BLESSING HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: BLESSING HOSPITAL (EIN 37-0661183)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-07-10
IRS object ID: 202511919349300941
Schema version: 2023v6.0
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 B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-07-10T17:29:40-04:00	ReturnTs
Tax Period End	2024-09-30	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	2023-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	370661183	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BLESSING HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BLES	BusinessNameControlTxt
Phone	2172231200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1005 BROADWAY	AddressLine1Txt
City	QUINCY	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62301	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TIM TRANOR	PersonNm
Person Title	PRES/CEO BCS AND BH	PersonTitleTxt
Phone	2172231200	PhoneNum
Signature	2025-07-07	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	false	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ERIN J WHARTON CPA	PreparerPersonNm
PTIN	P01294277	PTIN
Phone	2172220304	PhoneNum
Preparation	2025-07-07	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TIM TRANOR	PrincipalOfficerNm

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)
Gross Receipts	$858,295,946	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BLESSINGHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1873	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	BLESSING HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	4486	TotalEmployeeCnt
Total Volunteers	391	TotalVolunteersCnt
Total Gross UBI	$1,475,698	TotalGrossUBIAmt
PY Contributions Grants	$7,210,581	PYContributionsGrantsAmt
CY Contributions Grants	$5,069,653	CYContributionsGrantsAmt
PY Program Service Revenue	$580,508,670	PYProgramServiceRevenueAmt
CY Program Service Revenue	$650,383,762	CYProgramServiceRevenueAmt
PY Investment Income	$4,001,220	PYInvestmentIncomeAmt
CY Investment Income	$25,998,789	CYInvestmentIncomeAmt
PY Other Revenue	$33,346,506	PYOtherRevenueAmt
CY Other Revenue	$23,282,958	CYOtherRevenueAmt
PY Total Revenue	$625,066,977	PYTotalRevenueAmt
CY Total Revenue	$704,735,162	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,839,987	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,362,864	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$327,112,608	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$373,537,270	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$271,155,525	PYOtherExpensesAmt
CY Other Expenses	$309,741,054	CYOtherExpensesAmt
PY Total Expenses	$602,108,120	PYTotalExpensesAmt
CY Total Expenses	$687,641,188	CYTotalExpensesAmt
PY Revenues Less Expenses	$22,958,857	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$17,093,974	CYRevenuesLessExpensesAmt
Total Assets BOY	$758,035,073	TotalAssetsBOYAmt
Total Assets EOY	$806,578,528	TotalAssetsEOYAmt
Total Liabilities BOY	$264,680,169	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$281,289,946	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$493,354,904	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$525,288,582	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	BLESSING HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$546,703,307	ExpenseAmt
Grant	$4,362,864	GrantAmt
Revenue	$650,383,762	RevenueAmt
Desc	SINCE IT WAS FOUNDED IN 1873, BLESSING HOSPITAL HAS PROVIDED QUALITY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF RACE, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY. IN SERVING ALL MEMBERS OF ITS COMMUNITIES, BLESSING HOSPITAL CONTINUES THIS TRADITION BY PROVIDING FREE/SUBSIDIZED CARE, CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT LESS THAN FULL CHARGES, AND COMMUNITY HEALTH/EDUCATION/WELLNESS PROGRAMS. FOR FISCAL YEAR 2024, THE COST OF CHARITY CARE PROVIDED WAS 7,183,012 AND MEDICARE SHORTFALLS WERE 100,288,631. BLESSING HOSPITAL TREATED PATIENTS THROUGH THE FOLLOWING SERVICES DURING FISCAL YEAR 2024: 40,821 EMERGENCY CENTER VISITS; 575,586 OUTPATIENT VISITS; 15,240 SURGICAL OPERATIONS, INCLUDING 165 OPEN HEART SURGERIES, 14,914 INPATIENT ADMISSIONS, AND 1,157 BABIES. OUTPATIENT SERVICES INCLUDED 91,836 CARDIOPULMONARY/CARDIOLOGY PROCEDURES, 1,108,122 LABORATORY TESTS, 126,256 RADIOLOGY PROCEDURES, AND 140,077 PHYSICAL THERAPY/REHABILITATION VISITS. BLESSING HOSPITAL PROVIDED ADDITIONAL BENEFITS OF 8,191,394 TO THE COMMUNITY DURING FISCAL YEAR 2024 AS FOLLOWS: HEALTH PROFESSIONALS EDUCATION SIU RESIDENCY PROGRAM 2,707,717 BLESSING-RIEMAN COLLEGE OF NURSING 2,826,331 NURSING EDUCATIONAL PRECEPTORS 36,842 SUB TOTAL HEALTH PROFESSIONALS EDUCATION 5,570,890 COMMUNITY HEALTH IMPROVEMENT SERVICES ADAMS COUNTY HEALTH DEPARTMENT DENTAL PROGRAM 100,000 PATIENT TRANSPORTATION AND LODGING 395,163 CHARITY PHARMACY PRESCRIPTIONS 731,535 HEALTH SCREENINGS/TESTS 101,197 MEDICAL SUPPLIES/SERVICES FOR PATIENTS 58,400 BEHAVIORAL HEALTH EDUCATIONAL PROGRAMS 8,753 MEDICAL INTERPRETING SERVICES 37,138 SUB TOTAL COMMUNITY HEALTH IMPROVEMENT SERVICES 1,432,186 SIU CENTER FOR FAMILY MEDICINE - QUINCY, CHADDOCK, AND TRANSITIONS OF WESTERN ILLINOIS SUBSIDIZED HEALTH SERVICES CARE COORDINATION 1,159,948 SUB TOTAL SUBSIDIZED HEALTH SERVICES 1,159,948 IN-KIND CONTRIBUTIONS/DONATIONS DONATIONS/SPONSORSHIPS 28,370 SUB TOTAL IN-KIND CONTRIBUTIONS/DONATIONS 28,370 BLESSING HOSPITAL'S STRATEGIC OBJECTIVES FOR THE UPCOMING YEARS ARE AS FOLLOWS: 1) QUALITY ZERO HARM A) REDUCE PATIENT HARM EVENTS BY 15% PER YEAR 2) BEST PLACE TO WORK A) INCREASE EMPLOYEE SATISFICATION TO >= 8.0 3) PATIENT EXPERIENCE A) INCREASE PATIENT EXPERIENCE (ALWAYS RECOMMEND) TO 82% 4) ACCESS TO CARE A) INCREASE CLINIC VISITS PER DAY BY 5% 5) FISCAL HEALTH A) CONTROL EXPENSES AND INCREASE REVENUE B) ACHIEVE GREATER THAN 200 DAYS CASH ON HAND C) ACHIEVE GREATER THAN 1% OPERATING MARGIN 6) ELECTRONIC HEALTH RECORD CHANGE A) ON TIME/ON BUDGET B) STANDARDIZATION	Desc
Total Program Service Expenses	$546,703,307	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	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	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	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	Yes (true)	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	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	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	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	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	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	248	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4486	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	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
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	Yes (true)	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	PATRICK M GERVELER	PersonNm
Phone	2172231200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1005 BROADWAY	AddressLine1Txt
City	QUINCY	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62301	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd
MAUREEN A KAHN RETIRED 7123
FORM.BCS/BH	Yes (X)	$0	$1,399,070	$214,544
DR HUMAM FARAH
CLINIC PHYSI		$1,393,498	$0	$35,797	40.00	0.00	Yes (X)
DR HARSHA POLAVARAPU TERMED 124
TRUSTEE		$1,347,867	$0	$40,489	40.00	0.00		Yes (X)
DR JOHN H ARNOLD
PRES OF MED		$1,345,956	$0	$36,524	40.00	0.00		Yes (X)
DR DARR W LEUTZ
CLINIC PHYSI		$1,278,641	$0	$54,094	40.00	0.00	Yes (X)
DR WILLIAM C SEVERINO
CLINIC PHYSI		$1,147,893	$0	$52,359	40.00	0.00	Yes (X)
DR DAVID C LIEBER
CLINIC PHYSI		$1,145,937	$0	$52,359	40.00	0.00	Yes (X)
DR JOHN P OLSON
CLINIC PHYSI		$1,101,032	$0	$25,665	40.00	0.00	Yes (X)
BRIAN T CANFIELD
PRES/CEO BCS		$0	$976,127	$142,463	0.00	40.00		Yes (X)	Yes (X)
STEVEN W KRAUSE
TRUSTEE		$1,071,585	$0	$40,489	40.00	0.00		Yes (X)
PATRICK M GERVELER
TREASURER		$0	$831,554	$136,905	0.00	40.00			Yes (X)
DR JOHN D HAMMOCK TERMED 124
TRUSTEE		$832,407	$0	$37,030	40.00	0.00		Yes (X)
DR CHRISTOPHER R SOLARO
CHIEF MEDICA		$772,362	$0	$32,293	40.00	0.00				Yes (X)
TIMOTHY L TRANOR
CHIEF NURSIN		$408,713	$0	$37,964	40.00	0.00				Yes (X)
JUSTIN R HALE
SECRETARY		$0	$316,706	$35,066	0.00	40.00			Yes (X)
DR TIMOTHI J BETH
TRUSTEE		$289,964	$0	$26,994	40.00	0.00		Yes (X)
DR ABBY REICH
TRUSTEE		$217,581	$0	$25,554	40.00	0.00		Yes (X)
MARK BAUMANN
TRUSTEE		$0	$0	$0	1.00	0.00		Yes (X)
NANCY BLUHM
TRUSTEE		$0	$0	$0	1.00	0.00		Yes (X)
JULIE BRINK
TRUSTEE		$0	$0	$0	1.00	0.00		Yes (X)
KATHERINE 'JEANNIE' GOODMAN
TRUSTEE		$0	$0	$0	1.00	0.00		Yes (X)
ALLISON HALL
TRUSTEE		$0	$0	$0	1.00	0.00		Yes (X)
TIMOTHY D KOONTZ
TRUSTEE		$0	$0	$0	1.00	0.00		Yes (X)
DR THOMAS H MILLER
TRUSTEE		$0	$0	$0	1.00	0.00		Yes (X)
JAMES RINELLA
TRUSTEE		$0	$0	$0	1.00	0.00		Yes (X)
SAYEED ALI
BOARD CHAIR		$0	$0	$0	1.00	0.00		Yes (X)	Yes (X)
BEN VAN NESS
BOARD VICE-C		$0	$0	$0	1.00	0.00		Yes (X)	Yes (X)
DAVID BOSTER TERMED 1223
TRUSTEE		$0	$0	$0	1.00	0.00		Yes (X)
CHRISTOPHER J NIEMANNTERMED 1223
TRUSTEE		$0	$0	$0	1.00	0.00		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,353,436	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,523,457	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,026,589	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	491	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUINCY ANESTHESIA ASSOCIATES PC
PO BOX 7005	QUINCY	IL	62301	ANESTHESIA SVCS	$16,375,908
MEDICAL SOLUTIONS LLC
PO BOX 850737	MINNEAPOLIS	MN	55485	CONTRACT LABOR	$8,388,352
AMERIGAS HEALTHCARE STAFFING INC
12558 COLLECTIONS CENTER DR	CHICAGO	IL	60693	CONTRACT LABOR	$4,942,619
ALLSCRIPTS HEALTHCARE LLC
305 CHURCH AT NORTH HILLS ST	RALEIGH	NC	27609	SOFTWARE SUBSCR	$4,866,669
WEST CENTRAL PATHOLOGY SPECIALISTS
4000 CATAMARAN CT	QUINCY	IL	62305	PATHOLOGY SVCS	$3,674,072

