2020-08-04T08:48:05-05:00 2019-09-30 363077757 GRAY HUNTER STENN LLP 500 MAINE ST QUINCY IL 62301 990 2018-10-01 370661183 BLESSING HOSPITAL BLES 2172231200 1005 BROADWAY QUINCY IL 62301 MAUREEN A KAHN PRESIDENT/CEO 2172231200 2020-05-14 true ERIN J WHARTON CPA P01294277 2172220304 2020-07-30 216.138.22.18 2020-08-04 08:48:05 CD P 2BE353FB2307F31039FDCCB65331A33EA6E48E3A 2BE353FB2307F31039FDCCB65331A33EA6E48E3A 2018 2020-09-23 17:36:50Z MAUREEN A KAHN 1005 BROADWAY QUINCY IL 62301 551382061 false X WWW.BLESSINGHEALTH.ORG X 1873 IL BLESSING HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES. 13 9 3948 696 110070 2900498 3125899 430168184 433094244 8176570 9854387 14164399 16403888 455409651 462478418 3127976 3753713 0 175035847 187622615 0 0 187418897 181424254 365582720 372800582 89826931 89677836 555365606 638426630 204674586 255691048 350691020 382735582 X BLESSING HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES. false false 275435388 3753713 433094244 SEE SCHEDULE O SINCE IT WAS FOUNDED IN 1875, 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 2019, THE COST OF CHARITY CARE PROVIDED WAS 9,133,153 AND MEDICARE SHORTFALLS WERE 50,249,890. BLESSING HOSPITAL TREATED PATIENTS THROUGH THE FOLLOWING SERVICES DURING FISCAL YEAR 2019: 39,570 EMERGENCY CENTER AND 30,458 URGENT CARE VISITS; 294,289 OUTPATIENT VISITS; 17,975 SURGICAL OPERATIONS, INCLUDING 135 OPEN HEART SURGERIES, 15,041 INPATIENT ADMISSIONS, AND 1,072 BABIES. OUTPATIENT SERVICES INCLUDED 107,696 CARDIOPULMONARY/CARDIOLOGY PROCEDURES, 827,071 LABORATORY TESTS, 117,624 RADIOLOGY PROCEDURES, AND 130,415 PHYSICAL THERAPY/REHABILITATION VISITS. BLESSING HOSPITAL PROVIDED ADDITIONAL BENEFITS OF 11,165,200 TO THE COMMUNITY DURING FISCAL YEAR 2019 AS FOLLOWS: HEALTH PROFESSIONALS EDUCATION SIU RESIDENCY PROGRAM 4,427,526 BLESSING-RIEMAN COLLEGE OF NURSING 1,564,894 NURSING EDUCATIONAL PRECEPTORS 847,327 SCHOOL OF RADIOLOGIC TECHNOLOGY 315,216 SCHOOL OF MEDICAL LABORATORY TECHNICIANS 63,077 SUB TOTAL HEALTH PROFESSIONALS EDUCATION 7,218,040 COMMUNITY HEALTH IMPROVEMENT SERVICES PSYCHIATRIC SERVICES TO SIU CENTER FOR FAMILY MEDICINE - QUINCY, CHADDOCK, AND TRANSITIONS OF WESTERN ILLINOIS 314,037 ADAMS COUNTY HEALTH DEPARTMENT DENTAL PROGRAM 100,000 PATIENT TRANSPORTATION AND LODGING 199,909 CHARITY PHARMACY PRESCRIPTIONS 65,505 HEALTH SCREENINGS/TESTS 28,836 MEDICAL SUPPLIES/SERVICES FOR PATIENTS 34,527 SUPPORT GROUPS 34,641 EDUCATIONAL PROGRAMS 10,667 MEDICAL INTERPRETING SERVICES 7,159 SUB TOTAL COMMUNITY HEALTH IMPROVEMENT SERVICES 795,281 SIU CENTER FOR FAMILY MEDICINE - QUINCY, CHADDOCK, AND TRANSITIONS OF WESTERN ILLINOIS SUBSIDIZED HEALTH SERVICES CARE