OSF HealthCare

Nonprofit profile at a glance

EIN
362604009
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Ottawa, Illinois, United States
Phone
(815) 433-3100
Rating
72
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General
Affiliation
Christianity

Official website

Reported finances

Revenue
$319,884,531
Expenses
$224,230,152
Assets
$297,876,591
Liabilities
$28,358,476

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.

What it reported doing in 2024

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.

Operating model

Revenue model
Other-operating. 98% 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.

The verdict

SUPPORTED - The filed numbers largely add up and most filed governance safeguards are in place. A relatively small share of available resources goes toward mission work and some related-organization disclosures are missing.

Rating breakdown

  • Financial Efficiency: 55
  • Transparency & Controls: 82
  • Accountability: 82
  • Sustainability: 73
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 53.1%; rating input score 53
  • Program expense ratio: 75.8%; rating input score 76
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th 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: Limited
  • Grant itemization coverage: 91.7%; rating input score 92; 24th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Scored; rating input score 0

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: 29.9%; rating input score 92; 92nd percentile among comparable filings
  • Total-asset coverage ratio: 1.33; rating input score 49; 49th percentile among comparable filings
  • Liabilities to assets ratio: 0.1; rating input score 83; 83rd percentile among comparable filings
  • Officer compensation ratio: 2.6%; rating input score 44; 44th percentile among comparable filings

Growth

  • Program expense growth: 11.6% per year; rating input score 100; 80th percentile among comparable filings
  • Revenue growth: 10.1% per year; rating input score 100; 77th percentile among comparable filings
  • Asset growth: 7% per year; rating input score 100; 52nd percentile among comparable filings

Details

  • What they do: 7 programs and campaigns described on the official site · 2 operating locations identified
  • Where the money goes: 53.1% of revenue deployed · 75.8% of spending went to programs
  • Governance: 7 of 10 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $169.9M in reported program spending
  • Leadership: top reported pay $3.2M · 64 people listed · 4 of 6 pay-setting controls reported
  • Consistency: 42 of 43 current checks pass · 1 finding to review
  • Schedules: 9 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: 19 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.

Key Signals

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

  • Review — Financial Efficiency: Mission deployment rate scored 53/100.
  • High — Transparency & Controls: Related-party transparency scored 0/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 49/100.
  • Moderate — Sustainability: Officer compensation ratio scored 44/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.