BLESSING HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BLESSING HOSPITAL (EIN 37-0661183)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-07-11
- IRS object ID
- 201821929349300822
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-07-11T10:57:29-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 363077757 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRAY HUNTER STENN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAINE ST | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370661183 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLESSING HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BLES | BusinessNameControlTxt |
| Phone | 2172231200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1005 BROADWAY | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MAUREEN A KAHN | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 2172231200 | PhoneNum |
| Signature | 2018-06-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEPHEN C KOESTER CPA | PreparerPersonNm |
| PTIN | P00342386 | PTIN |
| Phone | 2172220304 | PhoneNum |
| Preparation | 2018-06-28 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MAUREEN A KAHN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1005 BROADWAY | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $449,554,690 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BLESSINGHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1873 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | BLESSING HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 3155 | TotalEmployeeCnt |
| Total Volunteers | 703 | TotalVolunteersCnt |
| Total Gross UBI | $121,938 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,730,547 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,989,431 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $339,601,856 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $380,759,706 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,704,367 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,170,184 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,154,599 | PYOtherRevenueAmt |
| CY Other Revenue | $11,521,341 | CYOtherRevenueAmt |
| PY Total Revenue | $355,191,369 | PYTotalRevenueAmt |
| CY Total Revenue | $398,440,662 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,777,391 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,027,159 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $148,495,324 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $153,865,776 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $151,341,079 | PYOtherExpensesAmt |
| CY Other Expenses | $166,936,742 | CYOtherExpensesAmt |
| PY Total Expenses | $302,613,794 | PYTotalExpensesAmt |
| CY Total Expenses | $323,829,677 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $52,577,575 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $74,610,985 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $474,135,117 | TotalAssetsBOYAmt |
| Total Assets EOY | $524,033,244 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $231,960,490 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $233,771,654 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $242,174,627 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $290,261,590 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | BLESSING HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $241,033,146 | ExpenseAmt |
| Grant | $3,027,159 | GrantAmt |
| Revenue | $380,759,706 | RevenueAmt |
| Desc | SEE SCHEDULE O SINCE IT WAS FOUNDED IN 1875, BLESSING HOSPITAL HAS PROVIDED QUALITY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF RACE, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY. IN SERVING ALL MEMBERS OF ITS COMMUNITIES, BLESSING HOSPITAL CONTINUES THIS TRADITION BY PROVIDING FREE/SUBSIDIZED CARE, CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT LESS THAN FULL CHARGES, AND COMMUNITY HEALTH/EDUCATION/WELLNESS PROGRAMS. FOR FISCAL YEAR 2017, THE COST OF CHARITY CARE PROVIDED WAS 6,088,558. MEDICARE AND MEDICAID SHORTFALLS WERE 41,381,057 AND 5,115,618, RESPECTIVELY. BLESSING HOSPITAL TREATED PATIENTS THROUGH THE FOLLOWING SERVICES DURING FISCAL YEAR 2017: 43,151 EMERGENCY CENTER AND 27,280 URGENT CARE VISITS; 352,839 OUTPATIENT VISITS; 17,913 SURGICAL OPERATIONS, INCLUDING 150 OPEN HEART SURGERIES, 15,596 INPATIENT ADMISSIONS, AND 1,108 BABIES. OUTPATIENT SERVICES INCLUDED 172,148 CARDIOPULMONARY/CARDIOLOGY PROCEDURES, 773,994 LABORATORY TESTS, 119,709 RADIOLOGY PROCEDURES, AND 124,368 PHYSICAL THERAPY/REHABILITATION VISITS. BLESSING HOSPITAL PROVIDED ADDITIONAL BENEFITS OF 11,220,033 TO THE COMMUNITY DURING FISCAL YEAR 2017 AS FOLLOWS: HEALTH PROFESSIONALS EDUCATION SIU RESIDENCY PROGRAM 4,119,937 BLESSING-RIEMAN COLLEGE OF NURSING 1,500,992 NURSING EDUCATIONAL PRECEPTORS 955,961 SCHOOL OF RADIOLOGIC TECHNOLOGY 293,311 SCHOOL OF MEDICAL LABORATORY TECHNICIANS 59,564 SUB TOTAL HEALTH PROFESSIONALS EDUCATION 6,929,765 COMMUNITY HEALTH IMPROVEMENT SERVICES SIU PATIENT CENTERED MEDICAL HOME 115,401 ADAMS COUNTY HEALTH DEPARTMENT DENTAL PROGRAM 85,000 CHARITY PHARMACY PRESCRIPTIONS 46,661 PATIENT TRANSPORTATION 38,301 MEDICAL SUPPLIES/SERVICES FOR PATIENTS 29,221 SUPPORT GROUPS 23,358 HEALTH SCREENINGS/TESTS 9,017 EDUCATIONAL PROGRAMS 6,809 MEDICAL INTERPRETING SERVICES 6,477 SUB TOTAL COMMUNITY HEALTH IMPROVEMENT SERVICES 360,245 SUBSIDIZED HEALTH SERVICES HOME HEALTHCARE SERVICES 1,597,236 CARE COORDINATION 1,572,392 BLESSING FAST CARE 309,808 HOSPICE 9,674 SUB TOTAL SUBSIDIZED HEALTH SERVICES 3,489,110 IN-KIND CONTRIBUTIONS/DONATIONS DONATIONS/SPONSORSHIPS 284,629 ADAMS COUNTY AMBULANCE SERVICE 139,931 MEETING SPACE 16,353 SUB TOTAL IN-KIND CONTRIBUTIONS/DONATIONS 440,913 BLESSING HOSPITAL'S STRATEGIC OBJECTIVES FOR THE UPCOMING YEARS ARE AS FOLLOWS: -LEVERAGING INNOVATIONS, CONTINUE TO TRANSITION TO A NEW BUSINESS MODEL IN RESPONSE TO HEALTH CARE REFORM, WITH FOCUS ON AFFILIATION/PARTNERSHIPS -ENSURE HIGH QUALITY, PATIENT CENTERED CARE AS MEASURED AGAINST NATIONAL BENCHMARKS -ENSURE PHYSICIAN LEADERSHIP DEVELOPMENT, ALIGNMENT, AND ENGAGEMENT -ENSURE EFFECTIVE RESOURCE ALLOCATION THROUGH EVIDENCE BASED PRACTICES/LEADERSHIP | Desc |
| Total Program Service Expenses | $241,033,146 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 196 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3155 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIMOTHY MOORE | PersonNm |
| Phone | 2172238400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BROADWAY AT 11TH PO BOX 7005 | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62305 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| THOMAS H MILLER MD | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SAYEED ALI | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| NANCY BLUHM | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID BOSTER | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JULIE BRINK | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PHILLIP CONOVER | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL R HULSEN | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID HETZLER JR | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MAUREEN A KAHN | |||||||||
| PRESIDENT/CE | 20.00 | 20.00 | Yes (X) | $0 | $724,035 | $88,566 | Yes (X) | ||
| TIMOTHY D KOONTZ | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ABBY REICH MD | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $204,605 | $23,326 | |||
| DENNIS GO MD | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $18,450 | $0 | $0 | |||
| HARSHA V POLAVARAPU MD | |||||||||
| CHIEF OF STA | 1.00 | 0.00 | Yes (X) | $0 | $541,947 | $19,259 | |||
| TODD H PETTY MD | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $41,436 | $0 | $0 | |||
| CHRISTOPHER J NIEMANN | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL D KLINGNER PE | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICK M GERVELER | |||||||||
| TREASURER | 20.00 | 20.00 | $0 | $502,724 | $80,352 | Yes (X) | |||
| TIMOTHY A MOORE | |||||||||
| SECRETARY | 20.00 | 20.00 | $0 | $306,608 | $82,307 | Yes (X) | |||
| MARY F BARTHEL | |||||||||
| CHIEF QUALIT | 40.00 | 0.00 | $307,933 | $0 | $23,147 | Yes (X) | |||