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	85	CntrctRcvdGreaterThan100KCnt
Fundraising	$105,000	FundraisingAmt
Related Organizations	$2,031,474	RelatedOrganizationsAmt
Government Grants	$1,541,758	GovernmentGrantsAmt
All Other Contributions	$1,391,421	AllOtherContributionsAmt
Noncash Contributions	$7,950	NoncashContributionsAmt
Total Contributions	$5,069,653	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	621110	$645,165,138	$645,165,138
COLLEGE OF NURSING	621110	$4,870,324		$4,870,324
PHYSICAL THERAPY	621110	$348,300	$348,300

Field	Value	IRS element (for citing)
Total Program Service Revenue	$650,383,762	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,443,998	TotalRevenueColumnAmt
Exclusion	$7,443,998	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,766,173	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,766,173	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,766,173	TotalRevenueColumnAmt
Unrelated Business Revenue	$48,560	UnrelatedBusinessRevenueAmt
Exclusion	$1,717,613	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$138,219,873	SecuritiesAmt
Other	$1,944,239	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$119,376,465	SecuritiesAmt
Other	$2,232,856	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$18,843,408	SecuritiesAmt
Other	-$288,617	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,554,791	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$288,617	RelatedOrExemptFuncIncomeAmt
Exclusion	$18,843,408	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$122,109	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$105,000	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$103,803	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,306	TotalRevenueColumnAmt
Exclusion	$18,306	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$37,595,998	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$31,847,660	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,748,338	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,427,138	UnrelatedBusinessRevenueAmt
Exclusion	$4,321,200	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
OTHER	900099	$5,223,898	$5,223,898
MANAGEMENT & ACCNTG FEES	541610	$4,305,137	$4,305,137
SALE OF FOOD	722100	$3,502,914	$3,502,914

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,718,192	TotalRevenueColumnAmt
Related Or Exempt Func Income	$21,801	RelatedOrExemptFuncIncomeAmt
Exclusion	$2,696,391	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$15,750,141	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$704,735,162	TotalRevenueColumnAmt
Related Or Exempt Func Income	$645,246,622	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,475,698	UnrelatedBusinessRevenueAmt
Exclusion	$52,943,189	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,475,392	TotalAmt
Program Services	$2,475,392	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,887,472	TotalAmt
Program Services	$1,887,472	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,309,629	TotalAmt
Program Services	$7,453,788	ProgramServicesAmt
Management And General	$1,855,841	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$288,874,629	TotalAmt
Program Services	$231,288,521	ProgramServicesAmt
Management And General	$57,586,108	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,398,486	TotalAmt
Program Services	$5,122,971	ProgramServicesAmt
Management And General	$1,275,515	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$51,248,339	TotalAmt
Program Services	$41,032,169	ProgramServicesAmt
Management And General	$10,216,170	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,706,187	TotalAmt
Program Services	$14,176,523	ProgramServicesAmt
Management And General	$3,529,664	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$16,989,416	TotalAmt
Management And General	$16,989,416	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$17,048	TotalAmt
Management And General	$17,048	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$165,483	TotalAmt
Program Services	$7,576	ProgramServicesAmt
Management And General	$157,907	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$553,917	TotalAmt
Management And General	$553,917	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$43,451,511	TotalAmt
Program Services	$36,795,671	ProgramServicesAmt
Management And General	$6,655,840	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$938,079	TotalAmt
Program Services	$938,079	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$241,756	TotalAmt
Program Services	$176,156	ProgramServicesAmt
Management And General	$65,600	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,038,817	TotalAmt
Program Services	$2,985,007	ProgramServicesAmt
Management And General	$1,053,810	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$938,866	TotalAmt
Program Services	$741,095	ProgramServicesAmt
Management And General	$197,771	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$141,027	TotalAmt
Program Services	$88,472	ProgramServicesAmt
Management And General	$52,555	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,788,869	TotalAmt
Program Services	$3,788,869	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,955,982	TotalAmt
Program Services	$20,450,181	ProgramServicesAmt
Management And General	$8,505,801	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,754,133	TotalAmt
Program Services	$5,417,482	ProgramServicesAmt
Management And General	$1,336,651	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$105,497,170	$101,586,075	$3,911,095
BAD DEBTS	$23,312,023	$23,312,023
SOFTWARE	$19,691,491	$11,594,057	$8,097,434
EQUIPMENT RENTAL & MAINT.	$18,250,290	$15,076,809	$3,173,481

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$36,015,176	TotalAmt
Program Services	$20,308,919	ProgramServicesAmt
Management And General	$15,706,257	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$687,641,188	TotalAmt
Program Services	$546,703,307	ProgramServicesAmt
Management And General	$140,937,881	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$75,725,969	BOYAmt
EOY	$147,738,773	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$102,058,815	BOYAmt
EOY	$99,908,214	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$15,526,552	BOYAmt
EOY	$16,186,195	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,080,841	BOYAmt
EOY	$13,247,833	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,309,439	BOYAmt
EOY	$10,101,576	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$656,412,989	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$320,743,931	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$348,284,027	BOYAmt
EOY	$335,669,058	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$110,397,431	BOYAmt
EOY	$97,289,983	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$63,365,154	BOYAmt
EOY	$67,963,156	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$22,286,845	BOYAmt
EOY	$18,473,740	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$758,035,073	BOYAmt
EOY	$806,578,528	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,435,466	BOYAmt
EOY	$24,387,014	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$126,645,000	BOYAmt
EOY	$123,806,180	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,435,093	BOYAmt
EOY	$12,726,792	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$115,164,610	BOYAmt
EOY	$120,369,960	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$264,680,169	BOYAmt
EOY	$281,289,946	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	$487,188,074	BOYAmt
EOY	$519,243,432	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,166,830	BOYAmt
EOY	$6,045,150	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$493,354,904	BOYAmt
EOY	$525,288,582	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$758,035,073	BOYAmt
EOY	$806,578,528	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$17,093,974	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$11,014,730	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,824,974	OtherChangesInNetAssetsAmt
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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule 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	$41,751	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$41,751	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. 37% OF DUES ARE ALLOCABLE TO LOBBYING EXPENDITURES, WHICH INCLUDE CONGRESSIONAL VISITS AND CONTACTING REPRESENTATIVES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,959,605	BeginningYearBalanceAmt
Investment Earnings Or Losses	$49,364	InvestmentEarningsOrLossesAmt
Other Expenditures	$37,587	OtherExpendituresAmt
Administrative Expenses	$6,938	AdministrativeExpensesAmt
End Year Balance	$1,964,444	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,859,684	BeginningYearBalanceAmt
Investment Earnings Or Losses	$135,779	InvestmentEarningsOrLossesAmt
Other Expenditures	$29,021	OtherExpendituresAmt
Administrative Expenses	$6,837	AdministrativeExpensesAmt
End Year Balance	$1,959,605	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,859,659	BeginningYearBalanceAmt
Investment Earnings Or Losses	$25	InvestmentEarningsOrLossesAmt
End Year Balance	$1,859,684	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,826,971	BeginningYearBalanceAmt
Investment Earnings Or Losses	$32,688	InvestmentEarningsOrLossesAmt
End Year Balance	$1,859,659	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,859,737	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$32,766	InvestmentEarningsOrLossesAmt
End Year Balance	$1,826,971	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.93870	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.06130	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,322,524	OtherCostOrOtherBasisAmt
Book Value	$17,322,524	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$349,356,912	OtherCostOrOtherBasisAmt
Depreciation	$129,465,281	DepreciationAmt
Book Value	$219,891,631	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,079,632	OtherCostOrOtherBasisAmt
Depreciation	$7,704,012	DepreciationAmt
Book Value	$6,375,620	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$275,653,921	OtherCostOrOtherBasisAmt
Depreciation	$183,574,638	DepreciationAmt
Book Value	$92,079,283	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$335,669,058	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (7 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
MUTUAL FUNDS	$41,198,465	F
OTHER INVESTMENT ASSETS	$21,102,782	F
CORP. MORTGAGE/ASSET BACKED SE	$3,080,488	F
PREFERRED FIXED RATE SECURITIES	$1,693,156	F
FOREIGN BONDS	$344,775	F
MUNICIPAL BONDS	$332,955	F
CERTIFICATES OF DEPOSITS	$210,535	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$67,963,156	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (13 entries)

DescDesc	AmtAmt
ACCRUED SALARIES & WAGES	$30,600,964
ESTIMATED 3RD-PARTY PAYOR SETTLEMENT	$23,856,123
OTHER LONG TERM LIABILITY	$23,030,232
DEFERRED COMPENSATION	$19,644,383
LONG TERM FINANCE LEASE LIABILITY	$8,569,253
LONG TERM LEASE LIABILITIES	$4,661,159
DUE TO RELATED ORGANIZATIONS	$2,376,997
ADVANCES AND DEFERRED REVENUE	$1,977,807
SHORT TERM LEASE LIABILITIES	$1,870,525
ACCRUED PAYROLL TAXES	$1,655,158
ACCRUED INTEREST	$1,296,298
SHORT TERM FINANCE LEASE LIABILITY	$1,276,601
DEFERRED FINANCING COST	-$445,540

Field	Value	IRS element (for citing)
Total Liability	$120,369,960	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$688,799,624	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$12,828,212	OtherRevenueAmt
Revenue Not Reported	$12,828,212	RevenueNotReportedAmt
Revenue Subtotal	$675,971,412	RevenueSubtotalAmt
Other Revenues Not Included	$28,763,750	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$28,763,750	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$704,735,162	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$663,872,177	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$663,872,177	ExpensesSubtotalAmt
Other Expenses Not Included	$23,769,011	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$23,769,011	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$687,641,188	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4	ENDOWMENT FUNDS ARE TO BE USED FOR THE GENERAL SUPPORT AND OPERATIONS OF BLESSING HOSPITAL.
SCHEDULE D, PAGE 4, PART XI, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 4,879,990 UNREALIZED GAINS 7,948,222
SCHEDULE D, PAGE 4, PART XI, LINE 4B	TEMPORARILY RESTRICTED CONTRIBUTIONS 4,989,900 TEMPORARILY RESTRICTED INCOME 0 INVESTMENT MANAGEMENT FEES 553,917 BAD DEBT REDUCTION OF REVENUE ON F/S 23,215,094 UNREALIZED LOSS 0 PERMANENTLY RESTRICTED INCOME 4,839
SCHEDULE D, PAGE 4, PART XII, LINE 4B	INVESTMENT EXPENSES 553,917 BAD DEBT REDUCTION OF REVENUE ON F/S 23,215,094

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	HEART GALA	Event1Nm
Gross Receipts Event1	$154,700	GrossReceiptsEvent1Amt
Charitable Contri Event1	$105,000	CharitableContriEvent1Amt
Gross Revenue Event1	$49,700	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$2,500	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$37,238	FoodAndBeverageEvent1Amt
Entertainment Event1	$6,000	EntertainmentEvent1Amt
Other Direct Expenses Event1	$16,624	OtherDirectExpensesEvent1Amt
Event2	BREAST CENTER A	Event2Nm
Gross Receipts Event2	$72,409	GrossReceiptsEvent2Amt
Gross Revenue Event2	$72,409	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$41,441	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$227,109	GrossReceiptsTotalAmt
Charitable Contributions Tot	$105,000	CharitableContributionsTotAmt
Gross Revenue Total Events	$122,109	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$2,500	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$37,238	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$6,000	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$58,065	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$103,803	DirectExpenseSummaryEventsAmt
Net Income Summary	$18,306	NetIncomeSummaryAmt

