2024-08-09T06:56:10+00:00 2023-09-30 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2022-10-01 362604009 Ottawa Regional Hospital & Healthcare Center OTTA 3096552850 124 SW Adams St Peoria IL 61602 MICHAEL M ALLEN CFO 3096552850 2024-08-09 true Jennifer Burke P01342224 3128997000 2022 2024-08-08 14:25:15Z OSF Saint Elizabeth Medical Center Michael M Allen 124 SW Adams St Peoria IL 61602 197815421 false X https://www.osfhealthcare.org X 1964 IL 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. 11 7 688 32 0 0 6232419 3968191 149220604 190718974 10 0 278605 479688 155731638 195166853 2025250 1025500 0 52100188 67410378 0 0 63640855 69486224 117766293 137922102 37965345 57244751 98484461 145804452 12992433 14040848 85492028 131763604 THE MISSION OF OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER IS TO MAINTAIN A LEADERSHIP POSITION IN THE PROVISION OF EFFICIENT AND QUALITY HEALTHCARE SERVICES CONSISTENT WITH THE NEEDS OF THE COMMUNITY AND THE RESOURCES OF THE HOSPITAL. OUR HEALTHCARE ORGANIZATION WILL PROVIDE SERVICES FOR ALL MEMBERS OF THE COMMUNITY, REGARDLESS OF ABILITY TO PAY. false false 109284441 1025500 191491458 OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER is licensed to operate 97 patient beds, including 26 patient beds in the psychiatric care unit. The hospital provided $6,359,458 in financial assistance to the community during fiscal year 2023. The Hospital's services provided during fiscal year 2023 are as follows: Patient days of 14,940, Psychiatric care days of 5,804, Outpatient visits of 176,389, and Patient visits to the emergency room of 32,410. 109284441 true true false true false false false false true true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 10 0 true 688 true false false false false false false false false false false false false X 11 7 false false false false true true false true true true false true true true true true true true true true true IL X MICHAEL M ALLEN 3096552850 124 SW Adams St Peoria IL 61602 Robert C Sehring Vice Chairperson Chief Executive Officer 1.0 43.0 X X 0 1764625 43485 Sister Agnes Joseph Williams OSF Assistant Secretary 1.0 43.0 X X 0 0 0 Sister Diane Marie McGrew OSF President and Treasurer 1.0 43.0 X X 0 0 0 Sister Judith Ann Duvall OSF Chairperson 1.0 43.0 X X 0 0 0 Sister Theresa Ann Brazeau OSF Secretary 1.0 43.0 X X 0 0 0 Brian J Silverstein MD Board Member 1.0 42.0 X 0 45000 0 Gerald J McShane MD Board Member 1.0 42.0 X 0 203299 28528 Sister M Angelica Neumann FSGM Board Member 1.0 42.0 X 0 0 0 Sister M Beata Ziegler FSGM Board Member 1.0 42.0 X 0 0 0 Sister M Mikela Meidl FSGM Board Member 1.0 43.0 X 0 0 0 Sister Rose Therese Mann OSF Board Member 1.0 43.0 X 0 0 0 August J Querciagrossa Chief Executive Officer Western Region 1.0 41.0 X 0 450948 37335 Bradley V Solberg President, OSF HealthCare Saint James- John W. Albrecht Medical Center (Through Mar 2023) 1.0 41.0 X 0 304741 40305 Carol A Friesen Chief Executive Officer Eastern Region 1.0 41.0 X 0 592307 48462 David Fergus Chief Supply Chain Officer (Beginning March 2023) 1.0 41.0 X 0 0 0 David M Hall SVP Info Systems/Chief Information Officer 1.0 41.0 X 0 460325 48462 Dawn C Trompeter President, OSF Healthcare Saint Elizabeth Medical Center/ Saint Paul Medical Center 20.5 21.5 X 294547 0 26898 Derrick Frazier President, OSF Healthcare Saint James-John W. Albrecht Medical Center (Beginning June 2023) 1.0 41.0 X 0 0 0 Elizabeth A Davidson Interim President, OSF Healthcare Saint James-John W. Albrecht Medical Center (Through June 2023) 1.0 41.0 X 0 201536 29652 Erin N Rogers Interim President, OSF HealthCare Heart of Mary Medical Center (Through Feb 2023) 1.0 41.0 X 0 163610 35353 Jacqueline D Kernan President, OSF HealthCare Saint Clare Medical Center / Saint Luke Medical Center 1.0 41.0 X 0 265447 32909 James J Mormann Chief Information Officer 1.0 41.0 X 0 727813 43185 Jason R Rodeghero President, OSF Home Care and Rehab Services 1.0 41.0 X 0 261978 38679 Jeffry M Tillery President, OSF Medical Group 1.0 41.0 X 0 701085 35938 Jerry W Rumph President, OSF HealthCare Saint Anthony's Health Center 1.0 41.0 X 0 265923 13367 John R Evancho SVP Chief Integrity Officer 1.0 41.0 X 0 317111 43201 John T Barnhart President, OSF HealthCare Heart of Mary Medical Center (Beginning Feb 2023) 1.0 41.0 X 0 0 0 Kathleen M Kinsella President, OSF HealthCare Little Company of Mary Medical Center 1.0 41.0 X 0 383022 29464 Kelly A Jefferson President, OSF HealthCare St. Francis Hospital & Medical Group 1.0 41.0 X 0 238734 36481 Leon A Yeh MD VP Chief Medical Officer Emergency Serv 1.0 41.0 X 0 566464 28464 Lisa DeKezel President, OSF HealthCare Holy Family Medical Center and St. Mary Medical Center 1.0 41.0 X 0 284198 28118 Lori L Wiegand Chief Nursing Officer 1.0 41.0 X 0 506664 24553 Lynn A Fulton President, OSF HealthCare St. Joseph Medical Center 1.0 41.0 X 0 352705 40971 Michael A Cruz MD Chief Operating Officer 1.0 41.0 X 0 805437 49462 Michael A Wells President, OSF HealthCare Saint Francis Medical Center 1.0 41.0 X 0 263868 27453 Michael M Allen Chief Financial Officer 1.0 42.0 X 0 786546 43485 Michelle D Conger Chief Strategy Officer, OSF Healthcare/ CEO OnCall Digital Health 1.0 41.0 X 0 685042 35701 Ned Hill President, OSF HealthCare Sacred Heart Medical Center 1.0 41.0 X 0 304401 35549 Paula A Carynski President, OSF HealthCare Saint Anthony Medical Center 1.0 41.0 X 0 435685 40451 Ralph Velazquez MD System Chief Medical Officer 1.0 41.0 X 0 628520 40985 Robert G Anderson Chief Executive Officer Central Region 1.0 41.0 X 0 574998 35638 Robert L Brandfass SVP Chief Legal Officer 1.0 41.0 X 0 624515 43485 Roxanna Crosser Chief Executive Officer Western Region (Through April 2023) 1.0 41.0 X 0 507635 25159 Shelley A Nguyen Chief Human Resources Officer 1.0 41.0 X 0 357283 24727 Thomas G Hammerton President OSF Healthcare Foundation Chief Development Officer 1.0 42.0 X 0 429271 49462 Joseph W