Civic Intelligence

Osf Healthcare System

EIN 37-0813229 • 501(c)3 • Peoria, IL

Profile

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.

124 SW Adams StPeoria, IL 61602

www.osfhealthcare.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

70th percentile

0.48x

Higher debt load relative to assets than 70% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

58th percentile

0.71x

Higher debt load relative to revenue than 58% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

72nd percentile

14%

Higher net margin than 72% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

49th percentile

6.4%

Faster asset growth than 49% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2022 to 2024

Revenue Growth

56th percentile

11%

Faster revenue growth than 56% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2022 to 2024

Assets

Up

$5,787,940,861

Up $506,949,751 (+9.6%) from 2023

Liabilities

Up

$2,777,499,137

Up $17,425,444 (+0.6%) from 2023

Net Assets

Up

$3,010,441,724

Up $489,524,307 (+19%) from 2023

Revenue

Up

$3,909,183,510

Up $512,360,670 (+15%) from 2023

Expenses

Up

$3,355,925,530

Up $343,923,905 (+11%) from 2023

Net Income

Up

$553,257,980

Up $168,436,765 (+44%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0B$4.0B$2.0B$0Assets 2010: $2,208,781,086Liabilities 2010: $1,488,288,315Net Assets 2010: $720,492,7712010Assets 2011: $2,267,817,172Liabilities 2011: $1,515,029,132Net Assets 2011: $752,788,0402011Assets 2012: $2,418,704,402Liabilities 2012: $1,693,780,438Net Assets 2012: $724,923,9642012Assets 2013: $2,485,641,264Liabilities 2013: $1,529,786,816Net Assets 2013: $955,854,4482013Assets 2014: $2,692,360,006Liabilities 2014: $1,758,257,678Net Assets 2014: $934,102,3282014Assets 2015: $3,078,467,872Liabilities 2015: $2,073,361,611Net Assets 2015: $1,005,106,2612015Assets 2016: $3,190,122,606Liabilities 2016: $2,174,363,096Net Assets 2016: $1,015,759,5102016Assets 2017: $3,296,088,110Liabilities 2017: $2,057,198,791Net Assets 2017: $1,238,889,3192017Assets 2018: $3,759,557,955Liabilities 2018: $2,237,524,751Net Assets 2018: $1,522,033,2042018Assets 2019: $3,826,454,610Liabilities 2019: $2,363,576,634Net Assets 2019: $1,462,877,9762019Assets 2020: $5,141,287,534Liabilities 2020: $3,074,244,294Net Assets 2020: $2,067,043,2402020Assets 2021: $5,560,746,183Liabilities 2021: $2,840,824,840Net Assets 2021: $2,719,921,3432021Assets 2022: $5,108,469,746Liabilities 2022: $2,888,643,077Net Assets 2022: $2,219,826,6692022Assets 2023: $5,280,991,110Liabilities 2023: $2,760,073,693Net Assets 2023: $2,520,917,4172023Assets 2024: $5,787,940,861Liabilities 2024: $2,777,499,137Net Assets 2024: $3,010,441,7242024

