2026-08-13T12:21:31+00:00 2025-09-30 350921680 CROWE LLP 225 WEST WACKER DRIVE SUITE 2600 CHICAGO IL 606061224 990 2024-10-01 362604009 OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER OTTA 3096552850 124 SW ADAMS ST PEORIA IL 61602 KIRSTEN M LARGENT CFO 3096552850 2026-08-13 true JENNIFER BURKE P01342224 3128997000 2026-08-13 2024 2025-03-06 01:10:19Z OSF SAINT ELIZABETH MEDICAL CENTER KIRSTEN M LARGENT 124 SW ADAMS ST PEORIA IL 61602 320848088 false X https://www.osfhealthcare.org X 1964 IL IN THE SPIRIT OF CHRIST AND THE EXAMPLE OF FRANCIS OF ASSISI, THE MISSION OF OSF HEALTHCARE IS TO SERVE PERSONS WITH THE GREATEST CARE AND LOVE IN A COMMUNITY THAT CELEBRATES THE GIFT OF LIFE. 10 7 1029 41 0 4001379 5054542 264052345 313024708 124341 0 1452104 1805281 269630169 319884531 25000 27250 0 87852559 98157172 0 0 98979706 126045730 186857265 224230152 82772904 95654379 221715458 297876591 24976272 28358476 196739186 269518115 THE MISSION OF OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER IS TO MAINTAIN A LEADERSHIP POSITION IN THE PROVISION OF EFFICIENT AND QUALITY HEALTHCARE SERVICES CONSISTENT WITH THE NEEDS OF THE COMMUNITY AND THE RESOURCES OF THE HOSPITAL. OUR HEALTHCARE ORGANIZATION WILL PROVIDE SERVICES FOR ALL MEMBERS OF THE COMMUNITY, REGARDLESS OF ABILITY TO PAY. false false 169864085 27250 314293049 OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER IS LICENSED TO OPERATE 144 PATIENT BEDS, INCLUDING 26 PATIENT BEDS IN THE PSYCHIATRIC CARE UNIT AND 64 PATIENT BEDS AT THE PERU CAMPUS. THE HOSPITAL PROVIDED $17,877,019 IN FINANCIAL ASSISTANCE TO THE COMMUNITY DURING FISCAL YEAR 2025. THE HOSPITAL'S SERVICES PROVIDED DURING FISCAL YEAR 2025 ARE AS FOLLOWS: PATIENT DAYS OF 19,781, PSYCHIATRIC CARE DAYS OF 5,651, OUTPATIENT VISITS OF 196,941, AND PATIENT VISITS TO THE EMERGENCY ROOM OF 29,495. 169864085 true true false true false false false false false true true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false false false true true true false false true 0 0 1029 true false false false false false false false false false false false false X 10 7 false false true false true true false true true true false false true true true true true true true true true true IL X KIRSTEN M LARGENT 3096552850 124 SW ADAMS ST PEORIA IL 61602 ROBERT C SEHRING VICE CHAIRPERSON CHIEF EXECUTIVE OFFICER 1.0 43.0 X X 0 3128164 53798 SISTER AGNES JOSEPH WILLIAMS OSF CHAIRPERSON (BEGINNING OCT 2024); BOARD MEMBER 1.0 44.0 X X 0 0 0 SISTER JUDITH ANN DUVALL OSF TREASURER (BEGINNING OCT 2024); BOARD MEMBER 1.0 44.0 X X 0 0 0 SISTER ROSE THERESE MANN OSF ASSISTANT SECRETARY (BEGINNING OCT 2024); BOARD MEMBER 1.0 44.0 X X 0 0 0 SISTER THERESA ANN BRAZEAU OSF SECRETARY 1.0 44.0 X X 0 0 0 BRIAN J SILVERSTEIN MD BOARD MEMBER 1.0 42.0 X 0 45000 0 GERALD J MCSHANE MD BOARD MEMBER 1.0 42.0 X 0 195721 35731 SISTER M ANGELICA NEUMANN FSGM BOARD MEMBER (THROUGH AUG 2025) 1.0 43.0 X 0 0 0 SISTER M BEATA ZIEGLER FSGM BOARD MEMBER 1.0 43.0 X 0 0 0 SISTER M MIKELA MEIDL FSGM BOARD MEMBER/ EVP, CHIEF MINISTRY OFFICER OSF HEALTHCARE 1.0 43.0 X 0 0 0 SISTER TERESA PAUL SELAMAT OSF BOARD MEMBER (BEGINNING OCT 2024) 1.0 44.0 X 0 0 0 ALEC GRABOWSKI PRESIDENT, OSF HEALTHCARE SAINT ANTHONY MEDICAL CENTER (BEGINNING APR 2025) 1.0 41.0 X 0 0 0 AUGUST J QUERCIAGROSSA CHIEF EXECUTIVE OFFICER, WESTERN REGION 1.0 41.0 X 0 811546 114277 CAROL A FRIESEN CHIEF EXECUTIVE OFFICER, EASTERN REGION 1.0 41.0 X 0 963839 142385 CHRISTOPHER M CURRY PRESIDENT, OSF HEALTHCARE DIVINE MERCY CONTINUING CARE HOSPITAL (FKA OSF TRANSITIONAL CARE HOSPITAL) 1.0 41.0 X 0 365797 27110 DAVID FERGUS CHIEF SUPPLY CHAIN OFFICER 1.0 41.0 X 0 653467 52366 DAVID M HALL CHIEF INFORMATION OFFICER 1.0 41.0 X 0 700865 59673 DAWN C TROMPETER PRESIDENT, SAINT PAUL MC (THRU APR 2025); OSF SAINT ELIZABETH MC; ASSOC REGIONAL CEO, WESTERN REGION 23.0 21.0 X 477176 0 33096 DERRICK FRAZIER PRESIDENT, OSF HEALTHCARE SAINT JAMES-JOHN W. ALBRECHT MEDICAL CENTER 1.0 41.0 X 0 374131 27239 EMILY A SHIELDS CHIEF STRATEGY OFFICER, OSF HEALTHCARE (BEGINNING FEB 2025) 1.0 41.0 X 0 261549 44258 EUNMEE SHIM PRESIDENT, OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER (BEGINNING JAN 2025) 1.0 41.0 X 0 0 0 GINA E ARNETT THOMPSON CHIEF INTEGRITY OFFICER (BEGINNING FEB 2025) 1.0 41.0 X 0 0 0 HEATHER J BOMSTAD PRESIDENT. OSF HEALTHCARE SAINT CLARE MEDICAL CENTER/ SAINT PAUL MEDICAL CENTER (BEG MAY 2025) 25.0 17.0 X 263244 0 43558 JACQUELINE D KERNAN PRESIDENT, OSF SAINT LUKE MC (THRU DEC 2024); SAINT CLARE & SAINT KATHERINE MC (BEG DEC 2024) 1.0 41.0 X 0 387548 40160 JAMES J MORMANN CHIEF EXECUTIVE OFFICER, INTEGRATED SOLUTIONS 1.0 41.0 X 0 1080309 53629 JASON R RODEGHERO PRESIDENT, OSF HOME CARE AND REHAB SERVICES 1.0 41.0 X 0 423940 45165 JENNIFER L ULRICH INTERIM PRESIDENT, OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER (THROUGH DEC 2024) 1.0 41.0 X 0 331450 42752 JOHN T BARNHART PRESIDENT, HEART OF MARY MEDICAL CENTER & SACRED HEART MEDICAL CENTER 1.0 41.0 X 0 512478 50297 JOSEPH E GREGORY PRESIDENT, OSF MEDICAL GROUP (BEGINNING APR 2025) 1.0 42.0 X 0 0 0 KATHLEEN M KINSELLA PRESIDENT, OSF HEALTHCARE LITTLE COMPANY OF MARY MEDICAL CENTER 1.0 41.0 X 0 569501 34420 KELLY A JEFFERSON PRESIDENT, OSF HEALTHCARE ST. FRANCIS HOSPITAL & MEDICAL GROUP 1.0 41.0 X 0 382446 47350 KIMBERLY D RUSSO CHIEF EXECUTIVE OFFICER, CENTRAL REGION (BEGINNING APR 2025) 1.0 41.0 X 0 0 0 KIRSTEN M LARGENT CHIEF FINANCIAL OFFICER (BEGINNING NOV 2024) 1.0 42.0 X 0 584124 46876 LEON A YEH MD VP CHIEF MEDICAL OFFICER EMERGENCY SERV 1.0 41.0 X 0 765086 32791 LISA A SCHEPERS INTERIM PRESIDENT, OSF HEALTHCARE SAINT ANTHONY'S HEALTH CENTER (THROUGH DEC 2024) 1.0 41.0 X 0 270494 37609 LISA DEKEZEL PRESIDENT, OSF HEALTHCARE HOLY FAMILY MEDICAL CENTER AND OSF HEALTHCARE ST. MARY MEDICAL CENTER 1.0 41.0 X 0 448872 49967 LORI L WIEGAND CHIEF NURSING OFFICER (THROUGH MAY 2025) 1.0 41.0 X 0 810483 31919 MEGAN L ZAKRZEWSKI PRESIDENT, OSF HEALTHCARE CHILDREN'S HOSPITAL OF ILLINOIS 1.0 41.0 X 0 130074 5961 MELINDA B COOLING CHIEF NURSE AND ADVANCED PRACTICE PROVIDER EXECUTIVE, OSF HEALTHCARE 1.0 41.0 X 0 457499 52995 MICHAEL A CRUZ MD CHIEF OPERATING OFFICER 1.0 41.0 X 0 1371878 53711 MICHAEL A WELLS PRESIDENT, OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTER 1.0 41.0 X 0 650361 43661 MICHAEL M ALLEN CHIEF FINANCIAL OFFICER (THROUGH NOV 2024) 1.0 42.0 X 0 1131177 146901 MICHELLE D CONGER PRESIDENT, OSF HEALTHCARE (BEG 1/25)/ CSO/CEO, OSF/ONCALL DIGITAL HEALTH (THRU 12/24) 1.0 42.0 X 0 1058683 134087 PAULA A CARYNSKI PRESIDENT, OSF HEALTHCARE SAINT ANTHONY MEDICAL CENTER (THROUGH JAN 2025) 1.0 41.0 X 0 654075 43632 RALPH VELAZQUEZ MD SYSTEM CHIEF MEDICAL OFFICER 1.0 41.0 X 0 1017708 53147 ROBERT G ANDERSON CHIEF EXECUTIVE OFFICER, CENTRAL REGION (THROUGH JAN 2025) 1.0 41.0 X 0 1064395 44471 ROBERT L BRANDFASS SVP CHIEF LEGAL OFFICER 1.0 41.0 X 0 923798 53549 SHAWN E PIERS MD INTERIM PRESIDENT, OSF MEDICAL GROUP (THROUGH MAR 2025) 1.0 42.0 X 0 520676 42933 SHELLEY A PARN CHIEF HUMAN RESOURCES OFFICER 1.0 41.0 X 0 631863 77567 STEPHANIE H STOVALL CHIEF QUALITY OFFICER 1.0 41.0 X 0 162837 10209 THOMAS G HAMMERTON PRESIDENT OSF HEALTHCARE FOUNDATION AND CHIEF DEVELOPMENT OFFICER 1.0 42.0 X 0 633062 111048 TIM J VEGA CHIEF POPULATION HEALTH OFFICER 1.0 41.0 X 0 580883 36728 ZACHARY M YODER PRESIDENT, OSF HEALTHCARE SAINT ANTHONY'S HEALTH CENTER (BEGINNING JAN 2025) 1.0 41.0 X 0 0 0 DURRE S RAJA PHYSICIAN 40.0 0 X 582551 0 29692 LEONARDO LOPEZ VP CHIEF MEDICAL OFFICER 40.0 0 X 536702 0 53607 MARIANNE MIKAT-STEVENS MD PHYSICIAN 40.0 0 X 577946 0 31187 MOLLY M KELLY MD PHYSICIAN 40.0 0 X 503976 0 58957 SHERINE HANNA MD MEDICAL DIRECTOR OSF SAINT ELIZABETH MEDICAL CENTER 40.0 0 X 508513 0 19618 ELIZABETH A DAVIDSON FORMER INTERIM PRESIDENT, OSF HEALTHCARE SAINT JAMES-JOHN W. ALBRECHT MEDICAL CENTER 0.0 0.0 X 0 266858 38464 ERIN N ROGERS FORMER INTERIM PRESIDENT, OSF HEALTHCARE HEART OF MARY MEDICAL CENTER 0.0 0.0 X 0 172817 43196 JEFFRY M TILLERY FORMER PRESIDENT, OSF MEDICAL GROUP 0.0 0.0 X 0 542808 25437 JERRY W RUMPH FORMER PRESIDENT, OSF HEALTHCARE SAINT ANTHONY'S HEALTH CENTER 0.0 0.0 X 0 187225 10380 JOHN R EVANCHO FORMER SVP CHIEF INTEGRITY OFFICER 0.0 0.0 X 0 299433 29059 NED HILL FORMER PRESIDENT, OSF HEALTHCARE SACRED HEART MEDICAL CENTER 0.0 0.0 X 0 171090 24997 3450108 26696010 2421620 88 true true false 0 0 0 0 881483 4173059 0 0 5054542 NET PATIENT SERVICE REVENUE 621110 312217960 312217960 0 0 CONTRACT PHARMACY 621110 806748 806748 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 313024708 0 0 0 0 0 0 0 0 0 0 0 0 1394285 0 874937 0 519348 0 519348 0 0 519348 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 106212 88620 17592 0 0 17592 CAFETERIA 722320 347940 347940 0 0 CONTRACT LABOR 900099 36966 36966 0 0 AFFILIATE SERVICES 621300 568268 568268 0 0 315167 315167 0 0 1268341 319884531 314293049 0 536940 27250 27250 0 0 0 0 0 0 964851 771881 192970 0 0 0 0 0 78117771 70207490 7910281 0 2678002 2356572 321430 0 11528711 9428868 2099843 0 4867837 4415174 452663 0 31463201 1863698 29599503 0 0 0 0 0 0 0 0 0 46066 0 46066 0 0 0 0 0 0 0 17972477 16818502 1153975 0 4271 3938 333 0 3976433 3160893 815540 0 128521 113616 14905 0 0 0 0 0 3470353 3393112 77241 0 346926 276727 70199 0 0 0 0 0 131585 116038 15547 0 39436 39436 0 0 0 0 0 0 9554183 2868702 6685481 0 3452209 3157203 295006 0 MEDICAL SUPPLIES 24353986 23692759 661227 0 BAD DEBT 11424586 11424586 0 0 MAINTENANCE 5103807 5103777 30 0 MEDICAID ASSESSMENT EXPENSE 7894271 7894271 0 0 6683419 2729592 3953827 0 224230152 169864085 54366067 0 0 0 0 0 822 822 80873884 126637530 0 0 28884995 44101431 0 0 0 0 0 0 3514729 3960408 277070 1015254 195699854 89622795 91276011 106077059 15330656 14619195 0 0 0 0 1557291 1464892 221715458 297876591 20734837 23730860 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4241435 4627616 24976272 28358476 X 196673905 269456915 65281 61200 0 0 0 0 0 0 196739186 269518115 221715458 297876591 X 95654379 338718 0 0 0 -23214168 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true 0 false false false false true 46066 46066 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1D-MAILING EXPENSES THE ONLY COST OF MAILING RELATED TO LOBBYING EXPENSES IS RELATED TO THE COST OF STAMPS. THE TOTAL EXPENITURES RELATED TO MAILING IS MINOR AND THE ACTUAL DOLLAR AMOUNT IS NOT READILY AVAILABLE. 1F-LOBBYING ACTIVITIES THE ORGANIZATION'S LOBBYING ACTIVITIES INCLUDE PAYING MEMBERSHIP DUES TO THE ILLINOIS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION, WHO PARTICIPATE IN LOBBYING ACTIVITIES ON BEHALF OF HEALTHCARE ORGANIZATIONS. 4725 4725 4725 4725 4725 4725 4725 4725 4725 4725 0.0 1.0 0.0 false true true 0 8550858 8550858 0 108959476 50021044 58938432 0 3462811 2896708 566103 0 52470661 34374858 18095803 0 22256048 2330185 19925863 106077059 FEDERAL INCOME TAXES ACCRUED BENEFIT LIABILITY 291366 ASSET RETIREMENT OBLIGATION 1159154 LEASE OBLIGATION 3177096 4627616 X 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS THE EARNINGS FROM THE FUND ARE USED FOR GENERAL SUPPORT PURPOSES. SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE OSF IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED BY SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. UNDER ASC SUBTOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO. 109, OSF AND PCI MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AS OF SEPTEMBER 30, 2025 OR 2024, OSF AND PCI DO NOT HAVE ANY UNCERTAIN TAX POSITIONS. true true X true X 250 true X true true true false true true 3620096 0 3620096 0.01614 42593140 42593140 0 0.0 0 0 0 0.0 0 0 46213236 42593140 3620096 0.01614 464403 0 464403 0.00207 409945 0 409945 0.00183 24873174 14724079 10149095 0.04526 0 0.0 3107294 0 3107294 0.01386 0 0 28854816 14724079 14130737 0.06302 0 0 75068052 57317219 17750833 0.07916 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 1911919 0 73844093 97669334 -23825241 X true true 1 1 OTTAWA REGIONAL HOSPITAL & HEALTHCARE 925 WEST STREET PERU IL 61354 HTTPS://WWW.OSFHEALTHCARE.ORG/SAINT-ELIZABETH/ IL0005520 X X X OTTAWA REGIONAL HOSPITAL & HEALTHCARE 1 false false true X X X X X X X X X 25 true true false true X https://www.osfhealthcare.org/patients-visitors/about/community-health X true 25 true https://www.osfhealthcare.org/patients-visitors/about/community-health false true X 250.0 400.0 X X X X X X true true X X X X true X https://www.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance X https://www.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance X https://www.osfhealthcare.org/patients-visitors/billing-insurance/financial-assistance X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED AS SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SEE CHNA FOR FURTHER INFORMATION. SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 FACILITY , 1 - OTTAWA REGIONAL HOSPITAL AND HEALTH CARE CENTER. FOR THE 2025 CHNA, OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER D/B/A OSF SAINT ELIZABETH MEDICAL CENTER SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING SOURCES: 1) CURRENT PUBLIC HEALTH ADMINISTRATOR AT THE LASALLE COUNTY HEALTH DEPT. AND CURRENT HEALTH EDUCATOR AND PUBLIC INFORMATION FROM THE LASALLE COUNTY HEALTH DEPT. 2) PRIMARY DATA WAS COLLECTED FROM THE AT-RISK AND ECONOMICALLY DISADVANTAGED POPULATION BY COLLECTING A STRATIFIED SAMPLE OF SURVEYS DISTRIBUTED IN ENGLISH AND SPANISH AT ALL HOMELESS SHELTERS, FOOD PANTRIES AND SOUP KITCHENS. 3) THE PRIOR AND NEW 2025 CHNA WAS MADE WIDELY AVAILABLE TO THE COMMUNITY AND FEEDBACK RECEIVED FROM COMMUNITY SERVICE ORGANIZATIONS WAS TAKEN INTO ACCOUNT. 4) ADDITIONAL SOURCES OF INPUT WAS RECEIVED FROM A COLLABORATIVE TEAM CREATED TO CONDUCT THE CHNA, WHICH INCLUDED CONSUMER ADVOCATES, REPRESENTATIVES FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, ACADEMIC EXPERTS AND HEALTH EDUCATORS, LOCAL GOVERNMENT OFFICIALS, ADMINISTRATORS FROM LOCAL SCHOOL DISTRICTS, HEALTH CARE PROVIDERS AND COMMUNITY HEALTH CENTERS, EXECUTIVE DIRECTOR OF IL VALLEY PADS HOMELESS SHELTER PROGRAM, PROGRAM COORDINATOR FOR THE YOUTH SERVICE BUREAU OF IL VALLEY SERVING THE LATINO POPULATION ENROLLED IN PUBLIC BENEFITS, EXECUTIVE DIRECTOR OF UNITED WAY, AND EXECUTIVE DIRECTOR OF MENDOTA AREA SENIOR SERVICES. MEMBERS OF THE COLLABORATIVE TEAM BY NAME, AFFILIATIONS, TITLE AND EXPERTISE ARE LISTED IN APPENDIX 1 TO THE 2025 CHNA. SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1 FACILITY , 1 - OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER DBA OSF SAINT ELIZABETH MEDICAL CENTER - OTTAWA, IL. THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR 2025 FOR LASALLE COUNTY WAS A COLLABORATIVE UNDERTAKING BY OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER DBA OSF SAINT ELIZABETH MEDICAL CENTER AND MENDOTA COMMUNITY HOSPITAL DBA OSF SAINT PAUL MEDICAL CENTER. THE CHNA HIGHLIGHTS THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN LASALLE COUNTY. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER. OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER D/B/A OSF SAINT ELIZABETH MEDICAL CENTER COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2022 AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R)(3). THE FINAL CHNA FOR THE HOSPITAL WAS APPROVED AND ADOPTED BY THE SYSTEM'S BOARD OF DIRECTORS ON JULY 25, 2022. THIS CHNA IS EFFECTIVE FOR FISCAL YEARS 2023, 2024 AND 2025. THEY ALSO APPROVED AND ADOPTED A NEW CHNA JULY 25, 2025, EFFECTIVE FOR FISCAL YEARS 2026, 2027 AND 2028. THE LASALLE COUNTY CHNA WAS DONE AS A COLLABORATIVE UNDERTAKING BY OSF SAINT ELIZABETH AND OSF SAINT PAUL MEDICAL CENTERS TO HIGHLIGHT THE HEALTH NEEDS AND WELL BEING OF RESIDENTS IN LASALLE COUNTY. THE COLLABORATIVE TEAM IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AS A PRIORITY: HEALTHY BEHAVIORS, BEHAVIORAL HEALTH AND HEALTHY AGING. IN RESPONSE TO THESE PRIORITY HEALTH NEEDS, THE HOSPITALS DEVELOPED AN IMPLEMENTATION STRATEGY DESCRIBING THE ACTIONS THE HOSPITALS INTEND TO TAKE TO ADDRESS BOTH PRIORITY HEALTH NEEDS, THE RESOURCES THE HOSPITALS PLAN TO COMMIT TO ADDRESS THE HEALTH NEEDS, AND ANY PLANNED COLLABORATIONS WITH OTHER ORGANIZATIONS TO ADDRESS THE HEALTH NEEDS. THE HOSPITALS REVIEW THEIR IMPLEMENTATION STRATEGY AT LEAST ANNUALLY AND MAKE REVISIONS AS NEEDED TO MAXIMIZE THE IMPACT ON IDENTIFIED PRIORITY HEALTH NEEDS. A SUMMARY OF HOW THE HOSPITALS HAVE ADDRESSED THE PRIORITY HEALTH NEEDS IS PROVIDED BELOW. HEALTHY BEHAVIORS DEFINED AS - ACTIVE LIVING, HEALTHY EATING AND OBESITY GOALS. ACTIVE LIVING: GOAL: INCREASE TOTAL ACTIVITY OF CITIZENS IN LASALLE COUNTY OVER THE NEXT 3 YEARS AS EVIDENCED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY. OUTCOME METRIC: DECREASE TOTAL NUMBER OF RESPONDENTS THAT INDICATED THEY DO NOT EXERCISE AT ALL FROM 22% TO 20% BY 2025. TACTICS AND PROGRESS FOR FY 2025: (1) INCREASE AWARENESS OF ALL CURRENT AVAILABLE ACTIVITIES BY SEASON THROUGH PROMOTION ON SOCIAL MEDIA. FY25 PROGRESS: COLLECTED & SHARED INFORMATION FROM 1. LASALLE 2. MARSEILLES 3. MENDOTA 4. OGLESBY 5. OTTAWA 6. PERU 7. SENECA 8. UTICA LEADERS SHARED ON HEALTHIER LASALLE COUNTY WEBPAGE, OSF I-80 FACEBOOK PAGES, AND LIVE WELL STREATOR FACEBOOK PAGE (2) INCREASE KNOWLEDGE/AWARENESS FOR PARTICIPATION IN ACTIVITIES. FY25 PROGRESS: COLLECTED & SHARED INFORMATION FROM 1. LASALLE, 2. MARSEILLES 3. MENDOTA 4. OGLESBY 5. OTTAWA 6. PERU 7. SENECA 8. UTICA LEADERS SHARED ON HEALTHIER LASALLE COUNTY WEBPAGE, OSF I-80 FACEBOOK PAGES, AND LIVE WELL STREATOR FACEBOOK PAGE. (3) PROMOTE THE USE OF BIKE ROUTES/WALKING PATHS IN MENDOTA, OTTAWA AND STREATOR. FY25 PROGRESS: PROMOTED THE UNIVERSITY OF ILLINOIS EXTENSION'S WALKING GUIDE OF LASALLE, BUREAU, MARSHALL AND PUTNAM COUNTIES ON THE HEALTHIER LASALLE COUNTY WEBPAGE, AT OSF CENTER FOR HEALTH STREATOR'S WAITING ROOM DIGITAL SCREENS, IN THE HEALTH INFORMATION RESOURCE CENTER. 2. LIVE WELL STREATOR HELD AN OUTDOOR SCAVENGER HUNT AT HOPALONG CASSIDY TRAIL 11 PARTICIPANTS. 3. LIVE WELL STREATOR PARTNERED WITH THE STREATOR WALKING CLUB TO PROMOTE TWO MOVE WITH THE MAYOR EVENTS IN THE STREATOR CITY PARK. 4. PARTICIPATED IN THE CITY OF MENDOTA'S WALKABILITY INSTITUTE 5. SPONSORED THE MARSEILLES LIONS CLUB GOBBLE WOBBLE 5K RUN. (4) INCREASE OFFERING OF THE HEALTHY KIDS U PROGRAM. FY25 PROGRESS: 1. OTTAWA YMCA UTILIZED HKU PROGRAMMING MODULES DURING THEIR 2025 KIDS SUMMER CAP. 2. PROMOTED HKU FRUIT AND VEGETABLE MODULE AT: STREATOR HEAD START ON MAR 2025. 3. PROMOTED GO, SLOW, WHOA FOOD ACTIVITY AT STREATOR YMCA HEALTHY KIDS DAY ON APRIL 26, 2025. 4. CO-HOSTED SPRING INTO HEALTH AT OTTAWA YMCA. 5. RESOURCE TABLE AT STREATOR'S LIBERTY FEST-KIDS KORNER ON JULY 5TH. 6. WENONA DAYS ON AUGUST 7, 2025, AT WENONA CITY PARK AND 7. LASALLE COUNTY 4-H FAIR ON JULY 10 & 11, 2025. 8. LEHIGH GIRLS CAMP, OGLESBY IL, JULY 24TH. HEALTHY EATING: GOAL: INCREASE COMMUNITY CONSUMPTION OF FRUITS/VEGETABLES IN LASALLE COUNTY. OUTCOME METRIC: INCREASE THE NUMBER OF RESPONDENTS THAT CONSUME 3 TO 5 SERVINGS OF FRUITS AND VEGETABLES PER DAY FROM 32% TO 34% BY 2025. FY25 PROGRESS: (1) COLLECTED & SHARED INFORMATION FROM 1. LASALLE, 2. MARSEILLES 3. MENDOTA 4. OGLESBY 5. OTTAWA 6. PERU 7. SENECA 8. UTICA LEADERS SHARED ON HEALTHIER LASALLE COUNTY WEBPAGE, OSF I-80 FACEBOOK PAGES, AND LIVE WELL STREATOR FACEBOOK PAGE. (2) INCREASED POUNDS PRODUCED IN COMMUNITY GARDENS. PROGRESS FOR FY2025: OSF MENDOTA, OTTAWA, AND STREATOR GARDENS HARVESTED 4,030 POUNDS OF PRODUCE WHICH WAS DONATED TO LOCAL FOOD PANTRIES. (3) INCREASE OFFERINGS OF THE HEALTHY KIDS U PROGRAM. FY25 PROGRESS: 1. OTTAWA YMCA UTILIZED HKU PROGRAMMING MODULES DURING KIDS SUMMER CAMP. 2. PARTICIPATED IN STREATOR PUBLIC LIBRARY EVENT AND PROMOTED "RETHINK YOUR DRINK" ON FEB 1, 2025. 3. PROMOTED "RETHINK YOUR DRINK" AT STREATOR YMCA HEALTHY KIDS DAY ON APRIL 26, 2025. 4. CO-HOSTED SPRING INTO HEALTH AT OTTAWA YMCA. 5. RESOURCE TABLE AT STREATOR'S LIBERTY FEST-KIDS KORNER ON JULY 5TH. 6. WENONA DAYS ON AUGUST 7, 2025, AT WENONA CITY PARK AND 5. LEASE BACK TO SCHOOL BASH FOR STUDENTS WITH DISABILITIES EVENT ON AUGUST 15, 2025. 6. OTTAWA ELEMENTARY'S BACK TO SCHOOL EVENT AUGUST 18, 2025. 7. PARTICIPATED IN WALLACE SCHOOL'S SCIENCE, WELLNESS & BOOK FAIR ON FEB. 13TH, 2025; INFUSED WATER RECIPES. 8. PROVIDED HEALTH RESOURCES AT MENDOTA ELEMENTARY SCHOOL CINO DE MAYO CELEBRATION ON MAY 6, 2025. (4) CONDUCT THE ILLINOIS JR. CHEF'S COOKING SCHOOL IN THREE COMMUNITIES. FY25 PROGRESS: 1. PROMOTED AND SUPPORTED ILLINOIS JUNIOR CHEF WHICH HOSTED 80 STUDENTS OVERALL AT: MANLIUS: JUNE 2-6; SHEFFIELD: JUNE 9-13; STREATOR: JUNE 23-26; SPRING VALLEY: JULY 7-11; MENDOTA: JULY 21-25. 2. CO-HOSTED KIDS IN THE KITCHEN AT OTTAWA YMCA ON OCT 29TH, 2025. MENTAL HEALTH GOAL: INCREASE THE OVERALL COMMUNITY UNDERSTANDING OF MENTAL HEALTH NEEDS AND SERVICES IN LASALLE COUNTY OUTCOME METRIC: DECREASE THE NUMBER OF SUICIDE DEATHS IN LASALLE COUNTY BY 2% BY 2025. TACTICS FOR PROGRESS IN FY 2025: (1) INCREASE EDUCATIONAL OPPORTUNITIES FOR MENTAL HEALTH. FY25 PROGRESS: 1. ASSISTED AT NORTH CENTRAL BEHAVIORAL HEALTH'S TEEN SHOWCASE AT ILLINOIS VALLEY COMMUNITY COLLEGE FOR 600 TEENS. 2. PARTICIPATED IN OVERDOSE AWARENESS WALK ON AUG 23RD, 2025. 3. OSF SAINT ELIZABETH BEHAVIORAL HEALTH HAD A RESOURCE TABLE AT NELL'S WOODLAND EARTH DAY CELEBRATION ON MAY 5, 2025. 4. LIVE WELL STREATOR HELD A COMMUNITY CLEAN UP OF STREATOR PARKS FROM SEPT 18-20 TO PROMOTE THE MENTAL HEALTH BENEFITS OF BEING OUTDOORS. 5. THE OSF ON CALL KING CARE-A-VAN PROMOTED SILVER CLOUD MONTHLY AT OTTAWA & PERU PADS HOMELESS SHELTERS, OTTAWA YMCA, PERU PUBLIC LIBRARY, OGLESBY PUBLIC LIBRARY, AND UTICA PUBLIC LIBRARY. THEY ALSO PROMOTED IT AT ONE TIME EVENTS: LASALLE COUNTY VETERANS EXPO, PERU POLICE DEPARTMENT CAR SEAT CHECK, YMCA STREATOR SPORT PHYSICALS, AND THE ILLINOIS VALLEY COMMUNITY COLLEGE HEALTH FAIR. 6. THE OSF I-80 MARKET SANE COORDINATOR WORKED WITH 28 PATIENTS IN FY2025 TO PROVIDE COUNSELING AND MENTAL HEALTH RESOURCES. (2) INCREASED UTILIZATION OF BEHAVIORAL HEALTH NAVIGATOR. PROGRESS FOR FY2025: 261 ADULT REFERRALS SUBSTANCE ABUSE GOAL: REDUCE OVERALL SUBSTANCE ABUSE IN MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS IN LASALLE COUNTY. OUTCOME METRIC: AN OVERALL REDUCTION OF 2% IN EACH SUBSTANCE CATEGORY FOR PAST YEAR USAGE OF 8TH, 10TH, AND 12TH GRADERS AS REPORTED BY THE ILLINOIS YOUTH SURVEY, UNIVERSITY OF ILLINOIS 2022 LASALLE COUNTY REPORT. TACTICS FOR PROGRESS IN FY 2025: (1) INCREASE EDUCATIONAL OPPORTUNITIES FOR SUBSTANCE ABUSE. FY25 PROGRESS: PROMOTED BODY IMAGE AND SELF-ESTEEM FACTS ON APRIL 25, 2025, STREATOR YMCA HEALTHY KIDS DAY (75 ATTENDEES). 