Chuprevich MD Physician 40.0 0 X 542226 0 34638 Marianne Mikat-Stevens MD Physician 40.0 0 X 509482 0 15380 Molly M Kelly MD Physician 40.0 0 X 470458 0 46149 Sherine Hanna MD Medical Director OSF Saint Elizabeth Medical Center 40.0 0 X 531972 0 15380 Wajid Hussain MD Physician 40.0 0 X 390525 0 48362 Chad E Boore Former Chief Executive Officer Eastern Region 0.0 0.0 X 0 986128 34198 Jared C Rogers Former President, OSF HealthCare Heart of Mary Medical Center 0.0 0.0 X 0 733852 29826 Stephen E Hippler MD Former Chief Clinical Officer 0.0 0.0 X 0 303062 8265 2739210 17483778 1417565 45 true true false 1 0 0 0 324255 3636364 7572 3968191 NET PATIENT SERVICE REVENUE 621110 190127679 190127679 CONTRACT PHARMACY 621110 591295 591295 0 0 0 0 190718974 2019942 2566889 -546947 0 -546947 -546947 0 0 0 0 0 0 0 0 0 0 0 0 84398 81679 2719 2719 CAFETERIA 722320 251432 251432 CONTRACT LABOR 900099 34367 34367 AFFILIATE SERVICES 621300 626861 626861 111256 111256 0 0 1023916 195166853 191491458 0 -292796 1025500 1025500 0 0 0 0 0 0 337720 270176 67544 0 0 53379899 44140998 9238901 1758259 1439894 318365 8529927 5755771 2774156 3404573 2783929 620644 20837887 14620168 6217719 0 0 0 0 28702 28702 0 0 0 0 10495752 10163600 332152 0 2531 2531 2285674 1405561 880113 49680 42277 7403 0 0 1074822 53087 1021735 201880 135771 66109 0 0 82201 70608 11593 0 0 0 0 5250409 975862 4274547 2301358 2187190 114168 MEDICAL SUPPLIES 15890665 14884023 1006642 BAD DEBT 3732983 3717345 15638 MAINTENANCE 1356506 144661 1211845 MEDICAID ASSESSMENT EXPENSE 4966832 4966832 928342 498657 429685 0 137922102 109284441 28637661 0 822 822 8992712 46883537 0 0 17359870 25832233 0 0 0 0 0 0 2852826 2808610 360190 21220 128412203 75494634 50207445 52917569 17156835 15764683 0 0 0 0 1553761 1575778 98484461 145804452 11511405 12938842 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1481028 1102006 12992433 14040848 X 85392183 131673219 99845 90385 0 0 0 0 0 0 85492028 131763604 98484461 145804452 X 57244751 1411763 -12384938 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true 0 false false false false true 28702 28702 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1D-MAILING EXPENSES THE ONLY COST OF MAILING RELATED TO LOBBYING EXPENSES IS RELATED TO THE COST OF STAMPS. THE TOTAL EXPENITURES RELATED TO MAILING IS MINOR AND THE ACTUAL DOLLAR AMOUNT IS NOT READILY AVAILABLE. 1F-LOBBYING ACTIVITIES THE ORGANIZATION'S LOBBYING ACTIVITIES INCLUDE PAYING MEMBERSHIP DUES TO THE ILLINOIS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION, WHO PARTICIPATE IN LOBBYING ACTIVITIES ON BEHALF OF HEALTHCARE ORGANIZATIONS. 4725 4725 4725 4725 4725 4725 4725 4725 4725 4725 0.0 1.0 0.0 false true true 3563906 3563906 79850051 43628198 36221853 3114070 2729417 384653 37421913 27731593 9690320 4462263 1405426 3056837 52917569 ACCRUED BENEFIT LIABILITY 325826 ASSET RETIREMENT OBLIGATION 397346 ADVANCES DUE CORP MEDICARE ADVANCE PAYMENTS Lease Obligation 378834 1102006 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE EARNINGS FROM THE FUND ARE USED FOR GENERAL SUPPORT PURPOSES. 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. true true X true X 250 true X true true false true true 1288948 1288948 0.0093 30899656 30899656 0 0.0 0 0.0 0 0 32188604 30899656 1288948 0.0093 398168 7600 390568 0.0028 60135 60135 0.0004 15968870 12162862 3806008 0.0276 0 0.0 59801 59801 0.0004 0 0 16486974 12170462 4316512 0.0313 0 0 48675578 43070118 5605460 0.0406 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 614752 0 31150335 37048415 -5898080 X true true 1 1 OTTAWA REGIONAL HOSPITAL & HEALTHCARE 1100 EAST NORRIS DRIVE OTTAWA IL 61350 HTTPS://WWW.OSFHEALTHCARE.ORG/SAINT-ELIZABETH/ IL0005520 X X X OTTAWA REGIONAL HOSPITAL & HEALTHCARE 1 false false true X X X X X X X X X 22 true true false true X https://x.osfhealthcare.org/patients-visitors/about/community-health X true 22 false true false true X 250.0 400.0 X X X X X true true X X X X true X https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance X hhttps://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance X https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance X X X X X X X true X false X X X X true X false false 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 - OTTAWA REGIONAL HOSPITAL AND HEALTH CARE CENTER. FOR THE 2022 CHNA, OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER d/b/a OSF SAINT ELIZABETH MEDICAL CENTER SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) CURRENT PUBLIC HEALTH ADMINISTRATOR AT THE LASALLE COUNTY HEALTH DEPT. and CURRENT HEALTH EDUCATOR AND PUBLIC INFORMATION FROM THE LASALLE COUNTY HEALTH DEPT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE PRIOR AND NEW 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 WAS RECEIVED FROM A COLLABORATIVE TEAM CREATED TO CONDUCT THE CHNA, WHICH INCLUDED CONSUMER ADVOCATES, REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, ACADEMIC EXPERTS AND HEALTH EDUCATORS, LOCAL GOVERNMENT OFFICIALS, ADMINISTRATORS FROM LOCAL SCHOOL DISTRICTS, HEALTH CARE PROVIDERS AND COMMUNITY HEALTH CENTERS, EXECUTIVE DIRECTOR OF IL VALLEY PADS HOMELESS SHELTER PROGRAM, PROGRAM COORDINATOR FOR THE YOUTH SERVICE BUREAU OF IL VALLEY SERVING THE LATINO POPULATION ENROLLED IN PUBLIC BENEFITS, EXECUTIVE DIRECTOR OF UNITED WAY, AND EXECUTIVE DIRECTOR OF MENDOTA AREA SENIOR SERVICES. MEMBERS OF THE COLLABORATIVE TEAM BY NAME, AFFILIATIONS, TITLE AND EXPERTISE ARE LISTED IN APPENDIX 1 TO THE 2022 CHNA. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER DBA OSF SAINT ELIZABETH MEDICAL CENTER - OTTAWA, IL. THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR 2022 FOR LASALLE COUNTY WAS A COLLABORATIVE UNDERTAKING BY OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER DBA OSF SAINT ELIZABETH MEDICAL CENTER AND MENDOTA COMMUNITY HOSPITAL DBA OSF SAINT PAUL MEDICAL CENTER. THE CHNA HIGHLIGHTS THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN LASALLE COUNTY. