Osf Healthcare System
Public records show a registered, tax-exempt organization in good standing.
What it says it does
OSF HEALTHCARE SYSTEM IS A CATHOLIC INTEGRATED HEALTH CARE DELIVERY SYSTEM WHICH DURING FISCAL YEAR 2025 OPERATED 15 HOSPITALS, 8 HOME HEALTH AGENCIES, 8 HOSPICES, AND EMPLOYED 234 PHYSICIANS/ADVANCED PRACTITIONERS. ALL PATIENTS ARE ACCEPTED REGARDLESS OF THEIR ABILITY TO PAY. ALL FACILITIES, SERVICES, PHYSICIANS AND OTHER PROFESSIONAL STAFF OF OSF HEALTHCARE SYSTEM SERVE ALL PATIENTS WITHOUT REGARD TO RACE, RELIGION, AGE, SEX, NATIONAL ORIGIN, PAYER SOURCE OR ABILITY TO PAY. THE BOARD OF DIRECTORS HAS ADOPTED FINANCIAL ASSISTANCE POLICIES AND PROCEDURES WHICH APPLY FOR ALL FACILITIES AND SERVICES OF THE CORPORATION. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS COMMUNICATED TO PATIENTS IN NUMEROUS WAYS, INCLUDING USE OF FINANCIAL COUNSELORS, PATIENT INFORMATION BROCHURES, AND NOTICES ON PATIENT BILLINGS. FINANCIAL ASSISTANCE APPLICATIONS AND INSTRUCTIONS ARE AVAILABLE ON WEBSITES MAINTAINED BY THE CORPORATION AND UPON A REQUEST MADE TO ANY OF THE CORPORATION'S FACILITIES OR OFFICES.
- Income
- $4.4 billion
- Spending
- $3.9 billion
- Spent on programs
- 83%
- Reserves
- 3 months of spending
- Largest source of income
- fees for its services, 95%
- Employees
- 21,945
- Volunteers
- 1,055
- Highest pay
- $3.2 million, vice chairperson chief executive officer
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Good: 75 out of 100. Higher than 64% of charities in its peer group (health care, over $100m).
Reserves
20 of 35Spendable reserves would cover 3.0 months of spending.
Debt
10 of 20It owes 49% of what it owns.
Living within its means
15 of 15Income exceeded spending by 12% of income.
Income trend
15 of 15Income rose 12% on the year before.
Spending floor
15 of 1583% of spending went to programs and raising each dollar of donations cost 1 cents.
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 53% of charities in its peer group (health care, over $100m).
Independent board
25 of 257 of 10 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (4)
- $1.3 billion spent. INPATIENT SERVICES: OSF HEALTHCARE SYSTEM OWNS AND OPERATES ACUTE CARE HOSPITALS IN ESCANABA, MICHIGAN; ROCKFORD, ILLINOIS; PONTIAC, ILLINOIS; BLOOMINGTON, ILLINOIS; PEORIA, ILLINOIS; GALESBURG, ILLINOIS; MONMOUTH, ILLINOIS; KEWANEE, ILLINOIS; ALTON, ILLINOIS; URBANA, ILLINOIS; DANVILLE,ILLINOIS; PRINCETON, ILLINOIS; EVERGREEN PARK, ILLINOIS; AND DIXON, ILLINOIS. AS OF THE CLOSE OF THE REPORTING PERIOD ON SEPTEMBER 30, 2025, THESE FIFTEEN FACILITIES HAD A COMBINED TOTAL OF 2,117 LICENSED INPATIENT AND RESIDENT BEDS. THEY HAD COMBINED TOTALS OF 77,624 INPATIENT AND RESIDENT DISCHARGES AND 400,168 INPATIENT