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
Percent250	Yes (X)	Percent250Ind
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	$7,183,012	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,183,012	NetCommunityBenefitExpnsAmt
Total Expense	0.01080	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,220,623	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$103,220,623	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$110,403,635	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$103,220,623	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,183,012	NetCommunityBenefitExpnsAmt
Total Expense	0.01080	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,432,186	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,432,186	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,570,890	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,570,890	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,159,948	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,159,948	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,370	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,370	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,191,394	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,191,394	NetCommunityBenefitExpnsAmt
Total Expense	0.01230	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$118,595,029	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$103,220,623	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,374,406	NetCommunityBenefitExpnsAmt
Total Expense	0.02310	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,776	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$67,776	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,776	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$67,776	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$23,143,050	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,080,780	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$121,703,598	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$128,921,559	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,217,961	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	BLESSING HOSPITAL AT 11TH ST	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	BROADWAY AT 11TH ST	AddressLine1Txt
City	QUINCY	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62301	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	A	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	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	21	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
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.UNITEDWAYADAMSCO.ORG	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.BLESSINGHEALTH.ORG	StrategyWebsiteURLTxt
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
Other Publicity	Yes (X)	OtherPublicityInd
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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 3E	COMMUNITY PRIORITIES WERE IDENTIFIED BY THE COMMUNITY BUILDING COUNCIL ("CBC") MEMBERS UTILIZING THE DATA OBTAINED THROUGH THE NEEDS ASSESSMENT PROCESS. CBC MEMBERS ARE COMMUNITY LEADERS REPRESENTING WORKFORCE/BUSINESSES, FOUNDATIONS, HUMAN SERVICE PROVIDERS, FAITH, LAW ENFORCEMENT, MEDIA, EDUCATION, PUBLIC HEALTH, HEALTHCARE-INCLUDING BLESSING HOSPITAL (WHICH IS THE ONLY LOCAL HOSPITAL) AND OUTPATIENT PROVIDERS, COMMUNITY MEMBERS, AND GOVERNMENT. COMMUNITY PRIORITIES WERE CHOSEN BASED ON THE MAGNITUDE OF THE PROBLEM, THE SEVERITY OF THE PROBLEM, THE NEED AMONG VULNERABLE POPULATIONS, THE COMMUNITYS CAPACITY AND WILLINGNESS TO ACT ON THE ISSUE, THE ABILITY TO HAVE A MEASURABLE IMPACT ON THE ISSUE, EXISTING INTERVENTIONS FOCUSED ON THE ISSUE AND OPPORTUNITY TO INTERVENE AT THE PREVENTION LEVEL. THREE COMMUNITY PRIORITIES WERE IDENTIFIED AND INCLUDE: 1. HOUSING: GOOD HEALTH DEPENDS ON HAVING HOMES THAT ARE SAFE AND FREE FROM PHYSICAL HAZARDS. POOR QUALITY AND INADEQUATE HOUSING CONTRIBUTE TO HEALTH PROBLEMS SUCH AS INFECTIOUS AND CHRONIC DISEASES, INJURIES, AND POOR CHILD DEVELOPMENT. 2. POVERTY: POVERTY IS LINKED WITH NEGATIVE CONDITIONS SUCH AS SUBSTANDARD HOUSING, HOMELESSNESS, INADEQUATE NUTRITION, FOOD INSECURITY, AND UNDER-RESOURCED SCHOOLS. POOR CHILDREN AND TEENS ARE AT A GREATER RISK FOR NEGATIVE OUTCOMES SUCH AS POOR ACADEMIC ACHIEVEMENT, SCHOOL DROPOUT, ABUSE AND NEGLECT, BEHAVIORAL AND SOCIOEMOTIONAL PROBLEMS, PHYSICAL HEALTH PROBLEMS, AND DEVELOPMENTAL DELAYS. 3. BEHAVIORAL HEALTH: BEHAVIORAL HEALTH ISSUES SIGNIFICANTLY IMPACT PEOPLE, FAMILIES, COMMUNITIES, AND SOCIETIES. MANY FACTORS ARE LINKED TO BEHAVIORAL HEALTH, INCLUDING GENETICS, AGE, INCOME, EDUCATION, EMPLOYMENT, AND ENVIRONMENTAL CONDITIONS. SUBSTANCE ABUSE IS A CHRONIC BUT TREATABLE BRAIN DISORDER. PEOPLE ADDICTED CANNOT CONTROL THEIR NEED FOR ALCOHOL OR OTHER DRUGS, EVEN IN THE FACE OF NEGATIVE HEALTH, SOCIAL OR LEGAL CONSEQUENCES.
GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 5	ADAMS COUNTY HAS BEEN CONDUCTING A COMMUNITY ASSESSMENT FOR 20 YEARS. IN 2021-2022, THE UNITED WAY OF ADAMS COUNTY, BLESSING HEALTH SYSTEM, ADAMS COUNTY HEALTH DEPARTMENT, AND THEIR PARTNERS OPTED TO DIG DEEPER TO PAINT A MORE ROBUST PICTURE OF ADAMS COUNTY, AND PROVIDE A FOUNDATION FOR PROBLEM IDENTIFICATION AND SOLVING ON BEHALF OF THE COMMUNITY. THE SURVEY INSTRUMENT WAS OVERHAULED AND AN EFFORT WAS LAUNCHED TO GET A MORE DIVERSE REPRESENTATION OF THE COMMUNITY. WE WERE ABLE TO SECURE FEEDBACK FROM 861 RESPONDENTS VIA TWO SURVEY INSTRUMENTS. RESPONDENTS FROM THE SURVEYS WERE 93 PERCENT WHITE OR CAUCASIAN, 55 PERCENT FEMALE, AND THE RATIO OF QUINCY TO RURAL ADAMS COUNTY RESIDENTS WAS AROUND 80/20. THESE DEMOGRAPHICS GENERALLY MATCH THE DEMOGRAPHICS OF THE ADAMS COUNTY REGION. IN ADDITION TO THE SURVEY, THE FOLLOWING DATA WAS INCLUDED IN THE CHNA: O 535 2-QUESTION COMMUNITY THEMES SURVEY RESPONSES O 36 KEY INFORMANT INTERVIEWS O 290 KEY INFORMANT SURVEY RESPONSES O 64% RESPONSE RATE TO KEY INFORMANT SURVEY AND INTERVIEWS O KEY INFORMANTS WERE IDENTIFIED WITH THE HELP OF THE COMMUNITY BUILDING COUNCIL AND INCLUDE REPRESENTATIVES FROM COMMUNITY SECTORS SUCH AS GOVERNMENT, SOCIAL SERVICE, CHURCHES/FAITH, HEALTHCARE, BUSINESS, EDUCATION, AND NONPROFIT ORGANIZATIONS. FOLLOWING THE ASSESSMENT, A GROUP OF 40 COMMUNITY LEADERS AND FRONTLINE WORKERS IN THE AREAS OF EDUCATION, SOCIAL SERVICES, AND HEALTH (INCLUDING 4 LEADERS FROM BLESSING) CONVENED FOR AN ALL-DAY PLANNING SESSION. THE PURPOSE OF THE SESSION WAS TO DEVELOP FOCUS AREAS, SHARED GOALS, AND COMMUNITY-WIDE INITIATIVES THAT SUPPORT THE HEALTH AND WELL-BEING OF ALL ADAMS COUNTY RESIDENTS. IN ADDITION, FIVE FOCUS GROUPS AND NINE ONE-ON- ONE INTERVIEWS WERE CONDUCTED WITH 43 PARTICIPANTS. A STRUCTURED GUIDE WAS USED TO GATHER PARTICIPANT EXPERIENCES WITH AND PERSPECTIVES ON THE IDENTIFIED COMMUNITY PRIORITY AREAS. THE COMMUNITY BUILDING STRUCTURE, FACILITATED BY THE UNITED WAY OF ADAMS COUNTY IS ANOTHER SOURCE OF COMMUNITY FEEDBACK AND INPUT FOR THE CHNA. THE STRUCTURE INCLUDES TEAMS OF INDIVIDUALS WITH REPRESENTATION FROM BLESSING HEALTH SYSTEM, THE ADAMS COUNTY HEALTH DEPARTMENT, MENTAL HEALTH PROFESSIONALS, SOCIAL WORKERS, AND MANY OTHER COMMUNITY PROFESSIONALS. IN TOTAL, APPROXIMATELY 125 VOLUNTEERS PARTICIPATE IN ALL ASPECTS OF COMMUNITY BUILDING, ENGAGING IN MEANINGFUL AND RISK DISCUSSIONS TO LEARN ABOUT COMMUNITY ISSUES AND PROMISING PRACTICES. THEY HAVE A LEAD ROLE IN THE FORMATION, IMPLEMENTATION, AND UPDATING OF LONG-RANGE VISIONS AND GOALS TO MEET THE MOST CRITICAL NEEDS IN OUR COMMUNITY THROUGH STUDYING TRENDS THAT AFFECT OUR COMMUNITY AND RECOMMENDING WAYS IN WHICH WE CAN MAKE AN IMPACT ON THESE TRENDS THROUGH THE MOBILIZATION OF FINANCIAL, VOLUNTEER, AND COMMUNITY RESOURCES.
GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 6B	THE CHNA IS LED IN PARTNERSHIP WITH THE UNITED WAY OF ADAMS COUNTY, ADAMS COUNTY HEALTH DEPARTMENT, AND THE BLESSING HEALTH SYSTEM. IN ADDITION THE FOLLOWING ENTITIES ARE ON THE COMMUNITY BUILDING COUNCIL LEADERSHIP STEERING COMMITTEE: PHIBRO ANIMAL HEALTH (BUSINESS SECTOR), TRANSITIONS MENTAL HEALTH FACILITY, QUANADA WOMEN'S SHELTER, QUINCY UNIVERSITY, PUBLIC SCHOOLS, YMCA, UWCA, TRI-STATE VETERANS SUPPORT, SIU MEDICAL, TRACY FAMILY FOUNDATION, JOHN WOOD COMMUNITY COLLEGE, QUINCY YOUNG LIFE, COMMUNITY FOUNDATION, WORKFORCE OFFICE OF WESTERN ILLINOIS, QUINCY CHAMBER OF COMMERCE, THE MOORMAN FOUNDATION, J.W. GARDNER II FOUNDATION, QUINCY POLICE DEPARTMENT, GREAT RIVER ECONOMIC DEVELOPMENT FOUNDATION, CITY OF QUINCY, TRINITY UNITED CHURCH OF CHRIST, KHQA-TV, AND QUINCY HOUSING AUTHORITY.
GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 7D	SINCE THE RELEASE OF THE CHNA, REPRESENTATIVES FROM THE UNITED WAY OF ADAMS COUNTY AND THE CONSULTANT WHO ASSISTED IN THE CREATION OF THE REPORT, HAVE PRESENTED THE KEY FINDINGS OF THE REPORT TO NUMEROUS COMMUNITY GROUPS IN ADAMS COUNTY. IN ADDITION TO THE PRESENTATIONS, THREE ONLINE MEETINGS WERE HELD IN WHICH A VARIETY OF COMMUNITY LEADERS AND INTERESTED STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION ON THE CHNA. TIME WAS ALLOCATED FOR PARTICIPANTS TO ASK QUESTIONS AND TO PROVIDE FEEDBACK. ALSO, A GROUP OF 40 COMMUNITY LEADERS AND FRONTLINE WORKERS CONVENED IN AN ALL-DAY PLANNING SESSION TO DISCUSS THE CHNA AND IDENTIFY COMMUNITY PRIORITIES. THE PRESENTATIONS PROVIDED AN OPPORTUNITY TO CREATE BROAD COMMUNITY AWARENESS OF THE ISSUES AND OPPORTUNITIES ADDRESSED IN THE CHNA. THE CHNA IS SHARED WITH THE COMMUNITY BUILDING COUNCIL MEMBERS AS WELL AS THE COMMUNITY SOLUTIONS TEAM MEMBERS TO GUIDE THEIR STRATEGIC PLANNING AROUND THE IDENTIFIED COMMUNITY PRIORITIES. THE UNITED WAY MEMBER ORGANIZATIONS ALSO RECEIVE A COPY OF THE CHNA AND ARE REQUIRED TO DISCUSS HOW THEIR PROGRAMMING MEETS THE NEEDS IDENTIFIED IN THE CHNA DURING THE ANNUAL FUNDING PROCESS. THE CHNA IS ALSO POSTED ON THE UNITED WAY AND BLESSING HEALTH SYSTEM WEBSITES FOR THE PUBLIC TO ACCESS.
GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 11	IN 2021, BLESSING CONTINUED ITS STRONG PARTNERSHIP WITH THE UNITED WAY OF ADAMS COUNTY AND THE ADAMS COUNTY HEALTH DEPARTMENT IN FUNDING AND CONDUCTING THE CHNA. THE ADAMS COUNTY COMMUNITY BUILDING COUNCIL (CBC) GUIDES THE COMMUNITY NEEDS ASSESSMENT AND PLANNING PROCESS THROUGH THE DEVELOPMENT OF PROGRAMS, PARTNERSHIPS, AND COLLABORATIONS WORKING TO ADDRESS THE NEEDS IDENTIFIED IN THE 2021 CHNA. CBC MEMBERS ARE COMMUNITY LEADERS REPRESENTING WORKFORCE/ BUSINESSES, FOUNDATIONS, HUMAN SERVICE PROVIDERS, FAITH, LAW ENFORCEMENT, MEDIA, EDUCATION, PUBLIC HEALTH, HEALTHCARE- INCLUDING BLESSING HOSPITAL (WHICH IS THE ONLY LOCAL HOSPITAL) AND OUTPATIENT PROVIDERS, COMMUNITY MEMBERS, AND GOVERNMENT. THE CBC IS CO-CHAIRED BY STAFF OF BLESSING HOSPITAL AND THE ADAMS COUNTY HEALTH DEPARTMENT. REPORTING TO THE CBC ARE THREE COMMUNITY SOLUTIONS TEAMS (CST) COMPRISED OF COMMUNITY EXPERTS IN THE AREAS OF THE STRATEGIC PRIORITIES. THE COMMUNITY SOLUTIONS TEAMS ARE CHARGED WITH ESTABLISHING GOALS AND WORK PLANS TO CREATE POSITIVE IMPACT ON THE GAPS IDENTIFIED IN THE CHNA. BLESSING HOSPITAL STAFF ARE ACTIVE IN EITHER LEADERSHIP OR MEMBERSHIP OF THE CST THAT ALIGN WITH BLESSING HOSPITAL'S IDENTIFIED FOCUS AREAS. THREE TOP HEALTH PRIORITIES WERE IDENTIFIED IN ORDER TO PROVIDE A COLLECTIVE FOCUS FOR VARIOUS ENTITIES TO SUPPORT EFFORTS RESULTING IN POSITIVE, LASTING CHANGE FOR ADAMS COUNTY: 1.HOUSING INSTABILITY/HOMELESSNESS 2.POVERTY/FINANCIAL INSTABILITY 3.BEHAVIORAL HEALTH BLESSING HOSPITAL IDENTIFIED BEHAVIORAL HEALTH AS ITS HEALTH PRIORITY AS IT MOST CLOSELY ALIGNS WITH THE ORGANIZATION'S GOALS. THIS PRIORITY AREA AND STRATEGIES WERE DETERMINED BY TAKING INTO ACCOUNT THE PROGRAMMING, RESOURCES, AND PRIORITIES OF THE HOSPITAL. BLESSING HOSPITAL'S BEHAVIORAL HEALTH STRATEGY INCLUDES: IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES, INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE DISORDER SERVICES. INCREASE AWARENESS AND NORMALIZE TREATMENT OF MENTAL HEALTH. DECREASE THE PERCENTAGE OF ADAMS COUNTY ADULTS WHO REPORT 14 OR MORE DAYS OF POOR MENTAL HEALTH PER MONTH. TARGET: 12% BY 2025; BASELINE: 14%; DATA SOURCE: 2021 COUNTY HEALTH RANKINGS, BRFSS DECREASE THE NUMBER OF MENTALLY UNHEALTHY DAYS REPORTED BY ADAMS COUNTY RESIDENTS IN THE PAST 30 DAYS. TARGET: 3.8% BY 2025; BASELINE: 4.5%; DATA SOURCE: 2021 COUNTY HEALTH RANKINGS, BRFSS DECREASE THE PERCENTAGE OF EMERGENCY DEPARTMENT VISITS FOR MENTAL AND BEHAVIORAL DISORDERS AT BLESSING HOSPITAL. TARGET 30% BY 2025; BASELINE 35% DATA SOURCE: BLESSING HEALTH SYSTEM DATA ANALYTICS, 2021 DECREASE THE PERCENTAGE OF THE ADAMS COUNTY POPULATION THAT IS AT RISK FOR BINGE DRINKING (5 OR MORE DRINKS ON ONE OCCASION FOR MEN, 4 OR MORE DRINKS ON ONE OCCASION FOR WOMEN). TARGET: 15% BY 2025; BASELINE: 19.2%; DATA SOURCE: ILLINOIS COUNTY BEHAVIORAL RISK FACTOR SURVEY, 2015-2019. DECREASE THE PERCENTAGE OF THE ADAMS COUNTY POPULATION THAT IS AT RISK FOR HEAVY DRINKING (2 OR MORE DRINKS PER DAY FOR MEN, 1 OR MORE DRINK PER DAY FOR WOMEN). TARGET: 6.4 % BY 2025; BASELINE 6.9%; DATA SOURCE: ILLINOIS COUNTY BEHAVIORAL RISK FACTOR SURVEY, 2015-2019. DECREASE THE PERCENTAGE OF ADAMS COUNTY 10TH GRADERS WHO CONSIDERED SUICIDE. TARGET 19%; BASELINE 21%; DATA SOURCE: 2020 ILLINOIS YOUTH SURVEY. DECREASE THE PERCENTAGE OF ADAMS COUNTY 10TH GRADERS WHO REPORT THAT THEY EXPERIENCE DEPRESSION. TARGET: 38% BY 2025; BASELINE 43%; DATA SOURCE: 2020 ILLINOIS YOUTH SURVEY. DECREASE THE NUMBER OF NON-FATAL OPIOID OVERDOSE PER 10,000 POPULATION IN ADAMS COUNTY. TARGET: 3% BY 2025; BASELINE 3.8%; DATA SOURCE: ILLINOIS DEPARTMENT OF PUBLIC HEALTH. DECREASE THE NUMBER OF DRUG OVERDOSE DEATHS IN ADAMS COUNTY. TARGET 1% REDUCTION IN NUMBER BY 2025; BASELINE: 41 PEOPLE; DATA SOURCE: ILLINOIS DEPARTMENT OF PUBLIC HEALTH. DECREASE THE PERCENTAGE OF ADAMS COUNTY 10TH GRADERS WHO USE TOBACCO OR VAPE. TARGET 5% BY 2025; BASELINE 7%; DATA SOURCE 2020 ILLINOIS YOUTH SURVEY. BLESSING HOSPITAL DEVELOPS AN INTERNAL STRATEGY THAT ALIGNS WITH THE IDENTIFIED COMMUNITY GOALS AND OBJECTIVES. BLESSING HOSPITAL'S BEHAVIORAL HEALTH STRATEGY AIMS TO INCREASE ACCESS, REDUCE BEHAVIORAL HEALTH ADMISSIONS TO THE EMERGENCY DEPARTMENT, AND INCREASE COMMUNITY PARTICIPATION. TACTICS UTILIZED TO ACHIEVE THIS GOAL INCLUDE: RECRUITMENT-ADD ADDITIONAL THERAPISTS, PSYCHOLOGISTS, PMHNP, AND PSYCHIATRISTS RETENTION-RETAIN EXISTING THERAPISTS, PSYCHOLOGISTS, PMHNP, AND PSYCHIATRISTS MARKETING/SOCIAL MEDIA TACTICS TO CONTINUE EFFORTS OF PROMOTING BEHAVIORAL HEALTH SERVICES CONTINUE TO GROW THE PARTIAL HOSPITALIZATION PROGRAM INCREASE TELEHEALTH USAGE FOR BEHAVIORAL HEALTH SERVICES, INCLUDING THE RURAL CLINICS UTILIZE THE BEHAVIORAL HEALTH INTEGRATION MODEL TO IMPROVE THE QUALITY OF BEHAVIORAL HEALTH SERVICES IN PRIMARY AND SPECIALTY CARE CLINICS CRISIS STABILIZATION MODEL FOR EMERGENCY ROOM-DEVELOP A MODEL FOR CRISIS STABILIZATION FOR PATIENTS WHO PRESENT WITH BEHAVIORAL HEALTH CONCERNS IN THE EMERGENCY DEPARTMENT EVIDENCE-BASED TRAINING-PROVIDE TRAINING TO ALL STAFF THROUGHOUT THE SERVICE LINE STRENGTHEN CLINICAL INTERVENTION STRATEGIES AND TREATMENT IN INPATIENT UNITS THE REMAINING PRIORITY AREAS ARE NOT BEING DIRECTLY ADDRESSED BY BLESSING HOSPITAL, ALTHOUGH BLESSING CONTINUES TO SUPPORT THE INITIATIVES AND HAS REPRESENTATION ON ALL OF THE COMMUNITY SOLUTION TEAMS. THE REASON THAT BLESSING HOSPITAL IS NOT WORKING ON THESE DIRECTLY IS THAT THEY DON'T FIT WITHIN THE STRATEGIC PRIORITIES OF THE HEALTH SYSTEM, AND THERE ARE OTHER ENTITIES WITHIN THE COMMUNITY BETTER EQUIPPED TO ADDRESS THESE IMPORTANT COMMUNITY PRIORITIES: POVERTY- THE POVERTY TEAM IS CO-CHAIRED BY THE WORKFORCE DEVELOPMENT COMMITTEE MEMBERS. THE GOAL IS TO LIFT FAMILIES OUT OF POVERTY THROUGH SUSTAINED FINANCIAL STABILITY. BLESSING HAS THREE REPRESENTATIVES ON THE COMMITTEE. OTHER MEMBERS REPRESENT QUANADA, UNIVERSITY OF ILLINOIS EXTENSION, BELLA EASE, COMMUNITY FOUNDATION, ADAMS COUNTY HEALTH DEPARTMENT, HORIZONS, UNITED WAY OF ADAMS COUNTY, THE CROSSING CHURCH, SIU, SAFE AND LIVABLE HOUSING COMMITTEE, WESTERN ILLINOIS WORKS, QUINCY PUBLIC SCHOOLS, FIRST BANKER'S TRUST, SALVATION ARMY, AND WEST CENTRAL CHILDCARE CONNECTION. HOUSING- A REPRESENTITIVE FROM THE YWCA AND THE GREAT RIVER ECONOMIC DEVELOPMENT OFFICE CO-CHAIR THE HOUSING TEAM. THERE ARE TWO SUBCOMMITTEES- SUPPLY AND ACCESS. THE COMMITTEE'S GOAL IS TO INCREASE THE NUMBER OF RESIDENTS IN AFFORDABLE, SAFE, AND LIVABLE HOUSING. THE KEY STRATEGIES ARE IDENTIFYING THE NUMBER OF AFFORDABLE HOUSING UNITS AVAILABLE TO RESIDENTS IN ADAMS COUNTY AND INCREASING AND REMOVING BARRIERS TO HOUSING FOR LOW-INCOME RESIDENTS. BLESSING HAS FOUR REPRESENTATIVES ON THE COMMITTEE. OTHER MEMBERS REPRESENT THE ADAMS COUNTY BOARD, CONNECT CHILD AND FAMILY SOLUTIONS, LOCAL REALTORS, FIRST BANKER'S TRUST, KROC CENTER, QUINCY HUMAN RIGHTS COMMISSION, TRANSITIONS, QUANADA WOMEN'S SHELTER, TWO RIVERS, BELLA EASE, HORIZONS, QUINCY HOUSING AUTHORITY, QUINCY SAFE AND LIVABLE HOUSING COMMITTEE, SALVATION ARMY, AND THE ADAMS COUNTY HEALTH DEPARTMENT.
GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - 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 FAMILY'S TOTAL INCOME AND FAMILY SIZE. PATIENTS EXPERIENCING CATASTROPHIC MEDICAL INDIGENCE ARE ELIGIBLE FOR A DISCOUNT OF 85%.
GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 16J	THE UNITED WAY SHARES BLESSING HOSPITALS FINANCIAL ASSISTANCE POLICY TO THOSE IN NEED OF MEDICAL CARE OR FACING MEDICAL DEBT THROUGH THEIR HELPLINE AND THEIR UNMET NEEDS GROUP. THE HELPLINE IS A FREE INFORMATION AND REFERRAL SERVICE THAT ASSISTS RESIDENTS IN FINDING THE HELP THEY NEED. WHETHER THOSE CALLING NEED A PHONE NUMBER OR INFORMATION ABOUT AVAILABILITY OF A SERVICE OR THEY NEED ASSISTANCE IN FINDING HEALTHCARE, HOUSING, FOOD, UTILITY AND RENT ASSISTANCE, SENIOR SERVICES, SUBSTANCE ABUSE PROGRAMS, OR LEGAL SERVICES, THE UNITED WAY HELPLINE OFFERS THAT HELP. THE UNITED WAY ALSO SHARES THE INFORMATION THROUGH THE QUINCY AREA PARTNERSHIP FOR UNMET NEEDS. THIS GROUP IS A NETWORK OF SOCIAL SERVICE AGENCIES AND FAITH-BASED ORGANIZATIONS. MEMBER AGENCIES PRESENT CASES FOR CONSIDERATION AT UNMET NEEDS MEETINGS. CLIENTS IN NEED OF ASSISTANCE CONTACT A MEMBER AGENCY WITH THEIR SPECIFIC NEED. AS THE CASES ARE DISCUSSED, ENTITY REPRESENTATIVES TALK ABOUT PROGRAMS THEY HAVE THAT COULD ASSIST THE PATIENT. BLESSING IS REPRESENTED AT THESE MEETINGS. THE UNITED WAY ALSO HAS AN INTERAGENCY COUNCIL THAT MEETS MONTHLY. SEVERAL AGENCIES FROM THROUGHOUT THE COMMUNITY ATTEND THIS MEETING. THEY HAVE A PRESENTER AT MOST MEETINGS. BLESSING HAS PRESENTED IN THE PAST, FOCUSING ON CARE COORDINATION AND TOUCHING ON THE FINANCIAL ASSISTANCE PROGRAM. BLESSING HOSPITAL HAS ALSO ESTABLISHED A CARE COORDINATION DEPARTMENT THAT WORKS WITH PATIENTS IN THE AMBULATORY SETTING TO ASSIST THEM IN MEETING THEIR HEALTHCARE NEEDS. ONE OF THE TARGETED AREAS OF THE CARE COORDINATION PROGRAM IS TO HELP PATIENTS ESTABLISH A PRIMARY CARE HOME. THIS CAN INCLUDE PROVIDING EDUCATION TO PATIENTS ABOUT SERVICES AVAILABLE IN THE COMMUNITY AND IF APPLICABLE HOW TO ACCESS THE FINANCIAL ASSISTANCE PROGRAMS WITHIN THOSE AGENCIES.

