2023-08-03T10:55:06-04:00 2022-09-30 363077757 GRAY HUNTER STENN LLP 500 MAINE ST QUINCY IL 62301 990 2021-10-01 420710268 KEOKUK AREA HOSPITAL KEOK 3195247150 1600 MORGAN STREET KEOKUK IA 52632 PATRICK GERVELER TREASURER 2172231200 2023-07-06 true PATRICK GERVELER 999009999 ERIN J WHARTON CPA P01294277 2172220304 2023-08-02 2021 2023-04-26 12:10:37Z BLESSING HEALTH KEOKUK BRIAN T CANFIELD 1005 BROADWAY QUINCY IL 62301 21942792 false X HTTPS://WWW.BLESSINGHEALTH.ORG/ X 1975 IA IMPROVING COMMUNITY HEALTH AND ENSURING ACCESS TO QUALITY HEALTHCARE SERVICES REGARDLESS OF ABILITY TO PAY. 8 7 227 0 4393415 11320814 7730679 10084157 -57676 11085 79876 216236 12146294 21632292 138437 0 0 7977958 12430508 0 0 4321918 6455774 12438313 18886282 -292019 2746010 5149011 5237631 5949702 3292312 -800691 1945319 X IMPROVING COMMUNITY HEALTH AND ENSURING ACCESS TO QUALITY HEALTHCARE SERVICES REGARDLESS OF ABILITY TO PAY. false true 14991399 10084157 KEOKUK AREA HOSPITAL (KAH) IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL FULLY ACCREDITED BY THE JOINT COMMISSION. ANNUALLY, KAH SERVICES APPROXIMATELY 300 ADMISSIONS, 7,000 EMERGENCY ROOM VISITS, AND 20,000 OUTPATIENT VISITS TO THE RESIDENTS OF KEOKUK, IOWA AND SURROUNDING AREAS. KAH ALSO SERVICES PATIENTS FROM A TRI-STATE AREA INCLUDING LEE COUNTY, IA, HANCOCK COUNTY, IL, AND CLARK COUNTY, MO. THE HOSPITAL HAS APPROXIMATELY 103 CREDENTIALED PHYSICIANS AND 9 CRNA/ARNPS ON THE MEDICAL STAFF AND IS GOVERNED BY THE KEOKUK HEALTH SYSTEMS BOARD OF DIRECTORS WHICH IS MADE UP OF LOCAL COMMUNITY MEMBERS. 14991399 true true false false 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 false false false false false false false false true false false false false true false false false true 27 0 227 true false false false false false false false false false false false false X 8 7 false true false false true true true true true true false true true true true true true true true false X PATRICK GERVELER 2172231200 BROADWAY AT 11TH QUINCY IL 62305 MAUREEN KAHN PRESIDENT/CE 0.00 40.00 X 0 1783418 231327 PATRICK GERVELER TREASURER 0.00 40.00 X 0 676198 143011 KATHLEEN E HULL ADMINISTRATO 0.00 40.00 X 0 313144 47276 VICKIE RENEAU ADMINISTRATO 39.00 1.00 X 172359 0 22566 TERESA CONLEE SECRETARY 40.00 0.00 X 50556 0 0 MIKE DUNN DIRECTOR 1.00 1.00 X 0 0 0 KYLE KECK DIRECTOR 1.00 1.00 X 0 0 0 DR KIRAN KHANOLKAR DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL KLAUSER DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL MAHER CHAIR 1.00 1.00 X X 0 0 0 TOM RICHARDSON VICE CHAIR 1.00 1.00 X X 0 0 0 BARB SMIDT DIRECTOR 1.00 1.00 X 0 0 0 DR DONZA WORDEN DIRECTOR 1.00 1.00 X 0 0 0 222915 2772760 444180 1 false true false IOWA EMERGENCY PHYSICIANS LLP 3421 W 9TH ST WATERLOO IA 50702 STAFFING 1966219 GRAPE TREE MEDICAL STAFFING LLC 2501 BOJI BEND DR SUITE 100 MILFORD IA 51351 STAFFING 421692 BLOOMFIELD ANESTHESISTS PLLC 105 E LOCUST ST BLOOMFIELD IA 52537 ANESTHESIOLOGY 132699 3 851851 10468963 880286 11320814 NET PATIENT SERVICE REVENUE 621110 10066492 10066492 RENTAL REVENUE 561000 17665 17665 10084157 1001 1001 320584 310500 10084 10084 10084 MISCELLANOUS 900099 179591 179591 CAFETERIA REVENUE 541610 36645 36645 216236 21632292 10273832 37646 X 245481 245481 10582763 8722008 1860755 13089 10543 2546 1095597 882489 213108 493578 397571 96007 2857082 1536120 1320962 47037 47037 697959 595906 102053 626197 626197 16089 15667 422 778 778 6512 6512 146972 146972 36556 36556 