Highlighted filing

2024

Assets$5,787,940,861
Liabilities$2,777,499,137
Net Assets$3,010,441,724

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$4.0B$3.0B$2.0B$1.0B$0Expenses 2010: $1,563,509,9252010Expenses 2011: $1,651,985,3872011Expenses 2012: $1,717,722,4012012Expenses 2013: $1,787,368,6912013Revenue 2014: $1,958,336,322Expenses 2014: $1,787,809,590Net Income 2014: $170,526,7322014Revenue 2015: $2,161,569,344Expenses 2015: $1,947,674,620Net Income 2015: $213,894,7242015Revenue 2016: $2,093,637,009Expenses 2016: $1,836,032,482Net Income 2016: $257,604,5272016Revenue 2017: $2,178,016,343Expenses 2017: $1,874,056,282Net Income 2017: $303,960,0612017Revenue 2018: $2,480,289,941Expenses 2018: $2,163,616,319Net Income 2018: $316,673,6222018Revenue 2019: $2,622,268,279Expenses 2019: $2,267,753,617Net Income 2019: $354,514,6622019Revenue 2020: $2,693,493,973Expenses 2020: $2,357,324,579Net Income 2020: $336,169,3942020Revenue 2021: $3,233,049,540Expenses 2021: $2,635,982,780Net Income 2021: $597,066,7602021Revenue 2022: $3,195,700,977Expenses 2022: $2,895,005,409Net Income 2022: $300,695,5682022Revenue 2023: $3,396,822,840Expenses 2023: $3,012,001,625Net Income 2023: $384,821,2152023Revenue 2024: $3,909,183,510Expenses 2024: $3,355,925,530Net Income 2024: $553,257,9802024

Highlighted filing

2024

Revenue$3,909,183,510
Expenses$3,355,925,530
Net Income$553,257,980

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$5,788$2,777$3,010$3,909$3,356$553
2023Detailed filing. Detailed filing data is available for this year.$5,281$2,760$2,521$3,397$3,012$385
2022Detailed filing. Detailed filing data is available for this year.$5,108$2,889$2,220$3,196$2,895$301
2021Detailed filing. Detailed filing data is available for this year.$5,561$2,841$2,720$3,233$2,636$597
2020Detailed filing. Detailed filing data is available for this year.$5,141$3,074$2,067$2,693$2,357$336
2019Detailed filing. Detailed filing data is available for this year.$3,826$2,364$1,463$2,622$2,268$355
2018Detailed filing. Detailed filing data is available for this year.$3,760$2,238$1,522$2,480$2,164$317
2017Detailed filing. Detailed filing data is available for this year.$3,296$2,057$1,239$2,178$1,874$304
2016Detailed filing. Detailed filing data is available for this year.$3,190$2,174$1,016$2,094$1,836$258
2015Detailed filing. Detailed filing data is available for this year.$3,078$2,073$1,005$2,162$1,948$214
2014Detailed filing. Detailed filing data is available for this year.$2,692$1,758$934$1,958$1,788$171
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,486$1,530$956$1,787
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,419$1,694$725$1,718
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,268$1,515$753$1,652
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,209$1,488$720$1,564
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 6, 2025
Return Version
2023v6.0
Gross Receipts
$3,938,587,718
Mission and Program Overview

Mission

Osf healthcare system is a catholic integrated health care delivery system which during its fiscal year 2020 operated 14 hospitals, 5 home health agencies, 4 hospices, and employed approximately 1,070 physicians. All patients are accepted regardless of their ability to pay. All facilities, services, physicians and other professional staff of osf healthcare system serve all patients without regard to race, religion, age, sex, national origin, payer source or ability to pay. The board of directors has adopted charity care policies and procedures which apply for all facilities and services of the corporation. The availability of charity care is communicated to patients in numerous ways, including use of financial counselors, patient information brochures, and notices on patient billings. Charity care applications and instructions are available on websites maintained by the corporation and upon a request made to any of the corporation's facilities or offices.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$1,982,789,603$2,313,849,266▲ $331,059,663
Land, Buildings, and Equipment, Net$1,853,470,283$1,909,631,861▲ $56,161,578
Accounts Receivable$451,707,896$449,653,646▼ $2,054,250
Savings and Temporary Cash Investments$215,153,942$275,458,280▲ $60,304,338
Investments Program Related$191,638,791$218,861,281▲ $27,222,490
Prepaid Expenses and Deferred Charges$84,257,555$93,972,938▲ $9,715,383
Inventories for Sale or Use$73,406,552$83,684,761▲ $10,278,209
Intangible Assets$52,599,588$52,468,039▼ $131,549
Other Notes and Loans Receivable, Net$0$353,333▲ $353,333
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Loans From Officers Directors$0$0→ $0
Total Assets$5,280,991,110$5,787,940,861▲ $506,949,751
Other Assets Total$375,966,900$390,007,456▲ $14,040,556
Liabilities
Tax Exempt Bond Liabilities$1,650,735,410$1,565,680,226▼ $85,055,184
Other Liabilities$802,801,709$797,901,549▼ $4,900,160
Accounts Payable and Accrued Expenses$306,536,574$413,917,362▲ $107,380,788
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Total Liabilities$2,760,073,693$2,777,499,137▲ $17,425,444
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$2,339,578,603$2,804,064,341▲ $464,485,738
Net Assets With Donor Restrictions$181,338,814$206,377,383▲ $25,038,569
Total Net Assets Fund Balance$2,520,917,417$3,010,441,724▲ $489,524,307
Total Liabilities and Net Assets / Fund Balance$5,280,991,110$5,787,940,861▲ $506,949,751

