BLESSINGCARE CORPORATION: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- BLESSINGCARE CORPORATION (EIN 37-1396010)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-06-16
- IRS object ID
- 202621679349301412
- Schema version
- 2024v5.0
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-06-16T14:26:05-04:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 363077757 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRAY HUNTER STENN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAINE ST | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | 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 | BusinessNameLine1Txt |
| 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 | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62363 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATRICK M GERVELER | PersonNm |
| Person Title | SECRETARY/TREASURER | PersonTitleTxt |
| Phone | 2172852113 | PhoneNum |
| Signature | 2026-06-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ERIN J WHARTON CPA | PreparerPersonNm |
| PTIN | P01294277 | PTIN |
| Phone | 2172220304 | PhoneNum |
| Preparation | 2026-06-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ILLINI COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | HOLLY A JONES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 WEST WASHINGTON | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62363 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $46,867,886 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| 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 COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 259 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $21,885 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,927 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $307,675 | PYContributionsGrantsAmt |
| CY Contributions Grants | $603,440 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $34,730,140 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $39,268,951 | CYProgramServiceRevenueAmt |
| PY Investment Income | $715,146 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,483,380 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,614,337 | PYOtherRevenueAmt |
| CY Other Revenue | $1,814,756 | CYOtherRevenueAmt |
| PY Total Revenue | $37,367,298 | PYTotalRevenueAmt |
| CY Total Revenue | $43,170,527 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $10,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,667,392 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,609,091 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,783,185 | PYOtherExpensesAmt |
| CY Other Expenses | $16,610,318 | CYOtherExpensesAmt |
| PY Total Expenses | $33,460,577 | PYTotalExpensesAmt |
| CY Total Expenses | $34,219,409 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,906,721 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,951,118 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $50,525,615 | TotalAssetsBOYAmt |
| Total Assets EOY | $60,069,679 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,032,805 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,481,469 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $42,492,810 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $51,588,210 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH OF OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $23,898,393 | ExpenseAmt |
| Revenue | $39,268,951 | RevenueAmt |
| Desc | ILLINI COMMUNITY HOSPITAL TREATED PATIENTS THROUGH THE FOLLOWING SERVICES DURING FISCAL YEAR 2025: INPATIENT ADMISSIONS 456 OBSERVATION ADMISSIONS 222 OUTPATIENT VISITS 2,236 TOTAL SURGERIES 313 EMERGENCY VISITS 6,146 LABORATORY TESTS 73,222 RESPIRATORY TREATMENTS 1,345 RADIOLOGY PROCEDURES 10,278 REHAB THERAPY PROCEDURES 2,748 OTHER OUTPATIENT PROCEDURES 4,241 RURAL HEALTH CLINIC & XPRESS VISITS 22,945 IN ADDITION TO THESE HEALTHCARE SERVICES, ILLINI COMMUNITY HOSPITAL PROVIDED 320,999 IN CHARITY CARE AND INCURRED MEDICARE SHORTFALLS OF 96,715. THE HOSPITAL PROVIDED ADDITIONAL BENEFITS DURING FISCAL YEAR 2025 AS FOLLOWS: 1)HEALTH PROFESSIONALS EDUCATION - 3,352 COLLEGE SCHOLARSHIPS PRECEPTORS/CLINICAL ROTATIONS 2)IN-KIND CONTRIBUTIONS AND DONATIONS - 18,225 ICAHN PIKE CEO PCCEDC TWO RIVERS FOOD PROCESSING COUNTY FAIRS AND OTHER LOCAL EVENTS/ORGANIZATIONS 3)COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND SERVICES - 55,608 WEEKLY WELLNESS INFORMATION TRANSPORT VANS CHARITY PRESCRIPTIONS PATIENT SERVICES FOOD DISTRIBUTIONS VOLUNTEER SERVICE HOURS | Desc |
| Total Program Service Expenses | $23,898,393 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | 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 |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| 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 | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| 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 |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 23 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 259 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HOLLY A JONES | PersonNm |
