BLESSINGCARE CORPORATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- BLESSINGCARE CORPORATION (EIN 37-1396010)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-05-13
- IRS object ID
- 201521339349305107
- Schema version
- 2013v4.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-13T14:15:15-07:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gray Hunter Stenn LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Maine Street | AddressLine1 |
| City | Quincy | City |
| State | IL | State |
| ZIP Code | 62301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371396010 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLESSINGCARE CORPORATION | BusinessNameLine1 |
| Business Name Line2 | dba ILLINI COMMUNITY HOSPITAL | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BLES | BusinessNameControlTxt |
| Phone | 2172852113 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 WEST WASHINGTON | AddressLine1 |
| City | PITTSFIELD | City |
| State | IL | State |
| ZIP Code | 62363 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATRICK M GERVELER | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Signature | 2015-05-13 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,504,800 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.illinihospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 210 | TotalEmployeeCnt |
| Total Volunteers | 34 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $7,947 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $318,053 | PYContributionsGrantsAmt |
| CY Contributions Grants | $328,852 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,961,559 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,859,514 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,886 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,187 | CYInvestmentIncomeAmt |
| PY Other Revenue | $459,978 | PYOtherRevenueAmt |
| CY Other Revenue | $295,862 | CYOtherRevenueAmt |
| PY Total Revenue | $23,748,476 | PYTotalRevenueAmt |
| CY Total Revenue | $21,496,415 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,746,709 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,961,694 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,067,897 | PYOtherExpensesAmt |
| CY Other Expenses | $10,807,141 | CYOtherExpensesAmt |
| PY Total Expenses | $21,814,606 | PYTotalExpensesAmt |
| CY Total Expenses | $20,768,835 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,933,870 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $727,580 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,222,145 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,813,565 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,125,196 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,989,036 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,096,949 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,824,529 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HEALTH OF OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $14,982,134 | ExpenseAmt |
| Revenue | $20,859,514 | RevenueAmt |
| Desc | THE HOSPITAL TREATED PATIENTS THROUGH THE FOLLOWING SERVICES DURING THE YEAR: 6,675 EMERGENCY ROOM VISITS, 20,363 OUTPATIENT VISITS, 362 SURGICAL OPERATIONS, 266 INPATIENT ADMISSIONS AND 151 OBSERVATION ADMISSIONS. | Desc |
| Total Program Service Expenses | $14,982,134 | 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 | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | 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 | false | 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 | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | 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 | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | 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 | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 210 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| 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 |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 | false | LocalChaptersInd |
| 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHY HULL | PersonNm |
| Phone | 2172852113 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 WEST WASHINGTON | AddressLine1 |
| City | PITTSFIELD | City |
| State | IL | State |
| ZIP Code | 62363 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JAN BLEICH | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOSE C DEL-ROSARIO | ||||||||
| PRES - MEDICAL | 1.00 | 39.00 | Yes (X) | $0 | $269,294 | $18,470 | ||
| B BRADFORD BILLINGS | ||||||||
| Secretary | 1.00 | 39.00 | Yes (X) | $0 | $1,822,822 | $81,211 | Yes (X) | |
| ROBERTA SIMPSON-DOLBEARE | ||||||||
| Chairperson | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CHRISTOPHER S WAGONER MD | ||||||||
| PRES - MEDICAL | 1.00 | 39.00 | Yes (X) | $0 | $179,027 | $16,825 | ||
| KATHLEEN E HULL | ||||||||
| President/CEO | 40.00 | 0.00 | Yes (X) | $0 | $225,196 | $20,030 | Yes (X) | |
| JAMES C GAY | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK M GERVELER | ||||||||
| Treasurer | 1.00 | 39.00 | Yes (X) | $0 | $402,302 | $58,124 | Yes (X) | |
| ERIC MILLER | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LAURA KENT-DONAHUE | ||||||||
| ViceChairperson | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ROBERT ROWLES | ||||||||
| CRNA | 40.00 | 0.00 | $199,834 | $0 | $3,250 | Yes (X) | ||
| MARK TATUM | ||||||||
| PHARMACIST | 40.00 | 0.00 | $128,796 | $0 | $14,910 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $328,630 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,898,641 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $212,820 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AIMS OF PITTSFIELD LLC | |||||