2.. LIBERTY FEST-KIDS KORNER IN THE STREATOR CITY PARK ON JULY 5, 2025 (100+ ATTENDEES). 3. HELD DRUG TAKE BACK EVENTS AT STREATOR CITY PARK ON JUNE 21, 2025 (COLLECTED 65 POUNDS OF PILLS & 15 POUNDS OF CREAMS, LIQUIDS & INHALERS) AND 4. SHARED A LINK TO THE LASALLE COUNTY 708 MENTAL HEALTH BOARD'S NEW WEBSITE ON HEALTHIER LASALLE COUNTY WEBPAGE. 5. SPONSORED STREATOR OVERDOSE AWARENESS MEMORIAL WALK ON AUGUST 23, 2025. 6. HAD A RESOURCE TABLE AT THE MOLLY YACKO MEMORIAL 5K RUN, RUN TODAY FOR TOMORROW EVENT ON JUNE 22, 2025. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1 FACILITY , 1 - OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER. CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE WHEN CHARGES EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT BILLED IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES THIS ADJUSTMENT IS THE MOST GENERAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1 FACILITY , 1 - OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER. PRESUMPTIVE FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES FOR A DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO A PATIENT WITH NO INSURANCE BENEFITS, WHEN THE PATIENT ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA: HOMELESSNESS; DECEASED WITH NO ESTATE; MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; AND CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. SCHEDULE H, PART V, SECTION B, LINE 15 FACILITY , 1 FACILITY , 1 - OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER. THE FINANCIAL ASSISTANCE POLICY IS AVAIABLE BY WEBSITE, FAX, POSTAL ADDRESS AND PATIENTS ARE DIRECTED TO STAFF IN THE PATIENT FINANCIAL SERVICES AND ADMITTING AREAS AT OSF HOSPITALS FOR ASSISTANCE IN OBTAINING ANSWERS TO QUESTIONS REGARDING THE POLICY. SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY , 1 FACILITY , 1 - OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER. A PLAIN LANGUAGE SUMMARY OF THE FAP IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS. INFORMATION ABOUT FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS IS INCLUDED ON OR WITH THE OSF PATIENT BILLING STATEMENT, AND OSF PROVIDES COPIES OF THE PLAIN LANGUAGE SUMMARY AND THE FAP APPLICATION FORM TO REFERRING STAFF PHYSICIANS. 7 OTTAWA REGIONAL MEDICAL CENTER INC 1614 EAST NORRIS DRIVE OTTAWA IL 61350 OUTPATIENT MEDICAL AND DIAGNOSTIC SERVICES RADIATION ONCOLOGY OF NORTHERN ILLINOIS 1200 STARFIRE DRIVE OTTAWA IL 61350 RADIATION ONCOLOGY CENTER OSF ST ELIZABETH MEDICAL CENTER SLEEP CT 1601 MERCURY CIRCLE SUITE 200 OTTAWA IL 61350 POLYSYMNOGRAPHY LAB OTTAWA MEDICAL CENTER RADIOLOGY SVCS 1614 EAST NORRIS DRIVE OTTAWA IL 61350 DIAGNOSTIC RADIOLOGY OSF HEALTHCARE OTTAWA SOUTH 1640 FIRST AVE OTTAWA IL 61350 OCCUPATIONAL HEALTH OSF CENTER FOR HEALTH - STREATOR 111 SPRING STREET STREATOR IL 61364 EMERGENCY FOX RIVER CANCER CENTER 1200 STARFIRE DRIVE OTTAWA IL 61350 CANCER CENTER SCHEDULE H, PART I, LINE 3C CRITERIA FOR FREE OR DISCOUNTED CARE CATASTROPHIC CHARITY ASSISTANCE REGARDLESS OF INCOME OR ASSET LEVELS FOR MEDICALLY NECESSARY SERVICES WHICH EXCEED 25% OF ANNUAL FAMILY INCOME. THE AMOUNT DUE IS ADJUSTED TO 25% OF FAMILY INCOME WHEN OSF DETERMINES CATASTROPHIC CHARITY IS MORE GENEROUS. PRESUMPTIVE CHARITY: CHARGES MAY BE ADJUSTED TO PROVIDE FOR A CHARITY DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO AN UNINSURED PATIENT WHO ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA. PRESUMPTIVE CHARITY CATEGORIES FOR ALL OSF HOSPITALS: -HOMELESSNESS; -DECEASED WITH NO ESTATE; -MENTAL INCAPACITATION WITH NO ONE TO ACT ON PATIENT'S BEHALF; OR -CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. ALL PATIENTS RECEIVE THE GREATEST REQUESTED DISCOUNT AVAILABLE UNDER ANY OF THE OSF PROGRAMS. NO ASSET TESTS ARE USED. EXCEPT AS OTHERWISE NOTED, THESE POLICIES APPLY BOTH TO UNINSURED PATIENTS AND TO INSURED PATIENTS WITH RESPECT TO THE PATIENT RESPONSIBILITY AMOUNT. SCHEDULE H, PART I, LINE 7K COMMUNITY BENEFIT PERCENTAGE OTTAWA REGIONAL HOSPITAL & HEALTHCARE WAS DESIGNATED AS AN ILLINOIS SAFETY NET HOSPITAL EFFECTIVE OCTOBER 1, 2019. ILLINOIS SAFETY NET HOSPITALS ARE A MAJOR SOURCE OF MEDICAL CARE FOR LOW-INCOME, UNINSURED AND VULNERABLE POPULATIONS.UNDER ILLINOIS LAW, A SAFETY NET HOSPITAL IS A HOSPITAL THAT IS LICENSED BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH AS A GENERAL ACUTE CARE OR PEDIATRIC HOSPITAL AND MEETS CERTAIN CRITERIA REGARDING PAYER MIX. AS A SAFETY NET HOSPITAL, OTTAWA REGIONAL HOSPITAL & HEALTHCARE RECEIVED DSH PAYMENTS THAT ELIMINATED THE MEDICAID SHORTFALL REPORTABLE ON FORM 990, SCHEDULE H, PART I, LINE 7C. DSH PAYMENTS ARE STATUTORILY REQUIRED PAYMENTS INTENDED TO OFFSET HOSPITALS' UNCOMPENSATED CARE COSTS TO IMPROVE ACCESS FOR MEDICAID AND UNINSURED PATIENTS AS WELL AS THE FINANCIAL STABILITY OF SAFETY NET HOSPITALS, WHICH TYPICALLY OPERATE ON VERY THIN MARGINS. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT IN GENERAL, AND IN ACCORDANCE WITH MEDICARE REGULATIONS, PATIENT ACCOUNT BALANCES ARE WRITTEN OFF TO BAD DEBT EXPENSE AFTER REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED AND THE ACCOUNT HAS BEEN SENT TO A COLLECTION AGENCY OR LAW FIRM. PATIENTS' ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENTS' ACCOUNTS RECEIVABLE, OSF ANALYZES PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, OSF ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH PATIENT RESPONSIBILITY (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE PATIENTS ARE SCREENED AGAINST THE OSF FINANCIAL ASSISTANCE POLICY AND UNINSURED DISCOUNT POLICY. FOR ANY REMAINING PATIENT RESPONSIBILITY BALANCE, OSF RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. BAD DEBT EXPENSE OF 11,424,586 ON FORM 990, IS NETTED ON LINE 2A PART VIII AND IS BASED UPON ACCRUAL ACCOUNTING REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THIS AMOUNT CONSEQUENTLY DIFFERS FROM THE BAD DEBT EXPENSE OF $1,911,919 ON SCHEDULE H, PART III, LINE 2 WHICH REQUIRES THE ORGANIZATION TO REPORT AGGREGATE BAD DEBT AT COST. BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS THEREFORE CALCULATED BY MULTIPLYING GROSS CHARGES WRITTEN OFF TO BAD DEBT EXPENSE TIMES THE MEDICARE COST TO CHARGE RATIO DERIVED FROM THE MEDICARE COST REPORTS. SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY DISCOUNTS, INCLUDING ANY APPLICABLE THIRD PARTY PAYER CONTRACTUAL ALLOWANCES AND ANY FINANCIAL ASSISTANCE DISCOUNTS (VALUED AT GROSS CHARGES), ARE APPLIED TO PATIENT ACCOUNT GROSS CHARGES TO DETERMINE THE ACCOUNT BALANCE BEFORE PATIENT PAYMENTS. THE AGGREGATE AMOUNT OF ALL PATIENT PAYMENTS IS THEN APPLIED TO THE ACCOUNT BALANCE. WHEN DETERMINATION IS MADE THAT NO FURTHER AMOUNTS CAN BE COLLECTED IN ACCORDANCE WITH THE CORPORATION'S BAD DEBT POLICY, THE REMAINING BALANCE IS WRITTEN OFF TO BAD DEBT EXPENSE. PRESUMPTIVE CHARITY: CHARGES MAY BE ADJUSTED TO PROVIDE FOR A CHARITY DISCOUNT OF 100% OF BILLED CHARGES FOR