| Phone | 2172852113 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 WEST WASHINGTON | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62363 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BRIAN T CANFIELD | ||||||||
| PRES (TERMED | 0.00 | 40.00 | Yes (X) | Yes (X) | $0 | $827,269 | $155,433 | |
| PATRICK M GERVELER | ||||||||
| SECRETARY/TR | 0.00 | 40.00 | Yes (X) | Yes (X) | $0 | $661,193 | $148,238 | |
| DR ALBORZ JAVADZADEH | ||||||||
| PSYCHIATRIST | 40.00 | 0.00 | $542,527 | $0 | $25,680 | Yes (X) | ||
| DR ROBERT D THOMAS | ||||||||
| TRUSTEE/ED P | 40.00 | 0.00 | Yes (X) | $458,316 | $0 | $43,501 | ||
| DR THOMAS A CLIATT | ||||||||
| ED PHYSICIAN | 40.00 | 0.00 | $418,411 | $0 | $41,760 | Yes (X) | ||
| DR STUART L PYATT | ||||||||
| ED PHYSICIAN | 40.00 | 0.00 | $416,587 | $0 | $34,583 | Yes (X) | ||
| TIMOTHY L TRANOR | ||||||||
| INTERIM PRES | 40.00 | Yes (X) | $0 | $353,673 | $49,962 | |||
| DR DAKOTA LAMMY | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $326,488 | $0 | $44,301 | Yes (X) | ||
| MICHAEL DUNSETH | ||||||||
| PHYSICIAN | 40.00 | $251,045 | $0 | $44,906 | Yes (X) | |||
| HOLLY A JONES | ||||||||
| VP/ADMIN-ILL | 0.00 | 40.00 | Yes (X) | $0 | $195,811 | $29,554 | ||
| DAMAN EMRICK | ||||||||
| VICE-CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| K JEANNIE GOODMAN | ||||||||
| CHAIR (TERME | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| AMY RUEBUSH | ||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JASON STRATTON | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,413,374 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,037,946 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $617,918 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AIMS OF PITTSFIELD LLC | |||||
| 8657 WEDGEWOOD DRIVE | BURR RIDGE | IL | 60527 | PHYSICIAN SVCS | $1,304,168 |
| SHARED MEDICAL SERVICES INC | |||||
| 209 LIMESTONE PASS | COTTAGE GROVE | WI | 53527 | MRI/RAD SVCS | $117,317 |
| MEDICAL SOLUTIONS LLC | |||||
| PO BOX 850737 | MINNEAPOLIS | MN | 55485 | STAFFING SVCS | $103,635 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $597,981 | GovernmentGrantsAmt |
| All Other Contributions | $5,459 | AllOtherContributionsAmt |
| Total Contributions | $603,440 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Total Revenue Column | $39,268,951 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $39,268,951 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $39,268,951 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $983,785 | TotalRevenueColumnAmt |
| Exclusion | $983,785 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $120,777 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $120,777 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $120,777 | TotalRevenueColumnAmt |
| Exclusion | $120,777 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,157,131 | SecuritiesAmt |
| Other | $39,823 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,657,536 | SecuritiesAmt |
| Other | $39,823 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $499,595 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $499,595 | TotalRevenueColumnAmt |
| Exclusion | $499,595 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| OTHER | 900099 | $1,612,175 | $1,612,175 | |
| EQUITY IN SUB'S EARNINGS | 900099 | $59,919 | $59,919 | |
| ADVANCE PHYSICAL THERAPY | 531120 | $13,485 | $13,485 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,400 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $8,400 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,693,979 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,170,527 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $39,268,951 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $21,885 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,276,251 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $494,530 | TotalAmt |
| Program Services | $494,530 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,771,654 | TotalAmt |
| Program Services | $10,245,553 | ProgramServicesAmt |
| Management And General | $3,526,101 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,961 | TotalAmt |
| Program Services | $222,057 | ProgramServicesAmt |
| Management And General | $72,904 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,121,486 | TotalAmt |
| Program Services | $1,578,925 | ProgramServicesAmt |
| Management And General | $542,561 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $926,460 | TotalAmt |
| Program Services | $697,472 | ProgramServicesAmt |
| Management And General | $228,988 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,560 | TotalAmt |
| Management And General | $5,560 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,325 | TotalAmt |
| Management And General | $43,325 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $635,281 | TotalAmt |
| Program Services | $514,569 | ProgramServicesAmt |