AND RESIDENT DAYS. THE FIFTEEN ACUTE CARE HOSPITALS COLLECTIVELY SERVED 63 COUNTIES. PONTIAC, ILLINOIS IS A SOLE COMMUNITY HOSPITAL AND ESCANABA, MICHIGAN; KEWANEE, ILLINOIS; AND MONMOUTH, ILLINOIS ARE CRITICAL ACCESS HOSPITALS. THE CORPORATION'S HOSPITALS OFFER A BROAD RANGE OF INPATIENT SERVICES. THREE OF THE HOSPITALS PROVIDE OPEN HEART SURGERY SERVICES, TWO OFFER LEVEL II NEONATAL SERVICES, ONE OFFERS LEVEL III NEONATAL SERVICES (HIGHEST LEVEL), ONE OFFERS KIDNEY AND PANCREAS ORGAN TRANSPLANT SERVICES, AND ONE OFFERS INPATIENT REHABILITATION AND LONG-TERM ACUTE CARE. THE CORPORATION HAS ORGANIZED AND OPERATES COMPREHENSIVE CARDIAC AND STROKE CARE NETWORKS IN CENTRAL AND NORTHERN ILLINOIS AND OPERATES THE ONLY COMPREHENSIVE CHILDREN'S HOSPITAL IN CENTRAL ILLINOIS. (EXPENSES $ 452,437,469 INCLUDING GRANTS OF $ 9,205,986)(REVENUE $ 230,724,582) OTHER PROGRAM SERVICES BEYOND OUTPATIENT, INPATIENT AND EMERGENCY DEPARTMENT SERVICES INCLUDE: HOME HEALTH SERVICES - EIGHT AGENCIES LOCATED IN ILLINOIS AND MICHIGAN. HOSPICE SERVICES - EIGHT PROGRAMS LOCATED IN ILLINOIS AND MICHIGAN. RESIDENCY PROGRAMS - OSF HEALTHCARE SYSTEM IS AFFILIATED WITH THE UNIVERSITY OF ILLINOIS AND PROVIDES SUPPORT FOR TEACHING OF RESIDENTS AND FELLOWSHIP PROGRAMS. COLLEGE OF NURSING PROGRAMS - TWO OF THE CORPORATION'S HOSPITALS OPERATE ACCREDITED COLLEGES OF NURSING THAT OFFER ACCREDITED BACCALAUREATE, MASTERS AND DOCTORAL DEGREES. TRAUMA SERVICES (LEVEL 1) - TWO HOSPITALS IN THE SYSTEM ARE DESIGNATED AS LEVEL I TRAUMA (HIGHEST LEVEL) TRAUMA CENTERS AND TWO HAVE BEEN DESIGNATED AS LEVEL II TRAUMA CENTERS. EMS FLIGHT AND GROUND TRANSPORTATION SERVICES - THE CORPORATION PROVIDES HELICOPTER AND GROUND TRANSPORTS TO PATIENTS IN NORTHERN AND CENTRAL ILLINOIS. COMMUNITY CLINIC, OUTREACH AND OTHER EDUCATIONAL PROGRAMS - THE CORPORATION OFFERS TWO UNINSURED AND UNDER INSURED COMMUNITY CLINICS IN BLOOMINGTON AND PEORIA. OUTREACH PROGRAMS - THE CORPORATION PROVIDES OUTREACH PROGRAMS TO THE COMMUNITY WITH PARISH NURSING, PERINATAL OUTREACH, AND A COMMUNITY TRAINING CENTER. ALL OF THESE PROGRAMS REACH AT RISK POPULATIONS TO HELP THEM WITH SPECIFIC AND EVERYDAY HEALTHCARE NEEDS. EDUCATION - THE CORPORATION PROVIDES PARAMEDIC EDUCATION, EMT EDUCATION, MEDICAL TECH EDUCATION, RADIOLOGY TECH EDUCATION AND DIETETIC EDUCATION PROGRAMS.
- $1.2 billion spent. OUTPATIENT SERVICES: THE FIFTEEN ACUTE CARE HOSPITALS OWNED AND OPERATED BY OSF HEALTHCARE SYSTEM COLLECTIVELY PROVIDED 2,125,202 OUTPATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2025, EXCLUDING EMERGENCY DEPARTMENT VISITS. THE CORPORATION'S HOSPITALS OFFER A BROAD RANGE OF OUTPATIENT THERAPEUTIC AND DIAGNOSTIC SERVICES, INCLUDING OUTPATIENT SURGERY AND ADVANCED MEDICAL IMAGING.