MEDICAL SUPPLIES 1916097 1916097 HOUSEKEEPING/LAUNDRY 104495 104495 18886282 14991399 3894883 0 1608211 498365 1024 639843 1312198 1404493 28500 240704 541879 293377 107653 50036 2277415 278153 1349087 1999262 167888 111551 32571 5149011 5237631 4065450 3150106 1570863 65090 248299 142206 5949702 3292312 X -855423 1945011 54732 308 -800691 1945319 5149011 5237631 2746010 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 165800 165800 1181652 88950 1092702 13543 1016 12527 916420 188187 728233 1999262 MEDICARE REIMBURSMENTS 140706 OTHER LT LIABILITIES 1500 142206 true true true X true X 6.000000000000 true true false true true 83789 83789 0.00440 2127280 2127280 0.11260 2211069 2211069 0.11710 3130 3130 0.00020 3130 3130 0.00020 2214199 2214199 0.11720 true 920767 2396679 4746107 -2349428 X true true 1 1 KEOKUK AREA HOSPITAL DBA BLESSING HEALTH KEOKUK 1600 MORGAN STREET KEOKUK IA 52632 HTTPS://WWW.BLESSINGHEALTH.ORG/ 560054H X X X KEOKUK AREA HOSPITAL DBA BLESSING HEALTH KEOKUK 1 false false true X X X X X X X X 19 true true true true X WWW.BLESSINGHEALTH.ORG/PUBLICATIONS X true 19 true WWW.BLESSINGHEALTH.ORG/PUBLICATIONS false true X 200.000000000000 600.000000000000 X X X X X X true true X X X X true X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X true X false X X X X true X false false FACILITY 1, KEOKUK AREA HOSPITAL - PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DISCRIPTION OF THE SIGNIFCANT HEALTH NEEDS OF THE COMMUNITY, SEE BELOW: INDEPENDENTLY, KEOKUK AREA HOSPITAL HAS IDENTIFIED THREE OF THE SIX PRIORITY AREAS TO FOCUS ON FOR THE NEXT THREE YEARS. OBESITY PRESCRIPTION DRUG ABUSE TOBACCO USE PRIORITY: OBESITY STRATEGIES: 1. EVALUATE OPPORTUNITIES TO DEVELOP A WELLNESS PROGRAM FOR STAFF THAT INCLUDES CALORIE COUNTS IN THE CAFETERIA, HEALTH PRESENTATIONS, INCENTIVES FOR PARTICIPATING IN HEALTH EVENTS AND COORDINATION OF A BIGGEST LOSER TYPE PROGRAM. 2. INCREASE PROMOTION OF THE DIABETES EDUCATION AND SUPPORT PROGRAMS AT THE HOSPITAL THROUGHOUT THE COMMUNITY. THIS WILL BE DONE USING SOCIAL MEDIA, PRINT ADVERTISEMENTS, ARTICLES AND PRESENTATIONS. 3. INCREASE SPONSORSHIPS AND PROMOTION OF HEALTH RELATED COMMUNITY EVENTS. PRIORITY: PRESCRIPTION DRUG ABUSE STRATEGIES: 1. ENCOURAGE LOCAL HIGH SCHOOLS TO OFFER STUDENTS THE EVERFI PRESCRIPTION DRUG ABUSE PREVENTION PROGRAM (SPONSORED BY UNITYPOINT HEALTH). 2. PROMOTE LOCAL DRUG TAKE BACK DAYS THAT ARE HELD THROUGHOUT THE AREA. 3. HOST A COMMUNITY PRESENTATION WITH A PHARMACIST OR PHYSICIAN AS THE SPEAKER. 4. INCREASE EDUCATION REGARDING OPIOID DRUGS WITH PATIENTS IN THE EMERGENCY ROOM AND OTHER PATIENT CARE AREAS. PRIORITY: TOBACCO USE STRATEGIES: 1. REVIEW INTERNAL POLICIES. 2. PROMOTE TOBACCO CESSATION EDUCATION PROGRAMS. 3. HOST A LUNG HEALTH EVENT THAT INCORPORATES HEALTH ISSUES RELATED TO TOBACCO USE, INCLUDING OFFERING PULMONARY FUNCTION TESTING. 4. DEVELOP A LUNG CANCER SCREENING PROGRAM. NEEDS NOT ADDRESSED: SOME ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT HAVE NOT BEEN ADDRESSED IN THIS PLAN. THOSE SERVICES WILL BE INCLUDED IN THE LEE COUNTY HEALTH DEPARTMENT PLAN. SOME WILL ALSO BE FOLLOWED UP BY OTHER COMMUNITY GROUPS THROUGHOUT LEE COUNTY. FACILITY 1, KEOKUK AREA HOSPITAL - PART V, LINE 5 UNITYPOINT HEALTH - KEOKUK, LEE COUNTY HEALTH DEPARTMENT AND FORT MADISON COMMUNITY HOSPITAL ONCE AGAIN COLLABORATED TO BRING MULTIPLE COMMUNITY MEMBERS AND PARTNERSHIPS TOGETHER TO COMPLETE THE COUNTYS COMMUNITY HEALTH NEEDS