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 10-01-2022 , and ending 09-30-2023
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 $ 3,425,744,419
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 21,320
6 Total number of volunteers (estimate if necessary) ............. 6 1,001
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 5,434,615
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 1,994,147
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 82,750,201 38,893,374
9 Program service revenue (Part VIII, line 2g) ......... 2,973,514,296 3,230,513,893
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 84,006,988 59,749,680
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 55,429,492 67,665,893
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 3,195,700,977 3,396,822,840
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 3,902,908 6,387,683
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) 1,360,550,156 1,462,704,939
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet226,831    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,530,552,345 1,542,909,003
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,895,005,409 3,012,001,625
19 Revenue less expenses. Subtract line 18 from line 12....... 300,695,568 384,821,215
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 5,108,469,746 5,280,991,110
21 Total liabilities (Part X, line 26)............. 2,888,643,077 2,760,073,693
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,219,826,669 2,520,917,417
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 FISCAL YEAR 2023 OPERATED 15 HOSPITALS, 8 HOME HEALTH AGENCIES, 8 HOSPICES, AND EMPLOYED 313 PHYSICIANS/ADVANCED PRACTITIONERS. 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 $ 965,071,763 including grants of $ 0 ) (Revenue $ 1,454,042,645 )
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, 2023, THESE Thirteen FACILITIES HAD A COMBINED TOTAL OF 1,969 LICENSED INPATIENT AND RESIDENT BEDS. THEY HAD COMBINED TOTALS OF 72,228 INPATIENT AND RESIDENT DISCHARGES AND 373,757 INPATIENT AND RESIDENT DAYS. THE THIRTEEN 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 $ 941,548,757 including grants of $ 0 ) (Revenue $ 1,447,218,811 )
OUTPATIENT SERVICES: THE Thirteen ACUTE CARE HOSPITALS OWNED AND OPERATED BY OSF HEALTHCARE SYSTEM COLLECTIVELY PROVIDED 1,874,710 OUTPATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2023, 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 $ 160,886,738 including grants of $ 0 ) (Revenue $ 205,929,446 )
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 343,664 patient visits during the reporting period ended September 30, 2023.
(Code:   ) (Expenses $ 348,398,358 including grants of $ 6,387,683 ) (Revenue $ 175,401,892 )
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 $ 348,398,358 including grants of $ 6,387,683 ) (Revenue $ 175,401,892 )
4e Total program service expensesMediumBullet2,415,905,616
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
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
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
List of Attached Documents:
// Content
.........
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
List of Attached Documents:
// Content
......
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
List of Attached Documents:
// Content
...................
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
List of Attached Documents:
// Content
............
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
28a
Yes
 
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
1,684
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
21,320
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       1,764,625 0 43,485
(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           31,000 172,299 28,528
(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       450,948 0 37,335
(13) Bradley V Solberg
 
President, OSF HealthCare Saint James- John W. Albrecht Medical Center (Through Mar 2023)
40.0
.................
2.0
    X       304,741 0 40,305
(14) Carol A Friesen
 
Chief Executive Officer Eastern Region
40.0
.................
2.0
    X       592,307 0 48,462
(15) David Fergus
 
Chief Supply Chain Officer (Beginning March 2023)
40.0
.................
2.0
    X       0 0 0
(16) David M Hall
 
SVP Info Systems/Chief Information Officer
40.0
.................
2.0
    X       460,325 0 48,462
(17) Dawn C Trompeter
 
President, OSF Healthcare Saint Elizabeth Medical Center/ Saint Paul Medical Center
1.0
.................
41.0
    X       0 294,547 26,898
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) Derrick Frazier
 
President, OSF Healthcare Saint James-John W. Albrecht Medical Center (Beginning June 2023)
40.0
.......................2.0
    X       0 0 0
(19) Elizabeth A Davidson
 
Interim President, OSF Healthcare Saint James-John W. Albrecht Medical Center (Through June 2023)
40.0
.......................2.0
    X       201,536 0 29,652
(20) Erin N Rogers
 
Interim President, OSF HealthCare Heart of Mary Medical Center (Through Feb 2023)
40.0
.......................2.0
    X       163,610 0 35,353
(21) Jacqueline D Kernan
 
President, OSF HealthCare Saint Clare Medical Center / Saint Luke Medical Center
40.0
.......................2.0
    X       265,447 0 32,909
(22) James J Mormann
 
Chief Information Officer
40.0
.......................2.0
    X       727,813 0 43,185
(23) Jason R Rodeghero
 
President, OSF Home Care and Rehab Services
40.0
.......................2.0
    X       261,978 0 38,679
(24) Jeffry M Tillery
 
President, OSF Medical Group
40.0
.......................2.0
    X       0 701,085 35,938
(25) Jerry W Rumph
 
President, OSF HealthCare Saint Anthony's Health Center
40.0
.......................2.0
    X       265,923 0 13,367
(26) John R Evancho
 
SVP Chief Integrity Officer
40.0
.......................2.0
    X       317,111 0 43,201
(27) John T Barnhart
 
President, OSF HealthCare Heart of Mary Medical Center (Beginning Feb 2023)
40.0
.......................2.0
    X       0 0 0
(28) Kathleen M Kinsella
 
President, OSF HealthCare Little Company of Mary Medical Center
40.0
.......................2.0
    X       383,022 0 29,464
(29) Kelly A Jefferson
 
President, OSF HealthCare St. Francis Hospital & Medical Group
40.0
.......................2.0
    X       238,734 0 36,481
(30) Leon A Yeh MD
 
VP Chief Medical Officer Emergency Serv
40.0
.......................2.0
    X       566,464 0 28,464
(31) Lisa DeKezel
 
President, OSF HealthCare Holy Family Medical Center and St. Mary Medical Center
40.0
.......................2.0
    X       284,198 0 28,118
(32) Lori L Wiegand
 
Chief Nursing Officer
40.0
.......................2.0
    X       506,664 0 24,553
(33) Lynn A Fulton
 
President, OSF HealthCare St. Joseph Medical Center
40.0
.......................2.0
    X       352,705 0 40,971
(34) Michael A Cruz MD
 
Chief Operating Officer
40.0
.......................2.0
    X       805,437 0 49,462
(35) Michael A Wells
 
President, OSF HealthCare Saint Francis Medical Center
40.0
.......................2.0
    X       263,868 0 27,453
(36) Michael M Allen
 
Chief Financial Officer
40.0
.......................3.0
    X       786,546 0 43,485
(37) Michelle D Conger
 
Chief Strategy Officer, OSF Healthcare/ CEO OnCall Digital Health
40.0
.......................2.0
    X       685,042 0 35,701
(38) Ned Hill
 
President, OSF HealthCare Sacred Heart Medical Center
40.0
.......................2.0
    X       304,401 0 35,549
(39) Paula A Carynski
 
President, OSF HealthCare Saint Anthony Medical Center
40.0
.......................2.0
    X       435,685 0 40,451
(40) Ralph Velazquez MD
 
System Chief Medical Officer
40.0
.......................2.0
    X       628,520 0 40,985
(41) Robert G Anderson
 
Chief Executive Officer Central Region
40.0
.......................2.0
    X       574,998 0 35,638
(42) Robert L Brandfass
 
SVP Chief Legal Officer
40.0
.......................2.0
    X       624,515 0 43,485
(43) Roxanna Crosser
 
Chief Executive Officer Western Region (Through April 2023)
40.0
.......................2.0
    X       507,635 0 25,159
(44) Shelley A Nguyen
 
Chief Human Resources Officer
40.0
.......................2.0
    X       357,283 0 24,727
(45) Thomas G Hammerton
 
President OSF Healthcare Foundation Chief Development Officer
1.0
.......................42.0
    X       429,271 0 49,462
(46) Eric D Webb
 
Vice President of Sales and Admin Officer
40.0
.......................0
        X   1,130,911 7,040 32,659
(47) Iftekhar U Ahmad MD
 
Physician
40.0
.......................0
        X   908,115 0 40,451
(48) Ismael Shaukat MD
 
Physician (through April 2023)
40.0
.......................0
        X   776,710 0 40,451
(49) James L McGee MD
 
Physician
40.0
.......................0
        X   1,039,934 0 31,481
(50) Mete Korkmaz MD
 
Oncologist
40.0
.......................0
        X   757,653 0 41,450
(51) Chad E Boore
 
Former Chief Executive Officer Eastern Region
0.0
.......................0.0
          X 986,128 0 34,198
(52) Jared C Rogers
 
Former President, OSF HealthCare Heart of Mary Medical Center
0.0
.......................0.0
          X 733,852 0 29,826
(53) Stephen E Hippler MD
 
Former Chief Clinical Officer
0.0
.......................0.0
          X 303,062 0 8,265
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 21,223,717 1,174,971 1,444,148
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 MediumBullet1,794
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
Medical Solutions LLC

PO Box 850861
Minneapolis,MN554850861
Medical Staffing Services 170,568,974
Assoc Anesthesiologists SC

PO Box 14470
St Louis,MO631784470
Anesthesiologists Services 15,805,671
NORTH AMERICAN PARTNERS IN ANESTHESIA

1305 Walt Whitman Rd
Suite 300
Melville,NY11747
Anesthesiologists Services 13,987,389
Mayo Clinic

PO Box 4006
Rochester,MN55903
Laboratory Services 8,421,291
Karlin Fleisher & Falkenberg LLC

111 West Washington Street
Suite 950
Chicago,IL60602
LEGAL SERVICES 7,000,000
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet144
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 17,968,256
e Government grants (contributions)1e 19,950,251
f All other contributions, gifts, grants, and similar amounts not included above1f 974,867
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 38,893,374
 Program Service RevenueAmt Business Code
2a Net Patient Service Revenue 621110 3,224,401,161 3,224,401,161    
b Lab 621511 5,180,103   5,180,103  
c Consulting Revenue 621500 839,386 839,386    
d Interest on Notes Receivable 900099 93,243   93,243  
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f .....MediumBullet 3,230,513,893
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 59,633,026   -20,578 59,653,604
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   3,867,853 6a
b Less: rental expenses   3,640,288 6b
c Rental income or (loss) 0 227,565 6c
d Net rental income or (loss).......MediumBullet 227,565     227,565
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 7,670,283   7a
b Less: cost or other basis and sales expenses 7,553,629   7b
c Gain or (loss) 116,654 0 7c
d Net gain or (loss).........MediumBullet 116,654     116,654
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 27,631,896
b Less: cost of goods sold .. 10b 17,727,662
c Net income or (loss) from sales of inventory..MediumBullet 9,904,234     9,904,234
Business Code Miscellaneous Revenue
11a Tuition 611710 9,630,653 9,630,653    
b Contract Pharmacy 621110 7,323,180 7,323,180    
c Cafeteria 624200 3,658,791 3,658,791    
d All other revenue .... 36,921,470 36,739,623 181,847 0
e Total. Add lines 11a–11d ...... MediumBullet 57,534,094
12 Total revenue. See instructions.....MediumBullet 3,396,822,840 3,282,592,794 5,434,615 69,902,057
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 .... 6,076,600 6,076,600
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 311,083 311,083
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 ........... 17,656,950 14,125,560 3,531,390  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 616,166 102,694 513,472  
7 Other salaries and wages........ 1,120,249,007 840,955,955 279,218,585 74,467
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 41,385,481 30,685,242 10,697,508 2,731
9 Other employee benefits ....... 198,863,202 148,669,226 50,193,620 356
10 Payroll taxes ........... 83,934,133 64,786,482 19,142,151 5,500
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 4,548,562 5,598 4,542,964  
c Accounting ........... 1,183,519   1,183,519  
d Lobbying ........... 987,718   987,718  
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) 292,556,731 275,426,202 17,130,529 0
12 Advertising and promotion .... 6,551,562 432,270 6,119,292  
13 Office expenses ....... 16,222,810 7,964,191 8,258,357 262
14 Information technology ...... 44,718,584 3,073,357 41,643,519 1,708
15 Royalties ..        
16 Occupancy ........... 27,134,700 25,222,699 1,912,001  
17 Travel ............ 5,126,603 2,982,242 2,144,361  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 5,315,399 830,344 4,484,854 201
20 Interest ........... 55,916,678 240,453 55,676,225  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 116,036,337 85,175,920 30,860,417  
23 Insurance ... 61,193,372 59,597,129 1,596,243  
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 491,749,452 491,392,743 254,504 102,205
b Equip Rental & Maint 221,162,311 165,384,152 55,777,949 210
c Bad Debt 43,251,105 43,251,105    
d Medicaid Fees 128,174,354 128,174,354    
e All other expenses 21,079,206 21,040,015 0 39,191
25 Total functional expenses. Add lines 1 through 24e 3,012,001,625 2,415,905,616 595,869,178 226,831
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 ......... 239,976,251 2 215,153,942
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 399,211,773 4 451,707,896
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 ............ 70,566,809 8 73,406,552
9 Prepaid expenses and deferred charges ...... 78,149,641 9 84,257,555
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,648,540,511
b Less: accumulated depreciation 10b 1,795,070,228 1,757,883,256 10c 1,853,470,283
11 Investments—publicly traded securities . 1,813,050,449 11 1,982,789,603
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 174,652,760 13 191,638,791
14 Intangible assets ............... 51,423,333 14 52,599,588
15 Other assets. See Part IV, line 11 ........... 523,555,474 15 375,966,900
16 Total assets. Add lines 1 through 15 (must equal line 33)... 5,108,469,746 16 5,280,991,110
Liabilities 17 Accounts payable and accrued expenses ..... 344,250,460 17 306,536,574
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 9,904 19 0
20 Tax-exempt bond liabilities ......... 1,642,047,867 20 1,650,735,410
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 902,334,846 25 802,801,709
26 Total liabilities. Add lines 17 through 25.. 2,888,643,077 26 2,760,073,693
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 .......... 2,052,433,080 27 2,339,578,603
28 Net assets with donor restrictions ........... 167,393,589 28 181,338,814
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 ........... 2,219,826,669 32 2,520,917,417
33 Total liabilities and net assets/fund balances ........ 5,108,469,746 33 5,280,991,110
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
3,396,822,840
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
3,012,001,625
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
384,821,215
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
2,219,826,669
5
Net unrealized gains (losses) on investments ...............
5
147,390,788
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
-231,121,255
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
2,520,917,417
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: 22016089
Software Version: 2022v5.0
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
2022
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) 2022

Schedule A (Form 990) 2022
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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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
33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
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) 2022

Schedule A (Form 990) 2022
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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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
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
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
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) 2022

Schedule A (Form 990) 2022
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) 2022

Schedule A (Form 990) 2022
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) 2022

Schedule A (Form 990) 2022
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 2022 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-2022
(iii)
Distributable
Amount for 2022
1 Distributable amount for 2022 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2022:
a From 2017.......  
b From 2018.......  
c From 2019.......  
d From 2020.......  
e From 2021.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2022 distributable amount  
i Carryover from 2017 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2022 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2022 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2022, 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 2022. 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 2023. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2018.....  
b Excess from 2019.....  
c Excess from 2020.....  
d Excess from 2021.....  
e Excess from 2022.....  
Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022
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) 2022


Additional Data


Software ID: 22016089
Software Version: 2022v5.0
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
2022
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) (2022)
Schedule B (Form 990) (2022) 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) (2022)
Schedule B (Form 990) (2022)
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) (2022)
Schedule B (Form 990) (2022)
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) (2022)
Additional Data


Software ID: 22016089
Software Version: 2022v5.0
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
 
608,764
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
378,954
j
Total. Add lines 1c through 1i ....................................................................................................
987,718
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 $378,954. 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 $608,764.
Schedule C (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0

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 .... 138,385,553 171,255,117 134,893,648 122,600,381 110,842,618
b Contributions ... 14,050,354 1,014,827 13,447,047 9,749,241 10,571,244
c Net investment earnings, gains, and losses 17,917,672 -26,799,938 29,091,735 6,416,527 5,896,184
d Grants or scholarships ... 465,431 523,954 529,940 152,799 540,428
e Other expenditures for facilities
and programs ...
4,786,618 6,560,499 5,647,373 3,719,702 4,169,237
f Administrative expenses ....          
g End of year balance ...... 165,101,530 138,385,553 171,255,117 134,893,648 122,600,381
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet37.19 %
b
Permanent endowment SchDMd Bullet52.83 %
c
Term endowment SchDMd Bullet9.98 %
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 .....   95,588,390 95,588,390
b Buildings ....   1,956,112,662 895,106,172 1,061,006,490
c Leasehold improvements   39,759,850 29,232,269 10,527,581
d Equipment ....   1,229,008,421 870,731,787 358,276,634
e Other .....   328,071,188 0 328,071,188
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,853,470,283
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 22,493,911
(2)DUE FROM FOUNDATION 7,487,213
(3)ASSETS - LIMITED OR RESTRICTED 181,338,814
(4)FUNDS LIMITED AS TO USE 3,366,479
(5)OTHER ACCOUNTS 74,698,082
(6)457B DEFERRED COMPENSATION 86,582,401
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 375,966,900
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 802,801,709
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, 2023 or 2022, OSF and PCI do not have any uncertain tax positions.
Schedule D (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0




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
2022
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 768,790
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 768,790
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 768,790
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
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) 2022
Schedule F (Form 990) 2022Page 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) 2022
Schedule F (Form 990) 2022
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) 2022
Schedule F (Form 990) 2022
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) 2022
Additional Data