| 12533 W LAKE VIEW DR | ORLAND PARK | IL | 60467 | ER PHYSICIANS | $1,848,592 |
| BLESSING CORPORATE SERVICES | |||||
| BROADWAY AT 11TH | QUINCY | IL | 62301 | MANAGEMENT SERVICES | $506,913 |
| QUINCY MEDICAL GROUP | |||||
| 1025 MAINE ST | QUINCY | IL | 62301 | MEDICAL SERVICES | $304,500 |
| SIEMENS MEDICAL SOLUTIONS INC | |||||
| 51 VALLEY STREAM PARKWAY | MALVERN | PA | 19355 | MAINTENANCE | $183,826 |
| SHARED MEDICAL SERVICES INC | |||||
| 209 LIMESTONE PASS | COTTAGE GROVE | WI | 53527 | RADIOLOGY SERVICES | $115,850 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $45,443 | GovernmentGrantsAmt |
| All Other Contributions | $283,409 | AllOtherContributionsAmt |
| Total Contributions | $328,852 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| CONTRACTUAL ALLOWANCE | -$22,632,325 | -$22,632,325 |
| PATIENT REVENUE | $43,491,839 | $43,491,839 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,859,514 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,187 | TotalRevenueColumnAmt |
| Exclusion | $12,187 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $132,147 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,385 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $123,762 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $123,762 | TotalRevenueColumnAmt |
| Exclusion | $123,762 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $44,923 | GrossSalesOfInventoryAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,923 | TotalRevenueColumnAmt |
| Exclusion | $44,923 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|
| EQUITY IN SUB'S INCOME | -$33,889 | -$33,889 |
| OTHER | $161,066 | $161,066 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $127,177 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,496,415 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,859,514 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $308,049 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,138,569 | TotalAmt |
| Program Services | $5,283,950 | ProgramServicesAmt |
| Management And General | $1,854,619 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,761 | TotalAmt |
| Program Services | $124,916 | ProgramServicesAmt |
| Management And General | $43,845 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,157,971 | TotalAmt |
| Program Services | $1,596,214 | ProgramServicesAmt |
| Management And General | $561,757 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $496,393 | TotalAmt |
| Program Services | $367,429 | ProgramServicesAmt |
| Management And General | $128,964 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$8,841 | TotalAmt |
| Management And General | -$8,841 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,199 | TotalAmt |
| Management And General | $77,199 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $363,843 | TotalAmt |
| Program Services | $109,615 | ProgramServicesAmt |
| Management And General | $254,228 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,005 | TotalAmt |
| Program Services | $33,114 | ProgramServicesAmt |
| Management And General | $24,891 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,464 | TotalAmt |
| Management And General | $86,464 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $876,014 | TotalAmt |
| Program Services | $268,849 | ProgramServicesAmt |
| Management And General | $607,165 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,209 | TotalAmt |
| Management And General | $177,209 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHYSICIAN FEES | $2,736,699 | $2,736,699 | |
| OUTSIDE FEES | $2,307,233 | $966,306 | $1,340,927 |
| PATIENT SUPPLIES | $1,630,854 | $1,542,283 | $88,571 |
| BAD DEBTS | $840,898 | $840,898 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,661,564 | TotalAmt |
| Program Services | $1,111,861 | ProgramServicesAmt |
| Management And General | $549,703 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,768,835 | TotalAmt |
| Program Services | $14,982,134 | ProgramServicesAmt |
| Management And General | $5,786,701 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,660,426 | BOYAmt |
| EOY | $5,575,607 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,716,059 | BOYAmt |
| EOY | $1,719,520 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,356,069 | BOYAmt |
| EOY | $3,088,791 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $471,094 | BOYAmt |
| EOY | $465,737 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,175 | BOYAmt |
| EOY | $112,332 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,979,705 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,300,885 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,676,795 | BOYAmt |
| EOY | $6,678,820 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,211,527 | BOYAmt |
| EOY | $172,758 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,222,145 | BOYAmt |
| EOY | $17,813,565 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $468,291 | BOYAmt |
| EOY | $733,361 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,900,459 | BOYAmt |
| EOY | $3,506,125 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,756,446 | BOYAmt |
| EOY | $3,749,550 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,125,196 | BOYAmt |
| EOY | $7,989,036 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,749,392 | BOYAmt |
| EOY | $9,786,838 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $347,557 | BOYAmt |
| EOY | $37,691 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,096,949 | BOYAmt |
| EOY | $9,824,529 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,222,145 | BOYAmt |
| EOY | $17,813,565 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $727,580 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $264,751 | OtherCostOrOtherBasisAmt |