COORDINATION 2,116,279 HOME HEALTHCARE SERVICES 744,775 SUB TOTAL SUBSIDIZED HEALTH SERVICES 2,861,054 IN-KIND CONTRIBUTIONS/DONATIONS DONATIONS/SPONSORSHIPS 282,373 MEETING SPACE 8,452 SUB TOTAL IN-KIND CONTRIBUTIONS/DONATIONS 290,825 BLESSING HOSPITAL'S STRATEGIC OBJECTIVES FOR THE UPCOMING YEARS ARE AS FOLLOWS: -BECOME AN INDEPENDENT REGIONAL DESTINATION HEALTH SYSTEM -ACHIEVE TOP DECILE PERFORMANCE -ACHIEVE TOP DECILE STAKEHOLDER ENGAGEMENT -IMPROVE PEOPLE SYSTEMS -EFFECTIVE RESOURCE ALLOCATION THROUGH EVIDENCE BASED FINANCIAL LEADERSHIP PRACTICES 275435388 true true false false false false false false false true true true false false true false true true false false false false false false false false true true true true true true false false false false false true false false true false false false false false false true true true false false true 292 0 true 3948 true true true false false false false false false false false false false false X 13 9 false true false false true true true true true false true true true true true true true true false true true true IL X TIMOTHY MOORE 2172238400 BROADWAY AT 11TH PO BOX 7005 QUINCY IL 62305 SAYEED ALI TRUSTEE 1.00 X 0 0 0 NANCY BLUHM TRUSTEE 1.00 X 0 0 0 DAVID BOSTER TRUSTEE 1.00 X 0 0 0 JULIE BRINK VICE-CHAIRPE 1.00 X X 0 0 0 MICHAEL R HULSEN TRUSTEE 1.00 X 0 0 0 MAUREEN A KAHN PRESIDENT/CE 20.00 20.00 X X 0 1041403 240032 TIMOTHY D KOONTZ TRUSTEE 1.00 X 0 0 0 ABBY REICH MD TRUSTEE 0.00 40.00 X 0 176909 30799 ADAM REYBURN MD TRUSTEE 1.00 X 0 0 0 DENNIS GO MD TRUSTEE 1.00 X 15900 0 0 HARSHA V POLAVARAPU MD CHIEF OF STA 0.00 40.00 X 0 515918 31269 THOMAS H MILLER MD TRUSTEE 1.00 X 0 0 0 CHRISTOPHER J NIEMANN TRUSTEE 1.00 X 0 0 0 PATRICK M GERVELER TREASURER 20.00 20.00 X 0 623711 129314 TIMOTHY A MOORE SECRETARY 20.00 20.00 X 0 364161 31269 MARY F BARTHEL CHIEF QUALIT 40.00 X 439163 0 21807 BETTY J KASPARIE VP PLANNING 20.00 20.00 X 0 313223 28200 ELLIOT H KUIDA COO 0.00 40.00 X 0 507621 99617 CHRISTOPHER R SOLARO MD CHIEF OF MED 40.00 X 731659 0 35369 ARDEN J REYNOLDS MD CHIEF OF SUR 40.00 X 260585 0 12959 JOELLEN L RANDALL VP HUMAN RES 20.00 20.00 X 0 335935 28576 TIMOTHY L TRANOR CNO 40.00 X 303986 0 32071 SETH C THIBODEAU DO PHYSICIAN 40.00 X 688318 0 27505 ANTONY S WOLLASTON MD PHYSICIAN 40.00 X 621969 0 32988 SCOTT M HOUGH MD PHYSICIAN 40.00 X 692320 0 35369 DAVID J ECKERSLEY MD PHYSICIAN 40.00 X 707241 0 35369 JOHN H ARNOLD MD PHYSICIAN 40.00 X 765809 0 27098 5226950 3878881 879611 127 false true false QUINCY ANESTHESIA ASSOCIATES PC BROADWAY AT 11TH QUINCY IL 62301 ANESTHESIA SVCS 12755276 QUINCY MEDICAL GROUP 1025 MAINE STREET QUINCY IL 62301 PHYSICIAN SVCS 4593381 