Software ID: 22016089
Software Version: 2022v5.0



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 20a.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
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) . . .
    27,598,917   27,598,917 0.92 %
b Medicaid (from Worksheet 3, column a) . . . . .     685,825,653 636,566,655 49,258,998 1.64 %
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 0 713,424,570 636,566,655 76,857,915 2.55 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     8,069,638 1,125,882 6,943,756 0.23 %
f Health professions education (from Worksheet 5) . . .     93,714,026 37,763,445 55,950,581 1.86 %
g Subsidized health services (from Worksheet 6) . . . .     195,480,746 139,636,783 55,843,963 1.85 %
h Research (from Worksheet 7) .     5,810,148   5,810,148 0.19 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     4,964,246   4,964,246 0.16 %
j Total. Other Benefits . . 0 0 308,038,804 178,526,110 129,512,694 4.30 %
k Total. Add lines 7d and 7j . 0 0 1,021,463,374 815,092,765 206,370,609 6.85 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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     915,573   915,573 0.03 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 915,573 0 915,573 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
7,546,529
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
605,690,342
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
692,365,330
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-86,674,988
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) 2022
Schedule H (Form 990) 2022
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 and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research 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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
b
https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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):
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   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) 2022
Schedule H (Form 990) 2022
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://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
b
https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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):
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) 2022
Schedule H (Form 990) 2022
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://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
b
https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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):
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) 2022
Schedule H (Form 990) 2022
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://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
b
https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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):
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) 2022
Schedule H (Form 990) 2022
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://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
b
https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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):
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 23
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) 2022
Schedule H (Form 990) 2022
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://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
b
https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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):
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   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) 2022
Schedule H (Form 990) 2022
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://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
b
https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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):
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   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) 2022
Schedule H (Form 990) 2022
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://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
b
https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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):
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   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) 2022
Schedule H (Form 990) 2022
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://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
b
https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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):
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   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) 2022
Schedule H (Form 990) 2022
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://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
b
https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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):
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   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) 2022
Schedule H (Form 990) 2022
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://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
b
https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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):
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   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) 2022
Schedule H (Form 990) 2022
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://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
b
https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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):
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   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) 2022
Schedule H (Form 990) 2022
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://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
b
https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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) 2022
Schedule H (Form 990) 2022
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 2022 WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS 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. THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2022. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2023, 2024 AND 2025. FOR ADDITIONAL INFORMATION SEE CHNA IMPLEMENTATION STRATEGY. THE COLLABORATIVE TEAM IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS AND PRIORITIZED THEM TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. *HEALTHY EATING/ACTIVE LIVING *MENTAL HEALTH *OBESITY HEALTHY EATING/ACTIVE LIVING GOAL 1: INCREASE CONSUMPTION OF VEGETABLES BY INDIVIDUALS AGED 2 YEARS AND OLDER LIVING IN THE TRI-COUNTY. FY23 TACTICS AND PROGRESS: (1) EXPAND GARDENS OF HOPE COMMUNITY OUTREACH EFFORTS, INCREASE NUMBER OF PERSONS SERVED 2% (FY22 BASELINE: 16,879 FAITH COMMUNITY NURSING ENCOUNTERS). INCREASE POUNDS OF PRODUCE DISTRIBUTED 2% PER YEAR (FY22 BASELINE: 12,629) PROVIDE AT LEAST 4 COMMUNITY GARDEN CONSULTS (FY22 BASELINE: 2 GARDEN CONSULTS). 29,787 ENCOUNTERS, 8 GARDEN CONSULTS, 18,151, POUNDS OF PRODUCE IN FY23. (2) PROVIDE HEALTHY EATING EDUCATION AND AWARENESS THROUGH COMMUNITY OR SOCIAL MEDIA OUTREACH EFFORTS. 40 OUTREACH EVENTS IN FY23. GOAL 2: INCREASE THE PROPORTION OF INDIVIDUALS LIVING IN THE TRI-COUNTY WHO PARTICIPATE IN REGULAR PHYSICAL ACTIVITY. FY23 TACTICS AND PROGRESS: (1) INCREASE PARTICIPATION IN SFMC MEDICAL EXERCISE. 46,162 PERSONS SERVED IN FY23. (2) IMPLEMENT PHYSICAL ACTIVITY PROGRAMS FOR OLDER ADULTS (MATTER OF BALANCE). Progress for FY2023: COACHES TRAINED AND A BASELINE ESTABLISHED OF 13 PERSONS SERVED. (3) INCREASE THE NUMBER OF PHYSICAL ACTIVITY PROGRAMS PROVIDED BY FAITH COMMUNITY NURSING IN A COMMUNITY SETTING. DETERMINED BASELINE OF 903 PERSON SERVED IN FY23. OBESITY GOAL: REDUCE THE PROPORTION OF INDIVIDUALS WITH OBESITY IN THE TRI-COUNTY. OUTCOME MEASURE: DECREASE THE PERCENTAGE OF POPULATION WITH A BODY MASS INDEX CONSIDERED OBESE IN THE TRI-COUNTY BY 1% (BASELINE FROM COUNTY HEALTH RANKINGS: 39% PEORIA, 33% TAZEWELL & 32% WOODFORD) FY23 PROGRESS: (1) SUPPORT PFHC'S IMPLEMENTATION OF STRONG PEOPLE- HEALTHY WEIGHT PROGRAM. SUPPORTED IMPLEMENTATION THROUGH FUNDING AND TRAINING. FIRST PROGRAM OFFERING IN MAY 2024. (2) INCREASE NUMBER OF PERSONS SERVED BY SFMC WEIGHT MANAGEMENT CLINIC. 14,500 PERSONS SERVED IN FY23. (3) INCREASE NUMBER OF PERSONS SERVED BY CHOI HEALTHY KIDS U CLINIC, INCLUDING VIRTUAL CLINICAL INTERACTIONS. BASELINE OF 1,656 PERSONS SERVED ESTABLISHED IN FY23. (4) COLLABORATE WITH OSF MEDICAL GROUP TO INCREASE THE NUMBER OF OVERWEIGHT OR OBESE PATIENTS THAT RECEIVE WEIGHT MANAGEMENT COUNSELING DURING A PROVIDER VISIT AND ARE REFERRED TO SERVICES. 2,499 REFERRALS IN FY23. MENTAL HEALTH GOAL: REDUCE THE PERCENTAGE OF INDIVIDUALS IN THE TRI-COUNTY WHO REPORT POOR OVERALL MENTAL HEALTH. FY23 PROGRESS: (1) IMPLEMENTATION OF BEHAVIORAL HEALTH TELE-MEDICINE. Progress for FY2023: implemented tele-medicine program in October 2023. (2) ADVANCE SAFE AND CONSISTENT THERAPEUTIC CARE FOR BEHAVIORAL HEALTH IN ED. Progress for FY2023: ED BEHAVIORAL HEALTH CHECKLIST WAS DEVELOPED AND IMPLEMENTED WITH ALL BEHAVIORAL HEALTH PATIENTS. AN ASSESSMENT WAS PERFORMED. TWO "BE MINDFUL" SENSORY CARTS IMPLEMENTED IN CHILDREN'S HOSPITAL. (3) ADVANCE CULTURAL COMPETENCY FOR BEHAVIORAL HEALTH MISSION PARTNERS. Progress for FY2023: 1:1 OBSERVATION BEHAVIORAL HEALTH CHECKLIST WAS REVIEWED FOR CULTURAL COMPETENCY AND OPTIMIZED IN FY23. (4) INCREASE OUTPATIENT BEHAVIORAL HEALTH. 19,463 encounters in FY23.
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 available BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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'S CHNA WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2022. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2023, 2024 AND 2025. THE COLLABORATIVE TEAM IDENTIFIED TWO SIGNIFICANT HEALTH NEEDS AND PRIORITIZED ALL TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. FOR ADDITIONAL INFORMATION PLEASE SEE CHNA IMPLEMENTATION STRATEGY. *ACCESS TO CARE *BEHAVIORAL HEALTH ACCESS TO CARE: GOAL: REDUCE THE PERCENTAGE OF SURVEY RESPONDENTS WHO INDICATE THEY DO NOT SEEK HEALTH CARE WHEN NEEDED IN WINNEBAGO COUNTY. FY23 TACTICS AND PROGRESS: (1) INCREASE BEHAVIORAL HEALTH NAVIGATION SERVICES. 513 PARTICIPANTS FY23. (2) PROVIDE CHOLESTEROL AND GLUCOSE SCREENINGS, EDUCATION, AND ACCESS TO CARE INFORMATION. FOR FY24, WILL PARTNER WITH ONCALL TO PROVIDE BLOOD SCREENINGS in FY24. (3) PROVIDE ACCESS TO CARE INFORMATION. 124 PARTICIPANTS in FY23. BEHAVIORAL HEALTH GOAL 1: REDUCE THE PERCENTAGE OF SURVEY RESPONDENTS WHO INDICATE THEY USE SUBSTANCES TO FEEL BETTER IN WINNEBAGO COUNTY. FY23 TACTICS AND PROGRESS: (1) DECREASE number OF TABLETS ORDERED PER OPIOID PRESCRIPTION. 13.37 TABLETS/PRESCRIPTIONs IN FY23. (2) COLLECTION OF MEDICATIONS DISPOSED IN THE DRUG TAKE BACK BOX. Progress for FY2023: 1,575 pounds deposited. GOAL 2: REDUCE THE NUMBER OF RESPONDENTS WHO INDICATE THEY FELT DEPRESSED IN THE LAST 30 DAYS IN WINNEBAGO. FY23 TACTICS AND PROGRESS: (1) ALL PATIENTS 12 YEARS OF AGE AND OLDER WHO ARE SEEN IN THE ED WHO ARE BEING EVALUATED OR TREATED FOR A BEHAVIORAL HEALTH CONDITION WILL BE SCREENED FOR SUICIDE RISK. 97% SCREENED IN FY23. (2) ALL PATIENTS WITH C-SSRS SCREENING RESULTING IN A MODERATE TO HIGH SCORE REQUIRE A PROVIDER ASSESSMENT. 83% ASSESSED IN FY23. (3) PROVIDE MENTAL HEALTH EVALUATIONS AND REFERRALS OR PLACEMENT TO AT RISK ED PATIENTS. 154 REFERRALS IN FY23. (4) PROVIDE RESILIENCY PROGRAMS, PURPOSE WORKSHOPS AND LEADING WELL-BEING PROGRAMS TO DECREASE STRESS AND IMPROVE EMOTIONAL WELL-BEING. Progress for FY2023: 116 TOTAL PARTICIPANTS IN LEADING WELL-BEING, PURPOSE WORKSHOPS AND PRAYING AND WALKING MOAI'S. (5) PROVIDE FREE MENTAL HEALTH COUNSELING AND CASE MANAGEMENT SERVICES FOR PATIENTS SUFFERING FROM A TRAUMA. 93 PATIENTS IN FY23. ENCOUNTERS. 19,463 ENCOUNTERS IN FY23
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 available BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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 CHNAs 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 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 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 2022 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2022. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2023, 2024 AND 2025. 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 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 1: SUPPORT ASSERTIVE LINKAGE NAVIGATION/ENGAGEMENT PROGRAM WHICH LINKS LOWER INCOME COMMUNITY MEMBERS WITH A MEDICAL HOME AND INSURANCE COVERAGE. TACTICS AND PROGRESS FOR FY2023: (1) INTERVENTION 1.1 (P. 30): COORDINATING APPROPRIATE ACCESS TO COMPREHENSIVE CARE (CAATCH PROGRAM). FY23 PROGRESS: THE INFORMATION IS NOT AVAILABLE AS THERE WAS A CHANGE IN LEADERSHIP IN 2023 THAT IMPACTED THE GROWTH OF THIS PROGRAM. (2) INTERVENTION 1.2 (P. 30): MEDICAID INNOVATION COLLABORATIVE'S MEDICAID TRANSFORMATION PROJECT. (THE USE OF COMMUNITY HEALTH WORKERS). FY23 PROGRESS: 3 PATIENTS IN FY2023. GOAL 2: INCREASE THE CAPACITY OF ORGANIZATIONS PROVIDING DENTAL SERVICES TO LOW-INCOME RESIDENTS OF MCLEAN COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) INTERVENTION 2.2 (P.32): EXPAND PERFORMANCE OF FLUORIDE APPLICATION IN PEDIATRIC AND PRIMARY CARE SETTINGS SERVING LOW-INCOME PEDIATRIC MCLEAN COUNTY RESIDENTS. FY23 PROGRESS: 275 PATIENTS (460 TOTAL IN COMMUNITY) IN FY2023. (2) INTERVENTION 2.3 (P. 33): EXPAND PERFORMANCE OF CARIES RISK ASSESSMENT IN PEDIATRIC AND PRIMARY CARE SETTINGS SERVING LOW-INCOME PEDIATRIC MCLEAN COUNTY RESIDENTS. 4 PATIENTS IN FY2023. GOAL 3: INCREASE THE CAPACITY OF ORGANIZATIONS PROVIDING DENTAL SERVICES TO LOW-INCOME RESIDENTS OF MCLEAN COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) INTERVENTION 3.1 (P. 33): CONTINUE PROVIDING PATIENTS WITH OPTIONS FOR VIRTUAL VISITS TO SUPPORT COMMUNITY MEMBERS IN ACCESSING CARE. FY23 PROGRESS: 6,427 VIRTUAL VISITS (6,041 ADULTS, 386 PEDIATRICS) FOR FY2023. (2) INTERVENTION 3.2 (P. 34): EXPAND THE USE OF MOBILE HEALTH IN MCLEAN COUNTY. FY23 PROGRESS: 40 MOBILE CLINIC DAYS OFFERED TO COMMUNITY. BEHAVIORAL HEALTH GOAL 1: SUPPORT EDUCATIONAL PROGRAMS AND MEDIA CAMPAIGNS AIMED AT REDUCING BEHAVIORAL HEALTH STIGMA, INCREASE MENTAL HEALTH AWARENESS AND/OR IMPROVE MENTAL HEALTH STATUS. TACTICS AND PROGRESS FOR FY2023: (1) INTERVENTION 1.1 (P. 51): OFFER MENTAL HEALTH FIRST AID (MHFA) COURSES TO THE COMMUNITY. FY23 PROGRESS: HOSTED 4 COURSES FOR COMMUNITY MEMBERS IN FY2023. (2) INTERVENTION 1.3 (P. 53): CONVENE AN ANNUAL BEHAVIORAL HEALTH FORUM FOR THE COMMUNITY OFFERED A SEGMENT ON WORKPLACE WELLBEING IN 2023. FY23 PROGRESS: 246 COMMUNITY MEMBERS ATTENDED THE FORUM. (3) INTERVENTION 1.4 (P. 54): SUPPORT MCLEAN COUNTY IN CREATING A TRAUMA-INFORMED AND RESILIENCE-ORIENTED COUNTY THROUGH HELPING INDIVIDUALS AND COMMUNITIES BUILD RESILIENCE AND ORGANIZATIONS BECOME TRAUMA-INFORMED. FY23 PROGRESS: 7 COMMUNITY TRAINING COURSES TOOK PLACE TO INCREASE TRAUMA AWARENESS FOR FY23. (4) INTERVENTION 1.5 (P. 55): CONDUCT A BEHAVIORAL HEALTH SOCIAL MEDIA CAMPAIGN. FY23 PROGRESS: 2 SEGMENTS WERE OFFERED in FY2023. GOAL 2: INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES AT VARIOUS SITES WITHIN MCLEAN COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) INTERVENTION 3.1 (P. 58): SUPPORT ON-SITE OR INTEGRATED BEHAVIORAL HEALTH AT PRIMARY CARE OFFICES. FY23 PROGRESS: 5 OSF LOCATIONS ARE OFFERING INTEGRATED BEHAVIORAL HEALTH SERVICES. NUMBER OF INDIVIDUALS NOT TRACKED in FY23. (2) INTERVENTION 3.2 (P. 59): SUPPORT TELEPSYCHIATRY. FY23 PROGRESS: 2,222 PATIENTS (2,054 ADULTS, 168 PEDIATRICS) IN FY23. (3) INTERVENTION 3.3 (P.59): SUPPORT FREQUENT USERS SYSTEM ENGAGEMENT (FUSE). 