ASSESSMENT. THE PROCESS IDENTIFIED SIX SPECIFIC HEALTH NEEDS TO ADDRESS IN THE COUNTYS HEALTH IMPROVEMENT PLAN FOR THE NEXT THREE YEARS. ON OCTOBER 4, 2018, 33 REPRESENTATIVES FROM A VARIETY OF COMMUNITY SECTORS MET TO REVIEW AND EVALUATE COUNTY LEVEL DATA/HEALTH INDICATORS, COMMUNITY- WIDE SURVEY RESULTS, AND DISCUSS COMMUNITY ASSETS AND RESOURCES AVAILABLE TO ADDRESS THE NEEDS OF THE COUNTY. ATTENDEES INCLUDED REPRESENTATIVES FROM UNITYPOINT HEALTH - KEOKUK, LEE COUNTY BOARD OF HEALTH, LEE COUNTY HEALTH DEPARTMENT, FORT MADISON COMMUNITY HOSPITAL, CHILDREN FIRST EARLY CHILDHOOD IOWA, SOUTHEAST IOWA REGIONAL PLANNING, LEE COUNTY COMMUNITY SERVICES/SOUTHEAST IOWA LINKDISABILITY SERVICES, MILESTONES AREA AGENCY ON AGING, UNITED WAY OF THE GREAT RIVER REGION, HOERNER YMCA, LEE COUNTY CONSERVATION, RAPE VICTIM ADVOCACY PROGRAM, ALCOHOL & DRUG DEPENDENCY SERVICES AND COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC. FACILITY 1, KEOKUK AREA HOSPITAL - PART V, LINE 6A KEOKUK AREA HOSPITALS CHNA WAS PERFORMED WITH FORT MADISON COMMUNITY HOSPITAL. FACILITY 1, KEOKUK AREA HOSPITAL - PART V, LINE 6B KEOKUK AREA HOSPITALS CHNA WAS PERFORMED WITH THE LEE COUNTY HEALTH DEPARTMENT. FACILITY 1, KEOKUK AREA HOSPITAL - PART V, LINE 11 ALCOHOL CONSUMPTION (EXCESSIVE DRINKING) DATA (19%) EXCEEDED THE NATIONAL DATA (13%) BUT WAS UNDER THE STATE DATA (22%). ALCOHOL-IMPAIRED DRIVING DEATHS (31%) EXCEEDED THE STATE (27%) AND NATIONAL DATA (13%). LEE COUNTY TOBACCO USAGE DATA (17%) EXCEEDED NATIONAL DATA (14%) AND WAS EQUAL TO STATE DATA (17%). MORTALITY RATES OF DRUG POISONING (18) ALSO EXCEEDED THE STATE (9) AND NATIONAL LEVELS (10). LOCAL SURVEY RESULTS SUGGESTED THE COMMUNITY PARTNERS VOTED TO ALSO RECOGNIZE PRESCRIPTION DRUG ABUSE IS INCREASINGLY BECOMING A SIGNIFICANT HEALTH ISSUE. IN AN EFFORT TO PREVENT/REDUCE ALCOHOL, TOBACCO AND OTHER DRUG ABUSE AMONG OUR YOUTH AND ADULTS INCLUDING PRESCRIPTION DRUG ABUSE WE INCREASED EDUCATION IN THE PUBLIC THROUGH SERVICE ANNOUNCEMENTS AND PROMOTED INITIATIVES SUCH AS TAKE BACK IOWA PROGRAMS. WE ARE PROVIDING EDUCATION TO PATIENTS ON ALTERNATIVE TREATMENTS FOR PRESCRIPTION DRUGS, PROPERLY SECURING MEDICATIONS FROM HOUSEHOLD MEMBERS, VISITORS. TO IMPROVE THE POPULATIONS MENTAL HEALTH AND WELL-BEING. WE CONTINUE TO EVALUATE STRATEGIES AND PROCESSES FOR IMPLEMENTING HEALTH TECHNOLOGY FOR PATIENTS SERVED. PROMOTION AND EDUCATION IS GIVEN ON AVAILABLE COMMUNITY RESOURCES. OBESITY AND OTHER CHRONIC HEALTH ISSUES CONTINUE TO BE A TOP PRIORITY TO FOCUS ON AGAIN. DATA REVEALED DIABETES (9%), STROKE RATE (41), HEART DISEASE (225.7) PREVALENCE AND DISEASE MORTALITY STILL EXCEEDS THE STATE AND NATIONAL LEVELS. INDIVIDUALS GETTING ROUTINE PREVENTIVE HEALTH SCREENINGS REMAINS LOW YET PERCENTAGES OF THOSE WITH HIGH CHOLESTEROL (38.78) AND BLOOD PRESSURE (28.5) EXCEED STATE AND NATIONAL LEVELS. INADEQUATE FRUIT AND VEGETABLE CONSUMPTION (83.4%) AND INADEQUATE PHYSICAL ACTIVITY (23.3%) REMAIN HIGHER THAN STATE AND NATIONAL LEVELS. FOOD INSECURITY (14.46%) AND FOOD ACCESS OF OUR VULNERABLE POPULATION SUCH AS OUR SENIORS (19.52) REMAINS AN ISSUE. WE HAVE INCREASED PARTICIPATION IN PROGRAMS BY RAISING AWARENESS AMONG LOCAL PROVIDERS TO HELP BECOME BETTER EDUCATORS ON LOCAL OPPORTUNITIES. WE ALSO ARE OFFERING SENIOR FITNESS CLASSES AND PROMOTING LOCAL HEALTH EVENTS AND SERVICES. WE ARE ACTIVE IN THE LIVE HEALTH LEE COUNTY COALITION WHICH IS WORKING HARD ON EFFORTS TO ENCOURAGE BETTER EATING HABITS