2026-06-16T14:26:05-04:00 2025-09-30 363077757 GRAY HUNTER STENN LLP 500 MAINE ST QUINCY IL 62301 990 2024-10-01 371396010 BLESSINGCARE CORPORATION BLES 2172852113 640 WEST WASHINGTON PITTSFIELD IL 62363 PATRICK M GERVELER SECRETARY/TREASURER 2172852113 2026-06-10 true true ERIN J WHARTON CPA P01294277 2172220304 2026-06-11 2024 2025-03-06 01:10:19Z ILLINI COMMUNITY HOSPITAL HOLLY A JONES 640 WEST WASHINGTON PITTSFIELD IL 62363 46867886 false X WWW.ILLINIHOSPITAL.ORG X 2000 IL TO IMPROVE THE HEALTH OF OUR COMMUNITIES. 6 4 259 6 21885 2927 307675 603440 34730140 39268951 715146 1483380 1614337 1814756 37367298 43170527 10000 0 0 19667392 17609091 0 0 13783185 16610318 33460577 34219409 3906721 8951118 50525615 60069679 8032805 8481469 42492810 51588210 X TO IMPROVE THE HEALTH OF OUR COMMUNITIES. false false 23898393 39268951 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 23898393 true false false true false false false false false false true false false false true false false true false false false false false false false false true true false false true true false false false false false true false false false false false false false false false true false false false true 23 0 true 259 true true true false false false false false false false false false false false X 6 4 false true true false true true true true true false false true true true true true true false false true true IL X HOLLY A JONES 2172852113 640 WEST WASHINGTON PITTSFIELD IL 62363 BRIAN T CANFIELD PRES (TERMED 0.00 40.00 X X 0 827269 155433 PATRICK M GERVELER SECRETARY/TR 0.00 40.00 X X 0 661193 148238 DR ALBORZ JAVADZADEH PSYCHIATRIST 40.00 0.00 X 542527 0 25680 DR ROBERT D THOMAS TRUSTEE/ED P 40.00 0.00 X 458316 0 43501 DR THOMAS A CLIATT ED PHYSICIAN 40.00 0.00 X 418411 0 41760 DR STUART L PYATT ED PHYSICIAN 40.00 0.00 X 416587 0 34583 TIMOTHY L TRANOR INTERIM PRES 40.00 X 0 353673 49962 DR DAKOTA LAMMY PHYSICIAN 40.00 0.00 X 326488 0 44301 MICHAEL DUNSETH PHYSICIAN 40.00 X 251045 0 44906 HOLLY A JONES VP/ADMIN-ILL 0.00 40.00 X 0 195811 29554 DAMAN EMRICK VICE-CHAIR 1.00 X X 0 0 0 K JEANNIE GOODMAN CHAIR (TERME 1.00 X X 0 0 0 AMY RUEBUSH CHAIR 1.00 X X 0 0 0 JASON STRATTON TRUSTEE 1.00 X 0 0 0 2413374 2037946 617918 6 false true false AIMS OF PITTSFIELD LLC 8657 WEDGEWOOD DRIVE BURR RIDGE IL 60527 PHYSICIAN SVCS 1304168 SHARED MEDICAL SERVICES INC 209 LIMESTONE PASS COTTAGE GROVE WI 53527 MRI/RAD SVCS 117317 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 55485 STAFFING SVCS 103635 3 597981 5459 603440 NET PATIENT SERVICE REVENUE 39268951 39268951 39268951 983785 983785 120777 120777 120777 120777 4157131 39823 3657536 39823 499595 499595 499595 OTHER 900099 1612175 1612175 EQUITY IN SUB'S EARNINGS 900099 59919 59919 ADVANCE PHYSICAL THERAPY 531120 13485 13485 8400 8400 1693979 43170527 39268951 21885 3276251 494530 494530 13771654 10245553 3526101 294961 222057 72904 2121486 1578925 542561 926460 697472 228988 5560 5560 43325 43325 635281 514569 120712 23026 6031 16995 44370 44370 1372134 1112630 259504 177434 2849 174585 OUTSIDE FEES 4426020 1379384 3046636 PATIENT SUPPLIES 3604595 3368407 236188 BAD DEBTS 1834621 1834621 ILLINOIS PROVIDER TAX 1398392 1398392 3045560 2441365 604195 34219409 23898393 10321016 0 3602285 3780788 12896794 19285648 4202753 4495040 25000 25000 58667 1009029 1040746 150232 133816 31891475 18678080 13600486 13213395 11515959 12736633 1371568 2528581 2151509 2771365 50525615 60069679 743803 1115536 1282295 1180092 6006707 6185841 8032805 8481469 X 42417859 51557798 74951 30412 42492810 51588210 50525615 60069679 8951118 144282 X false true X true false X false false false false false true 12858 false false false 12858 false SCHEDULE C, PART II-B, LINE 1 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. 