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER. OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER d/b/a OSF SAINT ELIZABETH MEDICAL CENTER COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2022 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2022. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2023, 2024 AND 2025. THE LASALLE COUNTY CHNA WAS DONE AS A COLLABORATIVE UNDERTAKING BY OSF SAINT ELIZABETH AND OSF SAINT PAUL MEDICAL CENTERS TO HIGHLIGHT THE HEALTH NEEDS AND WELL BEING OF RESIDENTS IN LASALLE COUNTY. THE COLLABORATIVE TEAM IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: HEALTHY BEHAVIORS, BEHAVIORAL HEALTH AND HEALTHY AGING. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE HOSPITALS DEVELOPED AN IMPLEMENTATION STRATEGY DESCRIBING THE ACTIONS THE HOSPITALS INTEND TO TAKE TO ADDRESS BOTH PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITALS PLAN TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITALS REVIEW THEIR IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKE REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITALS HAVE ADDRESSED THE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. HEALTHY BEHAVIORS DEFINED AS - ACTIVE LIVING, HEALTHY EATING AND OBESITY GOALS. ACTIVE LIVING: GOAL: INCREASE TOTAL ACTIVITY OF CITIZENS IN LASALLE COUNTY OVER THE NEXT 3 YEARS AS EVIDENCED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY. OUTCOME METRIC: DECREASE TOTAL NUMBER OF RESPONDENTS THAT INDICATED THEY DO NOT EXERCISE AT ALL FROM 22% TO 20% BY 2025. TACTICS AND PROGRESS FOR FY 2023: (1) INCREASE AWARENESS OF ALL CURRENT AVAILABLE ACTIVITIES BY SEASON THROUGH PROMOTION ON SOCIAL MEDIA. FY23 Progress: COLLECTED INFORMATION FROM MENDOTA, OTTAWA, AND STREATOR LEADERS AND SHARED ON HEALTHIER LASALLE COUNTY WEBPAGE, OSF I-80 FACEBOOK PAGES, AND LIVE WELL STREATOR FACEBOOK PAGE. (2) INCREASE KNOWLEDGE/AWARENESS FOR PARTICIPATION IN ACTIVITIES. FY23 PROGRESS: COLLECTED INFORMATION FROM MENDOTA, OTTAWA, AND STREATOR LEADERS AND SHARED ON HEALTHIER LASALLE COUNTY WEBPAGE, OSF I-80 FACEBOOK PAGES, AND LIVE WELL STREATOR FACEBOOK PAGE. (3) PROMOTE THE USE OF BIKE ROUTES/WALKING PATHS IN MENDOTA, OTTAWA AND STREATOR. FY23 Progress: PROMOTED THE UNIVERSITY OF ILLINOIS EXTENSION'S WALKING GUIDE OF OTTAWA, STREATOR, MENDOTA, AND PERU MARKETS ON OSF CENTER FOR HEALTH STREATOR'S WAITING ROOM DIGITAL SCREENS. LIVE WELL STREATOR PARTNERED WITH THE STREATOR CHAMBER OF COMMERCE ON A HISTORICAL WALKING TOUR ON OCTOBER 14, 2022. A BUSINESS POKER WALK ON SEPTEMBER 16, 2023. THE U OF I EXTENSION'S WALKING GUIDE WAS ALSO PROMOTED ON JUNE 10, 2023, AT LIVE WELL STREATOR'S FAMILY HEALTH & FITNESS DAY AND ON SEPTEMBER 13, 2022, AT WOODLAND HIGH SCHOOL WELLNESS WALK. (4) INCREASE OFFERING OF THE HEALTHY KIDS U PROGRAM. FY23 Progress: OTTAWA YMCA UTILIZED HKU PROGRAMMING MODULES DURING THEIR 2023 KIDS SUMMER CAMP. PROMOTED HKU MODULES AT: WOODLAND SCHOOL DISTRICT'S WELLNESS EVENT SEPTEMBER 13, 2022. LASALLE COUNTY REGIONAL OFFICE OF EDUCATION'S PARENT/CAREGIVER NIGHTS FEBRUARY 22, 2023. SEPTEMBER 25, 2023; STREATOR AND MENDOTA YMCA'S HEALTHY KIDS DAY, APRIL 29, 2023 AND ILLINOIS JUNIOR FAIR ON JULY 13, 2023. HEALTHY EATING GOAL: INCREASE COMMUNITY CONSUMPTION OF FRUITS/VEGETABLES IN LASALLE COUNTY. OUTCOME METRIC: INCREASE THE NUMBER OF RESPONDENTS THAT CONSUME 3 TO 5 SERVINGS OF FRUITS AND VEGETABLES PER DAY FROM 32% TO 34% BY 2025. FY23 Progress: Distributed AND Promoted ARTICLES AND EDUCATION ON HEALTHY EATING THROUGH SOCIAL MEDIA. COLLECTED INFORMATION FROM MENDOTA, OTTAWA, AND STREATOR LEADERS AND SHARED ON HEALTHIER LASALLE COUNTY WEBPAGE, OSF I-80 FACEBOOK PAGES, AND LIVE WELL STREATOR FACEBOOK PAGE. Increased POUNDS PRODUCED IN COMMUNITY GARDENS. OSF MENDOTA, OTTAWA, AND STREATOR GARDENS HARVESTED 2,875 POUNDS OF PRODUCE WHICH WAS DONATED TO LOCAL FOOD PANTRIES AND 54 FLORAL DECORATIONS GIVEN TO LOCAL NURSING HOMES. (3) INCREASE OFFERINGS OF THE HEALTHY KIDS U PROGRAM. FY23 Progress: Hosted A HEALTHY KIDS U SESSION QUARTERLY. ALTHOUGH WE DID NOT HOLD AN HKU SESSION QUARTERLY, THE OTTAWA YMCA UTILIZED HKU PROGRAMMING MODULES DURING THEIR 2023 KIDS SUMMER CAMP. WE ALSO USED MODULES IN STREATOR AND MENDOTA YMCA'S HEALTHY KIDS' DAY on APRIL 29, 2023. (4) CONDUCT THE ILLINOIS JR. CHEF'S COOKING SCHOOL IN THREE COMMUNITIES. FY23 Progress: PARTICIPATED IN UNIVERSITY OF ILLINOIS EXTENSION'S ILLINOIS JR. CHEF CLASSES IN STREATOR, OTTAWA, AND MARSEILLES. MENTAL HEALTH GOAL: INCREASE THE OVERALL COMMUNITY UNDERSTANDING OF MENTAL HEALTH NEEDS AND SERVICES IN LASALLE COUNTY OUTCOME MEASURE: DECREASE THE NUMBER OF SUICIDE DEATHS IN LASALLE COUNTY BY 2% BY 2025. TACTICS FOR PROGRESS IN 2023: (1) INCREASE EDUCATIONAL OPPORTUNITIES FOR MENTAL HEALTH. FY23 Progress: PARTICIPATED IN LASALLE COUNTY REGIONAL OFFICE OF EDUCATION PARENT/CAREGIVER NIGHTS FOR MENTAL HEALTH AWARENESS IN STREATOR on FEB 22, 2023, AND SEPTEMBER 25, 2023. 2. LIVE WELL STREATOR COLLABORATED WITH STREATOR TOWNSHIP HIGH SCHOOL SNOWBALL TO BRING CHRIS HERREN, FORMER NBA PLAYER AND RECOVERING ADDICT WHO SPOKE TO STUDENTS FROM TWO HIGH SCHOOLS AND THE COMMUNITY ON MARCH 1, 2023. 3. PROMOTED SILVERCLOUD THROUGH OUR I-80 FARM GRANT THROUGH NEWSPAPER, RADIO AND SOCIAL MEDIA STARTING 2/2/23. 4. PARTICIPATED IN ILLINOIS VALLEY COMMUNITY COLLEGE'S STUDENT HEALTH FAIR TO PROMOTE HEALTHY EATING, ACTIVITY, SLEEP HYGIENE AND THE ILLINOIS HELPLINE ON APRIL 20, 2023. (2) INCREASED UTILIZATION OF BEHAVIORAL HEALTH NAVIGATOR. Progress for FY 2023: THERE WERE 274 REFERRALS SPLIT BETWEEN JENNY BOYD AND JOSPEH PINGO. SUBSTANCE ABUSE GOAL: REDUCE OVERALL SUBSTANCE ABUSE IN MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS IN LASALLE COUNTY. OUTCOME MEASURE: AN OVERALL REDUCTION OF 2% IN EACH SUBSTANCE CATEGORY FOR PAST YEAR USAGE OF 8TH, 10TH, AND 12TH GRADERS AS REPORTED BY THE ILLINOIS YOUTH SURVEY, UNIVERSITY OF ILLINOIS 2022 LASALLE COUNTY REPORT. TACTICS FOR PROGRESS IN 2023: (1) INCREASE EDUCATIONAL OPPORTUNITIES FOR SUBSTANCE ABUSE. FY23 Progress: 1. PARTICIPATED IN ILLINOIS VALLEY COMMUNITY COLLEGE'S STUDENT HEALTH FAIR TO PROMOTE HEALTHY EATING, ACTIVITY, SLEEP HYGIENE AND THE ILLINOIS HELPLINE ON APRIL 20, 2023. LIVE WELL STREATOR COLLABORATED WITH STREATOR TOWNSHIP HIGH SCHOOL SNOWBALL TO BRING CHRIS HERREN, FORMER NBA PLAYER AND RECOVERING ADDICT WHO SPOKE TO STUDENTS FROM TWO HIGH SCHOOLS AND THE COMMUNITY ON MARCH 1, 2023. 