IN YOUNG ADULTS AND ADDING NEW HEALTHY OPTIONS. THE GROUP ALSO INCREASED PARTICIPATION IN LOCAL COMMUNITY GARDENING AND PRODUCE BOXES AND OTHER HEALTH INITIATIVES. WORKING TO INCREASE PARTICIPATION IN HEALTH MANAGEMENT EDUCATION AND CARE COORDINATION WITH DIABETES SELF-MANAGEMENT AND WEIGHT MANAGEMENT BY PROMOTING PROPER DIET, EXERCISE, AND MEDICATION MANAGEMENT. INCREASING SPONSORSHIPS AND PROMOTION OF HEALTH-RELATED COMMUNITY EVENTS. TEEN BIRTH RATES IN LEE COUNTY IS A PRIORITY HEALTH NEED. THE LEE COUNTY TEEN BIRTH RATE FOR AGES 15-19 (47.9) IS HIGHER THAN THE STATE RATE (29.9) AND NATIONAL RATE (36.6). LOW BIRTH WEIGHT RATES (7.9%) ALSO WERE HIGHER THAN THE STATE (6.8%) BUT LOWER THAN NATIONAL LEVEL (8.2%). WE ARE UTILIZING MESSAGING FOR OUTREACH EDUCATION. IN AN EFFORT TO PREVENT OR REDUCE TEEN BIRTHS AND STDS AMONG YOUTH/YOUNG ADULTS WE ARE PROVIDING ACCESS TO CONDOMS AT KEY LOCATIONS LIKE PUBLIC AND STAFF RESTROOMS. FACILITY 1, KEOKUK AREA HOSPITAL - PART V, LINE 13H PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE US. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM; WOMEN, INFANTS & CHILDREN (WIC); AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. THIRD PARTY AGENCIES ARE USED TO ASSIST WITH COLLECTIONS AND, IF THOSE AGENCIES PROVIDE A STATEMENT REGARDING A PATIENTS LIKELY INCOME LEVEL, THAT INFORMATION IS USED IN DETERMINING THE ELIGIBILITY STATUS AND THE LEVEL OF DISCOUNT AVAILABLE. STATE LAW REQUIREMENTS THAT OFFER ADDITIONAL AND/OR MORE STRINGENT ELIGIBILITY REQUIREMENTS WILL BE FOLLOWED FOR THOSE STATES. FACILITY 1, KEOKUK AREA HOSPITAL, PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.BLESSINGHEALTH.ORG/PATIENTS/BILLING-INSURANCE/FINANCIAL- ASSISTANCE FACILITY 1, KEOKUK AREA HOSPITAL, PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.BLESSINGHEALTH.ORG/PATIENTS/BILLING-INSURANCE/FINANCIAL- ASSISTANCE FACILITY 1, KEOKUK AREA HOSPITAL, PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.BLESSINGHEALTH.ORG/PATIENTS/BILLING-INSURANCE/FINANCIAL- ASSISTANCE 1 TRI-STATE MEDICAL GROUP 1600 MORGAN KEOKUK IA 52632 PRIMARY CARE CLINIC SCHEDULE H, PART I, LINE 6A KEOKUK AREA HOSPITAL'S COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST FROM BLESSING CORPORATE SERVICES, INC. SCHEDULE H, PART I, LINE 7 A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A. THE AMOUNTS ON LINES 7B-7C (UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) ARE OBTAINED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO COST ACCOUNTING SYSTEM USE COST-TO-CHARGE RATIO. THE AMOUNTS FOR LINES 7E, F, H, AND I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST. THE AMOUNTS ON 7G ARE DERIVED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO A COST ACCOUNTING SYSTEM USE THE COST-TO-CHARGE RATIO. SCHEDULE H, PART II KEOKUK AREA HOSPITALS COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY THROUGH INCREASED EDUCATION AND TRAINING OF HEALTHCARE RELATED ISSUES AS WELL AS PROMOTING CAREER DEVELOPMENT IN THE HEALTHCARE FIELD. SCHEDULE H, PART III, LINE 2 THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENTS LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE AMOUNT REPORTED ON LINE 2 IS CALCULATED BASED ON BAD DEBT PATIENT ACTIVITY AS WELL AS PROJECTED BAD DEBT EXPENSE WHICH IS CALCULATED BASED ON OPEN PATIENT ACCOUNTS. SCHEDULE H, PART III, LINE 4 PAGE 18 OF THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS CONTAINS THE FOODNOTE DESCRIPTION OF BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 8 AMOUNTS ON LINE 6 WERE CALCULATED USING IRS WORKSHEET B TOTAL MEDICARE ALLOWABLE COSTS. THE MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORTS AND THEN REDUCED BY ANY AMOUNTS ALREADY CAPTURED IN COMMUNITY BENEFIT EXPENSE IN PART I ABOVE. THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SURPLUS REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATIONS MEDICARE COST REPORT. HOWEVER THE MEDICARE COST REPORT DISALLOWS CERTAIN ITEMS THAT WE BELIEVE ARE LEGITIMATE EXPENSES INCURRED IN THE PROCESS OF CARING FOR OUR MEDICARE PATIENTS. EXAMPLES OF THESE ITEMS INCLUDE PROVIDER BASED PHYSICIAN EXPENSE, SELF INSURANCE EXPENSE, HOME OFFICE EXPENSE AND THE SHORTFALL FROM FEE SCHEDULE PAYMENTS. THE HOSPITAL BELIEVES THE ENTIRE AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT, MORE SPECIFICALLY, AS CHARITY CARE. THE ELDERLY CONSTITUTE A CLEARLY-RECOGNIZED CHARITABLE CLASS, AND MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR AND THUS WOULD HAVE QUALIFIED FOR THE HOSPITALS CHARITY CARE PROGRAM, MEDICAID OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS ABSENT THE MEDICARE PROGRAM. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS. ADDITIONALLY, THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS. FINALLY, THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. SCHEDULE H, PART III, LINE 9B AFTER THE PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS PARTIALLY OR ENTIRELY WRITTEN OFF, AS APPROPRIATE. ANY REMAINING BALANCE, IF ANY, WOULD BE COLLECTED UNDER THE NORMAL DEBT COLLECTION POLICY. SCHEDULE H, PART VI, LINE 2 KEOKUK AREA HOSPITAL PARTICIPATES WITH MANY HEALTH RELATED ORGANIZATIONS TO ASSESS HEALTHCARE NEEDS IN LEE COUNTY, IOWA AND SHARES THE RESULTS IN A WRITTEN COMMUNITY HEALTH NEEDS ASSESSMENT WHICH IS AVAILABLE ON THE WEBSITE OR BY REQUEST. SCHEDULE H, PART VI, LINE 3 THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ALL PATIENTS AND WITHIN THE COMMUNITY. COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE BY MAIL, ON EACH HOSPITALS WEBSITE, AND IN PERSON AT EACH HOSPITAL. THE CENTRAL BILLING OFFICE IS AVAILABLE BY PHONE TO ANSWER QUESTIONS ABOUT THE POLICY, OR PATIENTS SHOULD GO TO THE CASHIERS OFFICE AT THE HOSPITAL TO OBTAIN THIS INFORMATION. THE PLAIN LANGUAGE SUMMARY IS OFFERED AS PART OF THE PATIENT INTAKE AND/OR DISCHARGE PROCESS AND INCLUDED WHEN A PATIENT IS SENT WRITTEN NOTICE THAT EXTRAORDINARY COLLECTION ACTIONS MAY BE TAKEN AGAINST HIM/HER. THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY, AND ALL FINANCIAL ASSISTANCE FORMS ARE AVAILABLE IN ENGLISH AND IN ANY OTHER LANGUAGE IN WHICH LIMITED ENGLISH PROFICIENCY (LEP) POPULATIONS CONSTITUTE THE LESSER OF 1,000 PERSONS OR MORE THAN 5% OF THE COMMUNITY SERVED BY THE HOSPITAL. THESE TRANSLATED DOCUMENTS WILL BE AVAILABLE BY MAIL, ON EACH HOSPITALS WEBSITE, AND IN PERSON AT EACH HOSPITAL. SCHEDULE H, PART VI, LINE 4 KEOKUK HOSPITAL IS A 49 BED COMMUNITY HOSPITAL SERVING THE MIDWEST REGION. KEOKUK HOSPITAL IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE. 76% OF KEOKUK HOSPITAL MARKET RESIDENTS LIVE WITHIN THE IOWA COUNTY OF LEE. KEOKUK HOSPITAL ADMITS APPROXIMATELY 300 INPATIENTS AND CARES FOR 8,000 EMERGENCY PATIENTS PER YEAR. MEDIAN HOUSEHOLD INCOME IS 52,072 AND THE AVERAGE POVERTY RATE IS 11.5%. 