OSF HealthCare

Legal name: Osf Healthcare System

Nonprofit profile at a glance

EIN
370813229
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Peoria, IL, USA
Phone
3096552850
Rating
79
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$4,392,210,016
Expenses
$3,854,338,286
Assets
$6,289,901,885
Liabilities
$3,081,912,103

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

64 people listed

Executive titles in this filing

  • ROBERT C SEHRING (VICE CHAIRPERSON CHIEF EXECUTIVE OFFICER)
  • ALEC GRABOWSKI (PRESIDENT, OSF HEALTHCARE SAINT ANTHONY MEDICAL CENTER (BEGINNING APR 2025))
  • AUGUST J QUERCIAGROSSA (CHIEF EXECUTIVE OFFICER, WESTERN REGION)
  • CAROL A FRIESEN (CHIEF EXECUTIVE OFFICER, EASTERN REGION)
  • CHRISTOPHER M CURRY (PRESIDENT, OSF HEALTHCARE DIVINE MERCY CONTINUING CARE HOSPITAL (FKA OSF TRANSITIONAL CARE HOSPITAL))
  • DAWN C TROMPETER (PRESIDENT, SAINT PAUL MC (THRU APR 2025); OSF SAINT ELIZABETH MC; ASSOC REGIONAL CEO, WESTERN REGION)

Highest reported compensation

  • ROBERT C SEHRING (VICE CHAIRPERSON CHIEF EXECUTIVE OFFICER): $3,181,962 total reported compensation
  • MICHAEL A CRUZ MD (CHIEF OPERATING OFFICER): $1,425,589 total reported compensation
  • MICHAEL M ALLEN (CHIEF FINANCIAL OFFICER (THROUGH NOV 2024)): $1,278,078 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

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. Headquartered in Peoria, Illinois, OSF HealthCare employs almost 27,000 Mission Partners in 174 locations with 18 inpatient facilities including 16 hospitals, with 2,141 licensed beds. Additionally, there are 158 OSF Medical Group primary care and specialty care clinics 39 urgent care locations, and two colleges of nursing throughout Illinois and Michigan. Additionally, the Ministry includes OSF HealthCare Children’s Hospital of Illinois, the third largest pediatric hospital in the state, and OSF OnCall, its digital health operating entity that offers hospital-at-home care. The OSF HealthCare physician network employs more than 2,433 primary care, specialty care and advanced practice provide.

What it reported doing in 2024

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.

Operating model

Revenue model
Other-operating. 96% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 79
  • Transparency & Controls: 77
  • Accountability: 82
  • Sustainability: 66
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 73.7%; rating input score 74
  • Program expense ratio: 82.8%; rating input score 83
  • Fundraising efficiency: $148.62 raised per $1 spent on fundraising; rating input score 88; 88th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 70%; rating input score 70; 21st percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 12.2%; rating input score 77; 77th percentile among comparable filings
  • Total-asset coverage ratio: 1.63; rating input score 56; 56th percentile among comparable filings
  • Liabilities to assets ratio: 0.49; rating input score 37; 37th percentile among comparable filings
  • Officer compensation ratio: 0.8%; rating input score 77; 77th percentile among comparable filings

Growth

  • Program expense growth: 6.6% per year; rating input score 100; 54th percentile among comparable filings
  • Revenue growth: 6.3% per year; rating input score 100; 55th percentile among comparable filings
  • Asset growth: 7.3% per year; rating input score 100; 54th percentile among comparable filings

Details

  • What they do: 3 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 73.7% of revenue deployed · 82.8% of spending went to programs
  • Governance: 7 of 10 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $3.2B in reported program spending
  • Leadership: top reported pay $3.2M · 64 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $134M reported
  • Consistency: 45 of 45 current checks pass
  • Schedules: 13 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 59 filed money-flow records
  • Related organizations: 34 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • Review — Sustainability: Total-asset coverage ratio scored 56/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 37/100.