIBUTED 228 SMARTMEALS TO SENIORS IN OUR COMMUNITY * INCREASE COMMUNITY RESOURCE CENTERS CONTACTS TO SCREEN FOR FOOD INSECURITY. WORK REDISTRIBUTED TO ADDRESS COMMUNITY PROJECTS.FY2022: 219 CONTACTS VIOLENCE GOAL: ADDRESS VIOLENCE IN VERMILION COUNTY BY PROMOTING POLICE-COMMUNITY RELATIONS, REDUCING COMMUNITY VIOLENCE BY PARTNERING IN LOCAL INITIATIVES, AND ESTABLISHING A VIOLENCE INTERRUPTION PROGRAM. * INCREASE COMMUNITY RESOURCE CENTERS CONTACTS TO ASSESS RISK OF VIOLENCE AND CONNECT INDIVIDUALS TO NEEDED SERVICES. FY2022: 219 CLIENTS CONTACTED * WORK WITH VERMILION COUNTY TO ESTABLISH A COALITION DESIGNED TO PROMOTE POLICECOMMUNITY RELATIONS AND CREATE A VIOLENCE INTERRUPTION PROGRAM. FY2022: ATTENDED MONTHLY COALITION MEETINGS TO ADDRESS VIOLENCE. PARTICIPATION INCLUDES 44 AGENCIES AND COMMUNITY MEMBERS * INCREASE NUMBER OF CONTACTS FROM OUR SENIOR SERVICES DEPARTMENT TO ASSESS RISK OF VIOLENCE AND CONNECT INDIVIDUALS TO NEEDED SERVICES. FY2022: PROVIDED 454 CONTACTS AND REFERRALS TO SENIORS IN VERMILION COUNTY.
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.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - OSF Sacred Heart Medical Center. THE FINANCIAL ASSISTANCE POLICY IS AVAIABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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 MARY MEDICAL CENTER. OSF HEALTHCARE CENTER d/b/a ST. MARY MEDICAL CENTER FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2022 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 2022 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 PRIOR AND CURRENT CHNA WERE 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 2022 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 2022 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 2019 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 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. THE KNOX COUNTY AND WARREN COUNTY COMMUNITY HEALTH-NEEDS ASSESSMENT (CHNA) IS A COLLABORATIVE UNDERTAKING BY OSF ST. MARY MEDICAL CENTER TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN KNOX AND WARREN COUNTIES. A COLLABORATIVE TEAM IDENTIFIED TWO SIGNIFICANT HEALTH NEEDS AND PRIORITIZED BOTH TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. *HEALTHY BEHAVIORS - DEFINED AS ACTIVE LIVING AND HEALTHY EATING, AND THEIR IMPACT ON OBESITY *BEHAVIORAL HEALTH - INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE MENTAL HEALTH HEALTHY BEHAVIORS -HEATHY EATING - GOAL: INCREASE AWARENESS OF THE IMPORTANCE OF PROPER NUTRITION FOR OVERALL HEALTH AND WELLNESS. OUTCOME METRIC: BY 2022, DECREASE THE PERCENTAGE OF RESIDENTS WHO REPORT NO CONSUMPTION OR LOW CONSUMPTION (1-2 SERVINGS PER DAY) OF FRUITS AND VEGETABLES BY 2%. BASELINE: PER 2019 CHNA SURVEY OF 61%. *WELLNESS EDGE FOR KIDS PROGRAM - HEALTHY EATING, PHYSICAL ACTIVITY, AND STRESS REDUCTION. INCREASE THE NUMBER OF PARTICIPANTS BY 2 ANNUALLY. FY2022: LUNCHES WERE DISTRIBUTED TO STUDENTS DURING THE SUMMER AT LOMBARD SCHOOL AND AT ROTARY PARK. THE LUNCHES WERE PROVIDED THROUGH UNITED WAY. UNITED WAY HIRED PEOPLE TO DELIVER LUNCHES TO CHILDREN *DISTRIBUTE AND PROMOTE ARTICLES AND EDUCATION ON HEALTHY EATING, WEIGHT LOSS AND EXERCISE THROUGH TRADITIONAL AND SOCIAL MEDIA. INCREASE AND TRACK # OF ARTICLES ON SOCIAL MEDIA. BASELINE TO INCREASE PARTICIPANTS BY 1. FY2022: PROVIDES MONTHLY ARTICLES ON HEALTHY EATING TO THE REGISTER MAIL. HEALTHY EATING/SPORTS NUTRITION RADIO INTERVIEWS GIVEN. ACTIVE LIVING - A HEALTHY LIFESTYLE, COMPRISED OF REGULAR PHYSICAL ACTIVITY AND BALANCED DIET, HAS BEEN SHOWN TO INCREASE PHYSICAL, MENTAL, AND EMOTIONAL WELL-BEING. GOAL: INCREASE AWARENESS OF THE IMPORTANCE OF EXERCISE FOR OVERALL HEALTH AND WELL-BEING. OUTCOME METRIC: DECREASE PERCENTAGE OF RESPONDENTS THAT INDICATE THAT THEY DO NOT EXERCISE AT ALL BY 2%. BASELINE: 2019 CHNA SURVEY REPORTS 29% OF RESPONDENTS DO NOT EXERCISE AT ALL. *INCREASE MISSION PARTNER PARTICIPATION IN OSF4LIFE. INCREASE PARTICIPATION BY 3%. BASELINE FOR 2019 IS 38% MISSION PARTNER PARTICIPATION. FY2022: 4 SESSIONS OF "KNOW YOUR NUMBERS" WAS HELD FOR MISSION PARTNERS - 15 PARTICIPATED. UPPER WESTERN REGION WELLNESS CO-LEADER PROVIDES MONTHLY NEWSLETTER. *HEALTHY KIDS U PROGRAM - AN 8 WEEK PROGRAM THAT HELPS CHILDREN AGES 8 THROUGH 15 AND THEIR FAMILIES DEVELOP HEALTHIER HABITS THROUGH HANDS ON GAMES, ACTIVITIES AND EDUCATION. PARTICIPANTS ALSO HAVE ACCESS TO THE YMCA'S FACILITIES DURING THE DURATION OF THE PROGRAM. INCREASE THE NUMBER OF SESSIONS TO 2 PER YEAR. BASELINE 2019 1, 8-WEEK SESSION. FY2022: HEALTHY KIDS U PROGRAM HELD FOR STUDENTS ONLY AT AFTER SCHOOL PROGRAM HELD AT GALE SCHOOL. *SPONSOR EVENTS THAT PROMOTE HEALTHY BEHAVIORS. PROGRESS FY2022: FLU IMMUNIZATIONS GIVEN TO STUDENTS AND STAFF AT ROWVA AND A-TOWN SCHOOLS. BEHAVIORAL HEALTH - GOAL: INCREASE AWARENESS OF THE EFFECTS OF SUBSTANCE ABUSE IN GRADES 8TH THROUGH 12TH. OUTCOME METRIC: DECREASE IN THE PERCENTAGE OF 8TH THROUGH 12TH GRADERS RESPONSE OF HAVING USED SUBSTANCES IN THE CATEGORIES OF ALCOHOL, CIGARETTES, MARIJUANA, INHALANTS, AND ILLICIT DRUGS BY AT LEAST 1%. *DISTRIBUTE AND PROMOTE ARTICLES AND EDUCATION ON HEALTHY BEHAVIORS AND SUBSTANCE USE THROUGH TRADITIONAL AND SOCIAL MEDIA. DETERMINE BASELINE AND INCREASE # OF ARTICLES ON SOCIAL MEDIA, EXPAND EDUCATION CLASS TO TEACH HEALTHY BEHAVIORS BY 1. FY2022: POSTED ARTICLES ON SOCIAL MEDIA. *WORK WITH LOCAL SCHOOL DISTRICTS TO EDUCATE ON THE HEALTH DETERMINANTS OF SUBSTANCE ABUSE. MEET WITH SCHOOL DISTRICT ADMINISTRATION IN 2ND QUARTER. PRESENT AND DISTRIBUTE INFORMATION TO STUDENTS IN GRADES 8-12. DETERMINE BASELINE. FY2022: TALKED TO GHS ABOUT PROVIDING SUBSTANCE ABUSE ARTICLES. SCHOOLS HAVE OTHER AREAS OF FOCUS/EDUCATION AT THIS TIME *SCHEDULE MENTAL HEALTH FIRST AID CLASSES TO CLINICAL STAFF AND LOCAL HIGH SCHOOL STUDENTS. INCREASE THE NUMBER OF PROVIDERS TRAINED. (NO SESSION IN 2019) INCREASE NUMBER HIGH SCHOOL AGE CHILDREN TRAINED BY 1 SCHOOL YEARLY. (CURRENT TRIAL IN 2 SCHOOLS) BASELINE 2. DETERMINE BASELINE FOR PROVIDERS TRAINED. FY2022: DUE TO COVID NO MENTAL HEALTH FIRST AID CLASSES WERE HELD. MENTAL HEALTH - GOAL 1: INCREASE EDUCATION IN THE COMMUNITY REGARDING MENTAL HEALTH SERVICES. OUTCOME METRIC 1: INCREASE PERCEPTION OF OVERALL PHYSICAL AND MENTAL HEALTH TO "GOOD OR "AVERAGE" BY AT LEAST 1%. BASELINE: *INCREASE AWARENESS: RESOURCE LINK CARE COORDINATOR WILL MEET WITH ALL NEW PROVIDERS, SCHOOLS AND OTHER SOCIAL SERVICES ABOUT SERVICES. FY2022: FB ARTICLES ON SILVERCLOUD STRESS-WHAT BEHAVIORS PUT YOU AT RISK. 5/20, 6/3, 6/23 AND 9/3 ANXIETY AND DEPRESSION. *PROVIDE EDUCATION IN LOW-INCOME HOUSING UNITS FOR THOSE WITH LIMITED ACCESS TO CARE AND RESOURCES. MEET WITH KNOX COUNTY HOUSING AUTHORITY IN 2ND QUARTER. FY2022: EDUCATION WAS NOT OFFERED TO HOUSING UNITS DUE TO COVID RESTRICTIONS. NO EDUCATION PROVIDED TO THE KNOX COUNTY HOUSING AUTHORITY. *ADOPT "STOP THE STIGMA" CAMPAIGN FROM OTHER OSF FACILITIES. FY2022: CAMPAIGN WAS NOT ADOPTED DUE TO COVID-19. *DISCUSS DEPRESSION, STRESS AND ANXIETY AT COMMUNITY EVENTS, INCLUDING SCHOOLS. TRACK # OF EVENTS ATTENDED TO DETERMINE A BASELINE. FY2022: Facebook ARTICLE WITH TIPS ON BEHAVIORAL HEALTH AND COVID WERE DONE. *PROVIDE FREE BEHAVIORAL HEALTH NAVIGATION SERVICE. INCREASE NUMBER OF PATIENTS SERVED BY BEHAVIORAL HEALTH NAVIGATORS BY 1 %. FY2022: 74 PATIENTS.
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 IS AVAIABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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 - 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 2022 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 2022 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 PRIOR AND CURRENT CHNA's Were 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 2022 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES; REPRESENTATIVES FROM NONPROFIT AND COMMUNITY. MEMBERS OF THE COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2022 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 2019 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 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2019, 2020 AND 2021. THE MADISON COUNTY COMMUNITY HEALTH-NEEDS ASSESSMENT IS A COLLABORATIVE UNDERTAKING BY OSF SAINT ANTHONY'S HEALTH CENTER TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN MADISON COUNTY. THROUGH THIS NEEDS ASSESSMENT, COLLABORATIVE COMMUNITY PARTNERS HAVE IDENTIFIED NUMEROUS HEALTH ISSUES IMPACTING INDIVIDUALS AND FAMILIES IN THE MADISON COUNTY REGION. THE COLLABORATIVE TEAM PRIORITIZED THREE SIGNIFICANT HEALTH NEEDS: *HEALTHY BEHAVIORS - DEFINED AS ACTIVE LIVING AND HEALTHY EATING, AND THEIR SUBSEQUENT IMPACT ON OBESITY. *BEHAVIORAL HEALTH - INCLUDING MENTAL HEALTH *SUBSTANCE ABUSE - SPECIFIC FOCUS HEALTHY BEHAVIORS - ACTIVE LIVING, HEALTHY EATING AND OBESITY GOAL: INCREASE AWARENESS IN THE IMPORTANCE OF EXERCISE FOR OVERALL HEALTH AND WELL-BEING WITHIN MADISON COUNTY. OUTCOME METRIC: REDUCE THE NUMBER OF MADISON COUNTY RESIDENTS WHO REPORT THAT THEY DO NOT EXERCISE BY 3%. BASELINE: PER 2019 CHNA SURVEY - 28% OF RESPONDENTS INDICATED THAT THEY DO NOT EXERCISE AT ALL TACTICS AND PROGRESS *HOST FIT AND FLEXIBLE CLASSES WORKING WITH OSF REHAB. FY2022 PROGRESS: CANCELLED DUE TO COVID. *SPONSOR EVENTS THAT ENCOURAGE ACTIVE LIVING, I.E. RACES, 5KS, ETC. FY2022 PROGRESS: SPONSORED WALK FOR SICKLE CELL HOSTED BY THE PRECIOUS ORGANIZATION. FY2022: DONATED $415 TO SENIOR SERVICES PLUS HIKING CLUB. * INCREASE PARTICIPATION IN OSF 4LIFE WELLNESS PLAN. FY2022 PROGRESS: COMPLETED 20 BIOMETRIC SCREENINGS AND HAD 30 PARTICIPANTS IN HEALTH CHALLENGES. MOST ACTIVITIES AND PLANNING WERE PUT ON HOLD DUE TO THE COVID PANDEMIC. FY2022: COMPLETED 20 BIOMETRIC SCREENINGS AND HAD 30 PARTICIPANTS IN HEALTH CHALLENGES. MOST ACTIVITIES AND PLANNING WERE PUT ON HOLD DUE TO THE COVID PANDEMIC. GOAL 2: INCREASE AWARENESS OF THE IMPORTANCE OF PROPER NUTRITION FOR OVERALL HEALTH AND WELLNESS. OUTCOME METRIC: REDUCE THE PERCENTAGE OF MADISON COUNTY RESIDENTS WHO REPORT NO CONSUMPTION OR LOW CONSUMPTION (1-2 SERVINGS) OF FRUITS AND VEGETABLES PER DAY BY 3%. BASELINE: PER 2019 CHNA SURVEY, 61% OF RESPONDENTS INDICATED THAT HAVE NO OR LOW CONSUMPTION (1-2 SERVINGS) OF FRUITS AND VEGETABLES PER DAY. *DISTRIBUTE AND PROMOTE ARTICLES AND EDUCATION ON HEALTHY EATING HABITS THROUGH SOCIAL MEDIA. FY2022 PROGRESS: REACHED 17,025 PEOPLE THROUGH SOCIAL MEDIA POSTS ON HEALTHY LIVING TOPICS. * SPONSOR COMMUNITY EDUCATIONAL EVENT THAT PROMOTES HEALTHY EATING. FY2022 PROGRESS: IN AUGUST 2022, OSF SAINT ANTHONY'S HOSTED A BACK TO SCHOOL EVENT WITH 500 ATTENDEES WHICH INCLUDED A HEALTHY EATING EXHIBIT. BEHAVIORAL HEALTH - MENTAL HEALTH GOAL: DECREASE THE NUMBER OF RESIDENTS IN MADISON COUNTY WHO REPORTED FEELING DEPRESSED OR ANXIOUS IN THE LAST 30 DAYS. OUTCOME METRIC: DECREASE THE NUMBER OF RESIDENTS IN MADISON COUNTY WHO REPORT FEELING DEPRESSED OR ANXIOUS IN THE PAST 30 DAYS BY 3%. BASELINE: PER 2019 CHNA SURVEY, 45% OF MADISON COUNTY RESIDENTS REPORTED FEELING DEPRESSED AT LEAST ONE TO TWO DAYS IN THE LAST 30 DAYS WHILE 38% REPORTED THEY FELT ANXIOUS OR STRESSED AT LEAST ONE TO TWO DAYS IN THE LAST 30 DAYS. TACTICS AND PROGRESS: * PROVIDE FREE ACCESS TO DIGITAL BEHAVIORAL HEALTH SOLUTION - SILVERCLOUD. FY2022 PROGRESS: 44 UTILIZING APP * PARTICIPATE IN COMMUNITY HEALTH FAIRS AND SCREENINGS. FY2022 PROGRESS: PARTICIPATED IN FOUR COMMUNITY HEALTH FAIRS TO PROVIDE EDUCATIONAL MATERIAL. *SPONSOR COMMUNITY MENTAL HEALTH EDUCATIONAL SEMINARS AND EVENTS. OSF WAS A MAJOR SPONSOR OF THE IMPACT SUICIDE CONFERENCE AND OFFERED FREE CEUS TO THE 217 EVENT PARTICIPANTS. PARTICIPATED IN VARIOUS SEMINARS AND PROVIDED EDUCATION TO LOCAL EMPLOYERS WITH OVER 500 EMPLOYEES ON HOW TO MANAGE STRESS THROUGH THE COVID PANDEMIC. OSF LCSW GAVE A PRESENTATION ON "PREVENTING SOCIAL ISOLATION AND DEPRESSION: COVID-19 AND BEYOND" TO 15 PARTICIPANTS * PROVIDE FREE BEHAVIORAL HEALTH NAVIGATION SERVICE. FY2022 PROGRESS: 220 REFERRED BEHAVIORAL HEALTH - SUBSTANCE ABUSE GOAL: DECREASE THE NUMBER OF MADISON COUNTY CHNA SURVEY RESPONDENTS WHO REPORT THEY USE SUBSTANCES TO MAKE THEMSELVES FEEL BETTER IN A TYPICAL DAY. OUTCOME METRIC: DECREASE THE NUMBER OF RESIDENTS IN MADISON COUNTY WHO REPORT USING SUBSTANCES (LEGAL AND ILLEGAL) TO MAKE THEMSELVES FEEL BETTER ON A TYPICAL DAY BY 3%. BASELINE: PER 2019 CHNA SURVEY, 14% OF RESPONDENTS INDICATED THEY USE SUBSTANCES (LEGAL AND ILLEGAL) TO MAKE THEMSELVES FEEL BETTER ON A TYPICAL DAY. * DISTRIBUTE AND PROMOTE ARTICLES AND EDUCATION ON SUBSTANCE ABUSE TOPICS. FY2022 PROGRESS: REACHED 12,023 PEOPLE ON SOCIAL MEDIA ON SUBSTANCE ABUSE TOPICS. * INCREASE PARTICIPATION IN FRESHSTART SMOKING CESSATION CLASSES. FY2022 PROGRESS: HOSTED FRESHSTART SMOKING CESSATION CLASSES FOR 6 PARTICIPANTS BEFORE THEY WERE CANCELLED DUE TO THE COVID PANDEMIC. FY2022: FRESH START CLASSES WERE NOT RESUMED IN FY22 DUE TO THE ONGOING COVID PANDEMIC. HOWEVER, CLASSES RESUMED BUT TRACKING DID NOT OCCUR. GOAL 2: DECREASE THE NUMBER OF HIGH SCHOOL AND MIDDLE SCHOOL STUDENTS IN MADISON COUNTY USING TOBACCO OR VAPING PRODUCTS. OUTCOME MEASURE: DECREASE THE PERCENTAGE OF 8TH, 10TH AND 12TH GRADERS WHO USED ANY TOBACCO OR VAPING PRODUCT IN THE PAST 30 DAYS AS MEASURED BY THE ILLINOIS YOUTH SURVEY FOR MADISON COUNTY BY THE 2021 SURVEY. BASELINE: 2018 ILLINOIS YOUTH SURVEY REPORTED THE FOLLOWING USAGE IN THE PAST 30 DAYS: 8TH GRADE - 14%, 10TH GRADE - 33%, 12TH GRADE - 43 * PROVIDE EDUCATION ON DANGERS OF TOBACCO AND VAPING TO HIGH SCHOOL AND MIDDLE SCHOOL STUDENTS. FY2022 PROGRESS: SIXTEEN SESSIONS ON THE DANGERS OF VAPING SESSIONS WERE HELD AT VARIOUS MIDDLE AND HIGH SCHOOLS IN THE COUNTY. TOTAL NUMBER OF STUDENTS WHO RECEIVED THE EDUCATION WERE 2,100.