71.3% OF KEOKUK HOSPITALS INPATIENTS ARE ELIGIBLE FOR MEDICARE OR MEDICAID. SCHEDULE H, PART VI, LINE 5 KEOKUK AREA HOSPITAL HAS AN ALL VOLUNTEER BOARD OF DIRECTORS MADE UP OF LOCAL COMMUNITY MEMBERS WHO SERVE WITHOUT COMPENSATION. THE MEDICAL STAFF IS OPEN TO ALL INTERESTED PROVIDERS WHO ARE APPROPRIATELY CREDENTIALED. ALL FUNDS GENERATED BY THE HOSPITAL ARE UTILIZED FOR PATIENT RELATED SERVICES AND TO ENSURE THAT ALL PATIENTS IN THE MARKET HAVE ACCESS TO QUALITY HEALTHCARE SERVICES REGARDLESS OF ABILITY TO PAY. 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. DURING THE YEAR ENDED SEPTEMBER 30, 2005, BLESSING CORPORATE SERVICES, INC. BEGAN OPERATING A DIVISION COMPRISED OF PRACTICING PHYSICIANS. THE GROUP IS RELATED THROUGH BOARD CONTROL. THE FOLLOWING IS A BRIEF DESCRIPTION OF EACH MEMBER OF THE GROUP. ORGANIZATION - BLESSING HOSPITAL (HOSPITAL), LOCATED IN QUINCY, ILLINOIS, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF WESTERN ILLINOIS, NORTHEASTERN MISSOURI, AND SOUTHEASTERN IOWA. THE HOSPITAL WAS INCORPORATED IN ILLINOIS IN 1875. ORGANIZATION - THE BLESSING FOUNDATION, INC. SERVES BLESSING CORPORATE SERVICES AND ITS AFFILIATED ENTITIES BY PROVIDING FINANCIAL SUPPORT FOR SERVICES AND PROGRAMS PROMOTING THE IMPROVEMENT AND AVAILABILITY OF HEALTHCARE SERVICES WITHIN THE GENERAL COMMUNITY. ORGANIZATION - DENMAN SERVICES, INC. (A TAXABLE CORPORATION) ENGAGES PRIMARILY IN THE BUSINESS OF SELLING AND RENTING MEDICAL EQUIPMENT AND OPERATING A COMMERCIAL LAUNDRY. DENMAN SERVICES, INC. IS A WHOLLY OWNED SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. ORGANIZATION - BLESSINGCARE CORPORATION DBA ILLINI COMMUNITY HOSPITAL AND SUBSIDIARY, LOCATED IN PITTSFIELD, ILLINOIS, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF WESTERN ILLINOIS. THE HOSPITAL WAS INCORPORATED ON JANUARY 20, 2000. ORGANIZATION - ILLINI HEALTH SERVICES, LLC CONDUCTS A PHARMACY BUSINESS IN PITTSFIELD, ILLINOIS. THE PHARMACY IS OWNED NINETY-FIVE PERCENT (95%) BY DENMAN SERVICES, INC. AND FIVE PERCENT (5%) BY BLESSINGCARE CORPORATION DBA ILLINI COMMUNITY HOSPITAL. ORGANIZATION - CHS HOLDING COMPANY (A TAXABLE CORPORATION) PROVIDES HEALTH INSURANCE PRODUCTS AND SERVICES. ORGANIZATION - BLESSING WALK-IN CLINIC, LLC DBA BLESSING CONVENIENT CARE OPERATES HEALTH CLINICS IN RETAIL FACILITIES. ORGANIZATION - CROSSRIVER QUALITY HEALTH PARTNERS IS A CLINICALLY INTEGRATED NETWORK FOCUSED ON IMPROVING QUALITY AND EFFICIENCY OF PATIENT CARE ACROSS ILLINOIS, MISSOURI, AND IOWA. IT IS A WHOLLY OWNED SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. ORGANIZATION - BLESSING ASSURANCE COMPANY IS A WHOLLY OWNED FOREIGN SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. AND IS A PROVIDER OF SELF-INSURANCE TO THE AFFILIATED GROUP. ORGANIZATION - THE HANNIBAL CLINIC, INC. (A TAXABLE CORPORATION) PROVIDES A GROUP OF HEALTH CARE PROVIDERS SERVING NORTHEAST MISSOURI AND WEST CENTRAL ILLINOIS. IT IS A WHOLLY OWNED SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. ORGANIZATION - THE BROWN DRUG COMPANY (A TAXABLE CORPORATION) OPERATES A RETAIL PHARMACY. ORGANIZATION - KEOKUK HEALTH SYSTEMS, INC. - A PARENT COMPANY TO FOUR ENTITIES: KEOKUK AREA HOSPITAL DBA BLESSING HEALTH KEOKUK, KEOKUK AREA MEDICAL EQUIPMENT AND SUPPLY INC., KEOKUK AREA HOSPITAL FOUNDATION, AND TRI-STATE MEDICAL GROUP INC. ORGANIZATION - RIVERCROSS DIAGNOSTICS, LLC - A LABORATORY THAT SERVICES BLESSING HEALTH SYSTEM AND OTHER AREA MEDICAL SERVICE PROVIDERS. SCHEDULE H, PART VI, LINE 7 IOWA false true false false false false false false false MAUREEN KAHN PRESIDENT/CEO 801859 275184 