Field	Value	IRS element (for citing)
Facility	25	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
DENMAN COUNTRY DRUGS
102 PRAIRIE MILLS ROAD	GOLDEN	IL	62339	PHARMACY
BLESSING AMBULATORY SURGERY CENTER
1100 SPRING STREET	QUINCY	IL	62301	AMBULATORY SURGICAL CENTER
THE BROWN DRUG COMPANY
1121 MAINE STREET	QUINCY	IL	62301	PHARMACY
BLESSING HOME CARE
5011 OAK STREET	QUINCY	IL	62301	HOME HEALTH AGENCY IN ILLINOIS
BLESSING HOSPICE & PALLIATIVE CARE
5011 OAK STREET	QUINCY	IL	62301	FULL HOSPICE PROGRAM IN ILLINOIS
HOME CARE - PALMYRA
6996 COUNTY ROAD 326	PALMYRA	MO	63461	HOME HEALTH AGENCY IN MISSOURI
HOSPICE - PIKE COUNTY
967 WEST WASHINGTON	PITTSFIELD	IL	62363	FULL HOSPICE PROGRAM IN ILLINOIS
ILLINI HEALTH SERVICES
321 NORTH MONROE	PITTSFIELD	IL	62363	PHARMACY
BLESSING HEALTH CENTER 4800 MAINE
4800 MAINE STREET	QUINCY	IL	62305	MULTI-PURPOSE OUTPATIENT FACILITY
BLESSING HEALTH HANNIBAL
100 MEDICAL DRIVE	HANNIBAL	MO	63401	MULTI-PURPOSE OUTPATIENT FACILITY
BLESSING EXPRESS CLINIC
420 NORTH 35TH STREET	QUINCY	IL	62301	OUTPATIENT DRIVE-THRU CLINIC
BE WELL AT WORK EMPLOYER CLINIC
326 NORTH 24TH STREET	QUINCY	IL	62305	OUTPATIENT CLINIC
BLESSING BARIATRIC INSTITUTE
1107 COLLEGE STREET	QUINCY	IL	62031	OUTPATIENT BARIATRIC CLINIC
BLESSING HEALTH BOWLING GREEN
710 BUSINESS 61 SOUTH	BOWLING GREEN	MO	63334	RURAL HEALTH CLINIC
BLESSING HEALTH KAHOKA
103 EAST COMMERCIAL STREET	KAHOKA	MO	63445	RURAL HEALTH CLINIC
BLESSING HEALTH MONROE CITY
400 NORTH MAIN	MONROE CITY	MO	63456	OUTPATIENT CLINIC
BLESSING HEALTH MT STERLING
521 EAST MAIN STREET	MT STERLING	IL	62353	RURAL HEALTH CLINIC
BLESSING HEALTH PALMYRA
6996 COUNTY ROAD 326	PALMYRA	MO	63461	RURAL HEALTH CLINIC
BLESSING HEALTH EAST ADAMS RHC
102 PRAIRIE MILLS ROAD	GOLDEN	IL	62339	RURAL HEALTH CLINIC
BLESSING HEALTH HAMILTON-WARSAW
1102 NORTH COUNTY ROAD 700	WARSAW	IL	62379	RURAL HEALTH CLINIC
BLESSING PAIN CLINIC QUINCY
910 BROADWAY SUITE D	QUINCY	IL	62301	OUTPATIENT PAIN CLINIC
MACOMB CLINIC
437 EAST GRANT	MACOMB	IL	61455	OUTPATIENT CLINIC
ADVANCE PT & SPORTS MED ADAMS COUNT
3011 MAINE STREET SUITE 2	QUINCY	IL	62301	PHYSICAL THERAPY AND REHABILITATION
ADVANCE PT CHATHAM
100 WEST MAIN STREET	MT STERLING	IL	62353	PHYSICAL THERAPY AND REHABILITATION
BLESSING HEALTH CENTER
901 AND 927 BROADWAY	QUINCY	IL	62301	MULTI-PURPOSE OUTPATIENT FACILITY