| Book Value | $264,751 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,458,412 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,160,095 | DepreciationAmt |
| Book Value | $3,298,317 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $370,497 | OtherCostOrOtherBasisAmt |
| Depreciation | $272,176 | DepreciationAmt |
| Book Value | $98,321 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,716,470 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,868,614 | DepreciationAmt |
| Book Value | $1,847,856 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,169,575 | OtherCostOrOtherBasisAmt |
| Book Value | $1,169,575 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,678,820 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED EMPLOYEE BENEFITS | $9,117 |
| ACCRUED INTEREST | $6,512 |
| ACCRUED SALARIES | $844,760 |
| DUE TO BLESSING HOSPITAL | $336,758 |
| ESTIMATED THIRD-PARTY SETTLEMENTS | $2,392,949 |
| NONCURRENT ACCRUED MALPRACTICE | $76,979 |
| PAYROLL TAXES & WITHHOLDING | $14,750 |
| RETAINAGE AND CONSTRUCTION AP | $67,725 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,749,550 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $20,441,077 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$773,276 | OtherRevenueAmt |
| Revenue Not Reported | -$773,276 | RevenueNotReportedAmt |
| Revenue Subtotal | $21,214,353 | RevenueSubtotalAmt |
| Other Revenues Not Included | $282,062 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $282,062 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $21,496,415 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,935,442 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $8,385 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $8,385 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,927,057 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $841,778 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $841,778 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,768,835 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S | RESTRICTED CONTRIBUTIONS $290447 RENTAL EXPENSES $-8385 |
| Part XII, Line 2d: Other expenses and losses per audited F/S | RENTAL EXPENSES $8385 |
| Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S | BAD DEBT REDUCTION OF REVENUE ON F/S $841778 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| Indiv Hospital Tailored Policy | Yes (X) | IndivHospitalTailoredPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 275.000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| 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 | $556,557 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $556,557 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02710 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,329,841 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,398,018 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,931,823 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09420 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,886,398 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,398,018 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,488,380 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12130 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,864 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $42,864 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,864 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $42,864 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,929,262 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,398,018 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,531,244 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12340 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $841,778 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $39,311 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,413,062 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,477,317 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$64,255 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct |
|---|---|
| ILLINI HEALTH SERVICES LLC | |
| PHARMACY/MEDICAL EQUIPMENT | 0.05000 |
| ADVANCE PTILLINI COMM HOSP | |
| PHYSICAL THERAPY SERVICES | 0.47000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | ILLINI COMMUNITY HOSPITAL | BusinessNameLine1 |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Form4720 Filed | false | Form4720FiledInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 150.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 275.0000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| Residency | Yes (X) | ResidencyInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 3 - Account Input from Person Who Represent the Community | The community health needs assessment was conducted with Illini Community Hospital through a consulting arrangement with the Illinois Critical Access Hospital Network. Avenues for gathering primary data were reviewed and it was determined to proceed with three focus groups. Focus Group #1, comprised of Health Care Professionals/Partners included a doctor, a representative of the local health department, a pharmacist, and a representative of an ambulance service. Focus Group #2, comprised of Community Leaders and Groups included representatives of local service organizations, a food bank, a chamber of commerce, and a nutrition program at University of Illinois Extension and a rural electric cooperative. Focus Group #3, comprised of Community Officials and Program Administrators, included school board members, school officials, mayors, and representatives of the mental health center and nursing homes. |
| Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why | Illini Community Hospital did not address Prevention and Tax of Substance abuse. There are other resources in the county who address these issues: ATOD (Alcohol, Tobacco & Other Drugs) task force and Mental Health Services of Western Illinois. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ILLINI COMMUNITY HOSPITAL RURAL HEALTH CLINIC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 WEST WASHINGTON | AddressLine1 |
| City | PITTSFIELD | City |
| State | IL | State |
| ZIP Code | 62363 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | RURAL HEALTH CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7 - Explanation of Costing Methodology | 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 Illini 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 I, Line 7, Column F - Explanation of Bad Debt Expense | Bad Debt Expense of $840,898 is subtracted from total expenses of $20,768,835 reported on line 25, column a of Form 990, part IX. |
| Part I, Line 7g - Costs Associated With Physicans Clinics | Illini Hospital does not include as subsidized health services any costs attributable to a physician clinic. |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | Methodology used to Determine Bad Debt Expense - 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 - Methodology of Estimated Amount & Rationale for Including in Community Benefit | Methodology of estimated amount & rationale for including in Community Benefit - 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 bad debt expense associated with such patient's accounts are treated as community benefit. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | Collection practices are not pursued if a completed financial assistance application has been returned and approved. |
| Part VI - Needs Assessment | Illini has contracted with the Illinois Critical Access Hospital Network to assist with the completion of the community health needs assessment. Illini will partner with the Pike County Community Health Partnership to assure the broad interests of the community served by the hospital are assessed and individuals with special knowledge or expertise in public health are included. |
| Part VI - Patient Education of Eligibility for Assistance | All Illini Hospital self-pay inpatients are contacted by a Financial Counselor within 24 hours of admission ON WEEKDAYS. The patient is screened for government programs or eligibility for participation in available community programs. Outpatients are contacted once the patient's condition has been stabilized and are screened in the same manner as inpatients. If the financial counselor is not available to meet with a patient at an appropriate time OR IT IS THE WEEKEND, the patient is given contact information and asked to call if assistance is needed. |
| Part VI - Community Information | Illini opened its doors on January 26, 1942 to serve the people residing within a 25 mile radius of Pittsfield, Illinois, which is primarily Pike County but includes parts of Scott, Green, Calhoun, Brown, and Adams County. Pike County has 831 square miles of land area and a population of around 16,300 and the total service area is around 25,000. Pike County age demographics include 6.0% under 5 years old, 22.5% under 18 years old, AND 18.9% over 65 years old. 50.0% of the population is female, 96.9% are white, and 1.8% are black. 84.9% of the population have graduated from high school and 12.1% have a bachelors degree OR higher. The median household income is $40,668 and 16.2% of the population is below the poverty level. Pike County is designated as a health professional shortage area and medically underserved area. The unemployment rate in Pike County WAS 6.6% AT 12/31/2013. The region's economy is heavily agriculture with retail and tourism associated with deer hunting. Illini is one of the largest employers with 182 employees. |
| Part VI - Community Building Activities | Illini Hospital conducts no activities considered Community Building Activities as defined by the Schedule H instructions. |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | Illini Hospital offers a wide range of services important to promoting the health and well-being of Pike County and the surrounding area. Illini Hospital operates an emergency room available to all regardless of the ability to pay. The financial assistance policy of Illini Hospital enables patients to have access to area resources to assist them with payment of medical expenses. Illini Hospital is the largest employer in the area with 210 employees. Of significant importance is the volunteers that serve the Hospital. In Fiscal Year 2014, Illini Community Hospital had 34 active volunteers. In addition to the volunteers actively working in the hospital, Illini's Board of Trustees is comprised of volunteers that includes business leaders, physicians, and other community leaders. |
| Part VI - Affilated Health Care System Roles and Promotion | 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 and Northeastern Missouri. 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, 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. |
| Part VI - States Where Community Benefit Report Filed | IL |
| Part V - Explanation of Number of Facility Type | Illini Hospital operated no facilities other than the locations listed in Part V. |
| Part VI - Additional Information | Part I, line 3C - Illini Hospital uses Federal Poverty Guidelines to determine eligibility for providing free or discounted care.Part I, line 6B - Illini Hospital's community benefit report is published in the local newspaper as an insert and is available on the hospital's website. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | 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 |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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 | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| B BRADFORD BILLINGS | ||||||||||||
