2018-07-11T10:57:29-05:00 2017-09-30 363077757 GRAY HUNTER STENN LLP 500 MAINE ST QUINCY IL 62301 990 2016-10-01 370661183 BLESSING HOSPITAL BLES 2172231200 1005 BROADWAY QUINCY IL 62301 MAUREEN A KAHN PRESIDENT/CEO 2172231200 2018-06-28 true STEPHEN C KOESTER CPA P00342386 2172220304 2018-06-28 2016 2022-09-23 18:48:47Z MAUREEN A KAHN 1005 BROADWAY QUINCY IL 62301 449554690 false X WWW.BLESSINGHEALTH.ORG X 1873 IL BLESSING HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. 14 9 3155 703 121938 2730547 2989431 339601856 380759706 2704367 3170184 10154599 11521341 355191369 398440662 2777391 3027159 0 148495324 153865776 0 0 151341079 166936742 302613794 323829677 52577575 74610985 474135117 524033244 231960490 233771654 242174627 290261590 X BLESSING HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. false false 241033146 3027159 380759706 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 241033146 true true false false false false false false false true true true false false true false true true false false false false false false false false true true true true true true false false false false false false false false true true true false false false false true true true false false true 196 0 true 3155 true true true false false false false false false false false false X 14 9 false true false false true true true true true false true true true true true true true true true true true true IL X TIMOTHY MOORE 2172238400 BROADWAY AT 11TH PO BOX 7005 QUINCY IL 62305 THOMAS H MILLER MD TRUSTEE 1.00 0.00 X 0 0 0 SAYEED ALI TRUSTEE 1.00 0.00 X 0 0 0 NANCY BLUHM TRUSTEE 1.00 0.00 X 0 0 0 DAVID BOSTER TRUSTEE 1.00 0.00 X 0 0 0 JULIE BRINK TRUSTEE 1.00 0.00 X 0 0 0 PHILLIP CONOVER TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL R HULSEN TRUSTEE 1.00 0.00 X 0 0 0 DAVID HETZLER JR TRUSTEE 1.00 0.00 X 0 0 0 MAUREEN A KAHN PRESIDENT/CE 20.00 20.00 X X 0 724035 88566 TIMOTHY D KOONTZ TRUSTEE 1.00 0.00 X 0 0 0 ABBY REICH MD TRUSTEE 1.00 0.00 X 0 204605 23326 DENNIS GO MD TRUSTEE 1.00 0.00 X 18450 0 0 HARSHA V POLAVARAPU MD CHIEF OF STA 1.00 0.00 X 0 541947 19259 TODD H PETTY MD TRUSTEE 1.00 0.00 X 41436 0 0 CHRISTOPHER J NIEMANN TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL D KLINGNER PE TRUSTEE 1.00 0.00 X 0 0 0 PATRICK M GERVELER TREASURER 20.00 20.00 X 0 502724 80352 TIMOTHY A MOORE SECRETARY 20.00 20.00 X 0 306608 82307 MARY F BARTHEL CHIEF QUALIT 40.00 0.00 X 307933 0 23147 JERRY R JACKSON VP ENGINEERI 20.00 20.00 X 0 351040 22289 BETTY J KASPARIE VP PLANNING 20.00 20.00 X 0 271758 101053 ELLIOT H KUIDA COO 40.00 0.00 X 0 438400 18577 CHRISTOPHER R SOLARO MD CHIEF OF MED 40.00 0.00 X 658781 0 25090 ARDEN J REYNOLDS MD CHIEF OF SUR 40.00 0.00 X 219375 0 1961 JOELLEN L RANDALL VP HUMAN RES 20.00 20.00 X 0 280362 10887 TIMOTHY L TRANOR CNO 40.00 0.00 X 255602 0 21369 THOMAS A CLIATT DO PHYSICIAN 40.00 0.00 X 717703 0 75248 ANTONY S WOLLASTON MD PHYSICIAN 40.00 0.00 X 659409 0 26755 SCOTT M HOUGH MD PHYSICIAN 40.00 0.00 X 796046 0 24339 DAVID J ECKERSLEY MD PHYSICIAN 40.00 0.00 X 705138 0 20584 JOHN H ARNOLD MD PHYSICIAN 40.00 0.00 X 815701 0 17871 5195574 3621479 682980 87 false true false QUINCY ANESTHESIA ASSOCIATES PC BROADWAY AT 11TH QUINCY IL 62301 ANESTHESIA SVCS 8740526 QUINCY MEDICAL GROUP 1025 MAINE STREET QUINCY IL 62301 PHYSICIAN SVCS 4177106 WEST CENTRAL PATHOLOGY SPECIALISTS 4000 CATAMARAN CT QUINCY IL 62301 PATHOLOGY SVCS 2682403 TOTAL MSP LLC 10 E COLLEGE AVE STE 300 APPLETON WI 54911 CONTRACT LABOR 2378550 WATERKOTTE CONSTRUCTION CO 2630 WISMANN LANE PO BOX 3586 QUINCY IL 62301 FACILITY CONSTR 1998609 51 1790011 10000 1189420 30178 2989431 NET PATIENT SERVICE REVENUE 621110 376193843 376193843 COLLEGE OF NURSING 621110 4270123 4270123 PHYSICAL THERAPY 621110 295740 295740 380759706 3118832 3118832 1242222 1242222 1242222 121938 