| JERRY R JACKSON | |||||||||
| VP ENGINEERI | 20.00 | 20.00 | $0 | $351,040 | $22,289 | Yes (X) | |||
| BETTY J KASPARIE | |||||||||
| VP PLANNING | 20.00 | 20.00 | $0 | $271,758 | $101,053 | Yes (X) | |||
| ELLIOT H KUIDA | |||||||||
| COO | 40.00 | 0.00 | $0 | $438,400 | $18,577 | Yes (X) | |||
| CHRISTOPHER R SOLARO MD | |||||||||
| CHIEF OF MED | 40.00 | 0.00 | $658,781 | $0 | $25,090 | Yes (X) | |||
| ARDEN J REYNOLDS MD | |||||||||
| CHIEF OF SUR | 40.00 | 0.00 | $219,375 | $0 | $1,961 | Yes (X) | |||
| JOELLEN L RANDALL | |||||||||
| VP HUMAN RES | 20.00 | 20.00 | $0 | $280,362 | $10,887 | Yes (X) | |||
| TIMOTHY L TRANOR | |||||||||
| CNO | 40.00 | 0.00 | $255,602 | $0 | $21,369 | Yes (X) | |||
| THOMAS A CLIATT DO | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $717,703 | $0 | $75,248 | Yes (X) | |||
| ANTONY S WOLLASTON MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $659,409 | $0 | $26,755 | Yes (X) | |||
| SCOTT M HOUGH MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $796,046 | $0 | $24,339 | Yes (X) | |||
| DAVID J ECKERSLEY MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $705,138 | $0 | $20,584 | Yes (X) | |||
| JOHN H ARNOLD MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $815,701 | $0 | $17,871 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,195,574 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,621,479 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $682,980 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 87 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUINCY ANESTHESIA ASSOCIATES PC | |||||
| BROADWAY AT 11TH | QUINCY | IL | 62301 | ANESTHESIA SVCS | $8,740,526 |
| QUINCY MEDICAL GROUP | |||||
| 1025 MAINE STREET | QUINCY | IL | 62301 | PHYSICIAN SVCS | $4,177,106 |
| WEST CENTRAL PATHOLOGY SPECIALISTS | |||||
| 4000 CATAMARAN CT | QUINCY | IL | 62301 | PATHOLOGY SVCS | $2,682,403 |
| TOTAL MSP LLC | |||||
| 10 E COLLEGE AVE STE 300 | APPLETON | WI | 54911 | CONTRACT LABOR | $2,378,550 |
| WATERKOTTE CONSTRUCTION CO | |||||
| 2630 WISMANN LANE PO BOX 3586 | QUINCY | IL | 62301 | FACILITY CONSTR | $1,998,609 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 51 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,790,011 | RelatedOrganizationsAmt |
| Government Grants | $10,000 | GovernmentGrantsAmt |
| All Other Contributions | $1,189,420 | AllOtherContributionsAmt |
| Noncash Contributions | $30,178 | NoncashContributionsAmt |
| Total Contributions | $2,989,431 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $376,193,843 | $376,193,843 | |
| COLLEGE OF NURSING | 621110 | $4,270,123 | $4,270,123 | |
| PHYSICAL THERAPY | 621110 | $295,740 | $295,740 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $380,759,706 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,118,832 | TotalRevenueColumnAmt |
| Exclusion | $3,118,832 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,242,222 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,242,222 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,242,222 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $121,938 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,120,284 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $51,165,380 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $50,297,593 | SecuritiesAmt |
| Other | $816,435 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $867,787 | SecuritiesAmt |
| Other | -$816,435 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,352 | TotalRevenueColumnAmt |
| Exclusion | $51,352 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| OTHER | 900099 | $4,158,869 | $4,158,869 |
| MANAGEMENT & ACCNTG FEES | 541610 | $2,603,759 | $2,603,759 |
| SALE OF FOOD | 722100 | $1,769,359 | $1,769,359 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,747,132 | TotalRevenueColumnAmt |
| Exclusion | $1,747,132 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,279,119 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $398,440,662 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $376,489,583 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $121,938 | UnrelatedBusinessRevenueAmt |
| Exclusion | $18,839,710 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,801,638 | TotalAmt |
| Program Services | $1,801,638 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,225,521 | TotalAmt |
| Program Services | $1,225,521 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,712,464 | TotalAmt |
| Program Services | $4,594,535 | ProgramServicesAmt |
| Management And General | $1,117,929 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,174,510 | TotalAmt |
| Program Services | $90,221,966 | ProgramServicesAmt |
| Management And General | $21,952,544 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,795,485 | TotalAmt |
| Program Services | $4,661,309 | ProgramServicesAmt |
| Management And General | $1,134,176 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,382,976 | TotalAmt |
| Program Services | $18,002,629 | ProgramServicesAmt |
| Management And General | $4,380,347 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,800,341 | TotalAmt |
| Program Services | $6,273,815 | ProgramServicesAmt |
| Management And General | $1,526,526 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,951,283 | TotalAmt |
| Management And General | $15,951,283 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,969 | TotalAmt |
| Management And General | $281,969 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,283 | TotalAmt |
| Management And General | $118,283 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $671,043 | TotalAmt |
| Management And General | $671,043 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,604,253 | TotalAmt |
| Program Services | $27,021,787 | ProgramServicesAmt |
| Management And General | $9,582,466 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $450,651 | TotalAmt |
| Program Services | $450,651 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,248 | TotalAmt |
| Program Services | $127,867 | ProgramServicesAmt |
| Management And General | $104,381 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,712,828 | TotalAmt |
| Program Services | $1,816,403 | ProgramServicesAmt |
| Management And General | $2,896,425 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $903,614 | TotalAmt |
| Program Services | $636,431 | ProgramServicesAmt |
| Management And General | $267,183 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,566 | TotalAmt |
| Program Services | $116,169 | ProgramServicesAmt |
| Management And General | $127,397 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,262,247 | TotalAmt |
| Program Services | $1,819,525 | ProgramServicesAmt |
| Management And General | $442,722 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,481,555 | TotalAmt |
| Program Services | $9,134,117 | ProgramServicesAmt |
| Management And General | $6,347,438 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,012,159 | TotalAmt |
| Program Services | $2,286,609 | ProgramServicesAmt |
| Management And General | $725,550 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $48,352,888 | $46,429,618 | $1,923,270 |
| BAD DEBTS | $13,474,737 | $13,474,737 | |
| SOFTWARE | $8,759,046 | $4,729,885 | $4,029,161 |
| EQUIPMENT RENTAL & MAINT. | $5,312,905 | $3,530,439 | $1,782,466 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,111,467 | TotalAmt |
| Program Services | $2,677,495 | ProgramServicesAmt |
| Management And General | $7,433,972 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,829,677 | TotalAmt |
| Program Services | $241,033,146 | ProgramServicesAmt |
| Management And General | $82,796,531 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,088,169 | BOYAmt |
| EOY | $54,916,627 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,876,955 | BOYAmt |
| EOY | $60,536,041 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,853,284 | BOYAmt |
| EOY | $6,648,882 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,763,745 | BOYAmt |