23 FUSE PARTICIPANTS IN FY23. HEALTHY EATING/ACTIVE LIVING GOAL 1: SUPPORT, PROMOTE, AND EDUCATE THE COMMUNITY ABOUT THE AVAILABILITY AND ACCESSIBILITY OF FRUITS AND VEGETABLES IN MCLEAN COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) INTERVENTION 1.1 (P. 78): DEVELOP AND SHARE EDUCATIONAL TOOLS AND PROGRAMS TO ASSIST IN EDUCATING OUR COMMUNITY ABOUT HEALTHIER FOOD CHOICES. FY23 PROGRESS: 218 EVENTS WERE OFFERED; 2,188 PARTICIPANTS REACHED IN 2023. (2) INTERVENTION 1.2 (P. 78): PROMOTE AWARENESS OF LOCAL FOOD RESOURCES FOR HEALTHY EATING AND ACCESS TO HEALTHY FOODS. FY23 PROGRESS: 32 ACTIVITIES. (3) INTERVENTION 1.3 (P. 79): PROMOTE HEALTHY FOOD ACCESSIBILITY. FY23 PROGRESS: 1,072 MEALS; 5,200 LBS.; 425 LBS.; 998 PATIENTS CONNECTED, 27,940 SCREENED; 135,149 MEALS in FY23. GOAL 2: PROMOTE ACTIVE LIVING IN THE WORKPLACE AND COMMUNITY. TACTICS AND PROGRESS FOR FY2023: (1) INTERVENTION 2.1 (P. 81): PROMOTE ACCESS TO WELLBEING PROGRAMS IN THE WORKPLACE. FY23 PROGRESS: 6 EMPLOYEES IN FY23. (2) INTERVENTION 2.2 (P. 82): PROMOTE ACCESS TO WELLBEING PROGRAMS IN THE COMMUNITY. 7,478 PARTICIPANTS in FY23. (3) INTERVENTION 2.5 (P. 84): PROMOTE THE 5-2-1-0 CAMPAIGN FOR YOUTH. FY23 PROGRESS: 2 LOCATIONS iN FY23. (4) INTERVENTION 2.6 (P. 84): INCREASE PHYSICAL ACTIVITY ACCESS TO YOUTH THROUGH HEALTHY KIDS U (HKU) PROGRAM. FY23 PROGRESS: 22 PARTICIPANTS. (5) INTERVENTION 2.7 (P. 85): PROMOTE AND IMPLEMENT GIRLS ON THE RUN IN THE COMMUNITY. FY23 PROGRESS: $2500 SPONSORSHIP. GOAL 3: PROMOTE WELLNESS-RELATED CHRONIC DISEASE PREVENTION PROGRAMS TO THE COMMUNITY. TACTICS AND PROGRESS FOR FY2023: (1) INTERVENTION 3.1 (P. 85): OFFER COMMUNITY PROGRAMS AND/OR SCREENINGS RELATED TO HEART DISEASE TO COMMUNITY MEMBERS. FY23 PROGRESS: 519 PARTICIPANTS. (2) INTERVENTION 3.2 (P. 86): OFFER PROGRAMS RELATED TO STRESS REDUCTION. FY23 PROGRESS: 2,890 PARTICIPANTS. (3) INTERVENTION 3.3 (P. 86): OFFER COPE PROGRAM TO TEENS IN COMMUNITY. FY23 PROGRESS: 7 PARTICIPANTS (37 CONSULTATIONS). (4) INTERVENTION 3.4 (P. 86): OFFER DIABETES PREVENTION PROGRAM AND OTHER CLASSES RELATED TO DIABETES RISK REDUCTION TO COMMUNITY MEMBERS. FY23 PROGRESS: 10 CLASSES. (5) INTERVENTION 3.5 (P. 87): OFFER PROGRAMS RELATED TO CANCER PREVENTION/DIAGNOSIS TO COMMUNITY MEMBERS. FY23 PROGRESS: 116 CHILDREN AND FAMILIES. (6) INTERVENTION 3.6 (P. 87): OFFER PROGRAMS RELATED TO ACHIEVING A HEALTHY BODY WEIGHT. FY23 PROGRESS: 3 CLASSES.
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 available BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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 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 2022 COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. FOR ADDITIONAL INFORMATION. SEE CHNA IMPLEMENTATION STRATREGY. * BEHAVIORAL HEALTH * HEALTHY BEHAVIORS & WELLNESS * VIOLENCE BEHAVIORAL HEALTH - MENTAL HEALTH & SUBSTANCE ABUSE: GOAL 1: EXPAND BEHAVIORAL HEALTH CAPACITY FOR CHAMPAIGN COUNTY RESIDENTS TACTICS AND PROGRESS FOR FY2023: (1) PROVIDE FREE BEHAVIORAL HEALTH NAVIGATION SERVICES TO EXPAND CAPACITY. FY23 PROGRESS: 505 REFERRALS. (2) PROVIDE INPATIENT BEHAVIORAL HEALTH TO EXPAND CAPACITY. Progress for FY23: 12.66 ADC. GOAL 2: DECREASE THE PERCENTAGE OF YOUTH SUBSTANCE ABUSE IN CHAMPAIGN COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) PROVIDE OUTREACH AND EDUCATION ON THE DANGERS OF SUBSTANCE USE TO YOUTH IN OUR COMMUNITY. FY23 PROGRESS: 5 EVENTS. (2) PROMOTE DRUG TAKE BACK BOX WITH OUTREACH IN SCHOOLS AND YOUTH CENTERS. FY23 PROGRESS: 185 LBS OF DRUGS COLLECTED. HEATHY BEHAVIORS & WELLNESS GOAL 1: INCREASE ACTIVITY IN CHAMPAIGN COUNTY. TACTICS AND PROGRESS FOR FY2023: 1) PROVIDE EDUCATION TO PATIENTS ON PHYSICAL ACTIVITY PROGRAMS THROUGH PARTICIPATION IN COMMUNITY FITNESS. FY23 PROGRESS: 10 PARTICIPANTS IN THE COMMUNITY FITNESS PROGRAM. (2) DISTRIBUTE AND PROMOTE EDUCATION ON ACTIVE LIVING THROUGH TRADITIONAL AND SOCIAL MEDIA. FY23 PROGRESS: 42 ACTIVE LIFESTYLE POSTS WERE MADE. (3) PROVIDE OUTREACH AND EDUCATION ON THE IMPORTANCE OF PHYSICAL ACTIVITY TO YOUTH IN OUR COMMUNITY. FY23 PROGRESS: 5 EVENTS. GOAL 2: IMPROVE ACCESS TO HEALTHY FOOD OPTIONS IN CHAMPAIGN COUNTY. TACTICS AND PROGRESS FOR FY2023: 1) PROVIDE NUTRITIONAL COUNSELING SESSIONS. FY23 PROGRESS: 82 COMPLETED. (2) INCREASE DISTRIBUTION OF SMARTMEALS. FY23 PROGRESS: 400 SMART MEALS WERE DISTRIBUTED. (3) DISTRIBUTE AND PROMOTE EDUCATION ON HEALTHY EATING THROUGH TRADITIONAL AND SOCIAL MEDIA. FY23 PROGRESS: 40 HEALTHY EATING POSTS WERE MADE. (4) PARTICIPATE IN ANNUAL HEALTHY CHAMPAIGN COUNTY FOOD SUMMIT was COMPLETED in FY2023. (5) EXPAND COMMUNITY GARDENS. FY23 PROGRESS: 27 TOTAL BEDS. (6) PROVIDE OUTREACH AND EDUCATION ON THE IMPORTANCE OF HEALTHY EATING TO YOUTH IN OUR COMMUNITY. FY23 PROGRESS: 5 EVENTS HELD. (7) PROVIDE EDUCATION AND SUPPORT OF EXCLUSIVE BREASTMILK FEEDING WITH IMPROVED DURATION RATES. BIRTHING UNIT was COMPLETED in APRIL 2023. 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. TACTICS AND PROGRESS FOR FY2023: 1) PARTNER WITH CHAMPAIGN COUNTY COMMUNITY COALITION TO PARTICIPATE IN ACTIVITIES AND EVENTS DESIGNED TO IMPROVE POLICE- COMMUNITY RELATIONS AND PROMOTE COMMUNITY ENGAGEMENT. FY23 PROGRESS: BLACK MENTAL HEALTH CONFERENCE was held on SEPTEMBER 30TH, 2023. (2) PROVIDE OUTREACH AND EDUCATION ON THE DANGERS OF UNLOCKED GUNS. FY23 PROGRESS: 60 FLYERS HANDED OUT IN FY23.
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 available BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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 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 2022 COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. *BEHAVIORAL HEALTH *INCOME/POVERTY *food insecurity *VIOLENCE *HEALTHY BEHAVIORS BEHAVIORAL HEALTH - MENTAL HEALTH GOAL: EXPAND BEHAVIORAL HEALTH CAPACITY FOR VERMILION COUNTY RESIDENTS. TACTICS AND PROGRESS FOR FY2023: (1) PROVIDE FREE BEHAVIORAL HEALTH NAVIGATION SERVICES TO EXPAND CAPACITY. FY23 PROGRESS: SERVED 253 INDIVIDUALS THROUGH BEHAVIORAL HEALTH NAVIGATION. (2) HOST MENTAL HEALTH FIRST AID TRAINING AT THE HOSPITAL TO INCREASE AWARENESS. FY23 PROGRESS: ATTEMPTED TO HOST MENTAL HEALTH FIRST AID TRAINING AT SHMC ON 5/12/23, BUT IT WAS CANCELLED DUE TO LOW REGISTRATION. (3) INCREASE OUTPATIENT BEHAVIORAL HEALTH ACCESS WITH ADDITION OF NURSE PRACTITIONER. FY23 PROGRESS: THERE WERE 142 INDIVIDUALS SERVED BY a BEHAVIORAL HEALTH nurse practitioner IN FY23. (4) PROVIDE OUTREACH AND EDUCATION ON THE IMPORTANCE OF MENTAL HEALTH TO YOUTH IN OUR COMMUNITY. FY23 PROGRESS: OSF CARES-4-KIDS MENTAL HEALTH PREVENTION PROGRAM conducted 22 PROGRAMS, SERVING APPROXIMATELY 527 K-12 STUDENTS. BEHAVIORAL HEALTH - SUBSTANCE ABUSE GOAL: TO DECREASE OVERDOSE DEATHS IN VERMILION COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) DISTRIBUTE AND PROMOTE PROMPT NARCAN TRAINING THROUGH TRADITIONAL CHANNELS AND COMMUNITY PARTNERSHIPS. PROMOTED THE 4/28/23 NARCAN TRAINING FOR VCHD THROUGH TRADITIONAL CHANNELS AND VCHELP.ORG. FY23 PROGRESS: THERE WERE 8 PARTICIPANTS in trainings conducted in FY2023. (2) PROMOTE DRUG TAKE BACK BOX WITH OUTREACH. FY23 PROGRESS: WE took back 330 LBS. OF PHARMACEUTICAL WASTE. THERE WAS ONE SOCIAL MEDIA POST ON THE DRUG TAKEBACK PROGRAM. INCOME/POVERTY GOAL: ADDRESS THE POVERTY RATE IN VERMILION COUNTY BY PROVIDING RESOURCES THAT ADDRESS HEALTHCARE, DENTAL, EMPLOYMENT, AND HUNGER-RELATED ISSUES FOR VULNERABLE RESIDENTS. TACTICS AND PROGRESS FOR FY2023: (1) DEVELOP CARE-A-VAN PROGRAM TO BETTER REACH UNDERSERVED POPULATIONS. FY23 PROGRESS: THE CARE-A-VAN WAS TAKEN OUT FOR CLINICAL PURPOSES ON THREE OCCASIONS, SERVING 30 COMMUNITY MEMBERS. (2) PROMOTE POST GRADUATE HOSPITAL CAREER PATHS TO HIGH SCHOOLS TO DECREASE POVERTY RATE. FY23 PROGRESS: PARTICIPATED IN D118 HEALTHCARE CAREER FAIR, DACC CAREER EXPO, DISTRIBUTED 20 HEALTHCARE CAREER BOOKS TO BHRA AND HA HIGH SCHOOLS IN Q2. FOOD INSECURITY GOAL: ADDRESS FOOD INSECURITY IN VERMILION COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) INCREASE DISTRIBUTION OF SMARTMEALS. FY23 PROGRESS: 330 SMARTMEALS DISTRIBUTED. (2) DEVELOP COMMUNITY GARDENS. FY23 PROGRESS: TWO GARDEN BEDS INSTALLED AT VERMILION HOUSE INDEPENDENT LIVING FACILITY. VIOLENCE GOAL: ADDRESS VIOLENCE IN VERMILION COUNTY BY PARTNERING IN LOCAL INITIATIVES AND PARTICIPATING IN A VIOLENCE INTERRUPTION PROGRAM. TACTICS AND PROGRESS FOR FY2023: (1) INCREASE PARTICIPATION IN ESTABLISHED VIOLENCE PREVENTION TASKFORCE TO PROMOTE POLICE-COMMUNITY RELATIONS AND CREATE EDUCATIONAL RESOURCES FOR VIOLENCE INTERRUPTION PROGRAM. FY23 PROGRESS: ATTENDED SCHEDULED VPTF MEETINGS AND EVENT AND EDUCATION SUBCOMMITTEES and PARTICIPATED IN WAVE VIOLENCE PREVENTION EVENT ON 7/29/23. (2) DISTRIBUTE AND PROMOTE EDUCATION ON VIOLENCE. FY23 PROGRESS: DISTRIBUTED 40 FLYERS AND COLORING PAGES FROM OSF BRANDED "DOESN'T KILL TO ASK" CAMPAIGN. Progress for FY2023: ENGAGED IN COMMUNITY CONVERSATIONS ABOUT GUN SAFETY AT 7/29/23 EVENT. HEALTHY BEHAVIORS GOAL 1: INCREASE PHYSICAL ACTIVITY IN VERMILION COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) PROVIDE EDUCATION TO PATIENTS ON PHYSICAL ACTIVITY PROGRAMS THROUGH PARTICIPATION IN COMMUNITY FITNESS. FY23 PROGRESS: 30 COMMUNITY FITNESS PARTICIPANTS. (2) DISTRIBUTE AND PROMOTE EDUCATION ON ACTIVE LIVING THROUGH TRADITIONAL AND SOCIAL MEDIA. FY23 PROGRESS: OUR PRCC POSITION HAD A LOT OF FLUCTUATION. WE HAD 3 ACTIVE LIVING POSTS ON SHMC SOCIAL MEDIA. (3) PROVIDE OUTREACH AND EDUCATION ON THE IMPORTANCE OF PHYSICAL ACTIVITY TO YOUTH IN OUR COMMUNITY. FY23 PROGRESS: OSF CARES-4-KIDS PHYSICAL ACTIVITY PROGRAM conducted 19 PROGRAMS, SERVING APPROXIMATELY 425 K-12 STUDENTS. GOAL 2: IMPROVE ACCESS TO HEALTHY FOOD OPTIONS IN VERMILION COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) INCREASE THE NUMBER OF PEOPLE SERVED BY NUTRITIONAL COUNSELING SESSIONS.FY23 PROGRESS: THERE WERE 75 NUTRITION COUNSELING SESSIONS. (2) INCREASE DISTRIBUTION OF SMARTMEALS. FY23 PROGRESS: 330 SMARTMEALS DISTRIBUTED. (3) DISTRIBUTE AND PROMOTE EDUCATION ON HEALTHY EATING THROUGH TRADITIONAL AND SOCIAL MEDIA. FY23 PROGRESS: OUR PRCC POSITION HAD A LOT OF FLUCTUATION. WE HAD 6 HEALTHY EATING POSTS ON SHMC SOCIAL MEDIA. (4) DEVELOP COMMUNITY GARDENS. FY23 PROGRESS: TWO GARDEN BEDS INSTALLED AT VERMILION HOUSE INDEPENDENT LIVING FACILITY. (5) PROVIDE OUTREACH AND EDUCATION ON THE IMPORTANCE OF HEALTHY EATING TO YOUTH IN OUR COMMUNITY. FY23 PROGRESS: WE TOOK OUT THE "STOPLIGHT FOODS" GAME TO 4 EVENTS. (6) PROVIDE EDUCATION AND SUPPORT OF EXCLUSIVE BREASTMILK FEEDING WITH IMPROVED DURATION RATES. FY23 PROGRESS: OUR LABOR AND DELIVERY DEPARTMENT WAS CLOSED THROUGHOUT FY23, OF THE 5 BIRTHS THAT TOOK PLACE IN SEPT, THE EXCLUSIVE BREASTFEEDING RATE WAS 0%.
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 available BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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. THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2022. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2023, 2024 AND 2025. 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 Three SIGNIFICANT HEALTH NEEDS AND PRIORITIZED BOTH TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. *HEALTHY BEHAVIORS *BEHAVIORAL HEALTH *HEALTHY AGING HEALTHY BEHAVIORS GOAL: INCREASE AWARENESS OF THE IMPORTANCE OF HEALTHY EATING FOR OVERALL HEALTH AND WELLNESS. TACTICS FOR PROGRESS IN FY2023: (1) DISTRIBUTE AND PROMOTE ARTICLES AND EDUCATION ON HEALTHY EATING THROUGH TRADITIONAL AND SOCIAL MEDIA/HEALTHY LIVING CAMPAIGN. THE NUMBER OF ARTICLES/EDUCATION SHARED ON SOCIAL/TRADITIONAL MEDIA AND POST ENGAGEMENT AND INCREASE BY 1% ANNUALLY. FY23 PROGRESS: 31 POSTS. (2) PROVIDE PROGRAMS TO YOUTH/FAMILIES THAT INCLUDE EDUCATION ON HEALTHY EATING. In FY2023, HEALTHY LIVES FOR KIDS was HELD AT YMCA on June 23, 2024. GOAL 2: INCREASE AWARENESS OF THE IMPORTANCE OF EXERCISE FOR OVERALL HEALTH AND WELL-BEING. TACTICS FOR PROGRESS IN FY2023: (1) DISTRIBUTE AND PROMOTE EDUCATION ON THE IMPORTANCE OF EXERCISE THROUGH SOCIAL MEDIA/HEALTHY LIVING CAMPAIGN. FY23 PROGRESS: 31 POSTS OF ARTICLES/EDUCATION SHARED ON SOCIAL/TRADITIONAL MEDIA AND POST ENGAGEMENT. (2) PROMOTE ACTIVITIES/EVENTS THAT ENCOURAGE ACTIVE LIVING. FY23 PROGRESS: PHYSICAL ACTIVITY OFFERED TO CHILDREN AT THE FAMILY "NATIONAL NITE OUT" IN AUGUST IN FY23. (3) PARTNER WITH YOUTH ACTIVITIES THAT PROMOTE MOVEMENT/EXERCISE. FY23 PROGRESS: "HEALTHY LIVES FOR KIDS" HELD IN JUNE AT THE YMCA. 10/23 "PROJECT FIT" PROGRAM LAUNCHES AT STEELE SCHOOL. BEHAVIORAL HEALTH - SUBSTANCE ABUSE GOAL: DECREASE THE PERCENTAGE OF KNOX AND WARREN COUNTY RESIDENTS WHO RESPONDED USING SUBSTANCES DAILY TO MAKE THEMSELVES FEEL BETTER. TACTICS FOR PROGRESS IN FY2023: (1) INCREASE AWARENESS OF RX DISPOSAL TO THE COMMUNITY. FY23 PROGRESS: DISPOSED 546.3 LBS. 2023 COMPARED TO 2022 OF 373 LBS. MENTAL HEALTH GOAL: DECREASE THE PERCENTAGE OF KNOX AND WARREN COUNTY RESIDENTS WHO RESPONDED USING SUBSTANCES DAILY TO MAKE THEMSELVES FEEL BETTER. TACTICS FOR PROGRESS IN FY2023: (1) INCREASE RESOURCE LINK NAVIGATION SERVICES. FY23 PROGRESS: 441 NAVIGATIONS THROUGH RESOURCE LINK. (2) PROVIDE FREE BEHAVIORAL HEALTH NAVIGATION SERVICES. FY23 PROGRESS: 650 NAVIGATION SERVICES PROVIDED. HEALTH AGING GOAL: INCREASE THE AWARENESS OF SCREENINGS/ACTIVITIES IN THE AGING POPULATION OF KNOX AND WARREN COUNTY. TACTICS FOR PROGRESS IN FY2023: (1) OFFER SCREENING/WELLNESS OPPORTUNITIES IN THE COMMUNITY. FY23 PROGRESS: DISPOSED of 546.3 pounds of drug waste. (2) PROMOTE ACTIVITIES/EVENTS THAT ENCOURAGE SAFE ACTIVE LIVING. FY23 PROGRESS: WELLNESS SCREENING/FAIR HELD.