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,269,351,837$946,941,474$2,216,293,311
Equipment$437,329,525$945,499,348$1,382,828,873
Land$98,499,600-$98,499,600
Other Land Buildings$90,387,019-$90,387,019
Leasehold Improvements$14,063,880$31,708,415$45,772,295
Other Assets Org$112,165,650--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$165,101,530$4,766,931▲ $43,982,521$10,723,359$202,654,545
2022$138,385,553$14,050,354▲ $17,917,672$4,786,618$165,101,530
2021$171,255,117$1,014,827▼ $26,799,938$6,560,499$138,385,553
2020$134,893,648$13,447,047▲ $29,091,735$5,647,373$171,255,117
2019$122,600,381$9,749,241▲ $6,416,527$3,719,702$134,893,648
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Robert C SehringVice Chairperson Chief Executive OfficerFT$2,105,362$958,658$3,064,020
Michael A Cruz MDChief Operating OfficerFT$991,426$434,226$1,425,652
Michael M AllenChief Financial OfficerFT$934,328$441,719$1,376,047
Michelle D CongerChief Strategy Officer, OSF Healthcare/ CEO, OSF OnCall Digital HealthFT$854,346$353,159$1,207,505
Mete Korkmaz MDPhysicianFT$716,850$483,473$1,200,323
Carol A FriesenChief Executive Officer, Eastern RegionFT$793,665$325,533$1,119,198
James L McGee MDPhysicianFT$948,345$164,195$1,112,540
James J MormannChief Executive Officer, Integrated SolutionsFT$781,052$275,673$1,056,725
Ralph Velazquez MDSystem Chief Medical OfficerFT$699,181$342,696$1,041,877
Eric D WebbVice President of Sales and Admin OfficerFT$227,374$794,351$1,021,725
Iftekhar U Ahmad MDPhysicianFT$645,904$358,843$1,004,747
Robert G AndersonChief Executive Officer, Central RegionFT$721,458$268,718$990,176
August J QuerciagrossaChief Executive Officer, Western RegionFT$651,504$285,781$937,285
Robert L BrandfassSVP Chief Legal OfficerFT$657,312$249,519$906,831
Lori L WiegandChief Nursing OfficerFT$600,847$264,141$864,988
Alyssa A Ceilesh MDPhysicianFT$536,500$236,322$772,822
Leon A Yeh MDVP Chief Medical Officer Emergency ServFT$597,318$162,024$759,342
David M HallSVP Info Systems/ Chief Information OfficerFT$535,653$223,016$758,669
Thomas G HammertonPresident OSF Healthcare Foundation and Chief Development Officer-$409,043$333,504$742,547
Paula A CarynskiPresident, OSF HealthCare Saint Anthony Medical CenterFT$515,899$203,806$719,705
Shelley A ParnChief Human Resources OfficerFT$466,775$208,918$675,693
Michael A WellsPresident, OSF HealthCare Saint Francis Medical CenterFT$510,696$138,591$649,287
Stephen E Hippler MDFormer Chief Clinical Officer-$645,610$645,610$645,610
Kathleen M KinsellaPresident, OSF HealthCare Little Company of Mary Medical CenterFT$453,638$175,957$629,595
David FergusChief Supply Chain OfficerFT$369,525$212,179$581,704
John R EvanchoSVP Chief Integrity Officer (Through July 2024)FT$399,583$153,576$553,159
Tim J VegaChief Population Health Officer (Beginning March 2024)FT$387,603$148,014$535,617
Melinda B CoolingSenior Vice President, Advanced Practice/ Chief Clinician Executive, OSF OnCall Digital HealthFT$382,186$136,167$518,353
Lynn A FultonPresident, OSF HealthCare St. Joseph Medical Center (Through Dec 2023)FT$424,418$64,627$489,045
John T BarnhartPresident, Heart of Mary Medical Center & Sacred Heart Medical CenterFT$319,448$160,609$480,057
Lisa DeKezelPresident, OSF HealthCare Holy Family Medical Center and OSF Healthcare St. Mary Medical CenterFT$324,104$152,162$476,266
Ned HillPresident, OSF HealthCare Sacred Heart Medical Center (Through July 2024)FT$330,429$143,269$473,698
Jason R RodegheroPresident, OSF Home Care and Rehab ServicesFT$344,614$123,713$468,327
Roxanna CrosserFormer Chief Executive Officer, Western Region-$262,563$201,955$464,518
Jacqueline D KernanPresident, OSF HealthCare Saint Clare Medical Center and OSF HealthCare Saint Luke Medical CenterFT$285,637$141,145$426,782
Kelly A JeffersonPresident, OSF HealthCare St. Francis Hospital & Medical GroupFT$296,691$127,907$424,598
Jerry W RumphPresident, OSF HealthCare Saint Anthony's Health Center (Through August 2024)FT$291,526$111,054$402,580
Jennifer L UlrichInterim President, OSF HealthCare St. Joseph Medical Center (Beginning Nov 2023)FT$237,499$96,477$333,976
Elizabeth A DavidsonFormer Interim President, OSF Healthcare Saint James-John W. Albrecht Medical Center-$212,074$80,453$292,527
Ismael Shaukat MDFormer Physician-$126,165$165,331$291,496
Lisa A SchepersInterim President, OSF HealthCare Saint Anthony's Health Center (Beginning July 2024)FT$200,315$73,415$273,730
Erin N RogersFormer Interim President, OSF Healthcare Heart of Mary Medical Center-$167,776$68,405$236,181
Bradley V SolbergFormer President, OSF HealthCare Saint James- John W. Albrecht Medical Center-$143,744$65,588$209,332
Derrick FrazierPresident, OSF HealthCare Saint James-John W. Albrecht Medical CenterFT$156,069$50,205$206,274
Christopher M CurryPresident, OSF Transitional Care Hospital (Beginning Oct 2023)FT$72,267$4,640$76,907
Brian J Silverstein MDBoard MemberFT$45,000-$45,000
Gerald J McShane MDBoard MemberFT$31,000$216,558$31,000

