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OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER (EIN 36-2604009)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201442279349302614
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-15T10:46:16-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1191 West Nationwide Blvd Ste 500AddressLine1
CityColumbusCity
StateOHState
ZIP Code432152568ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362604009EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MICHELE KONIEWICZInCareOfName
Name ControlOTTANameControl
Phone8154315479Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 EAST NORRIS DRIVEAddressLine1
Address Line2SuiteAddressLine2
CityOTTAWACity
StateILState
ZIP Code61350ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT CHAFFINName
TitlePRESIDENT & CEOTitle
Phone6142491929Phone
Date Signed2014-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6142492300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT CHAFFINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11100 East Norris DriveAddressLine1
CityOttawaCity
StateILState
ZIP Code61350ZIPCode
FieldValueIRS element (for citing)
Gross Receipts85911200GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.OTTAWAREGIONAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees752TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year23874ContributionsGrantsPriorYear
Contributions Grants Current Year786291ContributionsGrantsCurrentYear
Program Service Revenue Prior Year33381744ProgramServiceRevenuePriorYear
Program Service Revenue CY75877061ProgramServiceRevenueCY
Investment Income Prior Year802756InvestmentIncomePriorYear
Investment Income Current Year1150538InvestmentIncomeCurrentYear
Other Revenue Prior Year12802OtherRevenuePriorYear
Other Revenue Current Year2329142OtherRevenueCurrentYear
Total Revenue Prior Year34221176TotalRevenuePriorYear
Total Revenue Current Year80143032TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16664928SalariesEtcPriorYear
Salaries Etc Current Year40624901SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year17089040OtherExpensePriorYear
Other Expenses Current Year39524572OtherExpensesCurrentYear
Total Expenses Prior Year33753968TotalExpensesPriorYear
Total Expenses Current Year80149473TotalExpensesCurrentYear
Revenues Less Expenses Prior Year467208RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-6441RevenuesLessExpensesCY
Total Assets BOY67088969TotalAssetsBOY
Total Assets EOY65821031TotalAssetsEOY
Total Liabilities BOY17914241TotalLiabilitiesBOY
Total Liabilities EOY19347426TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY49174728NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY46473605NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense52711644Expense
Revenue75877061Revenue
DescriptionNON-PROFIT 99-BED, ACUTE CARE HOSPITAL, INCLUDING A 26-BED PSYCHIATRIC CARE UNIT. $7,600,592 CHARITY CARE PROVIDED.Description
Total Program Service Expense52711644TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109670NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees752NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHELE KONIEWICZNamePerson
Telephone Number8154315479TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11100 E NORRIS DRIVEAddressLine1
CityOTTAWACity
StateILState
ZIP Code61350ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployee
JAMES MOORE
CHAIRPERSON1.0XX000
STEVEN GONZALO
VICE CHAIRPERSON1.0XX000
SISTER DIANE MARIE OSF
TREASURER1.0XX044800
CHRISTINA CANTLIN
SECRETARY1.0XX000
ROBERT CHAFFIN
PRESIDENT & CEO40.0XX9740321887848843
CHARLES DENNIS MD
TRUSTEE1.0X03542743787340.0
KATHLEEN FORBES MD
TRUSTEE1.0X03720642011240.0
GERALD MCSHANE MD
TRUSTEE1.0X05800974780240.0
MARY MORGAN
Trustee1.0X000
ERIC ORTINAU MD
TRUSTEE1.0X000
MARK PALMER
TRUSTEE1.0X000
KEVIN D SCHOEPLEIN
TRUSTEE1.0X0258024830132040.0
GEORGE SHANLEY
TRUSTEE1.0X000
SISTER AGNES JOSEPH OSF
TRUSTEE1.0X044800
JUDY CHRISTIANSEN
CHIEF OPERATING OFFICER40.0X219759013196
DAWN TROMPETER
CHIEF FINANCIAL OFFICER40.0X154344030985
GARNER ARNOLD MD
PHYSICIAN40.0359230012526X
DAVID BAYLEY MD
PHYSICIAN40.0378766030985X
ANTHONY FOULEN MD
PHYSICIAN40.0359314012526X
SHAISTA MALIK MD
PHYSICIAN40.036294000X
CHIN SWONG MD
PHYSICIAN40.0435885031635X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2367641TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4114521TotalReportableCompFrmRltdOrgs
Total Other Compensation587803TotalOtherCompensation
Number Individuals GT100 K18NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DRINKER BIDDLE REATH LLP
ONE LOGAN SQUARE SUITE 2000PHILADELPHIAPA191036996LEGAL332150
HINSHAW CULBERTSON LLP
8142 SOLUTIONS CENTER DRCHICAGOIL606778001LEGAL313369
DOWNSTATE SHOCKWAVE THERAPIES
405 BRONCO DRBLOOMINGTONIL61704MEDICAL302633
JM MEDICAL
405 BRONCO DRBLOOMINGTONIL61704MEDICAL SUPPLIES214742
TGC LLC
PO BOX 130HIGHLANDMD20777HOME HEALTHCARE SVS131027
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Related Organizations754142RelatedOrganizations
Government Grants27721GovernmentGrants
All Other Contributions4428AllOtherContributions
Total Contributions786291TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column75877061TotalRevenueColumn
Related Or Exempt Function Income75877061RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue75877061TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column539885TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$539,885ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real791068Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real921139Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-130071Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-130071TotalRevenueColumn
Exclusion-$130,071ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5267813Securities
Other189869Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4733178Securities
Other113851Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities534635Securities
Other76018Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column610653TotalRevenueColumn
Exclusion$610,653ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MEANINGFUL USE INCOME9000991700001$1,700,001
CAFETERIA722514450673$450,673
COMMUNITY CLASSES90009922860$22,860

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column285679TotalRevenueColumn
Exclusion$285,679ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2459213TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column80143032TotalRevenueColumn
Related Or Exempt Function Income75877061RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,479,680ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total418284Total
Program Services123979ProgramServices
Management And General294305ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total30270129Total
Program Services22860580ProgramServices
Management And General7409549ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total857586Total
Program Services52389ProgramServices
Management And General805197ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7049967Total
Program Services0ProgramServices
Management And General7049967ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2028935Total
Program Services1552899ProgramServices
Management And General476036ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total328046Total
Program Services0ProgramServices
Management And General328046ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total4173326Total
Program Services0ProgramServices
Management And General4173326ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total194963Total
Program Services43ProgramServices
Management And General194920ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8001057Total
Program Services6963745ProgramServices
Management And General1037312ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total882156Total
Program Services120751ProgramServices
Management And General761405ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total686595Total
Program Services-324171ProgramServices
Management And General1010766ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total207051Total
Program Services169679ProgramServices
Management And General37372ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total35625Total
Program Services35625ProgramServices
Management And General0ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1934567Total
Program Services1156199ProgramServices
Management And General778368ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total584605Total
Program Services279250ProgramServices
Management And General305355ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CHARITY CARE76095747609574
BAD DEBTS48644504864450
PURCHASED SERVICES4194080300063511934450
OTHER EXPENSES582847742460171582460

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total80149473Total
Program Services52711644ProgramServices
Management And General27437829ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2860BOY
EOY2735EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2882402BOY
EOY4148720EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12199613BOY
EOY12503518EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1604448BOY
EOY1470676EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY589919BOY
EOY423062EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis101409388LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec69440731LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY31665950BOY
EOY31968657EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12182493BOY
EOY9226963EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5961284BOY
EOY6076700EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY67088969BOY
EOY65821031EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15832669BOY
EOY16774284EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2081572BOY
EOY2573142EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17914241BOY
EOY19347426EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY49162046BOY
EOY46460233EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY12682BOY
EOY13372EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49174728BOY
EOY46473605EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY67088969BOY
EOY65821031EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-6441ReconcilationRevenueExpenses
Reconciliation Unrealized Invest423159ReconciliationUnrealizedInvest
Reconcilation Other Changes-3117841ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance4725BeginningOfYearBalance
End Of Year Balance4725EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4725BeginningOfYearBalance
End Of Year Balance4725EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4725BeginningOfYearBalance
End Of Year Balance4725EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4725BeginningOfYearBalance
End Of Year Balance4725EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4725BeginningOfYearBalance
End Of Year Balance4725EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
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Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5985940OtherCostOrOtherBasis
Book Value5985940BookValue