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.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - OSF SAINT ANTHONY'S HEALTH CENTER. THE FINANCIAL ASSISTANCE POLICY IS AVAIABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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 FRANCIS HOSPITAL. OSF HEALTHCARE CENTER d/b/a ST FRANCIS HOSPITAL FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2022 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 2022 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) THE HEALTH OFFICER FOR THE PUBLIC HEALTH DELTA COUNTY. 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 PRIOR AND CURRENT 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 2022 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 2022 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 2019 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 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. THE DELTA COUNTY COMMUNITY HEALTH-NEEDS ASSESSMENT IS A COLLABORATIVE UNDERTAKING BY OSF ST. FRANCIS HOSPITAL AND MEDICAL GROUP TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN DELTA COUNTY. USING A MODIFIED VERSION OF THE HANLON METHOD, THE COLLABORATIVE TEAM PRIORITIZED THREE SIGNIFICANT HEALTH NEEDS: *HEALTHY BEHAVIORS - DEFINED AS ACTIVE LIVING AND HEALTHY EATING, AND THEIR SUBSEQUENT IMPACT ON OBESITY *BEHAVIORAL HEALTH - INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE *AGING ISSUES - DEFINED AS POPULATION OVER 65 HEALTHY BEHAVIORS - ACTIVE LIVING, HEALTHY EATING AND OBESITY GOAL: INCREASE AWARENESS OF THE IMPORTANCE FOR PROPER NUTRITION IN OVERALL HEALTH AND WELLNESS WITH-IN DELTA COUNTY. OUTCOME MEASURE: REDUCE THE PERCENTAGE OF RESIDENTS WHO REPORT NO CONSUMPTION OR LOW CONSUMPTION (1-2 SERVINGS PER DAY) OF FRUITS AND VEGETABLES PER DAY BY 5%. BASELINE: ALMOST TWO-THIRDS (60%) OF RESIDENTS REPORT NO CONSUMPTION OR LOW CONSUMPTION (1-2 SERVINGS PER DAY) OF FRUITS AND VEGETABLES PER DAY. NOTE THAT THE PERCENTAGE OF RESIDENTS WHO CONSUME FIVE OR MORE SERVINGS PER DAY IS ONLY 5% *DISTRIBUTE AND PROMOTE ARTICLES AND EDUCATION ON HEALTHY EATING THROUGH TRADITIONAL AND SOCIAL MEDIA. FY2022: 27 POSTS *INCREASE NUMBER OF NUTRITIONAL COUNSELING SESSIONS. FY2022: PROVIDED NUTRITIONAL CONSULTS TO 57 PATIENTS. *INCREASE REFERRALS TO OSF DIETITIANS THROUGH CLINIC BRIEFS/MEET AND GREETS WITH PROVIDERS AND CARE MANAGEMENT DEPARTMENT. FY2022: DID NOT HAPPEN DUE TO COVID *PROVIDE DONATION FOR HEALTHY CHOICES FOR BACKPACK PROGRAMS AT LOCAL SCHOOLS. DID NOT HAPPEN DUE TO COVID AND MEAL PROGRAM SUPPLEMENTED DUE PANDEMIC. FY2022: DID NOT HAPPEN DUE TO COVID. WE PROVIDED $500 TOWARD YOUTH PROGRAM. GOAL: INCREASE AWARENESS OF THE IMPORTANCE OF EXERCISE FOR OVERALL HEALTH AND WELL-BEING IN DELTA COUNTY. OUTCOME MEASURE: DECREASE PERCENTAGE OF RESPONDENTS THAT INDICATE THAT THEY DO NOT EXERCISE AT ALL BY 3%. *PARTNER WITH DSISD TO PROMOTE YOUTH RECREATIONAL ACTIVITIES THAT PROMOTE MOVEMENT/EXERCISE. FY2022: DID NOT HAPPEN DUE TO COVID. *SPONSOR EVENTS THAT ENCOURAGE ACTIVE LIVING, I.E., 5K, TARGETING YOUTH. FY2022: $6,750 BEHAVIORAL HEALTH - MENTAL HEALTH AND SUBSTANCE ABUSE OUTCOME MEASURE: DECREASE NUMBER OF RESPONDENTS WITHOUT ACCESS TO COUNSELING BY 2% (BY INCREASING NUMBER OF BEHAVIORAL HEALTH VISITS AT OSF ST. FRANCIS. BASELINE: PER 2019 CHNA SURVEY, OF RESPONDENTS, 17% INDICATED THAT THEY DID NOT HAVE ACCESS TO COUNSELING. *CREATE ADDITIONAL FTES FOR BEHAVIORAL HEALTH PROVIDER. EMPLOYED TWO FULL-TIME BEHAVIORAL HEALTH PROVIDERS IN OSF MULTI-SPECIALTY GROUP IN DELTA COUNTY. *CREATE AWARENESS AMONG OSF CLINICIANS REGARDING BEHAVIORAL HEALTH PROVIDERS WITH ACCESS THROUGH CLINIC BRIEFS AND MEET AND GREETS. *PROMOTE AND HOST A POWERFUL TOOLS FOR CAREGIVERS COURSE TO DECREASE CAREGIVER STRESS. FY2022: DID NOT PROGRESS DUE TO COVID. *PROVIDE FREE ACCESS TO DIGITAL BEHAVIORAL HEALTH SOLUTION - SILVERCLOUD. FY2022: 52 UTILIZING SERVICE *INCREASE NUMBER OF BEHAVIORAL HEALTH VISITS AT OSF ST. FRANCIS HOSPITAL MEDICAL GROUP. 2,669 PATIENT VISITS OCCURRED IN FY20. 225 PATIENT VISITS occurred in FY22. *PROVIDE FREE BEHAVIORAL HEALTH NAVIGATION SERVICE. FY2022: 145 UTILIZING SERVICE GOAL: REDUCE STIGMA SURROUNDING BEHAVIORAL HEALTH/MENTAL HEALTH SERVICES IN DELTA COUNTY. OUTCOME MEASURE: DECREASE EMBARRASSMENT TO SEEK COUNSELING FROM 25% TO 22%. BASELINE: PER CHNA 2019 SURVEY, ONE OF THE LEADING CAUSES OF THE INABILITY TO GAIN ACCESS TO COUNSELING IS EMBARRASSMENT (25%) STOP THE STIGMA SOCIAL MEDIA CAMPAIGN WITH COMMUNITY ORGANIZATIONS GOAL: INCREASE NUMBER OF PATIENTS IN MAT PROGRAM EMBEDDED IN OBGYN OFFICE *PROVIDE COMMUNITY EVENTS TO DISCUSS /EDUCATE PEOPLE ABOUT FORMS OF DEPRESSION - I.E., POSTPARTUM DEPRESSION. FY2022: 5 PATIENTS OUTCOME MEASURE: REDUCE PERCENTAGE OF RESPONDENTS THAT INDICATE THEY USE SUBSTANCES TO MAKE THEMSELVES FEEL BETTER BY 2%. BASELINE: PER 2019 CHNA SURVEY, OF RESPONDENTS, 15% INDICATED THEY USE SUBSTANCES TO MAKE THEMSELVES FEEL BETTER. ACCORDING TO THE 2016 COUNTY HEALTH RANKINGS MEASURES, 19% OF DELTA COUNTY RESIDENTS ENGAGED IN BINGE OR HEAVY DRINKING IN THE PAST 30 DAYS *DEVELOP COMPREHENSIVE DISCHARGE PLAN FOR PATIENTS WITH ALCOHOLISM. FY2022: IMPLEMENTATION OF PLAN LIMITED DUE TO COVID AND LACK OF RESOURCES BUT 2 REFERRALS.
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 IS AVAIABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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 - 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 2022 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 2022 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 PRIOR AND 2022 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 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 2022 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 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. THE COLLABORATIVE TEAM IDENTIFIED TWO SIGNIFICANT HEALTH NEEDS AND PRIORITIZED BOTH TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. HEALTHY BEHAVIORS - DEFINED AS ACTIVE LIVING AND HEALTHY EATING, AND THEIR IMPACT ON OBESITY. BEHAVIORAL HEALTH - INCLUDING MENTAL HEALTH SUBSTANCE ABUSE - SPECIFIC FOCUS NOT INCLUDED IN BEHAVIORAL HEALTH HEALTHY BEHAVIORS - ACTIVE LIVING - GOAL: REDUCE PREVALENCE OF OBESITY IN LIVINGSTON COUNTY. OUTCOME METRICS: #1: INCREASE PERCENTAGE OF LIVINGSTON COUNTY RESIDENTS WHO REPORTED EXERCISING IN THE LAST WEEK BY 2% BY 2022. BASELINE: 2019 CHNA SURVEY, 76% INDICATED THEY EXERCISED AT LEAST 1 TIME IN THE PAST WEEK. *PROVIDE MONTHLY PROGRAM ON HEALTHY EATING AND PHYSICAL ACTIVITY AT THE PONTIAC RECREATION CENTER. FY2022: MONTHLY VIRTUAL PROGRAMMING WAS PROVIDED THROUGH THE REC CENTER IN 2022 THROUGH WELL-BEING VIDEOS AND A VIRTUAL NEWSLETTER. A HYBRID HEALTHY AGING CHALLENGE WILL BE PROVIDED THROUGH THE REC CENTER IN 2023. *PROVIDE EDUCATIONAL HEALTHY LIFESTYLE PROGRAMS TO WOMEN IN LIVINGSTON COUNTY THROUGH WOMEN EMPOWERED - WE LIVE. FY2022: 2 EVENTS WERE HOSTED: A WELLNESS WALK IN SEPTEMBER, AND A HEALTHY HOLIDAYS EVENT IN NOVEMBER. AN ESTIMATED 90 PARTICIPANTS WERE AT THE WELLNESS WALK, AND OVER 100 PEOPLE ATTENDED HEALTHY HOLIDAYS *DISTRIBUTE WELLNESS NEWSLETTER TO LOCAL BUSINESSES AND ORGANIZATIONS. FY2022: NUMBER OF BUSINESSES AND ORGANIZATIONS SERVED INCREASED TO 10 BY THE END OF 2022. OUTCOME METRIC #2: REDUCE PERCENTAGE OF RESPONDENTS WHO REPORT CONSUMPTION OF 2 OR LESS DAILY FRUITS AND VEGETABLES BY 4% BY 2022. BASELINE: 2019 CHNA SURVEY, 54% REPORTED "NONE OR "1 TO 2". QUESTION: "ON A TYPICAL DAY, HOW MANY SERVINGS/SEPARATE PORTIONS OF FRUITS AND/OR VEGETABLES DID YOU HAVE?" *PROVIDE HEALTHY AND EASY TO REPLICATE MEAL KITS TO COMMUNITY MEMBERS ON A MONTHLY BASIS THROUGH SMART MEALS PROGRAM. ST. JAMES PROVIDES SPACE, MARKETING AND TRAINS VOLUNTEERS TO SUPPORT THIS PROGRAM, OSF HEALTHCARE FOUNDATION AND WE LIVE PROVIDE ADDITIONAL FINANCIAL SUPPORT. FY2022: MONTHLY MEALS WERE PROVIDED AT SAINT JAMES AT 50 PER MONTH IN 2022. IN 2023, SMARTMEALS WILL MOVE OUT TO THE COMMUNITY, WITH A DIFFERENT LIVINGSTON COUNTY LOCATION PROVIDING SMARTMEALS EACH MONTH. BEHAVIORAL HEALTH - MENTAL HEALTH GOAL 1: INCREASE ACCESS TO MENTAL HEALTH CARE AND RESOURCES IN LIVINGSTON COUNTY. OUTCOME METRIC 1: INCREASE THE PERCENTAGE OF RESIDENTS WHO HAVE TALKED TO SOMEONE ABOUT THEIR MENTAL HEALTH IN THE PAST YEAR BY 5% BY 2022. BASELINE: 24% OF RESPONDENTS ANSWERED "YES" TO THE QUESTION "HAVE YOU TALKED TO ANYONE ABOUT YOUR MENTAL HEALTH IN THE PAST YEAR" ON THE 2019 CHNA SURVEY. *PROVIDE FREE ACCESS TO DIGITAL BEHAVIORAL HEALTH SOLUTION - SILVERCLOUD. FY2022 - 16 PATIENT SIGNUP FOR THE BEHAVIOR HEALTH SOLUTION, SILVER CLOUD IN THE PONTIAC AREA. *PROVIDE FREE BEHAVIORAL HEALTH NAVIGATION SERVICE. FY2022: 161 PATIENTS UTILIZE THE NAVIGATION SERVICES TO HELP PROVIDE SUPPORT AND CONNECTION TO BEHAVIORAL HEALTH SERVICES. *PARTNER WITH IHR TO MANAGE AND PROVIDE SERVICES FOR PATIENTS WITH POTENTIAL BEHAVIORAL HEALTH CARE NEEDS THAT MAKE REPEAT VISITS FOR EMERGENCY CARE. IHR WILL PROVIDE EVALUATION OF OSF PATIENTS NEEDING ADDITIONAL PSYCHIATRIC CARE AND OSF PROVIDES TRANSPORTATION FOR THE PATIENT TO RECEIVE THE CARE. FY2022: IHR AND THE EMERGENCY DEPT. COLLABORATE IN PROVIDING ALL AVAILABLE RESOURCES TO OUR IDENTIFIED BEHAVIORAL HEALTH PATIENTS *EDUCATE EMS PROVIDERS ON CARING FOR PATIENTS WITH MENTAL HEALTH CARE NEEDS. FY2022: DUE TO THE PANDEMIC, THIS PARTICULAR MEASURE WAS PUT ON PAUSE. THIS WILL BE RELOOKED AT WHEN THE STATE RESTRICTIONS FOR HOSTING EVENTS IN PERSON WILL BE RESUMED. *COORDINATE AND COMMUNICATE PROCESS FOR REFERRAL BY OSF TO COMPREHENSIVE CHILD PSYCH / PHD ASSESSMENT THROUGH IHR/LCCN. FY2022 THERE HAS BEEN 10 REFERRALS FOR CHILD PSYCHOLOGY SERVICES. *COLLABORATE WITH IHR, LIVINGSTON COUNTY MENTAL HEALTH BOARD, LIVINGSTON COUNTY PUBLIC HEALTH DEPARTMENT AND FUTURES UNLIMITED TO UPDATE THE "PURPLE BOOK" DIRECTORY OF COMMUNITY SERVICES AND RESOURCES TO DISTRIBUTE TO PROVIDERS AND COMMUNITY. FY2022: DUE TO THE PANDEMIC, THIS MEASURE WAS PUT ON HOLD. * PARTNER WITH OSF HOMECARE TO PROVIDE FREE OSF LIVING WITH LOSS SUPPORT GROUP ON A BI-MONTHLY BASIS. SJJWAMC PROVIDES SPACE AND MARKETING FOR THE GROUP, HOMECARE FACILITATES. FY2022: THE LOSS SUPPORT GROUP NUMBERS CONTINUE TO BE LOW DUE TO THE CONTINUED PANDEMIC THREAT.
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 IS AVAIABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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 - 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 2022 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 2022 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) ADMINISTRATOR OF THE 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 PRIOR AND CURRENT 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 2022 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 2022 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 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. THE HENRY COUNTY COMMUNITY HEALTH-NEEDS ASSESSMENT (CHNA) IS A COLLABORATIVE UNDERTAKING BY OSF SAINT LUKE MEDICAL CENTER TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN HENRY COUNTY. THROUGH THIS NEEDS ASSESSMENT, COLLABORATIVE COMMUNITY PARTNERS HAVE IDENTIFIED NUMEROUS HEALTH ISSUES AFFECTING INDIVIDUALS AND FAMILIES IN HENRY COUNTY. SEVERAL THEMES ARE PREVALENT IN THIS HEALTH-NEEDS ASSESSMENT - THE DEMOGRAPHIC COMPOSITION OF HENRY COUNTY, THE PREDICTORS FOR AND PREVALENCE OF DISEASES, LEADING CAUSES OF MORTALITY, ACCESSIBILITY TO HEALTH SERVICES AND HEALTHY BEHAVIORS. THE COLLABORATIVE TEAM IDENTIFIED TWO SIGNIFICANT HEALTH NEEDS AND PRIORITIZED BOTH TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. * HEALTHY BEHAVIORS - DEFINED AS ACTIVE LIVING AND HEALTHY EATING, AND THEIR IMPACT ON OBESITY * BEHAVIORAL HEALTH - INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE HEALTHY BEHAVIORS AND OBESITY ACTIVE LIVING - 23% OF SURVEY RESPONDENTS INDICATED THAT THEY DO NOT EXERCISE AT ALL, WHILE THE MAJORITY (63%) OF RESIDENTS EXERCISE 1-5 TIMES PER WEEK. HEALTHY EATING - ALMOST TWO-THIRDS (58%) OF RESIDENTS REPORT NO CONSUMPTION OR LOW CONSUMPTION (1-2 SERVINGS PER DAY) OF FRUITS AND VEGETABLES PER DAY. OBESITY - A HEALTH OUTCOME OF UNHEALTHY BEHAVIORS IN HENRY COUNTY. GOAL 1: INCREASE THE PERCENTAGE OF YOUTH LIVING AT A HEALTHY BODY WEIGHT IN HENRY COUNTY. OUTCOME METRIC 1: INCREASE THE PERCENTAGE OF YOUTH LIVING AT A "HEALTHY WEIGHT" WITHIN HENRY COUNTY BY 2%. BASELINE: CDC BMI (BODY MAX INDEX) GUIDELINES FOR HEALTHY WEIGHT OF 66% (PER ILLINOIS YOUTH SURVEY [IYS], UOFI, 2018 HENRY COUNTY REPORT). *IMPLEMENT HEATHY KIDS U COLLABORATION. OFFER TWO HEALTHY KIDS U IN MOTION PROGRAMS. FY2022: HEALTHY KIDS U DAY CAMP PROGRAM AT YMCA FROM 3/28-4/1AND HEALTHY LIVES 4 KIDS AT KEWANEE YMCA ON 6/28 *WELLNESS EDGE FOR KIDS PROGRAM - HEALTHY EATING, PHYSICAL ACTIVITY, AND STRESS REDUCTION. INCREASE THE NUMBER OF PARTICIPANTS BY 2 ANNUALLY. FY2022: WELLNESS EDGE PROGRAM NOT OFFERED. ACTIVITY AT KIDDIE KAMP FOR PRE-SCHOOL AND KINDERGARTEN-SORTING HEALTHY AND UNHEALTHY FOODS INTO BINS *PROVIDE DIABETES EDUCATION AND PREVENTION. DETERMINING BASELINE FOR NUMBER OF PERSONS EDUCATED. FY2022: 42 PATIENTS GOAL 2: INCREASE ACCESS TO HEALTHCARE AND SERVICES WITHIN HENRY COUNTY. OUTCOME METRIC 3: DECREASE THE PERCENT OF HENRY COUNTY POPULATION THAT DOES NOT HAVE ACCESS TO MEDICAL CARE WHEN NEEDED BY 2%. BASELINE - 17% OF HENRY COUNTY POPULATION RESPONDED THEY DID NOT HAVE ACCESS TO MEDICAL CARE WHEN NEEDED. (PER CHNA SURVEY, 2019). OUTCOME METRIC 4: INCREASE THE PERCENT OF HENRY COUNTY POPULATION WHO RECEIVE AN ANNUAL FLU IMMUNIZATION BY 1.8% BASELINE - HENRY COUNTY FLU SHOTS 36.4%, WHICH IS 1.8% BELOW THE STATE OF ILLINOIS (PER CHNA SURVEY, 2019), INCREASE THE PERCENTAGE OF YOUTH LIVING AT A "HEALTHY WEIGHT" WITHIN HENRY COUNTY BY 2%. BASELINE: CDC BMI (BODY MAX INDEX) GUIDELINES FOR HEALTHY WEIGHT OF 66% (PER ILLINOIS YOUTH SURVEY [IYS], UOFI, 2018 HENRY COUNTY REPORT). *GROW SCHOOL FLU IMMUNIZATION COLLABORATION - EDUCATE AND CREATE A LASTING HEALTHY HABIT. INCREASE FREE FLU IMMUNIZATIONS TO SCHOOL AGED STUDENTS AND THEIR TEACHERS. FY2022: PROVIDED 1,024 FREE FLU IMMUNIZATIONS TO KEWANEE, WETHERSFIELD, VISITATION SCHOOL STUDENTS AND STAFF. BEHAVIORAL HEALTH MENTAL HEALTH - IN HENRY COUNTY, 41% OF RESPONDENTS INDICATED THEY FELT DEPRESSED IN THE LAST 30 DAYS AND 32% INDICATED THEY FELT ANXIOUS OR STRESSED. GOAL 1: DECREASE THE NUMBER OF RESIDENTS IN HENRY COUNTY WHO REPORTED FEELING DEPRESSED OR ANXIOUS IN THE PAST 30 DAYS. OUTCOME METRIC 1: DECREASE THE NUMBER OF RESIDENTS IN HENRY COUNTY WHO REPORTED FEELING DEPRESSED IN THE PAST 30 DAYS BY 2%. BASELINE - 41% OF HENRY COUNTY RESIDENTS RESPONDED AS FEELING DEPRESSED AT LEAST 1 OR MORE DAYS IN THE LAST 30 DAYS. *INCREASE OUTPATIENT BEHAVIORAL HEALTH ACCESS. INCREASE AVAILABILITY OF COUNSELOR VISITS BY 30%. FY22: BEHAVIORAL HEALTH COUNSELOR VISITS OF 707 IMPACTED DUE TO COVID-19. *INCREASE SILVERCLOUD UTILIZATION. DETERMINE BASELINE FOR NUMBER OF USERS IN HENRY COUNTY AND INCREASE UTILIZATION BY AT LEAST 1% ANNUALLY. FY2022: 27 UTILIZING APP. *DETERMINE BASELINE FOR NUMBER OF ENCOUNTERS/RESOURCES PROVIDED. INCREASING ENCOUNTERS AT LEAST 1% ANNUALLY. FY2022: 77 *DETERMINE BASELINE FOR NUMBER OF PATIENTS SEEN RELATED TO BEHAVIORAL HEALTH AND DETERMINE THE PERCENT SCREENED; ACHIEVING 95% OF THESE PATIENTS SCREENED FOR SUICIDE. FY2022: ED SCREENED 95% OF ALL PATIENTS GOAL: DECREASE THE PERCENT OF HENRY COUNTY RESIDENTS WHO RESPONDED USING SUBSTANCES DAILY TO MAKE THEM FEEL BETTER. OUTCOME METRIC: DECREASE THE NUMBER OF RESPONDENTS WHO INDICATED THEY USE SUBSTANCES DAILY TO MAKE THEMSELVES FEEL BETTER TO 13% BASELINE: 14% OF RESPONDENTS INDICATED THEY USE SUBSTANCES DAILY TO MAKE THEMSELVES FEEL BETTER (PER CHNA SURVEY, 2019). *PROMOTE THE RX DISPOSAL PROGRAM. INCREASE POUNDS OF MEDICATION COLLECTED AND DESTROYED BY 9%. FY2022: A TOTAL OF 191 LBS. OF MEDICATIONS WERE RETURNED