HBD CONSTRUCTION INC 5517 MANCHESTER AVE ST LOUIS MO 63110 CONSTRUCTION 3273780 CROSS COUNTRY STAFFING PO BOX 404674 ATLANTA GA 30384 STAFFING SVCS. 3006071 WEST CENTRAL PATHOLOGY SPECIALISTS 4000 CATAMARAN CT QUINCY IL 62301 PATHOLOGY SVCS 2928257 64 2128814 997085 12896 3125899 NET PATIENT SERVICE REVENUE 621110 427483939 427483939 COLLEGE OF NURSING 621110 5226632 5226632 PHYSICAL THERAPY 621110 383673 383673 433094244 7006558 7006558 1327925 1327925 1327925 110070 1217855 91751472 88578311 325332 3173161 -325332 2847829 2847829 MANAGEMENT & ACCNTG FEES 900099 8456820 8456820 SALE OF FOOD 541610 2353776 2353776 CHILD CARE CENTER 722100 2226625 2226625 2038742 2038742 15075963 462478418 427867612 110070 31374837 2123610 2123610 1630103 1630103 6313386 4974994 1338392 136200925 107327314 28873611 4973264 3918968 1054296 31198873 24584938 6613935 8936167 7041764 1894403 17740602 17740602 229967 229967 142742 5900 136842 651353 651353 27406414 21852854 5553560 1175314 1175314 198292 115800 82492 5311846 2187770 3124076 870912 595744 275168 356946 227922 129024 2178139 1716389 461750 18346242 10823613 7522629 2576590 2019789 556801 SUPPLIES 58631120 56450036 2181084 BAD DEBTS 15971333 15971333 SOFTWARE 10186524 1941730 8244794 EQUIPMENT RENTAL & MAINT. 7451889 4872467 2579422 11998029 3877036 8120993 372800582 275435388 97365194 0 92359667 59892193 50322553 54928731 40000 260000 7189486 7912085 6857027 6403543 466396806 215212852 219735077 251183954 101055985 114586997 61183271 128325271 16622540 14933856 555365606 638426630 35551186 26453280 74580000 115480000 6868134 6107602 87675266 107650166 204674586 255691048 X 346105383 377818601 2812364 3143708 1773273 1773273 350691020 382735582 555365606 638426630 X 89677836 88549 -57721823 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1928985 -69278 1859737 1793981 76000 59004 1928985 1837667 -43686 1793981 1838747 -1080 1837667 1818441 20306 1838747 0.95350 0.04650 false true true 14717941 14717941 223723187 92661310 131061877 8120096 5079663 3040433 219835582 117471879 102363703 251183954 2939251 F CERTIFICATES OF DEPOSITS 42574177 F OTHER INVESTMENT ASSETS 40639018 F MUTUAL FUNDS 33957882 F CORP. MORTGAGE/ASSET BACKED SE 8214943 F 128325271 ACCRUED PENSION COSTS 53611685 ACCRUED SALARIES & WAGES 20671993 ESTIMATED 3RD-PARTY PAYOR SETTLEMENT 16625709 OTHER LONG TERM LIABILITY 7986796 DEFERRED COMPENSATION 3593171 ADVANCES AND DEFERRED REVENUE 2348267 DUE TO RELATED ORGANIZATIONS 1080300 LEASES PAYABLE 853430 ACCRUED INTEREST 830078 ACCRUED PAYROLL TAXES 626861 DEFERRED FINANCING COST -578124 107650166 435945894 -13552238 -13552238 449498132 12980286 12980286 462478418 356178572 