Buildings Buildings

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Depreciation39589628Depreciation
Book Value15767304BookValue
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Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

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Other Cost Or Other Basis35022773OtherCostOrOtherBasis
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Other Land Buildings OtherLandBuildings

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FieldValueIRS element (for citing)
Total Of Book Value Land Buildings31968657TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
SELF INSURANCE TRUST3908916
457B FUNDS688107
FOX RIVER CANCER CENTER JV1466305
TEMPORARILY RESTRICTED ASSETS13372
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Other Liabilities OtherLiabilities

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DescriptionTHIRD-PARTY PAYOR SETTLEMENTSDescription
Amount$2,573,142Amount
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Total Of Amounts2573142TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierExplanationExplanation
PART V, LINE 4:THE ENDOWMENT FUND IS HELD BY THE OTTAWA REGIONAL HOSPITAL FOUNDATION, A RELATED ORGANIZATION. THE EARNINGS FROM THE FUND ARE USED FOR GENERAL SUPPORT PURPOSES.
PART X, LINE 2:OSF Healthcare System (OSF) adopted ASC Subtopic 740-10, Accounting for Uncertainty in Income Taxes - an interpretation of FASB Statement No. 109. The interpretation addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the consolidated financial statements. Under ASC Subtopic 740-10, OSF must recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. ASC Subtopic 740-10 also provides guidance on derecognition, classification, interest and penalties on income taxes, and accounting in interim periods and requires increased disclosures. As of September 30, 2013 and 2012, OSF does not have any uncertain tax positions.

Schedule H IRS990ScheduleH

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Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

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Net Community Benefit Expense2758255NetCommunityBenefitExpense
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Unreimbursed Medicaid UnreimbursedMedicaid

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Direct Offsetting Revenue8061340DirectOffsettingRevenue
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Total Charity Care TotalCharityCare

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Community Health Services CommunityHealthServices

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Subsidized Health Services SubsidizedHealthServices

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Total Other Benefits TotalOtherBenefits

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Health Improvement Advocacy HealthImprovementAdvocacy

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Total Total

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Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,766,761BadDebtExpenseAmount
Amount Reimbursed By Medicare18473679AmountReimbursedByMedicare
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Medicare Surplus Or Shortfall-8525819MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
RADIATION ONCOLOGY
OF NORTHERN ILLINOIS
LLC
RADIATION ONCOLOGY0.570000.43000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

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Facility Number1FacilityNumber