| EOY | $6,084,380 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $398,841,977 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $186,561,485 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,936,297 | BOYAmt |
| EOY | $212,280,492 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,026,856 | BOYAmt |
| EOY | $99,462,078 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,085,758 | BOYAmt |
| EOY | $60,291,228 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,504,053 | BOYAmt |
| EOY | $23,813,516 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $474,135,117 | BOYAmt |
| EOY | $524,033,244 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,647,770 | BOYAmt |
| EOY | $35,086,167 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,735,000 | BOYAmt |
| EOY | $78,740,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,297,469 | BOYAmt |
| EOY | $7,594,158 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,280,251 | BOYAmt |
| EOY | $112,351,329 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,960,490 | BOYAmt |
| EOY | $233,771,654 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,001,176 | BOYAmt |
| EOY | $286,038,953 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,476,178 | BOYAmt |
| EOY | $2,525,364 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,697,273 | BOYAmt |
| EOY | $1,697,273 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,174,627 | BOYAmt |
| EOY | $290,261,590 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $474,135,117 | BOYAmt |
| EOY | $524,033,244 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $74,610,985 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $12,113,367 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$38,637,389 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,837,667 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$43,686 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,793,981 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,838,747 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,080 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,837,667 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,818,441 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $20,306 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,838,747 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,808,535 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $9,906 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,818,441 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,844,729 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$36,194 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,808,535 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.94930 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.05070 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,395,667 | OtherCostOrOtherBasisAmt |
| Book Value | $14,395,667 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $208,396,215 | OtherCostOrOtherBasisAmt |
| Depreciation | $81,900,452 | DepreciationAmt |
| Book Value | $126,495,763 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,183,114 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,395,986 | DepreciationAmt |
| Book Value | $2,787,128 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $168,866,981 | OtherCostOrOtherBasisAmt |
| Depreciation | $100,265,047 | DepreciationAmt |
| Book Value | $68,601,934 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $212,280,492 | TotalBookValueLandBuildingsAmt |
Financial Derivatives FinancialDerivativesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $1,274,711 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| MUTUAL FUNDS | $33,057,350 | F |
| CERTIFICATES OF DEPOSITS | $13,183,666 | F |
| CORP. MORTGAGE/ASSET BACKED SE | $7,630,694 | F |
| OTHER INVESTMENT ASSETS | $5,144,807 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $60,291,228 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION COSTS | $53,090,781 |
| ESTIMATED 3RD-PARTY PAYOR SETTLEMENT | $16,570,000 |
| ACCRUED SALARIES & WAGES | $16,482,889 |
| DUE TO RELATED ORGANIZATIONS | $10,500,000 |
| OTHER LONG TERM LIABILITY | $6,864,817 |
| DEFERRED COMPENSATION | $3,180,559 |
| ADVANCES AND DEFERRED REVENUE | $3,159,990 |
| LEASES PAYABLE | $1,335,450 |
| ACCRUED PAYROLL TAXES | $657,386 |
| ACCRUED INTEREST | $633,159 |
| PREMIUM ON LONG TERM DEBT | $275,695 |
| DEFERRED FINANCING COST | -$399,397 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $112,351,329 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $381,482,790 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$10,798,257 | OtherRevenueAmt |
| Revenue Not Reported | -$10,798,257 | RevenueNotReportedAmt |
| Revenue Subtotal | $392,281,047 | RevenueSubtotalAmt |
| Other Revenues Not Included | $6,159,615 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $6,159,615 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $398,440,662 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $310,092,982 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $409,085 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $409,085 | ExpensesNotReportedAmt |
| Expenses Subtotal | $309,683,897 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $14,145,780 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $14,145,780 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $323,829,677 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | ENDOWMENT FUNDS ARE TO BE USED FOR THE GENERAL SUPPORT AND OPERATIONS OF BLESSING HOSPITAL. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | BAD DEBT REDUCTION OF REVENUE ON F/S -13,474,737 NET ASSETS RELEASED FROM RESTRICTIONS 2,676,480 |
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | INVESTMENT INCOME 3,118,832 REALIZED GAINS ON SECURITIES AND ASSETS 51,352 TEMPORARILY RESTRICTED CONTRIBUTIONS 2,989,431 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | LIABILITY CLAIMS REPORTED ON SEPARATE 990 409,085 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | BAD DEBT REDUCTION OF REVENUE ON F/S 13,474,737 INVESTMENT EXPENSES 671,043 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,088,558 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,088,558 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01960 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $56,457,827 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,342,209 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,115,618 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01650 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,546,385 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,342,209 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,204,176 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03610 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $360,245 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,926 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $355,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,929,765 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,929,765 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02230 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,607,890 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,118,780 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,489,110 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01120 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $440,913 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $440,913 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,338,813 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,123,706 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,215,107 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03600 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $84,885,198 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $62,465,915 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,419,283 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07210 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,891 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,891 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,891 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,891 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,474,737 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $629,270 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $109,115,580 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $106,242,787 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,872,793 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLESSING HOSPITAL AT 11TH ST | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BROADWAY AT 11TH ST | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | A | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BLESSINGHEALTH.ORG | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | WWW.UNITEDWAYADAMSCO.ORG | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.BLESSINGHEALTH.