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 IS AVAIABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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 2022 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 2022 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) DIRECTOR AT THE 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 PRIOR AND CURRENT 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 2022 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 2022 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 2019 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 29, 2019. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2020, 2021 AND 2022. THE WARREN COUNTY COMMUNITY HEALTH-NEEDS ASSESSMENT (CHNA) IS A COLLABORATIVE UNDERTAKING BY OSF HOLY FAMILY MEDICAL CENTER TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN WARREN COUNTY. THROUGH THIS NEEDS ASSESSMENT, COLLABORATIVE COMMUNITY PARTNERS HAVE IDENTIFIED NUMEROUS HEALTH ISSUES AFFECTING INDIVIDUALS AND FAMILIES IN THE WARREN COUNTY REGION. SEVERAL THEMES ARE PREVALENT IN THIS HEALTH-NEEDS ASSESSMENT - THE DEMOGRAPHIC COMPOSITION OF THE WARREN COUNTY REGION, THE PREDICTORS FOR AND PREVALENCE OF DISEASES, LEADING CAUSES OF MORTALITY, ACCESSIBILITY TO HEALTH SERVICES AND HEALTHY BEHAVIORS. THE COLLABORATIVE TEAM IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS AND PRIORITIZED BOTH TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. * HEALTHY BEHAVIORS - DEFINED AS ACTIVE LIVING AND HEALTHY EATING, AND THEIR IMPACT ON OBESITY * BEHAVIORAL HEALTH - INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE HEALTHY BEHAVIORS ACTIVE LIVING - A HEALTHY LIFESTYLE, COMPRISED OF REGULAR PHYSICAL ACTIVITY AND BALANCED DIET, HAS BEEN SHOWN TO INCREASE PHYSICAL, MENTAL, AND EMOTIONAL WELL-BEING. HEALTHY EATING - OVER HALF (57%) OF RESIDENTS REPORT NO CONSUMPTION OR LOW CONSUMPTION (1-2 SERVINGS PER DAY) OF FRUITS AND VEGETABLES PER DAY. OBESITY - A HEALTH OUTCOME OF UNHEALTHY BEHAVIORS IN WARREN COUNTY. GOAL 1: INCREASE THE PERCENT OF WARREN COUNTY RESIDENTS WHO CONSUME 3 OR MORE SERVINGS OF FRUITS AND VEGETABLES PER DAY TO OVER 50%. OUTCOME METRIC 1: DECREASE THE PERCENT OF SURVEY RESPONDENTS WHO SELF-REPORT NO CONSUMPTION OR LOW CONSUMPTION (1-2 SERVINGS PER DAY) OF FRUITS AND VEGETABLES. BASELINE: PER 2019 CHNA SURVEY, OVER HALF (57%) OF WARREN COUNTY RESIDENTS REPORT NO CONSUMPTION OR LOW CONSUMPTION (1-2 SERVINGS PER DAY) OF FRUITS AND VEGETABLES. TACTICS AND PROGRESS FROM FY2022: *INCREASE KNOWLEDGE AND AWARENESS OF HEALTHY BEHAVIORS WITH TRADITIONAL AND SOCIAL MEDIA. FY22: 10 HEALTHY BEHAVIORS POSTS ON SOCIAL MEDIA WITH AN INCREASE IN ENGAGEMENT ACTIVITY. *INCREASE COMMUNITY KNOWLEDGE AND EFFECTIVE SELF-MANAGEMENT OF DIABETES THROUGH EDUCATION. FY22: SUPPORT GROUP HELD JANUARY-SEPTEMBER. ATTENDANCE VARIED FROM 3 TO 16. 5 DIABETES MANAGEMENT POSTS MADE ON SOCIAL MEDIA. HEALTHY EATING WITH DIABETES PRESENTATION GIVEN AT STROM CENTER. FAREWAY PREPARED A RECIPE FOR THE 18 PARTICIPANTS. A LIFESTYLE CHANGE PROGRAM. (A CDC RECOGNIZED DIABETES PREVENTION PROGRAM) BEGAN IN JUNE MEETING WEEKLY AND NOW MEETS EVERY OTHER WEEK. *KIDS HEALTH AND SAFETY EVENT. FY2022: AN OUTDOOR LIVING WELL PROGRAM WAS HELD FOR CHILDREN WITH 11 KIDS AND PARENTS ATTENDING GOAL 2: INCREASE THE NUMBER OF WARREN COUNTY RESIDENTS WHO REPORT RECEIVING SCREENING EXAMS FOR DIABETES, BREAST CANCER AND COLON CANCER WITHIN THE LAST FIVE YEARS. OUTCOME METRIC 2: INCREASE THE NUMBER OF PEOPLE RECEIVING HEALTH SCREENING FOR DIABETES, BREAST CANCER AND COLON CANCER BY 5%. BASELINE: PER CHNA 2019 SURVEY, 69% OF WOMEN HAD A BREAST SCREENING IN THE PAST FIVE YEARS AND FOR WOMEN AND MEN OVER THE AGE OF 50, 60% HAD COLORECTAL SCREENING IN THE LAST FIVE YEARS. DIABETES A1C SCREENING- FY2019 PERFORMED 168 A1C SCREENINGS WITHIN THE COMMUNITY. *INCREASE THE NUMBER OF A1C SCREENINGS PERFORMED TO IDENTIFY INDIVIDUALS UNAWARE OF DIABETES AND PRE-DIABETES HEALTH ISSUE. FY2022: 175 AIC SCREENINGS-SMITHFIELD FOODS AND EAGLEVIEW HEALTH FAIR AT STRONGHURST. *PROMOTE HEALTH SCREENINGS THROUGH SOCIAL MEDIA, EDUCATION, RADIO SPOTS AND SOCIAL CONNECTIONS WITH MINORITY GROUPS TO INCREASE PRIORITY AND OUTCOMES OF EARLY DETECTION OF CANCER AND DIABETES. FY2022: PRODUCED 10 HEALTH SCREENING RADIO SERVICE ANNOUNCEMENTS. BEHAVIORAL HEALTH - MENTAL HEALTH AND SUBSTANCE ABUSE MENTAL HEALTH - MENTAL ILLNESS IS COMMON BUT OFTEN HIDDEN DUE TO MANY ASSOCIATED STIGMAS. SUBSTANCE ABUSE - DATA FROM THE 2018 ILLINOIS YOUTH SURVEY MEASURES ILLEGAL SUBSTANCE USE (ALCOHOL, TOBACCO, AND OTHER DRUGS - MAINLY MARIHUANA) AMONG ADOLESCENTS. GOAL 1: INCREASE THE NUMBER OF INDIVIDUALS ACCESSING MENTAL HEALTH SERVICES. OUTCOME METRIC 1: DECREASE NUMBER OF SURVEY RESPONDENTS NOT HAVING ACCESS TO COUNSELING SERVICES WHEN NEEDED BY 2%. BASELINE - PER 2019 CHNA SURVEY, 9% OF SURVEY RESPONDENTS INDICATED NO ACCESS TO COUNSELING SERVICES WHEN NEEDED. *PROVIDE 3 BLOOD PRESSURE SCREENINGS TO THE COMMUNITY. FY2022: PROVIDED THE WOMEN'S HEALTH EVENT WHILE INCLUDING EDUCATION ON WOMEN'S HEART HEALTH. *FEATURE WOMEN'S HEART HEALTH IN THE WOMEN'S HEALTH EVENT TO BE DEVELOPED AND PROVIDED. (SEE POOR HEALTHY BEHAVIORS - NUTRITION EXERCISE). FY2022: INCLUDED A PRESENTATION ON THE EFFECTS OF SLEEP ON HEART HEALTH AS PART OF THE DIABETES SUPPORT GROUP. *OFFER EDUCATION ON HOW SLEEP HABITS AFFECTS HEART HEALTH. FY2022: INCLUDED A PRESENTATION ON THE EFFECTS OF SLEEP ON HEART HEALTH AS PART OF THE WOMEN'S HEALTH EVENT.
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 IS AVAIABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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, 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 - LITTLE COMPANY OF MARY MEDICAL CENTER. OSF LITTLE COMPANY OF MARY MEDICAL CENTER AND THE ALLIANCE FOR HEALTH EQUITY FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN 13 ZIP CODES ON THE SOUTH SIDE OF CHICAGO AND NEAR SOUTHWEST SUBURBS OF COOK COUNTY TO CONDUCT ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EFFORT WAS 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 2022 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) DIRECTOR AT THE 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 2022 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 2022 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES; MEMBERS OF THE COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2022 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - LITTLE COMPANY OF MARY MEDICAL CENTER. THE 2021 TAX YEAR REPRESENTS THE FINAL YEAR OF THE IMPLEMENTATION STRATEGY ADOPTED AS PART OF THE 2019 CHNA. LITTLE COMPANY OF MARY HOSPITAL (LCMH) MERGED WITH OSF HEALTHCARE (OSF) ON FEBRUARY 1, 2020 AND RENAMED THE HOSPITAL FACILITY TO OSF LITTLE COMPANY OF MARY MEDICAL CENTER (LCMMC). LCMH'S FY19 RAN FROM JULY 1, 2018 THROUGH JUNE 30, 2019 WHILE ITS FY20 RAN FROM JULY 1, 2019 THROUGH JANUARY 31, 2020, SHORTENED DUE TO THE MERGER. LCMMC'S FY20 RAN FROM FEBRUARY 1, 2020 THROUGH SEPTEMBER 30, 2020. LCMMC COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). THE COMMUNITY HEALTH-NEEDS ASSESSMENT (CHNA) IS A HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS. ON FEBRUARY 7, 2019, LITTLE COMPANY OF MARY HOSPITAL AND HEALTH CARE CENTERS CONVENED A GROUP OF 15 INTERNAL STAFF AND COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR COMMUNITY, BASED ON FINDINGS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PROFESSIONAL RESEARCH CONSULTANTS, INC. THE TEAM IDENTIFIED FOURTEEN SIGNIFICANT HEALTH NEEDS AND FIVE WERE PRIORITIZED ALL TO BE ADDRESSED IN THE 2019 COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. *HEART DISEASE AND STROKE *DIABETES *MENTAL HEALTH *CANCER *NUTRITION, PHYSICAL ACTIVITY AND WEIGHT HEART DISEASE AND STROKE GOAL: FOCUS ON RESIDENTS LIVING IN THE LCMH PRIMARY SERVICE AND CURRENT AND FUTURE CLIENTS OF THE HEALTH EDUCATION CENTER. INCREASE OPPORTUNITIES FOR BLOOD PRESSURE SCREENING AND EDUCATION STRATEGIES AND OBJECTIVES: ENHANCE OPPORTUNITY FOR BP SCREENING AT HEALTH EDUCATION CENTER EVENTS ON AND OFF CAMPUS. *HEATH EDUCATION CENTER WILL PROVIDE FREE BLOOD PRESSURE SCREENING TWICE PER WEEK AT THE HOSPITAL. *INCORPORATE BLOOD PRESSURE SCREENING INTO ALL LAB-SCREENING PROGRAMS. FY22: SPONSORED EVENT RIDGE RUN, PROVIDED STAFF FOR THE MEDICAL TENT AND BLOOD PRESSURE CHECKS. *HEALTH EDUCATION CENTER WILL REACH OUT TO THREE NEW COMMUNITY GROUPS (CHURCHES, SENIOR GROUPS, ETC.) *CALCIUM SCORING (LDCT) SCREENING TO BE ADDED, AND SPIRITUAL DIMENSIONS OF HEALTHY LIVING. *FY22: PROVIDED WOMEN SERVICES, MENTAL HEALTH, MEN SERVICES, CANCER CENTER, CARDIOLOGY AND BLOOD PRESSURE AT VARIOUS EVENTS INCLUDING, AUTUMN GREEN AT MIDWAY VILLAGE SENIOR CENTER, MOUNT GREENWOOD CONCERT IN THE PARK, MUSIC AND ARTS EXPLOSION, EP 124 BACK TO SCHOOL EVENT, BURBANK BACK TO SCHOOL FEST. DIABETES GOAL: INCREASE THE NUMBER OF PEOPLE WHO HAD THEIR BLOOD GLUCOSE TESTED IN THE PAST THREE YEARS. STRATEGIES AND OBJECTIVES: INCREASE OPPORTUNITIES FOR COMMUNITY MEMBERS TO HAVE THEIR BLOOD GLUCOSE CHECKED. TACTICS *ADD INFORMATION ABOUT THIS PROGRAM TO THE ALREADY ESTABLISHED DIABETES TOOLKIT PROGRAM *OFFER OPTIONAL BLOOD SUGAR (GLUCOSE) SCREENING IN CONJUNCTION WITH ESTABLISHED WEEKLY BLOOD PRESSURE SCREENING CLINICS. FY2022 PROGRESS: THE HOSPITAL SCREENED INDIVIDUALS FOR BLOOD GLUCOSE AT HEALTH EDUCATION EVENTS. MENTAL HEALTH THE BEHAVIORAL HEALTH DEPARTMENT INITIATED A MULTIDISCIPLINARY PERFORMANCE IMPROVEMENT TEAM TO ENHANCE THE ASSESSMENT, COLLABORATION AND CARE DELIVERY MODEL UTILIZED WITHIN THE EMERGENCY DEPARTMENT IN ORDER TO SAFELY, EFFECTIVELY EFFICIENTLY MEET THE INCREASINGLY COMPLEX AND EXPANDING PSYCHIATRIC AND CHEMICAL DEPENDENCY NEEDS OF THE COMMUNITY. FY2022 PROGRESS: HELD SEVERAL EVENTS FOCUSING ON WOMEN SERVICES, MENTAL HEALTH, MEN SERVICES, CANCER CENTER, CARDIOLOGY AND BLOOD PRESSURE AND SPIRITUAL HEALTH. MEN'S HEALTH MONTH EVENT; JULY 23 - BIELA SENIOR CENTER REOPENING; PRESENTATION CHICAGO 21ST WARD TOWN HALL EDUCATION PROMOTING SILVER CLOUD; COLLABORATION WITH CATHOLIC CHARITIES TO HOST DOMESTIC VIOLENCE AWARENESS EVENT; NEWSROOM "BULLYING AND THE ERA OF TECHNOLOGY", 10/25 JOSEPH SIEGEL, LCPC; NEWSROOM, "DEALING WITH BULLYING", 09/02. JOSEPH SIEGEL, LCPC; NEWSROOM, "WHEN YOUR KID IS THE BULLY" 09/22, JOSEPH SIEGEL, LCPC; NEWSROOM "ADULT ADHD" 06/17, JOSEPH SIEGEL, LCPC CANCER *IDENTIFY INDIVIDUALS AT HIGH RISK FOR COLORECTAL CANCER: IMPLEMENT COLON CANCER RISK STRATIFICATION SURVEY TO BE ADMINISTERED TO ALL PARTICIPANTS IN HEC SCREENING PROGRAMS. *PROVIDE THREE PHYSICIAN-LED PROGRAMS FOR COLORECTAL CANCER AWARENESS AND SCREENING UPDATES *CONTINUE A SELF-REFERRAL COLONOSCOPY SCREENING PROGRAM *PLAN ACS AWARENESS EVENT TO COVER THREE TOP CANCERS FY22 PROGRESS: HELD AND PARTICATED IN SEVERAL EVENTS RELATED TO CANCER. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT *TIME OUT FOR WELLNESS WEIGHT LOSS CHALLENGE. TEAM WALKING CHALLENGE *EXPANDED HEALTHY LIFESTYLE CHOICES FOR LUNCH AND DINNER IN HOSPITAL CAFETERIA, LIKE FARMERS FRIDGE. FY22 PROGRESS: PROMOTION OF WEIGHT LOSE PROGRAM. BARIATRIC SEMINAR AND SUPPORT GROUP - MEETS THE 1ST TUESDAY OF EACH MONTH.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - LITTLE COMPANY 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 - LITTLE COMPANY 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.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - LITTLE COMPANY OF MARY MEDICAL CENTER. THE FINANCIAL ASSISTANCE POLICY IS AVAIABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - LITTLE COMPANY 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 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 Clare Medical Center. OSF SAINT CLARE MEDICAL CENTER FORMED A COLLABORATIVE TEAM OF COMMUNITY PARTNERS TO CONDUCT ITS 2022 BUREAU 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 2022 CHNA, THE COLLABORATIVE TEAM SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) DIRECTOR AT THE 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 PRIOR AND CURRENT 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 2022 CHNA AND TO IMPROVE POPULATION HEALTH. THE COLLABORATIVE TEAM INCLUDED CONSUMER ADVOCATES AND MEMBERS OF THE COMMUNITY ADVISORY BAORD MEMBERS OF THIS COLLABORATIVE TEAM IDENTIFIED BY NAME, AFFILIATION, AND ROLE ARE LISTED IN APPENDIX 1 TO THE 2022 CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SAINT CLARE MEDICAL CENTER. THE 2021 TAX YEAR REPRESENTS THE FINAL YEAR OF THE IMPLEMENTATION STRATEGY ADOPTED AS PART OF THE 2019 CHNA. THROUGH THE PRIORITIZATION PROCESS, THE FOLLOWING SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE OSF Saint Clare Medical Center 2019 CHNA IMPLEMENTATION STRATEGY: * MENTAL HEALTH * SUBSTANCE USE DISORDERS * WELLNESS * COMMUNITY EDUCATON AND INFORMATION FOR EACH OF THE FOUR CATEGORIES, ACTIONS THE HOSPITAL INTENDS TO TAKE WERE IDENTIFIED ALONG WITH THE ANTICIPATED IMPACT OF THE ACTIONS, THE RESOURCES THE HOSPITAL INTENDS TO COMMIT TO THE ACTIONS, AND THE EXTERNAL COLLABORATORS THE HOSPITAL PLANS TO COOPERATE WITH TO ADDRESS THE NEED. THE PLAN IS EVALUATED BY PERIODIC REVIEW OF MEASURABLE OUTCOME INDICATORS IN CONJUNCTION WITH ANNUAL REVIEW AND REPORTING. MENTAL HEALTH * INCREASE ACCESS TO MENTAL HEALTH SERVICES IN SCHOOLS * IMPROVE ACCESS TO MENTAL HEALTH SERVICES FOR FARMERS AND FIND WAYS TO REDUCE THE STIGMA INVOLVED WITH SEEKING SERVICES * IMPROVE ACCESS TO MENTAL HEALTH COUNSELING FOR PERSONS RELYING ON MEDICAID, MEDICARE, AND OTHERS THAT ARE UNDERINSURED OR UNINSURED * IMPROVE ACCESS TO INPATIENT MENTAL HEALTHCARE SUBSTANCE USE DISORDERS * PROVIDE LOCAL ACCESS TO DETOXIFICATION * IMPROVE SUBSTANCE USE PREVENTION EDUCATION AND PROGRAMMING AT EARLIER AGES WELLNESS * PROVIDE PROACTIVE APPROACHES TO YOUTH WELLNESS INCLUDING PHYSICAL HEALTH, MENTAL HEALTH, SUBSTANCE USE, SAFETY, LIFESTYLE, AND NUTRITION * CONTINUE TO ADDRESS WELLNESS ISSUES, INCLUDING OBESITY AND HEART DISEASE COMMUNITY EDUCATION AND INFORMATION * IMPROVE EDUCATION AND EASE OF ACCESS TO INFORMATION ABOUT LOCAL PHYSICAL AND MENTAL HEALTHCARE AND RELATED SERVICES * INCREASE AVAILABLE INFORMATION ABOUT LOCAL SERVICES FOR SCHOOLS TO PROVIDE TO PARENTS AND YOUTH * PROVIDE INFORMATION FOR VETERANS ABOUT HOW TO ACCESS LOCAL HEALTH SERVICES AND TRANSPORTATION TO OUT-OF-AREA CARE SPECIFIC ACTIONS CAN BE FOUND IN THE IMPLEMENTATION STRATEGY THAT IS MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE AT https://www.osfhealthcare.org/media/filer_public/02/40/0240f5eb-9bfe-466f-8d8c-8cdbeec480f1/perrymemorial-chna-2019.pdf (SEE IMPLEMENTATION STRATEGY STARTING OF PAGE 72 OF THE CHNA REPORT).