Name Name

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Address Address

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Address Line11100 EAST NORRIS DRIVEAddressLine1
CityOTTAWACity
StateILState
ZIP Code61350ZIPCode
FieldValueIRS element (for citing)
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General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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FieldValueIRS element (for citing)
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Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
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Needs Assessment Conducted13NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
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Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
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Prioritize ServicesXPrioritizeServices
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Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
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Average Negotiated RatesXAverageNegotiatedRates
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Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
OTTAWA REGIONAL MEDICAL CENTER INC
1614 EAST NORRIS DRIVEOTTAWAIL61350OUTPATIENT MEDICAL AND DIAGNOSTIC SERVICES
RADIATION ONCOLOGY OF NORTHERN ILLINOIS
1200 STARFIRE DRIVEOTTAWAIL61350RADIATION ONCOLOGY CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 3C:ORHHC PROVIDES FREE CARE AND DISCOUNTED CARE TO HOSPITAL PATIENTS AND ALL OTHER PATIENTS IN THE FOLLOWING WAYS: - FREE CHARITY CARE FOR PATIENTS WHOSE FAMILY INCOME IS LESS THAN 200% OF FEDERAL POVERTY GUIDELINES (FPG) FOR THEIR FAMILY SIZE. - DISCOUNTED CHARITY CARE ON A SLIDING SCALE FOR PATIENTS WHOSE FAMILY INCOME IS BETWEEN 200% AND 400% OF FPG FOR THEIR FAMILY SIZE. - CATASTROPHIC CHARITY CARE REGARDLESS OF INCOME OR ASSET LEVELS FOR MEDICALLY NECESSARY SERVICES WHICH EXCEED 25% OF ANNUAL FAMILY INCOME. NO PATIENT PAYS MORE THAN 25% OF ANNUAL FAMILY INCOME IN A 12-MONTH PERIOD REGARDLESS OF INCOME OR ASSET LEVELS. - 20% DISCOUNT FOR ALL UNINSURED PATIENTS WHO ARE NOT OTHERWISE ELIGIBLE FOR FREE, DISCOUNTED, OR CATASTROPHIC CHARITY CARE. - ALL PATIENTS RECEIVE THE GREATEST REQUESTED DISCOUNT AVAILABLE UNDER ANY OF THESE 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. PART I, LINE 7: AMOUNTS ARE CALCULATED USING THE COST TO CHARGE RATIO PER THE MEDICARE COST REPORT.
PART I, LINE 7G:A FREESTANDING FACILITY, THE HEALTH CENTER OF EASTERN LASALLE COUNTY (HEALTH CENTER), PROVIDES FREE HEALTH CARE SERVICES TO INDIVIDUALS AND FAMILIES WHO DO NOT HAVE ACCESS TO HEALTH INSURANCE, DO NOT QUALIFY FOR STATE OR FEDERAL PROGRAMS, AND DO NOT HAVE THE FINANCIAL RESOURCES TO SECURE THE HEALTH CARE THEY NEED. NINE OF OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER'S (ORHHC) PHYSICIANS VOLUNTEER THEIR SERVICES TO PROVIDE PRIMARY HEALTH CARE, AND THE HEALTH CENTER DOES NOT RECEIVE ANY FEDERAL OR STATE FUNDS. ANCILLARY SERVICES, SUCH AS LAB AND X-RAY, THAT ARE UNAVAILABLE AT THE HEALTH CENTER, ARE PROVIDED BY THE HOSPITAL AT NO CHARGE. ORHHC HAS THE ONLY HOSPITAL PROVIDING MENTAL HEALTH SERVICES BETWEEN NAPERVILLE, JOLIET, PEORIA AND THE QUAD CITIES. ALTHOUGH SEVERAL LOCAL AND REGIONAL HOSPITALS CEASED TO PROVIDE BEHAVIORAL HEALTH CARE DUE TO A LACK OF PROFITABILITY, ORHHC EXPANDED ITS PROGRAMS AND SERVICES TO MEET COMMUNITY NEEDS. WHILE THE PROGRAM CONTINUES TO OPERATE AT A LOSS ( $1m for the period ending 9/30/13), ORHHC REMAINS COMMITTED TO PROVIDING THIS VITAL SERVICE.
PART I, LN 7 COL(F):$4,864,450 OF BAD DEBT EXPENSE IS SUBTRACTED FOR PURPOSES OF COMPUTING THE PERCENTAGE IN PART I, LINE 7K, COLUMN F. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES, LESS BAD DEBT, IS 12.69%, AND THE PERCENTAGE INCREASES TO 48.54% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE.
PART III, LINE 4: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 collectibility of patients' accounts receivable, ORHHC analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for uncollectible accounts and provision for bad debts. Management regularly reviews data about these major payor 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 charity care 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 $4,864,450 on Form 990, Part IX, Line 24b is based upon accrual accounting required by generally accepted accounting principles. This amount consequently differs from the bad debt expense of $1,766,761 on Schedule H, Part III, Line 2 which requires the organization to report aggregate bad debt at cost. BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS therefore CALCULATED BY MULTIPLYING GROSS CHARGES WRITTEN OFF TO BAD DEBT EXPENSE TIMES THE RATIO OF PATIENT CARE COST-TO-CHARGES DERIVED FROM WORKSHEET 2. DISCOUNTS, INCLUDING ANY APPLICABLE THIRD PARTY PAYER CONTRACTUAL ALLOWANCES AND ANY CHARITY CARE DISCOUNTS (VALUED AT GROSS CHARGES), ARE APPLIED TO PATIENT ACCOUNT GROSS CHARGES TO DETERMINE THE ACCOUNT BALANCE BEFORE PATIENT PAYMENTS. THE AGGREGATE AMOUNT OF ALL PATIENT PAYMENTS IS THEN APPLIED TO THE ACCOUNT BALANCE. WHEN DETERMINATION IS MADE THAT NO FURTHER AMOUNTS CAN BE COLLECTED IN ACCORDANCE WITH THE ORHHC'S BAD DEBT POLICY, THE REMAINING BALANCE IS WRITTEN OFF TO BAD DEBT EXPENSE. THE ORHHC UTILIZES A PRESUMPTIVE CHARITY PROCEDURE FOR ALL PATIENTS WHO FAIL TO PROVIDE FINANCIAL INFORMATION NORMALLY CONSIDERED IN MAKING CHARITY ELIGIBILITY DETERMINATIONS BUT FOR WHOM ORHHC IS ABLE TO OBTAIN COMPARABLE INFORMATION FROM INDEPENDENT SOURCES, INCLUDING CONTRACT SERVICE PROVIDERS WHO COMPILE CREDIT BUREAU AND OTHER INFORMATION. WHEN SUCH INDEPENDENT VERIFICATION OF A PATIENT'S FINANCIAL INFORMATION IS OBTAINED, ORHHC APPLIES THE SAME CHARITY DISCOUNT IT WOULD HAVE PROVIDED IF THE PATIENT HAD COMPLETED A CHARITY APPLICATION AND SUBMITTED SUCH FINANCIAL INFORMATION. SUCH PRESUMPTIVE CHARITY DETERMINATIONS MAY BE MADE AT ANY TIME THE NECESSARY FINANCIAL INFORMATION BECOMES AVAILABLE TO ORHHC, AND PATIENTS ARE NOTIFIED IN WRITING OF THE CHARITY DISCOUNT AMOUNTS SO DETERMINED AND APPLIED. THEREFORE, THE CORPORATION DOES NOT BELIEVE THAT BAD DEBT EXPENSE REPORTED ON PART III, LINE 3 INCLUDES ANY AMOUNTS THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY UNDER ORHHC'S CHARITY CARE POLICY.
PART III, LINE 8100% OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. ORHHC IS COMMITTED TO SERVING PATIENTS, REGARDLESS OF ABILITY TO PAY OR IF THE PAYMENTS TO BE RECEIVED WILL BE LESS THAN THE COST TO PROVIDE THE SERVICE, WHICH IS THE CASE FOR MEDICARE AND MEDICAID PATIENTS. THE MEDICARE ALLOWABLE COSTS ON LINE 6 PART III HAVE BEEN CALCULATED BY MULTIPLYING MEDICARE CHARGES BY THE PATIENT CARE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2. THE AMOUNT IS COMPARED TO TOTAL MEDICARE PAYMENTS RECEIVED INCLUDING DSH AND IME PAYMENTS. THIS SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT SINCE IT REFLECTS UNREIMBURSED COSTS TO THE HEALTH SYSTEM FOR PROVIDING MEDICAL SERVICES TO THE MEDICARE RESIDENTS OF THE COMMUNITY.
PART III, LINE 9BORHHC HAS A FAIR BILLING/COLLECTION POLICY WHICH APPLIES FOR ALL PATIENTS. THE POLICY INCLUDES: - REQUIRED INFORMATION PROVIDED IN BILLS TO PATIENTS (INCLUDING A REQUIREMENT THAT INFORMATION BE PROVIDED ON HOW THE PATIENT MAY APPLY FOR CHARITY CARE). - 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 AND VERIFIED BY AN AUTHORIZED HOSPITAL REPRESENTATIVE BEFORE THE ACCOUNT OF AN UNINSURED PATIENT MAY BE SENT TO A COLLECTION AGENCY OR ATTORNEY. - ORHHC'S HOSPITALS ARE REQUIRED TO OFFER A REASONABLE PAYMENT PLAN (BASED ON STATE WAGE GARNISHMENT LIMITS) TO UNINSURED PATIENTS. - LEGAL ACTION FOR NON-PAYMENT OF A PATIENT BILL MAY NOT BE INITIATED UNTIL AN AUTHORIZED HOSPITAL OFFICIAL HAS DETERMINED THAT ALL CONDITIONS IN THE CORPORATION'S POLICY (INCLUDING ALL OF THE FOREGOING POLICY PROVISIONS) HAVE BEEN SATISFIED FOR INITIATING LEGAL ACTION. - LEGAL ACTION MAY NOT BE PURSUED AGAINST UNINSURED PATIENTS WHO HAVE DEMONSTRATED THAT THEY HAVE NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET THEIR FINANCIAL OBLIGATIONS - EVEN IF SUCH PATIENTS ARE NOT ELIGIBLE FOR CHARITY CARE ASSISTANCE. - ORHHC SHALL NOT FILE A JUDGMENT LIEN AGAINST THE PRIMARY RESIDENCE OF ANY DEBTOR (EXCEPTIONS MAY BE APPROVED IN RARE CASES BY SENIOR OFFICERS OF THE CORPORATION ONLY). - ORHHC SHALL NOT OBTAIN A BODY ATTACHMENT AGAINST ANY PATIENT OR GUARANTOR. - ORHHC SHALL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS, SUCH AS SUBMITTING REPORTS TO CREDIT AGENCIES BEFORE REASONABLE ATTEMPTS TO DETERMINE ELIGIBILITY FOR CHARITY CARE ASSISTANCE HAVE BEEN COMPLETED.