1120284 51165380 50297593 816435 867787 -816435 51352 51352 OTHER 900099 4158869 4158869 MANAGEMENT & ACCNTG FEES 541610 2603759 2603759 SALE OF FOOD 722100 1769359 1769359 1747132 1747132 10279119 398440662 376489583 121938 18839710 X 1801638 1801638 1225521 1225521 5712464 4594535 1117929 112174510 90221966 21952544 5795485 4661309 1134176 22382976 18002629 4380347 7800341 6273815 1526526 15951283 15951283 281969 281969 118283 118283 671043 671043 36604253 27021787 9582466 450651 450651 232248 127867 104381 4712828 1816403 2896425 903614 636431 267183 243566 116169 127397 2262247 1819525 442722 15481555 9134117 6347438 3012159 2286609 725550 SUPPLIES 48352888 46429618 1923270 BAD DEBTS 13474737 13474737 SOFTWARE 8759046 4729885 4029161 EQUIPMENT RENTAL & MAINT. 5312905 3530439 1782466 10111467 2677495 7433972 323829677 241033146 82796531 0 46088169 54916627 51876955 60536041 6853284 6648882 4763745 6084380 398841977 186561485 196936297 212280492 98026856 99462078 47085758 60291228 22504053 23813516 474135117 524033244 39647770 35086167 82735000 78740000 8297469 7594158 101280251 112351329 231960490 233771654 X 238001176 286038953 2476178 2525364 1697273 1697273 242174627 290261590 474135117 524033244 X 74610985 12113367 -38637389 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1837667 -43686 1793981 1838747 -1080 1837667 1818441 20306 1838747 1808535 9906 1818441 1844729 -36194 1808535 0.94930 0.05070 false true true 14395667 14395667 208396215 81900452 126495763 7183114 4395986 2787128 168866981 100265047 68601934 212280492 1274711 F MUTUAL FUNDS 33057350 F CERTIFICATES OF DEPOSITS 13183666 F CORP. MORTGAGE/ASSET BACKED SE 7630694 F OTHER INVESTMENT ASSETS 5144807 F 60291228 ACCRUED PENSION COSTS 53090781 ESTIMATED 3RD-PARTY PAYOR SETTLEMENT 16570000 ACCRUED SALARIES & WAGES 16482889 DUE TO RELATED ORGANIZATIONS 10500000 OTHER LONG TERM LIABILITY 6864817 DEFERRED COMPENSATION 3180559 ADVANCES AND DEFERRED REVENUE 3159990 LEASES PAYABLE 1335450 ACCRUED PAYROLL TAXES 657386 ACCRUED INTEREST 633159 PREMIUM ON LONG TERM DEBT 275695 DEFERRED FINANCING COST -399397 112351329 381482790 -10798257 -10798257 392281047 6159615 6159615 398440662 310092982 409085 409085 309683897 14145780 14145780 323829677 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 true true X true X true X true true false true true 6088558 6088558 0.01960 56457827 51342209 5115618 0.01650 62546385 51342209 11204176 0.03610 360245 4926 355319 0.00110 6929765 6929765 0.02230 14607890 11118780 3489110 0.01120 440913 440913 0.00140 22338813 11123706 11215107 0.03600 84885198 62465915 22419283 0.07210 34891 34891 0.00010 34891 34891 0.00010 true 13474737 629270 109115580 106242787 2872793 X true true 1 1 BLESSING HOSPITAL AT 11TH ST BROADWAY AT 11TH ST QUINCY IL 62301 X X X X X A A 1 false false true X X X X X X 15 true false true true X WWW.BLESSINGHEALTH.ORG X WWW.UNITEDWAYADAMSCO.ORG X X true 12 true WWW.BLESSINGHEALTH.ORG false false true X 200.000000000000 250.000000000000 X X X X X X true true X X X true X WWW.BLESSINGHEALTH.ORG X WWW.BLESSINGHEALTH.ORG X WWW.BLESSINGHEALTH.ORG X X X X X X true X false true X false false 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. 10 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 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. true SIU SCHOOL OF MEDICINE PO BOX 19607 327 W CALHOUN SPRINGFIELD IL 62794 376005961 501C3 1716664 BOOK MED ED & RESEARCH UNITED WAY OF ADAMS COUNTY 936 BROADWAY SUITE F QUINCY IL 62301 370673476 501C3 59974 BOOK GENERAL SUPPORT AMERICAN RED CROSS-WESTERN IL CHAP 3000 NORTH 23RD STREET QUINCY IL 62301 530196605 501C3 6000 BOOK GENERAL SUPPORT HISTORIC QUINCY BUSINESS DISTRICT 128 NORTH 5TH STREET QUINCY IL 62301 371049939 501C3 9000 BOOK GENERAL SUPPORT 4 BLESSING-RIEMAN STUDENTS 180 1071005 BOOK BLESSING