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 available BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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. THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2022. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2023, 2024 AND 2025. 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 TWO SIGNIFICANT HEALTH NEEDS: *HEALTHY BEHAVIORS *BEHAVIORAL HEALTH HEALTHY BEHAVIORS GOAL 1: INCREASE AWARENESS OF THE IMPORTANCE OF EXERCISE FOR OVERALL HEALTH AND WELL-BEING WITHIN MADISON COUNTY. TACTICS AND PROGRESS in FY2023: (1) SPONSOR EVENTS THAT ENCOURAGE ACTIVE LIVING, I.E. RACES, 5KS, ETC. FY23 PROGRESS: COORDINATED 5-YEAR PLEDGE WITH THE CITY OF WOOD RIVER FOR THE WOOD RIVER RECREATION CENTER. FIRST PLEDGE YEAR IS FY24. (2) PARTICIPATE IN HEALTH FAIRS AND COMMUNITY EVENTS. FY23 PROGRESS: 700 ATTENDEES AT THE BACK-TO-SCHOOL EVENT THAT FEATURED EDUCATION ON HEALTHY LIVING AND ACTIVE LIFESTYLES. SPONSORED A WEEKLY TABLE AT THE ALTON FARMERS' MARKET MAY THROUGH OCTOBER AND PROVIDED INFORMATION TO ATTENDEES. APPROXIMATELY 50 PEOPLE PER WEEK STOPPED BY THE OSF TABLE. GOAL 2: INCREASE AWARENESS IN THE IMPORTANCE OF EXERCISE FOR OVERALL HEALTH AND WELL-BEING WITHIN MADISON COUNTY. TACTICS AND PROGRESS in FY2023: (1) OBTAIN FOOD PHARMACY GRANT. FY23 PROGRESS: Application was submitted in FY2023 and is still pending as of 9/30/2023. (2) SPONSOR COMMUNITY EVENTS THAT PROMOTE HEALTHY EATING AND WELLNESS. FY23 PROGRESS: 700 ATTENDEES AT BACK-TO-SCHOOL EVENT THAT FEATURED EDUCATION ON HEALTHY LIVING AND ACTIVE LIFESTYLES. SPONSORED A WEEKLY TABLE AT THE ALTON FARMERS' MARKET MAY THROUGH OCTOBER AND PROVIDED INFORMATION TO ATTENDEES. APPROXIMATELY 50 PEOPLE PER WEEK STOPPED BY THE OSF TABLE. THE DIETITIAN PROVIDED NUTRITION INFORMATION TO VARIOUS COMMUNITY SUPPORT GROUPS WITH 33 PEOPLE IN ATTENDANCE. (3) DISTRIBUTE AND PROMOTE ARTICLES AND EDUCATION ON HEALTHY LIVING THROUGH SOCIAL MEDIA. FY23 PROGRESS: REACH OF 7,171 ON HEALTHY LIVING ARTICLES AND EDUCATION ON SOCIAL MEDIA. BEHAVIORAL HEALTH - MENTAL HEALTH GOAL: INCREASE THE NUMBER OF RESIDENTS IN MADISON COUNTY WHO REPORT THAT THEY SPOKE TO SOMEONE ABOUT THEIR MENTAL HEALTH. TACTICS AND PROGRESS in FY2023: (1) FACILITATE COMMUNITY CRISIS RESPONSE WORKGROUP. FY23 PROGRESS: CREATED A CONSOLIDATED RESOURCE LIST THAT IS POSTED ON THE CITY OF ALTON WEBSITE AND HAS BEEN DISTRIBUTED TO LOCAL BUSINESSES. (2) SPONSOR COMMUNITY MENTAL HEALTH EDUCATIONAL SEMINARS AND EVENTS. FY23 PROGRESS: 380 PARTICIPANTS IN MENTAL HEALTH SEMINARS AND EVENTS. (3) OFFER FREE MENTAL HEALTH SCREENINGS. FY23 PROGRESS: 36 FREE MENTAL HEALTH AND ANXIETY SCREENINGS PROVIDED TO THE COMMUNITY. BEHAVIORAL HEALTH - SUBSTANCE ABUSE GOAL: DECREASE THE NUMBER OF RESIDENTS IN MADISON COUNTY WHO REPORT SMOKING AND VAPING AND THE NUMBER OF MADISON COUNTY 12TH GRADERS WHO REPORT INHALANT USE. TACTICS AND PROGRESS in FY2023: (1) PROVIDE VAPING EDUCATION TO MIDDLE AND HIGH SCHOOL STUDENTS. FY23 PROGRESS: DANGERS OF VAPING AND E CIGARETTE INFORMATION PRESENTED TO 600 PEOPLE. (2) PROVIDE SMOKING CESSATION EDUCATION AND CLASSES. FY23 PROGRESS: 5 PARTICIPANTS IN COURAGE TO QUIT SMOKING CESSATION CLASSES. (3) PARTICIPATE IN UNICEF CHILD FRIENDLY PROGRAM. FY23 PROGRESS: $10,000 DONATION GIVEN TO THE ALTON CHILD FRIENDLY CITY INITIATIVE.
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 available BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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. THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2022. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2023, 2024 AND 2025. 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 *BEHAVIORAL HEALTH *ACCESS TO MENTAL HEALTH COUNSELING HEALTHY BEHAVIORS GOAL 1: INCREASE AWARENESS OF THE IMPORTANCE OF EXERCISE FOR OVERALL HEALTH AND WELL-BEING IN DELTA COUNTY. TACTICS AND PROGRESS in FY2023: (1) SPONSOR EVENTS THAT ENCOURAGE ACTIVE LIVING, I.E., 5KS, EVENTS TARGETING YOUTH AND SUPPORTING RECREATIONAL OPPORTUNITIES. FY23 PROGRESS: Invested $6,800 into events in FY2023. GOAL 2: INCREASE AWARENESS OF THE IMPORTANCE OF PROPER NUTRITION IN OVERALL HEALTH AND WELLNESS WITHIN DELTA COUNTY. TACTICS AND PROGRESS in FY2023: (1) INCREASE NUMBER OF REFERRALS TO FOOD AS MEDICINE PROGRAM THROUGH PRIMARY CARE PROVIDERS. FY23 PROGRESS: 94 PARTICIPANTS. (2) DISTRIBUTE AND PROMOTE ARTICLES AND EDUCATION ON HEALTHY EATING THROUGH SOCIAL MEDIA. FY23 PROGRESS: 16 ARTICLES DISTRIBUTED. (3) INCREASE NUMBER OF PARTICIPANTS IN "KNOW YOUR NUMBERS" BLOOD SUGAR AND CHOLESTEROL SCREENINGS FOR COMMUNITY. Progress for FY2023: 85 screenings were performed which EXCEEDED BASELINE SCREENINGS BY 37% IN FY23. GOAL 3: SUPPORT CURRENT RESOURCES AVAILABLE FOR FOOD ASSISTANCE THROUGH AWARENESS AND ASSISTANCE IN MAINTAINING NECESSARY FOOD LEVELs and CONTINUE TO EDUCATE POPULATION ON IMPORTANCE OF HEALTHY EATING AND AVAILABILITY OF FRUITS AND VEGETABLES IN THE COUNTY. TACTICS AND PROGRESS in FY2023: (1) CONDUCT A NON-PERISHABLE FOOD DRIVE TO SUPPORT THE ANNUAL STUFF THE GOOSE CAMPAIGN. FY23 PROGRESS: 178 LBS. OF FOOD COLLECTED TO DETERMINE BASELINE. BEHAVIORAL HEALTH - MENTAL HEALTH AND SUBSTANCE ABUSE MENTAL HEALTH GOAL: SUPPORT RESOURCES AND EDUCATIONAL PROGRAMS/TOOLS AIMED AT IMPROVING THE MENTAL HEALTH STATUS OF RESIDENTS IN DELTA COUNTY. TACTICS AND PROGRESS in FY2023: (1) SUPPORT DELTA COUNTY SUICIDE PREVENTION TASK FORCE. FY23 PROGRESS: $1,000 invested in task force in FY23. (2) ATTEND DELTA SCHOOLCRAFT INTERMEDIATE SCHOOL DISTRICT MENTAL HEALTH TASK FORCE MEETINGS AND ACTIVELY SUPPORT RELEVANT INITIATIVES. In FY2023, one meeting was held. Following this meeting, the task force is seeking a champion to support relevant initiatives as of 9/30/2023. (3) CONDUCT EDINBURGH SCREENING POST-PARTUM IN OB DEPARTMENT; REFER PATIENTS WHO NEED ADDITIONAL RESOURCES AND SUPPORT. FY23 PROGRESS: 258 SCREENINGS- BASELINE ESTABLISHED. SUBSTANCE ABUSE GOAL: SUPPORT DRUG AND ALCOHOL EDUCATIONAL PROGRAMS AND COLLABORATIVE COALITIONS TO INCREASE KNOWLEDGE AND DECREASE SUBSTANCE USE OR MISUSE. TACTICS AND PROGRESS in FY2023: (1) MAINTAIN OR INCREASE THE NUMBER OF PATIENTS RECEIVING MEDICATION ASSISTED TREATMENT (MAT) WITHIN FAMILY PRACTICE. In FY2023, 741 PATIENTS participated in the program which Exceeded the TARGET for FY23. (2) MAINTAIN OR INCREASE THE NUMBER OF PATIENTS IN MAT PROGRAM EMBEDDED IN OB-GYN OFFICE. In FY2023, 10 PATIENTS participated in the program which Exceeded the TARGET for FY23. (3) INCREASE AWARENESS OF ON-SITE DRUG TAKE-BACK DROP BOX; COORDINATE AND/OR SUPPORT COMMUNITY DRUG TAKE-BACK EVENTS AND ADDITIONAL PATIENT AND COMMUNITY AWARENESS. 75.5 pounds of drugs were taken back in FY2023. ACCESS TO MENTAL HEALTH COUNSELING GOAL: INCREASE NUMBER OF PERSONS RECEIVING BEHAVIORAL HEALTH SERVICES OR REFERRALS THROUGH OSF ST. FRANCIS HOSPITAL & MEDICAL GROUP. TACTICS AND PROGRESS in FY2023: (1) INCREASE AWARENESS AND UTILIZATION OF BEHAVIORAL HEALTH NAVIGATOR FOR PATIENTS TO CONNECT THEM TO RESOURCES. in FY2023, 23 PATIENTS used the health navigator which ESTABLISHED the BASELINE IN FY23 (2) CREATE AWARENESS AMONG OSF CLINICIANS REGARDING MC3 PROGRAM; INCREASE NUMBER WHO UTILIZE SERVICE. in FY2023, ZERO PROVIDERS participated. St Francis Hospital is currently WORKING to increase provider participation in FY24. (3) CREATE COLLABORATIVE BEHAVIORAL HEALTH PROGRAM WITH DSISD. FY23 PROGRESS: contract was signed with DSISD in Dec 2022 and what activities have taken place to create the program in FY2023. (4) INCREASE NUMBER OF COUNSELING SESSIONS COMPLETED BY STUDENTS REFERRED THROUGH COLLABORATIVE BEHAVIORAL HEALTH PROGRAM WITH DSISD. in FY2023, 474 students participated in a counseling session which ESTABLISHED the BASELINE IN FY23
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 available BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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. THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2022. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2023, 2024 AND 2025. THE COLLABORATIVE TEAM IDENTIFIED TWO SIGNIFICANT HEALTH NEEDS AND PRIORITIZED BOTH TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. HEALTHY BEHAVIORS HEALTHY AGING HEALTHY BEHAVIORS GOAL 1: REDUCE PREVALENCE OF OBESITY IN LIVINGSTON COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) PROVIDE REGULAR IN-PERSON OR VIRTUAL PROGRAMMING ON ACTIVE LIVING AND PHYSICAL ACTIVITY FOR THE PONTIAC RECREATION CENTER. FY23 PROGRESS: DUE TO A CHANGE IN LEADERSHIP AT THE PONTIAC REC CENTER AND RESIGNATION OF AN OSF EMPLOYEE THIS GOAL WAS NOT MET. WILL COLLABORATE WITH NEW LEADERSHIP IN 2024 TO OBTAIN GOAL. (2) PROVIDE EDUCATIONAL ACTIVE LIFESTYLE PROGRAMS TO WOMEN IN LIVINGSTON COUNTY THROUGH WOMEN EMPOWERED - WE LIVE. FY23 PROGRESS: WE LIVE HOSTED 2 PROGRAMS WITH AN AVERAGE OF 70 PARTICIPANTS. (3) DISTRIBUTE ACTIVE LIVING WELLNESS NEWSLETTER TO LOCAL BUSINESSES AND ORGANIZATIONS. FY23 PROGRESS: NEWSLETTER DISTRIBUTED TO 9 ORGANIZATIONS MONTHLY. GOAL 2: REDUCE PREVALENCE OF OBESITY IN LIVINGSTON COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) 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. SMARTMEALS DISTRIBUTED FOR 10 MONTHS OF 2023. FY23 PROGRESS: 50 MEALS WERE DISTRIBUTED IN EACH OF THOSE MONTHS. (2) PROVIDE EDUCATIONAL HEALTHY EATING LIFESTYLE PROGRAMS TO WOMEN IN LIVINGSTON COUNTY THROUGH WOMEN EMPOWERED - WE LIVE. FY23 PROGRESS: WE LIVE HOSTED 2 PROGRAMS WITH AN AVERAGE OF 70 PARTICIPANTS. HEALTHY AGING GOAL: DECREASE SOCIAL ISOLATION, MAINTAIN THE DESIRED LEVEL OF INDEPENDENCE AND IMPROVE WELL-BEING IN THE AGING POPULATION IN LIVINGSTON COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) PROMOTE AND SPONSOR EXISTING COMMUNITY RESOURCES/PROGRAMS FOR THE AGING BY HOSTING AT A MINIMUM ONE SENIOR NETWORKING MEETING PER YEAR. FY23 PROGRESS: 1 MEETING HELD IN COLLABORATION WITH ASSISTED LIVING CENTER FOR HEART MONTH. (2) INCREASE NUMBER OF SPEAKING ENGAGEMENTS FOR AGING POPULATION. FY23 PROGRESS: 2 SPEAKING ENGAGEMENTS HELD FOR THE AGING POPULATION. (3) FACILITATE PARTICIPATION IN THE NUMBER OF EVENTS/ACTIVITIES GEARED TOWARDS SENIORS PER COMMUNITY. HEALTHY AGING IN COLLABORATION WITH THE REC CENTER WAS CANCELLED D/T LACK OF PARTICIPATION. WE LIVE, DIABETES EDUCATION AND SUPPORT, AND PRESENTATIONS WITHIN AGING COMMUNITIES ONGOING. FY23 PROGRESS: 3 EVENTS WERE HELD. (4) INCREASE NUMBER OF ADVANCED DIRECTIVES COMPLETED. CURRENT GAP CAPTURING ACP COMPLETION NOTED WITHIN MINISTRY. WORK IS ONGOING TO CLOSE THE GAP AND CREATE DASHBOARD FOR DOCUMENTATION. FY23 PROGRESS: 87 COMPLETED WITHIN THE MEDICAL GROUPS.
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 available BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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. THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2022. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2023, 2024 AND 2025. 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 AND OBESITY *BEHAVIORAL HEALTH HEALTHY BEHAVIORS AND OBESITY GOAL 1: INCREASE AWARENESS OF THE IMPORTANCE OF HEALTHY EATING WITHIN HENRY COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) DISTRIBUTE AND PROMOTE ARTICLES AND EDUCATION ON HEALTHY EATING THROUGH TRADITIONAL AND SOCIAL MEDIA "HEALTHY LIVING" CAMPAIGN. FY23 PROGRESS: 72 POSTS & 1,525 CLICKS FOR "HEALTHY LIVING" IN FY23. (2) INCREASE NUMBER OF NUTRITIONAL EDUCATION REFERRALS/SESSIONS. FY23 PROGRESS: 137 SESSIONS. (3) PROVIDE PROGRAMS TO YOUTH THAT INCLUDE EDUCATION ON HEALTHY EATING. FY23 PROGRESS: JUNE "HEALTHY LIVES FOR KIDS" HELD AT THE YMCA. GOAL 2: INCREASE AWARENESS OF THE IMPORTANCE OF EXERCISE TO HEALTHY LIVING. TACTICS AND PROGRESS FOR FY2023: (1) DISTRIBUTE AND PROMOTE EDUCATION ON THE IMPORTANCE OF EXERCISE THROUGH SOCIAL MEDIA "HEALTHY LIVING" CAMPAIGN. FY23 PROGRESS: 72 POSTS AND 1,525 CLICKS. (2) PARTNER WITH YOUTH ACTIVITIES THAT PROMOTE MOVEMENT AND OR EXERCISE. FY23 PROGRESS: SATURDAY APRIL "HEALTHY KIDS DAY" AT YMCA. JUNE- "HEALTHY LIVES FOR KIDS" HELD AT YMCA. (3) PROMOTE EVENTS / ACTIVITIES THAT ENCOURAGE ACTIVE LIVING. FY23 PROGRESS: held an 8-WEEK COMMIT2FIT program in JANUARY 2023, SPONSORED the HOGS DAYS STAMPEDE run in SEPT 2023 and SPONSORED the HALLOWEEN HUSTLE 5k in OCTOBER 2023. BEHAVIORAL HEALTH MENTAL HEALTH GOAL: INCREASE AWARENESS OF COPING STRATEGIES AND IMPROVE RESILIENCY IN HENRY COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) PROVIDE COPING STRATEGIES WORKSHOPS. FY23 PROGRESS: PRESENTED TO CENTRAL JR. HIGH-NO NEW SCHOOLS INTERESTED. (2) PROVIDE FREE BEHAVIORAL HEALTH NAVIGATOR SERVICES. FY23 PROGRESS: 650 UTILIZING SERVICE. (3) PARTICIPATE IN COMMUNITY MENTAL HEALTH CONFERENCE. FY23 PROGRESS: PROTECTING HOPE CONFERENCE was held on 5/23/2023 and 150 participants attended. SUBSTANCE ABUSE GOAL: DECREASE THE PERCENTAGE OF HENRY COUNTY RESIDENTS WHO RESPONDED USING SUBSTANCES DAILY TO MAKE THEM FEEL BETTER TACTICS AND PROGRESS FOR FY2023: (1) PROMOTE AWARENESS OF RX DISPOSAL TO THE COMMUNITY. FY23 PROGRESS: A TOTAL OF 428.3 POUNDS 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 available BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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. THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2022. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2023, 2024 AND 2025. 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 TWO SIGNIFICANT HEALTH NEEDS AND PRIORITIZED BOTH TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. *HEALTHY BEHAVIORS *ACCESS TO CARE HEALTHY BEHAVIORS GOAL: INCREASE AWARENESS OF THE IMPORTANCE OF HEALTHY EATING FOR WARREN COUNTY RESIDENTS. TACTICS AND PROGRESS FOR FY2023: (1) DISTRIBUTE AND PROMOTE ARTICLES AND EDUCATION ON HEALTHY EATING THROUGH TRADITIONAL/SOCIAL MEDIA "HEALTHY LIVING" CAMPAIGN. FY23 PROGRESS: 27 HEALTHY EATING POSTS MADE ON SOCIAL MEDIA. (2) INCREASE THE NUMBER OF NUTRITIONAL REFERRALS/COUNSELING SESSIONS. FY23 PROGRESS: 65 COUNSELING SESSIONS FOR NUTRITION; 15 SESSIONS FOR DIABETES SELF-MGT EDUCATION/TRAINING. (3) PROVIDE PROGRAMS TO YOUTH/FAMILIES THAT INCLUDE EDUCATION ON HEALTHY EATING. FY23 PROGRESS: "HEALTHY LIVES FOR KIDS" HELD IN JUNE 23. GOAL 2: INCREASE AWARENESS OF THE IMPORTANCE OF EXERCISE TO HEALTHY LIVING. TACTICS AND PROGRESS FOR FY2023: (1) DISTRIBUTE AND PROMOTE EDUCATION ON THE IMPORTANCE OF EXERCISE THROUGH SOCIAL MEDIA/HEALTHY LIVING CAMPAIGN. FY23 PROGRESS: 27 POSTS. (2) PARTNER WITH YOUTH ACTIVITIES THAT PROMOTE MOVEMENT/EXERCISE. FY23 PROGRESS: "HEALTHY LIVES FOR KIDS" JUNE AT YMCA IN FY23. ACCESS TO CARE GOAL: INCREASE THE AWARENESS OF THE IMPORTANCE OF HEALTHY LIVING/BEHAVIORS IN WARREN COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) PROVIDE SCREENINGS/WELLNESS OPPORTUNITIES IN THE COMMUNITY. FY23 PROGRESS: AIC SCREENINGS OFFERED AT THE EAGLE VIEW HEALTH FAIR-AUG. WELLNESS SCREENING HELD FOR CITY OF MONMOUTH EMPLOYEES. (2) PROMOTE HEALTHY LIVING/HEALTHCARE NAVIGATION RESOURCES. FY23 PROGRESS: BP SCREENING OFFERED MONTHLY TO HOUSING AUTHORITY-COSTELLO TERRACE. (3) OFFER EDUCATION ON HOW SLEEP HABITS IMPACT HEART HEALTH. FY23 PROGRESS: INCLUDED A PRESENTATION ON THE EFFECTS OF SLEEP ON HEART HEALTH AS PART OF THE WOMEN'S HEALTH EVENT. (4) INCREASE BEHAVIORAL HEALTH NAVIGATION SERVICES. FY23 PROGRESS: 156 USING BEHAVIORAL HEALTH SERVICES.