- $206.5 million spent. FOURTEEN OF THE ACUTE CARE HOSPITALS OF THE CORPORATION PROVIDE 24-HOUR EMERGENCY DEPARTMENT SERVICES. ALL ARE STAFFED BY PHYSICIANS WHO ARE PREDOMINANTLY (BUT NOT ENTIRELY) CERTIFIED IN EMERGENCY MEDICINE BY NATIONAL SPECIALTY BOARDS. THE EMERGENCY DEPARTMENTS OF THE CORPORATION'S ACUTE CARE HOSPITALS PROVIDED 366,864 PATIENT VISITS DURING THE REPORTING PERIOD ENDED SEPTEMBER 30, 2025. (EXPENSES $ 452,437,469 INCLUDING GRANTS OF $ 9,205,986)(REVENUE $ 230,724,582) OTHER PROGRAM SERVICES BEYOND OUTPATIENT, INPATIENT AND EMERGENCY DEPARTMENT SERVICES INCLUDE: HOME HEALTH SERVICES - EIGHT AGENCIES LOCATED IN ILLINOIS AND MICHIGAN. HOSPICE SERVICES - EIGHT PROGRAMS LOCATED IN ILLINOIS AND MICHIGAN. RESIDENCY PROGRAMS - OSF HEALTHCARE SYSTEM IS AFFILIATED WITH THE UNIVERSITY OF ILLINOIS AND PROVIDES SUPPORT FOR TEACHING OF RESIDENTS AND FELLOWSHIP PROGRAMS. COLLEGE OF NURSING PROGRAMS - TWO OF THE CORPORATION'S HOSPITALS OPERATE ACCREDITED COLLEGES OF NURSING THAT OFFER ACCREDITED BACCALAUREATE, MASTERS AND DOCTORAL DEGREES. TRAUMA SERVICES (LEVEL 1) - TWO HOSPITALS IN THE SYSTEM ARE DESIGNATED AS LEVEL I TRAUMA (HIGHEST LEVEL) TRAUMA CENTERS AND TWO HAVE BEEN DESIGNATED AS LEVEL II TRAUMA CENTERS. EMS FLIGHT AND GROUND TRANSPORTATION SERVICES - THE CORPORATION PROVIDES HELICOPTER AND GROUND TRANSPORTS TO PATIENTS IN NORTHERN AND CENTRAL ILLINOIS. COMMUNITY CLINIC, OUTREACH AND OTHER EDUCATIONAL PROGRAMS - THE CORPORATION OFFERS TWO UNINSURED AND UNDER INSURED COMMUNITY CLINICS IN BLOOMINGTON AND PEORIA. OUTREACH PROGRAMS - THE CORPORATION PROVIDES OUTREACH PROGRAMS TO THE COMMUNITY WITH PARISH NURSING, PERINATAL OUTREACH, AND A COMMUNITY TRAINING CENTER. ALL OF THESE PROGRAMS REACH AT RISK POPULATIONS TO HELP THEM WITH SPECIFIC AND EVERYDAY HEALTHCARE NEEDS. EDUCATION - THE CORPORATION PROVIDES PARAMEDIC EDUCATION, EMT EDUCATION, MEDICAL TECH EDUCATION, RADIOLOGY TECH EDUCATION AND DIETETIC EDUCATION PROGRAMS.
- $452.4 million spent. OTHER PROGRAM SERVICES BEYOND OUTPATIENT, INPATIENT AND EMERGENCY DEPARTMENT SERVICES INCLUDE: HOME HEALTH SERVICES - EIGHT AGENCIES LOCATED IN ILLINOIS AND MICHIGAN. HOSPICE SERVICES - EIGHT PROGRAMS LOCATED IN ILLINOIS AND MICHIGAN. RESIDENCY PROGRAMS - OSF HEALTHCARE SYSTEM IS AFFILIATED WITH THE UNIVERSITY OF ILLINOIS AND PROVIDES SUPPORT FOR TEACHING OF RESIDENTS AND FELLOWSHIP PROGRAMS. COLLEGE OF NURSING PROGRAMS - TWO OF THE CORPORATION'S HOSPITALS OPERATE ACCREDITED COLLEGES OF NURSING THAT OFFER ACCREDITED BACCALAUREATE, MASTERS AND DOCTORAL DEGREES. TRAUMA SERVICES (LEVEL 1) - TWO HOSPITALS IN THE SYSTEM ARE DESIGNATED AS LEVEL I TRAUMA (HIGHEST LEVEL) TRAUMA CENTERS AND TWO HAVE BEEN DESIGNATED AS LEVEL II TRAUMA CENTERS. EMS FLIGHT AND GROUND TRANSPORTATION SERVICES - THE CORPORATION PROVIDES HELICOPTER AND GROUND TRANSPORTS TO PATIENTS IN NORTHERN AND CENTRAL ILLINOIS. COMMUNITY CLINIC, OUTREACH AND OTHER EDUCATIONAL PROGRAMS - THE CORPORATION OFFERS TWO UNINSURED AND UNDER INSURED COMMUNITY CLINICS IN BLOOMINGTON AND PEORIA. OUTREACH PROGRAMS - THE CORPORATION PROVIDES OUTREACH PROGRAMS TO THE COMMUNITY WITH PARISH NURSING, PERINATAL OUTREACH, AND A COMMUNITY TRAINING CENTER. ALL OF THESE PROGRAMS REACH AT RISK POPULATIONS TO HELP THEM WITH SPECIFIC AND EVERYDAY HEALTHCARE NEEDS. EDUCATION - THE CORPORATION PROVIDES PARAMEDIC EDUCATION, EMT EDUCATION, MEDICAL TECH EDUCATION, RADIOLOGY TECH EDUCATION AND DIETETIC EDUCATION PROGRAMS.
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.
Are donations tax-deductible? Worth knowing.
Not individually listed by the IRS as eligible, which is usual for local chapters covered by a parent organization's exemption. The master file records contributions to it as deductible.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending September 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since March 1946.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.
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