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Saint Clare 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 Clare 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 - Saint Clare Medical Center. THE FINANCIAL ASSISTANCE POLICY IS AVAIABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Saint Clare 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) 2021
Schedule H (Form 990) 2021
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?53
Name and address Type of Facility (describe)
1 Savoy Rehab Services
501 N Dunlap Ave
Savoy,IL61874
Rehab
2 OSF Healthcare Little Company of Mary Medical Center - Oak Lawn East
5660 W 95Th St
Oak Lawn,IL60453
Diagnostic Radiology, HOD Prompt Care
3 OSF Healthcare Little Company of Mary Medical Center - PromptCare - Oak Law
n
6700 W 95th St
Oak Lawn,IL60453
HOD Prompt Care, Cardiology
4 OSF Healthcare Little Company of Mary Medical Center - Burbank
4901 W 79Th St
Burbank,IL60459
Laboratory EKG
5 OSF Healthcare Little Company of Mary Medical Center - Halsted
736 W 95Th St
Chicago,IL60628
Diagnostic Radiology
6 OSF Healthcare Little Company of Mary Medical Center - Palos Heights
12432 S Harlem St
Palos Heights,IL60463
Diagnostic Radiology
7 OSF MEDICAL GROUP - GODFREY CLINIC (RHC)
6702 Godfrey Road
Godfrey,IL62035
diagnostic radiology
8 OSF Rehabilitation Services Alton Square Mall
200 Alton Square Suite H1
ALTON,IL62002
physical therapy, occupational therapy
9 OSF SAINT ANTHONY MEDICAL CENTER - BELVIDERE REHAB
1916 GATEWAY CENTER DR
BELVIDERE,IL61008
Physical Therapy
10 OSF Center for Health at Rock Cut Crossing
9951 Rock Cut Crossing
loves Park,IL61111
Laboratory Services
11 OSF Saint Anthony Medcial Center - Center For Health on State
5510 E State Street
ROCKFORD,IL61108
PHYSICAL THERAPY; OCCUPATIONAL THERAPY
12 ROCKFORD CARDIOVASCULAR ASSOCIATES
444 ROXBURY ROAD
ROCKFORD,IL61107
CARDIAC REHAB
13 BYRON REHAB
109 N Franklin St
BYRON,IL61010
PHYSICAL THERAPY; OCCUPATIONAL THERAPY
14 OSF Saint Elizabeth Medical Center Sleep Center
1601 Mercury Circle Suite 200
Ottawa,IL61350
POLYSYMNOGRAPHY LAB
15 Ottawa Medical Center Radiology Services
1614 East Norris Drive
Ottawa,IL61350
Diagnostic Radiology
16 OSF Healthcare Ottawa South
1640 First Avenue
Ottawa,IL61350
Diagnostic Radiology
17 OSF Center for Health - Streator
111 Spring Street
Streator,IL61364
Emergency
18 OSF ST FRANCIS HOSPITAL MEDICAL GROUP - Escanaba (RHC)
3409 LUDINGTON ST
ESCANABA,MI49829
DIAGNOSTIC RADIOLOGY
19 St Francis Hospital- Rehab Services
145 4th Avenue NE
Gladstone,MI49837
Physical Therapy, Diagnostic Radiology, Laboratory
20 OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP - Powers Clinic (RHC)
N 15995 MAIN ST
POWERS,MI49870
DIAGNOSTIC RADIOLOGY
21 OSF Rehabilitation - Bartonville
1119 W Garfield
Bartonville,IL61607
Physical Therapy
22 OSF Rehabilitation - Chillicothe
311 N 4th St
Chillicothe,IL61523
Physical Therapy
23 OSF Rehabilitation - Metamora
709 W Mt Vernon
Metamora,IL61548
Physical Therapy
24 OSF CENTER FOR HEALTH MORTON
435 MAXINE DRIVE
MORTON,IL61550
CT, MRI, MAMMOGRAPHY, DIAGNOSTIC RADIOLOGY, ULTRASOUND, PHYSICAL THERAPY, LAB/EKG
25 OSF Senior World - Morton
730 W Jefferson St Ste 200
MORTON,IL61550
Adult Day Services, Geriatric Services
26 OSF Center for Health - Pekin
3422A Court St
Pekin,IL61554
Diagnostic Radiology, Ultrasound, Laboratory Services/EKG
27 OSF Saint Francis Radiation Oncology at Pekin Cancer Center
3500 Court Street Suite 3428
Pekin,IL61554
Radiation Oncology
28 OSF Rehabilitation - Pekin
2359 Broadway St
Pekin,IL61554
ADULT PHYSICAL THERAPY; PEDIATRIC OCCUPATIONAL THERAPY; SPEECH THERAPY
29 OSF Center for Health Glen Park
5114 GLEN PARK PLACE
PEORIA,IL61617
DIAGNOSTIC RADIOLOGY, OPEN MRI, ULTRASOUND, LABORATORY SERVICES, EKG
30 OSF CHOI Pediatric Opthalmology
4927 N Glen Park Place
PEORIA,IL61614
Opthalmology
31 OSF Rehabilitation - Glen Park
5009 N Glen Park Place
PEORIA,IL61614
physical therapy
32 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
33 OSF Saint Francis Medical Center - Radiation Oncology
8948 N Wood Sage Rd
PEORIA,IL61615
Radiation oncology
34 OSF HealthCare Cardiovascular Institute
5405 N Knoxville Ave
PEORIA,IL61614
Echocardiograms, Nuclear and Treadmill Stress Test, Vascular Ultrasound, Infusion Clinic, Sleep Lab
35 OSF REHABILITATION - PEDIATRICS
2806 N Knoxville Ave
PEORIA,IL61604
PEDIATRIC PHYSICIAL, OCCUPATIONAL, SPEECH AND FEEDING THERAPY
36 OSF CHOI Pulmonary Allergy and Sleep Medicine
2900 N Knoxville Ave
PEORIA,IL61603
PEDS Allergy, ALLERGY TESTING Pulmonology
37 OSF Saint Francis Medical Center Cancer Survivorship Program
Illinois Medical Center Building 1
Ste 107
PEORIA,IL61603
Cancer Services, PHYSICIAL THERAPY
38 OSF Wellness Services at the Riverplex
600 WATER STREET
PEORIA,IL61602
PHYSICAL THERAPY, CARDIAC REHAB, PULMONARY REHAB, BARIATRIC SERVICES, MEDICAL EXERCISE
39 OSF WOMEN'S HEALTH CENTER
7800 N SOMMER Ste 508
PEORIA,IL61615
BREAST FEEDING RESOURCE CENTER, Family Planning
40 OSF Rehabilitation - Sommer
7800 N SOMMER Ste 608 609
PEORIA,IL61615
Physical Therapy; Occupational Therapy
41 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
42 OSF Rehabilitation - Kumpf
719 N William Kumpf Blvd Suite 200
PEORIA,IL61605
Physical Therapy, Adult Day Services, Geriatric Services, Faith Community Nursing
43 OSF Rehabilitation - Sheridan
6501 N Sheridan Rd
PEORIA,IL61614
Physical Therapy; Occupational Therapy; Speech Therapy, Industrial Rehab, Medical Exercise
44 OSF SAINT CLARE FAMILY HEALTH CENTER
10 SAINT CLARE COURT
WASHINGTON,IL61571
DIAGNOSTIC RADIOLOGY, LAB, EKG, MAMMOGRAPHY
45 OSF Rehabilitation at Five Points
360 N WILMORE ROAD
WASHINGTON,IL61571
PEDIATRIC PHYSICAL THERAPY, AQUATIC THERAPY, OCCUPATIONAL THERAPY, speech therapy, feeding therapy
46 OSF Center for Rehabilitation Occupational Health - Dwight
107 Watters Drive
Dwight,IL60420
Physical Therapy
47 OSF Center for Rehabilitation Occupational Health - Fairbury
106 South First Street
Fairbury,IL61739
Physical Therapy, Occupational Therapy
48 OSF SAINT JAMES SLEEP LABORATORY
702 RITTENHOUSE DRIVE
PONTIAC,IL61764
POLYSYMNOGRAPHY CLINIC
49 CENTER FOR HEALTH AT FT JESSE
2200 FT JESSE ROAD
NORMAL,IL61761
PHYSICAL THERAPY; OCCUPATIONAL THERAPY; SPEECH THERAPY; INDUSTRIAL REHAB
50 OSF St Joseph Medical Center - College Avenue
1701 EAST COLLEGE AVENUE
BLOOMINGTON,IL61704
AUDIOLOGY, Diagnostic Radiology, Mamography, MRI, CT Imaging, Ultrasound, Wound Care Clinic
51 OSF ST JOSEPH MEDICAL CENTER SLEEP LAB
2411 E Washington St
BLOOMINGTON,IL61701
POLYSYMNOGRAPHY Clinic, Neurology
52 Western Illinois Cancer Treatment Center
450 Mayo Dr
Galesburg,IL61401
Radiation Oncology
53 Galva Rehabilitation Services
904 E Main St
Knoxville,IL61448
Physical Therapy
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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 250% 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. MADISON COUNTY IS PART OF THE METRO-EAST REGION OF THE ST. LOUIS METRO AREA. THE POPULATION IN MADISON COUNTY DECREASED FROM 267,218 RESIDENTS TO 265,428 RESIDENTS (APPROXIMATELY 1%) BETWEEN 2013 AND 2017. THE COUNTY SEAT IS EDWARDSVILLE, HOME TO SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE. LEWIS CLARK COMMUNITY COLLEGE, A GROWING COMMUNITY COLLEGE, IS LOCATED IN GODFREY. MADISON COUNTY IS ON THE MISSISSIPPI RIVER. DATA AND A MAP DETAILING CURRENT DEMOGRAPHICS, INCLUDING INCOME LEVELS, AGE, RACE/ETHNICITY AND EDUCATION ATTAINMENT FOR MADISON COUNTY IS INCLUDED IN THE FULL CHNA. 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. THE SERVICE AREAS SUPPORTED BY OSF HEART OF MARY MEDICAL CENTER FALL WITHIN CHAMPAIGN COUNTY. IN 2018, THE US CENSUS BUREAU ESTIMATED THE POPULATION TO BE 209,983 RESIDENTS, A 4.4% INCREASE SINCE 2010. THE POPULATION IS 72% WHITE, 13.6% BLACK/AFRICAN AMERICAN, 11.1% ASIAN, AND 6.1% HISPANIC. 18.8% OF CHAMPAIGN COUNTY'S POPULATION IS BELOW THE AGE OF 18, AND 12.8% OF THE POPULATION IS OVER THE AGE OF 65. CLOSE TO 20% OF CHAMPAIGN COUNTY RESIDENTS, LIVE IN POVERTY. THE CHAMPAIGN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE EFFORT UNDERTAKEN BY A REGIONAL EXECUTIVE COMMITTEE. THE COMMITTEE CONSISTS OF OSF HEART OF MARY MEDICAL CENTER, CARLE, AND CHAMPAIGN-URBANA PUBLIC HEALTH DISTRICT, UNITED WAY OF CHAMPAIGN COUNTY, AND CHAMPAIGN COUNTY MENTAL HEALTH AND DEVELOPMENTAL BOARDS. THROUGH THE NEEDS ASSESSMENT, COLLABORATIVE COMMUNITY PARTNERS IDENTIFIED NUMEROUS HEALTH ISSUES FOR RESIDENTS IN CHAMPAIGN COUNTY. SEVERAL THEMES WERE RECOGNIZED THROUGH THE HEALTH NEEDS ASSESSMENT AND THREE TOP PRIORITIES WERE IDENTIFIED: BEHAVIORAL HEALTH, REDUCING OBESITY AND PROMOTING HEALTHY LIFESTYLES, AND VIOLENCE. OF THESE NEEDS, THREE IDENTIFIED HEALTH NEEDS WERE PRIORITIZED BELOW. 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. THE SERVICE AREAS SUPPORTED BY OSF SACRED HEART MEDICAL CENTER FALL WITHIN VERMILION COUNTY. IN 2018, THE US CENSUS BUREAU ESTIMATED VERMILION COUNTY'S POPULATION TO BE 76,806 RESIDENTS. THERE WAS A 5.9% DECREASE IN TOTAL POPULATION FROM 2000-2018. THE POPULATION IS 82.2% WHITE, 14.0% AFRICAN AMERICAN, AND 5.2% HISPANIC. AS OF 2019, 19.3% OF THE POPULATION WAS ESTIMATED TO BE OVER THE AGE OF 65. VERMILION COUNTY HAS A MUCH HIGHER PERCENTAGE OF VETERAN POPULATION THAN THE STATE OF ILLINOIS AND UNITED STATES PERCENTAGE AS WELL (VERMILION COUNTY 11.52%, ILLINOIS 7.14%, US 8.65%). ACCORDING TO THE 2019 CENSUS BUREAU, 19.3% OF VERMILION COUNTY'S POPULATION WAS LIVING IN POVERTY. THE VERMILION COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE EFFORT UNDERTAKEN BY A REGIONAL EXECUTIVE COMMITTEE. THE COMMITTEE CONSISTS OF OSF SACRED HEART MEDICAL CENTER, CARLE, VERMILION COUNTY HEALTH DEPARTMENT, UNITED WAY OF DANVILLE AREA, INC., AND VERMILION COUNTY MENTAL HEALTH 708 BOARD. THROUGH THE NEEDS ASSESSMENT, COLLABORATIVE COMMUNITY PARTNERS IDENTIFIED NUMEROUS ISSUES FOR RESIDENTS OF VERMILION COUNTY. SEVERAL THEMES WERE RECOGNIZED THROUGH THE HEALTH NEEDS ASSESSMENT AND THE TOP PRIORITIES WERE IDENTIFIED: SUBSTANCE ABUSE / ALCOHOL PREVENTION, MENTAL HEALTH, REPRODUCTIVE HEALTH, AND OBESITY. OF THESE NEEDS IDENTIFIED, THREE NEEDS WERE PRIORITIZED BELOW. FOUNDED IN 1919, OSF HEALTHCARE SAINT LUKE MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN KEWANEE, ILLINOIS. OSF SAINT LUKE IS A PART OF OSF HEALTHCARE, A CATHOLIC, 14-HOSPITAL HEALTH SYSTEM SERVING ILLINOIS AND THE UPPER PENINSULA OF MICHIGAN, DRIVEN BY A MISSION TO "SERVE WITH THE GREATEST CARE AND LOVE." THE PRIMARY SERVICE AREA OF OSF SAINT LUKE MEDICAL CENTER INCLUDES THE ZIP CODES OF KEWANEE (HENRY COUNTY), GALVA (HENRY COUNTY) AND TOULON (STARK COUNTY). OUR PORTIONS OF THE MARKET EXTEND FARTHER INTO HENRY AND STARK COUNTIES AS WELL AS PORTIONS OF BUREAU. KEWANEE REPRESENTS OVER 75% OF ALL PATIENTS FOR THE HOSPITAL. DATA FROM THE LAST CENSUS INDICATE THE POPULATION OF HENRY COUNTY HAS SLIGHTLY DECREASED (1.2%) BETWEEN 2013 AND 2017. POPULATION TRENDS HAVE CONSISTENTLY SHOWN POPULATION DECLINE OVER THE PAST DECADE ACROSS THE SERVICE AREA. INDIVIDUALS IN HENRY COUNTY AGES 60 TO 64 INCREASED SLIGHTLY BETWEEN 2010 AND 2014, AND INDIVIDUALS AGES 35 TO 49 DECREASED FROM 9,787 TO 9,050, OR 7.5% BETWEEN 2010 AND 2014. IN HENRY COUNTY, THE PERCENTAGE OF INDIVIDUALS LIVING IN POVERTY BETWEEN 2013 AND 2017 INCREASED BY 2.0%. THE POVERTY RATE FOR INDIVIDUALS IS 12.5%, WHICH IS LOWER THAN THE STATE OF ILLINOIS INDIVIDUAL POVERTY RATE OF 13.5%. POVERTY HAS A SIGNIFICANT IMPACT ON THE DEVELOPMENT OF CHILDREN AND YOUTH. IN 2017, THE POVERTY RATE FOR FAMILIES LIVING IN HENRY COUNTY (9.0%) WAS LOWER THAN THE STATE OF ILLINOIS FAMILY POVERTY RATE (9.8%). LITTLE COMPANY OF MARY HOSPITAL (LCMH) MERGED WITH OSF HEALTHCARE (OSF) ON FEBRUARY 1, 2020 AND RENAMED THE HOSPITAL FACILITY TO OSF LITTLE COMPANY OF MARY MEDICAL CENTER (LCMMC). LCMH'S FY19 RAN FROM JULY 1, 2018 THROUGH JUNE 30, 2019 WHILE ITS FY20 RAN FROM JULY 1, 2019 THROUGH JANUARY 31, 2020, SHORTENED DUE TO THE MERGER. LCMMC'S FY20 RAN FROM FEBRUARY 1, 2020 THROUGH SEPTEMBER 30, 2020. THE ACQUISITION OF LCMH ALLOWS OSF TO EXPAND ITS MINISTRY TO COMMUNITIES IN SOUTH CHICAGO. THE POPULATION LCMMC SERVES WITHIN THE PRIMARY SERVICE AREA INCLUDES 597,600 PEOPLE IN 30 NEIGHBORHOODS WITHIN SIX MILES OF THE HOSPITAL. THESE NEIGHBORHOODS ARE DIVERSE AND DISTINCT BASED ON DEMOGRAPHIC, SOCIO-ECONOMIC, ECONOMIC, CULTURAL, AND RETAIL CHARACTERISTICS. LCMMC IS LOCATED IN EVERGREEN PARK WHICH IS THE HOSPITALS CORE NEIGHBORHOOD. EVERGREEN PARK HAS ALMOST 19,600 PEOPLE WITH AN AVERAGE AGE OF 39 AND AVERAGE HEALTHCARE SPENDING OF $6,115 PER CAPITAL. THIS NEIGHBORHOOD IS COMPRISED PREDOMINANTLY OF FAMILIES WITH GENERATIONAL TIES TO THE HOSPITAL AND OVERALL NEIGHBORHOOD. CONTRASTING EVERGREEN PARK TO ADJACENT NEIGHBORHOODS REVEALS SIGNIFICANT DIFFERENCE. THE HOUSEHOLD INCOME DIFFERENTIAL BETWEEN EVERGREEN PARK AND BEVERLY IS ALMOST $36,000 OR 50%, WITH BEVERLY HAVING THE HIGHEST INCOME OF THE 30 NEIGHBORHOODS. CONVERSELY THE INCOME DIFFERENTIAL BETWEEN EVERGREEN PARK AND AUBURN GRESHAM IS $37,000, WITH EVERGREEN PARK DOUBLE THE HOUSEHOLD INCOME. THESE THREE NEIGHBORHOODS ARE WITHIN TWO MILES OF ONE ANOTHER.