706375 193419 37908 2014745 435731 PATRICK GERVELER TREASURER 502580 150153 23465 110119 32892 819209 KATHLEEN E HULL ADMINISTRATOR 235529 73239 4376 14500 32776 360420 VICKIE RENEAU ADMINISTRATOR 172359 1799 20767 194925 SCHEDULE J, PAGE 1, PART I, LINE 4 MAUREEN KAHN 0 178,919 0 PATRICK GERVELER 0 95,619 0 X 2 870955 APPRAISER X RECEIVABLES 1 9331 DONOR'S BASIS false false false FORM 990, PAGE 2, PART III, LINE 3 THE ORGANIZATION CEASED OPERATIONS IN SEPTEMBER 2022 WITH THE ANTICIPATION OF TRANSFERRING THE ENTITY TO A NEW MEMBER THAT WOULD ALLOW A RECOMMENCEMENT OF OPERATIONS IN THE FUTURE. FORM 990, PART VI KEOKUK AREA HOSPITAL CONTRACTS WITH BLESSING CORPORATE SERVICES TO EXECUTE THE DUTIES NORMALLY PERFORMED BY MANAGEMENT. THE MANAGEMENT COMPANY CARRIES OUT THE GOVERNING DECISIONS OF THE BOARD OF DIRECTORS, SIMILAR TO THE ROLE AND FUNCTIONS OF AN EMPLOYEE-OFFICER. BLESSING CORPORATE SERVICES PAID COMPENSATION TO VARIOUS EMPLOYEES COLLECTIVELY ACTING AS MANAGMENT. THE COMPENSATION PAID TO THOSE EMPLOYEES WHO SERVE ON KEOKUK AREA HOSPITAL'S BOARD OF DIRECTORS IS DISCLOSED ON PART VII. FORM 990, PAGE 6, PART VI, LINE 3 BLESSING CORPORATE SERVICES PROVIDES GENERAL MANAGEMENT SERVICES. FORM 990, PAGE 6, PART VI, LINE 6 KEOKUK HEALTH SYSTEMS, INC. IS THE SOLE VOTING MEMBER OF KEOKUK AREA HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 7A KEOKUK HEALTH SYSTEMS, INC., THE SOLE VOTING MEMBER OF KEOKUK AREA HOSPITAL, SHALL POSSESS THE RIGHTS AND RESPONSIBILITIES, WITH THE APPROVAL OF BLESSING CORPORATE SERVICES, INC. (WHO HAS FINAL AUTHORITY) TO APPOINT AND/OR REMOVE AT-LARGE DIRECTORS OF THE CORPORATION AT ANY TIME, WITH OR WITHOUT CAUSE AND APPOINT AND REMOVE THE CORPORATION'S PRESIDENT. FORM 990, PAGE 6, PART VI, LINE 7B BLESSING CORPORATE SERVICES, INC. ("BCS") SHALL POSSESS THE RIGHTS AND RESPONSIBILITES TO APPROVE: (A) APPOINTMENT AND/OR REMOVAL OF AT-LARGE THE DIRECTORS OF THE CORPORATION AT ANY TIME, WITH OR WITHOUT CAUSE, (B) APPOINTMENT AND REMOVAL OF THE CORPORATION'S PRESIDENT, (C) AMENDING THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS, (D) BORROWING OF MONEY AND OTHER FORMS OF INDEBTEDNESS, INCLUDING, BUT NOT LIMITED TO, LEASES; (E) LONG-RANGE PLANS, CAPITAL AND OPERATING BUDGETS; AND STRATEGIC OR BUSINESS PLANS, (F) PURCHASING AND SELLING REAL AND PERSONAL PROPERTY AND ENTERING INTO CONTRACTS, NOT EXPRESSLY MADE PART OF AN APPROVED BUDGET, THE REASONABLE VALUE OF WHICH EXCEEDS 250,000, (G) 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; (H) DETERMINING THE PARAMETERS FOR TERMS OF EMPLOYMENT OF PHYSICIANS, IF ANY, INCLUDING PHYSICIAN COMPENSATION PLANS, AND ANY MATERIAL VARIANCES FROM SUCH PARAMETERS FOR INDIVIDUAL PHYSICIANS; (I) SELECTION OF AUDITORS AND LEGAL COUNSEL; (J) ADOPTION OF CHARITY CARE AND COMMUNITY BENEFITS-RELATED POLICIES; (K) FORMATION OF SUBSIDIARY ENTITIES AND/OR JOINT VENTURES; (L) FILING OF A PETITION IN BANKRUPTCY, MAKING AN ASSIGNMENT FOR THE BENEFIT OF CREDITORS, OR APPLYING FOR PROTECTION UNDER ANY INSOLVENCY LAWS; (M) PARTICIPATION IN ANY MERGER, COMBINATION, CONSOLIDATION, LIQUIDATION, DISSOLUTION OR OTHER CORPORATE OR BUSINESS ENTITY RESTRUCTURING; AND (N) ENTRY INTO ANY CONTRACT AND THE ENFORCEMENT AND/OR PERFORMANCE OF ANY CONTRACTUAL OBLIGATION; (O) ADDITION OF ANY NEW MEMBERS OF CORPORATION; (P) CREATION, TRANSFER OF OWNERSHIP IN AND/OR DISSOLUTION OF ANY SUBSIDIARY OF CORPORATION; AND (Q) CHANGES TO THE USE OF THE CORPORATION NAME AND