PART VI, LINE 2:The primary service area of ORHHC is LaSalle County. The 2010 census of LaSalle County indicated a population of 111,509 residents. Compared to the 2000 census of the LaSalle County population, the 2010 census of the LaSalle County population shows an increase of 2,415 residents. With the increase in the population of older individuals in LaSalle County, the median age of residents has also increased. The median age of residents in LaSalle County in 2010 was 41.0 compared to 38.7 in 2007. The LaSalle County Community Health-Needs Assessment was a collaborative undertaking by ORHHC to identify the health needs and well-being of residents in LaSalle County. Through the needs assessment, collaborative community partners identified numerous health issues impacting individuals and families in the LaSalle County area. Several themes were identified through the health-needs assessment - the demographic composition of the LaSalle County region, the predictors and prevalence for diseases, leading causes of mortality, accessibility to health services and healthy behaviors. In LaSalle County, the percentage of all families living in poverty increased from 7.9% to 9.8% between 2007 and 2010.
SCHEDULE H - PART VI SUPPLEMENTAL INFORMATION - CHNAThe ORHHC commenced work during its fiscal year 2012 on conducting a community health needs assessment ("CHNA") for its hospital, as required by Internal Revenue Code Section 501(r)(3). The CHNA process continued into fiscal year 2013 and culminated in a final CHNA for each of the Health System's hospitals being approved and adopted by ORHHC's Board of Directors on July 31, 2013. Subsequent to fiscal year 2013 and in response to the significant community health needs identified in the CHNA, the hospital completed an Implementation Strategy to address these critical health needs. The narrative below includes an outline of the hospital's goals for fiscal year 2014 as part of the Implementation Strategy approved and adopted by the Board of Directors. Ottawa Regional Hospital & Healthcare Center - Ottawa, IL The CHNA that was approved and adopted for Ottawa Regional Hospital & Healthcare Center identified the following as the community's most significant health needs: *ACCESS TO HEALTH CARE SERVICES This health need is based on results from survey respondents defined as living in deep poverty indicated that access to healthcare services is limited. This includes medical, prescription medications, dental and mental healthcare. Results from survey respondents living in poverty indicated that access to healthcare is limited. This includes medical, dental and mental healthcare. Poverty is a key factor, as 9% of people living in poverty in LaSalle County consider the Emergency Department their primary source of health care. Furthermore, 24% of people in poverty were unable to obtain medical care when they needed it in the past year. Results also suggest a strong correlation between ethnicity and one's ability to obtain medical care, as survey data suggest individuals who identify themselves as Black and/or Latino/a are more likely to use the emergency department. With regard to prescription drugs, 34% of individuals living in poverty in LaSalle County were unable to fill a prescription in the past year because they lacked health care coverage. With regard to dental care, 46% of individuals living in poverty in LaSalle County needed dental care and were unable to obtain it last year and 30% of individuals living in poverty in LaSalle County needed counseling and were unable to obtain it in the last year. "Affordability" was cited as the leading impediment to various types of health care. *COMMUNITY MISPERCEPTIONS This health need observes the gap between patient perceptions of community health needs and the actual top causes of mortality in their community. While the response of those living in deep poverty misinterprets some of the most critical needs of the community based on actual mortality data, there is much to be learned from their responses. These people's perceptions are their reality and forces to acknowledge that we must never lose focus on the individual as we improve the health of the community. OSF Healthcare System has developed a Care Management program to provide those in need with the help they need to improve their individual heath and overcome barriers to health. Based on results from the survey, respondents incorrectly perceived "diabetes," "heart disease," and "dental" as being relatively less important health concerns to the community. These results conflict with morbidity data that suggests diabetes rates in LaSalle County are higher than rates across the State of Illinois, mortality data that indicates heart disease is the leading cause of death in LaSalle County, and dental data that illustrates LaSalle County residents have undergone annual dental checkups at a lower rate than rates for the State of Illinois. Moreover, for those respondents living in poverty, misperceptions of programs such as Medicaid and financial assistance programs is evident given that respondents do not seek necessary medical care because they believe they cannot afford to pay. Finally, there are misperceptions with respondents' self-perceptions of their own health, as 91% felt that they are either average or above average in terms of their overall health. *RISKY BEHAVIORS/SUBSTANCE ABUSE This health need is based on the prevalence of alcohol, tobacco and marijuana in our community. In LaSalle County, 19.2% of respondents engage in binge drinking versus 17.5% in the State of Illinois. Both figures exceed the US national 90th percentile benchmark of 8%. Youth substance usage in LaSalle County exceeds the State of Illinois averages for both 8th graders (alcohol, tobacco, and marijuana usage) and 12th graders (alcohol and tobacco usage). With regard to smoking, 45% of LaSalle County residents living in poverty smoke 5 or more cigarettes per day. Additionally, according to survey respondents, for both LaSalle County's aggregate population and those living in poverty, drug and alcohol abuse were perceived as the two most important unhealthy behaviors in the community. *HEALTHY BEHAVIORS This health need is based on results from survey respondents defined as living in deep poverty indicated that there are limited efforts at proactively managing one's own health. This includes limited exercise, poor eating habits and increased incidence of smoking. According to the Illinois Behavioral Risk Factor Surveillance System, 36.6% of LaSalle County residents report that their last routine checkup was more than 1 year ago. This figure is 17.4% higher than State of Illinois average (19.2%). There was a slight decrease in the percentage of LaSalle County residents reporting they had received a flu shot in the last 12 months between 2006 (32.3%) and 2009 (31.4%). For comparison, there was a 24% increase in the percentage of Illinois residents reporting they had received a flu shot in the last 12 months between 2006 (28.0%) and 2009 (34.6%). Results from survey respondents indicated that there are limited efforts at proactively managing one's own health. This includes limited exercise, as 69% of LaSalle County residents indicated they exercised 2 times or less per week. With regard to eating habits, 67% of LaSalle County residents consume less than 2 servings of fruits/vegetables per day. However, note that 91% of respondents believe they are in average or above average physical health and 92% of respondents believe they are in average or above average mental health. *MENTAL HEALTH This health need looks at the percentage of patients that reported they had experienced 1-7 days with poor mental health per month between 2007 and 2009. This includes mental disabilities, depression and self-perceptions of mental health. Mental health issues grew by 38% for residents of LaSalle County between 2006 and 2009. In terms of absolute percentage increase, LaSalle County residents experienced an increase of 7%, where in 2006 18.3% of residents they felt mentally unhealthy on 1-7 days per month, compared to 2009 where 25.3% of residents felt mentally unhealthy on 1-7 days per month. For comparison, there was actually a slight decrease in the percentage of Illinois residents reporting they felt mentally unhealthy on 1-7 days per month between 2006 (24.9%) and 2009 (24.8%). Mental health was also rated the third most important health concerning the community for both the aggregate