Supplemental Information Detail SupplementalInformationDetail (17 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 A DISCOUNT OF 85%.
SCHEDULE H, PART I, LINE 7G	BLESSING 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 23,143,050 IS SUBTRACTED FROM TOTAL EXPENSES OF 687,641,188 REPORTED ON LINE 25, COLUMN A OF FORM 990, PART IX, FOR A NET TOTAL EXPENSE OF 664,498,138.
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 BLESSING HOSPITAL'S AS-FILED MEDICARE COST REPORT. THESE COSTS AND CHARGES ARE ADJUSTED TO ACCOUNT FOR ITEMS NOT REIMBURSED THROUGH THE COST REPORT SUCH AS PROVIDER-BASED PHYSICIAN SERVICES.
SCHEDULE H, PART II	IN PARTNERSHIP WITH THE ALLIANCE FOR BUILDING COMMUNITY, BLESSING HOSPITAL PROVIDES FUNDS TO PAY FOR THE POSITION OF THE DIRECTOR OF COMMUNITY IMPACT, A KEY INDIVIDUAL IN THE COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT.
SCHEDULE H, PART III, LINE 2	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	A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY FOR THEIR MEDICAL EXPENDITURES BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE. THE HOSPITAL USES FINANCIAL AND OTHER INFORMATION OF SUCH PATIENTS OTHERWISE AVAILABLE TO THE HOSPITAL TO IDENTIFY THOSE PATIENTS THAT WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK. THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES THE PERCENTAGE OF THE BAD DEBT EXPENSE THAT IS EVENTUALLY REVERSED DUE TO PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE. THE HOSPITAL APPLIES THAT PERCENTAGE TO THE BAD DEBT EXPENSE TO ESTIMATE THE AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE THAT WILL BE FOUND TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. THE BAD DEBT EXPENSE ASSOCIATED WITH SUCH PATIENTS' ACCOUNTS ARE TREATED AS COMMUNITY BENEFIT.
SCHEDULE H, PART III, LINE 4	SEE NOTE (2) ON PAGES 13-16 OF THE HOSPITAL'S ATTACHED 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 BLESSING HOSPITAL'S AS-FILED MEDICARE COST REPORT. THESE COSTS AND CHARGES ARE ADJUSTED TO ACCOUNT FOR ITEMS NOT REIMBURSED THROUGH THE COST REPORT SUCH AS PROVIDER-BASED PHYSICIAN SERVICES. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT.
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	BLESSING HOSPITAL HAS WORKED IN PARTNERSHIP WITH THE COMMUNITY PUBLIC HEALTH DEPARTMENT, THE LOCAL UNITED WAY AGENCY AND OTHER AREA AGENCIES IN CONDUCTING A NEEDS ASSESSMENT. THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2021.
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 SERVICE. 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	FOR 152 YEARS, BLESSING HOSPITAL HAS SERVED THE HEALTH CARE NEEDS OF THE PEOPLE OF WEST CENTRAL ILLINOIS, NORTHEAST MISSOURI AND SOUTHEAST IOWA. APPROXIMATELY 238,000 PEOPLE LIVE WITHIN A 50 MILE RADIUS OF BLESSING HOSPITAL. THE HOSPITALS PRIMARY MARKET AREA COVERS SIX COUNTIES, FOUR IN WEST CENTRAL ILLINOIS (ADAMS, BROWN, HANCOCK AND PIKE) AND TWO IN NORTHEAST MISSOURI (MARION AND LEWIS). THE REGIONS ECONOMY IS HEAVILY AGRICULTURAL, WITH A MIX OF MANUFACTURING, COMMERCIAL/RETAIL BUSINESS, AND RESTAURANTS MAKING UP THE REST OF THE LOCAL ECONOMY. BLESSING HOSPITAL IS THE LARGEST EMPLOYER IN ITS REGION. QUINCY, ILLINOIS, THE CITY IN WHICH THE MAIN BLESSING HOSPITAL CAMPUS IS LOCATED, IS THE HUB OF NON-FARM EMPLOYMENT AND RETAIL TRADE IN THE MARKET AREA. THE MEDIAN HOUSEHOLD INCOME IN ILLINOIS IS 81,702. THE MEDIAN HOUSEHOLD INCOME IN THE FOUR ILLINOIS COUNTIES IN BLESSINGS PRIMARY MARKET AREA IS BELOW THE ILLINOIS AVERAGE, RANGING FROM 9,414 TO 23,673 LOWER. THE MISSOURI MEDIAN HOUSEHOLD INCOME IS 68,920. IN THE TWO MISSOURI COUNTIES IN BLESSINGS PRIMARY MARKET AREA THE MEDIAN HOUSEHOLD INCOME IS BELOW THE STATE AVERAGE BETWEEN 5,012 AND 16,580. THE PERCENTAGE OF RESIDENTS OVER THE AGE OF 65 IN ILLINOIS IS 17.6 PERCENT. THE ILLINOIS COUNTIES IN BLESSINGS PRIMARY MARKET AREA, WITH THE EXCEPTION OF BROWN COUNTY, EXCEED THAT RATE BY AN AVERAGE OF 5.2 PERCENTAGE POINTS. THE PERCENTAGE OF RESIDENTS OVER THE AGE OF 65 IN MISSOURI IS 18.3 PERCENT. THE MISSOURI COUNTIES IN BLESSINGS PRIMARY MARKET AREA EXCEED THE STATE AVERAGE BY APPROXIMATELY 1.2 PERCENTAGE POINTS. THE ILLINOIS POVERTY RATE IS 11.6 PERCENT. FOR THE FOUR COUNTIES IN BLESSINGS PRIMARY MARKET IN ILLINOIS, THE AVERAGE POVERTY RATE IS 13.5 PERCENT, WHICH IS 1.9 PERCENTAGE POINTS ABOVE THE STATE AVERAGE. THE MISSOURI POVERTY RATE IS 12.0 PERCENT. FOR THE TWO MISSOURI COUNTIES IN BLESSINGS PRIMARY MARKET, THE POVERTY RATE AVERAGES 13.9 PERCENT, WHICH IS 1.9 PERCENTAGE POINTS ABOVE. THE OBESITY RATE AVERAGE ACROSS THE FOUR ILLINOIS COUNTIES IN BLESSINGS PRIMARY MARKET IS 37.8 PERCENT, 3.7 PERCENT ABOVE THE STATE AVERAGE OF 34.0 PERCENT. IN MISSOURI, THE OBESITY RATE AVERAGE IS 43.0 PERCENT IN THE TWO COUNTIES IN BLESSINGS PRIMARY MARKET, 5.0 PERCENT ABOVE THE STATE AVERAGE OF 38.0 PERCENT.
SCHEDULE H, PART VI, LINE 5	BLESSING HOSPITAL OFFERS A WIDE RANGE OF SPECIALTY SERVICES IMPORTANT TO PROMOTING THE HEALTH AND WELL-BEING OF ADAMS COUNTY AND THE SURROUNDING AREA. INCLUDED IN THESE ARE THE CANCER CENTER, THE HEART AND VASCULAR CENTER, THE BREAST CENTER, PSYCHIATRIC SERVICES, AND HOSPICE AND HOME CARE PROGRAMS. SURPLUS FUNDS GENERATED FROM HOSPITAL OPERATIONS ARE USED TO FUND CAPITAL EXPENDITURES AND THE EXPANSION OF HEALTH CARE SERVICE LINES TO THE COMMUNITY WE SERVE. BLESSING HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF THE ABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY OF BLESSING HOSPITAL ENABLES PATIENTS TO HAVE ACCESS TO AREA RESOURCES TO ASSIST THEM WITH PAYMENT OF MEDICAL EXPENSES. BLESSING HOSPITAL IS AFFILIATED WITH THE BLESSING-RIEMAN COLLEGE OF NURSING, WHICH OFFERS A BACHELOR OF SCIENCE IN NURSING DEGREE AND A MASTER OF SCIENCE IN NURSING DEGREE, ALONG WITH OTHER PROGRAMS. THE COLLEGE HAS OVER A 100 YEAR HISTORY IN THE COMMUNITY AND IS CURRENTLY ACCREDITED BY THE HIGHER LEARNING COMMISSION. BLESSING HOSPITAL IS THE LARGEST EMPLOYER IN THE AREA WITH 4,486 EMPLOYEES. OF SIGNIFICANT IMPORTANCE ARE THE VOLUNTEERS WHO SERVE THE HOSPITAL. IN FISCAL YEAR 2024, BLESSING HOSPITAL HAD 391 ACTIVE VOLUNTEERS WHO SERVED FOR A TOTAL OF 42,813 HOURS. IN ADDITION TO THE VOLUNTEERS ACTIVELY WORKING IN THE HOSPITAL, BLESSING'S BOARD OF TRUSTEES IS COMPRISED OF VOLUNTEERS THAT INCLUDE BUSINESS LEADERS, PHYSICIANS, AND OTHER COMMUNITY LEADERS.
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 BY BLESSING CORPORATE SERVICES, INC. CONTROL OVER THE RELATED ORGANIZATION'S BOARD. THE FOLLOWING IS A BRIEF DESCRIPTION OF EACH MEMBER OF THE GROUP. ORGANIZATION - BLESSING HOSPITAL IS 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. ORGANIZATION - THE BLESSING FOUNDATION, INC. RAISES, MANAGES, AND DISTRIBUTES CHARITABLE DONATIONS ON BEHALF OF THE BLESSING HEALTH SYSTEM. ORGANIZATION - DENMAN SERVICES, INC. IS 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. ORGANIZATION - BLESSINGCARE CORPORATION DBA ILLINI COMMUNITY HOSPITAL IS 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. ORGANIZATION - CHS HOLDING COMPANY IS A TAXABLE CORPORATION THAT PROVIDES HEALTH INSURANCE PRODUCTS AND SERVICES. 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. IS 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. ORGANIZATION - KEOKUK HEALTH SYSTEMS, INC. IS A PARENT COMPANY TO KEOKUK AREA MEDICAL EQUIPMENT AND SUPPLY, INC., AND FORMALLY A PARENT COMPANY TO KEOKUK AREA HOSPITAL DBA BLESSING HEALTH KEOKUK (INTEREST TRANSFERRED IN 2023), TRI-STATE MEDICAL GROUP, INC. (A TAXABLE ENTITY DISSOLVED IN 2022), AND KEOKUK AREA HOSPITAL FOUNDATION (DISSOLVED IN 2022.
SCHEDULE H, PART VI, LINE 7	ILLINOIS
SCHEDULE H, PART VI	BLESSING HOSPITAL'S COMMUNITY BENEFIT REPORT IS PRESENTED TO THE COMMUNITY AS AN ADVERTISEMENT IN THE HERALD-WHIG, QUINCY, ILLINOIS' LOCAL NEWSPAPER, ONCE A YEAR. IN THIS AD, INFORMATION IS PROVIDED TO DIRECT PEOPLE TO THE HOSPITAL'S WEBSITE FOR A COMPREHENSIVE INVESTMENT REPORT.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
SIU SCHOOL OF MEDICINE
PO BOX 19607	SPRINGFIELD	IL	62794	376005961	501C3	$2,286,816	BOOK	MED ED & RESEARCH
ADAMS COUNTY HEALTH DEPARTMENT
330 VERMONT ST	QUINCY	IL	62301	376000379	GOV	$100,000	BOOK	DENTAL PROGRAM
UNITED WAY OF ADAMS COUNTY
936 BROADWAY SUITE F	QUINCY	IL	62301	370673476	501C3	$67,776	BOOK	GENERAL SUPPORT
CULVER-STOCKTON COLLEGE
ONE COLLEGE HILL	CANTON	MO	63435	430610813	501C3	$10,000	BOOK	STUDENT SCHOLARSHIPS
JACKSON LINCOLN SWIMMING COMPLEX
PO BOX 176	QUINCY	IL	62306	364168494	501C3	$10,800	BOOK	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
BLESSING-RIEMAN STUDENTS	331	$1,648,599	BOOK
BLESSING HEALTH PATIENTS	1395	$161,726	BOOK
EMPLOYEE ASSISTANCE	61	$77,147	BOOK