BRANDING OF THE CORPORATION WITH OR WITHOUT REFERENCE TO BCS. FORM 990, PAGE 6, PART VI, LINE 9 PATRICK GERVELER BROADWAY AT 11TH ST. QUINCY, IL 62305 FORM 990, PAGE 6, PART VI, LINE 11B FOLLOWING MANAGEMENT AND LEGAL REVIEW, THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUALS HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATIONS BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARDS OR COMMITTEES DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATIONS BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION ARRANGEMENTS WITH HIGHLY PAID EMPLOYEES UTILIZE BENCHMARK DATA FROM VARIOUS SOURCES INCLUDING THE IOWA HOSPITAL ASSOCIATION WAGE AND SALARY SURVEYS AND PHYSICIAN COMPENSATION SURVEYS. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION ARRANGEMENTS WITH HIGHLY PAID EMPLOYEES UTILIZE BENCHMARK DATA FROM VARIOUS SOURCES INCLUDING THE IOWA HOSPITAL ASSOCIATION WAGE AND SALARY SURVEYS AND PHYSICIAN COMPENSATION SURVEYS. FORM 990, PAGE 6, PART VI, LINE 19 THESE FORMS ARE LOCATED IN THE CORPORATE ADMINISTRATIVE OFFICES AND ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. FORM 990, PART IX, LINE 11G HEALTH PROFESSIONALS 365,769 0 0 MISC. PURCHASED SERVICES 1,170,351 1,320,962 0 TOTAL 1,536,120 1,320,962 0 BLESSING CORPORATE SERVICES INC BROADWAY AT 11TH PO BOX 7005 QUINCY IL 623057005 371128706 MGMT SVCS IL 501C3 10 N/A false THE BLESSING FOUNDATION BROADWAY AT 11TH POBOX 7005 QUINCY IL 623057005 371128705 FUNDRAISE IL 501C3 12B BCS INC BCS INC false BLESSINGCARE CORP DBA ILLINI COMM H 640 WEST WASHINGTON PITTSFIELD IL 62363 371396010 HOSPITAL IL 501C3 3 BCS INC BCS INC false BLESSINGCARE CORPORATION - MISSOURI 1005 BROADWAY QUINCY IL 62301 431371818 INACTIVE MO 501C3 3 BCS INC BCS INC false BLESSING VOLUNTEERS IN PARTNERSHIP BROADWAY AT 11TH PO BOX 7005 QUINCY IL 623057005 237160187 HSP SUPPRT IL 501C3 12B N/A false BLESSING AFFILIATES INC BROADWAY AT 11TH PO BOX 7005 QUINCY IL 623057005 371128708 INACTIVE IL 501C3 10 BCS INC false BLESSING WALK-IN CLINIC LLC 1005 BROADWAY QUINCY IL 62301 814181593 MED SVCS IL 501C3 3 BCS INC BCS INC false BLESSING HOSPITAL 1005 BROADWAY QUINCY IL 62301 370661183 HOSPITAL IL 501C3 3 BCS INC false KEOKUK AREA HOSPITAL FOUNDATION 1600 MORGAN STREET KEOKUK IA 52632 421202608 FUNDRAISIN IA 501C3 12B KHS INC false TRI-STATE MEDICAL GROUP INC 1600 MORGAN STREET KEOKUK IA 52632 411435525 HOSPITAL IA 501C3 3 KHS INC false KEOKUK HEALTH SYSTEMS INC 1600 MORGAN STREET KEOKUK IA 52632 421237361 MGMT SVCS IA 501C3 12B BCS INC false ILLINI HEALTH SERVICES LLC PO BOX 40 QUINCY IL 623060040 470901851 PHARMACY DENMAN DENMAN false false CURRENT HEALTH NETWORK LLC 1005 BROADWAY QUINCY IL 62301 811681509 PRVDR NTWK CHS HLDGS false false DENMAN SERVICES INC BROADWAY AT 11TH PO BOX 40 QUINCY IL 62306 371132117 MED EQUIP IL BCS INC BCS INC C CORP false CHS HOLDING COMPANY 1005 BROADWAY QUINCY IL 62301 320481381 GRP HLTH IL BCS INC BCS INC C CORP false THE 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 BCS INC C CORP false BROWN DRUG COMPANY 1121 MAINE ST QUINCY IL 62301 370193505 PHARMACY IL BCS INC S CORP false KEOKUK AREA MEDICAL EQUIP & SUPPLY 420 NORTH 17TH STREET KEOKUK IA 52632 421237312 MED EQUIP. IA KHS INC C CORP false false false false false false false false false false false false false true false false false false false true BLESSING CORPORATE SERVICES INC M 221880 FMV BLESSING HOSPITAL M 962837 FMV TRI-STATE MEDICAL GROUP INC S 1498731 FMV