Schedule H, Part I, Line 7g Subsidized Health Services NET COSTS OF $3,209,899 (TOTAL EXPENSE LESS REVENUE) OF PHYSICIAN CLINICS ARE INCLUDED AS SUBSIDIZED HEALTH SERVICES ON PART 1, LINE 7G.
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 COSTS 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 COSTS CENTERS REPORTS WHICH INCLUDE BOTH INDIRECT AND DIRECT COSTS LESS REVENUE. LINE 7G REPRESENTS ALL PAYERS EXCLUDING MEDICARE, MEDICAID AND SELF-PAY.
Schedule H, Part II Community Building Activities COSTS INCLUDE DEDICATED STAFF TIME WORKING WITH COMMUNITY AGENCIES TO SUPPORT POLICIES AND PROGRAMS THAT IMPROVE THE HEALTH CARE ACCESS AND TRANSPORTATION OF RESOURCES TO 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 $34,816,643 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 $11,037,860 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 FINANCIAL ASSISTANCE DISCOUNTS (VALUED AT GROSS CHARGES), ARE APPLIED TO PATIENT ACCOUNT GROSS CHARGES TO DETERMINE THE ACCOUNT BALANCE BEFORE PATIENT PAYMENTS. THE AGGREGATE AMOUNT OF ALL PATIENT PAYMENTS IS THEN APPLIED TO THE ACCOUNT BALANCE. WHEN DETERMINATION IS MADE THAT NO FURTHER AMOUNTS CAN BE COLLECTED IN ACCORDANCE WITH THE CORPORATION'S BAD DEBT POLICY, THE REMAINING BALANCE IS WRITTEN OFF TO BAD DEBT EXPENSE. PRESUMPTIVE CHARITY: CHARGES MAY BE ADJUSTED TO PROVIDE FOR A CHARITY DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO AN UNINSURED PATIENT WHO ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA. PRESUMPTIVE CHARITY CATEGORIES FOR ALL OSF HOSPITALS: -HOMELESSNESS; -DECEASED WITH NO ESTATE; -MENTAL INCAPACITATION WITH NO ONE TO ACT ON PATIENT'S BEHALF; OR -CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. 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 22 OF NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Schedule H, Part III, Line 8 Community benefit methodology for determining medicare costs OSF IS COMMITTED TO SERVING PATIENTS, REGARDLESS OF ABILITY TO PAY OR IF THE PAYMENTS TO BE RECEIVED WILL BE LESS THAN THE COST TO PROVIDE THE SERVICE, WHICH IS THE CASE FOR MEDICARE AND MEDICAID PATIENTS. THE MEDICARE ALLOWABLE COSTS ON LINE 6 PART III HAVE BEEN CALCULATED BY 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. SHOULD THERE BE A SHORTFALL, IT 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/; - ST. JOSEPH 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/financial-assistance/; - OSF SACRED HEART MEDICAL 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/; - OSF SAINT ANTHONY'S HEALTH CENTER: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - ST. FRANCIS HOSPITAL: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - SAINT JAMES 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/; - LITTLE COMPANY OF MARY MEDICAL CENTER: Line 16a URL: https://www.osfhealthcare.org/billing/financial-assistance/; - Saint Clare 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/; - ST. JOSEPH 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/financial-assistance/; - OSF SACRED HEART MEDICAL 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/; - OSF SAINT ANTHONY'S HEALTH CENTER: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - ST. FRANCIS HOSPITAL: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - SAINT JAMES 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/; - LITTLE COMPANY OF MARY MEDICAL CENTER: Line 16b URL: https://www.osfhealthcare.org/billing/financial-assistance/; - Saint Clare 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/; - ST. JOSEPH 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/financial-assistance/; - OSF SACRED HEART MEDICAL 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/; - OSF SAINT ANTHONY'S HEALTH CENTER: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - ST. FRANCIS HOSPITAL: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - SAINT JAMES 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/; - LITTLE COMPANY OF MARY MEDICAL CENTER: Line 16c URL: https://www.osfhealthcare.org/billing/financial-assistance/; - Saint Clare 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") ON A TIMELY BASIS FOR EACH FACILITY. THE CHNA IS UPDATED EVERY 3 YEARS AND CORRESPONDING IMPLEMENTATION STRATEGY IS ANALYZED 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 OSF HEALTHCARE IS AN INTEGRATED HEALTH SYSTEM OWNED AND OPERATED BY THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS (OSF), PEORIA, ILLINOIS. OUR MISSION STATES THAT, "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 AND GUIDES THE ORGANIZATION ON A DAILY BASIS. THE OSF HEALTHCARE VISION "EMBRACING GOD'S GREAT GIFT OF LIFE, WE ARE ONE OSF MINISTRY TRANSFORMING HEALTH CARE TO IMPROVE THE LIVES OF THOSE WE SERVE" IS THE GOAL EACH MISSION PARTNER WORKS TOWARD. OSF HEALTHCARE EMPLOYS NEARLY 25,000 MISSION PARTNERS IN 145 LOCATIONS, INCLUDING NOW 15 HOSPITALS WITH 2,097-LICENSED ACUTE CARE BEDS, 30 URGENT CARE LOCATIONS, AND 2 COLLEGES OF NURSING THROUGHOUT ILLINOIS AND MICHIGAN. OSF HEALTHCARE, THROUGH OSF HOME CARE SERVICES, OPERATES AN EXTENSIVE NETWORK OF HOME HEALTH SERVICES, INCLUDING EIGHT HOME HEALTH AGENCIES AND EIGHT HOSPICE PROGRAMS. POINTCORE, INC., FORMERLY OSF SAINT FRANCIS INC., A WHOLLY OWNED SUBSIDIARY OF OSF HEALTHCARE IS COMPOSED OF HEALTH CARE-RELATED BUSINESSES; OSF HEALTHCARE FOUNDATION IS THE PHILANTHROPIC ARM FOR THE ORGANIZATION; AND OSF VENTURES PROVIDES INVESTMENT CAPITAL FOR PROMISING HEALTH CARE INNOVATION STARTUPS. THE MINISTRY SERVICES OFFICE IN PEORIA PROVIDES CORPORATE MANAGEMENT SERVICES, AS WELL AS DIRECTION, CONSULTATION AND ASSISTANCE TO THE ADMINISTRATION OF THE HEALTH CARE FACILITIES. THE FOLLOWING COMMUNITY INFORMATION IS FROM THE PRIOR CHNA. NEW COMMUNITY INFORMATION WILL BE FILED WITH THE NEXT SCHEDULE H. IF LOOKING FOR MORE RECENT DATA, PLEASE FIND THAT COMMUNITY INFORMATION WITHIN THE REPORTS FOUND HERE: https://www.osfhealthcare.org/about/community-health/ SAINT FRANCIS MEDICAL CENTER, WITH 649 BEDS, IS THE FIFTH-LARGEST MEDICAL CENTER IN ILLINOIS. A MAJOR TEACHING AFFILIATE OF THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE AT PEORIA, IT IS THE AREA'S ONLY LEVEL I TRAUMA CENTER, THE HIGHEST LEVEL DESIGNATED IN TRAUMA CARE. IT SERVES AS THE RESOURCE HOSPITAL FOR EMERGENCY MEDICAL SERVICES FOR NORTH-CENTRAL ILLINOIS. IT IS HOME TO OSF CHILDREN'S HOSPITAL OF ILLINOIS AND THE OSF ILLINOIS NEUROLOGICAL INSTITUTE. OSF SAINT FRANCIS AND CHILDREN'S HOSPITAL HAVE BEEN DESIGNATED MAGNET STATUS FOR EXCELLENCE IN NURSING CARE SINCE 2004. PEORIA, TAZEWELL AND WOODFORD COUNTIES COMPOSE THE PRIMARY SERVICE AREA FOR OSF SAINT FRANCIS MEDICAL CENTER IN PEORIA. THE REGION INCLUDES A TOTAL POPULATION OF OVER 350,000. THE POVERTY RATE FOR THE TRI-COUNTY WAS 15.9% IN PEORIA COUNTY, 8.0% IN TAZEWELL COUNTY, AND 7.4% IN WOODFORD COUNTY FOR 2017. THE POPULATIONS USED FOR THE CALCULATION WERE 183,011, 133,526 AND 38,726 RESPECTIVELY, YIELDING TOTAL RESIDENTS LIVING IN POVERTY IN THE THREE COUNTIES AT 29,099, 10,682, AND 2,866. IDENTIFYING THE COMMUNITIES TO SERVE AND THE METHODS OF PROVIDING THAT SERVICE IS PART OF THE STRATEGIC PLANNING PROCESS CONDUCTED EACH YEAR. AREAS OF NEED ARE IDENTIFIED AND PLANS MADE TO ADDRESS THOSE NEEDS IN A COST-EFFICIENT MANNER THAT ENSURES PROPER ACCESS AND CONVENIENCE FOR THOSE BEING SERVED. 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. THE OSF SAINT ANTHONY MEDICAL CENTER SECONDARY SERVICE AREA (SSA) INCLUDES AN ADDITIONAL 92 ZIP CODES IN WINNEBAGO, BOONE, DEKALB, OGLE, STEPHENSON, LEE, CARROLL, JO DAVIES, WHITESIDE AND MCHENRY COUNTIES THAT HAVE A COMBINED POPULATION OF 430,632. ADDITIONALLY 20 ZIP CODES FROM ROCK, GREEN AND WALWORTH COUNTIES IN SOUTHERN WISCONSIN ADD AN ADDITIONAL 216,877 INDIVIDUALS SERVED BY OSF SAINT ANTHONY MEDICAL CENTER. THE TOTAL PSA, SSA AND WISCONSIN POPULATION SERVED IS 1,001,374. THE FUNCTIONAL SERVICE RADIUS OF THE PRIMARY MARKET IS APPROXIMATELY 30 MILES, WHILE THE SECONDARY AND TERTIARY RADIUS IS AS MUCH AS 100 MILES. THE POPULATION IN WINNEBAGO COUNTY IN 2017 WAS 284,778. THE POVERTY RATE FOR WINNEBAGO COUNTY WAS 15.3 PERCENT IN 2017. DATA FROM THE LAST CENSUS INDICATE THE POPULATION OF WINNEBAGO COUNTY HAS SLIGHTLY DECREASED (2.1%) BETWEEN 2013 AND 2017. 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. MCLEAN COUNTY CONSISTS OF A TOTAL POPULATION OF 172,052 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). BLOOMINGTON HAS THE LARGEST POPULATION IN THE COUNTY WITH 78,368 AND NORMAL HAS THE SECOND LARGEST POPULATION WITH 54,534 (BLOOMINGTON-NORMAL ECONOMIC DEVELOPMENT COUNCIL, 2018). THE POPULATION IN MCLEAN COUNTY INCREASED BY 1.46 PERCENT FROM 2010 TO 2019 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). ADDITIONALLY, RESIDENTS OF THE SURROUNDING COUNTIES OF DEWITT, FORD, WOODFORD, LIVINGSTON, LOGAN AND TAZEWELL ALSO UTILIZE MEDICAL CARE AT OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER. SAINT JAMES HOSPITAL IS LOCATED IN LIVINGSTON COUNTY IN ILLINOIS. LIVINGSTON COUNTY IS THE PRIMARY SERVICE AREA FOR OSF SAINT JAMES - JOHN W. ALBRECHT MEDICAL CENTER IN PONTIAC. THE COUNTY INCLUDES A TOTAL POPULATION OF 36,518 AS OF 2017. THE POVERTY RATE FOR LIVINGSTON COUNTY WAS 13.3 PERCENT IN 2017. DATA FROM THE LAST CENSUS INDICATE THE POPULATION OF LIVINGSTON COUNTY DECREASED (2.4%) BETWEEN 2013 AND 2016 BUT EXPERIENCED AN INCREASE IN 2017 (1.2%). OSF SAINT JAMES ALSO SERVES SECTIONS OF THE COUNTIES ADJACENT TO LIVINGSTON. THESE SECTIONS INCLUDE NORTHEAST WOODFORD AND MCLEAN COUNTIES, NORTHERN FORD COUNTY, AND SOUTHERN LASALLE AND GRUNDY COUNTIES. 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. 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 PRIMARY SERVICE AREA OF OSF ST. MARY MEDICAL CENTER IS KNOX, WARREN AND HENDERSON COUNTIES, AND PORTIONS OF HENRY COUNTY. THE POVERTY RATES FOR KNOX COUNTY AND WARREN COUNTY WERE 18.1 AND 13.8 PERCENT, RESPECTIVELY. A TOTAL POPULATION OF 50,638 WAS USED FOR KNOX COUNTY; YIELDING A TOTAL OF 9,165 RESIDENTS LIVING IN POVERTY. LIKEWISE, WARREN COUNTY TOTAL POPULATION IS 17,161; YIELDING A TOTAL OF 2,369 RESIDENTS LIVING IN POVERTY IN THE WARREN COUNTY AREA. DATA FROM THE LAST CENSUS INDICATE THE POPULATION OF KNOX COUNTY DECREASED (2.8%) BETWEEN 2013 AND 2017. THE POPULATION OF WARREN COUNTY ALSO SLIGHTLY DECREASED (2.7%) BETWEEN 2013 AND 2017. OSF HOLY FAMILY MEDICAL CENTER'S PRIMARY SERVICE AREA CONSISTS OF WARREN AND HENDERSON COUNTIES, WHICH HAVE A POPULATION SIZE OF 17,167. THE SECONDARY SERVICE AREA INCLUDES PORTIONS OF KNOX COUNTY (GALESBURG ZIP CODES), AND PORTIONS OF MERCER AND MCDONOUGH COUNTIES. DATA FROM THE LAST CENSUS INDICATE THE POPULATION OF WARREN COUNTY HAS SLIGHTLY DECREASED (2.7%) BETWEEN 2013 AND 2017. THE POVERTY RATE FOR WARREN COUNTY WAS 13.8 PERCENT IN 2017. THE POPULATION USED FOR THE CALCULATION WAS 17,167, YIELDING 2,369 RESIDENTS LIVING IN POVERTY IN THE WARREN COUNTY AREA.
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, 2021 FOR IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH IN THE FOLLOWING WAYS: -CAPITAL EXPENDITURES OF APPROXIMATELY $6,954,000 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 $52,994,180 DURING THE FISCAL YEAR FOR ACCREDITED PHYSICIAN RESIDENCY PROGRAMS AND NET COSTS OF APPROXIMATELY $7,312,922 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 $1,657,837 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 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 is an integrated health system that operates acute care hospitals, home health care services, two colleges of nursing, a medical training simulation center, and other health care facilities in Illinois and Michigan. The OSF System includes many other entities which are controlled, directly or indirectly by the Sisters of the Third Order of St. Francis (the "Congregation"). All affiliated entities apply and follow the financial assistance policies of the Corporation and are operated in furtherance of the mission to provide comprehensive, durable medical equipment, integrated quality care to the communities served by the Corporation. The OSF System's corporate office in Peoria, Illinois (the "Corporate Office"), provides corporate management services as well as direction, consultation and assistance to the administration of the OSF System's health care facilities and subsidiary corporations. The primary affiliated corporations of the OSF System are the following: The Congregation, which works exclusively in the health care apostolate, 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 Multi-Specialty Group was incorporated in 2011. Virtually all physicians and advance practice providers providing professional services through the OSF System's acute care hospital facilities and ambulatory practice settings (with a few limited exceptions) provide services pursuant to employment agreements or professional service agreements with the Multi-Specialty Group. OSF Medical Group is a d/b/a of Multi-Specialty Group. Pointcore, Inc., formerly known as OSF Saint Francis, Inc., was originally incorporated in 1986 and is engaged in the following lines of business: retail pharmacies, retail shops, a mobile medical system, emergency medical transportation, home therapeutics, real estate, equipment technology services, telecommunications, electronic health records, telehealth services, and consulting services. Pointcore, Inc. also participates in various health related joint ventures. OSF Healthcare Foundation was incorporated in 1989 to conduct fundraising and other activities for the benefit of OSF Healthcare System and in support of the mission of the Congregation.
Schedule H, Part VI, Line 7 State filing of community benefit report IL, MI
Schedule H (Form 990) 2021
Additional Data