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	SIU SCHOOL OF MEDICINE SIU PROVIDES THE HOSPITAL BOARD OF TRUSTEES WITH AN ANNUAL UPDATE REGARDING THEIR USE OF THE GRANT FUNDS PROVIDED TO THEIR PROGRAM. ALL OTHER ORGANIZATIONS BLESSING HOSPITAL PROVIDED GRANTS PRIMARILY TO LOCALLY MANAGED 501C3 ORGANIZATIONS THAT SUPPORT OR SHARE THE MISSION OF THE BLESSING HEALTH SYSTEM. SENIOR LEADERSHIP APPROVES ALL GRANTS. WHEN AN ORGANIZATION IS GIVEN A DONATION, IT EITHER AGREES TO RESTRICT THE DONATION TO THE PURPOSE FOR WHICH IT WAS GIVEN, OR IT RECEIVES A LETTER DIRECTING THAT THE DONATION MAY BE USED ONLY FOR THE APPROVED PURPOSE. BLESSING HEALTH SYSTEM EMPLOYEES FREQUENTLY ATTEND MANY OF THE SPONSORED EVENTS OR THE HEALTH SYSTEM RECEIVES ACKNOWLEDGEMENT FROM THE ORGANIZATION ABOUT THE PROGRAM THAT WAS SUPPORTED BY THE GRANT. PART III, LINE 1 BLESSING-RIEMAN COLLEGE OF NURSING STUDENTS THE BLESSING-RIEMAN COLLEGE OF NURSING REQUIRES A FINANCIAL AID APPLICATION UPON ADMITTANCE, HAS ACADEMIC PERFORMANCE AND FINANCIAL NEED CRITERIA, AND HAS A SELECTION COMMITTEE THAT AWARDS GRANTS. THE COLLEGE MONITORS AND REVIEWS THE RECIPIENTS INDIVIDUALLY ON A SEMESTER BASIS FOR SATISFACTORY ACADEMIC PROGRESS AND GOOD STANDING. PART III, LINE 2 BLESSING HEALTH SYSTEM PATIENTS SOCIAL WORKERS AND CARE MANAGERS WITHIN THE BLESSING HEALTH SYSTEM SEND REQUESTS FOR ASSISTANCE TO PATIENTS WHO ARE IN MEDICAL NECESSITY AND FINANCIAL DISABILITY WHEN THERE ARE NO COMMUNITY RESOURCES AVAILABLE. THE BLESSING FOUNDATION ADMINISTERS THE BEST MATCHED RESTRICTED SPECIFIC PURPOSE FUND TO THE HEALTH ISSUE OF THE PATIENT. THE APPLICATIONS MUST BE APPROVED BY THE FOUNDATION OFFICE BEFORE THE FUNDS ARE DISBURSED. PART III, LINE 3 EMPLOYEE ASSISTANCE THE EMPLOYEE CRISIS FUND IS FOR FINANCIAL ASSISTANCE FOR EMPLOYEES WHO MEET A REQUIRED LENGTH OF SERVICE AND ARE IN GOOD EMPLOYMENT STANDING. THE FUND IS ADMINISTERED BY THE BLESSING FOUNDATION. EMPLOYEES MAKE REQUESTS FOR ASSISTANCE DIRECTLY TO THE OUTPATIENT CARE COORDINATION DEPARTMENT. THE SOCIAL WORKER OR CARE MANAGER DISCUSSES THE NEEDS WITH THE EMPLOYEE AND AVAILABLE COMMUNITY RESOURCES ARE UTILIZED. IF FURTHER ASSISTANCE IS NEEDED, A GRANT FORM IS SENT TO THE BLESSING FOUNDATION REQUESTING USE OF THE EMPLOYEE CRISIS FUND. THE BALANCE OF THE FUND IS IN A GENERAL LEDGER ACCOUNT ON THE BOOKS OF BLESSING HOSPITAL AND IS MONITORED BY HOSPITAL ACCOUNTANTS.	ExplanationTxt