271716 271716 19850978 10659333 9191645 645385 532051 113334 10386622 7486696 2899926 736774 736774 13213395 ESTIMATED THIRD-PARTY SETTLEMENTS 2655036 ACCRUED SALARIES 1603797 DEFERRED COMPENSATION 1596373 ACCRUED EMPLOYEE BENEFITS 170011 LEASE OBLIGATIONS - NONCUR. PORTION 82656 PAYROLL TAXES & WITHHOLDING 41336 LEASE OBLIGATIONS - CURRENT PORTION 33926 ACCRUED INTEREST 2706 6185841 41480188 144282 -1834621 -1690339 43170527 43170527 32384788 32384788 1834621 1834621 34219409 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 true true X true X 2.750000000000 true X 2.750000000000 true true false true true 320999 320999 0.00990 5835133 5835133 6156132 5835133 320999 0.00990 55608 55608 0.00170 3352 3352 0.00010 18225 18225 0.00060 77185 77185 0.00240 6233317 5835133 398184 0.01230 true 1834621 85677 11241608 11338323 -96715 X true true 1 1 ILLINI COMMUNITY HOSPITAL 640 WEST WASHINGTON STREET PITTSFIELD IL 62363 WWW.BLESSINGHEALTH.ORG HF110395 X X X ILLINI COMMUNITY HOSPITAL 1 false false true X X X X X X X X X X 24 true false true true X WWW.BLESSINGHEALTH.ORG X true 25 false false false true X 275.000000000000 275.000000000000 X X X X X true true X X X true X WWW.BLESSINGHEALTH.ORG X WWW.BLESSINGHEALTH.ORG X WWW.BLESSINGHEALTH.ORG X X X X X X true X false X X X X true X false false 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%. 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 false true false false false false false false false BRIAN T CANFIELD PRES (TERMED 4/2025) 798725 28544 140118 15315 982702 PATRICK M GERVELER SECRETARY/TREASURER 541086 120107 110486 37752 809431 94364 DR ALBORZ JAVADZADEH PSYCHIATRIST 389329 141884 11314 3023 27146 568207 DR ROBERT D THOMAS TRUSTEE/ED PHYSICIAN 440013 18000 303 6052 43230 501817 DR THOMAS A CLIATT ED PHYSICIAN 375115 18000 25296 6277 39682 460171 DR STUART L PYATT ED PHYSICIAN 373291 18000 25296 6900 31663 451170 TIMOTHY L TRANOR INTERIM PRESIDENT 329800 23873 4214 54653 403635 DR DAKOTA LAMMY PHYSICIAN 273124 12313 41051 4611 44287 370789 MICHAEL DUNSETH PHYSICIAN 250835 210 5216 43904 295951 HOLLY A JONES VP/ADMIN-ILLINI 195274 537 4029 30157 225365 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 A CITY OF PITTSFIELD PROJECT REVENUE BONDS SERIES 2015 370817800 2015-05-12 3000000 CONSTRUCTION CONSTRUCTION OF HOSPITAL GERIATRIC PSYCHIATRY SERVICE UNIT LOCATED ON WEST WASHINGTON S false false false A 933308 2156326 37000 2119326 2016 false false true true A false false false false true false true A false false true false true false false false true A true PURPOSE OF ISSUE DESCRIPTION CITY OF PITTSFIELD CONSTRUCTION CONSTRUCTION OF HOSPITAL GERIATRIC PSYCHIATRY SERVICE UNIT LOCATED ON WEST WASHINGTON STREET IN PITTSFIELD, ILLINOIS. DR ROBERT D THOMAS EMPLOYEE/TRUSTEE EDUCATIONAL LOAN X 30000 25000 false true true 25000 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. 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 BCS INC BLESSING CORPORATE SERVICES INC false THE BLESSING FOUNDATION INC BROADWAY AT 11TH PO BOX 7005 QUINCY IL 623057005 371128705 FUNDRAISE IL 501C3 12B BCS INC BLESSING CORPORATE SERVICES INC false CURRENT HEALTH NETWORK LLC 1005 BROADWAY QUINCY IL 62301 811681509 PRVDR NTWK IL CHS HLDGS false false 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 PO BOX 1159 GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 981454767 SELF-INSUR CJ BCS INC C CORP false false false false false true false false false true true true false true true true true true false false