Board Members and Trustees

NameTitle
Sister Judith Ann Duvall OSFChairperson
Shawn E Piers MDInterim President, OSF Medical Group (Beginning April 2024)
Sister Diane Marie McGrew OSFPresident and Treasurer (Through June 2024)
Megan L ZakrzewskiPresident, OSF HealthCare Children's Hospital of Illinois (Beginning Sept 2024)
Dawn C TrompeterPresident, OSF HealthCare Saint Elizabeth Medical Center/ Saint Paul Medical Center
Jeffry M TilleryPresident, OSF Medical Group (Through April 2024)
Sister M Mikela Meidl FSGMBoard Member
Sister Rose Therese Mann OSFBoard Member
Sister M Angelica Neumann FSGMBoard Member (Beginning March 2024)
Sister M Beata Ziegler FSGMBoard Member (Beginning March 2024)
Sister Agnes Joseph Williams OSFAssistant Secretary and Treasurer
Stephanie H StovallChief Quality Officer (Beginning Sept 2024)
Sister Theresa Ann Brazeau OSFSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Medical Solutions LLCMedical Staffing ServicesPO Box 850861, Suite 300, Minneapolis, MN 55485-0861$65,303,147
Assoc Anesthesiologists SCAnesthesiologists ServicesPO Box 14470, St Louis, MO 63178-4470$27,328,865
North American Partners In AnesthesiaAnesthesiologists Services1305 Walt Whitman Rd, Melville, NY 11747$22,701,070
Mayo ClinicLaboratory ServicesPO Box 4006, Rochester, MN 55903$7,528,789
Change Healthcare Solutions LLCSoftware Maintenance Services3055 LEBANON PIKE STE 1000, Nashville, TN 37214$6,773,206
Revenue and Support