3. LIVE WELL STREATOR PUBLISHED FOUR STREATOR DRUG FREE PRESS NEWSLETTERS THROUGH THE STREATOR CHAMBER OF COMMERCE ON OCTOBER 11, 2023, JANUARY 17, 2023, APRIL 18, 2023, AND JULY 27, 2023. (2) INCREASE NARCAN TRAINING AMONG THE YOUTH. FY23 Progress: NARCAN TRAINING WAS PROMOTED BY OUR COMMUNITY PARTNER, THE PERFECTLY FLaWED FOUNDATION AT THE LIVE WELL STREATOR/STREATOR TOWNSHIP HIGH SCHOOL SNOWBALL CHRIS HERREN PRESENTATION ON MARCH 1, 2023, AND AT THE LASALLE COUNTY REGIONAL OFFICE OF EDUCATION'S PARENT/CAREGIVER NIGHT ON FEBRUARY 22, 2023, AND SEPTEMBER 25, 2023. HEALTHY AGING GOAL: IMPROVE HEALTH AND WELLBEING FOR OLDER ADULTS IN LASALLE COUNTY. OUTCOME MEASURE: DECREASE THE PERCENTAGE OF POPULATION THAT PERCEIVES HEALTHY AGING AS ONE OF THE BIGGEST HEALTH ISSUES IN LASALLE COUNTY FROM 12% TO 10% BY 2025. (1) INCREASE NUMBER OF SENIORS PARTICIPATING IN YMCA. FY23 Progress: FROM JANUARY - DECEMBER 2023: YMCA MENDOTA - 125 SENIOR MEMBERSHIPS; YMCA STREATOR - 697 SENIOR MEMBERSHIPS; YMCA OTTAWA - 751 SENIOR MEMBERSHIPS. (2) FACILITATE PARTICIPATION IN THE NUMBER OF EVENTS/ACTIVITIES GEARED TOWARD SENIORS. FY23 Progress: KATIE KAUFMAN LED A HEALTHY EATING DISCUSSION AT THE OTTAWA YMCA ON MARCH 15, 2023. ANNE LAUTERJUNG AND ELLEN VOGEL LED A GROCERY STORE TOUR OF THE OTTAWA KROGER ON JULY 23, 2023. PARTNERED WITH THE U OF I EXTENSION FOR CREATE BETTER HEALTH CLASS ON SEPTEMBER 6, 2023, AT THE OSF CENTER FOR HEALTH STREATOR. AT LIVE WELL STREATOR'S JUNE 10, 2023, FAMILY HEALTH & FITNESS DAY, A YMCA INSTRUCTOR LED SENIORS IN CHAIR EXERCISES. PARTICIPATED WITH THE OSF KING CARE-A-VAN AT THE LASALLE COUNTY VETERANS' EXPO ON MAY 18, 2023. ANNE LAUTERJUNG AND ELLEN VOGEL LED AN EASING INTO EXERCISE DIABETES SUPPORT GROUP CLASS IN STREATOR ON JUNE 21, 2023. (3) INCREASE TOTAL NUMBER OF PUBLIC TRANSPORTATION RIDES. FY23 Progress: MASS - 1,522 CLIENTS; NCAT - 20,049 SENIORS Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - OTTAWA REGIONAL HOSPITAL AND HEALTHCARE 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 GENERAL ASSISTANCE. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - OTTAWA REGIONAL HOSPITAL AND HEALTHCARE 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 - OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER. THE FINANCIAL ASSISTANCE POLICY IS AVAIABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - OTTAWA REGIONAL HOSPITAL AND HEALTHCARE 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. 7 OTTAWA REGIONAL MEDICAL CENTER INC 1614 EAST NORRIS DRIVE OTTAWA IL 61350 OUTPATIENT MEDICAL AND DIAGNOSTIC SERVICES RADIATION ONCOLOGY OF NORTHERN ILLINOIS 1200 STARFIRE DRIVE OTTAWA IL 61350 RADIATION ONCOLOGY CENTER OSF ST ELIZABETH MEDICAL CENTER SLEEP CT 1601 MERCURY CIRCLE SUITE 200 OTTAWA IL 61350 POLYSYMNOGRAPHY LAB OTTAWA MEDICAL CENTER RADIOLOGY SVCS 1614 EAST NORRIS DRIVE OTTAWA IL 61350 DIAGNOSTIC RADIOLOGY OSF HEALTHCARE OTTAWA SOUTH 1640 FIRST AVE OTTAWA IL 61350 OCCUPATIONAL HEALTH OSF CENTER FOR HEALTH - STREATOR 111 SPRING STREET STREATOR IL 61364 EMERGENCY Fox River Cancer Center 1200 Starfire Drive Ottawa IL 61350 Cancer Center Schedule H, Part I, Line 3c Criteria for Free or Discounted Care CATASTROPHIC CHARITY ASSISTANCE REGARDLESS OF INCOME OR ASSET LEVELS FOR MEDICALLY NECESSARY SERVICES WHICH EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT DUE IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES CATASTROPHIC CHARITY IS MORE GENEROUS. PRESUMPTIVE CHARITY: CHARGES MAY BE ADJUSTED TO PROVIDE FOR A CHARITY DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO AN UNINSURED PATIENT WHO ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA. PRESUMPTIVE CHARITY CATEGORIES FOR ALL OSF HOSPITALS: -HOMELESSNESS; -DECEASED WITH NO ESTATE; -MENTAL INCAPACITATION WITH NO ONE TO ACT ON PATIENT'S BEHALF; OR -CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. ALL PATIENTS RECEIVE THE GREATEST REQUESTED DISCOUNT AVAILABLE UNDER ANY OF THE OSF PROGRAMS. NO ASSET TESTS ARE USED. EXCEPT AS OTHERWISE NOTED, THESE POLICIES APPLY BOTH TO UNINSURED PATIENTS AND TO INSURED PATIENTS WITH RESPECT TO THE PATIENT RESPONSIBILITY AMOUNT. Schedule H, Part I, Line 7k Community Benefit Percentage Ottawa Regional Hospital & Healthcare was designated as an Illinois Safety Net Hospital effective October 1, 2019. Illinois safety net hospitals are a major source of medical care for low-income, uninsured and vulnerable populations.Under Illinois law, a Safety Net Hospital is a hospital that is licensed by the Illinois Department of Public Health as a general acute care or pediatric hospital and meets certain criteria regarding payer mix. The Ottawa Regional Hospital & Healthcare's Safety Net designation for the period from 10/1/2022 to 9/30/2023 is based on a MIUR (Medicaid inpatient utilization rate) of 41.67%. As a safety net hospital, Ottawa Regional Hospital & Healthcare received DSH payments that eliminated the Medicaid shortfall reportable on Form 990, Schedule H, Part I, Line 7c. DSH payments are statutorily required payments intended to offset hospitals' uncompensated care costs to improve access for Medicaid and uninsured patients as well as the financial stability of safety net hospitals, which typically operate on very thin margins. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Medicare Cost to Charge Ratio Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount IN GENERAL, AND IN ACCORDANCE WITH MEDICARE REGULATIONS, PATIENT ACCOUNT BALANCES ARE WRITTEN OFF TO BAD DEBT EXPENSE AFTER REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED AND THE ACCOUNT HAS BEEN SENT TO A COLLECTION AGENCY OR LAW FIRM. PATIENTS' ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENTS' ACCOUNTS RECEIVABLE, OSF ANALYZES PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, OSF ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH PATIENT RESPONSIBILITY (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND 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 3,732,983 ON FORM 990, IS NETTED ON LINE 2A PART VIII AND IS BASED UPON ACCRUAL ACCOUNTING REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THIS AMOUNT CONSEQUENTLY DIFFERS FROM THE BAD DEBT EXPENSE OF $614,752 ON SCHEDULE H, PART III, LINE 2 WHICH REQUIRES THE ORGANIZATION TO REPORT AGGREGATE BAD DEBT AT COST. BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS THEREFORE CALCULATED BY MULTIPLYING GROSS CHARGES WRITTEN OFF TO BAD DEBT EXPENSE TIMES THE MEDICARE COST TO CHARGE RATIO DERIVED FROM THE MEDICARE COST REPORTS. Schedule H, Part III, Line 3 Bad Debt Expense Methodology DISCOUNTS, INCLUDING ANY APPLICABLE THIRD PARTY PAYER CONTRACTUAL ALLOWANCES AND ANY FINANCIAL ASSISTANCE DISCOUNTS (VALUED AT GROSS CHARGES), ARE APPLIED TO PATIENT ACCOUNT GROSS CHARGES TO DETERMINE THE ACCOUNT BALANCE BEFORE PATIENT PAYMENTS. THE AGGREGATE AMOUNT OF ALL PATIENT PAYMENTS IS THEN APPLIED TO THE ACCOUNT BALANCE. WHEN DETERMINATION IS MADE THAT NO FURTHER AMOUNTS CAN BE COLLECTED IN ACCORDANCE WITH THE CORPORATION'S BAD DEBT POLICY, THE REMAINING BALANCE IS WRITTEN OFF TO BAD DEBT EXPENSE. PRESUMPTIVE CHARITY: CHARGES MAY BE ADJUSTED TO PROVIDE FOR A CHARITY DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO AN UNINSURED PATIENT WHO ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA. PRESUMPTIVE CHARITY CATEGORIES FOR ALL OSF HOSPITALS: -HOMELESSNESS; -DECEASED WITH NO ESTATE; -MENTAL INCAPACITATION WITH NO ONE TO ACT ON PATIENT'S BEHALF; OR -CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. THEREFORE, THE CORPORATION DOES NOT BELIEVE THAT BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 INCLUDES ANY AMOUNTS THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY UNDER THE CORPORATION'S FINANCIAL ASSISTANCE POLICY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PLEASE SEE PAGE 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 USING THE MEDICARE COST TO CHARGE RATIO. THE AMOUNT IS COMPARED TO TOTAL MEDICARE PAYMENTS RECEIVED INCLUDING DSH AND IME PAYMENTS. SHOULD THERE BE A SHORTFALL, IT WOULD BE TREATED AS A COMMUNITY BENEFIT SINCE IT REFLECTS UN-REIMBURSED COSTS FOR PROVIDING MEDICAL SERVICES TO THE MEDICARE RESIDENTS OF THE COMMUNITY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE CORPORATION HAS A self-pay billing COLLECTION POLICY WHICH APPLIES FOR ALL PATIENTS. THE POLICY INCLUDES: -REQUIRED INFORMATION PROVIDED IN BILLS TO PATIENTS (INCLUDING A REQUIREMENT THAT INFORMATION BE PROVIDED ON HOW THE PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE). -PROCESS FOR PATIENTS TO INQUIRE ABOUT OR DISPUTE A BILL, INCLUDING TOLL-FREE TELEPHONE NUMBER, ADDRESS, CONTACT NAME AND E-MAIL ADDRESS. -REQUIREMENTS FOR TIMELY RESPONSE TO PATIENT INQUIRIES. -CONDITIONS WHICH MUST BE SATISFIED BEFORE PATIENT MAY BE SENT TO A COLLECTION AGENCY OR ATTORNEY. -LEGAL ACTION FOR NON-PAYMENT OF A PATIENT BILL MAY NOT BE INITIATED UNTIL AN AUTHORIZED HOSPITAL OFFICIAL HAS DETERMINED THAT ALL CONDITIONS IN THE CORPORATION'S POLICY (INCLUDING ALL THE FOREGOING POLICY PROVISIONS) HAVE BEEN SATISFIED FOR INITIATING LEGAL ACTION. -LEGAL ACTION MAY NOT BE PURSUED AGAINST UNINSURED PATIENTS WHO HAVE CLEARLY DEMONSTRATED THAT THEY HAVE NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET THEIR FINANCIAL OBLIGATIONS - EVEN IF SUCH PATIENTS DO NOT APPLY FOR FINANCIAL ASSISTANCE. -THE CORPORATION SHALL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS, SUCH AS SUBMITTING REPORTS TO CREDIT AGENCIES BEFORE REASONABLE ATTEMPTS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE HAVE BEEN COMPLETED. -IF A PATIENT RECEIVES AN APPLICATION FOR FINANCIAL ASSISTANCE BUT FAILS TO RETURN IT, OSF WILL TRY TO USE SECONDARY SOURCES TO DETERMINE THE PATIENT'S ELIGIBILITY FOR 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 - OTTAWA REGIONAL HOSPITAL & HEALTHCARE: Line 16a URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - OTTAWA REGIONAL HOSPITAL & HEALTHCARE: Line 16b URL: hhttps://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - OTTAWA REGIONAL HOSPITAL & HEALTHCARE: Line 16c URL: https://x.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER D/B/A OSF SAINT ELIZABETH MEDICAL CENTER COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2022 AS PREVIOUSLY STATED. THE CHNA IS UPDATED EVERY 3 YEARS AND CORRESPONDING IMPLEMENTATION STRATEGY IS REFRESHED YEARLY. NOT ONLY DOES THE PLAN GET REFRESHED YEARLY, BUT EACH ACTION ITEM HAS A RESPONSIBLE PARTY INVOLVED TO GET THE WORK ASSOCIATED WITH THE NEED ACCOMPLISHED. THE NEW CHNA WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS ON JULY 25, 2022 AND THE CORRESPONDING IMPLEMENTATION STRATEGY WAS APPROVED JANUARY 29, 2023. LEADERSHIP WITHIN OSF SIT ON VARIOUS COMMUNITY ADVISORY BOARDS TO STAY CONNECTED TO THE OTHER AGENCIES WITHIN THE COMMUNITY. THIS WORK ALIGNS WITH OUR MISSION STATEMENT TO SERVE PERSONS WITH THE GREATEST CARE AND LOVE IN A COMMUNITY THAT CELEBRATES THE GIFT OF LIFE. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE CORPORATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, IN ENGLISH AND IN ANY OTHER LANGUAGE SPOKEN BY POPULATIONS WITH LIMITED ENGLISH PROFICIENCY THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY OF THE HOSPITAL, IN THE FOLLOWING WAYS: -SIGNS ARE POSTED IN PATIENT REGISTRATION AREAS (INCLUDING EMERGENCY DEPARTMENT REGISTRATION) INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, THE AVAILABILITY OF FINANCIAL ASSISTANCE COUNSELORS, AND HOW TO OBTAIN A COPY OF THE OSF FINANCIAL ASSISTANCE POLICY AND APPLICATION. -A PLAIN LANGUAGE SUMMARY OF THE OSF FINANCIAL ASSISTANCE POLICY IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS AND INCLUDED IN THE BILLING STATEMENT MAILED PRIOR TO INITIATING EXTRAORDINARY COLLECTION ACTIONS. IN ADDITION, THE PLAIN LANGUAGE SUMMARY AND APPLICATION ARE PROVIDED TO REFERRING STAFF PHYSICIANS. -OSF MAKES REASONABLE EFFORTS TO ORALLY NOTIFY PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY AND HOW TO OBTAIN ASSISTANCE IN APPLYING. -A NOTICE OF AVAILABILITY OF THE CORPORATION'S FINANCIAL ASSISTANCE AND UNINSURED PATIENT DISCOUNT POLICIES IS PROMINENTLY AVAILABLE ON THE CORPORATION'S WEBSITE. THE APPLICATION FORM WITH INSTRUCTIONS AND THE PLAIN LANGUAGE SUMMARY IS AVAILABLE FOR DOWNLOAD. -A NOTE REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE (TOGETHER WITH CONTACT PHONE NUMBERS) APPEARS ON EVERY PATIENT BILLING STATEMENT AS WELL AS THE WEBSITE WHERE COPIES OF THE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY MAY BE OBTAINED. -FINANCIAL ASSISTANCE COUNSELORS ARE AVAILABLE IN PERSON AND BY PHONE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND IN DETERMINING ELIGIBILITY AND APPLYING FOR GOVERNMENT PROGRAM BENEFITS, INCLUDING MEDICAID. -THE CORPORATION'S FINANCIAL ASSISTANCE POLICY IS FILED WITH THE ILLINOIS ATTORNEY GENERAL AND IS AVAILABLE TO THE PUBLIC. Schedule H, Part VI, Line 4 Community information OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER D/B/A OSF SAINT ELIZABETH MEDICAL CENTER IS LOCATED IN LASALLE COUNTY. DATA ESTABLISHES THAT LASALLE COUNTY IS THE RESIDENCE OF OVER 90% OF ALL PATIENTS RECEIVING SERVICES FROM SAINT PAUL MEDICAL CENTER AND SAINT ELIZABETH MEDICAL CENTER. THE OSF SAINT ELIZABETH MEDICAL CENTER SERVICE COMMUNITY IS LOCATED PRIMARILY IN LASALLE COUNTY BUT EXTENDS INTO PORTIONS OF LEE, BUREAU, AND DEKALB COUNTIES. WITH REGARD TO RACE AND ETHNIC BACKGROUND, LASALLE COUNTY IS LARGELY HOMOGENOUS, YET IN RECENT YEARS, THE COUNTY IS BECOMING MORE DIVERSE. DATA FROM 2019 SUGGEST THAT WHITE ETHNICITY COMPRISES 84.6% OF THE POPULATION IN LASALLE COUNTY. HOWEVER, THE NON-WHITE POPULATION OF LASALLE COUNTY HAS BEEN INCREASING (FROM 13.9% IN 2017 TO 15.4% IN 2019), WITH BLACK ETHNICITY COMPRISING 2.9% OF THE POPULATION, MULTI RACIAL ETHNICITY COMPRISING 1.4% OF THE POPULATION, AND HISPANIC/LATINO (LATINX) ETHNICITY COMPRISING 10.3% OF THE POPULATION. THE POVERTY RATE FOR LASALLE COUNTY WAS 11.4 PERCENT IN 2019. DATA FROM THE LAST CENSUS INDICATE THE POPULATION OF LASALLE COUNTY HAS SLIGHTLY DECREASED (1.8%) BETWEEN 2017 AND 2021. Schedule H, Part VI, Line 5 Promotion of community health PROMOTION OF COMMUNITY HEALTH THE ORHHC'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. ORHHC HAS A COMMUNITY ADVISORY BOARD CONSISTING OF MEMBERS OF THE COMMUNITY WHO ARE NOT DIRECTORS, OFFICERS, OR CONTRACTORS OF ORHHC. 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, ORHHC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITIES. THE ORHHC'S SURPLUS FUNDS WERE USED DURING ITS FISCAL YEAR ENDED SEPTEMBER 30, 2023 FOR IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. ORHHC MEETS THE REQUIREMENTS OF REVENUE RULING 69-545 BY: -OPERATING AN EMERGENCY DEPARTMENT WHICH IS STAFFED 24 HOURS PER DAY BY QUALIFIED PHYSICIANS AND OTHER MEDICAL PERSONNEL AND WHICH IS OPEN TO ALL PERSONS WITHOUT REGARD TO ABILITY TO PAY. -HAVING MEDICAL STAFFS WHICH ARE OPEN TO ALL QUALIFIED PHYSICIANS, MID-LEVEL PROVIDERS, PODIATRISTS, AND DENTISTS IN THE COMMUNITY (EXCEPT WHERE RESTRICTED IN RARE CASES FOR CLINICAL QUALITY REASONS BY ACTION OF THE MEDICAL STAFF AND THE BOARD OF DIRECTORS). -ACCEPTING MEDICARE, MEDICAID AND OTHER GOVERNMENT PROGRAM PATIENTS. -ACCEPTING ALL PATIENTS, INCLUDING UNINSURED PATIENTS, WITHOUT REGARD TO THEIR ABILITY TO PAY. -USING SURPLUS FUNDS TO IMPROVE THEIR FACILITIES, EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, EDUCATION, AND RESEARCH AS DESCRIBED ABOVE. OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER d/b/a OSF SAINT ELIZABETH MEDICAL CENTER PARTNER WITH OTHER LOCAL SERVICE AGENCIES TO ENSURE ACCESS FOR RURAL HEALTHCARE INCLUDING OFFERING SPACE TO OTHER AGENCIES TO CO-LOCATE UNDER ONE ROOF. OSF ON CALL OFFERS A 24/7 ONLINE ACCESS TO MEDICAL CARE VIA SMARTPHONE, TABLET OR COMPUTER. 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 that are controlled, directly or indirectly, by the Corporation or the Sisters of the Third Order of St. Francis (the "Congregation"), the Corporation's sole corporate member. All affiliated entities apply and follow the financial assistance policies of the Corporation and are operated in furtherance of the mission to provide comprehensive, integrated quality care to the communities served by the OSF System. 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 entities. The primary affiliated corporations of the OSF System are the following: The Congregation, the sole member of the Corporation, which works exclusively in the health care apostolate, holds the assets of the religious order of women, 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. 