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 available BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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 FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2022. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2023, 2024 AND 2025. LITTLE COMPANY OF MARY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS A COLLABORATIVE UNDERTAKING FOR THE NEIGHBORHOODS THEY SERVE TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN THOSE ZIP CODES. THE COLLABORATIVE TEAM IDENTIFIED FOUR SIGNIFICANT HEALTH NEEDS AND PRIORITIZED ALL TO BE ADDRESSED IN THE COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY. *ACCESS TO HEALTH CARE *BEHAVIORAL HEALTH *CANCER *HEART DISEASE ACCESS TO HEALTH CARE GOAL: TO PROVIDE EASILY ACCESSIBLE ACCESS TO LOW ACUITY HEALTH CARE TO OSF LCMMC SERVICE AREA. TACTICS AND PROGRESS FOR FY2023: (1) EXECUTIVE LEADERSHIP SUPPORT OF AUBURN GRESHAM DEVELOPMENT CORPORATION. Progress for FY2023: attend monthly meetings (2) INCREASE MFM (MATERNAL FETAL MEDICINE) OUTREACH TO AREA FQHCS. FY23 PROGRESS: SERVED 445 PATIENTS FROM LOCAL FQHC CLINICS AND 186 DELIVERIES. BEHAVIORAL HEALTH GOAL: INCREASE THE AWARENESS OF MENTAL HEALTH WITHIN THE COMMUNITY AND EDUCATE THE CONSUMER ON THE AVAILABILITY OF RESOURCES IN OSF LCMMC SERVICE AREA and to SUPPORT FOR PROVIDERS WITH ACCESS TO MENTAL HEALTH RESOURCES IN THE COMMUNITY. TACTICS AND PROGRESS FOR FY2023: (1) PROVIDE BEHAVIORAL HEALTH EDUCATION TO THE COMMUNITY ONCE A YEAR. FY23 PROGRESS: 11/15/22: LIFE WORKS EMPLOYEE ASSISTANCE PROGRAM - COLLABORATIVE TEAMS MEETING; 11/29/22: BEVERLY THERAPISTS - COMMUNITY OUTREACH TELEPHONE CALL/BHS INFO SENT; 01/06/23: UIH MILES SQUARE COLLABORATION/ED COORDINATION, TEAMS MEETING; 07/25/23 CPD EAP OPEN HOUSE (NEW BEVERLY OFFICES), BHS IN ATTENDANCE; 08/22/23 CPD MH PROFESSIONAL COUNSELING DIVISION, BHS PRESENTED PROGRAM OVERVIEW IN FY23. (2) PROVIDE SDOH MENTAL HEALTH SCREENING. FY23 PROGRESS: 148,188 SCREENINGS. (3) PROVIDE BEHAVIORAL HEALTH NAVIGATION SERVICES. FY23 PROGRESS: 773 REFERRALS. (4) PROMOTE BEHAVIORAL HEALTH AWARENESS VIA PUBLIC RELATIONS CHANNELS (SOCIAL MEDIA, PRESS RELEASES, SOCIAL PITCHES, ETC.). FY23 PROGRESS: PROMOTED POST ACKNOWLEDGEMENT OF WORLD MENTAL HEALTH DAY, OCTOBER 6, 2022; COMMUNITY EVENTS ATTENDED WITH BH FLYERS: APRIL 12 - OAK LAWN HEALTH AND SAFETY EXPO; MAY 24: EVERGREEN PARK CHILDREN'S FAIR; MAY 25: EVERGREEN PARK CHAMBER OLYMPICS; MAY 29: RIDGE RUN; JUNE 14: EVERGREEN PARK SENIOR FAIR; JULY 26: 2-6PM: THE BIELA CENTER; AUG 5: AAA TOUCH A TRUCK; AUG 10: MT. GREENWOOD CONCERT IN THE PARK; AUG 16: KROC CENTER BACK TO SCHOOL EVENT; AUGUST 26: LUTHER BURBANK SCHOOL, BACK TO SCHOOL RALLY SEPTEMBER 13: 8AM-1PM - PALOS FARMERS MARKET (12217 S HARLEM AVE, PALOS HEIGHTS), SEPTEMBER 21: 6:30-7:30PM - DR. MOHAMMAD ANIME, SEASONAL ALLERGIES AT EP LIBRARY, SEPTEMBER 24: 3-6PM - OAK LAWN FALL FAMILY FEST (5850 W. 103RD ST., OAK LAWN), SEPTEMBER 30: 10AM-12PM - BURBANK SCHOOL DISTRICT 111 HEALTH AND WELLNESS FAIR. GOAL 2: GOAL: INCREASE THE AWARENESS OF SUBSTANCE ABUSE WITHIN THE COMMUNITY AND EDUCATE THE CONSUMER ON THE AVAILABILITY OF RESOURCES. TACTICS AND PROGRESS FOR FY2023: (1) PROMOTE FREE DRUG DISPOSAL DROP-BOX AVAILABLE IN OSF LCMMC LOBBY VIA QUARTERLY SOCIAL MEDIA POSTS AND INFO DISTRIBUTION AT COMMUNITY EVENTS. FY23 PROGRESS: COMPLETED 2. (2) PROVIDE SECURED DRUG TAKE-BACK RECEPTACLE FOR DISPOSAL OF UNNEEDED OR EXPIRED DRUGS; BIN LOCATED IN MAIN LOBBY OF OSF LCMMC. FY23 PROGRESS: 225 POUNDS. CANCER GOAL: TO IMPROVE THE BREAST HEALTH OF WOMEN IN THE OSF LCMMC SERVICE AREA. TACTICS AND PROGRESS FOR FY2023: (1) PROMOTE CANCER SCREENING HEALTH RISK ASSESSMENTS (HRAS) (BREAST). FY23 PROGRESS: PERFORMED 8,806 SCREENING MAMMOGRAPHY EXAMS. THESE ARE SCREENING EXAMS WITH AN 8.5% INCREASE YEAR OVER YEAR. (2) PROMOTE CANCER INTEGRATIVE THERAPY SERVICES. FY23 PROGRESS: LUNCH AND LEARNS: 55 TOTAL PARTICIPANTS. WOMEN EMPOWERMENT CELEBRATION: 3 PARTICIPANTS, A TIME TO GOLF: 3 PARTICIPANTS, BREAST, COLORECTAL, CAREGIVER SUPPORT GROUPS: TOTAL OF 3 PARTICIPANTS, SELF-HYPNOSIS: 41 PARTICIPANTS, MUSIC THERAPY: 2,263 ENCOUNTERS (HELD DURING CLINICS), STRETCH, BALANCE AND BREATHE (ZOOM):464 PARTICIPANTS. CHAIR EXERCISE: 9 PARTICIPANTS. RESTORE AND RENEW: 16 PARTICIPANTS. MINDFULNESS BASED STRESS REDUCTION: 149 PARTICIPANTS. KNITTING: 14 PARTICIPANTS. TOTAL 2023 INTEGRATIVE THERAPY ENCOUNTERS: 3,015. CANCER CENTER SOCIAL WORKER: DEDICATED LCSW FOR ONCOLOGY PATIENTS. 2023 LCSW ENCOUNTERS = 651. DISTRESS SCREENING ADMINISTRATION: (OVERSEEN BY LCSW) Q1=79; Q2 = 96. HEART DISEASE GOAL: TO IMPROVE HEART HEALTH BY EDUCATING PATIENTS ABOUT HIGH BLOOD PRESSURE AND HOW TO MANAGE BLOOD PRESSURE IN THE OSF LCMMC SERVICE AREA. TACTICS AND PROGRESS FOR FY2023: (1) INCREASE BLOOD PRESSURE SCREENINGS AND EDUCATION OPPORTUNITIES WITHIN THE SERVICE AREA. FY23 PROGRESS: 08/03/23 PALOS HTS. FARMER MARKET; 09/13/23 PALOS HEIGHTS FARMER MARKET; 11/14/23 PALOS HILLS LIBRARY (DIABETIC PRESENTATION) (2) INCREASE THE NUMBER OF HEART RISK ASSESSMENTS TAKEN IN THE METRO SERVICE AREA. FY23 PROGRESS: 10 PEOPLE AT EACH COMMUNITY EVENT HAD BLOOD PRESSURE TAKEN AND WERE GIVEN INFORMATION ON HOW TO MAINTAIN IT.
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 available BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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 FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2022. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2023, 2024 AND 2025. THE BUREAU COUNTY COMMUNITY HEALTH-NEEDS ASSESSMENT IS A COLLABORATIVE UNDERTAKING BY OSF SAINT CLARE MEDICAL CENTER TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN BUREAU COUNTY. THROUGH THIS NEEDS ASSESSMENT, COLLABORATIVE COMMUNITY PARTNERS HAVE IDENTIFIED NUMEROUS HEALTH ISSUES IMPACTING INDIVIDUALS AND FAMILIES IN THE BUREAU COUNTY REGION. THE COLLABORATIVE TEAM PRIORITIZED TWO SIGNIFICANT HEALTH NEEDS: *HEALTHY BEHAVIORS *BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE HEALTHY BEHAVIORS GOAL 1: INCREASE AWARENESS OF THE IMPORTANCE OF HEALTHY EATING IN BUREAU COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) INCREASE NUTRITIONAL COUNSELING REFERRALS. FY23 PROGRESS: 53 VISITS COMPLETED. (2) CREATE A MICRO PANTRY/HYGIENE PANTRY PROGRAM. FY23 PROGRESS: $808.25 SPENT ON SUPPLIES FOR PROGRAM. (3) PILOT SMART MEALS PROGRAM. FY23 PROGRESS: 40 BAGS PURCHASED AND DISTRIBUTED TO COMMUNITY ORGANIZATIONS AND INDIVIDUALS. (4) DISTRIBUTE AND PROMOTE ARTICLES AND EDUCATION ON HEALTHY EATING THROUGH TRADITIONAL AND SOCIAL MEDIA "HEALTHY LIVING CAMPAIGN". FY23 PROGRESS: 45 ARTICLES DISTRIBUTED. (5) INCREASE FRUIT AND VEGETABLE CONSUMPTION THROUGH INCREASING ACCESS USING THE TCOC FOOD PANTRY. FY23 PROGRESS: 7,995LBS OF FRESH FOOD DISTRIBUTED THROUGH THE FOOD PANTRY IN PRINCETON. (6) PROVIDE EDUCATION SESSIONS TO THE FOOD PANTRY ON DISTRIBUTION DAYS. FY23 PROGRESS: 168 PEOPLE REACHED DURING THE EDUCATION SESSIONS AT THE FOOD PANTRY. GOAL 2: INCREASE AWARENESS OF HOW AN ACTIVE LIFESTYLE CAN BENEFIT BUREAU COUNTY RESIDENT'S PHYSICAL AND EMOTIONAL HEALTH. TACTICS AND PROGRESS FOR FY2023: (1) ACTIVE LIVING CHALLENGES will be STARTING IN FY23 (2) SPONSOR EVENTS THAT ENCOURAGE ACTIVE LIVING, I.E., 5K, TARGETING YOUTH. $1,800 was invested in sponsoring events in FY2023. BEHAVIORAL HEALTH MENTAL HEALTH GOAL: TO INCREASE AWARENESS OF COPING STRATEGIES AND IMPROVE RESILIENCY IN BUREAU COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) PROVIDE COPING STRATEGIES WORKSHOPS. FY23 PROGRESS: 3 SCHOOLS WITH 880 STUDENTS. (2) INCREASE BEHAVIORAL HEALTH NAVIGATION SERVICES. FY23 PROGRESS: 49 patients SERVED. (3) INCREASE RESOURCE LINK NAVIGATION SERVICES. FY23 PROGRESS: 6 patients SERVED. (4) PARTICIPATE IN COMMUNITY HEALTH CONFERENCE. FY23 PROGRESS: 144 ATTENDED CONFERENCES. (5) PROVIDE MENTAL HEALTH FIRST AID COURSES TO THE COMMUNITY. FY23 PROGRESS: 72 TRAINED. (6) OSF BEHAVIORAL HEALTH EDUCATION PARTNERSHIP/ PROMOTION. FY23 PROGRESS: OFFERED 1 SESSION TO COMMUNITY. SUBSTANCE ABUSE GOAL: TO DECREASE IMPROPER USE OF PRESCRIPTION AND NON-PRESCRIPTION SUBSTANCES IN BUREAU COUNTY. TACTICS AND PROGRESS FOR FY2023: (1) DISTRIBUTE AND PROMOTE ARTICLES AND EDUCATION ON SUBSTANCE ABUSE TOPICS. FY23 PROGRESS: 22 ARTICLES AND 20,527 PEOPLE REACHED. (2) PROVIDE EDUCATION AND INFORMATION ON DANGERS OF TOBACCO AND VAPING. FY23 PROGRESS: 1,770 PEOPLE EDUCATED IN VAPING DANGERS. (3) PROMOTE DISTRIBUTION AND EDUCATION OF NARCAN. FY23 PROGRESS: 60 NARCAN BOXES DISTRIBUTED. (4) BEGIN AN OSF RX DISPOSAL PROGRAM. FY23 PROGRESS: 156.68 LBS. OF PRESCRIPTION DRUGS COLLECTED AND DISPOSED OF.
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 available BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - 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) 2022
Schedule H (Form 990) 2022
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?63
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 - OPPC - Oak Lawn
6700 W 95th St
Oak Lawn,IL60453
Cardiology, CT, Diagnostic radiology, laboratory, mammography, MRI, PET, Rehad, ultrasound
5 OSF Healthcare Little Company of Mary Medical Center - Burbank
4901 W 79Th St
Burbank,IL60459
Laboratory & EKG
6 OSF Healthcare Little Company of Mary Medical Center - Halsted
736 W 95Th St
Chicago,IL60628
Diagnostic Radiology
7 OSF Healthcare Little Company of Mary Medical Center - Palos Heights
12432 S Harlem St
Palos Heights,IL60463
Diagnostic Radiology
8 OSF MEDICAL GROUP - GODFREY CLINIC (RHC)
6702 Godfrey Road
Godfrey,IL62035
diagnostic radiology
9 OSF Rehabilitation Services Alton Square Mall
200 Alton Square Suite H1
ALTON,IL62002
physical therapy, occupational therapy
10 OSF SAINT ANTHONY MEDICAL CENTER - BELVIDERE REHAB
1916 GATEWAY CENTER DR
BELVIDERE,IL61008
Physical Therapy
11 OSF Center for Health at Rock Cut Crossing
9951 Rock Cut Crossing
loves Park,IL61111
Laboratory Services
12 OSF Saint Anthony Medcial Center - Center For Health on State
5510 E State Street
ROCKFORD,IL61108
PHYSICAL THERAPY; OCCUPATIONAL THERAPY
13 ROCKFORD CARDIOVASCULAR ASSOCIATES
444 ROXBURY ROAD
ROCKFORD,IL61107
CARDIAC REHAB
14 BYRON REHAB
109 N Franklin St
BYRON,IL61010
PHYSICAL THERAPY; OCCUPATIONAL THERAPY
15 Princeton Park
535 Park Ave E
Princeton,IL61356
Diagnostic Radiology
16 OSF Saint Elizabeth Medical Center Sleep Center
1601 Mercury Circle Suite 200
Ottawa,IL61350
POLYSYMNOGRAPHY LAB
17 Ottawa Medical Center Radiology Services
1614 East Norris Drive
Ottawa,IL61350
Diagnostic Radiology
18 OSF Healthcare Ottawa South
1640 First Avenue
Ottawa,IL61350
Diagnostic Radiology
19 SEMC Rehab at Ottawa YMCA
411 Canal Street
Ottawa,IL61350
Physical therapy, occupational therapy, speech theraphy
20 OSF SEMC Rehabilitation
1424 Midtown Road
Peru,IL61354
Physical therapy, occupational therapy, speech theraphy
21 SEMC - Peru Medical Office Building B
920 West Street
Peru,IL61354
Ultrasound
22 OSF Center for Health - Streator
111 Spring Street
Streator,IL61364
Emergency
23 OSF ST FRANCIS HOSPITAL MEDICAL GROUP - Escanaba (RHC)
3409 LUDINGTON ST
ESCANABA,MI49829
DIAGNOSTIC RADIOLOGY
24 St Francis Hospital- Rehab Services
145 4th Avenue NE
Gladstone,MI49837
Physical Therapy, Diagnostic Radiology, Laboratory
25 OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP - Powers Clinic (RHC)
N 15995 MAIN ST
POWERS,MI49870
DIAGNOSTIC RADIOLOGY
26 OSF Rehabilitation - Bartonville
1119 W Garfield
Bartonville,IL61607
Physical Therapy
27 OSF Rehabilitation - Chillicothe
311 N 4th St
Chillicothe,IL61523
Physical Therapy
28 OSF Rehabilitation - Metamora
709 W Mt Vernon
Metamora,IL61548
Physical Therapy
29 OSF CENTER FOR HEALTH MORTON
435 MAXINE DRIVE
MORTON,IL61550
CT, MRI, MAMMOGRAPHY, DIAGNOSTIC RADIOLOGY, ULTRASOUND, PHYSICAL THERAPY, LAB/EKG
30 OSF Senior World - Morton
730 W Jefferson St Ste 200
MORTON,IL61550
Adult Day Services, Geriatric Services
31 OSF Center for Health - Pekin
3422A Court St
Pekin,IL61554
Diagnostic Radiology, Ultrasound, Laboratory Services/EKG
32 OSF Saint Francis Radiation Oncology at Pekin Cancer Center
3500 Court Street Suite 3428
Pekin,IL61554
Radiation Oncology
33 OSF Rehabilitation - Pekin
2359 Broadway St
Pekin,IL61554
ADULT PHYSICAL THERAPY; PEDIATRIC OCCUPATIONAL THERAPY; SPEECH THERAPY
34 OSF Center for Health Glen Park
5114 GLEN PARK PLACE
PEORIA,IL61617
DIAGNOSTIC RADIOLOGY, OPEN MRI, ULTRASOUND, LABORATORY SERVICES, EKG
35 OSF CHOI Pediatric Opthalmology
4927 N Glen Park Place
PEORIA,IL61614
Opthalmology
36 OSF Rehabilitation - Glen Park
5009 N Glen Park Place
PEORIA,IL61614
physical therapy
37 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
38 OSF Saint Francis Medical Center - Radiation Oncology
8948 N Wood Sage Rd
PEORIA,IL61615
Radiation oncology
39 OSF HealthCare Cardiovascular Institute
5405 N Knoxville Ave
PEORIA,IL61614
Echocardiograms, Nuclear and Treadmill Stress Test, Vascular Ultrasound, Infusion Clinic, Sleep Lab
40 OSF REHABILITATION - PEDIATRICS
2806 N Knoxville Ave
PEORIA,IL61604
PEDIATRIC PHYSICIAL, OCCUPATIONAL, SPEECH AND FEEDING THERAPY
41 OSF CHOI Pulmonary Allergy and Sleep Medicine
2900 N Knoxville Ave
PEORIA,IL61603
PEDS Allergy, ALLERGY TESTING & Pulmonology
42 OSF Saint Francis Medical Center Cancer Survivorship Program
Illinois Medical Center Building 1
Ste 107
PEORIA,IL61603
Cancer Services, PHYSICIAL THERAPY
43 OSF Wellness Services at the Riverplex
600 WATER STREET
PEORIA,IL61602
PHYSICAL THERAPY, CARDIAC REHAB, PULMONARY REHAB, BARIATRIC SERVICES, MEDICAL EXERCISE
44 OSF WOMEN'S HEALTH CENTER
7800 N SOMMER Ste 508
PEORIA,IL61615
BREAST FEEDING RESOURCE CENTER, Family Planning
45 OSF Rehabilitation - Sommer
7800 N SOMMER Ste 608 609
PEORIA,IL61615
Physical Therapy; Occupational Therapy
46 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
47 OSF Rehabilitation - Kumpf
719 N William Kumpf Blvd Suite 200
PEORIA,IL61605
Physical Therapy, Adult Day Services, Geriatric Services, Faith Community Nursing
48 OSF Rehabilitation - Sheridan
6501 N Sheridan Rd
PEORIA,IL61614
Physical Therapy; Occupational Therapy; Speech Therapy, Industrial Rehab, Medical Exercise
49 OSF SAINT CLARE FAMILY HEALTH CENTER
10 SAINT CLARE COURT
WASHINGTON,IL61571
DIAGNOSTIC RADIOLOGY, LAB, EKG, MAMMOGRAPHY
50 OSF Rehabilitation at Five Points
360 N WILMORE ROAD
WASHINGTON,IL61571
PEDIATRIC PHYSICAL THERAPY, AQUATIC THERAPY, OCCUPATIONAL THERAPY, speech therapy, feeding therapy
51 OSF Healthcare - Medical Group - Clinton
1231 Kleemann Drive
Clinton,IL61727
Diagnostic radiology
52 OSF Center for Rehabilitation & Occupational Health - Dwight
107 Watters Drive
Dwight,IL60420
Physical Therapy
53 OSF Healthcare - Medical Group - Dwight
107 Watters STE 100
Dwight,IL60420
Diagnostic radiology
54 OSF Healthcare - Medical Group - El Paso
100 Delaney Drive
El Paso,IL61738
Diagnostic radiology
55 OSF Center for Rehabilitation & Occupational Health - Fairbury
106 South First Street
Fairbury,IL61739
Physical Therapy, Occupational Therapy
56 OSF SAINT JAMES SLEEP LABORATORY
702 RITTENHOUSE DRIVE
PONTIAC,IL61764
POLYSYMNOGRAPHY CLINIC
57 CENTER FOR HEALTH AT FT JESSE
2200 FT JESSE ROAD
NORMAL,IL61761
PHYSICAL THERAPY; OCCUPATIONAL THERAPY; SPEECH THERAPY; INDUSTRIAL REHAB
58 OSF St Joseph Medical Center - College Avenue
1701 EAST COLLEGE AVENUE
BLOOMINGTON,IL61704
AUDIOLOGY, Diagnostic Radiology, Mamography, MRI, CT Imaging, Ultrasound, Wound Care Clinic
59 OSF ST JOSEPH MEDICAL CENTER SLEEP LAB
2411 E Washington St
BLOOMINGTON,IL61701
POLYSYMNOGRAPHY Clinic, Neurology
60 Center for Health at Nord Farms
1001 Rivian Motorway
BLOOMINGTON,IL61705
Physical Therapy, Occupational Therapy
61 Galva Rehabilitation Services
904 E Main St
Knoxville,IL61448
Physical Therapy
62 OSF PromptCare - Galesburg
695 N Kellogg St
Galesburg,IL61401
Diagnostic Radiology
63 OSF Healthcare - Medical Group - Midtown
1650 Midtown Rd
Peru,IL61354
Prompt Care, Radiology