Revenue Composition

Contributions and Grants
$45,518,127
Program Service Revenue
$3,631,088,569
Investment Income
$181,196,403
Other Revenue
$51,380,411
All Other Contributions
$2,257,139
Change in Net Assets
$553,257,980

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Real Estate Residential3$1,108,180Market value
Total Noncash Contributions3$1,108,180-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,745,830,000
Salaries, Compensation, and Employee Benefits$1,601,502,399
Grants and Similar Amounts Paid$8,593,131
Total Fundraising Expense$267,276
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,040,789,425$315,570,189$78,568$1,356,438,182
Fees for Services Other$266,686,370$19,589,938$381$286,276,689
Depreciation Depletion$93,111,703$28,581,908$3,058$121,696,669
Payroll Taxes$71,249,541$21,071,395$5,773$92,326,709
Other Expenses$88,935,171$2,408$0$88,937,579
Other Employee Benefits$31,956,211$48,164,244$8,814$80,129,269
Insurance$63,335,933$1,829,425$0$65,165,358
Interest$918,435$62,108,794$0$63,027,229
Pension Plan Contributions$34,750,826$11,889,137$2,789$46,642,752
Information Technology$120,002$45,382,899$761$45,503,662
All Other Expenses$29,146,330$0$162,357$29,308,687
Occupancy$26,172,609$1,822,476$0$27,995,085
Current Officers, Directors, Trustees, and Key Employees$20,165,813$5,041,453$0$25,207,266
Office Expenses$7,729,703$9,674,593$2,415$17,406,711
Grants to Domestic Orgs$8,260,399--$8,260,399
Fees for Services Legal-$7,957,627$0$7,957,627
Advertising$384,495$5,641,513$0$6,026,008
Conferences and Meetings$984,921$4,610,836$150$5,595,907
Travel$830,046$2,607,743$45$3,437,834
Fees for Services Accounting$0$1,336,270$0$1,336,270
Fees for Services Lobbying$0$1,297,657$0$1,297,657
Comp Disqual Persons$216,635$541,586$0$758,221
Grants to Domestic Individuals$332,732--$332,732
Total Functional Expenses$2,693,895,129$661,763,125$267,276$3,355,925,530
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
University of Illinois FoundationChampaign, IL501(c)(3)Support of Clinic Operations$3,286,756
Heartland Community Health ClinicPeoria, IL501(c)(3)Support of Clinic Operations$2,788,589
AMT EastPeoria, IL501(c)(3)Support of Org Operations$1,187,500
Peoria Park District FoundationPeoria, IL501(c)(3)Support Community Wellness Center$400,000
Heart of Illinois United WayPeoria, IL501(c)(3)Support of Org Operations$130,000
Intersect IllinoisPeoria, IL501(c)(3)Support of Org Operations$50,000
Rock River Valley Blood CenterRockford, IL501(c)(3)Support of Org Operations$50,000
Ymca of Rock River ValleyRockford, IL501(c)(3)Support of Org Operations$30,000
Easter Seals Central IllinoisPeoria, IL501(c)(3)Support of Org Operations$25,000
Crittenton CentersPeoria, IL501(c)(3)Support of Org Operations$15,000
Champaign Firefighters Benevolent FundChampaign, IL501(c)(3)Firefighters Wright Street Ball Sponsorship$10,000
Ronald McDonald House CharitiesSpringfield, IL501(c)(3)Support of Org Operations$10,000
St Matthew Roman Catholic CongregationChampaign, IL501(c)(3)Support of Org Operations$10,000
Danville Area Community College Foundation IncDanville, IL501(c)(3)Nursing Scholarship Support$7,304
Solid Rock MissionsFort Wayne, IN501(c)(3)Support of Org Operations$6,600
Elite Community Outreach IncPeoria, IL501(c)(3)Support of Org Operations$0
The Autism CollectivePeoria, IL501(c)(3)Support of Org Operations$0