| Management And General | $120,712 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,026 | TotalAmt |
| Program Services | $6,031 | ProgramServicesAmt |
| Management And General | $16,995 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,370 | TotalAmt |
| Management And General | $44,370 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,372,134 | TotalAmt |
| Program Services | $1,112,630 | ProgramServicesAmt |
| Management And General | $259,504 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,434 | TotalAmt |
| Program Services | $2,849 | ProgramServicesAmt |
| Management And General | $174,585 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OUTSIDE FEES | $4,426,020 | $1,379,384 | $3,046,636 |
| PATIENT SUPPLIES | $3,604,595 | $3,368,407 | $236,188 |
| BAD DEBTS | $1,834,621 | $1,834,621 | |
| ILLINOIS PROVIDER TAX | $1,398,392 | $1,398,392 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,045,560 | TotalAmt |
| Program Services | $2,441,365 | ProgramServicesAmt |
| Management And General | $604,195 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,219,409 | TotalAmt |
| Program Services | $23,898,393 | ProgramServicesAmt |
| Management And General | $10,321,016 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,602,285 | BOYAmt |
| EOY | $3,780,788 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,896,794 | BOYAmt |
| EOY | $19,285,648 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,202,753 | BOYAmt |
| EOY | $4,495,040 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,000 | BOYAmt |
| EOY | $25,000 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $58,667 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,009,029 | BOYAmt |
| EOY | $1,040,746 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,232 | BOYAmt |
| EOY | $133,816 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $31,891,475 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $18,678,080 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,600,486 | BOYAmt |
| EOY | $13,213,395 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,515,959 | BOYAmt |
| EOY | $12,736,633 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,371,568 | BOYAmt |
| EOY | $2,528,581 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,151,509 | BOYAmt |
| EOY | $2,771,365 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,525,615 | BOYAmt |
| EOY | $60,069,679 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $743,803 | BOYAmt |
| EOY | $1,115,536 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,282,295 | BOYAmt |
| EOY | $1,180,092 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,006,707 | BOYAmt |
| EOY | $6,185,841 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,032,805 | BOYAmt |
| EOY | $8,481,469 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,417,859 | BOYAmt |
| EOY | $51,557,798 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,951 | BOYAmt |
| EOY | $30,412 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,492,810 | BOYAmt |
| EOY | $51,588,210 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,525,615 | BOYAmt |
| EOY | $60,069,679 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $8,951,118 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $144,282 | NetUnrlzdGainsLossesInvstAmt |
| 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $12,858 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $12,858 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | MEMBERSHIP DUES ARE PAID ON AN ANNUAL BASIS TO THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. 44.6% OF DUES ARE ALLOCABLE TO LOBBYING EXPENDITURES, WHICH INCLUDE CONGRESSIONAL VISITS AND CONTACTING REPRESENTATIVES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $271,716 | OtherCostOrOtherBasisAmt |
| Book Value | $271,716 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,850,978 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,659,333 | DepreciationAmt |
| Book Value | $9,191,645 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $645,385 | OtherCostOrOtherBasisAmt |
| Depreciation | $532,051 | DepreciationAmt |
| Book Value | $113,334 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,386,622 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,486,696 | DepreciationAmt |
| Book Value | $2,899,926 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $736,774 | OtherCostOrOtherBasisAmt |
| Book Value | $736,774 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,213,395 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD-PARTY SETTLEMENTS | $2,655,036 |
| ACCRUED SALARIES | $1,603,797 |
| DEFERRED COMPENSATION | $1,596,373 |
| ACCRUED EMPLOYEE BENEFITS | $170,011 |
| LEASE OBLIGATIONS - NONCUR. PORTION | $82,656 |
| PAYROLL TAXES & WITHHOLDING | $41,336 |
| LEASE OBLIGATIONS - CURRENT PORTION | $33,926 |
| ACCRUED INTEREST | $2,706 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,185,841 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $41,480,188 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $144,282 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$1,834,621 | OtherRevenueAmt |