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.BLESSINGHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.BLESSINGHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.BLESSINGHEALTH.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 3J | ADAMS COUNTY ADOPTED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) TO GUIDE COMMUNITY BUILDING EFFORTS. THIS STRATEGIC PLANNING TOOL USES THE COMMUNITYS STRENGTHS, NEEDS AND DESIRES TO IDENTIFY PRIORITY HEALTH ISSUES AND THE RESOURCES TO ADDRESS THEM. THE MAPP MODEL CONSISTS OF THE FOLLOWING COMPONENTS: ORGANIZE FOR SUCCESS IDENTIFY STRATEGIC ISSUES PARTNERSHIP DEVELOPMENT CONDUCT MAPP ASSESSMENTS FORMULATE GOALS AND STRATEGIES ACTION INCLUDING PLANNING, IMPLEMENTATION AND EVALUATION THE ADAMS COUNTY HEALTH DEPARTMENT, BLESSING HEALTH SYSTEM, UNIVERSITY OF ILLINOIS EXTENSION AND UNITED WAY OF ADAMS COUNTY CONTINUE TO PROVIDE STRONG LEADERSHIP IN THE MAPP PROCESS. HOWEVER, LONG-TERM SUCCESS AND VALUE COMES FROM COMMUNITY PARTICIPATION WITH OTHER PARTNERS ACROSS ADAMS COUNTY. |
| GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 5 | A COMMUNITY THEMES & STRENGTHS SURVEY WAS CONDUCTED BETWEEN JUNE 2014 AND APRIL 2015 THAT COLLECTED FEEDBACK FROM THE GENERAL POPULATION OF ADAMS COUNTY, ILLINOIS. THE SURVEY PROVIDES A DEEPER UNDERSTANDING OF THE ISSUES THAT COUNTY RESIDENTS FEEL ARE IMPORTANT. IT IDENTIFIES ISSUES THAT INTEREST THE COMMUNITY, PERCEPTIONS OF QUALITY OF LIFE AND SUMMARIZES COMMUNITY ASSETS. IN ADDITION, THE COMMUNITY BUILDING STRUCTURE FACILITATED BY THE UNITED WAY OF ADAMS COUNTY INCLUDES TEAMS OF INDIVIDUALS WITH REPRESENTATION FROM BLESSING HEALTH SYSTEM, THE ADAMS COUNTY HEALTH DEPARTMENT, MENTAL HEALTH PROFESSIONALS, SOCIAL WORKERS, AND OTHER HEALTHCARE PROFESSIONALS. IN TOTAL, APPROXIMATELY 125 VOLUNTEERS PARTICIPATE IN ALL ASPECTS OF COMMUNITY BUILDING, ENGAGING IN MEANINGFUL AND RICH DISCUSSIONS TO LEARN ABOUT COMMUNITY ISSUES AND PROMISING PRACTICES. THEY HAVE A LEAD ROLE IN THE FORMATION, IMPLEMENTATION, AND UPDATING OF LONG RANGE VISIONS TO MEET THE MOST CRITICAL NEEDS IN OUR COMMUNITY, IN STUDYING TRENDS THAT AFFECT OUR COMMUNITY, AND RECOMMENDING WAYS IN WHICH WE CAN MAKE AN IMPACT ON THESE TRENDS THROUGH THE MOBILIZATION OF FINANCIAL, VOLUNTEER AND COMMUNITY RESOURCES. |
| GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 6B | THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH UNITED WAY OF ADAMS COUNTY, ADAMS COUNTY HEALTH DEPARTMENT, AND THE UNIVERSITY OF ILLINOIS EXTENSION. |
| GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 7D | SINCE THE RELEASE OF THE CHNA IN SEPTEMBER 2015, REPRESENTATIVES FROM UNITED WAY OF ADAMS COUNTY HAVE PRESENTED THE KEY FINDINGS OF THE REPORT TO COMMUNITY GROUPS IN ADAMS COUNTY. COMMUNITY MEMBERS WHO HAVE HEARD THE PRESENTATION HAVE THE OPPORTUNITY TO ASK QUESTIONS AND PROVIDE FEEDBACK. THIS FEEDBACK IS IMPORTANT TO PROVIDE FURTHER DIRECTION FOR THE COMMUNITY BUILDING GROUPS. THE PRESENTATIONS PROVIDE AN OPPORTUNITY TO CREATE BROAD COMMUNITY AWARENESS ON THE ISSUES AND OPPORTUNITIES ADDRESSED IN THE CHNA. |
| GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 11 | THE ADAMS COUNTY COMMUNITY BUILDING COUNCIL (CBC) GUIDES THE DEVELOPMENT OF PROGRAMS, PARTNERSHIPS, AND COLLABORATIONS WORKING TO ADDRESS THE NEEDS IDENTIFIED IN THE 2015 CHNA. CBC MEMBERS ARE COMMUNITY LEADERS REPRESENTING LOCAL BUSINESSES, FOUNDATIONS, HUMAN SERVICE PROVIDERS, EDUCATION, HEALTHCARE AND GOVERNMENT. REPORTING TO THE CBC ARE THREE DELEGATIONS (LD) EACH FOCUSING ON ONE OF THE THREE BUILDING BLOCKS OF A GOOD LIFE EDUCATION, INCOME, AND HEALTH. SERVING ON THE DELEGATIONS ARE PROGRAM SUPERVISORS/STAFF WORKING ON THE FRONT LINES IN EACH OF THESE SECTORS. NEEDS RELATED TO EDUCATION AND INCOME GAPS IDENTIFIED IN THE 2015 CHNA ARE NOT BEING DIRECTLY ADDRESSED BY BLESSING HEALTH SYSTEM BECAUSE THEY ARE BEING ADDRESSED BY OTHER COMMUNITY PARTNERS. THE BLESSING HEALTH SYSTEM DOES HOWEVER PLAY A SIGNIFICANT ROLE IN THE WORK OF THE HEALTH DELEGATION, WHICH ALSO ADVISES SEVEN COMMUNITY SOLUTION TEAMS (CST). THE CSTS REPORT BACK TO THE HEALTH DELEGATION AND FOCUS ON THE FOLLOWING AREAS: ACCESS TO MEDICAL & ORAL HEALTH; NUTRITION, WEIGHT, & PHYSICAL ACTIVITY; HEART DISEASE & STROKE; MATERNAL, INFANT, & CHILD HEALTH; MENTAL HEALTH; ENVIRONMENTAL HEALTH; AND SUBSTANCE ABUSE. THESE TEAMS ARE CHARGED WITH ESTABLISHING GOALS AND WORK PLANS TO CREATE POSITIVE IMPACT ON THE GAPS IDENTIFIED IN THE CHNA. THESE PLANS ARE COMPILED AND REPORTED IN THE ADAMS COUNTY IPLAN (ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS), WHICH WAS RELEASED IN 2016 AND COVERS THE 4-YEAR PERIOD THROUGH THE YEAR 2020. THE INVESTMENT OF RESOURCES BY THE BLESSING HEALTH SYSTEM TO COUNTY-WIDE COMMUNITY EFFORTS IS VITAL TO ACHIEVE THE GOALS OUTLINED IN THE IPLAN. BELOW ARE SEVERAL SPECIFIC ACCOMPLISHMENTS OF COMMUNITY BUILDING/COMMUNITY IMPACT EFFORTS DURING FY2016 FOR WHICH THE BLESSING HEALTH SYSTEM CONTRIBUTED IN-KIND SUPPORT OR DIRECT FINANCIAL RESOURCES: BLESSING STAFF LED OR WERE ACTIVE MEMBERS OF THE FOLLOWING GROUPS: HEALTH LEADERSHIP DELEGATION, ACCESS TO MEDICAL & ORAL HEALTH, HEART DISEASE AND STROKE, MENTAL HEALTH, SUBSTANCE ABUSE, NUTRITION & PHYSICAL ACTIVITY AND MATERNAL/CHILD HEALTH TEAMS. THROUGH THE READY SET GROW ADAMS COUNTY LETS TALK INITIATIVE, BLESSING PROVIDED RESOURCES NEEDED TO EDUCATE NEW PARENTS ON THE IMPACT AND IMPORTANCE OF EVERYDAY LANGUAGE FOR THE BRAIN DEVELOPMENT OF INFANTS. ASSISTED IN THE DEVELOPMENT AND DISTRIBUTION OF EDUCATIONAL MATERIALS PROMOTING THE IMPORTANCE OF A PRIMARY MEDICAL HOME AND WHERE SUCH SERVICES ARE LOCATED. ESTABLISHED THE FRAMEWORK FOR FAMILY PLAY NIGHTS AND MENTAL HEALTH FIRST AID PROGRAMS THAT WERE LAUNCHED IN FY2017. THE COMMUNITY BUILDING COUNCIL (CBC) GUIDES THE DEVELOPMENT OF PROGRAMS, PARTNERSHIPS, AND COLLABORATIONS WORKING TO MAKE ADAMS COUNTY A REGION WHERE STUDENTS ARE PREPARED TO SUCCEED IN SCHOOL, YOUTH ARE ON TRACK FOR SUCCESS IN COLLEGE OR CAREER AFTER HIGH SCHOOL, CHILDREN AND ADULTS ARE HEALTHY, AND FAMILIES/INDIVIDUALS CAN MANAGE BASIC NEEDS AND SAVE FOR THE FUTURE. CBC MEMBERS ARE COMMUNITY LEADERS REPRESENTING LOCAL BUSINESSES, FOUNDATIONS, HUMAN SERVICE PROVIDERS, EDUCATION, HEALTHCARE AND GOVERNMENT. REPORTING TO THE CBC ARE THREE LEADERSHIP DELEGATIONS (LD) EACH FOCUSING ON ONE OF THE THREE BUILDING BLOCKS OF A GOOD LIFE EDUCATION, INCOME AND HEALTH. SERVING ON THE DELEGATIONS ARE PROGRAM SUPERVISORS/STAFF WORKING ON THE FRONT LINES IN EACH OF THESE SECTORS. THESE EXPERTS ENCOURAGE NETWORKING, COLLABORATION, AND PARTNERSHIPS ACROSS THE SECTOR. THE FOCUS AND STRUCTURE OF THE DELEGATIONS HAVE EVOLVED BASED ON UNIQUE NEEDS OF THE SECTOR. EACH GROUP OVERSEES THE WORK OF AN IMPACT AREA INITIATIVE DEVELOPED AS A RESULT OF PROGRAM GAPS IDENTIFIED BY THE DELEGATION. THE HEALTH DELEGATION ALSO ADVISES A NUMBER OF COMMUNITY SOLUTION TEAMS (CST) WORKING ON SPECIFIC COMMUNITY ISSUES PINPOINTED IN CHNA. THE COMMUNITY SOLUTION TEAMS COVER THE FOLLOWING TOPICS: ACCESS TO MEDICAL & ORAL HEALTH; NUTRITION, WEIGHT & PHYSICAL ACTIVITY; HEART DISEASE & STROKE; MATERNAL, INFANT & CHILD HEALTH; MENTAL HEALTH; ENVIRONMENTAL HEALTH; AND SUBSTANCE ABUSE. THESE TEAMS ARE CHARGED WITH CREATING GOALS AND A WORK PLAN TO CREATE POSITIVE IMPACT IN THE GAPS IDENTIFIED IN THE CHNA. BLESSING HEALTH SYSTEM STAFF HAS A STRONG PRESENCE ON EACH OF THE TEAMS ADDRESSING TOPICS OF HEALTH. THE HEALTH LEADERSHIP DELEGATION, ACCESS TO MEDICAL & ORAL HEALTH, HEART DISEASE AND STROKE, AND MENTAL HEALTH TEAMS ARE ALL CURRENTLY LED OR CO-LED BY BLESSING HEALTH SYSTEM STAFF. THE MAJORITY OF THE OTHER TEAMS HAVE REPRESENTATION FROM STAFF OF BLESSING HEALTH SYSTEM. THIS ALIGNMENT OF BLESSING HOSPITAL WITH THE COMMUNITY BUILDING STRUCTURE IS KEY TO CONTINUING THE EFFORTS OF IDENTIFYING SPECIFIC OBJECTIVES TOWARD WHICH OUR COMMUNITY WILL WORK IN THE COMING YEARS. |
| GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 13B | PATIENTS ARE ELIGIBLE FOR CATASTROPHIC FINANCIAL ASSISTANCE IF THEIR INCOME EXCEEDS 250% OF THE FEDERAL POVERTY GUIDELINES AND THEIR MEDICAL BILLS EXCEED 20% OF THEIR TOTAL REPORTED FAMILY INCOME. ELIGIBILITY IS BASED ON AN INDIVIDUAL'S FAMILY'S TOTAL INCOME, FAMILY SIZE, AND ASSETS. PATIENTS EXPERIENCING CATASTROPHIC MEDIAL INDIGENCE ARE ELIGIBLE FOR A DISCOUNT OF 80%. |
| GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 16J | THE UNITED WAY SHARES BLESSING HOSPITALS FINANCIAL ASSISTANCE POLICY TO THOSE IN NEED OF MEDICAL CARE OR FACING MEDICAL DEBT THROUGH THEIR HELPLINE AND THEIR UNMET NEEDS GROUP. THE HELPLINE IS A FREE INFORMATION AND REFERRAL SERVICE THAT ASSISTS RESIDENTS IN FINDING THE HELP THEY NEED. WHETHER THOSE CALLING NEED A PHONE NUMBER OR INFORMATION ABOUT AVAILABILITY OF A SERVICE OR THEY NEED ASSISTANCE IN FINDING HEALTHCARE, HOUSING, FOOD, UTILITY AND RENT ASSISTANCE, SENIOR SERVICES, SUBSTANCE ABUSE PROGRAMS, OR LEGAL SERVICES, THE UNITED WAY HELPLINE OFFERS THAT HELP. THE UNITED WAY ALSO SHARES THE INFORMATION THROUGH THE QUINCY AREA PARTNERSHIP FOR UNMET NEEDS. THIS GROUP IS A NETWORK OF SOCIAL SERVICE AGENCIES AND FAITH-BASED ORGANIZATIONS. MEMBER AGENCIES PRESENT CASES FOR CONSIDERATION AT UNMET NEEDS MEETINGS. CLIENTS IN NEED OF ASSISTANCE CONTACT A MEMBER AGENCY WITH THEIR SPECIFIC NEED. AS THE CASES ARE DISCUSSED, ENTITY REPRESENTATIVES TALK ABOUT PROGRAMS THEY HAVE THAT COULD ASSIST THE PATIENT. BLESSING IS REPRESENTED AT THESE MEETINGS. THE UNITED WAY ALSO HAS AN INTERAGENCY COUNCIL THAT MEETS MONTHLY. SEVERAL AGENCIES FROM THROUGHOUT THE COMMUNITY ATTEND THIS MEETING. THEY HAVE A PRESENTER AT MOST MEETINGS. BLESSING HAS PRESENTED IN THE PAST, FOCUSING ON CARE COORDINATION AND TOUCHING ON THE FINANCIAL ASSISTANCE PROGRAM. BLESSING HOSPITAL HAS ALSO ESTABLISHED A CARE COORDINATION DEPARTMENT THAT WORKS WITH PATIENTS IN THE AMBULATORY SETTING TO ASSIST THEM IN MEETING THEIR HEALTHCARE NEEDS. ONE OF THE TARGETED AREAS OF THE CARE COORDINATION PROGRAM IS TO HELP PATIENTS ESTABLISH A PRIMARY CARE HOME. THIS CAN INCLUDE PROVIDING EDUCATION TO PATIENTS ABOUT SERVICES AVAILABLE IN THE COMMUNITY AND IF APPLICABLE HOW TO ACCESS THE FINANCIAL ASSISTANCE PROGRAMS WITHIN THOSE AGENCIES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| BLESSING AMBULATORY SURGERY CENTER | ||||
| 1118 HAMPSHIRE STREET | QUINCY | IL | 62301 | AMBULATORY SURGICAL TREATMENT CENTER |
| BLESSING HOME CARE | ||||
| BROADWAY AT 14TH STREET | QUINCY | IL | 62301 | HOME HEALTH AGENCY IN ILLINOIS |
| BLESSING HOME CARE - PALMYRA | ||||
| 6996 COUNTY ROAD 326 | PALMYRA | MO | 63461 | HOME HEALTH AGENCY IN MISSOURI |
| BLESSING HOSPICE & PALLIATIVE CARE | ||||
| 936 BROADWAY | QUINCY | IL | 62301 | FULL HOSPICE PROGRAM IN ILLINOIS |
| BLESSING HOSPICE - GREENE COUNTY | ||||
| 330 5TH STREET | CARROLLTON | IL | 62016 | FULL HOSPICE PROGRAM IN ILLINOIS |
| BLESSING HOSPICE - HANCOCK COUNTY | ||||
| 71 SOUTH ADAMS | CARTHAGE | IL | 62321 | FULL HOSPICE PROGRAM IN ILLINOIS |
| BLESSING HOSPICE - PIKE COUNTY | ||||
| 967 WEST WASHINGTON | PITTSFIELD | IL | 62363 | FULL HOSPICE PROGRAM IN ILLINOIS |
| DENMAN COUNTRY DRUGS | ||||
| 102 PRAIRIE MILLS ROAD | GOLDEN | IL | 62339 | PHARMACY WITHIN RURAL HEALTH CLINIC |
| EAST ADAMS COUNTY RURAL HEALTH CLIN | ||||
| 102 PRAIRIE MILLS ROAD | GOLDEN | IL | 62339 | RURAL HEALTH CLINIC |
| BLESSING FASTCARE CLINIC | ||||
| 3200 BROADWAY | QUINCY | IL | 62301 | AMBULATORY CARE CLINIC |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE | PATIENTS ARE ELIGIBLE FOR CATASTROPHIC FINANCIAL ASSISTANCE IF THEIR INCOME EXCEEDS 250% OF THE FEDERAL POVERTY GUIDELINES AND THEIR MEDICAL BILLS EXCEED 20% OF THEIR TOTAL REPORTED FAMILY INCOME. ELIGIBILITY IS BASED ON AN INDIVIDUAL'S OR FAMILY'S TOTAL INCOME, FAMILY SIZE AND ASSETS. PATIENTS EXPERIENCING CATASTROPHIC MEDICAL INDIGENCE ARE ELIGIBLE FOR A DISCOUNT OF 80%. |
| PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION | BLESSING HOSPITAL DOES NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. |
| PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE | BAD DEBT EXPENSE OF 13,474,737 IS SUBTRACTED FROM TOTAL EXPENSES OF 323,829,677 REPORTED ON LINE 25, COLUMN A OF FORM 990, PART IX,FOR A NET TOTAL EXPENSE OF 310,354,940. |
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | WHEN POSSIBLE, CALCULATIONS OF DIRECT AND INDIRECT COSTS ASSOCIATED WITH THE SERVICES PROVIDED ARE REPORTED. IF NOT AVAILABLE, A COST-TO-CHARGE RATIO IS USED TO CALCULATE THE COST AMOUNTS. THIS RATIO IS COMPUTED USING BLESSING HOSPITAL'S AS-FILED MEDICARE COST REPORT. THESE COSTS AND CHARGES ARE ADJUSTED TO ACCOUNT FOR ITEMS NOT REIMBURSED THROUGH THE COST REPORT SUCH AS PROVIDER-BASED PHYSICIAN SERVICES. |
| PART II - COMMUNITY BUILDING ACTIVITIES | IN PARTNERSHIP WITH THE ALLIANCE FOR BUILDING COMMUNITY, BLESSING HOSPITAL PROVIDES FUNDS TO PAY FOR THE POSITION OF THE DIRECTOR OF COMMUNITY IMPACT, A KEY INDIVIDUAL IN THE COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | BAD DEBT EXPENSE IS CALCULATED ON THE NET PATIENT ACCOUNT BALANCE AFTER THE BALANCE HAS BEEN REDUCED FOR ANY PAYMENTS RECEIVED OR DISCOUNTS/ADJUSTMENTS THAT ARE KNOWN. PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE ARE RECOGNIZED AS CHARITY CARE ACCOUNTS WHEN SUFFICIENT INFORMATION IS RECEIVED TO DETERMINE THEIR ELIGIBILITY. PRIOR TO THIS POINT, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS CALCULATED ON UNINSURED ACCOUNTS. THIS ALLOWANCE IS REVERSED IF THE ACCOUNT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE. |
| PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE | A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY FOR THEIR MEDICAL EXPENDITURES BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE. THE HOSPITAL USES FINANCIAL AND OTHER INFORMATION OF SUCH PATIENTS OTHERWISE AVAILABLE TO THE HOSPITAL TO IDENTIFY THOSE PATIENTS THAT WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK. THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES THE PERCENTAGE OF THE BAD DEBT EXPENSE THAT IS EVENTUALLY REVERSED DUE TO PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE. THE HOSPITAL APPLIES THAT PERCENTAGE TO THE BAD DEBT EXPENSE TO ESTIMATE THE AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE THAT WILL BE FOUND TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. THE BAD DEBT EXPENSE ASSOCIATED WITH SUCH PATIENTS' ACCOUNTS ARE TREATED AS COMMUNITY BENEFIT. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | SEE NOTE (3) ON PAGE 11 OF THE HOSPITAL'S ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8 - MEDICARE EXPLANATION | THE HOSPITAL USES A COST-TO-CHARGE RATIO TO CALCULATE COST AMOUNTS. THIS RATIO IS COMPUTED USING BLESSING HOSPITAL'S AS-FILED MEDICARE COST REPORT. THESE COSTS AND CHARGES ARE ADJUSTED TO ACCOUNT FOR ITEMS NOT REIMBURSED THROUGH THE COST REPORT SUCH AS PROVIDER-BASED PHYSICIAN SERVICES. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | COLLECTION PRACTICES ARE NOT PURSUED IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION HAS BEEN RETURNED AND APPROVED. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | BLESSING HOSPITAL HAS WORKED IN PARTNERSHIP WITH THE COMMUNITY PUBLIC HEALTH DEPARTMENT, THE LOCAL UNITED WAY AGENCY AND OTHER AREA AGENCIES IN CONDUCTING A NEEDS ASSESSMENT. THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN MAY 2015. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | ALL BLESSING HOSPITAL SELF-PAY INPATIENTS ARE CONTACTED BY A FINANCIAL ACCOUNT SPECIALIST (FAS) WITHIN 24 HOURS OF ADMISSION. IF THE ATTEMPT TO MEET WITH THE PATIENT IS UNSUCCESSFUL, THEY ARE CONTACTED AT THEIR HOME. THE PATIENT IS SCREENED FOR GOVERNMENT PROGRAMS AND ELIGIBILITY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. OUTPATIENTS ARE CONTACTED ONCE THE PATIENT'S CONDITION HAS BEEN STABILIZED AND ARE SCREENED IN THE SAME MANNER AS INPATIENTS. FOR SCHEDULED TESTING, FAS CONTACTS THE PATIENT PRIOR TO THEIR TEST AND PROVIDES ESTIMATES OF CHARGES AND EDUCATION ON AVAILABLE PROGRAMS. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | FOR 142 YEARS, BLESSING HOSPITAL HAS SERVED THE HEALTH CARE NEEDS OF THE PEOPLE OF WEST CENTRAL ILLINOIS, NORTHEAST MISSOURI AND SOUTHEAST IOWA. APPROXIMATELY 245,000 PEOPLE LIVE WITHIN A 50 MILE RADIUS OF BLESSING HOSPITAL. THE HOSPITALS PRIMARY MARKET AREA COVERS SIX COUNTIES, FOUR IN WEST CENTRAL ILLINOIS (ADAMS, BROWN, HANCOCK AND PIKE) AND TWO IN NORTHEAST MISSOURI (MARION AND LEWIS). THE REGIONS ECONOMY IS HEAVILY AGRICULTURAL, WITH A MIX OF MANUFACTURING, COMMERCIAL/RETAIL BUSINESS, AND RESTAURANTS MAKING UP THE REST OF THE LOCAL ECONOMY. BLESSING HOSPITAL IS THE LARGEST EMPLOYER IN ITS REGION. QUINCY, ILLINOIS, THE CITY IN WHICH THE MAIN BLESSING HOSPITAL CAMPUS IS LOCATED, IS THE HUB OF NON-FARM EMPLOYMENT AND RETAIL TRADE IN THE MARKET AREA. THE MEDIAN HOUSEHOLD INCOME IN ILLINOIS IS 59,196. THE MEDIAN HOUSEHOLD INCOME IN THE FOUR ILLINOIS COUNTIES IN BLESSINGS PRIMARY MARKET AREA IS BELOW THE ILLINOIS AVERAGE, RANGING FROM 6,700 TO 19,000 LOWER. THE MISSOURI MEDIAN HOUSEHOLD INCOME IS 49,593. IN THE TWO MISSOURI COUNTIES IN BLESSINGS PRIMARY MARKET AREA THE MEDIAN HOUSEHOLD INCOME IS BELOW THE STATE AVERAGE BETWEEN 3,900 AND 5,800. THE PERCENTAGE OF RESIDENTS OVER THE AGE OF 65 IN ILLINOIS IS 13.9 PERCENT. THE ILLINOIS COUNTIES IN BLESSINGS PRIMARY MARKET AREA EXCEED THAT RATE BETWEEN 4.7 AND 8.7 PERCENT. THE PERCENTAGE OF RESIDENTS OVER THE AGE OF 65 IN MISSOURI IS 15.7 PERCENT. THE MISSOURI COUNTIES IN BLESSINGS PRIMARY MARKET AREA EXCEED THE STATE AVERAGE BY 1.8 TO 2.5 PERCENT. THE ILLINOIS POVERTY RATE IS 14.0 PERCENT. FOR THE FOUR COUNTIES IN BLESSINGS PRIMARY MARKET IN ILLINOIS, THE AVERAGE POVERTY RATE IS 12.6 PERCENT, WHICH IS 1.4 PERCENT BELOW THE STATE AVERAGE. THE MISSOURI POVERTY RATE IS 15.3 PERCENT. FOR THE TWO MISSOURI COUNTIES IN BLESSINGS PRIMARY MARKET, THE POVERTY RATE AVERAGES 15.6 PERCENT, WHICH IS SLIGHTLY ABOVE THE STATE AVERAGE. THE OBESITY RATE AVERAGE ACROSS THE FOUR ILLINOIS COUNTIES IN BLESSINGS PRIMARY MARKET IS 31 PERCENT, SLIGHTLY BELOW THE STATE AVERAGE OF 31.6 PERCENT. IN MISSOURI, THE OBESITY RATE AVERAGE IS 33.5 PERCENT IN THE TWO COUNTIES IN BLESSINGS PRIMARY MARKET, SLIGHTLY ABOVE THE STATE AVERAGE OF 30.4 PERCENT. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | BLESSING HOSPITAL OFFERS A WIDE RANGE OF SPECIALTY SERVICES IMPORTANT TO PROMOTING THE HEALTH AND WELL-BEING OF ADAMS COUNTY AND THE SURROUNDING AREA. INCLUDED IN THESE ARE THE CANCER CENTER, THE HEART AND VASCULAR CENTER, THE BREAST CENTER, PSYCHIATRIC SERVICES, AND HOSPICE AND HOME CARE PROGRAMS. SURPLUS FUNDS GENERATED FROM HOSPITAL OPERATIONS ARE USED TO FUND CAPITAL EXPENDITURES AND THE EXPANSION OF HEALTH CARE SERVICE LINES TO THE COMMUNITY WE SERVE. BLESSING HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF THE ABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY OF BLESSING HOSPITAL ENABLES PATIENTS TO HAVE ACCESS TO AREA RESOURCES TO ASSIST THEM WITH PAYMENT OF MEDICAL EXPENSES. BLESSING HOSPITAL IS AFFILIATED WITH THE BLESSING-RIEMAN COLLEGE OF NURSING, WHICH OFFERS A BACHELOR OF SCIENCE IN NURSING DEGREE AND A MASTER OF SCIENCE IN NURSING DEGREE, ALONG WITH OTHER PROGRAMS. THE COLLEGE HAS OVER A 100 YEAR HISTORY IN THE COMMUNITY AND IS CURRENTLY ACCREDITED BY THE HIGHER LEARNING COMMISSION. BLESSING HOSPITAL IS THE LARGEST EMPLOYER IN THE AREA WITH 2,391 EMPLOYEES. OF SIGNIFICANT IMPORTANCE ARE THE VOLUNTEERS WHO SERVE THE HOSPITAL. IN FISCAL YEAR 2017, BLESSING HOSPITAL HAD 703 ACTIVE VOLUNTEERS WHO SERVED FOR A TOTAL OF 61,232 HOURS. IN ADDITION TO THE VOLUNTEERS ACTIVELY WORKING IN THE HOSPITAL, BLESSING'S BOARD OF TRUSTEES IS COMPRISED OF VOLUNTEERS THAT INCLUDE BUSINESS LEADERS, PHYSICIANS, AND OTHER COMMUNITY LEADERS. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | BLESSING CORPORATE SERVICES, INC. IS THE PARENT ORGANIZATION OF A GROUP OF RELATED ORGANIZATIONS AND PROVIDES OVERALL DIRECTION TO ALL ENTITIES WITHIN THE STRUCTURE. DURING THE YEAR ENDED SEPTEMBER 30, 2005, BLESSING CORPORATE SERVICES, INC. BEGAN OPERATING A DIVISION COMPRISED OF PRACTICING PHYSICIANS. THE GROUP IS RELATED THROUGH BOARD CONTROL. THE FOLLOWING IS A BRIEF DESCRIPTION OF EACH MEMBER OF THE GROUP. ORGANIZATION - BLESSING HOSPITAL (HOSPITAL), LOCATED IN QUINCY, ILLINOIS, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF WESTERN ILLINOIS, NORTHEASTERN MISSOURI, AND SOUTHEASTERN IOWA. THE HOSPITAL WAS INCORPORATED IN ILLINOIS IN 1875. ORGANIZATION - THE BLESSING FOUNDATION, INC. SERVES BLESSING CORPORATE SERVICES AND ITS AFFILIATED ENTITIES BY PROVIDING FINANCIAL SUPPORT FOR SERVICES AND PROGRAMS PROMOTING THE IMPROVEMENT AND AVAILABILITY OF HEALTHCARE SERVICES WITHIN THE GENERAL COMMUNITY. ORGANIZATION - DENMAN SERVICES, INC. (A TAXABLE CORPORATION) ENGAGES PRIMARILY IN THE BUSINESS OF SELLING AND RENTING MEDICAL EQUIPMENT AND OPERATING A COMMERCIAL LAUNDRY. DENMAN SERVICES, INC. IS A WHOLLY OWNED SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. ORGANIZATION - BLESSINGCARE CORPORATION DBA ILLINI COMMUNITY HOSPITAL AND SUBSIDIARY, LOCATED IN PITTSFIELD, ILLINOIS, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF WESTERN ILLINOIS. THE HOSPITAL WAS INCORPORATED ON JANUARY 20, 2000. ORGANIZATION - ILLINI HEALTH SERVICES, LLC CONDUCTS A PHARMACY BUSINESS IN PITTSFIELD, ILLINOIS. THE PHARMACY IS OWNED NINETY-FIVE PERCENT (95%) BY DENMAN SERVICES, INC. AND FIVE PERCENT (5%) BY BLESSINGCARE CORPORATION DBA ILLINI COMMUNITY HOSPITAL. ORGANIZATION - CHS HOLDING COMPANY (A TAXABLE CORPORATION) PROVIDES HEALTH INSURANCE PRODUCTS AND SERVICES. ORGANIZATION - BLESSING WALK-IN CLINIC, LLC DBA BLESSING CONVENIENT CARE OPERATES HEALTH CLINICS IN RETAIL FACILITIES. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | ILLINOIS |
| ADDITIONAL INFORMATION | BLESSING HOSPITAL'S COMMUNITY BENEFIT REPORT IS PRESENTED TO THE COMMUNITY AS AN ADVERTISEMENT IN THE HERALD-WHIG, QUINCY, ILLINOIS' LOCAL NEWSPAPER, ONCE A YEAR. IN THIS AD, INFORMATION IS PROVIDED TO DIRECT PEOPLE TO THE HOSPITAL'S WEBSITE FOR A COMPREHENSIVE INVESTMENT REPORT. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| SIU SCHOOL OF MEDICINE | ||||||||
| PO BOX 19607 327 W CALHOUN | SPRINGFIELD | IL | 62794 | 376005961 | 501C3 | $1,716,664 | BOOK | MED ED & RESEARCH |
| UNITED WAY OF ADAMS COUNTY | ||||||||
| 936 BROADWAY SUITE F | QUINCY | IL | 62301 | 370673476 | 501C3 | $59,974 | BOOK | GENERAL SUPPORT |
| AMERICAN RED CROSS-WESTERN IL CHAP | ||||||||
| 3000 NORTH 23RD STREET | QUINCY | IL | 62301 | 530196605 | 501C3 | $6,000 | BOOK | GENERAL SUPPORT |
| HISTORIC QUINCY BUSINESS DISTRICT | ||||||||
| 128 NORTH 5TH STREET | QUINCY | IL | 62301 | 371049939 | 501C3 | $9,000 | BOOK | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc |
|---|---|---|---|
| BLESSING-RIEMAN STUDENTS | 180 | $1,071,005 | BOOK |
| BLESSING HEALTH PATIENTS | 684 | $114,900 | BOOK |