MEDICALLY NECESSARY SERVICES PROVIDED TO AN UNINSURED PATIENT WHO ESTABLISHES FINANCIAL NEED AT TIME OF REGISTRATION BY SATISFYING ONE OF THE FOLLOWING CATEGORIES OF PRESUMPTIVE ELIGIBILITY CRITERIA. PRESUMPTIVE CHARITY CATEGORIES FOR ALL OSF HOSPITALS: -HOMELESSNESS; -DECEASED WITH NO ESTATE; -MENTAL INCAPACITATION WITH NO ONE TO ACT ON PATIENT'S BEHALF; OR -CURRENT MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICE. THEREFORE, THE CORPORATION DOES NOT BELIEVE THAT BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 INCLUDES ANY AMOUNTS THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY UNDER THE CORPORATION'S FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE PLEASE SEE PAGE 21 OF NOTES TO CONSOLIDATED FINANCIAL STATEMENTS SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS OSF IS COMMITTED TO SERVING PATIENTS, REGARDLESS OF ABILITY TO PAY OR IF THE PAYMENTS TO BE RECEIVED WILL BE LESS THAN THE COST TO PROVIDE THE SERVICE, WHICH IS THE CASE FOR MEDICARE AND MEDICAID PATIENTS. THE MEDICARE ALLOWABLE COSTS ON LINE 6 PART III HAVE BEEN CALCULATED BY USING THE MEDICARE COST TO CHARGE RATIO. THE AMOUNT IS COMPARED TO TOTAL MEDICARE PAYMENTS RECEIVED INCLUDING DSH AND IME PAYMENTS. SHOULD THERE BE A SHORTFALL, IT WOULD BE TREATED AS A COMMUNITY BENEFIT SINCE IT REFLECTS UN-REIMBURSED COSTS FOR PROVIDING MEDICAL SERVICES TO THE MEDICARE RESIDENTS OF THE COMMUNITY. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE THE CORPORATION HAS A SELF-PAY BILLING COLLECTION POLICY WHICH APPLIES FOR ALL PATIENTS. THE POLICY INCLUDES: -REQUIRED INFORMATION PROVIDED IN BILLS TO PATIENTS (INCLUDING A REQUIREMENT THAT INFORMATION BE PROVIDED ON HOW THE PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE). -PROCESS FOR PATIENTS TO INQUIRE ABOUT OR DISPUTE A BILL, INCLUDING TOLL-FREE TELEPHONE NUMBER, ADDRESS, CONTACT NAME AND E-MAIL ADDRESS. -REQUIREMENTS FOR TIMELY RESPONSE TO PATIENT INQUIRIES. -CONDITIONS WHICH MUST BE SATISFIED BEFORE PATIENT MAY BE SENT TO A COLLECTION AGENCY OR ATTORNEY. -LEGAL ACTION FOR NON-PAYMENT OF A PATIENT BILL MAY NOT BE INITIATED UNTIL AN AUTHORIZED HOSPITAL OFFICIAL HAS DETERMINED THAT ALL CONDITIONS IN THE CORPORATION'S POLICY (INCLUDING ALL THE FOREGOING POLICY PROVISIONS) HAVE BEEN SATISFIED FOR INITIATING LEGAL ACTION. -LEGAL ACTION MAY NOT BE PURSUED AGAINST UNINSURED PATIENTS WHO HAVE CLEARLY DEMONSTRATED THAT THEY HAVE NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET THEIR FINANCIAL OBLIGATIONS - EVEN IF SUCH PATIENTS DO NOT APPLY FOR FINANCIAL ASSISTANCE. -THE CORPORATION SHALL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS, SUCH AS SUBMITTING REPORTS TO CREDIT AGENCIES BEFORE REASONABLE ATTEMPTS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE HAVE BEEN COMPLETED. -IF A PATIENT RECEIVES AN APPLICATION FOR FINANCIAL ASSISTANCE BUT FAILS TO RETURN IT, OSF WILL TRY TO USE SECONDARY SOURCES TO DETERMINE THE PATIENT'S ELIGIBILITY FOR NONCOMPLIANT CHARITY BEFORE PURSUING LEGAL ACTION FOR NONPAYMENT. IF A COMPLETE APPLICATION IS RECEIVED DURING THE APPLICATION PERIOD, OSF WILL SUSPEND EXTRAORDINARY COLLECTION ACTIONS AND MAKE A DETERMINATION OF ELIGIBILITY FOR ASSISTANCE. IF THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, OSF WILL ISSUE APPROPRIATE REFUNDS AND REVERSE ANY EXTRAORDINARY COLLECTION ACTIONS TAKEN, AS MORE FULLY DESCRIBED IN THE OSF FAIR BILLING - COLLECTION POLICY. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE - OTTAWA REGIONAL HOSPITAL & HEALTHCARE: LINE 16A URL: HTTPS://WWW.OSFHEALTHCARE.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - OTTAWA REGIONAL HOSPITAL & HEALTHCARE: LINE 16B URL: HTTPS://WWW.OSFHEALTHCARE.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - OTTAWA REGIONAL HOSPITAL & HEALTHCARE: LINE 16C URL: HTTPS://WWW.OSFHEALTHCARE.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER D/B/A OSF SAINT ELIZABETH MEDICAL CENTER COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING FISCAL YEAR 2025 AS PREVIOUSLY STATED. THE CHNA IS UPDATED EVERY 3 YEARS AND CORRESPONDING IMPLEMENTATION STRATEGY IS REFRESHED YEARLY. NOT ONLY DOES THE PLAN GET REFRESHED YEARLY, BUT EACH ACTION ITEM HAS A RESPONSIBLE PARTY INVOLVED TO GET THE WORK ASSOCIATED WITH THE NEED ACCOMPLISHED. THE NEW CHNA WAS APPROVED AND ADOPTED BY THE OSF BOARD OF DIRECTORS ON SEPTEMBER 29, 2025 AND THE CORRESPONDING IMPLEMENTATION STRATEGY WAS APPROVED SEPTEMBER 29, 2025. LEADERSHIP WITHIN OSF SIT ON VARIOUS COMMUNITY ADVISORY BOARDS TO STAY CONNECTED TO THE OTHER AGENCIES WITHIN THE COMMUNITY. THIS WORK ALIGNS WITH OUR MISSION STATEMENT TO SERVE PERSONS WITH THE GREATEST CARE AND LOVE IN A COMMUNITY THAT CELEBRATES THE GIFT OF LIFE SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE CORPORATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, IN ENGLISH AND IN ANY OTHER LANGUAGE SPOKEN BY POPULATIONS WITH LIMITED ENGLISH PROFICIENCY THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY OF THE HOSPITAL, IN THE FOLLOWING WAYS: -SIGNS ARE POSTED IN PATIENT REGISTRATION AREAS (INCLUDING EMERGENCY DEPARTMENT REGISTRATION) INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, THE AVAILABILITY OF FINANCIAL ASSISTANCE COUNSELORS, AND HOW TO OBTAIN A COPY OF THE OSF FINANCIAL ASSISTANCE POLICY AND APPLICATION. -A PLAIN LANGUAGE SUMMARY OF THE OSF FINANCIAL ASSISTANCE POLICY IS OFFERED TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS AND INCLUDED IN THE BILLING STATEMENT MAILED PRIOR TO INITIATING EXTRAORDINARY COLLECTION ACTIONS. IN ADDITION, THE PLAIN LANGUAGE SUMMARY AND APPLICATION ARE PROVIDED TO REFERRING STAFF PHYSICIANS. -OSF MAKES REASONABLE EFFORTS TO ORALLY NOTIFY PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY AND HOW TO OBTAIN ASSISTANCE IN APPLYING. -A NOTICE OF AVAILABILITY OF THE CORPORATION'S FINANCIAL ASSISTANCE AND UNINSURED PATIENT DISCOUNT POLICIES IS PROMINENTLY AVAILABLE ON THE CORPORATION'S WEBSITE. THE APPLICATION FORM WITH INSTRUCTIONS AND THE PLAIN LANGUAGE SUMMARY IS AVAILABLE FOR DOWNLOAD. -A NOTE REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE (TOGETHER WITH CONTACT PHONE NUMBERS) APPEARS ON EVERY PATIENT BILLING STATEMENT AS WELL AS THE WEBSITE WHERE COPIES OF THE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY MAY BE OBTAINED. -FINANCIAL ASSISTANCE COUNSELORS ARE AVAILABLE IN PERSON AND BY PHONE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND IN DETERMINING ELIGIBILITY AND APPLYING FOR GOVERNMENT PROGRAM BENEFITS, INCLUDING MEDICAID. -THE CORPORATION'S FINANCIAL ASSISTANCE POLICY IS FILED WITH THE ILLINOIS ATTORNEY GENERAL AND IS AVAILABLE TO THE PUBLIC. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER D/B/A OSF SAINT ELIZABETH MEDICAL CENTER IS LOCATED IN LASALLE COUNTY. DATA ESTABLISHES THAT LASALLE COUNTY IS THE RESIDENCE OF OVER 90% OF ALL PATIENTS RECEIVING SERVICES FROM SAINT PAUL MEDICAL CENTER AND SAINT ELIZABETH MEDICAL CENTER. THE OSF SAINT ELIZABETH MEDICAL CENTER SERVICE COMMUNITY IS LOCATED PRIMARILY IN LASALLE COUNTY BUT EXTENDS INTO PORTIONS OF LEE, BUREAU, AND DEKALB COUNTIES. WITH REGARD TO RACE AND ETHNIC BACKGROUND, LASALLE COUNTY IS LARGELY HOMOGENOUS, YET IN RECENT YEARS, THE COUNTY IS BECOMING MORE DIVERSE. DATA FROM 2023 SUGGEST THAT WHITE ETHNICITY COMPRISES 84.7% OF THE POPULATION IN LASALLE COUNTY. HOWEVER, THE NON-WHITE POPULATION OF LASALLE COUNTY HAS BEEN SLIGHTLY DECREASING FROM 15.4% IN 2019 TO 15.3% IN 2023, WITH BLACK ETHNICITY COMPRISING 2.9% OF THE POPULATION, HISPANIC/LATINO (LATINX) ETHNICITY COMPRISING 10.3% OF THE POPULATION, AND MULTI-RACIAL ETHNICITY COMPRISING 1.5% OF THE POPULATION. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH PROMOTION OF COMMUNITY HEALTH THE ORHHC'S SPONSORING ORGANIZATION IS A RELIGIOUS CONGREGATION OF THE ROMAN CATHOLIC CHURCH KNOWN AS THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS. IN ACCORDANCE WITH CANON LAW OF THE ROMAN CATHOLIC CHURCH AND FEDERAL TAX LAW APPLICABLE TO SUPPORTING ORGANIZATIONS, A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION ARE PROFESSED MEMBERS OF THE SPONSORING RELIGIOUS CONGREGATION. ORHHC HAS A COMMUNITY ADVISORY BOARD CONSISTING OF MEMBERS OF THE COMMUNITY WHO ARE NOT DIRECTORS, OFFICERS, OR CONTRACTORS OF ORHHC. EXCEPT FOR HOSPITAL DEPARTMENTS WHICH HAVE BEEN CLOSED, OR IN WHICH CLINICAL PRIVILEGES HAVE BEEN RESTRICTED, FOR CLINICAL OR QUALITY OF CARE REASONS BY ACTIONS OF THE HOSPITAL'S MEDICAL STAFF AND THE BOARD OF DIRECTORS, ORHHC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITIES. THE ORHHC'S SURPLUS FUNDS WERE USED DURING ITS FISCAL YEAR ENDED SEPTEMBER 30, 2025 FOR IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. ORHHC MEETS THE REQUIREMENTS OF REVENUE RULING 69-545 BY: -OPERATING AN EMERGENCY DEPARTMENT WHICH IS STAFFED 24 HOURS PER DAY BY QUALIFIED PHYSICIANS AND OTHER MEDICAL PERSONNEL AND WHICH IS OPEN TO ALL PERSONS WITHOUT REGARD TO ABILITY TO PAY. -HAVING MEDICAL STAFFS WHICH ARE OPEN TO ALL QUALIFIED PHYSICIANS, MID-LEVEL PROVIDERS, PODIATRISTS, AND DENTISTS IN THE COMMUNITY (EXCEPT WHERE RESTRICTED IN RARE CASES FOR CLINICAL QUALITY REASONS BY ACTION OF THE MEDICAL STAFF AND THE BOARD OF DIRECTORS). -ACCEPTING MEDICARE, MEDICAID AND OTHER GOVERNMENT PROGRAM PATIENTS. -ACCEPTING ALL PATIENTS, INCLUDING UNINSURED PATIENTS, WITHOUT REGARD TO THEIR ABILITY TO PAY. -USING SURPLUS FUNDS TO IMPROVE THEIR FACILITIES, EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, EDUCATION, AND RESEARCH AS DESCRIBED ABOVE. OSF HEALTHCARE SYSTEM IS CHARGED WITH PROMOTING COMMUNITY HEALTH. THE OSF CENTER FOR HEALTH IN STREATOR IS BEING TRANSFORMED INTO A HUB THAT NOT ONLY TAKES CARE OF THE PHYSICAL HEALTH OF INDIVIDUALS, BUT ENDEAVORS TO POSITIVELY SHAPE THE ENVIRONMENT, SOCIAL AND ECONOMIC STATUS AND LIFESTYLE CHOICES OF THE ENTIRE COMMUNITY. THE ORGANIZATION IS ENLISTING A VARIETY OF COMMUNITY-BASED ORGANIZATIONS TO CO-LOCATE WITHIN THE CENTER FOR HEALTH, MAKING THE FACILITY A CONVENIENT SPACE FOR HEALTH AND WELLNESS NEEDS. OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER D/B/A OSF SAINT ELIZABETH MEDICAL CENTER PARTNER WITH OTHER LOCAL SERVICE AGENCIES TO ENSURE ACCESS FOR RURAL HEALTHCARE INCLUDING OFFERING SPACE TO OTHER AGENCIES TO CO-LOCATE UNDER ONE ROOF. OSF ON CALL OFFERS A 24/7 ONLINE ACCESS TO MEDICAL CARE VIA SMARTPHONE, TABLET OR COMPUTER. A WAVE OF RURAL HOSPITAL CLOSURES IN THE ILLINOIS VALLEY, INCLUDING ST. MARGARET'S HEALTH-PERU, ST. MARGARET'S HEALTH-SPRING VALLEY, AND ST. MARY'S HOSPITAL IN STREATOR, LEFT COMMUNITIES WITHOUT ESSENTIAL HEALTH SERVICES. RECOGNIZING THE URGENT NEED, OSF HEALTHCARE STEPPED IN WITH A BOLD COMMITMENT TO RESTORE AND REIMAGINE CARE IN THE REGION, INVESTING MILLIONS TO ENSURE CONTINUED ACCESS TO A FULL SPECTRUM OF HEALTH CARE CLOSE TO HOME. SINCE ASSUMING OPERATIONS, OSF HAS TAKEN DELIBERATE STEPS TO RESTORE AND STRENGTHEN ACCESS TO HEALTH CARE IN THE ILLINOIS VALLEY THROUGH A REGIONAL MODEL THAT CENTERS ON PERU AS A KEY LOCATION FOR MORE COMPLEX AND SPECIALIZED SERVICES. IN ADDITION, ACCESS HAS BEEN EXPANDED ACROSS THE REGION THROUGH NEW AND ENHANCED OFFERINGS IN SURROUNDING COMMUNITIES SUCH AS OTTAWA, MENDOTA, PRINCETON, AND STREATOR. THIS INCLUDES COORDINATED OUTPATIENT SERVICES, PRIMARY CARE, SPECIALTY CARE, CENTRALIZED TELEMETRY MONITORING, AND LAB SERVICES THAT ARE SEAMLESSLY CONNECTED ACROSS THE REGION. THE GOAL HAS BEEN TO SIMPLIFY OPERATIONS, REDUCE DUPLICATION, AND ENSURE PATIENTS THROUGHOUT THE ILLINOIS VALLEY RECEIVE THE RIGHT CARE, IN THE RIGHT PLACE, AT THE RIGHT TIME-CLOSE TO HOME. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM THE CORPORATION IS PART OF AN AFFILIATED HEALTHCARE SYSTEM (THE "OSF SYSTEM"), WHICH IS AN INTEGRATED HEALTH SYSTEM THAT OPERATES ACUTE CARE HOSPITALS, HOME CARE. HOME HEALTHCARE SERVICES, TWO COLLEGES OF NURSING, A MEDICAL TRAINING SIMULATION CENTER, AND OTHER HEALTHCARE FACILITIES IN ILLINOIS AND MICHIGAN. THE OSF SYSTEM WAS PREVIOUSLY CONTROLLED BY THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS (THE "CONGREGATION"). IN 2024 THE CONGREGATION PARTNERED WITH THE CATHOLIC DIOCESE OF PEORIA TO CREATE A DIOCESAN PUBLIC JURIDIC PERSON NAMED OSF HEALTHCARE MINISTRIES (THE "OSF MINISTRIES"). OSF MINISTRIES ASSUMED SPONSORSHIP AND SOLE CORPORATE MEMBERSHIP OF THE OSF SYSTEM. IT DIRECTS ALL OTHER CORPORATIONS IN THE AFFILIATED HEALTHCARE SYSTEM THROUGH BOARD REPRESENTATION AND THE EXERCISE OF RESERVE POWERS. ALL AFFILIATED ENTITIES APPLY AND FOLLOW THE FINANCIAL ASSISTANCE POLICIES OF THE CORPORATION AND ARE OPERATED IN FURTHERANCE OF THE MISSION TO PROVIDE COMPREHENSIVE, DURABLE MEDICAL EQUIPMENT, INTEGRATED QUALITY CARE TO THE COMMUNITIES SERVED BY THE CORPORATION. THE OSF SYSTEM'S CORPORATE OFFICE IN PEORIA, ILLINOIS. (THE "CORPORATE OFFICE"), PROVIDES CORPORATE MANAGEMENT SERVICES AS WELL AS DIRECTION, CONSULTATION AND ASSISTANCE TO THE ADMINISTRATION OF THE OSF SYSTEM'S HEALTHCARE FACILITIES AND SUBSIDIARY CORPORATIONS. THE PRIMARY AFFILIATED CORPORATIONS OF THE OSF SYSTEM ARE THE FOLLOWING: OSF MINISTRIES, OSF MULTI-SPECIALTY GROUP, AND POINTCORE, INC. OSF MULTI-SPECIALTY GROUP WAS INCORPORATED IN 2011. VIRTUALLY ALL PHYSICIANS AND ADVANCED PRACTICE PROVIDERS PROVIDING PROFESSIONAL SERVICES THROUGH THE OSF SYSTEM'S ACUTE CARE HOSPITAL FACILITIES AND AMBULATORY PRACTICE SETTINGS (WITH A FEW LIMITED EXCEPTIONS) PROVIDE SERVICES PURSUANT TO EMPLOYMENT AGREEMENTS OR PROFESSIONAL SERVICE AGREEMENTS WITH OSF MULTI-SPECIALTY GROUP. OSF MEDICAL GROUP IS A D/B/A OF OSF MULTI-SPECIALTY GROUP. POINTCORE, INC., FORMERLY KNOWN AS OSF ST. FRANCIS, INC., WAS ORIGINALLY INCORPORATED IN 1986 AND IS ENGAGED IN THE FOLLOWING LINES OF BUSINESS: RETAIL PHARMACIES, RETAIL SHOPS, A MOBILE MEDICAL SYSTEM, EMERGENCY MEDICAL TRANSPORTATION, HOME THERAPEUTICS, REAL ESTATE, EQUIPMENT TECHNOLOGY SERVICES, TELECOMMUNICATIONS, ELECTRONIC HEALTH RECORDS, TELEHEALTH SERVICES, AND CONSULTING SERVICES. POINTCORE, INC. ALSO PARTICIPATES IN VARIOUS HEALTH RELATED JOINT VENTURES. OSF HEALTHCARE FOUNDATION WAS INCORPORATED IN 1989 TO CONDUCT FUNDRAISING AND OTHER ACTIVITIES FOR THE BENEFIT OF OSF SYSTEM AND IN SUPPORT OF THE MISSION OF THE CONGREGATION. OSF HEALTHCARE SYSTEM BECAME THE SOLE MEMBER OF OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER IN 2012, AND THE HOSPITAL WAS RENAMED OSF SAINT ELIZABETH MEDICAL CENTER. MENDOTA COMMUNITY HOSPITAL, FORMERLY KNOWN AS MENDOTA HOSPITAL FOUNDATION, WAS INCORPORATED IN 1944. OSF HEALTHCARE SYSTEM BECAME THE SOLE MEMBER OF MENDOTA COMMUNITY HOSPITAL IN 2015, AND THE HOSPITAL WAS RENAMED OSF SAINT PAUL MEDICAL CENTER. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT IL true CITY OF OTTAWA 301 W MADISON ST OTTAWA IL 61350 366006037 GOVERNMENTAL UNIT 25000 0 N/A N/A PATIENT TRANSPORTATION 0 1 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS GRANT RECIPIENTS WERE GIVEN GRANTS BASED ON THE NEEDS OF THE MEDICAL COMMUNITY AND THE LOCAL COMMUNITY AT LARGE. THE LOCAL PRESIDENT REVIEWS ASSISTANCE REQUESTS AND APPROVES BASED ON NEED. IN SOME CASES, THE CORPORATION'S CEO OR CFO OR OTHER REPRESENTATIVE OF THE CORPORATION SERVES ON THE BOARD OF DIRECTORS OR ON THE FINANCE COMMITTEE OF THE GRANTEE ORGANIZTION AND RECEIVES DIRECT INFORMATION REGARDING USE OF GRANT FUNDS IN SUCH CAPACITY. IN OTHER CASES, THE CORPORATION RECEIVES WRITTEN REPORTS AND/OR FINANCIAL STATEMENTS FROM THE GRANTEE ORGANIZATION WHICH INCLUDE INFORMATION REGARDING USE OF GRANT FUNDS. X X X X false true false false false false false false false ROBERT C SEHRING VICE CHAIRPERSON CHIEF EXECUTIVE OFFICER 0 1783421 0 1042741 0 302002 0 17250 0 36548 0 3181962 0 0 GERALD J MCSHANE MD BOARD MEMBER 0 195721 0 0 0 0 0 9000 0 26731 0 231452 0 0 ELIZABETH A DAVIDSON FORMER INTERIM PRESIDENT, OSF HEALTHCARE SAINT JAMES-JOHN W. ALBRECHT MEDICAL CENTER 0 213126 0 42189 0 11543 0 13578 0 24886 0 305322 0 0 JOHN R EVANCHO FORMER SVP CHIEF INTEGRITY OFFICER 0 189067 0 109138 0 1228 0 9789 0 19270 0 328492 0 0 NED HILL FORMER PRESIDENT, OSF HEALTHCARE SACRED HEART MEDICAL CENTER 0 166953 0 0 0 4137 0 8770 0 16227 0 196087 0 0 ERIN N ROGERS FORMER INTERIM PRESIDENT, OSF HEALTHCARE HEART OF MARY MEDICAL CENTER 0 161817 0 10862 0 138 0 9258 0 33938 0 216013 0 0 JERRY W RUMPH FORMER PRESIDENT, OSF HEALTHCARE SAINT ANTHONY'S HEALTH CENTER 0 176658 0 0 0 10567 0 9298 0 1082 0 197605 0 0 JEFFRY M TILLERY FORMER PRESIDENT, OSF MEDICAL GROUP 0 229377 0 201560 0 111871 0 17028 0 8409 0 568245 0 0 MICHAEL M ALLEN CHIEF FINANCIAL OFFICER (THROUGH NOV 2024) 0 732214 0 370555 0 28408 0 116065 0 30836 0 1278078 0 0 ROBERT G ANDERSON CHIEF EXECUTIVE OFFICER, CENTRAL REGION (THROUGH JAN 2025) 0 687600 0 267209 0 109586 0 17250 0 27221 0 1108866 0 0 JOHN T BARNHART PRESIDENT, HEART OF MARY MEDICAL CENTER & SACRED HEART MEDICAL CENTER 0 392751 0 118914 0 813 0 17250 0 33047 0 562775 0 0 HEATHER J BOMSTAD PRESIDENT. OSF HEALTHCARE SAINT CLARE MEDICAL CENTER/ SAINT PAUL MEDICAL CENTER (BEG MAY 2025) 191040 0 41315 0 30889 0 10669 0 32889 0 306802 0 0 0 ROBERT L BRANDFASS SVP CHIEF LEGAL OFFICER 0 650575 0 245225 0 27998 0 17250 0 36299 0 977347 0 0 PAULA A CARYNSKI PRESIDENT, OSF HEALTHCARE SAINT ANTHONY MEDICAL CENTER (THROUGH JAN 2025) 0 452989 0 171480 0 29606 0 17250 0 26382 0 697707 0 0 MICHELLE D CONGER PRESIDENT, OSF HEALTHCARE (BEG 1/25)/ CSO/CEO, OSF/ONCALL DIGITAL HEALTH (THRU 12/24) 0 740168 0 291798 0 26717 0 99534 0 34553 0 1192770 0 0 MELINDA B COOLING CHIEF NURSE AND ADVANCED PRACTICE PROVIDER EXECUTIVE, OSF HEALTHCARE 0 315802 0 121603 0 20094 0 11551 0 41444 0 510494 0 0 MICHAEL A CRUZ MD CHIEF OPERATING OFFICER 0 859454 0 381210 0 131214 0 17250 0 36461 0 1425589 0 0 CHRISTOPHER M CURRY PRESIDENT, OSF HEALTHCARE DIVINE MERCY CONTINUING CARE HOSPITAL (FKA OSF TRANSITIONAL CARE HOSPITAL) 0 285280 0 79870 0 647 0 3718 0 23392 0 392907 0 0 LISA DEKEZEL PRESIDENT, OSF HEALTHCARE HOLY FAMILY MEDICAL CENTER AND OSF HEALTHCARE ST. MARY MEDICAL CENTER 0 320665 0 118266 0 9941 0 17250 0 32717 0 498839 0 0 DAVID FERGUS CHIEF SUPPLY CHAIN OFFICER 0 454555 0 173555 0 25357 0 17250 0 35116 0 705833 0 0 DERRICK FRAZIER PRESIDENT, OSF HEALTHCARE SAINT JAMES-JOHN W. ALBRECHT MEDICAL CENTER 0 301695 0 71852 0 584 0 3802 0 23437 0 401370 0 0 CAROL A FRIESEN CHIEF EXECUTIVE OFFICER, EASTERN REGION 0 671849 0 267182 0 24808 0 99824 0 42561 0 1106224 0 0 DAVID M HALL CHIEF INFORMATION OFFICER 0 489325 0 187260 0 24280 0 17250 0 42423 0 760538 0 0 THOMAS G HAMMERTON PRESIDENT OSF HEALTHCARE FOUNDATION AND CHIEF DEVELOPMENT OFFICER 0 430654 0 176131 0 26277 0 69942 0 41106 0 744110 0 0 KELLY A JEFFERSON PRESIDENT, OSF HEALTHCARE ST. FRANCIS HOSPITAL & MEDICAL GROUP 0 261503 0 97478 0 23465 0 14886 0 32464 0 429796 0 0 JACQUELINE D KERNAN PRESIDENT, OSF SAINT LUKE MC (THRU DEC 2024); SAINT CLARE & SAINT KATHERINE MC (BEG DEC 2024) 0 267419 0 103161 0 16968 0 14861 0 25299 0 427708 0 0 KATHLEEN M KINSELLA PRESIDENT, OSF HEALTHCARE LITTLE COMPANY OF MARY MEDICAL CENTER 0 393062 0 150513 0 25926 0 15381 0 19039 0 603921 0 0 KIRSTEN M LARGENT CHIEF FINANCIAL OFFICER (BEGINNING NOV 2024) 0 438408 0 143791 0 1925 0 17250 0 29626 0 631000 0 0 JAMES J MORMANN CHIEF EXECUTIVE OFFICER, INTEGRATED SOLUTIONS 0 754049 0 299476 0 26784 0 17250 0 36379 0 1133938 0 0 SHELLEY A PARN CHIEF HUMAN RESOURCES OFFICER 0 464900 0 166212 0 751 0 58848 0 18719 0 709430 0 0 SHAWN E PIERS MD INTERIM PRESIDENT, OSF MEDICAL GROUP (THROUGH MAR 2025) 0 442747 0 77167 0 762 0 14142 0 28791 0 563609 0 0 AUGUST J QUERCIAGROSSA CHIEF EXECUTIVE OFFICER, WESTERN REGION 0 564216 0 221512 0 25818 0 78044 0 36233 0 925823 0 0 JASON R RODEGHERO PRESIDENT, OSF HOME CARE AND REHAB SERVICES 0 312221 0 111237 0 482 0 17250 0 27915 0 469105 0 0 LISA A SCHEPERS INTERIM PRESIDENT, OSF HEALTHCARE SAINT ANTHONY'S HEALTH CENTER (THROUGH DEC 2024) 0 228748 0 41350 0 396 0 13865 0 23744 0 308103 0 0 EMILY A SHIELDS CHIEF STRATEGY OFFICER, OSF HEALTHCARE (BEGINNING FEB 2025) 0 194965 0 43524 0 23060 0 11369 0 32889 0 305807 0 0 STEPHANIE H STOVALL CHIEF QUALITY OFFICER 0 140144 0 0 0 22693 0 5456 0 4753 0 173046 0 0 DAWN C TROMPETER PRESIDENT, SAINT PAUL MC (THRU APR 2025); OSF SAINT ELIZABETH MC; ASSOC REGIONAL CEO, WESTERN REGION 328399 0 124936 0 23841 0 15422 0 17674 0 510272 0 0 0 JENNIFER L ULRICH INTERIM PRESIDENT, OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER (THROUGH DEC 2024) 0 283383 0 48007 0 60 0 9202 0 33550 0 374202 0 0 TIM J VEGA CHIEF POPULATION HEALTH OFFICER 0 453891 0 101313 0 25679 0 7879 0 28849 0 617611 0 0 RALPH VELAZQUEZ MD SYSTEM CHIEF MEDICAL OFFICER 0 656168 0 259428 0 102112 0 17250 0 35897 0 1070855 0 0 MICHAEL A WELLS PRESIDENT, OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTER 0 485363 0 162740 0 2258 0 17250 0 26411 0 694022 0 0 LORI L WIEGAND CHIEF NURSING OFFICER (THROUGH MAY 2025) 0 513242 0 204924 0 92317 0 17250 0 14669 0 842402 0 0 LEON A YEH MD VP CHIEF MEDICAL OFFICER EMERGENCY SERV 0 585151 0 118962 0 60973 0 17049 0 15742 0 797877 0 0 SHERINE HANNA MD MEDICAL DIRECTOR OSF SAINT ELIZABETH MEDICAL CENTER 486019 0 6250 0 16244 0 17250 0 2368 0 528131 0 0 0 MOLLY M KELLY MD PHYSICIAN 472501 0 5000 0 26475 0 17250 0 41707 0 562933 0 0 0 LEONARDO LOPEZ VP CHIEF MEDICAL OFFICER 427844 0 85478 0 23380 0 13948 0 39659 0 590309 0 0 0 MARIANNE MIKAT-STEVENS MD PHYSICIAN 570934 0 6250 0 762 0 17250 0 13937 0 609133 0 0 0 DURRE S RAJA PHYSICIAN 541224 0 40000 0 1327 0 17250 0 12442 0 612243 0 0 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO AID IN RETAINING KEY EMPLOYEES, A 457(F) RETIREMENT ALLOWANCE PLAN IS AVAILABLE TO EXECUTIVES. EACH YEAR THE PLAN PROVIDES CREDITS, EXPRESSED AS DOLLAR AMOUNTS, DETERMINED BY A PERCENTAGE OF EACH PARTICIPANT'S BASE SALARY. THE PERCENTAGE FOR EACH PARTICIPANT IS DEFINED IN THE PLAN. THE DEFERRED ALLOWANCE IS DEPOSITED IN AN ACCOUNT FOR EACH PARTICIPANT AND INVESTED IN SECURITIES SELECTED BY THE PARTICIPANT FROM A MENU OF AVAILABLE OPTIONS. VESTED BENEFITS, WITH INVESTMENTS GAINS OR LOSSES, ARE PAID TO PARTICIPANTS AS REGULAR TAXABLE INCOME. THE PLAN DEFINES PROVISIONS FOR DISTRIBUTION OF BENEFITS IN THE EVENT OF THE PARTICIPANT'S DEATH OR SEPARATION OF EMPLOYMENT PRIOR TO THE ELECTED VESTING DATE. THE AMOUNTS BELOW; DEFERRED IN THE CURRENT YEAR AND PAID IN THE CURRENT YEAR, RESPECTIVELY, ARE INCLUDED IN THE AMOUNTS REPORTED ON SCHEDULE J, PART II, COLUMNS B(III), (C), OR (F). MICHAEL ALLEN $98,815/ $0 ROBERT ANDERSON $0/ $82,003 MICHELLE CONGER $87,775/ $0 ROXANNA CROSSER $0/ $21,231 MICHAEL CRUZ $0/ $101,578 CAROL FRIESEN $82,574/ $0 THOMAS HAMMERTON $52,692/ $0 SHELLEY PARN $50,964 / $0 AUGUST QUERCIAGROSSA $67,857/ $0 ROBERT SEHRING $0 / $264,524 JEFFRY TILLERY $0 / $85,762 RALPH VELAZQUEZ $0 / $77,081 LORI WIEGAND $0 / $61,930 SCHEDULE J, PART I, LINE 3 SCH J, PART I, LINE 3 THE BOARD OF DIRECTORS HAS ESTABLISHED A BOARD COMMITTEE KNOWN AS THE HUMAN RESOURCES COMMITTEE WHO ARE ALL PROFESSED MEMBERS OF A RELIGIOUS CONGREGATION THAT OWNS OR IS ASSOCIATED WITH THE HE HEALTHCARE SYSTEM WHO HAVE TAKEN A VOW OF POVERTY. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE CHIEF EXECUTIVE OFFICER (CEO) IS NOT A VOTING MEMBER OF THE COMMITTEE. THE PERFORMANCE OF THE CEO AND HIS ACHIEVEMENT OF ANNUAL GOALS IS EVALUATED EACH YEAR BY THE FULL BOARD OF DIRECTORS. THE COMMITTEE ALSO OBTAINS COMPENSATION SURVEY DATA AND RECOMMENDATIONS FROM A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT. BASED ON ALL OF THESE FACTORS, THE COMMITTEE SETS THE BASE SALARY AND BENEFITS OF THE CEO AND APPROVES THE EXECUTIVE COMPENSATION PLAN APPLICABLE TO THE CEO. PRIOR TO PAYMENT OF ANY BONUS OR INCENTIVE COMPENSATION, THE TOTAL COMPENSATION FOR THE CEO, INCLUDING BASE SALARY, BENEFITS, AND PROPOSED BONUS OR INCENTIVE COMPENSATION, IS AGAIN REVIEWED BY A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT TO ENSURE THAT NO EXCESS BENEFIT AMOUNT IS PAID OR FURNISHED. FORM 990, PART I, LINE 1 PART I THE TAX LAW REQUIRES THAT EACH LEGAL ENTITY WITHIN THE OSF HEALTHCARE SYSTEM COMPLETE A SEPARATE TAX RETURN WHICH APPROPRIATELY REFLECTS THE ACTIVITIES AND FINANCIAL POSITION OF THE PARTICULAR ORGANIZATION. THIS REPORTING, HOWEVER, IS NOT REFLECTIVE OF THE OSF HEALTHCARE SYSTEM AS A WHOLE. PLEASE SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS OF OSF HEALTHCARE SYSTEM AND SUBSIDIARIES FOR A COMPLETE OVERVIEW OF THE SYSTEM. FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS ON NOVEMBER 1, 2024, SOLE CORPORATE MEMBERSHIP AND CATHOLIC SPONSORSHIP OF OSF HEALTHCARE SYSTEM (THE FILING ORGANIZATION'S SOLE MEMBER) TRANSFERRED FROM THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS TO A NEWLY FORMED, ILLINOIS NOT-FOR-PROFIT CORPORATION, OSF HEALTHCARE MINISTRIES (THE TRANSFER). OSF HEALTHCARE MINISTRIES (PARENT) IS A DIOCESAN PUBLIC JURIDIC PERSON UNDER THE CATHOLIC DIOCESE OF PEORIA. THE ENTIRETY OF THE BOARD OF DIRECTORS OF OSF HEALTHCARE MINISTRIES IS COMPOSED OF PROFESSED SISTERS WHO ARE MEMBERS OF THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS. AS A PART OF THE TRANSFER, THE ORGANIZATION'S BYLAWS HAVE BEEN AMENDED ACCORDINGLY. THIS AMENDMENT REMOVED THE REQUIREMENT THAT A MAJORITY OF THE MEMBERS OF THE GOVERNING BOARD OF THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS SHALL AT ALL TIMES BE DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS OSF HEALTHCARE SYSTEM IS THE SOLE MEMBER OF OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY THE GOVERNING BOARD OF OSF HEALTHCARE MINISTRIES, 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. OSF HEALTHCARE SYSTEM (AS SOLE MEMBER OF THE FILING ORGANIZATION) HOLDS RESERVED POWERS TO ELECT AND REMOVE ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER. FORM 990, PART VI, LINE 9 INTERESTED PERSON NOT AT ORGANIZATION'S ADDRESS BRIAN SILVERSTEIN, M.D. 1000 ELM RIDGE DRIVE GLENCOE, IL 60022 FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE PROPOSED FINAL VERSION OF THE FORM 990 IS PROVIDED VIA AN ONLINE PORTAL TO ALL OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING. ANY APPROPRIATE CHANGES REQUESTED BY THE OFFICERS AND DIRECTORS ARE THEN INCORPORATED INTO THE FINAL FORM 990 AND ALL SCHEDULES BEFORE FILING. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY DISCLOSURES BY OFFICERS, DIRECTORS AND TRUSTEES, AS WELL AS KEY EMPLOYEES AND EMPLOYEES CHARGED WITH PURCHASING, PROCUREMENT AND CONTRACTING DECISION-MAKING ARE MADE THROUGH AN ELECTRONIC REPORTING SYSTEM ON AN ANNUAL BASIS. DISCLOSURES ARE RECEIVED AND REVIEWED BY THE CORPORATE COMPLIANCE DIVISION. IF A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED, THEN THE DISCLOSING INDIVIDUAL IS NOTIFIED OF THE POTENTIAL CONFLICT AND MAY BE ASKED FOR ADDITIONAL INFORMATION ABOUT THE INTEREST. THE CORPORATE COMPLIANCE DIVISION DETERMINES WHETHER A PLAN TO MANAGE A POSSIBLE OR ACTUAL CONFLICT OF INTEREST IS NEEDED, DISCUSSES THE MANAGEMENT PLAN WITH THE INDIVIDUAL AND MONITORS THE EMPLOYEE'S COMPLIANCE WITH THE PLAN. PLANS TO MANAGE CONFLICTS ARE TRACKED THROUGH THE ELECTRONIC DISCLOSURE SYSTEM. FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE BOARD OF DIRECTORS HAS ESTABLISHED A BOARD COMMITTEE KNOWN AS THE HUMAN RESOURCES COMMITTEE WHOSE MEMBERS ARE ALL PROFESSED MEMBERS OF THE RELIGIOUS CONGREGATION KNOWN AS THE SISTERS OF THE THIRD ORDER OF SAINT FRANCIS THAT OWNS OR IS ASSOCIATED WITH THE HEALTHCARE SYSTEM WHO HAVE TAKEN A VOW OF POVERTY. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE PERFORMANCE OF THE CEO AND HIS ACHIEVEMENT OF ANNUAL GOALS IS EVALUATED EACH YEAR BY THE FULL BOARD OF DIRECTORS. THE COMMITEE ALSO OBTAINS COMPENSATION SURVEY DATA AND RECOMMENDATION FROM A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT. BASED ON ALL OF THESE FACTORS, THE COMMITTEE SETS BASE SALARY AND BENEFITS OF THE CEO AND APPROVES THE EXECUTIVE COMPENSATION PLAN APPLICABLE TO THE CEO. PRIOR TO PAYMENT OF ANY BONUS OR INCENTIVE COMPENSATION, THE TOTAL COMPENSATION FOR THE CEO, INCLUDING BASE SALARY, BENEFITS, AND PROPOSED BONUS OR INCENTIVE COMPENSATION, IS AGAIN REVEIWED BY A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT TO ENSURE THAT NO EXESS BENEFIT AMOUNT IS PAID OR FURNISHED. THE COMPENSATION REVIEW IS DONE ANNUALLY. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES THE BOARD OF DIRECTORS HAS ESTABLISHED A BOARD COMMITTEE KNOWN AS THE HUMAN RESOURCES COMMITTEE WHOSE MEMBERS ARE ALL PROFESSED MEMBERS OF THE RELIGIOUS CONGREGATION KNOWN AS THE SISTERS OF THE THIRD ORDER OF SAINT FRANCIS THAT OWNS OR IS ASSOCIATED WITH THE HEALTHCARE SYSTEM WHO HAVE TAKEN A VOW OF POVERTY. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE COMMITTEE DETERMINES WHICH OFFICERS, KEY EMPLOYEES AND OTHER EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN THE EXECUTIVE COMPENSATION PLAN. BASED ON THE PERFORMANCE REVIEWS BY THE SUPERVISORS OF SUCH PERSONS AND COMPENSATION SURVEY DATA AND RECOMMENDATIONS FROM A NATIONALLY KNOWN INDEPENDENT COMPENSATION CONSULTANT, THE COMMITTEE APPROVES ANY EXECUTIVE COMPENSATION PLAN APPLICABLE TO KEY EMPLOYEES AND ESTABLISHES THE BASE SALARY AND BENEFITS FOR PLAN PARTICIPANTS. PRIOR TO PAYMENT OF ANY BONUS OR INCENTIVE COMPENSATION, THE TOTAL COMPENSATION FOR EACH KEY EMPLOYEE, INCLUDING BASE SALARY, BENEFITS, AND PROPOSED BONUS OR INCENTIVE COMPENSATION, IS AGAIN REVIEWED BY A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT TO ENSURE THAT NO "EXCESS BENEFIT" AMOUNT IS PAID OR FURNISHED. THE COMPENSATION REVIEW IS DONE ANNUALLY. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. 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