| Revenue Not Reported | -$1,690,339 | RevenueNotReportedAmt |
| Revenue Subtotal | $43,170,527 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $43,170,527 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $32,384,788 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $32,384,788 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,834,621 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,834,621 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $34,219,409 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | BAD DEBT REDUCTION OF REVENUE ON FS -1,834,621 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | BAD DEBT REDUCTION OF REVENUE ON F/S 1,834,621 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 2.750000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 2.750000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $320,999 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $320,999 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00990 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,835,133 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,835,133 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,156,132 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,835,133 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $320,999 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00990 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,608 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $55,608 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,352 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,352 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,225 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,225 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,185 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $77,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,233,317 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,835,133 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $398,184 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01230 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,834,621 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $85,677 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,241,608 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,338,323 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$96,715 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ILLINI COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 WEST WASHINGTON STREET | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62363 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BLESSINGHEALTH.ORG | WebsiteAddressTxt |
| State License | HF110395 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ILLINI COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| 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 |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BLESSINGHEALTH.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 25 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 275.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 275.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.BLESSINGHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.BLESSINGHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.BLESSINGHEALTH.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, ILLINI COMMUNITY HOSPITAL - PART V, LINE 3E | THE CHNA PROCESS HAS IDENTIFIED THE FOLLOWING COMMUNITY HEALTH NEEDS AS A PRIORITY: 1) BEHAVIORAL/MENTAL HEALTH 2) FOOD AND HOUSING 3) TRANSPORTATION |
| FACILITY 1, ILLINI COMMUNITY HOSPITAL - PART V, LINE 5 | THE CHNA WAS CONDUCTED FOR ILLINI COMMUNITY HOSPITAL THROUGH A CONSULTING ARRANGEMENT WITH THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN). MULTIPLE METHODS WERE USED TO COLLECT DATA FOR THE PROJECT. SURVEY QUESTIONS AND PROTOCOLS WERE DEVELOPED IN PARTNERSHIP WITH THE ICAHN. ILLINI COMMUNITY HOSPITAL UNDERTOOK A THREE-MONTH PLANNING AND IMPLEMENTATION EFFORT TO DEVELOP THE CHNA, AND TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS FOR ITS SERVICE AREA. THESE PLANNING AND DEVELOPMENT ACTIVITIES INCLUDED THE FOLLOWING STEPS: THE PROJECT WAS OVERSEEN AT THE OPERATIONAL LEVEL BY THE CEO. ARRANGEMENTS WERE MADE WITH ICAHN TO FACILITATE TWO FOCUS GROUPS AND A MEETING TO IDENTIFY AND PRIORITIZE SIGNIFICANT NEEDS. ICAHN WAS ALSO ENGAGED TO COLLECT, ANALYZE, AND PRESENT SECONDARY DATA AND TO PREPARE A FINAL REPORT FOR SUBMISSION TO ILLINI COMMUNITY HOSPITAL. THE CEO WORKED CLOSELY WITH ICAHN'S CONSULTANT TO IDENTIFY AND ENGAGE KEY COMMUNITY PARTNERS AND TO COORDINATE LOCAL MEETINGS AND GROUP ACTIVITIES. ILLINI COMMUNITY HOSPITAL ALSO LEVERAGED EXISTING RELATIONSHIPS THAT PROVIDED DIVERSE INPUT FOR A COMPREHENSIVE REVIEW AND ANALYSIS OF COMMUNITY HEALTH NEEDS IN THE HOSPITAL'S SERVICE AREA. THESE STEPS INCLUDED: THE CEO SECURED THE PARTICIPATION OF A DIVERSE GROUP OF REPRESENTATIVES FROM THE COMMUNITY AND THE HEALTH PROFESSION. ICAHN'S CONSULTANT PROVIDED SECONDARY DATA FROM MULTIPLE SOURCES. PARTICIPATION INCLUDED REPRESENTATIVES OF COUNTY HEALTH DEPARTMENTS SERVING THE AREA SERVED BY THE HOSPITAL. |