| EMPLOYEE ASSISTANCE | 27 | $39,616 | BOOK |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | SIU SCHOOL OF MEDICINE SIU PROVIDES THE HOSPITAL BOARD OF TRUSTEES WITH AN ANNUAL UPDATE REGARDING THEIR USE OF THE GRANT FUNDS PROVIDED TO THEIR PROGRAM. ALL OTHER ORGANIZATIONS BLESSING HOSPITAL PROVIDED GRANTS PRIMARILY TO LOCALLY MANAGED 501C3 ORGANIZATIONS THAT SUPPORT OR SHARE THE MISSION OF THE BLESSING HEALTH SYSTEM. SENIOR LEADERSHIP APPROVES ALL GRANTS. WHEN AN ORGANIZATION IS GIVEN A DONATION, IT EITHER AGREES TO RESTRICT THE DONATION TO THE PURPOSE FOR WHICH IT WAS GIVEN, OR IT RECEIVES A LETTER DIRECTING THAT THE DONATION MAY BE USED ONLY FOR THE APPROVED PURPOSE. BLESSING HEALTH SYSTEM EMPLOYEES FREQUENTLY ATTEND MANY OF THE SPONSORED EVENTS OR THE HEALTH SYSTEM RECEIVES ACKNOWLEDGEMENT FROM THE ORGANIZATION ABOUT THE PROGRAM THAT WAS SUPPORTED BY THE GRANT. PART III, LINE 1 BLESSING-RIEMAN COLLEGE OF NURSING STUDENTS BLESSING-RIEMAN COLLEGE OF NURSING REQUIRES A FINANCIAL AID APPLICATION UPON ADMITTANCE, HAS ACADEMIC PERFORMANCE AND FINANCIAL NEED CRITERIA, AND HAS A SELECTION COMMITTEE THAT AWARDS GRANTS. THE COLLEGE MONITORS AND REVIEWS THE RECIPIENTS INDIVIDUALLY ON A SEMESTER BASIS FOR SATISFACTORY ACADEMIC PROGRESS AND GOOD STANDING. PART III, LINE 2 BLESSING HEALTH SYSTEM PATIENTS HEALTHCARE PROFESSIONALS WITHIN THE BLESSING HEALTH SYSTEM SEND REQUESTS FOR ASSISTANCE OF PATIENTS WHO ARE IN MEDICAL NECESSITY AND FINANCIAL DISABILITY WHEN THERE ARE NO COMMUNITY RESOURCES AVAILABLE. THE BLESSING FOUNDATION ADMINISTERS THE BEST MATCHED RESTRICTED SPECIFIC PURPOSE FUND TO THE HEALTH ISSUE OF THE PATIENT. THE APPLICATIONS MUST BE APPROVED BY THE FOUNDATION OFFICE BEFORE THE FUNDS ARE DISBURSED. PART III, LINE 3 EMPLOYEE ASSISTANCE THE EMPLOYEE CRISIS FUND IS FOR FINANCIAL ASSISTANCE FOR EMPLOYEES MEETING A REQUIRED LENGTH OF SERVICE AND IN GOOD EMPLOYMENT STANDING. EMPLOYEES MAKE REQUESTS FOR ASSISTANCE THROUGH THEIR DEPARTMENT LEADERS. THE APPLICATIONS GO TO A COMMITTEE WHO REVIEWS THEM FOR APPROVAL. THE BALANCE OF THE FUND IS IN A GENERAL LEDGER ACCOUNT ON THE BOOKS OF BLESSING HOSPITAL AND IS MONITORED BY HOSPITAL ACCOUNTANTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MAUREEN A KAHN | ||||||||||||
| PRESIDENT/CEO | $496,676 | $197,575 | $29,784 | $72,620 | $24,362 | $812,601 | ||||||
| ABBY REICH MD | ||||||||||||
| TRUSTEE | $203,262 | $1,343 | $2,269 | $23,448 | $227,931 | |||||||
| HARSHA V POLAVARAPU MD | ||||||||||||
| CHIEF OF STAFF | $450,441 | $72,502 | $19,004 | $3,313 | $20,642 | $561,206 | ||||||
| PATRICK M GERVELER | ||||||||||||
| TREASURER | $349,945 | $118,453 | $34,326 | $59,905 | $27,531 | $583,076 | ||||||
| TIMOTHY A MOORE | ||||||||||||
| SECRETARY | $212,462 | $64,034 | $30,112 | $66,361 | $21,342 | $388,915 | ||||||
| MARY F BARTHEL | ||||||||||||
| CHIEF QUALITY/SAFETY | $278,936 | $24,274 | $4,723 | $3,313 | $19,834 | $331,080 | ||||||
| JERRY R JACKSON | ||||||||||||
| VP ENGINEERING/FACIL | $232,763 | $78,085 | $40,192 | $8,406 | $20,079 | $373,329 | ||||||
| BETTY J KASPARIE | ||||||||||||
| VP PLANNING & COMP | $201,637 | $61,155 | $8,966 | $85,789 | $20,068 | $372,811 | ||||||
| ELLIOT H KUIDA | ||||||||||||
| COO | $317,556 | $109,785 | $11,059 | $3,313 | $22,002 | $456,977 | ||||||
| CHRISTOPHER R SOLARO MD | ||||||||||||
| CHIEF OF MEDICINE | $529,855 | $118,605 | $10,321 | $4,643 | $27,912 | $683,871 | ||||||
| ARDEN J REYNOLDS MD | ||||||||||||
| CHIEF OF SURGERY | $173,560 | $37,800 | $8,015 | $1,961 | $1,138 | $221,336 | ||||||
| JOELLEN L RANDALL | ||||||||||||
| VP HUMAN RESOURCES | $218,512 | $58,419 | $3,431 | $2,504 | $13,433 | $291,249 | ||||||
| TIMOTHY L TRANOR | ||||||||||||
| CNO | $196,875 | $48,217 | $10,510 | $2,837 | $21,489 | $276,971 | ||||||
| THOMAS A CLIATT DO | ||||||||||||
| PHYSICIAN | $528,206 | $164,185 | $25,312 | $57,977 | $22,135 | $792,951 | ||||||
| ANTONY S WOLLASTON MD | ||||||||||||
| PHYSICIAN | $459,656 | $177,251 | $22,502 | $6,096 | $25,178 | $686,164 | ||||||
| SCOTT M HOUGH MD | ||||||||||||
| PHYSICIAN | $424,982 | $345,459 | $25,605 | $3,313 | $25,890 | $820,385 | ||||||
| DAVID J ECKERSLEY MD | ||||||||||||
| PHYSICIAN | $426,407 | $256,589 | $22,142 | $3,313 | $22,135 | $725,722 | ||||||
| JOHN H ARNOLD MD | ||||||||||||
| PHYSICIAN | $743,941 | $50,000 | $21,760 | $2,885 | $23,773 | $833,572 | ||||||
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CITY OF QUINCY ADAMS COUNTY | ||||||||
| A | 376000378 | 748476BN7 | 2007-05-03 | $48,850,181 | SEE PART VI | false | false | false |
| CITY OF QUINCY ADAMS COUNTY | ||||||||
| B | 376000378 | 2012-08-01 | $32,785,000 | SEE PART VI | false | false | false | |
| CITY OF QUINCY ADAMS COUNTY | ||||||||
| C | 376000378 | 2012-08-01 | $30,000,000 | SEE PART VI | false | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $23,073,595 | $48,853,595 | $570,296 | $48,853,595 | 2009 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | |
| B | $2,025,000 | $32,785,000 | $164,582 | $32,620,418 | 2012 | Yes (true) | false | Yes (true) | Yes (true) | |
| C | $30,000,000 | $168,089 | 2015 | false | false | Yes (true) | Yes (true) | $29,831,911 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0.02900 | 0.02900 | Yes (true) | false | Yes (true) |
| B | false | false | false | false | Yes (true) | false | Yes (true) | ||
| C | false | false | false | false | Yes (true) | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | false | false | false | false | false | Yes (true) |
| B | false | false | Yes (true) | false | Yes (true) | false | false | false | Yes (true) |
| C | false | false | false | Yes (true) | Yes (true) | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION | CITY OF QUINCY, ADAMS COUNTY A - USED TO (I) CURRENTLY REFUND ALL OF THE OUTSTANDING CITY OF QUINCY, ADAMS COUNTY, ILLINOIS REVENUE BONDS, SERIES 1993 (BLESSING HOSPITAL)(THE "SERIES 1993 BONDS"), (II) ADVANCE REFUND ALL OF THE OUTSTANDING ILLINOIS HEALTH FACILITIES AUTHORITY REVENUE BONDS, SERIES 1999A (BLESSING HOSPITAL)(THE "SERIES 1999A BONDS") AND (III) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2007 BONDS AND THE REFUNDING OF THE SERIES 1993 BONDS AND THE SERIES 1999A BONDS CITY OF QUINCY, ADAMS COUNTY B - USED TO (I) REFUND THE OUTSTANDING VARIABLE RATE DEMAND REVENUE REFUNDING BONDS, SERIES 2008 (BLESSING HOSPITAL) (THE "SERIES 2008 BONDS") AND (II) REFUND THE OUTSTANDING ADJUSTABLE RATE DEMAND REVENUE BONDS, SERIES 2004 (BLESSING HOSPITAL PROJECT) (THE "SERIES 2004 BONDS"). CITY OF QUINCY, ADAMS COUNTY C - TO REIMBURSE FOR THE COSTS OF THE PROJECT AND TO PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2012B BONDS. THE PROJECT CONSISTS OF THE ACQUISITION, CONSTRUCTION, AND EQUIPPING OF AN APPROXIMATELY 172,755 SQUARE FOOT PATIENT CARE ADDITION LOCATED ON THE MAIN CAMPUS AT BROADWAY AND 11TH STREETS IN QUINCY, ILLINOIS. |
| SCHEDULE K - DATE REBATE COMPUTATION PERFORMED | CITY OF QUINCY, ADAMS COUNTY 05/18/15 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| KLINGNER AND ASSOCIATES | |||
| SEE PART V | $119,520 | ENGINEERING SERVICES | false |
| MISSA J GERVELER | |||
| FAMILY MEMBER | $38,685 | EMPLOYMENT | false |
| JASON H HETZLER | |||
| FAMILY MEMBER | $100,204 | EMPLOYMENT | false |
| ELLEN J TRAMAN | |||
| FAMILY MEMBER | $40,404 | EMPLOYMENT | false |
| ROBERT G TRAMAN | |||
| FAMILY MEMBER | $41,995 | EMPLOYMENT | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | PART IV, LINE 1 BOARD TRUSTEE, MICHAEL KLINGNER, IS PRESIDENT OF THE ENTITY WITH WHICH BUSINESS TRANSACTIONS WERE CONDUCTED. | ExplanationTxt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $25,178 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $5,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PAGE 2, PART II | FormAndLineReferenceDesc |
| Explanation | PART I LINE 20 DRUGS AND MEDICAL SUPPLIES POWER WHEELCHAIR | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | SINCE IT WAS FOUNDED IN 1875, BLESSING HOSPITAL HAS PROVIDED QUALITY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF RACE, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY. IN SERVING ALL MEMBERS OF ITS COMMUNITIES, BLESSING HOSPITAL CONTINUES THIS TRADITION BY PROVIDING FREE/SUBSIDIZED CARE, CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT LESS THAN FULL CHARGES, AND COMMUNITY HEALTH/EDUCATION/WELLNESS PROGRAMS. FOR FISCAL YEAR 2017, THE COST OF CHARITY CARE PROVIDED WAS 6,088,558. MEDICARE AND MEDICAID SHORTFALLS WERE 41,381,057 AND 5,115,618, RESPECTIVELY. BLESSING HOSPITAL TREATED PATIENTS THROUGH THE FOLLOWING SERVICES DURING FISCAL YEAR 2017: 43,151 EMERGENCY CENTER AND 27,280 URGENT CARE VISITS; 352,839 OUTPATIENT VISITS; 17,913 SURGICAL OPERATIONS, INCLUDING 150 OPEN HEART SURGERIES, 15,596 INPATIENT ADMISSIONS, AND 1,108 BABIES. OUTPATIENT SERVICES INCLUDED 172,148 CARDIOPULMONARY/CARDIOLOGY PROCEDURES, 773,994 LABORATORY TESTS, 119,709 RADIOLOGY PROCEDURES, AND 124,368 PHYSICAL THERAPY/REHABILITATION VISITS. BLESSING HOSPITAL PROVIDED ADDITIONAL BENEFITS OF 11,220,033 TO THE