population as well as those living in poverty. *OBESITY This health need is based on an increase in the prevalence of obesity in our community population. Research strongly suggests that obesity is a significant problem facing youth and adults nationally, as it has been linked to numerous morbidities (e.g., type II diabetes, hypertension, cardiovascular disease, cancer, etc.). There was a 45% increase in the percentage of LaSalle County residents reporting they were overweight between 2006 (19.3%) and 2009 (28.0%). For comparison, there was a 9% increase in the percentage of Illinois residents reporting they were overweight between 2006 (24.7%) and 2009 (26.8%). Illinois is ranked as the sixth worst state in the US in terms of obesity. *DENTAL This health need is based on a person's perception of the ability to obtain dental care in their community. Research indicates that dental health can be related to numerous other morbidities, including heart disease. The number of LaSalle County residents reporting their last dental visit was more than 2 years ago grew by 25% between 2006 (17.4%) and 2009 (21.8%). For comparison, there was 15% growth in the percentage of Illinois residents reporting their last dental visit was more than 2 years ago or never between 2006 (17.2%) and 2009 (19.8%).
SCHEDULE H - PART VI SUPPLEMENTAL INFORMATION - CHNA CONTINUED*NEEDS NOT ADDRESSED The CHNA Conducted by the Hospital in 2013 also indentified "Woman's Health", "Respiratory Issues", "Heart Disease", and "Cancer" amongst the many important community health needs. A collaborative team recognized the impact of woman's health, respiratory issues, heart disease and cancer on the population of patients we serve. As a health care organization we continue to focus resources on patient education, early detection and care, but we understand that we also need to have a greater focus in our communities on those risk factors that contribute to Woman's Health, "Respiratory Issues", "Heart Disease", and "Cancer". We anticipate that the greatest overall long term health impact will come from a broader prevention strategy focusing on obesity, healthy behaviors, exercise and smoking, rather on just woman's Health, Respiratory Issues, Heart Disease, and Cancer. Fiscal Year Goals 2014 The following are the goals being pursued in FY 2014: 1. Provide financial assistance program (serve everyone, regardless of ability to pay). 2. Help people access care through Medicaid enrollment and new gov't insurance options. 3. Collaborate with outside agencies. 4. Work with OSF to develop e-health strategies. 5. Improve diabetic education outreach. 6. Reach out to most at risk groups in the community with education and strategies for implementing lifelong changes in healthy behaviors. 7. Increase access to mental health services. 8. Work with OSF to develop e-health strategies for mental health. 9. Spread awareness of issue and promote weight maintenance and reduction when necessary. 10. Educate medical staff about resources available for patients, such as outpatient substance abuse (other agency) and groups like Celebrate Recovery. 11. Even though we don't provide dentists at the hospital, we can become more educated and helpful to direct patients in need where to go.
PART VI, LINE 3: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 CHARITY ASSISTANCE POLICY IN THE FOLLOWING WAYS: - SIGNS ARE POSTED IN PATIENT REGISTRATION AREAS (INCLUDING EMERGENCY DEPARTMENT REGISTRATION) INFORMING PATIENTS OF THE AVAILABILITY OF CHARITY ASSISTANCE AND THE AVAILABILITY OF FINANCIAL ASSISTANCE REPRESENTATIVES. - PRINTED BROCHURES ARE DISTRIBUTED TO PATIENTS AT REGISTRATION INFORMING THEM OF THE AVAILABILITY OF CHARITY ASSISTANCE (FOR BOTH INSURED AND UNINSURED PATIENTS), FINANCIAL ASSISTANCE REPRESENTATIVES (INCLUDING CONTACT INFORMATION), AND UNINSURED PATIENT DISCOUNTS. - A NOTICE OF AVAILABILITY OF THE CORPORATION'S CHARITY CARE AND UNINSURED PATIENT DISCOUNT POLICIES IS PROMINENTLY AVAILABLE ON THE CORPORATION'S WEB SITE (AND SEPARATE WEB SITES OF ITS HOSPITAL FACILITIES). THE APPLICATION FORM WITH INSTRUCTIONS IS AVAILABLE FOR DOWNLOAD. - A NOTE REGARDING THE AVAILABILITY OF CHARITY AND FINANCIAL ASSISTANCE (TOGETHER WITH CONTACT PHONE NUMBERS) APPEARS ON EVERY PATIENT BILL AND STATEMENT. - FINANCIAL ASSISTANCE COUNSELORS ARE AVAILABLE IN PERSON AND BY PHONE TO ASSIST PATIENTS IN COMPLETING CHARITY AND FINANCIAL ASSISTANCE APPLICATIONS AND IN DETERMINING ELIGIBILITY AND APPLYING FOR GOVERNMENT PROGRAM BENEFITS, INCLUDING MEDICAID. - THE CORPORATION'S CHARITY CARE POLICY IS FILED WITH THE ILLINOIS ATTORNEY GENERAL AND IS AVAILABLE TO THE PUBLIC.
PART VI, LINE 4:The organization primarily serves LaSalle County (approximately 113,924 residents). According the US Census Bureau in 2010, LaSalle County included an average of 10.8% of persons below poverty level. The median age was 41 and the median household income was $51,705.
PART VI, LINE 5: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, 2013 FOR IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. ALL OF THE ORHHC'S HOSPITALS MEET THE REQUIREMENTS OF REVENUE RULING 69-545 BY: - OPERATING EMERGENCY DEPARTMENTS WHICH ARE STAFFED 24 HOURS PER DAY BY QUALIFIED PHYSICIANS AND OTHER MEDICAL PERSONNEL AND WHICH ARE OPEN TO ALL PERSONS WITHOUT REGARD TO ABILITY TO PAY. - HAVING MEDICAL STAFFS WHICH ARE OPEN TO ALL QUALIFIED PHYSICIANS, MID-LEVEL PROVIDERS, PODIATRISTS, AND DENTISTS IN THE COMMUNITY (EXCEPT WHERE RESTRICTED IN RARE CASES FOR CLINICAL QUALITY REASONS BY ACTION OF THE MEDICAL STAFF AND THE BOARD OF DIRECTORS). - ACCEPTING MEDICARE, MEDICAID AND OTHER GOVERNMENT PROGRAM PATIENTS. - ACCEPTING ALL PATIENTS, INCLUDING UNINSURED PATIENTS, WITHOUT REGARD TO THEIR ABILITY TO PAY. - USING SURPLUS FUNDS TO IMPROVE THEIR FACILITIES, EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, EDUCATION, AND RESEARCH AS DESCRIBED ABOVE.
PART VI, LINE 6:OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER (HOSPITAL) IS LICENSED AS A 99-BED, NOT-FOR-PROFIT, ACUTE CARE HOSPITAL, INCLUDING A 26-BED PHSYCHIATRIC CARE UNIT. THE HOSPITAL ALSO PROVIDES RELATED ANCILLARY AND OUTPATIENT SERVICES. THE HOSPITAL'S AFFILIATES INCLUDE OTTAWA REGIONAL HEALTHCARE AFFILIATES, INC. (INCLUDING ITS WHOLLY OWNED SUBSIDIARY, OTTAWA REGIONAL MEDICAL CENTER, INC.), RADIATION ONCOLOGY OF NORTHERN ILLINOIS, LLC, THE OTTAWA REGIONAL HOSPITAL AUXILIARY, AND THE OTTAWA REGIONAL HOSPITAL FOUNDATION. OSF HEALTHCARE SYSTEM (OSF) IS AN ILLINOIS NOT-FOR-PROFIT CORPORATION INCORPORATED IN 1880 AS THE SISTERS OF THE THIRD ORDER OF ST.FRANCIS. OSF CURRENTLY OWNS AND OPERATES SEVEN HOSPITALS, ONE NURSING HOME AND OTHER HEALTHCARE-RELATED ENTITIES. OSF OPERATES ITS HEALTHCARE FACILITIES AS A SINGLE CORPORATION WITH EACH HEALTHCARE FACILITY FUNCTIONING AS AN OPERATING DIVISION OF OSF. OTTAWA REGIONAL HEALTHCARE AFFILIATES, INC. (ORHA) IS AN ILLINOIS BUSINESS CORPORATION AND IS THE SOLE STOCKHOLDER OF OTTAWA REGIONAL MEDICAL CENTER, INC. (ORMC) AND OTTAWA REGIONAL CARDINAL SLEEP CENTER, LLC (ORCSC) AND 50% OWNER OF OTTAWA REGIONAL DME, LLC (DME). THE HOSPITAL IS THE SOLE STOCKHOLDER OF ORHA. OTTAWA REGIONAL MEDICAL CENTER, INC. WAS INCORPORATED AS AN ILLINOIS BUSINESS CORPORATION IN SEPTEMBER 2009 AND PURCHASED CERTAIN ASSETS OF A THIRD-PARTY IN DECEMBER 2009. ORMC PROVIDES OUTPATIENT MEDICAL AND DIAGNOSTIC SERVICES AND IS CONSOLIDATED WITH ORHA. OTTAWA REGIONAL CARDINAL SLEEP CENTER, LLC AND OTTAWA REGIONAL DME, LLC ARE LIMITED LIABILITY COMPANIES FORMED IN JULY 2010. ORHA HAS NOT MADE ANY INITIAL CAPITAL CONTRIBUTIONS TO THESE ENTITIES, AND THERE HAVE BEEN NO OPERATIONS WITHIN THESE ENTITIES AS OF SEPTEMBER 30, 2013. OTTAWA REGIONAL CARDINAL SLEEP CENTER, LLC WAS DISSOLVED ON 8/28/2013. RADIATION ONCOLOGY OF NORTHERN ILLINOIS, LLC (RONI) IS A LIMITED LIABILITY COMPANY ESTABLISHED TO OWN AND OPERATE A RADIATION ONCOLOGY CENTER. THE HOSPITAL HAS A 57% OWNERSHIP INTEREST IN RONI. RONI IS CONSOLIDATED WITH THE HOSPITAL. OTTAWA REGIONAL HOSPITAL AUXILIARY (AUXILIARY) IS A NOT-FOR-PROFIT FUND RAISING ORGANIZATION WHOSE PURPOSE IS TO PROMOTE AND ADVANCE THE WELFARE OF THE HOSPITAL. OTTAWA REGIONAL HOSPITAL FOUNDATION (FOUNDATION) IS A NOT-FOR-PROFIT FUND RAISING ORGANIZATION WHOSE PURPOSE IS TO SUPPORT AND ENCOURAGE HEALTH CARE SERVICES IN FURTHERANCE OF THE PURPOSE OF AND IN ASSITANCE TO THE HOSPITAL, THROUGH PROVIDING FINANCIAL AND FUND RAISING ASSISTANCE AND IN ALL OTHER RELEVANT WAYS AIDING IN SUPPORTING HEALTH CARE ORGANIZATIONS AND INDIVIDUALS INTERESTED IN CAREERS IN HEALTH CARE.
PART VI, LINE 7IL