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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. FOUNDED IN 1925, OSF HEALTHCARE SAINT ANTHONY'S HEALTH CENTER (SAHC) IS A 49-BED ACUTE CARE HOSPITAL LOCATED IN ALTON, ILLINOIS, AND SERVES THE RESIDENTS OF MADISON, JERSEY AND MACOUPIN COUNTIES. SAHC IS A PART OF OSF HEALTHCARE, A CATHOLIC, 15-HOSPITAL HEALTH SYSTEM SERVING ILLINOIS AND THE UPPER PENINSULA OF MICHIGAN. SAHC IS ACCREDITED BY AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER, THE COLLEGE OF AMERICAN PATHOLOGISTS, AND AMERICAN ACADEMY OF SLEEP MEDICINE. SAHC HAS RECEIVED THE JOINT COMMISSION PRIMARY STROKE AWARD AND THE AMERICAN HEART ASSOCIATION "GET WITH THE GUIDELINE" GOLD PLUS AWARD FOR STROKE. IN 2022, SAHC RECEIVED SEVERAL ALTON TELEGRAPH BEST OF THE BEST AWARDS WHICH ARE VOTED BY RESIDENTS OF THE ALTON COMMUNITY, INCLUDING BEST HOSPITAL AND BEST PLACE TO WORK. SAHC ALSO RECEIVED THE BEST HOSPITALS WOMEN'S CHOICE AWARD IN 2022. THROUGH THE ANNUAL OSF MISSION PARTNER OPINION SURVEY CONDUCTED BY PRESS GANEY, SAHC RECEIVED THE SECOND HIGHEST SCORE OUT OF THE 15 OSF HOSPITALS, RANKING IT IN THE 80TH PERCENTILE FOR EMPLOYEE ENGAGEMENT, AND INCREASE FROM THE 67TH PERCENTILE IN 2021. THE POPULATION IN MADISON COUNTY DECREASED FROM 261,906 RESIDENTS TO 260,846 RESIDENTS (APPROXIMATELY 1.7%) BETWEEN 2020 AND 2021. 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. OSF HEALTHCARE HEART OF MARY MEDICAL CENTER IS A 206-BED COMPREHENSIVE HEALTH CARE FACILITY SERVING CHAMPAIGN-URBANA, ILLINOIS. ITS ROOTS DATE BACK TO THE EARLY 1900S WHEN IT WAS FOUNDED BY THE SERVANTS OF THE HOLY HEART OF MARY. WHEN THE HOSPITAL BECAME PART OF OSF HEALTHCARE IN FEBRUARY 2018, THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS RENAMED THE HOSPITAL TO HONOR THE LEGACY OF THE FOUNDERS. OUR STAFF OF NEARLY 700 PROVIDES STATE-OF-THE-ART THERAPEUTIC, DIAGNOSTIC, MEDICAL, SURGICAL AND SUPPORT SERVICES. WE CONTINUE TO TRANSFORM WITH THE CHANGING HEALTH CARE LANDSCAPE TO SERVE OUR PATIENTS WITH THE GREATEST CARE AND LOVE. OSF HEALTHCARE SACRED HEART MEDICAL CENTER IS A 174-BED COMPREHENSIVE HEALTH CARE FACILITY SERVING DANVILLE, ILLINOIS. IT WAS ESTABLISHED IN 1882 IN A 14-ROOM FORMER HOTEL BY THE FRANCISCAN SISTERS OF THE SACRED HEART. WHEN THE HOSPITAL BECAME PART OF OSF HEALTHCARE IN FEBRUARY 2018, THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS RENAMED PRESENCE UNITED SAMARITANS MEDICAL CENTER TO OSF HEALTHCARE SACRED HEART MEDICAL CENTER TO HONOR THE LEGACY OF THE ORIGINAL FOUNDING SISTERS OF ST. ELIZABETH HOSPITAL. OUR STAFF OF 414 PROVIDES STATE-OF-THE-ART THERAPEUTIC, DIAGNOSTIC, MEDICAL, SURGICAL AND SUPPORT SERVICES TO OUR PATIENTS AND THEIR FAMILIES. OSF SACRED HEART HAS CONTINUED TO TRANSFORM WITH THE CHANGING HEALTH CARE LANDSCAPE. THE SERVICE AREAS SUPPORTED BY OSF SACRED HEART MEDICAL CENTER FALL WITHIN VERMILION COUNTY. IN 2021, THE US CENSUS BUREAU ESTIMATED VERMILION COUNTY'S POPULATION TO BE 73,870 RESIDENTS. THERE WAS A 5% DECREASE IN TOTAL POPULATION FROM 2017-2021. ACCORDING TO THE 2020 CENSUS BUREAU, 18.6% OF VERMILION COUNTY'S POPULATION WAS LIVING IN POVERTY. FOUNDED IN 1919, OSF HEALTHCARE SAINT LUKE MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN KEWANEE, ILLINOIS AND SERVES THE RURAL RESIDENTS OF HENRY & STARK COUNTIES. OSF SAINT LUKE PROVIDES A BROAD RANGE OF ACUTE CARE AND OUTPATIENT SERVICES INCLUDING A VARIETY OF SPECIALIST, EMERGENCY, REHABILITATION, AND DIAGNOSTIC IMAGING SERVICES. THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN) RECOGNIZED OSF SAINT LUKE FOR ITS ONGOING COMMITMENT TO EXCEPTIONAL QUALITY OF CARE WITH THE 2022 QUALITY OF CARE OUTCOMES AND TOP PERFORMANCE AWARDS. THEY WERE ALSO RECOGNIZED DURING THE IHA HEALTH EQUITY DAY AS A PILLAR AWARD WINNER FOR THEIR INNOVATIVE TRANSPORTATION PROJECT THAT HAS IMPACTED OVER 500 INDIVIDUALS DURING THIS YEAR. 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 INCREASED (1%) BETWEEN 2019 AND 2020. POPULATION TRENDS HAVE CONSISTENTLY SHOWN A POPULATION DECLINE OVER THE PAST DECADE ACROSS THE SERVICE AREA. IN HENRY COUNTY, THE PERCENTAGE OF INDIVIDUALS LIVING IN POVERTY BETWEEN 2016 AND 2019 DECREASED. THE POVERTY RATE FOR INDIVIDUALS IS 9.65%, WHICH IS LOWER THAN THE STATE OF ILLINOIS INDIVIDUAL POVERTY RATE OF 11.4%. OSF HEALTHCARE SAINT CLARE MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL OFFERING PRIMARY CARE, OUTPATIENT SERVICES AND A VARIETY OF SPECIALTY SERVICES FOR MORE THAN 100 YEARS TO THE 53,000 RESIDENTS OF BUREAU, MARSHALL AND PUTNAM COUNTIES. OSF SAINT CLARE IS PART OF OSF HEALTHCARE, A 16-HOSPITAL HEALTH SYSTEM SERVING ILLINOIS AND THE UPPER PENINSULA OF MICHIGAN, DRIVEN BY A MISSION TO SERVE WITH THE GREATEST CARE AND LOVE. KEY SERVICES INCLUDE: CARDIOLOGY; CARDIOPULMONARY REHABILITATION; 24-HOUR PHYSICIAN-STAFFED EMERGENCY DEPARTMENT; EMPLOYER HEALTH SERVICES; GASTROENTEROLOGY; GENERAL AND ORTHOPEDIC SURGERY; MEDICAL IMAGING CENTER - CT, MRI, NUCLEAR IMAGE AND 3D MAMMOGRAPHY; LABORATORY TESTING; PHYSICAL AND OCCUPATIONAL REHABILITATION; PRIMARY CARE AND PROMPT CARE; SWING BED SERVICES; RESPIRATORY CARE FEATURING SLEEP TESTING; SENIOR BEHAVIORAL WELLNESS AND WOUND CARE CLINIC. THE POPULATION IN BUREAU COUNTY HAS DECREASED BETWEEN 2017 AND 2021 BY 3.5%. THE POPULATION IN 2021 WAS 31,966. IN BUREAU COUNTY, THE PERCENTAGE OF INDIVIDUALS LIVING IN POVERTY BETWEEN 2018 AND 2019 DECREASED BY 0.2%. POVERTY HAS A SIGNIFICANT IMPACT ON THE DEVELOPMENT OF CHILDREN AND YOUTH. IN 2019 THE POVERTY RATE FOR FAMILIES LIVING IN BUREAU COUNTY OF 12.4% WAS HIGHER THAN THE STATE OF ILLINOIS FAMILY POVERTY RATE OF 11.4%.
Schedule H, Part VI, Line 4 COMMUNITY INFORMATION OSF HEALTHCARE LITTLE COMPANY OF MARY MEDICAL CENTER IS A 274-BED ACUTE CARE FACILITY LOCATED IN EVERGREEN PARK, IL THAT SERVES THE SOUTHWEST SIDE AND THE SOUTHWEST SUBURBS OF CHICAGO. OSF LITTLE COMPANY OF MARY IS THE HOME OF THE WORLD'S FIRST HUMAN ORGAN TRANSPLANT, PERFORMED IN 1950 BY DRS. RICHARD LAWLER, JAMES WEST AND RAYMOND MURPHY. OSF LITTLE COMPANY OF MARY, LOCALLY KNOWN AS THE "BABY HOSPITAL", HAS WELCOMED MORE 200,000 BABIES TO THE WORLD SINCE OPENING IN 1930. ADDITIONALLY, THE MEDICAL CENTER HAS RECEIVED NUMEROUS ACCOLADES. OSF LITTLE COMPANY OF MARY MEDICAL CENTER HAS BEEN RECOGNIZED BY U.S. NEWS & WORLD REPORT'S AS A HIGH-PERFORMING HOSPITAL IN SEVERAL AREAS, INCLUDING DIABETES CARE, COPD, KIDNEY FAILURE, STROKE CARE, AND HEART FAILURE CARE. OSF LITTLE COMPANY OF MARY HAS BEEN REPEATEDLY RECOGNIZED AS ONE OF AMERICA'S BEST BREAST CENTERS BY THE WOMEN'S CHOICE AWARD AND IS RECOGNIZED AS A BLUE CROSS AND BLUE SHIELD CENTER OF DISTINCTION FOR BARIATRIC SURGERY. 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 $3,267,608 (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 $7,546,529 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 20 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://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - SAINT ANTHONY MEDICAL CENTER: Line 16a URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - ST. JOSEPH MEDICAL CENTER: Line 16a URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - OSF HEART OF MARY MEDICAL CENTER: Line 16a URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - OSF SACRED HEART MEDICAL CENTER: Line 16a URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - ST. MARY MEDICAL CENTER: Line 16a URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - OSF SAINT ANTHONY'S HEALTH CENTER: Line 16a URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - ST. FRANCIS HOSPITAL: Line 16a URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - SAINT JAMES HOSPITAL: Line 16a URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - OSF SAINT LUKE MEDICAL CENTER: Line 16a URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - OSF HOLY FAMILY MEDICAL CENTER: Line 16a URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - LITTLE COMPANY OF MARY MEDICAL CENTER: Line 16a URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - Saint Clare Medical Center: Line 16a URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website - SAINT FRANCIS MEDICAL CENTER: Line 16b URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - SAINT ANTHONY MEDICAL CENTER: Line 16b URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - ST. JOSEPH MEDICAL CENTER: Line 16b URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - OSF HEART OF MARY MEDICAL CENTER: Line 16b URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - OSF SACRED HEART MEDICAL CENTER: Line 16b URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - ST. MARY MEDICAL CENTER: Line 16b URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - OSF SAINT ANTHONY'S HEALTH CENTER: Line 16b URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - ST. FRANCIS HOSPITAL: Line 16b URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - SAINT JAMES HOSPITAL: Line 16b URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - OSF SAINT LUKE MEDICAL CENTER: Line 16b URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - OSF HOLY FAMILY MEDICAL CENTER: Line 16b URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - LITTLE COMPANY OF MARY MEDICAL CENTER: Line 16b URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - Saint Clare Medical Center: Line 16b URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - SAINT FRANCIS MEDICAL CENTER: Line 16c URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - SAINT ANTHONY MEDICAL CENTER: Line 16c URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - ST. JOSEPH MEDICAL CENTER: Line 16c URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - OSF HEART OF MARY MEDICAL CENTER: Line 16c URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - OSF SACRED HEART MEDICAL CENTER: Line 16c URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - ST. MARY MEDICAL CENTER: Line 16c URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - OSF SAINT ANTHONY'S HEALTH CENTER: Line 16c URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - ST. FRANCIS HOSPITAL: Line 16c URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - SAINT JAMES HOSPITAL: Line 16c URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - OSF SAINT LUKE MEDICAL CENTER: Line 16c URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - OSF HOLY FAMILY MEDICAL CENTER: Line 16c URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - LITTLE COMPANY OF MARY MEDICAL CENTER: Line 16c URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; - Saint Clare Medical Center: Line 16c URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/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 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 ALMOST 24,000 MISSION PARTNERS IN 159 LOCATIONS, INCLUDING 16 HOSPITALS, WITH 2,134 LICENSED BEDS, 39 URGENT CARE LOCATIONS, AND TWO COLLEGES OF NURSING THROUGHOUT ILLINOIS AND MICHIGAN. OSF HEALTHCARE, THROUGH OSF HOME CARE SERVICES, OPERATES AN EXTENSIVE NETWORK OF SERVICES, INCLUDING EIGHT HOME HEALTH AGENCIES, EIGHT HOSPICE AGENCIES INCLUDING AN INPATIENT HOSPICE HOME, HOME INFUSION PHARMACY AND HOME MEDICAL EQUIPMENT. IT ALSO OWNS POINTCORE, INC., COMPOSED OF HEALTH CARE-RELATED BUSINESSES; OSF HEALTHCARE FOUNDATION, THE PHILANTHROPIC ARM FOR THE ORGANIZATION; AND OSF VENTURES, WHICH 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. OSF HEALTHCARE'S FLAGSHIP HOSPITAL IS OSF SAINT FRANCIS MEDICAL CENTER (SFMC) IN PEORIA. SINCE 1877, OSF SAINT FRANCIS MEDICAL CENTER HAS FULFILLED THE MISSION OF OUR SISTERS - TO SERVE ALL PERSONS WITH THE GREATEST CARE AND LOVE. WE HAVE GROWN INTO THE 5TH LARGEST MEDICAL CENTER IN ILLINOIS, WITH 649 PATIENT BEDS. A MAJOR TEACHING AFFILIATE OF THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE AT PEORIA, OSF SAINT FRANCIS MEDICAL CENTER IS A LEVEL 1 ADULT AND PEDIATRIC TRAUMA CENTER AND TERTIARY CARE MEDICAL CENTER. WE ARE ALSO HOME TO THE CHILDREN'S HOSPITAL OF ILLINOIS (CHOI), THE 3RD LARGEST PEDIATRIC HOSPITAL IN ILLINOIS AND THE ONLY FULL-SERVICE TERTIARY HOSPITAL FOR CHILDREN DOWNSTATE. FORMALLY ESTABLISHED AS A PEDIATRIC HOSPITAL WITHIN THE WALLS OF SFMC IN 1990 WITH 124 BEDS AND OVER 120 PEDIATRIC SUBSPECIALISTS, CHOI CARES FOR MORE CHILDREN IN ILLINOIS THAN ANY HOSPITAL OUTSIDE OF CHICAGO. SFMC IS ALSO HOME TO THE ILLINOIS NEUROLOGICAL INSTITUTE, A LEADER IN THE MIDWEST IN CARING FOR PATIENTS WITH THE MOST COMPLEX NEUROLOGICAL CONDITIONS. SFMC ALSO OPERATES OVER 20 HOSPITAL-BASED OUTPATIENT FACILITIES IN AND AROUND THE PEORIA AREA. 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 345,000. THE POVERTY RATE FOR THE TRI-COUNTY WAS 19.7% IN PEORIA COUNTY, 7.6% IN TAZEWELL COUNTY, AND 6.2% IN WOODFORD COUNTY FOR 2019. 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. OSF HEALTHCARE SAINT ANTHONY MEDICAL CENTER IN ROCKFORD IS A 254-BED TERTIARY CARE FACILITY AND LEVEL I TRAUMA CENTER SERVING A 10-COUNTY AREA. IT'S HOME TO OSF HEALTHCARE CARDIOVASCULAR INSTITUTE; OSF HEALTHCARE ILLINOIS NEUROLOGICAL INSTITUTE; AND OSF SURGICAL GROUP, THE LARGEST MULTI-SPECIALTY SURGICAL GROUP IN THE REGION. OSF SAINT ANTHONY IS ROCKFORD'S FIRST COMPREHENSIVE STROKE CENTER AND THE ONLY MEDICAL CENTER IN THE REGION PERFORMING TRANSCATHETER AORTIC VALUE REPLACEMENT (TAVR) SURGERY AND WATCHMAN IMPLANTS FOR HEART PATIENTS. OSF SAINT ANTHONY HAS RECEIVED MANY NATIONAL ACCOLADES. FOR THE PAST TWO YEARS, OSF SAINT ANTHONY HAS BEEN NAMED TO U.S. NEWS & WORLD REPORT'S BEST U.S. HOSPITALS LIST. IN 2017, TRUVEN HEALTH ANALYTICS AND MODERN HEALTHCARE NAMED OSF SAINT ANTHONY ONE OF THE TOP 50 HOSPITALS FOR CARDIOVASCULAR DISEASE. THE POPULATION IN WINNEBAGO COUNTY IN 2021 WAS 280,456. THE POVERTY RATE FOR WINNEBAGO COUNTY WAS 14.6 PERCENT IN 2019. DATA FROM THE LAST CENSUS INDICATE THE POPULATION OF WINNEBAGO COUNTY HAS SLIGHTLY DECREASED (1.5%) BETWEEN 2017 AND 2021. 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 174,090. 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 35,582 AS OF 2020. THE POVERTY RATE FOR LIVINGSTON COUNTY WAS 13 PERCENT IN 2019. DATA FROM THE LAST CENSUS INDICATE THE POPULATION OF LIVINGSTON COUNTY DECREASED (1%) BETWEEN 2019 AND 2020. 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 WAS 18.2% WARREN COUNTY WAS 12.9%, RESPECTIVELY. A TOTAL POPULATION OF 49,141 WAS USED FOR KNOX COUNTY. LIKEWISE, WARREN COUNTY TOTAL POPULATION IS 16,548. DATA FROM THE LAST CENSUS INDICATES THE POPULATION OF KNOX COUNTY DECREASED SLIGHTLY BETWEEN 2020 AND 2021. THE POPULATION OF WARREN COUNTY ALSO SLIGHTLY DECREASED BETWEEN 2020 AND 2021. THE SECONDARY SERVICE AREA INCLUDES PORTIONS OF KNOX COUNTY (GALESBURG ZIP CODES), AND PORTIONS OF MERCER AND MCDONOUGH COUNTIES.
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, 2023 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) 2022
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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
2022
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) EASTER SEALS CENTRAL ILLINOIS
507 EAST ARMSTRONG AVE
PEORIA,IL61603
37-0686250 501(C)(3) 25,000 0 N/A N/A SUPPORT OF ORG OPERATIONS
(2) HEARTLAND COMMUNITY HEALTH CLINIC
2214 N UNIVERSITY ST
PEORIA,IL61604
37-1270794 501(C)(3) 1,796,177 0 N/A N/A SUPPORT OF CLINIC OPERATIONS
(3) 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
(4) PEORIA PARK DISTRICT FOUNDATION
1125 W LAKE AVE
PEORIA,IL61614
37-1368760 501(C)(3) 400,000 0 N/A N/A SUPPORT COMMUNITY WELLNESS CENTER
(5) UNIVERSITY OF ILLINOIS FOUNDATION
1305 WEST GREEN STREET
URBANA,IL61801
37-6006007 501(C)(3) 3,614,448 0 N/A N/A SUPPORT OF CLINIC OPERATIONS
(6) YMCA of Rock River Valley
200 Y BLVD
ROCKFORD,IL61107
36-2174838 501(C)(3) 10,000 0 N/A N/A SUPPORT OF ORG OPERATIONS
(7) CRITTENTON CENTERS
442 W JOHN GWYNN JR AVE
PEORIA,IL616052476
37-0661506 501(C)(3) 10,000 0 N/A N/A SUPPORT OF ORG OPERATIONS
(8) RONALD MCDONALD HOUSE CHARITIES
610 NORTH SEVENTH STREET
SPRINGFIELD,IL62702
37-1145155 501(C)(3) 17,500 0 N/A N/A SUPPORT OF ORG OPERATIONS
(9) HEART OF ILLINOIS UNITED WAY
509 W HIGH STREET
PEORIA,IL61606
37-0661504 501(C)(3) 130,000 0 N/A N/A SUPPORT OF ORG OPERATIONS
(10) BRADLEY UNIVERSITY
1501 W BRADLEY AVE
PEORIA,IL61625
37-0661494 501(C)(3) 0 19,000 FMV FURNITURE SUPPORT OF ORG OPERATIONS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
10
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) 2022