COMMUNITY DURING FISCAL YEAR 2017 AS FOLLOWS: HEALTH PROFESSIONALS EDUCATION SIU RESIDENCY PROGRAM 4,119,937 BLESSING-RIEMAN COLLEGE OF NURSING 1,500,992 NURSING EDUCATIONAL PRECEPTORS 955,961 SCHOOL OF RADIOLOGIC TECHNOLOGY 293,311 SCHOOL OF MEDICAL LABORATORY TECHNICIANS 59,564 SUB TOTAL HEALTH PROFESSIONALS EDUCATION 6,929,765 COMMUNITY HEALTH IMPROVEMENT SERVICES SIU PATIENT CENTERED MEDICAL HOME 115,401 ADAMS COUNTY HEALTH DEPARTMENT DENTAL PROGRAM 85,000 CHARITY PHARMACY PRESCRIPTIONS 46,661 PATIENT TRANSPORTATION 38,301 MEDICAL SUPPLIES/SERVICES FOR PATIENTS 29,221 SUPPORT GROUPS 23,358 HEALTH SCREENINGS/TESTS 9,017 EDUCATIONAL PROGRAMS 6,809 MEDICAL INTERPRETING SERVICES 6,477 SUB TOTAL COMMUNITY HEALTH IMPROVEMENT SERVICES 360,245 SUBSIDIZED HEALTH SERVICES HOME HEALTHCARE SERVICES 1,597,236 CARE COORDINATION 1,572,392 BLESSING FAST CARE 309,808 HOSPICE 9,674 SUB TOTAL SUBSIDIZED HEALTH SERVICES 3,489,110 IN-KIND CONTRIBUTIONS/DONATIONS DONATIONS/SPONSORSHIPS 284,629 ADAMS COUNTY AMBULANCE SERVICE 139,931 MEETING SPACE 16,353 SUB TOTAL IN-KIND CONTRIBUTIONS/DONATIONS 440,913 BLESSING HOSPITAL'S STRATEGIC OBJECTIVES FOR THE UPCOMING YEARS ARE AS FOLLOWS: -LEVERAGING INNOVATIONS, CONTINUE TO TRANSITION TO A NEW BUSINESS MODEL IN RESPONSE TO HEALTH CARE REFORM, WITH FOCUS ON AFFILIATION/PARTNERSHIPS -ENSURE HIGH QUALITY, PATIENT CENTERED CARE AS MEASURED AGAINST NATIONAL BENCHMARKS -ENSURE PHYSICIAN LEADERSHIP DEVELOPMENT, ALIGNMENT, AND ENGAGEMENT -ENSURE EFFECTIVE RESOURCE ALLOCATION THROUGH EVIDENCE BASED PRACTICES/LEADERSHIP |
| FORM 990, PAGE 6, PART VI, LINE 3 | 1) BLESSING CORPORATE SERVICES PROVIDES GENERAL MANAGEMENT SERVICES. 2) WOUND CARE ADVANTAGE PROVIDES MANAGEMENT SERVICES FOR THE WOUND CARE DEPARTMENT WHICH INCLUDES HYPERBARIC SERVICES. 3) QUINCY MEDICAL GROUP PROVIDES MANAGEMENT OF THE SURGERY CENTER OF QUINCY. 4) ARAMARK PROVIDES MANAGEMENT OF FOOD SERVICES AND ENVIRONMENTAL SERVICES. 5) BRIDGE HOME CARE PARTNERS PROVIDES MANAGEMENT OF BLESSING'S HOME CARE SERVICES. |
| FORM 990, PAGE 6, PART VI, LINE 6 | BLESSING CORPORATE SERVICES, INC. IS THE SOLE VOTING MEMBER OF BLESSING HOSPITAL. |
| FORM 990, PAGE 6, PART VI, LINE 7A | BLESSING CORPORATE SERVICES, INC., THE SOLE VOTING MEMBER OF BLESSING HOSPITAL, SHALL POSSESS THE RIGHTS AND RESPONSIBILITIES TO APPOINT AND/OR REMOVE ALL THE TRUSTEES OF THE CORPORATION AND APPOINT THE CORPORATION'S PRESIDENT. |
| FORM 990, PAGE 6, PART VI, LINE 7B | BLESSING CORPORATE SERVICES SHALL POSSESS THE RIGHTS AND RESPONSIBILITES TO APPROVE EXPRESSLY ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE; APPROVE LONG- TERM DEBT, LONG-RANGE PLANS AND CAPITAL AND OPERATING BUDGETS; APPROVE THE PURCHASE AND SALE OF REAL AND PERSONAL PROPERTY AND CONTRACTS ENTERED INTO BY THE CORPORATION, NOT EXPRESSLY MADE PART OF AN APPROVED BUDGET, THE REASONABLE VALUE OF WHICH EXCEEDS AN AMOUNT SET FORTH IN THE BYLAWS OF THE MEMBER; APPROVE MATERIAL INVESTMENT DECISIONS, INCLUDING WITHOUT LIMITATION ESTABLISHMENT AND MODIFICATION OF INVESTMENT POLICIES, ENGAGEMENT AND REMOVAL OF INVESTMENT MANAGERS AND ADVISORS, AND CHANGES IN INVESTMENT ALLOCATIONS NOT PERMITTED BY AN EXISTING INVESTMENT POLICY; APPROVE THE PARAMETERS FOR TERMS OF EMPLOYMENT OF PHYSICIANS, INCLUDING PHYSICIAN COMPENSATION PLANS, AND ANY MATERIAL VARIANCES FROM SUCH PARAMETERS FOR INDIVIDUAL PHYSICIANS; APPROVE THE SELECTION OF AUDITORS AND LEGAL COUNSEL; APPROVE CHARITY CARE AND COMMUNITY BENEFITS-RELATED POLICIES; APPROVE THE FORMATION OF SUBSIDIARY ENTITIES AND/OR JOINT VENTURES; APPROVE THE FILING OF A PETITION IN BANKRUPTCY, MAKING AN ASSIGNMENT FOR THE BENEFIT OF CREDITORS, OR APPLYING FOR PROTECTION UNDER ANY INSOLVENCY LAWS; APPROVE THE PARTICIPATION IN ANY MERGER, COMBINATION, CONSOLIDATION, LIQUIDATION, DISSOLUTION OR OTHER CORPORATE OR BUSINESS ENTITY RESTRUCTURING; AND HAVE THE POWER TO COMPEL THE CORPORATION TO ENFORCE AND/OR PERFORM ANY CONTRACTUAL OBLIGATION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FOLLOWING MANAGEMENT AND LEGAL REVIEW, THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | A COPY OF THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY TO OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO BE READ, SIGNED, AND RETURNED TO THE ORGANIZATION. THE SIGNED POLICIES ARE RETAINED IN THE CORPORATE ADMINISTRATIVE FILES. IN ADDITION, EACH OFFICER, DIRECTOR, OR TRUSTEE IS REQUIRED TO DECLARE NO CONFLICT OF INTEREST IN REGARDS TO AGENDA ITEMS BEING PRESENTED AT THE START OF EACH MONTHLY BOARD MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 15A | ON A BIANNUAL BASIS, COMPARABLE COMPENSATION DATA THROUGH A THIRD PARTY (SULLIVAN-COTTER) IS USED TO ESTABLISH MARKET RANGE. INFORMATION IS SUBMITTED TO THE BLESSING CORPORATE SERVICES COMPENSATION COMMITTEE FOR REVIEW AND TO BLESSING HOSPITAL BOARD OF TRUSTEES FOR APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 15B | NO COMPENSATION IS RECEIVED FOR SERVING AS AN OFFICER OF BLESSING HOSPITAL. ON A BIANNUAL BASIS, COMPARABLE COMPENSATION DATA THROUGH A THIRD PARTY (SULLIVAN-COTTER) IS USED TO ESTABLISH MARKET RANGE. INFORMATION IS SUBMITTED TO THE BLESSING CORPORATE SERVICES COMPENSATION COMMITTEE FOR REVIEW AND TO BLESSING HOSPITAL BOARD OF TRUSTEES FOR APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THESE FORMS ARE LOCATED IN THE CORPORATE ADMINISTRATIVE OFFICES AND ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. |
| FORM 990, PART IX, LINE 11G | ANESTHESIA EXPENSE 10,859,838 0 0 PHYSICIAN FEES 8,037,334 0 0 CONSULTING FEES 3,066,894 9,450,949 0 OUTSIDE MEDICAL SERVICES 2,292,785 0 0 TRAUMA EXPENSE 1,329,733 0 0 BIO MED FEES 1,082,169 0 0 INSTRUCTIONAL & SPEAKER FEES 163,915 0 0 OTHER FEES 111,729 131,517 0 HOME HEALTH AIDES 72,904 0 0 LICENSURE FEES 4,486 0 0 TOTAL 27,021,787 9,582,466 0 |
| FORM 990, PART XI, LINE 9 | INCREASE IN MINIMUM PENSION LIABILITY 3,365,925 TRANSFERS TO AFFILIATES -41,653,314 TRANSFERS TO SITF -350,000 TOTAL -38,637,389 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLESSING CORPORATE SERVICES | ||||||||||||
| BROADWAY AT 11TH PO BOX 7005 | QUINCY | IL | 623057005 | 371128706 | MGMT SVCS | IL | 501C3 | 10 | N/A | false | ||
| THE BLESSING FOUNDATION | ||||||||||||
| BROADWAY AT 11TH POBOX 7005 | QUINCY | IL | 623057005 | 371128705 | FUNDRAISE | IL | 501C3 | 12B | false | BCS INC | BCS INC | |
| BLESSINGCARE CORP DBA ILLINI COMM H | ||||||||||||
| 640 WEST WASHINGTON | PITTSFIELD | IL | 62363 | 371396010 | HOSPITAL | IL | 501C3 | 3 | false | BCS INC | BCS INC | |
| BLESSING HOSPITAL SELF-INSURANCE PL | ||||||||||||
| BROADWAY AT 11TH PO BOX 7005 | QUINCY | IL | 623057005 | 371045366 | MED CLAIMS | IL | 501C3 | 12A | false | BCS INC | BCS INC | |
| BLESSINGCARE CORPORATION - MISSOURI | ||||||||||||
| 1005 BROADWAY | QUINCY | IL | 62301 | 431371818 | INACTIVE | MO | 501C3 | 3 | false | BCS INC | BCS INC | |
| BLESSING VOLUNTEERS IN PARTNERSHIP | ||||||||||||
| BROADWAY AT 11TH PO BOX 7005 | QUINCY | IL | 623057005 | 237160187 | HSP SUPPRT | IL | 501C3 | 12B | N/A | false | ||
| BLESSING AFFILIATES INC | ||||||||||||
| BROADWAY AT 11TH PO BOX 7005 | QUINCY | IL | 623057005 | 371128708 | INACTIVE | IL | 501C3 | 10 | false | BCS INC | ||
| BLESSING WALK-IN CLINIC LLC | ||||||||||||
| 1005 BROADWAY | QUINCY | IL | 62301 | 814181593 | MED SVCS | IL | 501C3 | 3 | false | BCS INC | BCS INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ILLINI HEALTH SERVICES LLC | ||||||||||
| PO BOX 40 | QUINCY | IL | 623060040 | 470901851 | PHARMACY | IL | DENMAN | DENMAN | false | false |
| CURRENT HEALTH NETWORK LLC | ||||||||||
| 1005 BROADWAY | QUINCY | IL | 62301 | 811681509 | PRVDR NTWK | IL | CHS HLDGS | false | false | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| DENMAN SERVICES INC | ||||||||
| BROADWAY AT 14TH STREET | QUINCY | IL | 62306 | 371132117 | MED EQUIP | IL | N/A | false |
| CHS HOLDING COMPANY | ||||||||
| 1005 BROADWAY | QUINCY | IL | 62301 | 320481381 | GRP HLTH | IL | N/A | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DENMAN SERVICES INC | ||
| A | $121,938 | FMV |
| DENMAN SERVICES INC | ||
| Q | $1,171,634 | FMV |
| DENMAN SERVICES INC | ||
| M | $2,410,615 | FMV |