HEALTH PATIENTS 684 114900 BOOK EMPLOYEE ASSISTANCE 27 39616 BOOK SCHEDULE I, PAGE 1, PART I, LINE 2 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. X X X X false false false false false false false false false MAUREEN A KAHN PRESIDENT/CEO 496676 197575 29784 72620 24362 812601 ABBY REICH MD TRUSTEE 203262 1343 2269 23448 227931 HARSHA V POLAVARAPU MD CHIEF OF STAFF 450441 72502 19004 3313 20642 561206 PATRICK M GERVELER TREASURER 349945 118453 34326 59905 27531 583076 TIMOTHY A MOORE SECRETARY 212462 64034 30112 66361 21342 388915 MARY F BARTHEL CHIEF QUALITY/SAFETY 278936 24274 4723 3313 19834 331080 JERRY R JACKSON VP ENGINEERING/FACIL 232763 78085 40192 8406 20079 373329 BETTY J KASPARIE VP PLANNING & COMP 201637 61155 8966 85789 20068 372811 ELLIOT H KUIDA COO 317556 109785 11059 3313 22002 456977 CHRISTOPHER R SOLARO MD CHIEF OF MEDICINE 529855 118605 10321 4643 27912 683871 ARDEN J REYNOLDS MD CHIEF OF SURGERY 173560 37800 8015 1961 1138 221336 JOELLEN L RANDALL VP HUMAN RESOURCES 218512 58419 3431 2504 13433 291249 TIMOTHY L TRANOR CNO 196875 48217 10510 2837 21489 276971 THOMAS A CLIATT DO PHYSICIAN 528206 164185 25312 57977 22135 792951 ANTONY S WOLLASTON MD PHYSICIAN 459656 177251 22502 6096 25178 686164 SCOTT M HOUGH MD PHYSICIAN 424982 345459 25605 3313 25890 820385 DAVID J ECKERSLEY MD PHYSICIAN 426407 256589 22142 3313 22135 725722 JOHN H ARNOLD MD PHYSICIAN 743941 50000 21760 2885 23773 833572 A CITY OF QUINCY ADAMS COUNTY 376000378 748476BN7 2007-05-03 48850181 SEE PART VI false false false B CITY OF QUINCY ADAMS COUNTY 376000378 2012-08-01 32785000 SEE PART VI false false false C CITY OF QUINCY ADAMS COUNTY 376000378 2012-08-01 30000000 SEE PART VI false false false A 23073595 48853595 570296 48853595 2009 true true true true B 2025000 32785000 164582 32620418 2012 true false true true C 30000000 168089 29831911 2015 false false true true A false false false false 0.02900 0.02900 true false true B false false false false true false true C false false false false true false true A false false true false false false false false true B false false true false true false false false true C false false false true true false false false true A true B true C true 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 KLINGNER AND ASSOCIATES SEE PART V 119520 ENGINEERING SERVICES false MISSA J GERVELER FAMILY MEMBER 38685 EMPLOYMENT false JASON H HETZLER FAMILY MEMBER 100204 EMPLOYMENT false ELLEN J TRAMAN FAMILY MEMBER 40404 EMPLOYMENT false ROBERT G TRAMAN FAMILY MEMBER 41995 EMPLOYMENT false SCHEDULE L, PART V PART IV, LINE 1 BOARD TRUSTEE, MICHAEL KLINGNER, IS PRESIDENT OF THE ENTITY WITH WHICH BUSINESS TRANSACTIONS WERE CONDUCTED. X 2 25178 FMV X 1 5000 FMV false false false SCHEDULE M, PAGE 2, PART II PART I LINE 20 DRUGS AND MEDICAL SUPPLIES POWER WHEELCHAIR 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 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 BCS INC BCS INC false BLESSINGCARE CORP DBA ILLINI COMM H 640 WEST WASHINGTON PITTSFIELD IL 62363 371396010 HOSPITAL IL 501C3 3 BCS INC BCS INC false BLESSING HOSPITAL SELF-INSURANCE PL BROADWAY AT 11TH PO BOX 7005 QUINCY IL 623057005 371045366 MED CLAIMS IL 501C3 12A BCS INC BCS INC false BLESSINGCARE CORPORATION - MISSOURI 1005 BROADWAY QUINCY IL 62301 431371818 INACTIVE MO 501C3 3 BCS INC BCS INC false 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 BCS INC false BLESSING WALK-IN CLINIC LLC 1005 BROADWAY QUINCY IL 62301 814181593 MED SVCS IL 501C3 3 BCS INC BCS INC false 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 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 true true true false false false false false false true true true true true true true true true false DENMAN SERVICES INC A 121938 FMV DENMAN SERVICES INC Q 1171634 FMV DENMAN SERVICES INC M 2410615 FMV