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 (17 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
MAUREEN A KAHN RETIRED 7123
FORM.BCS/BH PRES/CEO	$837,001	$358,631	$203,438	$179,852	$34,692	$1,613,614	$173,252
DR HUMAM FARAH
CLINIC PHYSICIAN								$736,300	$650,230	$6,968	$5,366	$38,551	$1,429,295
DR HARSHA POLAVARAPU TERMED 124
TRUSTEE								$700,368	$622,584	$24,915	$6,600	$38,215	$1,388,356
DR JOHN H ARNOLD
PRES OF MED STAFF								$1,280,406	$850	$64,700	$5,140	$31,384	$1,382,480
DR DARR W LEUTZ
CLINIC PHYSICIAN								$1,247,646	$834	$30,161	$6,600	$47,494	$1,332,735
DR WILLIAM C SEVERINO
CLINIC PHYSICIAN								$1,127,047	$441	$20,405	$6,600	$45,759	$1,200,252
DR DAVID C LIEBER
CLINIC PHYSICIAN								$1,099,276	$367	$46,294	$6,600	$45,759	$1,198,296
DR JOHN P OLSON
CLINIC PHYSICIAN								$1,064,270	$850	$35,912	$4,136	$31,416	$1,126,697
BRIAN T CANFIELD
PRES/CEO BCS AND BH	$654,047	$293,944	$28,136	$130,281	$12,182	$1,118,590
STEVEN W KRAUSE
TRUSTEE								$885,698	$155,015	$30,872	$6,600	$42,753	$1,112,074
PATRICK M GERVELER
TREASURER	$524,681	$195,687	$111,186	$107,438	$29,467	$968,459	$84,168
DR JOHN D HAMMOCK TERMED 124
TRUSTEE								$805,838	$692	$25,877	$6,600	$39,422	$869,437
DR CHRISTOPHER R SOLARO
CHIEF MEDICAL OFF.								$594,405	$151,454	$26,503	$6,600	$31,153	$804,655
TIMOTHY L TRANOR
CHIEF NURSING OFF.								$285,862	$97,567	$25,284	$4,075	$39,893	$446,677
JUSTIN R HALE
SECRETARY	$217,399	$56,889	$42,418	$3,009	$32,701	$351,772
DR TIMOTHI J BETH
TRUSTEE								$222,569	$65,355	$2,040	$5,465	$24,241	$316,958
DR ABBY REICH
TRUSTEE								$194,518	$21,037	$2,026	$4,538	$23,190	$243,135

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PAGE 1, PART I, LINE 3

COMPENSATION OF ORGANIZATION'S CEO - CEO MAUREEN KAHN AND BRIAN CANFIELD ARE EMPLOYEES OF BLESSING CORPORATE SERVICES, INC., THE PARENT COMPANY OF BLESSING 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 TRUSTEE'S COMPENSATION COMMITTEE FOR APPROVAL. COMPENSATION OF ORGANIZATION'S BOARD MEMBERS - MAUREEN KAHN, BRIAN CANFIELD, DR. ABBY REICH, DR. HARSHA POLAVARAPU, PATRICK GERVELER, DR. JOHN HAMMOCK, AND DR. TIMOTHI BETH ARE EMPLOYEES OF BLESSING CORPORATE SERVICES, INC., THE PARENT COMPANY OF BLESSING 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 TRUSTEE'S COMPENSATION COMMITTEE FOR APPROVAL.

SCHEDULE J, PAGE 1, PART I, LINE 4

MAUREEN A. KAHN (RETIRED 7/1/23) 0 173,252 0 BRIAN T. CANFIELD 0 124,538 0 PATRICK M. GERVELER 0 100,838 0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	Business Name Line2IssuerName/BusinessNameLine2Txt
ILLINOIS FINANCE AUTHORITY
A	861091967	2017-11-15	$15,955,000	SEE PART VI A - TO REIMBURSE CERTAIN COSTS OF A CAPITAL EXPENDITURE PROJECT, CURRENTLY REFUND A PORT	false	false	false
ILLINOIS FINANCE AUTHORITY
B	861091967	2019-06-27	$28,977,500	SEE PART VI B - SERIES 2019A/C - USED TO (I) LEGALLY DEFEASE THE OUTSTANDING VARIABLE RATE REVENUE R	false	false	false	REVENUE REFUNDING BONDS SER 2019A/C
ILLINOIS FINANCE AUTHORITY
C	861091967	2022-06-30	$28,977,500	SEE PART VI C - SERIES 2019B - USED TO (I) LEGALLY DEFEASE A PORTION OF THE SERIES 2012B BONDS, AND	false	false	false	REVENUE REFUNDING BONDS SERIES 2019
ILLINOIS FINANCE AUTHORITY
D	861091967	2023-04-06	$15,000,000	SEE PART VI D - USED TO (I) FINANCE AND REIMBURSE CERTAIN COSTS OF CAPITAL EXPENDITURE PROJECTS AND	false	false	false	REVENUE NOTE SERIES 2023