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, home therapeutics, real estate, equipment technology services, telecommunications, electronic health records, telehealth services, supply chain, and consulting services. Pointcore, Inc. is also the sole member of OSF Aviation, LLC, which runs a helicopter medical transportation business. Moreover, Pointcore, Inc. participates in various 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. Ottawa Regional Hospital & Healthcare Center, formerly known as Community Hospital of Ottawa was incorporated in 1964. OSF Healthcare System became the sole member of Ottawa Regional Hospital & Healthcare Center in 2012, and the hospital was renamed OSF Saint Elizabeth Medical Center. Mendota Community Hospital, formerly known as Mendota Hospital Foundation, was incorporated in 1944. OSF Healthcare System became the sole member of Mendota Community Hospital in 2015, and the hospital was renamed OSF Saint Paul Medical Center. Schedule H, Part VI, Line 7 State filing of community benefit report IL true OTTAWA YMCA FOUNDATION 201 E JACKSON STREET OTTAWA IL 61350 872963366 501(C)(3) 1000500 0 N/A N/A DEFRAY BUILDING COSTS FOR THE PURPOSE OF EXPANDING YMCA'S COMMUNITY HEALTH AND WELLNESS PROGRAMS, COMMUNITY EDUCATION, AND CHILDREN'S ACTIVITIES. CITY OF OTTAWA 301 W MADISON ST OTTAWA IL 61350 366006037 GOVERNMENTAL UNIT 25000 0 N/A N/A PATIENT TRANSPORTATION 1 1 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. THE LOCAL PRESIDENT REVIEWS ASSISTANCE REQUESTS AND APPROVES 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 ORGANIZTION 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. X X X X true true false false false false false false false Robert C Sehring Vice Chairperson Chief Executive Officer 0 1651171 0 0 0 113454 0 15250 0 28235 0 1808110 0 0 Gerald J McShane MD Board Member 0 201152 0 0 0 2147 0 9139 0 19389 0 231827 0 0 Chad E Boore Former Chief Executive Officer Eastern Region 0 422266 0 0 0 563862 0 15250 0 18948 0 1020326 0 0 Stephen E Hippler MD Former Chief Clinical Officer 0 280858 0 0 0 22204 0 2997 0 5268 0 311327 0 0 Jared C Rogers Former President, OSF HealthCare Heart of Mary Medical Center 0 348392 0 0 0 385460 0 13648 0 16178 0 763678 0 0 Michael M Allen Chief Financial Officer 0 748208 0 0 0 38338 0 15250 0 28235 0 830031 0 0 Robert G Anderson Chief Executive Officer Central Region 0 549896 0 0 0 25102 0 15250 0 20388 0 610636 0 0 Robert L Brandfass SVP Chief Legal Officer 0 598948 0 0 0 25567 0 15250 0 28235 0 668000 0 0 Paula A Carynski President, OSF HealthCare Saint Anthony Medical Center 0 410085 0 0 0 25600 0 15250 0 25201 0 476136 0 0 Michelle D Conger Chief Strategy Officer, OSF Healthcare/ CEO OnCall Digital Health 0 660753 0 0 0 24289 0 10500 0 25201 0 720743 0 0 Roxanna Crosser Chief Executive Officer Western Region (Through April 2023) 0 464194 0 0 0 43441 0 4679 0 20480 0 532794 0 0 Michael A Cruz MD Chief Operating Officer 0 778358 0 0 0 27079 0 15250 0 34212 0 854899 0 0 Elizabeth A Davidson Interim President, OSF Healthcare Saint James-John W. Albrecht Medical Center (Through June 2023) 0 199006 0 0 0 2530 0 10264 0 19388 0 231188 0 0 Lisa DeKezel President, OSF HealthCare Holy Family Medical Center and St. Mary Medical Center 0 260431 0 0 0 23767 0 2917 0 25201 0 312316 0 0 John R Evancho SVP Chief Integrity Officer 0 314694 0 0 0 2417 0 15250 0 27951 0 360312 0 0 Carol A Friesen Chief Executive Officer Eastern Region 0 570436 0 0 0 21871 0 15250 0 33212 0 640769 0 0 Lynn A Fulton President, OSF HealthCare St. Joseph Medical Center 0 351560 0 0 0 1145 0 15250 0 25721 0 393676 0 0 David M Hall SVP Info Systems/Chief Information Officer 0 445250 0 0 0 15075 0 15250 0 33212 0 508787 0 0 Thomas G Hammerton President OSF Healthcare Foundation Chief Development Officer 0 385683 0 0 0 43588 0 15250 0 34212 0 478733 0 0 Ned Hill President, OSF HealthCare Sacred Heart Medical Center 0 282900 0 272 0 21229 0 10348 0 25201 0 339950 0 0 Kelly A Jefferson President, OSF HealthCare St. Francis Hospital & Medical Group 0 230447 0 0 0 8287 0 11280 0 25201 0 275215 0 0 Jacqueline D Kernan President, OSF HealthCare Saint Clare Medical Center / Saint Luke Medical Center 0 248200 0 0 0 17247 0 13521 0 19388 0 298356 0 0 Kathleen M Kinsella President, OSF HealthCare Little Company of Mary Medical Center 0 359549 0 0 0 23473 0 15250 0 14214 0 412486 0 0 James J Mormann Chief Information Officer 0 686398 0 0 0 41415 0 15250 0 27935 0 770998 0 0 Shelley A Nguyen Chief Human Resources Officer 0 356642 0 0 0 641 0 6894 0 17833 0 382010 0 0 August J Querciagrossa Chief Executive Officer Western Region 0 427974 0 0 0 22974 0 9100 0 28235 0 488283 0 0 Jason R Rodeghero President, OSF Home Care and Rehab Services 0 260542 0 0 0 1436 0 13478 0 25201 0 300657 0 0 Erin N Rogers Interim President, OSF HealthCare Heart of Mary Medical Center (Through Feb 2023) 0 163486 0 0 0 124 0 8653 0 26700 0 198963 0 0 Jerry W Rumph President, OSF HealthCare Saint Anthony's Health Center 0 248303 0 0 0 17620 0 13237 0 130 0 279290 0 0 Bradley V Solberg President, OSF HealthCare Saint James- John W. Albrecht Medical Center (Through Mar 2023) 0 297023 0 6138 0 1580 0 15250 0 25055 0 345046 0 0 Jeffry M Tillery President, OSF Medical Group 0 659230 0 0 0 41855 0 15250 0 20688 0 737023 0 0 Dawn C Trompeter President, OSF Healthcare Saint Elizabeth Medical Center/ Saint Paul Medical Center 270742 0 0 0 23805 0 13684 0 13214 0 321445 0 0 0 Ralph Velazquez MD System Chief Medical Officer 0 586622 0 0 0 41898 0 15250 0 25735 0 669505 0 0 Michael A Wells President, OSF HealthCare Saint Francis Medical Center 0 262506 0 0 0 1362 0 8065 0 19388 0 291321 0 0 Lori L Wiegand Chief Nursing Officer 0 470378 0 0 0 36286 0 15250 0 9303 0 531217 0 0 Leon A Yeh MD VP Chief Medical Officer Emergency Serv 0 545840 0 0 0 20624 0 15250 0 13214 0 594928 0 0 Joseph W Chuprevich MD Physician 535230 0 0 0 6996 0 15250 0 19388 0 576864 0 0 0 Sherine Hanna MD Medical Director OSF Saint Elizabeth Medical Center 492915 0 7500 0 31557 0 15250 0 130 0 547352 0 0 0 Wajid Hussain MD Physician 370442 0 20000 0 83 0 15250 0 33112 0 438887 0 0 0 Molly M Kelly MD Physician 428802 0 7500 0 34156 0 12937 0 33212 0 516607 0 0 0 Marianne Mikat-Stevens MD Physician 486563 0 7500 0 15419 0 15250 0 130 0 524862 0 0 0 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 Any of the reportable individuals who are detailed as being paid by a related organization may have deferred amounts to or distributions from a section 457(F) non-qualified plan which are included in the applicable sections of Schedule J, Part II. 