Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1a · Federated campaigns

  $0

• 1b · Membership dues

  $0

• 1c · Fundraising events

  $0

• 1d · Related organizations

  $67,342

• 1e · Government grants (contributions)

  $0

• 1f · All other contributions, gifts and grants

  $11,938

• 1g · Noncash contributions included above

  $0

• 2a · Program service revenue: PATIENT REVENUE

  total $41,006,671 · related or exempt $41,006,671

• 2b · Program service revenue: CONTRACTED PHARMACY

  total $318,251 · related or exempt $318,251

• 2c · Program service revenue: MEDICAL DIRECTORSHIPS

  total $18,662 · related or exempt $18,662

• 2f · All other program service revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $4,044 · excluded $4,044

• 6a · Gross rents

  real property $40,310

• 6c · Rental income or loss

  real property $40,310 · personal property $0

• 6d · Net rental income or loss

  total $40,310 · excluded $40,310

• 7a · Gross sales of assets other than inventory

  other assets $220,000

• 7b · Less cost or other basis and sales expenses

  other assets $14,343

• 7c · Gain or loss

  securities $0 · other assets $205,657

• 7d · Net gain or loss

  total $205,657 · excluded $205,657

• 10a · Gross sales of inventory

  $60,034

• 10b · Cost of goods sold

  $55,706

• 10c · Net income from sales of inventory

  total $4,328 · excluded $4,328

• 11a · Other revenue: CAFETERIA

  total $52,154 · excluded $52,154

• 11b · Other revenue: AFFILIATE SERVICES

  total $634,281 · related or exempt $634,281

• 11d · All other revenue

  total $36,263 · related or exempt $36,263 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $722,698

Functional expenses

Part IX, the statement of functional expenses.

• 7 · Other salaries and wages

  total $17,041,649 · program services $14,608,144 · management and general $2,433,505

• 8 · Pension plan contributions

  total $411,990 · program services $309,371 · management and general $102,619

• 9 · Other employee benefits

  total $2,821,401 · program services $2,388,409 · management and general $432,992

• 10 · Payroll taxes

  total $743,987 · program services $582,884 · management and general $161,103

• 11d · Fees: lobbying

  total $11,928 · management and general $11,928

• 11g · Fees: other

  total $2,381,036 · program services $2,321,082 · management and general $59,954 · fundraising $0

• 12 · Advertising and promotion

  total $2,415 · program services $37 · management and general $2,378

• 13 · Office expenses

  total $795,449 · program services $260,725 · management and general $534,724

• 14 · Information technology

  total $17,825 · program services $10,976 · management and general $6,849

• 16 · Occupancy

  total $368,489 · program services $59,872 · management and general $308,617

• 17 · Travel

  total $56,847 · program services $44,815 · management and general $12,032

• 19 · Conferences, conventions and meetings

  total $8,409 · program services $8,024 · management and general $385

• 21 · Payments to affiliates

  total $5,136,987 · program services $3,516,430 · management and general $1,620,557

• 22 · Depreciation, depletion and amortization

  total $642,139 · program services $329,808 · management and general $312,331

• 23 · Insurance

  total $526,720 · program services $8,973 · management and general $517,747

• 24a · Other expenses: CONTRACTS AND REPAIRS

  total $1,698,917 · program services $274,167 · management and general $1,424,750

• 24b · Other expenses: BAD DEBTS

  total $1,078,763 · program services $1,057,466 · management and general $21,297

• 24c · Other expenses: PROVIDER TAX

  total $1,088,403 · program services $1,088,403 · management and general $0

• 24d · Other expenses: MEDICAL SUPPLIES

  total $1,488,013 · program services $1,488,013 · management and general $0

• 24e · All other expenses

  total $1,745,283 · program services $1,692,729 · management and general $52,554 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $615 · end of year $565

• 2 · Savings and temporary cash investments

  beginning of year $235,627 · end of year $219,258

• 3 · Pledges and grants receivable

  beginning of year $0 · end of year $0

• 4 · Accounts receivable

  beginning of year $4,276,840 · end of year $6,216,345

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $0 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $854,165 · end of year $512,017

• 9 · Prepaid expenses and deferred charges

  beginning of year $93,202 · end of year $2,189

• 10a · Land, buildings and equipment: cost or other basis

  $38,932,977

• 10b · Land, buildings and equipment: accumulated depreciation

  $20,849,161

• 10c · Land, buildings and equipment, net

  beginning of year $14,461,289 · end of year $18,083,816

• 11 · Investments: publicly traded securities

  beginning of year $222,320 · end of year $241,309

• 12 · Investments: other securities

  beginning of year $0

• 13 · Investments: program-related

  beginning of year $0

• 14 · Intangible assets

  beginning of year $0 · end of year $0

• 15 · Other assets

  beginning of year $12,648,720 · end of year $12,749,334

• 17 · Accounts payable and accrued expenses

  beginning of year $2,114,301 · end of year $3,507,342

• 18 · Grants payable

  beginning of year $0 · end of year $0

• 19 · Deferred revenue

  beginning of year $0 · end of year $0

• 20 · Tax-exempt bond liabilities

  beginning of year $0 · end of year $0

• 21 · Escrow or custodial account liability

  beginning of year $0 · end of year $0

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $0 · end of year $0

• 24 · Unsecured notes and loans payable

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $11,609,806 · end of year $11,016,054