International Summary

Offices
0
Employees
0
Spending
$2,740,782

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Middle East and North AfricaInvestmentsN/a00$2,740,782
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Family Member - Sister Diane Marie McGrew, O.S.F - Board MemberEmploymentNo$160,284
-Family Member - Lori L Wiegand - OfficerEmploymentNo$132,345
-Family Member - Robert Sehring - OfficerEmploymentNo$121,548
-Family Member - Robert Sehring - OfficerEmploymentNo$93,145
-Family Member - David M. Hall - OfficerEmploymentNo$93,143
-Family Member - David M. Hall - OfficerEmploymentNo$92,529
-Family Member - Robert Brandfass - OfficerEmploymentNo$65,227

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Self Insurance Liability$313,342,766
Accrued Pension Liability$137,031,164
Deferred Compensation$112,165,650
Lease Liability$108,804,079
Third Party Settlement Payable$95,657,136
Retirement Obligation - Asbestos$17,460,297
Market Valuation of Swap$13,194,457
Other Liabilities$246,000

Bond Issues

BondIssuerIssuedIssue PricePurpose
CIllinois Finance Authority2018-10-17$488,711,313SEE PART VI
AIllinois Finance Authority2015-09-29$392,744,128SEE PART VI
AIllinois Finance Authority2020-10-01$302,032,202SEE PART VI
DIllinois Finance Authority2008-04-29$134,340,000SEE PART VI
BIllinois Finance Authority2016-09-29$121,790,760SEE PART VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
C$489,028,773$485,312,478$21,175,000$3,716,295
A$394,643,597$234,380,050$43,750,000$4,151,415
A$303,828,073$102,000,000$0$0
D$134,483,633$120,024,044$79,505,000$704,492
B$121,790,793$120,241,726$7,155,000$1,549,068

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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: 30191524, Related or Exempt Function Revenue: 30012713, Unrelated Business Revenue: 178811, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
OSF Healthcare System
EIN
37-0813229
Phone
3096552850
Address
124 SW Adams St, Peoria, IL 61602

Signing Officer

Name
Kirsten M Largent
Title
CFO
Phone
3096552850
Signed
2025-08-06
Discuss with paid preparer
Yes

Organization Details

Formed
1880
Legal Domicile
Il
Voting Board Members
10
Independent Board Members
7
Employees
21,137
Volunteers
1,001

Preparer

Firm
Crowe Llp
Address
225 West Wacker Drive Suite 2600, Chicago, IL 60606-1224
Preparer
Jennifer Burke
Phone
3128997000
Supplemental Narrative

Additional Explanations

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 $ 174,390,752 including grants of $ 0)(Revenue $ 226,287,416) 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 XI, Line 9 Other changes in net assets or fund balances

CHANGE IN UNREALIZED MARKET VALUE OF SWAPS - -5799542; Pension Adjustment - 65474050; INCREASE IN PERMANENTLY RESTRICTED ASSETS - 25038569; REVERSAL OF MINIMUM PENSION LIABILITY - -28790126; MINORITY INTEREST - -5235218; EQUITY TRANSFERS - -XXX-XX-XXXX; INVESTMENT RETURN - 14955743; NET SETTLEMENT OF DERIVATIVE INSTRUMENT - -229043;

Financial Statement Notes

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, 2024 or 2023, OSF and PCI do not have any uncertain tax positions.

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