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT CHAFFIN
PRESIDENT & CEO9740315391702000004496100119373690610934025578400
CHARLES DENNIS MD
TRUSTEE0239381070485044408022847015026039214700
KATHLEEN FORBES MD
TRUSTEE02730770928500613705100015012039217600
GERALD MCSHANE MD
TRUSTEE04166920100682062723035700012102062789900
KEVIN D SCHOEPLEIN
TRUSTEE085282301625954010147102845580167620288156800
JUDY CHRISTIANSEN
CHIEF OPERATING OFFICER202767016992000131960232955000
DAWN TROMPETER
CHIEF FINANCIAL OFFICER154344000000309850185329000
GARNER ARNOLD MD
PHYSICIAN3422360016994000125260371756000
DAVID BAYLEY MD
PHYSICIAN33795730809010000000309850409751000
ANTHONY FOULEN MD
PHYSICIAN34931400010000000125260371840000
SHAISTA MALIK MD
PHYSICIAN3474400001550000000362940000
CHIN SWONG MD
PHYSICIAN41888500017000000316350467520000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPART I, LINE 3:Identifier
ExplanationTHE BOARD OF DIRECTORS HAS ESTABLISHED A BOARD COMMITTEE KNOWN AS THE HUMAN RESOURCES COMMITTEE WHOSE MEMBERS ARE ALL PROFESSED MEMBERS OF THE RELIGIOUS CONGREGATION KNOWN AS THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS WHO HAVE TAKEN A VOW OF POVERTY. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE CHIEF EXECUTIVE OFFICER (CEO) IS NOT A MEMBER OF THE COMMITTEE. THE PERFORMANCE OF THE CEO AND HIS ACHIEVEMENT OF ANNUAL GOALS IS EVALUATED EACH YEAR BY THE FULL BOARD OF DIRECTORS, AND THIS PERFORMANCE REVIEW IS PROVIDED TO THE COMMITTEE. THE COMMITTEE ALSO OBTAINS COMPENSATION SURVEY DATA AND RECOMMENDATIONS FROM A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT. BASED ON ALL OF THESE FACTORS, THE COMMITTEE SETS THE BASE SALARY AND BENEFITS OF THE CEO AND APPROVES THE EXECUTIVE COMPENSATION PLAN APPLICABLE TO THE CEO. PRIOR TO PAYMENT OF ANY BONUS OR INCENTIVE COMPENSATION, THE TOTAL COMPENSATION FOR THE CEO, INCLUDING BASE SALARY, BENEFITS, AND PROPOSED BONUS OR INCENTIVE COMPENSATION, IS AGAIN REVIEWED BY A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT TO ENSURE THAT NO "EXCESS BENEFIT" AMOUNT IS PAID OR FURNISHED.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
OTTAWA REGIONAL MEDICAL CENTER
SEE PART V438334RENTfalse
OTTAWA REGIONAL MEDICAL CENTER
SEE PART V5710531CONTRIBUTIONSfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:Identifier
Explanation(A) NAME OF PERSON: OTTAWA REGIONAL MEDICAL CENTER, INC. (ORMC) (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: CHAFFIN, CHRISTIANSEN, TROMPETER ARE OFFICERS OF THE ORGANIZATION AND ORMC (C) AMOUNT OF TRANSACTION $ 438,334. (D) DESCRIPTION OF TRANSACTION: OTTAWA REGIONAL MEDICAL CENTER, INC. PAID RENT TO OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER. (E) SHARING OF ORGANIZATION REVENUES? = NO (A) NAME OF PERSON: OTTAWA REGIONAL MEDICAL CENTER, INC. (ORMC) (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: CHAFFIN, CHRISTIANSEN, TROMPETER ARE OFFICERS OF THE ORGANIZATION AND ORMC (C) AMOUNT OF TRANSACTION $ 5,710,531. (D) DESCRIPTION OF TRANSACTION: OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER PROVIDED CAPITAL CONTRIBUTIONS TO OTTAWA REGIONAL MEDICAL CENTER, INC. (E) SHARING OF ORGANIZATION REVENUES? = NOExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART I & PART III, LINE 1DESCRIPTION OF ORGANIZATION MISSION: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.
FORM 990, PART VI, SECTION A, LINE 6:OSF IS THE SOLE CORPORATE MEMBER OF SEMC.
FORM 990, PART VI, SECTION A, LINE 7A:OSF AS THE SOLE CORPORATE MEMBER OF SEMC HAS THE POWER TO ELECT MEMBERS OF THE BOARD OF SEMC.
FORM 990, PART VI, SECTION B, LINE 11B:THE ORGANIZATION'S GOVERNING BODY WILL MEET WITH THE ORGANIZATION'S ASSISTANT CONTROLLER AT A BOARD MEETING TO REVIEW THE FINAL FORM 990 AFTER ITS FILING.
FORM 990, PART VI, SECTION B, LINE 12C:IT SHALL BE THE POLICY OF THE GOVERNING BOARD OF OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER TO REQUIRE THAT EACH BOARD MEMBER, PRIOR TO MAKING HIS/HER POSITION ON THE BOARD, AND ALL PRESENT BOARD MEMBERS AS SOON AS PRACTICABLE AFTER THE ADOPTION OF THIS POLICY, BUT NO LATER THAN FORTY-FIVE DAYS, SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER OF THE HOSPITAL A LIST OF ALL BUSINESS OR OTHER ORGANIZATIONS OF WHICH HE/SHE IS AN OFFICER, MEMBER, OWNER OR EMPLOYEE OR WHICH HE/SHE ACTS AS AN AGENT, WITH WHICH THE HOSPITAL HAS, OR MIGHT REASONABLY IN THE FUTURE ENTER INTO, A RELATIONSHIP OR A TRANSACTION IN WHICH THE BOARD MEMBER WOULD HAVE CONFLICTING INTERESTS. EACH WRITTEN STATEMENT WILL BE RESUBMITTED WITH ANY NECESSARY CHANGES, EACH YEAR AT SUCH TIME AS ANY MATTER COMES BEFORE THE BOARD IN SUCH A WAY AS TO GIVE RISE TO A CONFLICT OF INTEREST, THE AFFECTED BOARD MEMBER SHALL MAKE KNOWN THE POTENTIAL CONFLICT, WHETHER DISCLOSED BY HIS/HER WRITTEN STATEMENT OR NOT, AND AFTER ANSWERING ANY QUESTIONS THAT MIGHT BE ASKED HIM/HER, EITHER AS TO THE CONFLICT OR AS TO ANY SPECIAL EXPERTISE POSSESSED BY THAT BOARD MEMBER, SHALL WITHDRAW FROM THE MEETING FOR SO LONG AS THE MATTER SHALL CONTINUE UNDER DISCUSSION. SHOULD THE MATTER BE BROUGHT TO A VOTE, THE AFFECTED BOARD MEMBER SHALL NOT VOTE ON IT. IN THE EVENT THAT HE/SHE FAILS TO WITHDRAW VOLUNTARILY, THE CHAIRMAN OF THE BOARD IS EMPOWERED AND SHALL REQUIRE THAT HE/SHE REMOVE HIMSELF/HERSELF FROM THE ROOM DURING BOTH THE DISCUSSION AND VOTE ON THE MATTER. LINE 15A: THE BOARD OF DIRECTORS HAS ESTABLISHED A BOARD COMMITTEE KNOWN AS THE HUMAN RESOURCES COMMITTEE WHOSE MEMBERS ARE ALL PROFESSED MEMBERS OF THE RELIGIOUS CONGREGATION KNOWN AS THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS WHO HAVE TAKEN A VOW OF POVERTY. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE CHIEF EXECUTIVE OFFICER (CEO) IS NOT A MEMBER OF THE COMMITTEE. THE PERFORMANCE OF THE CEO AND HIS ACHIEVEMENT OF ANNUAL GOALS IS EVALUATED EACH YEAR BY THE FULL BOARD OF DIRECTORS, AND THIS PERFORMANCE REVIEW IS PROVIDED TO THE COMMITTEE. THE COMMITTEE ALSO OBTAINS COMPENSATION SURVEY DATA AND RECOMMENDATIONS FROM A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT. BASED ON ALL OF THESE FACTORS, THE COMMITTEE SETS THE BASE SALARY AND BENEFITS OF THE CEO AND APPROVES THE EXECUTIVE COMPENSATION PLAN APPLICABLE TO THE CEO. PRIOR TO PAYMENT OF ANY BONUS OR INCENTIVE COMPENSATION, THE TOTAL COMPENSATION FOR THE CEO, INCLUDING BASE SALARY, BENEFITS, AND PROPOSED BONUS OR INCENTIVE COMPENSATION, IS AGAIN REVIEWED BY A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT TO ENSURE THAT NO "EXCESS BENEFIT" AMOUNT IS PAID OR FURNISHED. LINE 15B: THE BOARD OF DIRECTORS HAS ESTABLISHED A BOARD COMMITTEE KNOWN AS THE HUMAN RESOURCES COMMITTEE WHOSE MEMBERS ARE ALL PROFESSED MEMBERS OF THE RELIGIOUS CONGREGATION KNOWN AS THE SISTERS OF THE THIRD ORDER OF ST.FRANCIS WHO HAVE TAKEN A VOW OF POVERTY. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE COMMITTEE DETERMINES WHICH OFFICERS, KEY EMPLOYEES AND OTHER EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN THE EXECUTIVE COMPENSATION PLAN. BASED ON PERFORMANCE REVIEWS BY THE SUPERVISORS OF SUCH PERSONS AND COMPENSATION SURVEY DATA AND RECOMMENDATIONS FROM A NATIONALLY KNOWN INDEPENDENT COMPENSATION CONSULTANT, THE COMMITTEE APPROVES ANY EXECUTIVE COMPENSATION PLAN APPLICABLE TO KEY EMPLOYEES AND ESTABLISHES THE BASE SALARY AND BENEFITS FOR PLAN PARTICIPANTS. PRIOR TO PAYMENT OF ANY BONUS OR INCENTIVE COMPENSATION, THE TOTAL COMPENSATION FOR EACH KEY EMPLOYEE, INCLUDING BASE SALARY, BENEFITS, AND PROPOSED BONUS OR INCENTIVE COMPENSATION, IS AGAIN REVIEWED BY A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT TO ENSURE THAT NO "EXCESS BENEFIT" AMOUNT IS PAID OR FURNISHED. SOME KEY EMPLOYEES LISTED IN PART VII ARE PRACTICING PHYSICIANS WHO ARE LISTED AS KEY EMPLOYEES AS A RESULT OF THE COMPENSATION THEY RECEIVE AND NOT DUE TO ANY EXECUTIVE OR MANAGEMENT POSITION WHICH THEY HOLD. SUCH PHYSICIANS GENERALLY ARE NOT PARTICIPANTS IN THE EXECUTIVE COMPENSATION PLAN, AND THEIR COMPENSATION, INCLUDING BASE SALARY, BENEFITS, AND ANY APPLICABLE BONUS OR INCENTIVE COMPENSATION, IS ESTABLISHED IN ACCORDANCE WITH NATIONALLY RECOGNIZED PHYSICIAN COMPENSATION SURVEYS AND IS SET FORTH IN WRITTEN EMPLOYMENT AGREEMENTS WHICH ARE APPROVED BY THE BOARD OF DIRECTORS OR ITS EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19:THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS:EQUITY INCOME - RONI: $ 342,0000 EQUITY INCOME - ORMC: $ (5,710,531) FUNDS TRANSFERRED FROM OSF: $ 2,250,000 CHANGE IN RESTRICTED DONATIONS: $ 690 TOTAL $ (3,117,841)
FORM 990, PART XII, LINE 2C:THE ORGANIZATION'S GOVERNING BOARD MEETS WITH THE AUDITORS TO REVIEW THE AUDIT REPORT AND MANAGEMENT LETTER.
SCHEDULE R - PART I - (B) PRIMARY ACTIVITY:OSF LIFELINE AMBULANCE, LLC OWNS ten AMBULANCES AND FOUR WHEEL CHAIR VANS CONFIGURED AND EQUIPPED FOR PATIENT TRANSPORT AND PROVIDES GROUND AMBULANCE SERVICES IN NORTHERN ILLINOIS.
SCHEDULE R - PART II - (B) PRIMARY ACTIVITY:THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS IS THE SOLE MEMBER OF THE CORPORATION AND IS ENGAGED IN ACTIVITIES RELATED TO GOVERNANCE OF THE CORPORATION. OSF HEALTHCARE FOUNDATION RAISES FUNDS TO SUPPORT THE ACTIVITIES OF THE CORPORATION. St. Francis Community clinic provides free comprehensive health care services to the indigent population of the area. Ottawa regional hospital foundation supports and encourages healthcare services in furtherance of the support of and in assistance to Ottawa Regional Hospital & Healthcare Center through providing financial and fundraising assistance. Ottawa regional hospital auxiliary is a group working together to improve the health and welfare of patients and their families, by financing state-of-the-art technology and other health related activities. OTTAWA REGIONAL HOSPITAL & HEALTHCARE LIABILITY LOSS FUND PROVIDES A VEHICLE FOR SELF-INSURING RISKS ARISING FROM THE OPERATION AND MAINTENANCE OF THE OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER. OSF multi-specialty group has been organized to support the mission of OSF healthcare system in future years through the provision of quality healthcare services related to comprehensive inpatient and outpatient care. it has not yet commenced operations. OSF Heart & Vascular Institute has been organized to support the mission of OSF healthcare system in future years through the provision of quality healthcare services related to cardiovascular care and treatment. It has not yet commenced operations. Children's hospital of Illinois Medical group has been organized to support the mission of OSF healthcare system in future years through the provision of quality of healthcare services related to comprehensive inpatient and outpatient care for children. It has not yet commenced operations. Illinois Neuroscience Institute has been organized to support the mission of OSF healthcare system in future years through the provision of quality healthcare services related to research center for diagnosis and treatment of brain disorders. it has not yet commenced operations. Illinois Neuroscience Institute has been organized to support the mission of OSF healthcare system in future years through the provision of quality healthcare services related to research center for diagnosis and treatment of brain disorders. it has not yet commenced operations. OSF HEALTHCARE SYSTEM IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM IN WHICH ALL PATIENTS ARE ACCEPTED REGARDLESS OF THEIR ABILITY TO PAY. ALL FACILITIES, SERVICES, PHYSICIANS AND OTHER PROFESSIONAL STAFF OF OSF HEATLHCARE SYSTEM SERVE ALL PATIENTS WITHOUT REGARD TO RACE, RELIGION, AGE, SEX, NATIONAL ORIGIN, PAYER SOURCE OR ABILITY TO PAY.
SCHEDULE R - PART III - (B) PRIMARY ACTIVITYCENTER FOR HEALTH AMBULATORY SURGERY CENTER, LLC OPERATES A MULTISPECIALTY AMBULATORY SURGICAL CENTER IN PEORIA, ILLINOIS. STATE AND ROXBURY, LLC OPERATES A REAL ESTATE MANAGEMENT ORGANIZATION IN ROCKFORD, ILLINOIS. EASTLAND MEDICAL PLAZA SURGICENTER, LLC OPERATES A MULTISPECIALTY AMBULATORY SURGERY TREATMENT CENTER IN BLOOMINGTON, ILLINOIS. FORT JESSE IMAGING CENTER, LLC OPERATES A STAND-ALONE MEDICAL IMAGING CENTER IN BLOOMINGTON, ILLINOIS. SLEEP CENTER OF CENTRAL ILLINOIS, LLC OPERATES A STAND-ALONE SLEEP DISORDER DIAGNOSTIC CENTER IN BLOOMINGTON, ILLINOIS. Radiation Oncology of Northern Illinois, LLC operates a radiation oncology center. Ottawa regional cardinal sleep center, LLC was created to be a sleep diagnostic center. It was dissolved on 8/28/2013.