| FACILITY 1, ILLINI COMMUNITY HOSPITAL - PART V, LINE 6B | PIKE COUNTY HEALTH DEPARTMENT, POST-ACUTE CARE PROVIDERS, COMMUNITY HEALTH PARTNERS, MENTAL HEALTH SERVICE PROVIDERS, SENIOR SERVICES PROVIDERS, EMS PROVIDERS, CITY GOVERNMENT, AND THE FAITH COMMUNITY. |
| FACILITY 1, ILLINI COMMUNITY HOSPITAL - PART V, LINE 11 | BELOW IS A LIST OF THE NEEDS IDENTIFIED IN ILLINI COMMUNITY HOSPITAL'S MOST RECENT CHNA ALONG WITH THE ACTIONS THAT WILL BE TAKEN BY THE HOSPITAL: THE CHNA PROCESS HAS IDENTIFIED THE FOLLOWING COMMUNITY HEALTH NEEDS AS A PRIORITY: 1) BEHAVIORAL/MENTAL HEALTH - DEVELOP PIKE COUNTY RESOURCE GUIDE AND MAKE AVAILABLE VIA PAPER DOCUMENT AND QR CODE AVAILABLE ON ILLINI COMMUNITY HOSPITAL WEBSITE FOR ALL RESIDENTS - DEVELOP EDUCATION PLAN FOR FIRST RESPONDERS, EMS, CITY, COUNTY, AND STATE POLICE OFFICERS TO UNDERSTAND SIGNS/SYMPTOMS OF MENTAL HEALTH AND APPROPRIATE ACTION WHEN CARING FOR THIS POPULATION - CREATE A PLAN FOR FIRST AID MENTAL HEALTH TO BE OFFERED FREE OF CHARGE TO ALL CITIZENS OF PIKE COUNTY TO UNDERSTAND MENTAL HEALTH 2) FOOD AND HOUSING - DEVELOP PIKE COUNTY RESOURCE GUIDE AND MAKE AVAILABLE VIA PAPER DOCUMENT AND QR CODE AVAILABLE ON ILLINI COMMUNITY HOSPITAL WEBSITE FOR ALL RESIDENTS 3) TRANSPORTATION - DEVELOP PIKE COUNTY RESOURCE GUIDE AND MAKE AVAILABLE VIA PAPER DOCUMENT AND QR CODE AVAILABLE ON ILLINI COMMUNITY HOSPITAL WEBSITE FOR ALL RESIDENTS |
| FACILITY 1, ILLINI COMMUNITY HOSPITAL - PART V, LINE 13B | PATIENTS ARE ELIGIBLE FOR CATASTROPHIC FINANCIAL ASSISTANCE IF THEIR INCOME EXCEEDS 275% 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 AND FAMILY SIZE. PATIENTS EXPERIENCING CATASTROPHIC MEDICAL INDIGENCE ARE ELIGIBLE FOR A DISCOUNT OF 85%. |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | PATIENTS ARE ELIGIBLE FOR CATASTROPHIC FINANCIAL ASSISTANCE IF THEIR INCOME EXCEEDS 275% 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 AND FAMILY SIZE. PATIENTS EXPERIENCING CATASTROPHIC MEDICAL INDIGENCE ARE ELIGIBLE FOR AN 85% DISCOUNT. |
| SCHEDULE H, PART I, LINE 7G | ILLINI COMMUNITY HOSPITAL DOES NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. |
| SCHEDULE H, PART I, LINE 7, COLUMN (F) | BAD DEBT EXPENSE OF 1,834,621 IS SUBTRACTED FROM TOTAL EXPENSES OF 34,219,409 REPORTED ON LINE 25, COLUMN A OF FORM 990, PART IX, FOR A NET TOTAL EXPENSE OF 32,384,788. |
| SCHEDULE H, PART I, LINE 7 | 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 COMMUNITY 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. |
| SCHEDULE H, PART III, LINE 2 | 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. |
| SCHEDULE H, PART III, LINE 3 | 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 PERFORMS AN ASSESSMENT USING 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. THIS INFORMATION IS USED 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 WITH SUCH PATIENTS ACCOUNTS ARE TREATED AS COMMUNITY BENEFIT. |
| SCHEDULE H, PART III, LINE 4 | SEE NOTE (2) ON PAGE 18 (FIFTH PARAGRAPH) OF THE ATTACHED AUDITED CONSOLIDATED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, LINE 8 | THE HOSPITAL USES A COST-TO-CHARGE RATIO TO CALCULATE COST AMOUNTS. THIS RATIO IS COMPUTED USING ILLINI COMMUNITY 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. |
| SCHEDULE H, PART III, LINE 9B | COLLECTION PRACTICES ARE NOT PURSUED IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION HAS BEEN RETURNED AND APPROVED. |
| SCHEDULE H, PART VI, LINE 2 | THE CHNA WAS CONDUCTED WITH ILLINI COMMUNITY HOSPITAL THROUGH A CONSULTING ARRANGEMENT WITH THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN). A LARGE CROSS SECTION OF COMMUNITY PARTNERS WERE REPRESENTED (GEOGRAPHIC, AGE, SOCIOECONOMIC, ETC.) THAT INCLUDED THE SCHOOL NURSES OF PIKE COUNTY AS WELL AS REPRESENTATIVES FROM THE PIKE COUNTY HEALTH DEPARTMENT. |
| SCHEDULE H, PART VI, LINE 3 | BLESSING HOSPITAL FINANCIAL ACCOUNT SPECIALISTS (FAS) ATTEMPT TO CONTACT SELF-PAY INPATIENTS WITHIN 24 HOURS OF ADMISSION. IF THIS ATTEMPT TO MEET WITH THE PATIENT IS UNSUCCESSFUL, FURTHER ATTEMPTS ARE MADE LATER DURING THEIR STAY OR VIA PHONE FOLLOWING DISCHARGE. 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 CONTACT UNINSURED PATIENTS PRIOR TO THEIR SERVICE AND PROVIDE ESTIMATES OF CHARGES AND EDUCATION ON AVAILABLE PROGRAMS IF THE SERVICE IS SCHEDULED 3 OR MORE DAYS IN ADVANCE. THE METHOD FOR OUTREACH, WHETHER THAT BE PHONE OR MAIL, IS DEPENDENT ON THE ESTIMATED PATIENT RESPONSIBILITY FOR THE SCHEDULED SERVICES. IF THE FAS ARE NOT AVAILABLE TO MEET WITH THE PATIENT PRIOR TO SERVICE, CONTACT INFORMATION IS GIVEN TO THE PATIENT IF ASSISTANCE IS NEEDED. |