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$8,535,000	$15,955,000	$2,412	$147,588	$4,000,000	$11,805,000	2017	false	false	Yes (true)	Yes (true)
B	$275,000	$74,207,500		$378,000	$32,400,000	$41,515,200	2022	Yes (true)	false	Yes (true)	Yes (true)
C	$275,000	$28,977,500		$147,500	$12,600,000	$16,144,800	2022	Yes (true)	false	Yes (true)	Yes (true)
D	$1,248,820	$15,000,000		$89,025	$14,910,975		2023	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.02900	0.02900	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false			false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false			false	false	Yes (true)
D	false	false	false		false			false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	false	Yes (true)
B	false	false	Yes (true)	false	Yes (true)	false	false	false	Yes (true)
C	false	false	Yes (true)	false	Yes (true)	false	false	false	Yes (true)
D	false	false	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PURPOSE OF ISSUE DESCRIPTION	ILLINOIS FINANCE AUTHORITY SEE PART VI A - TO REIMBURSE CERTAIN COSTS OF A CAPITAL EXPENDITURE PROJECT, CURRENTLY REFUND A PORTION OF THE CITY OF QUINCY, ADAMS COUNTY, ILLINOIS REVENUE REFUNDING BONDS, SERIES 2007 (BLESSING HOSPITAL), PAY A PORTION OF THE INTEREST ON THE SERIES 2017 BONDS AND PAY CERTAIN EXPENSES RELATED TO THE ISSUANCE OF THE SERIES 2017 BONDS.
PURPOSE OF ISSUE DESCRIPTION	ILLINOIS FINANCE AUTHORITY SEE PART VI B - SERIES 2019A/C - USED TO (I) LEGALLY DEFEASE THE OUTSTANDING VARIABLE RATE REVENUE REFUNDING BONDS, SERIES 2012A (BLESSING HOSPITAL)(THE "SERIES 2012A BONDS"), (II) LEGALLY DEFEASE A PORTION OF THE OUTSTANDING VARIABLE RATE REVENUE BONDS, SERIES 2012B (BLESSING HOSPITAL) (THE "SERIES 2012B BONDS"), AND (III) PAY CERTAIN EXPENSES RELATED TO THE ISSUANCE OF THE SERIES 2019A BONDS.
PURPOSE OF ISSUE DESCRIPTION	ILLINOIS FINANCE AUTHORITY SEE PART VI C - SERIES 2019B - USED TO (I) LEGALLY DEFEASE A PORTION OF THE SERIES 2012B BONDS, AND (II) PAY EXPENSES RELATED TO THE ISSUANCE OF THE SERIES 2019B BONDS. A FORM 8038 INFORMATION RETURN FOR TAX-EXEMPT PRIVATE ACTIVITY BOND ISSUES WAS FILED ON JUNE 30, 2022 FOR THE DEEMED REISSUANCE OF THE SERIES 2019B BONDS.
PURPOSE OF ISSUE DESCRIPTION	ILLINOIS FINANCE AUTHORITY SEE PART VI D - USED TO (I) FINANCE AND REIMBURSE CERTAIN COSTS OF CAPITAL EXPENDITURE PROJECTS AND (II) PAY CERTAIN EXPENSES RELATED TO THE ISSUANCE OF THE SERIES 2023 NOTE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MISSA J GERVELER
FAMILY MEMBER	$57,263	EMPLOYMENT	false
ELLEN J TRAMAN
FAMILY MEMBER	$53,279	EMPLOYMENT	false
ROBERT G TRAMAN
FAMILY MEMBER	$70,602	EMPLOYMENT	false
SURYA V POLAVARAPU
FAMILY MEMBER	$220,797	EMPLOYMENT	false
EVAN CANFIELD
FAMILY MEMBER	$187,106	EMPLOYMENT	false
MEGAN HALE
FAMILY MEMBER	$95,876	EMPLOYMENT	false
APRIL CANFIELD
FAMILY MEMBER	$12,281	EMPLOYMENT	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4A	SINCE IT WAS FOUNDED IN 1873, BLESSING HOSPITAL HAS PROVIDED QUALITY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF RACE, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY. IN SERVING ALL MEMBERS OF ITS COMMUNITIES, BLESSING HOSPITAL CONTINUES THIS TRADITION BY PROVIDING FREE/SUBSIDIZED CARE, CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT LESS THAN FULL CHARGES, AND COMMUNITY HEALTH/EDUCATION/WELLNESS PROGRAMS. FOR FISCAL YEAR 2024, THE COST OF CHARITY CARE PROVIDED WAS 7,183,012 AND MEDICARE SHORTFALLS WERE 100,288,631. BLESSING HOSPITAL TREATED PATIENTS THROUGH THE FOLLOWING SERVICES DURING FISCAL YEAR 2024: 40,821 EMERGENCY CENTER VISITS; 575,586 OUTPATIENT VISITS; 15,240 SURGICAL OPERATIONS, INCLUDING 165 OPEN HEART SURGERIES, 14,914 INPATIENT ADMISSIONS, AND 1,157 BABIES. OUTPATIENT SERVICES INCLUDED 91,836 CARDIOPULMONARY/CARDIOLOGY PROCEDURES, 1,108,122 LABORATORY TESTS, 126,256 RADIOLOGY PROCEDURES, AND 140,077 PHYSICAL THERAPY/REHABILITATION VISITS. BLESSING HOSPITAL PROVIDED ADDITIONAL BENEFITS OF 8,191,394 TO THE COMMUNITY DURING FISCAL YEAR 2024 AS FOLLOWS: HEALTH PROFESSIONALS EDUCATION SIU RESIDENCY PROGRAM 2,707,717 BLESSING-RIEMAN COLLEGE OF NURSING 2,826,331 NURSING EDUCATIONAL PRECEPTORS 36,842 SUB TOTAL HEALTH PROFESSIONALS EDUCATION 5,570,890 COMMUNITY HEALTH IMPROVEMENT SERVICES ADAMS COUNTY HEALTH DEPARTMENT DENTAL PROGRAM 100,000 PATIENT TRANSPORTATION AND LODGING 395,163 CHARITY PHARMACY PRESCRIPTIONS 731,535 HEALTH SCREENINGS/TESTS 101,197 MEDICAL SUPPLIES/SERVICES FOR PATIENTS 58,400 BEHAVIORAL HEALTH EDUCATIONAL PROGRAMS 8,753 MEDICAL INTERPRETING SERVICES 37,138 SUB TOTAL COMMUNITY HEALTH IMPROVEMENT SERVICES 1,432,186 SIU CENTER FOR FAMILY MEDICINE - QUINCY, CHADDOCK, AND TRANSITIONS OF WESTERN ILLINOIS SUBSIDIZED HEALTH SERVICES CARE COORDINATION 1,159,948 SUB TOTAL SUBSIDIZED HEALTH SERVICES 1,159,948 IN-KIND CONTRIBUTIONS/DONATIONS DONATIONS/SPONSORSHIPS 28,370 SUB TOTAL IN-KIND CONTRIBUTIONS/DONATIONS 28,370 BLESSING HOSPITAL'S STRATEGIC OBJECTIVES FOR THE UPCOMING YEARS ARE AS FOLLOWS: 1) QUALITY ZERO HARM A) REDUCE PATIENT HARM EVENTS BY 15% PER YEAR 2) BEST PLACE TO WORK A) INCREASE EMPLOYEE SATISFICATION TO >= 8.0 3) PATIENT EXPERIENCE A) INCREASE PATIENT EXPERIENCE (ALWAYS RECOMMEND) TO 82% 4) ACCESS TO CARE A) INCREASE CLINIC VISITS PER DAY BY 5% 5) FISCAL HEALTH A) CONTROL EXPENSES AND INCREASE REVENUE B) ACHIEVE GREATER THAN 200 DAYS CASH ON HAND C) ACHIEVE GREATER THAN 1% OPERATING MARGIN 6) ELECTRONIC HEALTH RECORD CHANGE A) ON TIME/ON BUDGET B) STANDARDIZATION
FORM 990, PART VI	BLESSING 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 BLESSING HOSPITAL'S BOARD OF DIRECTORS IS DISCLOSED ON PART VII.
FORM 990, PAGE 6, PART VI, LINE 3	1) BLESSING CORPORATE SERVICES PROVIDES GENERAL MANAGEMENT SERVICES. 2) ARAMARK PROVIDES MANAGEMENT OF FOOD SERVICES AND ENVIRONMENTAL SERVICES. 3) BRIDGE HOME CARE PARTNERS PROVIDES MANAGEMENT OF BLESSING'S HOME CARE SERVICES. 4) OMNICELL, INC. PROVIDES MANAGEMENT OF BLESSING'S SPECIALTY PHARMACY.
FORM 990, PAGE 6, PART VI, LINE 4	THE BYLAWS OF BLESSING HOSPITAL WERE AMENDED AND RESTATED ON DECEMBER 18, 2023. THE KEY CHANGES INCLUDE THE FOLLOWING: ADDING TO THE BOARD'S DUTIES, SUBJECT TO APPROVAL OF THE SOLE MEMBER, TO ADDRESS COMMUNITY BENEFIT PLANS, PROGRAMS AND OTHER ACTIVITIES SUCH AS THE COMMUNITY NEEDS ASSESSMENT AND TO ADVOCATE ON BEHALF OF PATIENTS, THE COMMUNITY AND BLESSING HOSPITAL REGARDING THE ALLOCATION OF RESOURCES TO THE COMMUNITY'S HEALTH NEEDS.
FORM 990, PAGE 6, PART VI, LINE 6	BLESSING CORPORATE SERVICES, INC. IS THE SOLE VOTING MEMBER OF BLESSING HOSPITAL.
FORM 990, PAGE 6, PART VI, LINE 7A	BLESSING CORPORATE SERVICES, INC., THE SOLE VOTING MEMBER OF BLESSING HOSPITAL, SHALL POSSESS THE RIGHTS AND RESPONSIBILITIES TO APPOINT AND/OR REMOVE ALL THE TRUSTEES OF THE CORPORATION AND APPOINT THE CORPORATION'S PRESIDENT.
FORM 990, PAGE 6, PART VI, LINE 7B	BLESSING CORPORATE SERVICES SHALL POSSESS THE EXCLUSIVE RIGHTS AND RESPONSIBILITIES TO (A) APPOINT AND/OR REMOVE ALL THE TRUSTEES OF THE CORPORATION, (B) APPOINT THE CORPORATION'S PRESIDENT, (C) APPROVE EXPRESSLY ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE, (D) 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 SPECIFIED IN THE BYLAWS OF THE MEMBER, (E) 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, (F) APPROVE THE PARAMETERS FOR TERMS OF EMPLOYMENT OF PROVIDERS, INCLUDING PROVIDER COMPENSATION PLANS, AND ANY MATERIAL VARIANCES FROM SUCH PARAMETERS FOR INDIVIDUAL PROVIDERS, (G) APPROVE THE SELECTION OF AUDITORS AND LEGAL COUNSEL AND OVERSEE AUDITS, (H) APPROVE CHARITY CARE AND COMMUNITY BENEFITS-RELATED POLICIES, (I) APPROVE THE FORMATION OF SUBSIDIARY ENTITIES AND/OR JOINT VENTURES, (J) APPROVE THE FILING OF A PETITION IN BANKRUPTCY, MAKING AN ASSIGNMENT FOR THE BENEFIT OF CREDITORS, OR APPLYING FOR PROTECTION UNDER ANY INSOLVENCY LAWS, (K) APPROVE THE PARTICIPATION IN ANY MERGER, COMBINATION, CONSOLIDATION, LIQUIDATION, DISSOLUTION OR OTHER CORPORATE OR BUSINESS ENTITY RESTRUCTURING, (L) ENACT AND IMPLEMENT SUCH POLICIES AND PROCEDURES AS THE MEMBER DEEMS NECESSARY OR ADVISABLE FOR THE MANAGEMENT OF THE CORPORATION, AND (M) 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 DETERMINES IS NECESSARY OR ADVISABLE FOR THE MANAGEMENT OF THE CORPORATION.
FORM 990, PAGE 6, PART VI, LINE 11B	FOLLOWING MANAGEMENT REVIEW, THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12C	A COPY OF THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY TO OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO BE READ, SIGNED, AND RETURNED TO THE ORGANIZATION. THE SIGNED POLICIES ARE RETAINED IN THE CORPORATE ADMINISTRATIVE FILES. IN ADDITION, EACH OFFICER, DIRECTOR, OR TRUSTEE IS REQUIRED TO DECLARE NO CONFLICT OF INTEREST IN REGARDS TO AGENDA ITEMS BEING PRESENTED AT THE START OF EACH MONTHLY BOARD MEETING.
FORM 990, PAGE 6, PART VI, LINE 15B	NO COMPENSATION IS RECEIVED FOR SERVING AS AN OFFICER OF BLESSING HOSPITAL. ON A BIANNUAL BASIS, COMPARABLE COMPENSATION DATA THROUGH A THIRD PARTY (SULLIVAN-COTTER) IS USED TO ESTABLISH MARKET RANGE. INFORMATION IS SUBMITTED TO THE BLESSING CORPORATE SERVICES COMPENSATION COMMITTEE FOR REVIEW AND TO BLESSING HOSPITAL BOARD OF TRUSTEES FOR APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 19	THESE FORMS ARE LOCATED IN THE CORPORATE ADMINISTRATIVE OFFICES AND ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION.
FORM 990, PART XI, LINE 9	INCREASE IN MINIMUM PENSION LIABILITY 4,341,467 TRANSFER OF CLINIC ASSETS AND LIABILITIES 0 TRANSFERS TO AFFILIATES -322,751 CUMULATIVE EFFECT OF ADOPTION OF ASC 842 0 TRANSFER OF CLINIC ASSETS AND LIABILITIES -193,742 TOTAL 3,824,974

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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
THE BLESSING FOUNDATION
BROADWAY AT 11TH POBOX 7005	QUINCY	IL	623057005	371128705	FUNDRAISE	IL	501C3	12B		false	BCS INC	BCS INC
BLESSINGCARE CORPORATION DBA ILLINI
640 WEST WASHINGTON	PITTSFIELD	IL	62363	371396010	HOSPITAL	IL	501C3	3		false	BCS INC	BCS INC
BLESSING VOLUNTEERS IN PARTNERSHIP
BROADWAY AT 11TH PO BOX 7005	QUINCY	IL	623057005	237160187	HSP SUPPRT	IL	501C3	12B	N/A	false
KEOKUK HEALTH SYSTEMS INC
1600 MORGAN STREET	KEOKUK	IA	52632	421237361	MGMT SVCS	IA	501C3	12B		false	BCS 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 (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt	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	BCS INC	C CORP	false
CHS HOLDING COMPANY
1005 BROADWAY	QUINCY	IL	62301	320481381	GRP HLTH	IL	BCS INC	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	BCS INC	C CORP	false	PO BOX 1159	GRAND CAYMAN	CAYMAN ISLANDS	CJ	KY1-1102	CJ
KEOKUK AREA MEDICAL EQUIP & SUPPLY
420 NORTH 17TH STREET	KEOKUK	IA	52632	421237312	MED EQUIP	IA	KHS INC		C CORP	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	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	Yes (true)	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	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
DENMAN SERVICES INC
A	$168,153	FMV
DENMAN SERVICES INC
Q	$2,610,904	FMV
DENMAN SERVICES INC
M	$4,351,631	FMV