SCHEDULE R - PART IV - (B) PRIMARY ACTIVITY:OSF SAINT FRANCIS, INC. PROVIDES HEALTHCARE RELATED SERVICES SUCH AS MEDICAL PRACTICE MANAGEMENT, RETAIL PHARMACIES, MOBILE MEDICAL SYSTEMS, DURABLE MEDICAL EQUIPMENT, HOME THERAPEUTICS, REAL ESTATE RENTAL AND EQUIPMENT TECHNOLOGY SERVICES. HEARTCARE MIDWEST, LTD. IS A PHYSICIAN GROUP OF CARDIOVASCULAR SPECIALISTS SERVING CENTRAL ILLINOIS. CARDIOVASCULAR INSTITUTE AT OSF, LLC IS A PHYSICIAN GROUP OF CARDIOVASCULAR SPECIALISTS SERVING NORTHERN ILLINOIS. ILLINOIS PATHOLOGIST SERVICES, LLC PROVIDES PATHOLOGY SERVICES IN NORTHERN ILLINOIS. OSF MULTISPECIALTY GROUP - EASTERN REGION, LLC IS A MULTISPECIALTY CLINIC SERVING EASTERN ILLINOIS, OFFERING SERVICES IN ADULT MEDICINE, BEHAVIORAL FAMILY MEDICINE, GENERAL SURGERY, NEUROLOGY, OBSTETRICS, GYNECOLOGY, PEDIATRICS, PHYSIATRY, PULMONOLOGY, RADIOLOGY AND UROLOGY. OSF MULTISPECIALTY GROUP - PEORIA, LLC PROVIDES PEDIATRIC CARE FOR CARDIOVASCULAR ILLNESSES. ILLINOIS NEUROLOGICAL INSTITUTE - PHYSICIANS, LLC PROVIDES A FULL SPECTRUM OF ADULT AND PEDIATRIC CARE FOR ILLNESSES AFFECTING THE BRAIN, SPINAL CORD, AND PERIPHERAL NERVES. ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF, LLC PROVIDES PULMONOLOGY AND CRITICAL CARE SERVICES IN CENTRAL ILLINOIS. OSF PERINATAL ASSOCIATES, LLC PROVIDES MATERNAL FETAL MEDICINE PHYSICIAN SERVICES IN CENTRAL ILLINOIS. OSF Multispecialty group - western region, LLC is a multispecialty clinic serving western Illinois, offering services in a wide variety of general and specialty medical categories. OSF CHILDREN'S MEDICAL GROUP - CONGENITAL HEART CENTER, LLC PROVIDES PEDIATRIC CARE FOR CARDIOVASCULAR ILLNESS IN NORTHERN ILLINOIS. PREFERRED EMERGENCY PHYSICIANS OF ILLINOIS, LLC PROVIDES PHYSICIAN COVERAGE FOR EMERGENCY DEPARTMENTS. Ottawa regional healthcare affiliates, inc. is a holding company for Ottawa regional cardinal sleep centr, llc and ottawa regional medical center, inc. Ottawa regional medical center, inc. provides outpatient medical and diagnostic services.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1OSF Lifeline Ambulance LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1318 Roxbury RoadAddressLine1
CityRockfordCity
StateILState
ZIP Code61107ZIPCode
FieldValueIRS element (for citing)
EIN200080542EIN
Primary ActivitiesSch OPrimaryActivities
Legal Domicile StateILLegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OSFBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Sisters of the Third Order of StFrancis
800 NE Glen Oak AvePeoriaIL61603371259286SCh OIL501(C)(3)Ln11, IINA
OSF Healthcare Foundation
800 NE Glen Oak AvePeoriaIL61603371259284sch OIL501(C)(3)Ln11, IINA
St Francis Community Clinic
530 NE Glen Oak AvePeoriaIL61603370661235Sch OIL501(c)(3)Ln 7SISOF 3 OSF
Ottawa Regional Hospital Foundation
1100 East Norris DriveOttawaIL61350364007569Sch OIL501(C)(3)LINE 11A, IORHHCtrue
Ottawa Regional Hospital Auxiliary
1100 East Norris DriveOttawaIL61350363854788Sch OIL501(c)(3)NA
ORHHC LIABILITY LOSS FUND
1100 East Norris DriveOttawaIL61350363612653Sch OIL501(c)(3)Ln 11A, IORHHCtrue
OSF Multi-Specialty Group
800 NE Glen Oak AvenuePeoriaIL61603383852646Sch OIL501(c)(3)Ln 11A, IOSF
OSF Heart & Vascular Institute
800 NE Glen Oak AvenuePeoriaIL61603352422385Sch OIL501(c)(3)Ln 11A, IOSF
Children's Hosp of Illinois Med GROUP
800 NE Glen Oak AvenuePeoriaIL61603320353954Sch OIL501(c)(3)Ln 11A, IOSF
Illinois Neuroscience Institute
800 NE Glen Oak AvenuePeoriaIL61603364709999Sch OIL501(c)(3)Ln 11A, IOSF
OSF HEALTHCARE SYSTEM
800 NE GLEN OAK AVENUEPEORIAIL61603370813229SCH OIL501(C)(3)LN 3SIS 3RD OSFfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
CTR for Health Ambulatory Surgery CTRLL
8800 Route 91 NorthPeoriaIL61615205557171SCH OILOSFRelated00falsefalse0.00000
State and Roxbury LLC
1725 Huntwood Dr Suite 400Cherry ValleyIL61016261728983SCH OILOSFRelated00falsefalse0.00000
Eastland Medical Plaza Surgicenter LLC
1505 Eastland DriveBloomingtonIL61701371400643Sch OILOSFRelated00falsefalse0.00000
Fort Jesse Imaging Center LLC
2200 Ft Jesse RoadNormalIL61761460515604Sch OILOSFRelated00falsefalse0.00000
Sleep Center of Central Illinois LLC
2204 Eastland Drive Suite 100BloomingtonIL61704810581886Sch OILOSFRelated00falsefalse0.00000
Radiation Oncology of Northern Illinois
1200 Starfire DriveOttawaIL61350753247165Sch OILORHHCRelated00falsefalse0.57000
Ottawa Regional Cardinal Sleep CenterLL
1601 Mercury Circle Suite 2OttawaIL61350273625479Sch OILORHHCRelated00falsefalse1.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
OSF Saint Francis Inc
800 NE Glen Oak AvePeoriaIL61603363484677SCH OILOSFC000.00000
Heartcare Midwest Ltd
5405 N Knoxville AvenuePeoriaIL61614370996868SCH OILOSFC000.00000
Cardiovascular Institute at OSF LLC
444 Roxbury RoadRockfordIL61107264225726Sch OILOSFC000.00000
Illinois Pathologist Services LLC
5666 East State StreetRockfordIL61108800439081Sch OILOSFC000.00000
OSF Multispecialty Group-Eastern Region
1701 E College AvenueBloomingtonIL61704300561892Sch OILOSFC000.00000
OSF Multispecialty Group-Peoria LLC
530 NE Glen Oak AvenuePeoriaIL61637262800379Sch OILOSFC000.00000
Illinois Neurological Institute - Physic
719 N William Kumpf BlvdPeoriaIL61605263109118Sch OILOSFC000.00000
Illinois Specialty Physician Services at
1001 Main Street Suite 200PeoriaIL61606800462209Sch OILOSFC000.00000
OSF Perinatal Associates LLC
4911 Executive Drive Suite 200PeoriaIL61614800498373Sch OILOSFC000.00000
OSF Multispecialty Group-Western Region
3315 North Seminary StreetGalesburgIL61401800608541Sch OILOSFC000.00000
OSF Children's Medical Group - Congenita
5701 Strathmoor Drive Suite 1RockfordIL61107900714643Sch OILOSFC000.00000
Preferred Emergency Physicians of Illino
800 NE Glen Oak AvenuePeoriaIL61603900749855Sch OILOSFC000.00000
Ottawa Regional Healthcare Affiliates I
1100 East Norris DriveOttawaIL61350263937519Sch OILORHHCC001.00000
Ottawa Regional Medical Center Inc
1614 East Norris DriveOttawaIL61350271036071Sch OILORHHCC001.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
OTTAWA REGIONAL MEDICAL CENTER INC
A(IV)438334
OTTAWA REGIONAL MEDICAL CENTER INC
B5710531
OTTAWA REGIONAL HOSPITAL FOUNDATION
C750000