| SCHEDULE H, PART VI, LINE 4 | ILLINI COMMUNITY HOSPITAL 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 APPROXIMATELY 14,258 PEOPLE. PIKE COUNTY AGE DEMOGRAPHICS INCLUDE 22.9% UNDER 18 YEARS OLD AND 22.0% OVER 65 YEARS OLD. 49.5% OF THE RESIDENTS ARE FEMALE, 97.1% CAUCASIAN, AND 1.1% AFRICAN-AMERICAN. 91.4% OF THE POPULATION HAVE GRADUATED FROM HIGH SCHOOL AND 18.5% HAVE A BACHELORS DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IS 59,777 AND 13.5% OF THE POPULATION IS BELOW THE POVERTY LEVEL. PIKE COUNTY IS DESIGNATED AS A HEALTH PROFESSIONALS SHORTAGE AREA AND MEDICALLY UNDERSERVED AREA. THE UNEMPLOYMENT RATE IN PIKE COUNTY WAS 4.2% IN 2025. THE REGIONS ECONOMY IS HEAVILY AGRICULTURAL WITH RETAIL AND TOURISM ASSOCIATED WITH DEER HUNTING. ILLINI COMMUNITY HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE COUNTY WITH 259 EMPLOYEES. |
| SCHEDULE H, PART VI, LINE 5 | ILLINI COMMUNITY HOSPITAL OFFERS A WIDE RANGE OF SERVICES IMPORTANT TO PROMOTING THE HEALTH AND WELL-BEING OF PIKE COUNTY AND THE SURROUNDING AREA. ILLINI COMMUNITY HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF THE ABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY OF ILLINI COMMUNITY HOSPITAL ENABLES PATIENTS TO HAVE ACCESS TO AREA RESOURCES TO ASSIST THEM WITH PAYMENT OF MEDICAL EXPENSES. ILLINI COMMUNITY HOSPITAL IS THE LARGEST EMPLOYER IN THE AREA WITH 259 EMPLOYEES. OF SIGNIFICANT IMPORTANCE ARE THE VOLUNTEERS THAT SERVE THE HOSPITAL, INCLUDING BUSINESS LEADERS, PHYSICIANS, AND OTHER COMMUNITY LEADERS WHO SERVE ON ILLINI COMMUNITY HOSPITAL'S BOARD OF TRUSTEES. |
| SCHEDULE H, PART VI, LINE 6 | BLESSING CORPORATE SERVICES, INC. IS THE PARENT ORGANIZATION OF A GROUP OF RELATED ORGANIZATIONS AND PROVIDES OVERALL DIRECTION TO ALL ENTITIES WITHIN THE STRUCTURE. THE FOLLOWING IS A BRIEF DESCRIPTION OF EACH MEMBER OF THE GROUP: BLESSING HOSPITAL - A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN QUINCY, ILLINOIS. 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 1873. THE BLESSING FOUNDATION, INC. - RAISES, MANAGES, AND DISTRIBUTES CHARITABLE DONATIONS ON BEHALF OF THE BLESSING HEALTH SYSTEM. DENMAN SERVICES, INC. - A TAXABLE CORPORATION THAT IS ENGAGED PRIMARILY IN THE BUSINESS OF SELLING AND RENTING MEDICAL EQUIPMENT AND OPERATING A COMMERCIAL LAUNDRY. THE ENTITY IS A WHOLLY OWNED SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. BLESSINGCARE CORPORATION DBA ILLINI COMMUNITY HOSPITAL - A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN PITTSFIELD, ILLINOIS. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF WESTERN ILLINOIS. THE HOSPITAL WAS INCORPORATED IN ILLINOIS IN 2000. CHS HOLDING COMPANY - A TAXABLE CORPORATION THAT PROVIDES HEALTH INSURANCE PRODUCTS AND SERVICES. BLESSING ASSURANCE COMPANY - A WHOLLY OWNED FOREIGN SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. THAT PROVIDES SELF-INSURANCE TO THE AFFILIATED GROUP. THE HANNIBAL CLINIC, INC. - A TAXABLE CORPORATION THAT OPERATES A PHYSICIAN CLINIC PROVIDING MULTI-SPECIALTY OUTPATIENT SERVICES TO THE REGION. IT IS A WHOLLY OWNED SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. |
| SCHEDULE H, PART VI, LINE 7 | ILLINOIS |
| SCHEDULE H, PART VI | PART I, LINE 6B - ILLINI COMMUNITY HOSPITAL'S COMMUNITY BENEFIT REPORT IS AVAILABLE ON THE HOSPITAL'S WEBSITE @ WWW.BLESSINGHEALTH.ORG |
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 |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | 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 | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN T CANFIELD | ||||||||||||
| PRES (TERMED 4/2025) | $798,725 | $28,544 | $140,118 | $15,315 | $982,702 | |||||||
| PATRICK M GERVELER | ||||||||||||
| SECRETARY/TREASURER | $541,086 | $120,107 | $110,486 | $37,752 | $809,431 | $94,364 | ||||||
| DR ALBORZ JAVADZADEH | ||||||||||||
| PSYCHIATRIST | $389,329 | $141,884 | $11,314 | $3,023 | $27,146 | $568,207 | ||||||
| DR ROBERT D THOMAS | ||||||||||||
| TRUSTEE/ED PHYSICIAN | $440,013 | $18,000 | $303 | $6,052 | $43,230 | $501,817 | ||||||
| DR THOMAS A CLIATT | ||||||||||||
| ED PHYSICIAN | $375,115 | $18,000 | $25,296 | $6,277 | $39,682 | $460,171 | ||||||
| DR STUART L PYATT | ||||||||||||
| ED PHYSICIAN | $373,291 | $18,000 | $25,296 | $6,900 | $31,663 | $451,170 | ||||||
| TIMOTHY L TRANOR | ||||||||||||
| INTERIM PRESIDENT | $329,800 | $23,873 | $4,214 | $54,653 | $403,635 | |||||||
| DR DAKOTA LAMMY | ||||||||||||
| PHYSICIAN | $273,124 | $12,313 | $41,051 | $4,611 | $44,287 | $370,789 | ||||||
| MICHAEL DUNSETH | ||||||||||||
| PHYSICIAN | $250,835 | $210 | $5,216 | $43,904 | $295,951 | |||||||
| HOLLY A JONES | ||||||||||||
| VP/ADMIN-ILLINI | $195,274 | $537 | $4,029 | $30,157 | $225,365 | |||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 3 | COMPENSATION OF ORGANIZATION'S CEO - EXECUTIVE DIRECTOR - HOLLY JONES IS AN EMPLOYEE OF BLESSING CORPORATE SERVICES, INC., THE PARENT COMPANY OF BLESSINGCARE CORPORATION. COMPARABILITY DATA PROVIDED BY A THIRD PARTY IS USED TO ESTABLISH A MARKET RANGE OF COMPENSATION. THIS INFORMATION IS SUBMITTED TO THE PRESIDENT OF BLESSING CORPORATE SERVICES FOR REVIEW AND TO THE BLESSING CORPORATE SERVICES BOARD OF TRUSTEES COMPENSATION COMMITTEE FOR APPROVAL. COMPENSATION OF ORGANIZATION'S BOARD MEMBERS - PATRICK GERVELER, BRIAN CANFIELD (TERMED 4/2025), AND TIMOTHY TRANOR ARE EMPLOYEES OF BLESSING CORPORATE SERVICES, INC., THE PARENT COMPANY OF BLESSINGCARE CORPORATION DBA ILLINI COMMUNITY HOSPITAL. COMPARABILITY DATA PROVIDED BY A THIRD PARTY IS USED TO ESTABLISH A MARKET RANGE OF COMPENSATION. THIS INFORMATION IS SUBMITTED TO THE BLESSING CORPORATE SERVICES BOARD OF TRUSTEES COMPENSATION COMMITTEE FOR APPROVAL. |