676 676 356177896 16622686 16622686 372800582 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 BAD DEBT REDUCTION OF REVENUE ON F/S -15,971,333 NET ASSETS RELEASED FROM RESTRICTIONS 2,419,095 SCHEDULE D, PAGE 4, PART XI, LINE 4B INVESTMENT INCOME 11,371,900 REALIZED GAINS ON SECURITIES AND ASSETS -2,169,618 TEMPORARILY RESTRICTED CONTRIBUTIONS 3,125,899 TEMPORARILY RESTRICTED INCOME 752 INVESTMENT MANAGEMENT FEES 651,353 SCHEDULE D, PAGE 4, PART XII, LINE 2D LIABILITY CLAIMS REPORTED ON SEPARATE 990 676 SCHEDULE D, PAGE 4, PART XII, LINE 4B BAD DEBT REDUCTION OF REVENUE ON F/S 15,971,333 INVESTMENT EXPENSES 651,353 true true X true X true X true true true false true true 9133153 9133153 0.02560 69329289 69329289 78462442 69329289 9133153 0.02560 795281 795281 0.00220 7218040 7218040 0.02020 9946719 7085665 2861054 0.00800 290825 290825 0.00080 18250865 7085665 11165200 0.03120 96713307 76414954 20298353 0.05680 58145 58145 0.00020 58145 58145 0.00020 true 15971333 745861 117865378 119326958 -1461580 X true true 1 1 BLESSING HOSPITAL AT 11TH ST BROADWAY AT 11TH ST QUINCY IL 62301 X X X X X A A 1 false false true X X X X X X 18 true false true true X WWW.BLESSINGHEALTH.ORG X WWW.UNITEDWAYADAMSCO.ORG X X true 19 true WWW.BLESSINGHEALTH.ORG false false true X 200.000000000000 250.000000000000 X X X X X X true true X X X true X WWW.BLESSINGHEALTH.ORG X WWW.BLESSINGHEALTH.ORG X WWW.BLESSINGHEALTH.ORG X X X X X X true X false X X X X true X false false GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 3E THE CHNA PROCESS HAS IDENTIFIED THE FOLLOWING COMMUNITY HEALTH NEEDS AS A PRIORITY: ADVANCING EDUCATION, SUPPORTING FINANCIAL STABILITY, AND PROMOTING GOOD HEALTH. GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 3J ADAMS COUNTY ADOPTED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) TO GUIDE COMMUNITY BUILDING EFFORTS. THIS STRATEGIC PLANNING TOOL USES THE COMMUNITYS STRENGTHS, NEEDS AND DESIRES TO IDENTIFY PRIORITY HEALTH ISSUES AND THE RESOURCES TO ADDRESS THEM. THE MAPP MODEL CONSISTS OF THE FOLLOWING COMPONENTS: ORGANIZE FOR SUCCESS IDENTIFY STRATEGIC ISSUES PARTNERSHIP DEVELOPMENT CONDUCT MAPP ASSESSMENTS FORMULATE GOALS AND STRATEGIES ACTION INCLUDING PLANNING, IMPLEMENTATION AND EVALUATION THE ADAMS COUNTY HEALTH DEPARTMENT, BLESSING HEALTH SYSTEM, UNIVERSITY OF ILLINOIS EXTENSION AND UNITED WAY OF ADAMS COUNTY CONTINUE TO PROVIDE STRONG LEADERSHIP IN THE MAPP PROCESS. HOWEVER, LONG-TERM SUCCESS AND VALUE COMES FROM COMMUNITY PARTICIPATION WITH OTHER PARTNERS ACROSS ADAMS COUNTY. GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 5 A COMMUNITY SURVEY WAS CONDUCTED BETWEEN MARCH AND JUNE 2018 THAT