Osf Healthcare System
Osf Healthcare System reported $4.39 billion in revenue and $3.85 billion in expenses for the fiscal year ending September 30, 2025. Of every $100 it spent, $82.78 went to program services, $17.21 to management and general costs and $0.01 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 94.6% of the total. The highest compensation it reported for one person was $3,181,962 (VICE CHAIRPERSON CHIEF EXECUTIVE OFFICER). 2,913 people received more than $100,000 in reportable compensation. Revenue rose 63% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending September 30, 2025 · Form 990, Part IX, line 25 · total expenses $3.85BFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending September 30, 2025 · Form 990, Part VIII · total revenue $4.39BThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 82.8% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 17.2% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.01 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.7% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.2% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 94.6% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $3,181,962 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.08% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 2,913 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 10.0 | 6.6 |
| Independent voting board members Part VI 1a–1b | 7 of 10 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseInpatient 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…
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
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
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| VICE CHAIRPERSON CHIEF EXECUTIVE OFFICER Director/trustee, officer, 40.0 hrs/week | $3,128,164 | $0 | $53,798 | $3,181,962 |
| CHIEF OPERATING OFFICER Officer, 40.0 hrs/week | $1,371,878 | $0 | $53,711 | $1,425,589 |
| CHIEF FINANCIAL OFFICER (THROUGH NOV 2024) Officer, 40.0 hrs/week | $1,131,177 | $0 | $146,901 | $1,278,078 |
| PRESIDENT, OSF HEALTHCARE (BEG 1/25)/ CSO/CEO, OSF/ONCALL DIGITAL HEALTH (THRU 1 Officer, 40.0 hrs/week | $1,058,683 | $0 | $134,087 | $1,192,770 |
| PHYSICIAN Highest compensated employee, 40.0 hrs/week | $1,108,076 | $0 | $48,383 | $1,156,459 |
| CHIEF EXECUTIVE OFFICER, INTEGRATED SOLUTIONS Officer, 40.0 hrs/week | $1,080,309 | $0 | $53,629 | $1,133,938 |
| CHIEF EXECUTIVE OFFICER, CENTRAL REGION (THROUGH JAN 2025) Officer, 40.0 hrs/week | $1,064,395 | $0 | $44,471 | $1,108,866 |
| CHIEF EXECUTIVE OFFICER, EASTERN REGION Officer, 40.0 hrs/week | $963,839 | $0 | $142,385 | $1,106,224 |
2,913 people received more than $100,000 in reportable compensation from Osf Healthcare System (Part VII, line 2). Compensation of current officers, directors and key employees totaled $26M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b10 · 7 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bYes
- Employees Part I, line 521,945
- Volunteers Part I, line 61,055
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| MEDICAL SOLUTIONS LLC Medical staffing services | $63,662,017 |
| ASSOC ANESTHESIOLOGISTS SC Anesthesiologists services | $30,885,164 |
| NORTH AMERICAN PARTNERS IN ANESTHESIA Anesthesiologists services | $24,415,015 |
| MAYO CLINIC Laboratory services | $8,329,792 |
| MSP SYNCHRONIZED SOLUTIONS LLC Medical staffing services | $6,678,347 |
Individuals listed as contractors are left out. 147 contractors were paid more than $100,000 in all.
Private foundation grants it received
6 private foundations reported grants to Osf Healthcare System totaling $121K on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Osf Healthcare System's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Osf Healthcare System, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Osf Healthcare System spent in FY2025, $82.78 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Kaiser Foundation Health Plan of WashingtonOakland, CA · revenue $4.37B · programs 94.6% · 2024
- Methodist Hospital GroupHouston, TX · revenue $4.40B · programs 87.1% · 2024
- Nationwide Childrens Hospital Group ReturnColumbus, OH · revenue $4.33B · programs 84.1% · 2024
- Sentara HospitalsVirginia Beach, VA · revenue $4.43B · programs 91.9% · 2024
- Lehigh Valley HospitalAllentown, PA · revenue $4.27B · programs 95.8% · FY2025
Questions people ask
How much of Osf Healthcare System's spending goes to programs?
In the fiscal year ending September 30, 2025, Osf Healthcare System reported that 82.8% of its $3.85 billion in expenses went to program services, 17.2% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Osf Healthcare System pay its top executive?
The largest total compensation Osf Healthcare System reported for one person in the fiscal year ending September 30, 2025 was $3,181,962, for the role of VICE CHAIRPERSON CHIEF EXECUTIVE OFFICER (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Osf Healthcare System get its money?
Of $4.39 billion in revenue in the fiscal year ending September 30, 2025, 0.7% came from contributions and grants (including 0.2% from government grants) and 94.6% from program service revenue (Form 990, Part VIII).
Is Osf Healthcare System a registered charity?
The IRS lists EIN 37-0813229 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending September 30, 2025, object 202602269349302410 · read the filing
- FY2024: Form 990 for the fiscal year ending September 30, 2024, object 202502189349302015 · read the filing
- FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202422229349300107 · read the filing
- FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202312239349302106 · read the filing
- FY2021: Form 990 for the fiscal year ending September 30, 2021, object 202242229349301674 · read the filing
- FY2020: Form 990 for the fiscal year ending September 30, 2020, object 202142239349300144 · read the filing
All filings for EIN 37-0813229: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.