| SCHEDULE J, PAGE 1, PART I, LINE 4 | BRIAN T. CANFIELD 0 135,718 0 PATRICK M. GERVELER 0 103,586 0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF PITTSFIELD | BusinessNameLine1Txt |
| Business Name Line2 | PROJECT REVENUE BONDS SERIES 2015 | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 370817800 | BondIssuerEIN |
| Bond Issued | 2015-05-12 | BondIssuedDt |
| Issue Price | $3,000,000 | IssuePriceAmt |
| Purpose | CONSTRUCTION CONSTRUCTION OF HOSPITAL GERIATRIC PSYCHIATRY SERVICE UNIT LOCATED ON WEST WASHINGTON S | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $933,308 | RetiredAmt |
| Total Proceeds | $2,156,326 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $37,000 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $2,119,326 | CapitalExpendituresAmt |
| Substantial Completion | 2016 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | false | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (true) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PURPOSE OF ISSUE DESCRIPTION | FormAndLineReferenceDesc |
| Explanation | CITY OF PITTSFIELD CONSTRUCTION CONSTRUCTION OF HOSPITAL GERIATRIC PSYCHIATRY SERVICE UNIT LOCATED ON WEST WASHINGTON STREET IN PITTSFIELD, ILLINOIS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR ROBERT D THOMAS | PersonNm |
| Relationship With Org | EMPLOYEE/TRUSTEE | RelationshipWithOrgTxt |
| Loan Purpose | EDUCATIONAL LOAN | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $30,000 | OriginalPrincipalAmt |
| Balance Due | $25,000 | BalanceDueAmt |
| Default | false | DefaultInd |
| Board Or Committee Approval | Yes (true) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (true) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $25,000 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | ILLINI COMMUNITY HOSPITAL TREATED PATIENTS THROUGH THE FOLLOWING SERVICES DURING FISCAL YEAR 2025: INPATIENT ADMISSIONS 456 OBSERVATION ADMISSIONS 222 OUTPATIENT VISITS 2,236 TOTAL SURGERIES 313 EMERGENCY VISITS 6,146 LABORATORY TESTS 73,222 RESPIRATORY TREATMENTS 1,345 RADIOLOGY PROCEDURES 10,278 REHAB THERAPY PROCEDURES 2,748 OTHER OUTPATIENT PROCEDURES 4,241 RURAL HEALTH CLINIC & XPRESS VISITS 22,945 IN ADDITION TO THESE HEALTHCARE SERVICES, ILLINI COMMUNITY HOSPITAL PROVIDED 320,999 IN CHARITY CARE AND INCURRED MEDICARE SHORTFALLS OF 96,715. THE HOSPITAL PROVIDED ADDITIONAL BENEFITS DURING FISCAL YEAR 2025 AS FOLLOWS: 1)HEALTH PROFESSIONALS EDUCATION - 3,352 COLLEGE SCHOLARSHIPS PRECEPTORS/CLINICAL ROTATIONS 2)IN-KIND CONTRIBUTIONS AND DONATIONS - 18,225 ICAHN PIKE CEO PCCEDC TWO RIVERS FOOD PROCESSING COUNTY FAIRS AND OTHER LOCAL EVENTS/ORGANIZATIONS 3)COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND SERVICES - 55,608 WEEKLY WELLNESS INFORMATION TRANSPORT VANS CHARITY PRESCRIPTIONS PATIENT SERVICES FOOD DISTRIBUTIONS VOLUNTEER SERVICE HOURS |
| FORM 990, PART VI | BLESSINGCARE CORPORATION (BCC) CONTRACTS WITH BLESSING CORPORATE SERVICES, INC.(BCS) TO EXECUTE THE DUTIES NORMALLY PERFORMED BY MANAGEMENT. BCS'S MANAGEMENT TEAM CARRIES OUT MANY OF THE GOVERNING DECISIONS OF BCS (AS SOLE MEMBER) AND BCC'S BOARD OF TRUSTEES, SIMILAR TO THE ROLE AND FUNCTIONS OF AN EMPLOYEE-OFFICER. BCS PAID COMPENSATION TO VARIOUS EMPLOYEES COLLECTIVELY ACTING AS MANAGEMENT. THE COMPENSATION PAID TO THOSE EMPLOYEES IS DISCLOSED ON PART VII. |
| FORM 990, PAGE 6, PART VI, LINE 3 | IN ORDER TO ACHIEVE COST EFFICIENCIES, BLESSINGCARE CORPORATION (BCC) AND ITS SOLE MEMBER, BLESSING CORPORATE SERVICES, INC. (BCS), HAVE ENTERED INTO AN INTERCOMPANY MANAGEMENT SERVICES AGREEMENT WHEREBY BCS PROVIDES MANAGEMENT SERVICES TO BCC. IN ADDITION, MANAGEMENT OF BCC IS VESTED BY THE ARTICLES OF INCORPORATION AND BYLAWS IN BCS AS BCC'S SOLE MEMBER, SUBJECT TO OVERSIGHT BY AND ADVICE FROM BCC'S BOARD OF TRUSTEES. |
| FORM 990, PAGE 6, PART VI, LINE 4 | THE BYLAWS OF BLESSINGCARE CORPORATION WERE AMENDED AND RESTATED ON DECEMBER 19, 2024. THE CORPORATION'S BYLAWS WERE AMENDED TO PROVIDE THAT BLESSING CORPORATE SERVICES, INC. (BCS), AS THE SOLE MEMBER OF THE CORPORATION, WILL MANAGE THE CORPORATION; ITS RIGHTS AND RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO: A. APPOINTING AND REMOVING TRUSTEES AND THE PRESIDENT B. APPROVING ALL AMENDMENTS TO THE ARTICLES AND BYLAWS C. APPROVING BUDGETS, SALES AND PURCHASES, AND CONTRACTS D. MAKING INVESTMENT DECISIONS E. SELECTING AUDITORS AND LEGAL COUNSEL F. APPROVING CHARITY CARE AND COMMUNITY BENEFIT-RELATED POLICIES G. MAKING OTHER BUSINESS DECISIONS AND TAKING OTHER BUSINESS ACTIONS BLESSINGCARE CORPORATION'S BOARD RETAINS AN OVERSIGHT AND ADVISORY ROLE. FURTHER, THE CORPORATION'S SEPARATE OPERATIONS AND FINANCE COMMITTEE WAS ELIMINATED; THE CORPORATION'S BOARD CHAIR MAY APPOINT ONE OR MORE TRUSTEES TO SERVE ON BLESSING HEALTH SYSTEM-WIDE COMMITTEES; AND THE CONFLICTS OF INTEREST AND INDEMNIFICATION PROVISIONS WERE UPDATED TO CONFORM TO THE POLICIES AND PRACTICES OF BCS AS THE SOLE MEMBER. THERE WERE OTHER NON- SUBSTANTIVE CHANGES TO NOMENCLATURE AND PROCEDURAL MEETING MATTERS. BLESSINGCARE CORPORATION'S ARTICLES OF INCORPORATION WERE AMENDED TO CONFORM TO THE FOREGOING CHANGES. |