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Software Version: 2021v4.2

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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
2021
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) BOYLAN CATHOLIC HIGH SCHOOL
4000 SAINT FRANCIS DRIVE
ROCKFORD,IL61103
36-2435617 501(C)(3) 10,000 0 N/A N/A CAPITAL PROJECT
(2) DOWNTOWN DEVELOPMENT CORP OF PEORIA
403 NE JEFFERSON AVE
PEORIA,IL61603
46-4486780 501(C)(3) 35,000 0 N/A N/A SUPPORT OF ORG OPERATIONS
(3) GALESBURG PUBLIC LIBRARY FOUNDATION
40 EAST SIMMONS STREET
GALESBURG,IL61401
32-0233242 501(C)(3) 10,000 0 N/A N/A SUPPORT OF ORG OPERATIONS
(4) INTERSECT ILLINOIS
203 W MONROE ST
SUITE 330
CHICAGO,IL60606
81-1265157 501(C)(3) 50,000 0 N/A N/A SUPPORT OF ORG OPERATIONS
(5) UNIVERSITY OF ILLINOIS
1 ILLINI DRIVE
PEORIA,IL61605
37-6000511 501(C)(3) 787,816 0 N/A N/A SUPPORT OF CLINIC OPERATIONS
(6) HEARTLAND COMMUNITY HEALTH CLINIC
2214 N UNIVERSITY ST
PEORIA,IL61604
37-1270794 501(C)(3) 2,304,606 0 N/A N/A SUPPORT OF CLINIC OPERATIONS
(7) PEORIA PARK DISTRICT FOUNDATION
1125 W LAKE AVE
PEORIA,IL61614
37-1368760 501(C)(3) 300,000 0 N/A N/A SUPPORT COMMUNITY WELLNESS CENTER
(8) GALESBURG RESCUE MISSION WOMENS SHELTER
435 E 3RD
GALESBURG,IL61401
37-6045342 501(C)(3) 0 36,000 FMV BEDS SUPPORT OF ORG OPERATIONS
(9) American Cancer Society Inc
3380 Chastain Meadows Pkwy NW
Suite 200
Kennesaw,GA30144
13-1788491 501(c)(3) 39,071 0 N/A N/A Support of org operations
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
8
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) 2021

Schedule I (Form 990) 2021
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 110 324,233 0 N/A N/A
(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 PRESIDENTS 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 COLLEGES MONITOR AND REVIEW THE RECIPIENTS INDIVIDUALLY ON A SEMESTER BASIS FOR SATISFACTORY ACADEMIC PROGRESS AND GOOD STANDING.
Schedule I (Form 990) 2021



Additional Data


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Software Version: 2021v4.2


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
2021
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
 
 
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
 
 
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
 
No
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) 2021

Schedule J (Form 990) 2021
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, 1099-MISC compensation, and/or 1099-NEC (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 Chief Executive Officer
(i)

(ii)
1,553,315
-------------
0
983,702
-------------
0
113,528
-------------
0
14,250
-------------
0
28,356
-------------
0
2,693,151
-------------
0
0
-------------
0
2Gerald J McShane MD
 
Board Member
(i)

(ii)
30,700
-------------
152,878
0
-------------
0
0
-------------
0
0
-------------
8,026
0
-------------
21,852
30,700
-------------
182,756
0
-------------
0
3Michael A Cruz MD
 
Chief Operating Officer
(i)

(ii)
747,881
-------------
0
337,760
-------------
0
33,547
-------------
0
14,250
-------------
0
34,346
-------------
0
1,167,784
-------------
0
0
-------------
0
4Michael M Allen
 
Chief Financial Officer
(i)

(ii)
706,904
-------------
0
373,634
-------------
0
32,036
-------------
0
14,250
-------------
0
28,629
-------------
0
1,155,453
-------------
0
0
-------------
0
5Stephen E Hippler MD
 
Chief Clinical Officer
(i)