Schedule I (Form 990) 2022
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 107 311,083 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) 2022



Additional Data


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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
2022
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
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
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)
1,651,171
-------------
0
0
-------------
0
113,454
-------------
0
15,250
-------------
0
28,235
-------------
0
1,808,110
-------------
0
0
-------------
0
2Gerald J McShane MD
 
Board Member
(i)

(ii)
31,000
-------------
170,152
0
-------------
0
0
-------------
2,147
0
-------------
9,139
0
-------------
19,389
31,000
-------------
200,827
0
-------------
0
3Chad E Boore
 
Former Chief Executive Officer Eastern Region
(i)

(ii)
422,266
-------------
0
0
-------------
0
563,862
-------------
0
15,250
-------------
0
18,948
-------------
0
1,020,326
-------------
0
0
-------------
0
4Stephen E Hippler MD
 
Former Chief Clinical Officer
(i)

(ii)
280,858
-------------
0
0
-------------
0
22,204
-------------
0
2,997
-------------
0
5,268
-------------
0
311,327
-------------
0
0
-------------
0
5Jared C Rogers
 
Former President, OSF HealthCare Heart of Mary Medical Center
(i)

(ii)
348,392
-------------
0
0
-------------
0
385,460
-------------
0
13,648
-------------
0
16,178
-------------
0
763,678
-------------
0
0
-------------
0
6Michael M Allen
 
Chief Financial Officer
(i)

(ii)
748,208
-------------
0
0
-------------
0
38,338
-------------
0
15,250
-------------
0
28,235
-------------
0
830,031
-------------
0
0
-------------
0
7Robert G Anderson
 
Chief Executive Officer Central Region
(i)

(ii)
549,896
-------------
0
0
-------------
0
25,102
-------------
0
15,250
-------------
0
20,388
-------------
0
610,636
-------------
0
0
-------------
0
8Robert L Brandfass
 
SVP Chief Legal Officer
(i)

(ii)
598,948
-------------
0
0
-------------
0
25,567
-------------
0
15,250
-------------
0
28,235
-------------
0
668,000
-------------
0
0
-------------
0
9Paula A Carynski
 
President, OSF HealthCare Saint Anthony Medical Center
(i)

(ii)
410,085
-------------
0
0
-------------
0
25,600
-------------
0
15,250
-------------
0
25,201
-------------
0
476,136
-------------
0
0
-------------
0
10Michelle D Conger
 
Chief Strategy Officer, OSF Healthcare/ CEO OnCall Digital Health
(i)