COLLECTED FEEDBACK FROM THE GENERAL POPULATION OF ADAMS COUNTY, ILLINOIS. THE SURVEY PROVIDES A DEEPER UNDERSTANDING OF THE ISSUES THAT COUNTY RESIDENTS FEEL ARE IMPORTANT. IT IDENTIFIES ISSUES THAT INTEREST THE COMMUNITY, PERCEPTIONS OF QUALITY OF LIFE AND SUMMARIZES COMMUNITY ASSETS. A TOTAL OF 603 SURVEYS WERE COMPLETED (A SAMPLE SIZE OF 595 WAS NEEDED). IN ADDITION, THE COMMUNITY BUILDING STRUCTURE FACILITATED BY THE UNITED WAY OF ADAMS COUNTY INCLUDES TEAMS OF INDIVIDUALS WITH REPRESENTATION FROM BLESSING HEALTH SYSTEM, THE ADAMS COUNTY HEALTH DEPARTMENT, MENTAL HEALTH PROFESSIONALS, SOCIAL WORKERS, AND OTHER HEALTHCARE PROFESSIONALS. IN TOTAL, APPROXIMATELY 125 VOLUNTEERS PARTICIPATE IN ALL ASPECTS OF COMMUNITY BUILDING, ENGAGING IN MEANINGFUL AND RICH DISCUSSIONS TO LEARN ABOUT COMMUNITY ISSUES AND PROMISING PRACTICES. THEY HAVE A LEAD ROLE IN THE FORMATION, IMPLEMENTATION, AND UPDATING OF LONG RANGE VISIONS TO MEET THE MOST CRITICAL NEEDS IN OUR COMMUNITY, IN 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 WAS CONDUCTED IN PARTNERSHIP WITH UNITED WAY OF ADAMS COUNTY, ADAMS COUNTY HEALTH DEPARTMENT, AND THE UNIVERSITY OF ILLINOIS EXTENSION. GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 7D SINCE THE RELEASE OF THE CHNA IN SEPTEMBER 2018, REPRESENTATIVES FROM UNITED WAY OF ADAMS COUNTY HAVE PRESENTED THE KEY FINDINGS OF THE REPORT TO COMMUNITY GROUPS IN ADAMS COUNTY. COMMUNITY MEMBERS WHO HAVE HEARD THE PRESENTATION HAVE THE OPPORTUNITY TO ASK QUESTIONS AND PROVIDE FEEDBACK. THIS FEEDBACK IS IMPORTANT TO PROVIDE FURTHER DIRECTION FOR THE COMMUNITY BUILDING GROUPS. THE PRESENTATIONS PROVIDE AN OPPORTUNITY TO CREATE BROAD COMMUNITY AWARENESS ON THE ISSUES AND OPPORTUNITIES ADDRESSED IN THE CHNA. GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 11 IN 2001, UNITED WAY OF ADAMS COUNTY, UNIVERSITY OF ILLINOIS EXTENSION AND ADAMS COUNTY HEALTH DEPARTMENT JOINED FORCES TO CONDUCT A COMMUNITY NEEDS ASSESSMENT AND ON-GOING COMMUNITY PLANNING PROCESS TO ADDRESS COMMUNITY HEALTH NEEDS. THE BLESSING HEALTH SYSTEM JOINED THE COLLABORATION TAKING AN ACTIVE ROLE IN COMMUNITY BUILDING EFFORTS IN 2008. ADAMS COUNTY ADOPTED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) TO GUIDE COMMUNITY BUILDING PROCESS. THIS STRATEGIC PLANNING TOOL USES THE COMMUNITY'S STRENGTHS, NEEDS AND DESIRES TO IDENTIFY PRIORITY HEALTH ISSUES AND COLLABORATIVE PROGRAMMING IN THE PRIMARY MARKET OF ADAMS COUNTY TO ADDRESS THE IDENTIFIED ISSUES. 