(ii)
716,326
-------------
0
323,758
-------------
0
25,471
-------------
0
14,250
-------------
0
36,070
-------------
0
1,115,875
-------------
0
0
-------------
0
6James J Mormann
 
Chief Information Officer
(i)

(ii)
648,289
-------------
0
295,900
-------------
0
45,488
-------------
0
14,250
-------------
0
34,582
-------------
0
1,038,509
-------------
0
0
-------------
0
7Jeffry M Tillery
 
President, OSF Medical Group
(i)

(ii)
0
-------------
632,733
0
-------------
285,300
0
-------------
24,709
0
-------------
14,250
0
-------------
26,454
0
-------------
983,446
0
-------------
0
8Michelle D Conger
 
Chief Strategy Officer, OSF Healthcare/ CEO OnCall Digital Health
(i)

(ii)
610,475
-------------
0
274,252
-------------
0
21,496
-------------
0
10,599
-------------
0
25,293
-------------
0
942,115
-------------
0
0
-------------
0
9Robert L Brandfass
 
SVP Chief Legal Officer
(i)

(ii)
583,708
-------------
0
254,163
-------------
0
24,225
-------------
0
14,250
-------------
0
22,376
-------------
0
898,722
-------------
0
0
-------------
0
10Ralph Velazquez MD
 
System Chief Medical Officer
(i)

(ii)
561,365
-------------
0
255,943
-------------
0
35,990
-------------
0
14,250
-------------
0
29,394
-------------
0
896,942
-------------
0
0
-------------
0
11Carol A Friesen
 
Chief Executive Officer Eastern Region
(i)

(ii)
516,780
-------------
0
234,927
-------------
0
20,708
-------------
0
14,250
-------------
0
36,065
-------------
0
822,730
-------------
0
0
-------------
0
12Robert G Anderson
 
Chief Executive Officer Central Region
(i)

(ii)
491,993
-------------
0
213,559
-------------
0
23,507
-------------
0
14,250
-------------
0
20,657
-------------
0
763,966
-------------
0
0
-------------
0
13Chad E Boore
 
Chief Executive Officer Eastern Region (Through Aug 2022)
(i)

(ii)
475,127
-------------
0
217,483
-------------
0
21,052
-------------
0
14,250
-------------
0
33,439
-------------
0
761,351
-------------
0
0
-------------
0
14Leon A Yeh MD
 
VP Chief Medical Officer Emergency Serv
(i)

(ii)
532,381
-------------
0
168,135
-------------
0
19,548
-------------
0
14,250
-------------
0
11,019
-------------
0
745,333
-------------
0
0
-------------
0
15Roxanna Crosser
 
Chief Executive Officer Western Region
(i)

(ii)
443,307
-------------
0
201,819
-------------
0
35,699
-------------
0
4,828
-------------
0
25,066
-------------
0
710,719
-------------
0
0
-------------
0
16Lori L Wiegand
 
Chief Nursing Officer
(i)

(ii)
446,455
-------------
0
203,868
-------------
0
23,087
-------------
0
14,278
-------------
0
10,413
-------------
0
698,101
-------------
0
0
-------------
0
17David M Hall
 
SVP Info Systems/Chief Information Officer
(i)

(ii)
422,743
-------------
0
178,464
-------------
0
13,238
-------------
0
14,250
-------------
0
31,975
-------------
0
660,670
-------------
0
0
-------------
0
18Thomas G Hammerton
 
President OSF Healthcare Foundation Chief Development Officer
(i)

(ii)
377,680
-------------
0
176,711
-------------
0
49,748
-------------
0
14,250
-------------
0
27,895
-------------
0
646,284
-------------
0
0
-------------
0
19Paula A Carynski
 
President, OSF HealthCare Saint Anthony Medical Center
(i)

(ii)
394,889
-------------
0
176,412
-------------
0
24,344
-------------
0
14,250
-------------
0
27,512
-------------
0
637,407
-------------
0
0
-------------
0
20August J Querciagrossa
 
Chief Executive Officer Western Region
(i)

(ii)
372,725
-------------
0
167,775
-------------
0
21,537
-------------
0
8,939
-------------
0
31,917
-------------
0
602,893
-------------
0
0
-------------
0
21Jared C Rogers
 
President, OSF HealthCare Heart of Mary Medical Center
(i)

(ii)
373,142
-------------
0
169,411
-------------
0
5,289
-------------
0
14,500
-------------
0
23,011
-------------
0
585,353
-------------
0
0
-------------
0
22Kathleen M Kinsella
 
President, OSF HealthCare Little Company of Mary Medical Center
(i)

(ii)
348,458
-------------
0
139,333
-------------
0
22,247
-------------
0
14,500
-------------
0
14,158
-------------
0
538,696
-------------
0
0
-------------
0
23Lynn A Fulton
 
President, OSF HealthCare St. Joseph Medical Center
(i)

(ii)
340,332
-------------
0
144,725
-------------
0
1,014
-------------
0
14,500
-------------
0
26,070
-------------
0
526,641
-------------
0
0
-------------
0
24Bradley V Solberg
 
President, OSF HealthCare Saint James- John W. Albrecht MC
(i)

(ii)
332,551
-------------
0
133,728
-------------
0
7,389
-------------
0
14,500
-------------
0
29,667
-------------
0
517,835
-------------
0
0
-------------
0
25John R Evancho
 
SVP Chief Compliance Officer
(i)

(ii)
303,026
-------------
0
129,348
-------------
0
1,541
-------------
0
14,500
-------------
0
27,934
-------------
0
476,349
-------------
0
0
-------------
0
26Dawn C Trompeter
 
President, OSF Healthcare St. Elizabeth MC/ St. Paul MC
(i)

(ii)
0
-------------
259,648
0
-------------
118,294
0
-------------
21,454
0
-------------
13,265
0
-------------
24,967
0
-------------
437,628
0
-------------
0
27Lisa DeKezel
 
President, OSF HealthCare Holy Family MC and St. Mary MC
(i)

(ii)
258,274
-------------
0
105,642
-------------
0
13,251
-------------
0
3,849
-------------
0
25,564
-------------
0
406,580
-------------
0
0
-------------
0
28Jason R Rodeghero
 
President, OSF Home Care and Rehab Services
(i)

(ii)
242,434
-------------
0
103,427
-------------
0
5,691
-------------
0
14,500
-------------
0
25,737
-------------
0
391,789
-------------
0
0
-------------
0
29Jacqueline D Kernan
 
President, OSF HealthCare St Clare Medical Center St Luke MC
(i)

(ii)
232,104
-------------
0
101,978
-------------
0
15,460
-------------
0
14,500
-------------
0
21,213
-------------
0
385,255
-------------
0
0
-------------
0
30Michael A Wells
 
President CHOI
(i)

(ii)
241,929
-------------
0
98,072
-------------
0
690
-------------
0
10,385
-------------
0
19,761
-------------
0
370,837
-------------
0
0
-------------
0
31Jerry W Rumph
 
President, OSF HealthCare Saint Anthony's Health Center
(i)

(ii)
243,028
-------------
0
80,548
-------------
0
14,227
-------------
0
14,500
-------------
0
1,628
-------------
0
353,931
-------------
0
0
-------------
0
32Shelley A Nguyen
 
Chief Human Resources Officer
(i)

(ii)
206,461
-------------
0
62,193
-------------
0
54
-------------
0
6,698
-------------
0
17,821
-------------
0
293,227
-------------
0
0
-------------
0
33Kelly A Jefferson
 
President, OSF HealthCare St. Francis Hospital Medical Group
(i)

(ii)
170,763
-------------
0
52,420
-------------
0
3,633
-------------
0
9,038
-------------
0
25,209
-------------
0
261,063
-------------
0
0
-------------
0
34Ned Hill
 
President, OSF HealthCare Sacred Heart Medical Center
(i)

(ii)
116,015
-------------
0
20,000
-------------
0
20,158
-------------
0
5,676
-------------
0
9,420
-------------
0
171,269
-------------
0
0
-------------
0
35James L McGee MD
 
Physician
(i)

(ii)
938,456
-------------
0
100,000
-------------
0
19,783
-------------
0
9,723
-------------
0
26,953
-------------
0
1,094,915
-------------
0
0
-------------
0
36Iftekhar U Ahmad MD
 
Physician
(i)

(ii)
581,134
-------------
0
320,578
-------------
0
31,202
-------------
0
14,250
-------------
0
30,240
-------------
0
977,404
-------------
0
0
-------------
0
37Shylendra B Sreenivasappa
 
Oncologist
(i)

(ii)
555,623
-------------
0
227,030
-------------
0
19,548
-------------
0
9,810
-------------
0
31,369
-------------
0
843,380
-------------
0
0
-------------
0
38Ismael Shaukat
 
Physician
(i)

(ii)
547,382
-------------
0
243,697
-------------
0
48
-------------
0
14,099
-------------
0
26,171
-------------
0
831,397
-------------
0
0
-------------
0
39Mete Korkmaz
 
Oncologist
(i)

(ii)
571,277
-------------
0
172,030
-------------
0
28,972
-------------
0
14,250
-------------
0
33,158
-------------
0
819,687
-------------
0
0
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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 (Form 990) 2021

Additional Data


Software ID: 21014044
Software Version: 2021v4.2

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
2021
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 45203H5F5 09-29-2015 392,744,128 SEE PART VI   X   X   X
B ILLINOIS FINANCE AUTHORITY
 
86-1091967 45204EMD7 09-29-2016 121,790,760 SEE PART VI   X   X   X
C ILLINOIS FINANCE AUTHORITY
 
86-1091967 45204EM21 10-17-2018 488,711,313 SEE PART VI   X   X   X
D Illinois Finance Authority
 
86-1091967 45200FFV6 04-29-2008 134,340,000 SEE PART VI   X   X   X
Illinois Finance Authority
 
86-1091967 45204FEE1 10-01-2020 302,032,202 SEE PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 29,925,000 4,165,000 12,980,000 66,905,000
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 394,643,597 121,790,794 489,028,773 134,483,633
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 9,258,271 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 4,151,415 1,549,068 3,716,295 704,492
8 Credit enhancement from proceeds ............. 0 0 0 25,000
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 146,853,861 0 0 13,730,097
11 Other spent proceeds ............. 234,380,050 120,241,726 485,312,478 120,024,044
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2018 2016 2020 2008
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 2020, a current refunding issue)? ........
X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
X   X     X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
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
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  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
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 ..........  
 
 
 
 
 
 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
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) BOND A ILLINOIS FINANCE AUTHORITY - 09/29/2015 CUSIP# 45203H5F5 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) BOND B 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 I, Column (f) BOND C ILLINOIS FINANCE AUTHORITY - 10/17/2018 CUSIP # 45204EM21 THE CORPORATION WILL USE THE PROCEEDS OF THE FIXED SERIES 2018A BONDS AND THE VARIABLE SERIES 2018BC BONDS TO (I) REFUND THE SERIES 2007E BONDS; (II) REFUND THE SERIES 2007F BONDS; (III) REFUND THE SERIES 2009B BONDS; (IV) REFUND THE SERIES 2009C BONDS; (V) REFUND THE SERIES 2009D BONDS; (VI) REFUND THE SERIES 2017 BONDS; (VII) AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2018 BONDS AND THE REFUNDING OF THE REFUNDED OBLIGATIONS. SALE PROCEEDS OF THE BONDS WILL BE PROVIDED TO THE CORPORATION PURSUANT TO THE LOAN AGREEMENT.
Schedule K, Part I, Column (f) BOND D ILLINOIS FINANCE AUTHORITY - 04/08/2008 CUSIP# 45200FFV6, 45200FFV6, 45200FFW4 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2008 BONDS TO (1) REFINANCE A TAXABLE BANK LOAN MADE AVAILABLE BY JPMORGAN CHASE BANK, NATIONAL ASSOCIATION.
Schedule K, Part I, Column (f) BOND E ILLINOIS FINANCE AUTHORITY - 10/01/2020 CUSIP #45204FEE1, 45204FEF8, 45204FEG6, 45204FEH4 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2020 BONDS TO (I) PAY OR REIMBURSE THE CORPORATION FOR THE COSTS OF ACQUIRING, CONSTRUCTING, REMODELING, RENOVATING AND EQUIPPING COMPREHENSIVE CANCER CENTER AT OSF SAINT FRANCIS MEDICAL CENTER IN PEORIA, ILLINOIS (I) OF THE BORROWER AND THE USERS , (II) REFUND ALL OF THE $102,000,000 ORIGINAL PRINCIAL AMOUNT ILLINOIS AUTHORITY REVENUE BONDS, SERIES 2015 (LITTLE COMPANY OF MARY HOSPITAL AND HEALTH CARE CENTERS), (III) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS AND THE REFUNDING OF THE SERIES 2015 BONDS, ALL AS PERMITTED UNDER THE ILLINOIS FINANCE AUTHORITY ACT OF THE STATE OF ILLINOIS.
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 $34 FOR TOTAL PROCEEDS REPORTED OF $121,790,794.
Schedule K, Part II, Line 3 PROCEEDS DIFFERING FROM ISSUE - 2018 ORIGINAL ISSUE PRICE WAS $488,711,313. INVESTMENT EARNINGS WERE $317,460 FOR TOTAL PROCEEDS REPORTED OF $489,028,773.
Schedule K, Part II, Line 3 PROCEEDS DIFFERING FROM ISSUE - 2008 ORIGINAL ISSUE PRICE WAS $134,340,000. INVESTMENT EARNINGS WERE $143,633 FOR TOTAL PROCEEDS REPORTED OF $134,483,633.
Schedule K, Part II, Line 3 PROCEEDS DIFFERING FROM ISSUE - 2020 ORIGINAL ISSUE PRICE WAS $302,032,202. INVESTMENT EARNINGS WERE $1,069,165 FOR TOTAL PROCEEDS REPORTED OF $303,101,368.
Schedule K, Part IV, Line 2c COLUMN D A rebate computation was performed for the 2008AB Bond Issue on March 7, 2011. The result of this computation was that no rebate amount was due for the rebate period. Based upon information provided, it was determined at this time that all proceeds had been fully expended, thus this rebate computation was the final computation needed. As such, Schedule K, Part IV, Line 2c has been marked as "yes and the date provided is March 7, 2011.
Schedule K, Part V BOND A DIFFERENT PROCEDURES TO UNDERTAKE CORRECTIVE ACTION ISSUER NAME: ILLINOIS FINANCE AUTHORITY NA
Schedule K, Part V BOND B DIFFERENT PROCEDURES TO UNDERTAKE CORRECTIVE ACTION ISSUER NAME: ILLINOIS FINANCE AUTHORITY NA
Schedule K, Part V BOND C DIFFERENT PROCEDURES TO UNDERTAKE CORRECTIVE ACTION ISSUER NAME: ILLINOIS FINANCE AUTHORITY NA
Schedule K, Part V BOND D DIFFERENT PROCEDURES TO UNDERTAKE CORRECTIVE ACTION ISSUER NAME: ILLINOIS FINANCE AUTHORITY NA
Schedule K, Part V BOND E DIFFERENT PROCEDURES TO UNDERTAKE CORRECTIVE ACTION ISSUER NAME: ILLINOIS FINANCE AUTHORITY NA
Schedule K, Part IV, Line 2c COLUMN A Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 09/30/2020
Schedule K, Part IV, Line 2c COLUMN B Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 09/30/2021
Schedule K, Part IV, Line 2c COLUMN D Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 03/07/2011
Schedule K (Form 990) 2021

Additional Data


Software ID: 21014044
Software Version: 2021v4.2


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
2021
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 45203H5F5 09-29-2015 392,744,128 SEE PART VI   X   X   X
B ILLINOIS FINANCE AUTHORITY
 
86-1091967 45204EMD7 09-29-2016 121,790,760 SEE PART VI   X   X   X
C ILLINOIS FINANCE AUTHORITY
 
86-1091967 45204EM21 10-17-2018 488,711,313 SEE PART VI   X   X   X
D Illinois Finance Authority
 
86-1091967 45200FFV6 04-29-2008 134,340,000 SEE PART VI   X   X   X
Illinois Finance Authority
 
86-1091967 45204FEE1 10-01-2020 302,032,202 SEE PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 29,925,000 4,165,000 12,980,000 66,905,000
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 394,643,597 121,790,794 489,028,773 134,483,633
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 9,258,271 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 4,151,415 1,549,068 3,716,295 704,492
8 Credit enhancement from proceeds ............. 0 0 0 25,000
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 146,853,861 0 0 13,730,097
11 Other spent proceeds ............. 234,380,050 120,241,726 485,312,478 120,024,044
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2018 2016 2020 2008
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 2020, a current refunding issue)? ........
X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
X   X     X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
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
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  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
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 ..........  
 