| FORM 990, PAGE 6, PART VI, LINE 6 | BLESSING CORPORATE SERVICES, INC., AN ILLINOIS NOT FOR PROFIT CORPORATION, IS THE SOLE VOTING MEMBER OF BLESSINGCARE CORPORATION DBA ILLINI COMMUNITY HOSPITAL. |
| FORM 990, PAGE 6, PART VI, LINE 7A | BLESSING CORPORATE SERVICES, INC., THE SOLE VOTING MEMBER OF BLESSINGCARE CORPORATION (CORPORATION), SHALL POSSESS THE EXCLUSIVE RIGHTS AND RESPONSIBILITIES TO APPOINT AND/OR REMOVE ALL THE TRUSTEES OF THE CORPORATION AND THE CORPORATION'S PRESIDENT. |
| FORM 990, PAGE 6, PART VI, LINE 7B | BLESSING CORPORATE SERVICES, INC., THE SOLE VOTING MEMBER OF BLESSINGCARE CORPORATION (CORPORATION), SHALL POSSESS THE EXCLUSIVE RIGHTS AND RESPONSIBILITIES TO: A. APPROVE EXPRESSLY ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE; B. APPROVE AND OVERSEE 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 SET FORTH IN THE BYLAWS OF THE VOTING MEMBER; C. 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; D. APPROVE THE PARAMETERS FOR TERMS OF EMPLOYMENT OF PROVIDERS, INCLUDING PROVIDER COMPENSATION PLANS, AND ANY MATERIAL VARIANCES FROM SUCH PARAMETERS FOR INDIVIDUAL PROVIDERS; E. APPROVE THE SELECTION OF AUDITORS AND LEGAL COUNSEL AND OVERSEE AUDITS; F. APPROVE THE FORMATION OF SUBSIDIARY ENTITIES AND/OR JOINT VENTURES; G. APPROVE THE FILING OF A PETITION IN BANKRUPTCY, MAKING AN ASSIGNMENT FOR THE BENEFIT OF CREDITORS, OR APPLYING FOR PROTECTION UNDER ANY INSOLVENCY LAWS; H. APPROVE THE PARTICIPATION IN ANY MERGER, COMBINATION, CONSOLIDATION, LIQUIDATION, DISSOLUTION, OR OTHER CORPORATE OR BUSINESS ENTITY RESTRUCTURING; I. ENACT AND IMPLEMENT SUCH POLICIES AND PROCEDURES AS THE MEMBER DEEMS NECESSARY OR ADVISABLE FOR THE MANAGEMENT OF THE CORPORATION; J. COMPEL THE CORPORATION'S BOARD, OFFICERS, AND AGENTS TO ENFORCE AND/OR PERFORM ANY CONTRACTUAL OR OTHER OBLIGATIONS AND/OR TAKE ANY ACTION THE MEMBER DEEMS NECESSARY OR ADVISABLE FOR THE MANAGEMENT OF THE CORPORATION; K. APPROVE THE DEVELOPMENT, IMPLEMENTATION, MONITORING, AND REPORTING ON THE COMMUNITY BENEFITS PLANS, PROGRAMS, AND OTHER ACTIVITIES OF THE CORPORATION, INCLUDING, BUT NOT LIMITED TO, THE COMMUNITY NEEDS ASSESSMENT; L. APPROVE ADVOCACY EFFORTS ON BEHALF OF PATIENTS, THE COMMUNITY, AND THE CORPORATION REGARDING THE ALLOCATION OF EXTERNAL AND INTERNAL RESOURCES TO THE COMMUNITY HEALTH NEEDS; M. DETERMINE TRUSTEE COMPENSATION, IF ANY. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FOLLOWING MANAGEMENT AND LEGAL REVIEW, THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES OF BLESSINGCARE CORPORATION DBA ILLINI COMMUNITY HOSPITAL 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 ANY CONFLICT OF INTEREST IN REGARDS TO AGENDA ITEMS BEING PRESENTED AT THE START OF EACH BOARD MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THESE DOCUMENTS ARE LOCATED IN THE CORPORATE ADMINISTRATIVE OFFICE AND ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLESSING CORPORATE SERVICES INC | ||||||||||||
| BROADWAY AT 11TH PO BOX 7005 | QUINCY | IL | 623057005 | 371128706 | MGMT SVCS | IL | 501C3 | 10 | N/A | false | ||
| BLESSING HOSPITAL | ||||||||||||
| 1005 BROADWAY | QUINCY | IL | 62301 | 370661183 | HOSPITAL | IL | 501C3 | 3 | false | BCS INC | BLESSING CORPORATE SERVICES INC | |
| THE BLESSING FOUNDATION INC | ||||||||||||
| BROADWAY AT 11TH PO BOX 7005 | QUINCY | IL | 623057005 | 371128705 | FUNDRAISE | IL | 501C3 | 12B | false | BCS INC | BLESSING CORPORATE SERVICES INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CURRENT HEALTH NETWORK LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1005 BROADWAY | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 811681509 | EIN |
| Primary Activities | PRVDR NTWK | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHS HLDGS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DENMAN SERVICES INC | |||||||||||||||
| PO BOX 40 | QUINCY | IL | 62306 | 371132117 | MED EQUIP | IL | BCS INC | C CORP | false | ||||||
| CHS HOLDING COMPANY | |||||||||||||||
| 1005 BROADWAY | QUINCY | IL | 62301 | 320481381 | GRP HLTH | IL | BCS INC | C CORP | false | ||||||
| HANNIBAL CLINIC INC | |||||||||||||||
| 100 MEDICAL DRIVE | HANNIBAL | MO | 63401 | 431033473 | MED SVCS | MO | BCS INC | C CORP | false | ||||||
| BLESSING ASSURANCE COMPANY | |||||||||||||||
| 981454767 | SELF-INSUR | BCS INC | C CORP | false | PO BOX 1159 | GRAND CAYMAN | CAYMAN ISLANDS | CJ | KY1-1102 | CJ | |||||
| 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 |