(ii)
660,753
-------------
0
0
-------------
0
24,289
-------------
0
10,500
-------------
0
25,201
-------------
0
720,743
-------------
0
0
-------------
0
11Roxanna Crosser
 
Chief Executive Officer Western Region (Through April 2023)
(i)

(ii)
464,194
-------------
0
0
-------------
0
43,441
-------------
0
4,679
-------------
0
20,480
-------------
0
532,794
-------------
0
0
-------------
0
12Michael A Cruz MD
 
Chief Operating Officer
(i)

(ii)
778,358
-------------
0
0
-------------
0
27,079
-------------
0
15,250
-------------
0
34,212
-------------
0
854,899
-------------
0
0
-------------
0
13Elizabeth A Davidson
 
Interim President, OSF Healthcare Saint James-John W. Albrecht Medical Center (Through June 2023)
(i)

(ii)
199,006
-------------
0
0
-------------
0
2,530
-------------
0
10,264
-------------
0
19,388
-------------
0
231,188
-------------
0
0
-------------
0
14Lisa DeKezel
 
President, OSF HealthCare Holy Family Medical Center and St. Mary Medical Center
(i)

(ii)
260,431
-------------
0
0
-------------
0
23,767
-------------
0
2,917
-------------
0
25,201
-------------
0
312,316
-------------
0
0
-------------
0
15John R Evancho
 
SVP Chief Integrity Officer
(i)

(ii)
314,694
-------------
0
0
-------------
0
2,417
-------------
0
15,250
-------------
0
27,951
-------------
0
360,312
-------------
0
0
-------------
0
16Carol A Friesen
 
Chief Executive Officer Eastern Region
(i)

(ii)
570,436
-------------
0
0
-------------
0
21,871
-------------
0
15,250
-------------
0
33,212
-------------
0
640,769
-------------
0
0
-------------
0
17Lynn A Fulton
 
President, OSF HealthCare St. Joseph Medical Center
(i)

(ii)
351,560
-------------
0
0
-------------
0
1,145
-------------
0
15,250
-------------
0
25,721
-------------
0
393,676
-------------
0
0
-------------
0
18David M Hall
 
SVP Info Systems/Chief Information Officer
(i)

(ii)
445,250
-------------
0
0
-------------
0
15,075
-------------
0
15,250
-------------
0
33,212
-------------
0
508,787
-------------
0
0
-------------
0
19Thomas G Hammerton
 
President OSF Healthcare Foundation Chief Development Officer
(i)

(ii)
385,683
-------------
0
0
-------------
0
43,588
-------------
0
15,250
-------------
0
34,212
-------------
0
478,733
-------------
0
0
-------------
0
20Ned Hill
 
President, OSF HealthCare Sacred Heart Medical Center
(i)

(ii)
282,900
-------------
0
272
-------------
0
21,229
-------------
0
10,348
-------------
0
25,201
-------------
0
339,950
-------------
0
0
-------------
0
21Kelly A Jefferson
 
President, OSF HealthCare St. Francis Hospital & Medical Group
(i)

(ii)
230,447
-------------
0
0
-------------
0
8,287
-------------
0
11,280
-------------
0
25,201
-------------
0
275,215
-------------
0
0
-------------
0
22Jacqueline D Kernan
 
President, OSF HealthCare Saint Clare Medical Center / Saint Luke Medical Center
(i)

(ii)
248,200
-------------
0
0
-------------
0
17,247
-------------
0
13,521
-------------
0
19,388
-------------
0
298,356
-------------
0
0
-------------
0
23Kathleen M Kinsella
 
President, OSF HealthCare Little Company of Mary Medical Center
(i)

(ii)
359,549
-------------
0
0
-------------
0
23,473
-------------
0
15,250
-------------
0
14,214
-------------
0
412,486
-------------
0
0
-------------
0
24James J Mormann
 
Chief Information Officer
(i)

(ii)
686,398
-------------
0
0
-------------
0
41,415
-------------
0
15,250
-------------
0
27,935
-------------
0
770,998
-------------
0
0
-------------
0
25Shelley A Nguyen
 
Chief Human Resources Officer
(i)

(ii)
356,642
-------------
0
0
-------------
0
641
-------------
0
6,894
-------------
0
17,833
-------------
0
382,010
-------------
0
0
-------------
0
26August J Querciagrossa
 
Chief Executive Officer Western Region
(i)

(ii)
427,974
-------------
0
0
-------------
0
22,974
-------------
0
9,100
-------------
0
28,235
-------------
0
488,283
-------------
0
0
-------------
0
27Jason R Rodeghero
 
President, OSF Home Care and Rehab Services
(i)

(ii)
260,542
-------------
0
0
-------------
0
1,436
-------------
0
13,478
-------------
0
25,201
-------------
0
300,657
-------------
0
0
-------------
0
28Erin N Rogers
 
Interim President, OSF HealthCare Heart of Mary Medical Center (Through Feb 2023)
(i)

(ii)
163,486
-------------
0
0
-------------
0
124
-------------
0
8,653
-------------
0
26,700
-------------
0
198,963
-------------
0
0
-------------
0
29Jerry W Rumph
 
President, OSF HealthCare Saint Anthony's Health Center
(i)

(ii)
248,303
-------------
0
0
-------------
0
17,620
-------------
0
13,237
-------------
0
130
-------------
0
279,290
-------------
0
0
-------------
0
30Bradley V Solberg
 
President, OSF HealthCare Saint James- John W. Albrecht Medical Center (Through Mar 2023)
(i)

(ii)
297,023
-------------
0
6,138
-------------
0
1,580
-------------
0
15,250
-------------
0
25,055
-------------
0
345,046
-------------
0
0
-------------
0
31Jeffry M Tillery
 
President, OSF Medical Group
(i)

(ii)
0
-------------
659,230
0
-------------
0
0
-------------
41,855
0
-------------
15,250
0
-------------
20,688
0
-------------
737,023
0
-------------
0
32Dawn C Trompeter
 
President, OSF Healthcare Saint Elizabeth Medical Center/ Saint Paul Medical Center
(i)

(ii)
0
-------------
270,742
0
-------------
0
0
-------------
23,805
0
-------------
13,684
0
-------------
13,214
0
-------------
321,445
0
-------------
0
33Ralph Velazquez MD
 
System Chief Medical Officer
(i)

(ii)
586,622
-------------
0
0
-------------
0
41,898
-------------
0
15,250
-------------
0
25,735
-------------
0
669,505
-------------
0
0
-------------
0
34Michael A Wells
 
President, OSF HealthCare Saint Francis Medical Center
(i)

(ii)
262,506
-------------
0
0
-------------
0
1,362
-------------
0
8,065
-------------
0
19,388
-------------
0
291,321
-------------
0
0
-------------
0
35Lori L Wiegand
 
Chief Nursing Officer
(i)

(ii)
470,378
-------------
0
0
-------------
0
36,286
-------------
0
15,250
-------------
0
9,303
-------------
0
531,217
-------------
0
0
-------------
0
36Leon A Yeh MD
 
VP Chief Medical Officer Emergency Serv
(i)

(ii)
545,840
-------------
0
0
-------------
0
20,624
-------------
0
15,250
-------------
0
13,214
-------------
0
594,928
-------------
0
0
-------------
0
37Iftekhar U Ahmad MD
 
Physician
(i)

(ii)
579,565
-------------
0
303,503
-------------
0
25,047
-------------
0
15,250
-------------
0
25,201
-------------
0
948,566
-------------
0
0
-------------
0
38Mete Korkmaz MD
 
Oncologist
(i)

(ii)
568,688
-------------
0
156,584
-------------
0
32,381
-------------
0
15,250
-------------
0
26,200
-------------
0
799,103
-------------
0
0
-------------
0
39James L McGee MD
 
Physician
(i)

(ii)
993,574
-------------
0
0
-------------
0
46,360
-------------
0
9,343
-------------
0
22,138
-------------
0
1,071,415
-------------
0
0
-------------
0
40Ismael Shaukat MD
 
Physician (through April 2023)
(i)

(ii)
524,290
-------------
0
229,738
-------------
0
22,682
-------------
0
15,250
-------------
0
25,201
-------------
0
817,161
-------------
0
0
-------------
0
41Eric D Webb
 
Vice President of Sales and Admin Officer
(i)

(ii)
220,138
-------------
7,040
890,140
-------------
0
20,633
-------------
0
7,458
-------------
0
25,201
-------------
0
1,163,570
-------------
7,040
0
-------------
0
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 4a Severance or change-of-control payment During calendar year 2022, Chad Boore was paid severance in the amount of $529,589 and Jared Rogers was paid severance in the amount of $381,560. These severance payments are included in (b)(iii) on Schedule J, Part II.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan To aid in retaining key employees, a 457(f) retirement allowance plan is available to executives. Each year the plan provides credits, expressed as dollar amounts, determined by a percentage of each participant's base salary. The percentage for each participant is defined in the plan. The deferred allowance is deposited in an account for each participant and invested in securities selected by the participant from a menu of available options. Vested benefits, with investments gains or losses, are paid to participants as regular taxable income. The plan defines provisions for distribution of benefits in the event of the participant's death or separation of employment prior to the elected vesting date. The amounts below; deferred in the current year and paid in the current year, respectively, are included in the amounts reported on schedule j, part ii, columns b(iii), (c), or (f). Michael Allen $0 / $0 Robert Anderson $0 / $0 Michelle Conger $0 / $0 Roxanna Crosser $0 / $0 Michael Cruz $0 / $0 Carol Friesen $0 / $0 Thomas Hammerton $0 / $0 Shelley Nguyen $0 / $0 August Querciagrossa $0 / $0 Robert Sehring $0 / $0 Jeffry Tillery $0 / $0 Ralph Velazquez $0 / $0 Lori Wiegand $0 / $0
Schedule J (Form 990) 2022

Additional Data


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

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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 .................. 38,040,000 5,585,000 17,045,000 73,075,000
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 $33 FOR TOTAL PROCEEDS REPORTED OF $121,790,793.
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 $1,755,294 FOR TOTAL PROCEEDS REPORTED OF $303,787,496.
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 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

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

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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 .................. 38,040,000 5,585,000 17,045,000 73,075,000
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 $33 FOR TOTAL PROCEEDS REPORTED OF $121,790,793.
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 $1,755,294 FOR TOTAL PROCEEDS REPORTED OF $303,787,496.
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 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: 22016089
Software Version: 2022v5.0

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) Ryan Sehring
 
Family Member - Robert Sehring - Officer 111,734 Employment   No
(2) David McGrew
 
Family Member - Sister Diane Marie McGrew, O.S.F - Board Member 154,249 Employment   No
(3) Jennifer Stoller
 
Family Member - Lori L Wiegand - Officer 84,035 Employment   No
(4) Tiffany Sehring
 
Family Member - Robert Sehring - Officer 79,456 Employment   No
(5) Jack Dintelman
 
Family Member - David M. Hall - Officer 97,711 Employment   No
(6) MAKENNA DINTELMAN
 
FAMILY MEMBER - DAVID M. HALL - OFFICER 88,981 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: 22016089
Software Version: 2022v5.0




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 $ 348,398,358 including grants of $ 6,387,683)(Revenue $ 175,401,892) 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 PROPOSED FINAL VERSION OF THE FORM 990 IS PROVIDED VIA AN ONLINE PORTAL TO ALL OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING. ANY APPROPRIATE CHANGES REQUESTED BY THE OFFICERS AND DIRECTORS ARE THEN INCORPORATED INTO THE FINAL FORM 990 AND ALL SCHEDULES BEFORE FILING.
Form 990, Part VI, Line 12c Conflict of interest policy DISCLOSURES BY OFFICERS, DIRECTORS AND TRUSTEES, AS WELL AS KEY EMPLOYEES AND EMPLOYEES CHARGED WITH PURCHASING, PROCUREMENT AND 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. 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 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VII, Section A PART VII, SECTION A REPORTABLE COMPENSATION IN PART VII WAS DETERMINED FROM A REVIEW OF PAYROLL QUERIES FROM THE ORGANIZATION'S AND RELATED ORGANIZATION'S PAYROLL AND GENERAL LEDGER MODULES, YEARLY PAYROLL REPORTS, AND W-2 FILINGS.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Revenue - Total Revenue: 36921470, Related or Exempt Function Revenue: 36739623, Unrelated Business Revenue: 181847, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN UNREALIZED MARKET VALUE OF SWAPS - 6695613; Pension Adjustment - 99439600; INCREASE IN PERMANENTLY RESTRICTED ASSETS - 13945225; REVERSAL OF MINIMUM PENSION LIABILITY - -5537582; MINORITY INTEREST - 4183405; EQUITY TRANSFERS - -XXX-XX-XXXX; INVESTMENT RETURN - 587430; NET SETTLEMENT OF DERIVATIVE INSTRUMENT - -1456449;
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: 22016089
Software Version: 2022v5.0
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 EMERGENCY TRANSPORT LLC FKA OSF LIFELINE AMBULANCE LLC
318 ROXBURY ROAD
ROCKFORD,IL61107
20-0080542
AMBULANCE SVS IL -291,617 50,595 OSF
 
(2) SAINT ANTHONY'S LLC
915 EAST 5TH STREET
ALTON,IL62002
37-1407745
LOW INC HOUSING IL 0 0 OSF
 








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


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


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

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
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 SURGERY CENTER LLC

8800 N STATE ROUTE 91
PEORIA,IL61615
20-5557171
SURGICAL CENTER IL OSF
 
Related 2,614,652 138,366   No 0   No 59.78 %
(2) EASTLAND MED PLAZA SURGICENTER LLC

1505 EASTLAND DRIVE
Bloomington,IL61701
37-1400643
SURGICAL CENTER IL OSF
 
Related 1,132,710 2,688,328   No 0   No 56.58 %
(3) FT JESSE IMAGING CENTER LLC

2200 FT JESSE ROAD
SUITE B
NORMAL,IL61761
46-0515604
MEDICAL IMAGING IL OSF
 
Related -354,423 -1,361,852   No 0   No 50.14 %
(4) SAINT CLARE'S VILLA

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

1211 STARFIRE DR
OTTAWA,IL61350
87-0805865
ONCOLOGY IL ORHHC
 
Related       No     No  
(6) GREATER PEORIA SPECIALTY HOSPITAL LLC

680 S 4TH STREET
LOUISVILLE,KY40202
26-1579585
ACUTE LONG TERM CARE HOSPITAL DE OSF
 
Related -6,836,130 4,270,031   No 0   No 75 %
(7) ONCALL IMAGING LLC

1609 1ST AVENUE
ROCK FALLS,IL61071
92-1514438
MEDICAL IMAGING IL OSF
 
Related -331,599 6,630,661   No 0 Yes    
(8) OLYMPIAN SURGICAL SUITES LLC

1002 INTERSTATE DR
CHAMPAIGN,IL61822
26-1787007
SURGICAL CENTER IL OSF
 
Related -107,809 1,176,255   No 0 Yes    
(9) UP CARDIOLOGY PARTNERS LLC

3401 LUDINGTON STREET
ESCANABA,MI49829
80-3086977
CARDIOLOGY CLINIC MI OSF
 
Related 0 0   No 0 Yes    
(10) 124 ADAMS PROPERTY MANAGEMENT LLC

124 SW ADAMS STREET
PEORIA,IL61602
35-2620119
REAL ESTATE IL POINTCORE INC
 
Unrelated       No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Pointcore Inc

124 SW Adams St
PEORIA,IL61602
36-3484677
HEALTHCARE SVCS IL OSF
 
C Corporation 117,921,768 211,212,451 100 % Yes  
(2) ILLINOIS PATHOLOGST SERVICES LLC

5666 EAST STATE STREET
ROCKFORD,IL61108
80-0439081
PATHOLOGY SVCS IL OSF
 
C Corporation 337,394 0 100 % Yes  
(3) SOUTHWEST HEALTH SYSTEMS INC

2800 WEST 95TH STREET
EVERGREEN PARK,IL60805
36-3425830
HEALTHCARE SERVICES IL OSF
 
C Corporation 187,534 5,822,140 100 % 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
(6) OSF FINANCE COMPANY LLC

124 SW ADAMS STREET
PEORIA,IL61602
26-1479218
FINANCE COMPANY IL POINTCORE INC
 
C Corporation         No
(7) POINTCORE SUPPLY CHAIN SERVICES LLC

124 SW ADAMS STREET
PEORIA,IL61602
85-3966960
SUPPLY CHAIN SERVICES IL 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 1,103,494 FMV
(2) EASTLAND MEDICAL PLAZA SURGICENTER LLC

A 665,585 FMV
(3) POINTCORE INC

A 369,419 FMV
(4) GREATER PEORIA SPECIALTY HOSPITAL LLC

B 6,000,000 FMV
(5) POINTCORE INC

D 486,317 FMV
(6) POINTCORE INC

L 3,876,926 FMV
(7) ILLINOIS PATHOLOGIST SERVICES LLC

L 1,713,830 FMV
(8) POINTCORE INC

M 57,018,650 FMV
(9) POINTCORE INC

P 674,717 FMV
(10) ILLINOIS PATHOLOGIST SERVICES LLC

P 1,243,151 FMV
(11) EASTLAND MEDICAL PLAZA SURGICENTER LLC

S 981,110 FMV
(12) FORT JESSE IMAGING CENTER LLC

S 824,858 FMV
(13) CENTER FOR HEALTH AMBULATORY SURGERY CENTER LLC

S 3,337,020 FMV
(14) OSF ASSURANCE COMPANY

B 7,500,000 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


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