 
 
 
 
 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
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) BOND A ILLINOIS FINANCE AUTHORITY - 09/29/2015 CUSIP# 45203H5F5 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) BOND B 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 I, Column (f) BOND C ILLINOIS FINANCE AUTHORITY - 10/17/2018 CUSIP # 45204EM21 THE CORPORATION WILL USE THE PROCEEDS OF THE FIXED SERIES 2018A BONDS AND THE VARIABLE SERIES 2018BC BONDS TO (I) REFUND THE SERIES 2007E BONDS; (II) REFUND THE SERIES 2007F BONDS; (III) REFUND THE SERIES 2009B BONDS; (IV) REFUND THE SERIES 2009C BONDS; (V) REFUND THE SERIES 2009D BONDS; (VI) REFUND THE SERIES 2017 BONDS; (VII) AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2018 BONDS AND THE REFUNDING OF THE REFUNDED OBLIGATIONS. SALE PROCEEDS OF THE BONDS WILL BE PROVIDED TO THE CORPORATION PURSUANT TO THE LOAN AGREEMENT.
Schedule K, Part I, Column (f) BOND D ILLINOIS FINANCE AUTHORITY - 04/08/2008 CUSIP# 45200FFV6, 45200FFV6, 45200FFW4 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2008 BONDS TO (1) REFINANCE A TAXABLE BANK LOAN MADE AVAILABLE BY JPMORGAN CHASE BANK, NATIONAL ASSOCIATION.
Schedule K, Part I, Column (f) BOND E ILLINOIS FINANCE AUTHORITY - 10/01/2020 CUSIP #45204FEE1, 45204FEF8, 45204FEG6, 45204FEH4 THE CORPORATION USED THE PROCEEDS OF THE SERIES 2020 BONDS TO (I) PAY OR REIMBURSE THE CORPORATION FOR THE COSTS OF ACQUIRING, CONSTRUCTING, REMODELING, RENOVATING AND EQUIPPING COMPREHENSIVE CANCER CENTER AT OSF SAINT FRANCIS MEDICAL CENTER IN PEORIA, ILLINOIS (I) OF THE BORROWER AND THE USERS , (II) REFUND ALL OF THE $102,000,000 ORIGINAL PRINCIAL AMOUNT ILLINOIS AUTHORITY REVENUE BONDS, SERIES 2015 (LITTLE COMPANY OF MARY HOSPITAL AND HEALTH CARE CENTERS), (III) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS AND THE REFUNDING OF THE SERIES 2015 BONDS, ALL AS PERMITTED UNDER THE ILLINOIS FINANCE AUTHORITY ACT OF THE STATE OF ILLINOIS.
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 $34 FOR TOTAL PROCEEDS REPORTED OF $121,790,794.
Schedule K, Part II, Line 3 PROCEEDS DIFFERING FROM ISSUE - 2018 ORIGINAL ISSUE PRICE WAS $488,711,313. INVESTMENT EARNINGS WERE $317,460 FOR TOTAL PROCEEDS REPORTED OF $489,028,773.
Schedule K, Part II, Line 3 PROCEEDS DIFFERING FROM ISSUE - 2008 ORIGINAL ISSUE PRICE WAS $134,340,000. INVESTMENT EARNINGS WERE $143,633 FOR TOTAL PROCEEDS REPORTED OF $134,483,633.
Schedule K, Part II, Line 3 PROCEEDS DIFFERING FROM ISSUE - 2020 ORIGINAL ISSUE PRICE WAS $302,032,202. INVESTMENT EARNINGS WERE $1,069,165 FOR TOTAL PROCEEDS REPORTED OF $303,101,368.
Schedule K, Part IV, Line 2c COLUMN D A rebate computation was performed for the 2008AB Bond Issue on March 7, 2011. The result of this computation was that no rebate amount was due for the rebate period. Based upon information provided, it was determined at this time that all proceeds had been fully expended, thus this rebate computation was the final computation needed. As such, Schedule K, Part IV, Line 2c has been marked as "yes and the date provided is March 7, 2011.
Schedule K, Part V BOND A DIFFERENT PROCEDURES TO UNDERTAKE CORRECTIVE ACTION ISSUER NAME: ILLINOIS FINANCE AUTHORITY NA
Schedule K, Part V BOND B DIFFERENT PROCEDURES TO UNDERTAKE CORRECTIVE ACTION ISSUER NAME: ILLINOIS FINANCE AUTHORITY NA
Schedule K, Part V BOND C DIFFERENT PROCEDURES TO UNDERTAKE CORRECTIVE ACTION ISSUER NAME: ILLINOIS FINANCE AUTHORITY NA
Schedule K, Part V BOND D DIFFERENT PROCEDURES TO UNDERTAKE CORRECTIVE ACTION ISSUER NAME: ILLINOIS FINANCE AUTHORITY NA
Schedule K, Part V BOND E DIFFERENT PROCEDURES TO UNDERTAKE CORRECTIVE ACTION ISSUER NAME: ILLINOIS FINANCE AUTHORITY NA
Schedule K, Part IV, Line 2c COLUMN A Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 09/30/2020
Schedule K, Part IV, Line 2c COLUMN B Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 09/30/2021
Schedule K, Part IV, Line 2c COLUMN D Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 03/07/2011
Schedule K (Form 990) 2021

Additional Data


Software ID: 21014044
Software Version: 2021v4.2

Schedule L
(Form 990)
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
2021
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) 2021
Schedule L (Form 990) 2021
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 123,437 Employment   No
(2) Matthew Sehring
 
Family Member - Robert Sehring - Officer 445,837 Employment   No
(3) Ryan Sehring
 
Family Member - Robert Sehring - Officer 88,117 Employment   No
(4) David McGrew
 
Family Member - Sister Diane Marie McGrew, O.S.F - Board Member 156,241 Employment   No
(5) Jennifer Stoller
 
Family Member - Lori L Wiegand - Officer 39,227 Employment   No
(6) Brian Tillery
 
FAMILY MEMBER - JEFFRY M. TILLERY - OFFICER 12,687 Employment   No
(7) Tiffany Sehring
 
Family Member - Robert Sehring - Officer 74,761 Employment   No
(8) Mallory Hippler
 
Family member - Stephen Hippler - Officer 41,887 Employment   No
(9) Julia Evancho
 
Family member - John Evancho - Officer 18,056 Employment   No
(10) Matthew Brandfass
 
Family Member - Robert L. Brandfass - Officer 45,712 Employment   No
(11) Jack Dintelman
 
Family Member - David M. Hall - Officer 88,107 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) 2021


Additional Data


Software ID: 21014044
Software Version: 2021v4.2




SCHEDULE O
(Form 990)

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
2021
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 $ 324,884,362 including grants of $ 3,902,908)(Revenue $ 165,056,844) Other program services beyond outpatient, inpatient and emergency department services include: Home Health Services - Eight Agencies located in Illinois and Michigan. Hospice Services - Eight 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 corporation's 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. 1000 ELM RIDGE DRIVE 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 WHO ARE ALL PROFESSED MEMBERS OF A RELIGIOUS CONGREGATION THAT OWNS OR IS ASSOCIATED WITH THE HEALTHCARE SYSTEM WHO ARE ALL PROFESSED MEMBERS OF A RELIGIOUS CONGREGATION THAT OWNS OR IS ASSOCIATED WITH THE HEALTHCARE SYSTEM WHO HAVE TAKEN A VOW OF POVERTY. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE 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.
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 THAT OWNS OR IS ASSOCIATED WITH THE HEALTHCARE SYSTEM WHO HAVE TAKEN A VOW OF POVERTY. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE COMMITTEE DETERMINES WHICH OFFICERS, KEY EMPLOYEES AND OTHER EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN THE EXECUTIVE COMPENSATION PLAN. BASED ON PERFORMANCE REVIEWS BY THE SUPERVISORS OF SUCH PERSONS AND COMPENSATION SURVEY DATA AND RECOMMENDATIONS FROM A NATIONALLY KNOWN INDEPENDENT COMPENSATION CONSULTANT, THE COMMITTEE APPROVES ANY EXECUTIVE COMPENSATION PLAN APPLICABLE TO KEY EMPLOYEES AND ESTABLISHES THE BASE SALARY AND BENEFITS FOR PLAN PARTICIPANTS. PRIOR TO PAYMENT OF ANY BONUS OR INCENTIVE COMPENSATION, THE TOTAL COMPENSATION FOR EACH KEY EMPLOYEE, INCLUDING BASE SALARY, BENEFITS, AND PROPOSED BONUS OR INCENTIVE COMPENSATION, IS AGAIN REVIEWED BY A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT TO ENSURE THAT NO "EXCESS BENEFIT" AMOUNT IS PAID OR FURNISHED. SOME KEY EMPLOYEES LISTED IN PART VII ARE PRACTICING PHYSICIANS WHO ARE LISTED AS KEY EMPLOYEES AS A RESULT OF THE COMPENSATION THEY RECEIVE AND NOT DUE TO ANY EXECUTIVE OR MANAGEMENT POSITION WHICH THEY HOLD. SUCH PHYSICIANS GENERALLY ARE NOT PARTICIPANTS IN THE EXECUTIVE COMPENSATION PLAN, AND THEIR COMPENSATION, INCLUDING BASE SALARY, BENEFITS, AND ANY APPLICABLE BONUS OR INCENTIVE COMPENSATION, IS ESTABLISHED IN ACCORDANCE WITH NATIONALLY RECOGNIZED PHYSICIAN COMPENSATION SURVEYS AND IS SET FORTH IN WRITTEN EMPLOYMENT AGREEMENTS (WHICH ARE APPROVED BY THE BOARD OF DIRECTORS OR ITS EXECUTIVE COMMITTEE) AND/OR THE PHYSICIAN AND ADVANCED PRACTICE PROVIDER COMPENSATION PLAN DOCUMENT (WHICH IS APPROVED BY THE HUMAN RESOURCES COMMITTEE). THE COMPENSATION REVIEW IS DONE ANNUALLY.
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 CORPORATION'S 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 All Other - Total Revenue: 15680476, Related or Exempt Function Revenue: 15573909, Unrelated Business Revenue: 106567, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees MEDICAL SERVICES- PHYSICIANS - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 297709, Fundraising Expenses: ; CONTRACTED SERVICES - Total Expense: 28965576, Program Service Expense: 26387326, Management and General Expenses: 2578250, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 1911387, Fundraising Expenses: ; CONSULTING FEES - Total Expense: 15212776, Program Service Expense: 3177850, Management and General Expenses: 12034926, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN UNREALIZED MARKET VALUE OF SWAPS - 30412989; Pension Adjustment - XXX-XX-XXXX; INCREASE IN PERMANENTLY RESTRICTED ASSETS - -20507972; REVERSAL OF MINIMUM PENSION LIABILITY - -8780628; MINORITY INTEREST - -3357420; EQUITY TRANSFERS - -XXX-XX-XXXX; INVESTMENT RETURN - 439925; NET SETTLEMENT OF DERIVATIVE INSTRUMENT - -6742353;
Form 990 Coronavirus Pandemic On March 11, 2020, the World Health Organization designated COVID-19 as a global pandemic. Patient activity and related revenues for most services were significantly impacted starting in mid-March 2020, as various policies were implemented by federal, state, and local governments in response to the COVID-19 pandemic. IN MARCH 2020, THE CARES ACT WAS SIGNED INTO LAW, PROVIDING TEMPORARY AND LIMITED RELIEF TO HOSPITALS DURING THE COVID-19 OUTBREAK. UNDER THE CARES ACT, APPROPRIATIONS WERE MADE FOR HOSPITALS TO COVER EXPENSES AND LOST REVENUE ASSOCIATED WITH THE TREATMENT OF COVID-19 PATIENTS, THE MEDICARE ACCELERATED AND ADVANCED PAYMENT PROGRAM WAS EXPANDED, EMPLOYEE RETENTION TAX CREDITS TO EMPLOYERS AFFECTED BY COVID-19 WERE PROVIDED, THE 2% REDUCTION IN MEDICARE PAYMENTS FROM SEQUESTRATION THROUGH DECEMBER 2021 HAS BEEN ELIMINATED, ADD-ON PAYMENTS FOR INPATIENT HOSPITALS TREATING COVID-19 PATIENTS WERE CREATED, AND A REDUCTION IN MEDICAID FUNDING FOR MEDICARE DISPORPORTIONATE SHARE HOSPITALS WAS DELAYED.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID: 21014044
Software Version: 2021v4.2
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
2021
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 -1,642,650 1,330,772 OSF
 
(2) SAINT ANTHONY'S LLC
915 EAST 5TH STREET
ALTON,IL62002
37-1407745
LOW INC HOUSING IL 1,214,469 0 OSF
 








Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)SISTERS OF THE THIRD ORDER OF ST FRANCIS
124 SW Adams St

PEORIA,IL61602
37-1259286
PARENT/SU ORG IL 501(c)(3) 1 NA
 
 
No
(2)OSF HEALTHCARE FOUNDATION
124 SW Adams St

PEORIA,IL61602
37-1259284
SUPPORT ORG IL 501(c)(3) Type II SIS 3RD OSF
 
 
No
(3)OTTAWA REGIONAL HOSPITAL HEALTHCARE CTR
124 SW ADAMS ST

Peoria,IL61602
36-2604009
HOSPITAL IL 501(c)(3) 3 OSF
 
Yes
 
(4)OTTAWA REGIONAL HOSPITAL FOUNDATION
124 SW ADAMS ST

Peoria,IL61602
36-4007569
SUPPORT ORG IL 501(c)(3) Type I ORHHC
 
Yes
 
(5)OTTAWA REGIONAL HOSPITAL AUXILIARY
124 SW ADAMS ST

Peoria,IL61602
36-3854788
SUPPORT ORG IL 501(c)(3) Type I ORHHC
 
Yes
 
(6)OSF MULTI-SPECIALTY GROUP
124 SW Adams St

PEORIA,IL61602
38-3852646
HLTHCARE SVCS IL 501(c)(3) Type I OSF
 
Yes
 
(7)MENDOTA COMMUNITY HOSPITAL
124 SW ADAMS ST

Peoria,IL61602
36-2167785
HOSPITAL IL 501(c)(3) 3 OSF
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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 2,559,599 812,574   No 0   No 59.78 %
(2) EASTLAND MEDICAL PLAZA

1505 EASTLAND DRIVE
Bloomington,IL61701
37-1400643
SURGICAL CENTER IL OSF
 
Related 1,766,794 2,536,728   No 0   No 56.58 %
(3) FORT JESSE IMAGING CENTER LLC

2200 FT JESSE ROAD
NORMAL,IL61761
46-0515604
MEDICAL IMAGING IL OSF
 
Related 1,182,428 -181,118   No 0   No 50.14 %
(4) SAINT CLARE'S VILLA

915 EAST 5TH STREET
ALTON,IL62002
37-1397289
LOW INC HOUSING IL OSF
 
Related 1,214,469 0   No 0 Yes   100 %
(5) FOX RIVER CANCER CENTER

1211 STARFISH DRIVE
OTTAWA,IL61350
87-0805865
ONCOLOGY IL ORHHC
 
Related 0 0   No 0   No 0 %
(6) GREATER PEORIA SPECIALTY HOSPITAL LLC

680 S 4TH STREET
LOUISVILLE,KY40202
26-1579585
ACUTE LONG TERM CARE HOSPITAL DE OSF
 
Related -133,839 5,106,161   No 0   No 75 %


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) Pointcore Inc

124 SW Adams St
PEORIA,IL61602
36-3484677
HLTHCARE SVCS IL OSF
 
C Corporation -7,507,866 332,132,892 100 % Yes  
(2) ILLINOIS PATHOLOGST SERVICES LLC

5666 EAST STATE STREET
ROCKFORD,IL61108
80-0439081
PATHOLOGY SVCS IL OSF
 
C Corporation 318,561 810,658 100 % Yes  
(3) SOUTHWEST HEALTH SYSTEMS INC

2800 WEST 95TH STREET
EVERGREEN PARK,IL60805
36-3425830
HEALTHCARE SERVICES IL OSF
 
C Corporation 249,207 5,785,035 100 % Yes  
(4) OSF AVIATION LLC

124 SW Adams St
PEORIA,IL61602
30-0032408
Medical Transportation IL Pointcore Inc
 
C Corporation         No
(5) OSF ASSURANCE COMPANY

76 ST PAUL STREET
Suite 500
BURLINGTON,VT05401
20-2015375
Insurance company VT Pointcore Inc
 
C Corporation         No




Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
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) Center for Health Ambulatory Surgery Center LLC

A 987,110 FMV
(2) Eastland Medical Plaza Surgicenter LLC

A 641,876 FMV
(3) Pointcore Inc

A 168,832 FMV
(4) Pointcore Inc

D 619,736 FMV
(5) Pointcore Inc

K 2,590,879 FMV
(6) Pointcore Inc

L 5,907,011 FMV
(7) Illinois Pathologist Services LLC

L 3,624,661 FMV
(8) Pointcore Inc

P 804,738 FMV
(9) Illinois Pathologist Services LLC

P 890,162 FMV
(10) Eastland Medical Plaza Surgicenter LLC

S 1,999,955 FMV
(11) Fort Jesse Imaging Center LLC

S 1,156,177 FMV
(12) Center for Health Ambulatory Surgery Center LLC

S 6,258,399 FMV
(13) GREATER PEORIA SPECIALTY HOSPITAL LLC

B 5,240,000 FMV
(14) Pointcore Inc

M 51,191,487 FMV
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 2021
Schedule R (Form 990) 2021
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) 2021

Additional Data


Software ID: 21014044
Software Version: 2021v4.2