| Secretary | $440,341 | $10,340 | $1,372,141 | $68,790 | $12,421 | $1,904,033 | $964,000 | |||||
| CHRISTOPHER S WAGONER MD | ||||||||||||
| PRES - MEDICAL | $177,842 | $1,185 | $1,339 | $15,486 | $195,852 | |||||||
| JOSE C DEL-ROSARIO | ||||||||||||
| PRES - MEDICAL | $223,546 | $43,042 | $2,706 | $2,984 | $15,486 | $287,764 | ||||||
| KATHLEEN E HULL | ||||||||||||
| President/CEO | $168,499 | $52,697 | $4,000 | $2,224 | $17,806 | $245,226 | ||||||
| PATRICK M GERVELER | ||||||||||||
| Treasurer | $283,788 | $87,577 | $30,937 | $39,827 | $18,297 | $460,426 | ||||||
| ROBERT ROWLES | ||||||||||||
| CRNA | $197,156 | $248 | $2,430 | $3,250 | $203,084 | |||||||
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company | 1) BLESSING CORPORATE SERVICES PROVIDES GENERAL MANAGEMENT SERVICES.2) WOUND CARE ADVANTAGE PROVIDES MANAGEMENT OF THE WOUND CLINIC. |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | BLESSING CORPORATE SERVICES, INC., AN ILLINOIS NOT FOR PROFIT CORPORATION, IS THE SOLE VOTING MEMBER OF BLESSINGCARE CORPORATION, DBA ILLINI COMMUNITY HOSPITAL. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | BLESSING CORPORATE SERVICES, INC., THE SOLE VOTING MEMBER OF BLESSINGCARE CORPORATION, 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, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | BLESSING CORPORATE SERVICES, INC., THE SOLE VOTING MEMBER OF BLESSINGCARE CORPORATION, SHALL POSSESS THE RIGHTS AND RESPONSIBILITIES TO approveexpressly all amendments to the corporation's articles of incorporationand bylaws before they may become effective; approve capital and operating budgets, long-term debt, long-range plans, the sale or purchase of real estate and contracts entered into by the corporation, the reasonable value of which exceeds an amount specified in the bylaws of the member; approve material investment decisions,including without limitation establishment and modification ofinvestment policies, engagement and removal of investment managers andadvisors, and changes in investment allocations not permitted by anexisting 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 of the selection of auditors and legal counsel; approve of charity care and community benefits-related policies; approve of the formation of subsidiary entities and/or joint ventures; approve of the filing of a petition in bankruptcy, making and assignment for the benefit of creditors, or applying for protection under any insolvency laws; approve of 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, Part VI, Line 11b: Form 990 Review Process | FOLLOWING MANAGEMENT AND LEGAL REVIEW, THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT PRIOR TO FILING. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | 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, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | THE PRESIDENT/CEO OF BLESSING CORPORATE SERVICES, INC. uses Sullivan and Cotter to identify appropriate compensation. He takes his recommendations to the BCS board compensation committee. He leaves and the committee decides. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | THE PRESIDENT/CEO OF BLESSING CORPORATE SERVICES, INC. uses Sullivan and Cotter to identify appropriate compensation. He takes his recommendations to the BCS board compensation committee. He leaves and the committee decides. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | THESE DOCUMENTS ARE LOCATED IN THE HOSPITAL'S ADMINISTRATIVE OFFICES AND ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BLESSING CORPORATE SERVICES INC | |||||||||||
| BROADWAY AT 11TH PO BOX 7005 | QUINCY | IL | 623057005 | 371128706 | PROVIDES DIRECTION AND CONTROL TO ENTITIES | IL | 501(C)(3) | 9 | N/A | false | |
| BLESSING HOSPITAL | |||||||||||
| 1005 BROADWAY | QUINCY | IL | 62301 | 370661183 | NOT-FOR-PROFIT HOSPITAL | IL | 501(C)(3) | 3 | false | BLESSING CORPORATE SERVICES INC | |
| BLESSING AFFILIATES INC | |||||||||||
| BROADWAY AT 11TH PO BOX 7005 | QUINCY | IL | 623057005 | 371128708 | COMMUNITY OUTREACH CLINIC, EDUCATIONAL PROGRAMS | IL | 501(C)(3) | 9 | false | BLESSING CORPORATE SERVICES INC | |
| THE BLESSING FOUNDATION INC | |||||||||||
| PO BOX 7005 | QUINCY | IL | 62301 | 371128705 | FUNDRAISING TO BENEFIT THE RELATED HOSPITALS | IL | 501(C)(3) | 11b | false | BLESSING CORPORATE SERVICES INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ILLINI HEALTH SERVICES LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 40 | AddressLine1 |
| City | QUINCY | City |
| State | IL | State |
| ZIP Code | 623060040 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470901851 | EIN |
| Primary Activities | PHARMACY | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BCS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENMAN SERVICES INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BROADWAY AT 11TH PO BOX 40 | AddressLine1 |
| City | QUINCY | City |
| State | IL | State |
| ZIP Code | 62306 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371132117 | EIN |
| Primary Activities | MED EQUIP | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BCS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (true) | 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 | false | 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 | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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