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, Part I, Line 3 SCH J, PART I, LINE 3 THE BOARD OF DIRECTORS HAS ESTABLISHED A BOARD COMMITTEE KNOWN AS THE HUMAN RESOURCES COMMITTEE WHO ARE ALL PROFESSED MEMBERS OF A RELIGIOUS CONGREGATION THAT OWNS OR IS ASSOCIATED WITH THE HE 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 voting 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. Form 990, Part I, Line 1 PART I THE TAX LAW REQUIRES THAT EACH LEGAL ENTITY WITHIN THE OSF HEALTHCARE SYSTEM COMPLETE A SEPARATE TAX RETURN WHICH APPROPRIATELY REFLECTS THE ACTIVITIES AND FINANCIAL POSITION OF THE PARTICULAR ORGANIZATION. THIS REPORTING, HOWEVER, IS NOT REFLECTIVE OF THE OSF HEALTHCARE SYSTEM AS A WHOLE. PLEASE SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS OF OSF HEALTHCARE SYSTEM AND SUBSIDIARIES FOR A COMPLETE OVERVIEW OF THE SYSTEM. Form 990, Part VI, Line 6 Classes of members or stockholders OSF HEALTHCARE SYSTEM IS THE SOLE MEMBER OF OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body OSF HEALTHCARE SYSTEM AS THE SOLE MEMBER OF OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER HAS THE POWER TO ELECT MEMBERS OF THE BOARD OF OSF SAINT ELIZABETH MEDICAL CENTER. 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 WHOSE MEMBERS ARE ALL PROFESSED MEMBERS OF THE RELIGIOUS CONGREGATION KNOWN AS THE SISTERS OF THE THIRD ORDER OF SAINT FRANCIS THAT OWNS OR IS ASSOCIATED WITH THE HEALTHCARE SYSTEM WHO HAVE TAKEN A VOW OF POVERTY. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE PERFORMANCE OF THE CEO AND HIS ACHIEVEMENT OF ANNUAL GOALS IS EVALUATED EACH YEAR BY THE FULL BOARD OF DIRECTORS. THE COMMITEE ALSO OBTAINS COMPENSATION SURVEY DATA AND RECOMMENDATION FROM A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT. BASED ON ALL OF THESE FACTORS, THE COMMITTEE SETS 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 REVEIWED BY A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT TO ENSURE THAT NO EXESS 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 SAINT FRANCIS THAT OWNS OR IS ASSOCIATED WITH THE HEALTHCARE SYSTEM who have taken a vow of poverty. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE COMMITTEE DETERMINES WHICH OFFICERS, KEY EMPLOYEES AND OTHER EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN THE EXECUTIVE COMPENSATION PLAN. BASED ON THE 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. THE COMPENSATION REVIEW IS DONE ANNUALLY. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue OTHER - Total Revenue: 111256, Related or Exempt Function Revenue: 111256, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances EQUITY TRANSFERS - -12328815; ASSETS RELEASED - 14856; NON CONTROLLING INTEREST SUBS - -61519; Decrease IN TEMP RESTRICTED NET ASSETS - -9460; 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. SISTERS OF THE THIRD ORDER OF ST FRANCIS 124 SW Adams St PEORIA IL 61602 371259286 PARENT/SU ORG IL 501(c)(3) 1 NA false OSF HEALTHCARE FOUNDATION 124 SW Adams St PEORIA IL 61602 371259284 SUPPORT ORG IL 501(c)(3) Type II SIS 3RD OSF false OTTAWA REGIONAL HOSPITAL FOUNDATION 124 SW ADAMS ST Peoria IL 61602 364007569 SUPPORT ORG IL 501(c)(3) Type I ORHHC true OTTAWA REGIONAL HOSPITAL AUXILIARY 124 SW ADAMS ST Peoria IL 61602 363854788 SUPPORT ORG IL 501(c)(3) Type I ORHHC true OSF MULTI-SPECIALTY GROUP 124 SW Adams St PEORIA IL 61602 383852646 HLTHCARE SVCS IL 501(c)(3) Type I OSF false OSF HEALTHCARE SYSTEM 124 SW Adams St PEORIA IL 61602 370813229 HOSPITAL IL 501(c)(3) 3 SIS 3RD OSF false MENDOTA COMMUNITY HOSPITAL 124 SW ADAMS ST Peoria IL 61602 362167785 HOSPITAL IL 501(c)(3) 3 OSF false CENTER FOR HEALTH AMBULATORY SURGERY CENTER LLC 8800 N STATE ROUTE 91 PEORIA IL 61615 205557171 SURGICAL CENTER IL OSF Related 0 0 false 0 false 0 EASTLAND MED PLAZA SURGICENTER LLC 1505 EASTLAND DRIVE Bloomington IL 61701 371400643 SURGICAL CENTER IL OSF Related 0 0 false 0 false 0 FT JESSE IMAGING CENTER LLC 2200 FT JESSE ROAD SUITE B NORMAL IL 61761 460515604 MEDICAL IMAGING IL OSF Related 0 0 false 0 false 0 SAINT CLARE'S VILLA 915 EAST 5TH STREET ALTON IL 62002 371397289 LOW INC HOUSING IL OSF Related 0 0 false 0 true 0 FOX RIVER CANCER CENTER LLC 1200 STARFIRE DR OTTAWA IL 61350 870805865 ONCOLOGY IL ORHHC Related 479260 4228852 false 0 true 0.82 GREATER PEORIA SPECIALTY HOSPITAL LLC 680 S 4TH STREET LOUISVILLE KY 40202 261579585 ACUTE LONG TERM CARE HOSPITAL DE OSF Related 0 0 false 0 false 0 ONCALL IMAGING LLC 1609 1ST AVENUE ROCK FALLS IL 61071 921514438 MEDICAL IMAGING IL OSF Related 0 0 false 0 false 0 OLYMPIAN SURGICAL SUITES LLC 1002 INTERSTATE DR CHAMPAIGN IL 61822 261787007 SURGICAL CENTER IL OSF Related 0 0 false 0 false 0 UP CARDIOLOGY PARTNERS LLC 3401 LUDINGTON STREET ESCANABA MI 49829 803086977 CARDIOLOGY CLINIC MI OSF Related 0 0 false 0 false 0 124 ADAMS PROPERTY MANAGEMENT LLC 124 SW ADAMS STREET PEORIA IL 61602 352620119 REAL ESTATE IL POINTCORE INC Unrelated 0 0 false 0 false 0 POINTCORE INC 124 SW Adams St PEORIA IL 61602 363484677 HEALTHCARE SERVICES IL OSF C Corporation false ILLINOIS PATHOLOGST SERVICES LLC 5666 EAST STATE STREET ROCKFORD IL 61108 800439081 PATHOLOGY SVCS IL OSF C Corporation false SOUTHWEST HEALTH SYSTEMS INC 2800 WEST 95TH STREET EVERGREEN PARK IL 60805 363425830 HEALTHCARE SERVICES IL OSF C Corporation false OSF AVIATION LLC 124 SW Adams St PEORIA IL 61602 300032408 Medical Transportation IL Pointcore Inc C Corporation false OSF ASSURANCE COMPANY 76 ST PAUL STREET Suite 500 BURLINGTON VT 05401 202015375 Insurance company VT Pointcore Inc C Corporation false OSF FINANCE COMPANY LLC 124 SW ADAMS STREET PEORIA IL 61602 261479218 FINANCE COMPANY IL POINTCORE INC C Corporation false POINTCORE SUPPLY CHAIN SERVICES LLC 124 SW ADAMS STREET PEORIA IL 61602 853966960 SUPPLY CHAIN SERVICES IL POINTCORE INC C Corporation false false true true false false false false false false true true true true true true true true true true FOX RIVER CANCER CENTER LLC S 820000 FMV