• 27 · Net assets without donor restrictions

  beginning of year $17,237,822 · end of year $21,569,974

• 28 · Net assets with donor restrictions

  beginning of year $1,830,849 · end of year $1,931,463

• 29 · Capital stock, trust principal or current funds

  beginning of year $0 · end of year $0

• 30 · Paid-in or capital surplus, or land, building or equipment fund

  beginning of year $0 · end of year $0

• 31 · Retained earnings, endowment or other funds

  beginning of year $0 · end of year $0

The filer's explanations (Part III)

Schedule J, Part I, Line 4a Severance or change-of-control payment

During calendar year 2022, Chad Boore was paid severance in the amount of $529,589 and Jared Rogers was paid severance in the amount of $381,560. These severance payments are included in (b)(iii) on Schedule J, Part II.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

Any of the reportable individuals who are detailed as being paid by a related organization may have deferred amounts to or distributions from a section 457(F) non-qualified plan which are included in the applicable sections of Schedule J, Part II. To aid in retaining key employees, a 457(f) retirement allowance plan is available to executives. Each year the plan provides credits, expressed as dollar amounts, determined by a percentage of each participant's base salary. The percentage for each participant is defined in the plan. The deferred allowance is deposited in an account for each participant and invested in securities selected by the participant from a menu of available options. Vested benefits, with investments gains or losses, are paid to participants as regular taxable income. The plan defines provisions for distribution of benefits in the event of the participant's death or separation of employment prior to the elected vesting date. The amounts below; deferred in the current year and paid in the current year, respectively, are included in the amounts reported on schedule j, part ii, columns b(iii), (c), or (f). Michael Allen $0 / $0 Robert Anderson $0 / $0 Michelle Conger $0 / $0 Roxanna Crosser $0 / $0 Michael Cruz $0 / $0 Carol Friesen $0 / $0 Thomas Hammerton $0 / $0 Shelley Nguyen $0 / $0 August Querciagrossa $0 / $0 Robert Sehring $0 / $0 Jeffry Tillery $0 / $0 Ralph Velazquez $0 / $0 Lori Wiegand $0 / $0

Schedule J, Part I, Line 3 SCH J, PART I, LINE 3

THE BOARD OF DIRECTORS HAS ESTABLISHED A BOARD COMMITTEE KNOWN AS THE HUMAN RESOURCES COMMITTEE WHOSE MEMBERS ARE ALL PROFESSED MEMBERS OF A RELIGIOUS CONGREGATION THAT OWNS OR IS ASSOCIATED WITH THE HEALTHCARE SYSTEM WHO HAVE TAKEN A VOW OF POVERTY. HENCE, THEY DO NOT PERSONALLY BENEFIT FROM DECISIONS OF THE COMMITTEE. THE 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, 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.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• CENTER FOR HEALTH AMBULATORY SURGERY CENTER LLC

  Related · SURGICAL CENTER · IL · 0% owned · share of income $0 · share of assets $0

  Directly controlled by OSF

• EASTLAND MED PLAZA SURGICENTER LLC

  Related · SURGICAL CENTER · IL · 0% owned · share of income $0 · share of assets $0

  Directly controlled by OSF

• FT JESSE IMAGING CENTER LLC

  Related · MEDICAL IMAGING · IL · 0% owned · share of income $0 · share of assets $0

  Directly controlled by OSF

• SAINT CLARE'S VILLA

  Related · LOW INC HOUSING · IL · 0% owned · share of income $0 · share of assets $0

  Directly controlled by OSF

• FOX RIVER CANCER CENTER LLC

  Related · ONCOLOGY · IL · 0% owned · share of income $0 · share of assets $0

  Directly controlled by ORHHC

• GREATER PEORIA SPECIALTY HOSPITAL LLC

  Related · LONG TERM ACUTE CARE HOSPITAL · DE · 0% owned · share of income $0 · share of assets $0

  Directly controlled by OSF

• ONCALL IMAGING LLC

  Related · MEDICAL IMAGING · IL · 0% owned · share of income $0 · share of assets $0

  Directly controlled by OSF

• OLYMPIAN SURGICAL SUITES LLC

  Related · SURGICAL CENTER · IL · 0% owned · share of income $0 · share of assets $0

  Directly controlled by OSF

• UP CARDIOLOGY PARTNERS LLC

  Related · CARDIOLOGY CLINIC · MI · 0% owned · share of income $0 · share of assets $0

  Directly controlled by OSF

• 124 ADAMS PROPERTY MANAGEMENT LLC

  Unrelated · REAL ESTATE · IL · 0% owned · share of income $0 · share of assets $0

  Directly controlled by POINTCORE INC

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• POINTCORE INC

  C Corporation · HLTHCARE SVCS · IL

  Directly controlled by OSF

• ILLINOIS PATHOLOGST SERVICES LLC

  C Corporation · PATHOLOGY SVCS · IL

  Directly controlled by OSF

• SOUTHWEST HEALTH SYSTEMS INC

  C Corporation · HEALTHCARE SERVICES · IL

  Directly controlled by OSF

• OSF AVIATION LLC

  C Corporation · Medical Transportation · IL

  Directly controlled by Pointcore Inc

• OSF ASSURANCE COMPANY

  C Corporation · Insurance company · VT

  Directly controlled by Pointcore Inc

• OSF FINANCE COMPANY LLC

  C Corporation · FINANCE COMPANY · IL

  Directly controlled by POINTCORE INC

• POINTCORE SUPPLY CHAIN SERVICES LLC

  C Corporation · SUPPLY CHAIN SERVICES · IL

  Directly controlled by POINTCORE INC