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 2018 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 SIX COMMUNITY SOLUTIONS TEAMS (CST) FOCUSING COMPRISED OF COMMUNITY EXPERTS IN THE AREAS OF THE STRATEGIC PRIORITIES. THE COMMUNITY SOLUTIONS 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 TEAMS 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.HEALTH -ACCESS TO HEALTHCARE -MENTAL HEALTH -SUBSTANCE ABUSE -NUTRITION AND WEIGHT STATUS (WELLNESS AND PREVENTION) 2.EDUCATION -GRADE LEVEL READING 3.FINANCIAL STABILITY BLESSING HOSPITAL IDENTIFIED THE FOLLOWING FOCUS AREAS UNDER THE HEALTH PRIORITY AS THEY MOST CLOSELY ALIGN WITH THE ORGANIZATIONAL GOALS: ACCESS TO HEALTHCARE, MENTAL HEALTH, AND NUTRITION AND WEIGHT STATUS (WELLNESS AND PREVENTION). THESE PRIORITY AREAS AND STRATEGIES WERE DETERMINED TAKING INTO ACCOUNT THE PROGRAMMING, RESOURCES AND PRIORITIES OF THE HOSPITAL. BLESSING HOSPITAL MENTAL HEALTH STRATEGY: THE OVERALL GOAL OF BLESSING HOSPITAL'S BEHAVIORAL HEALTH STRATEGY IS TO INCREASE ACCESS TO BEHAVIORAL HEALTH PROVIDERS BY 10%, INCREASE VISITS TO BEHAVIORAL HEALTH SERVICES BY 15%, INCREASE VISITS TO THE RURAL HEALTH CLINICS BY 10%, TO REDUCE THE UTILIZATION OF EMERGENCY ROOM VISITS BY 5%, AND TO INCREASE TELEHEALTH VISITS FOR OUTPATIENT BEHAVIORAL HEALTH BY 20%. TACTICS UTILIZED TO ACHIEVE THIS GOAL INCLUDE: -RECRUITMENT - ADD ADDITIONAL THERAPISTS, PSYCHOLOGISTS, PMHNP, AND PSYCHIATRISTS -MARKETING/ SOCIAL MEDIA TACTICS TO CONTINUE EFFORTS OF PROMOTING BEHAVIORAL HEALTH SERVICES -EXPLORE ALTERNATIVE BEHAVIORAL HEALTH SERVICES VS. ER UTILIZATION -IMPLEMENT WALK- IN/OPEN ACCESS FOR THERAPY AND PSYCHIATRY (PMHNP) -INCREASE TELEHEALTH USAGE FOR BEHAVIORAL HEALTH SERVICES INCLUDING THE RURAL CLINICS -INTEGRATE MENTAL HEALTH SERVICES INTO ALL PRIMARY CARE SETTINGS BLESSING HOSPITAL ACCESS TO SERVICES STRATEGY: THE OVERALL GOAL TO ADDRESS ACCESS TO CARE IS TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES FOR COMMUNITY MEMBERS BY IMPROVING AVAILABILITY AND ACCESSIBILITY OF THE HEALTHCARE SERVICES. TACTICS UTILIZED TO ACHIEVE THIS GOAL INCLUDE: -COMPLETE 40% OF CRITICAL RECRUITMENT PLAN FOR PHYSICIANS TO INCLUDE BOTH PRIMARY CARE AND SPECIALISTS -TARGET 250 TELEMEDICINE VISITS PER MONTH -CONTINUE TO PROVIDE CARE COORDINATION SERVICES TO 2,000 PATIENTS ANNUALLY TO ENHANCE THE ABILITY OF COMMUNITY MEMBERS TO EFFICIENTLY AND EFFECTIVELY ACCESS HEALTHCARE SERVICES. BLESSING HOSPITAL HAS A CARE COORDINATION DEPARTMENT THAT PROVIDES SERVICES TO PATIENTS IN THE OUTPATIENT SETTING. CARE COORDINATION INCLUDES HELPING INDIVIDUALS MAKE APPOINTMENTS WITH THEIR HEALTH CARE PROVIDER; ASSISTING WITH TRANSPORTATION TO APPOINTMENTS; TALKING TO CLIENTS AFTER APPOINTMENTS TO HELP THEM FOLLOW THEIR PROVIDER'S PLAN OF TREATMENT; PROVIDING APPOINTMENT REMINDERS; PROVIDING DISEASE EDUCATION; SERVING AS AN ADVOCATE FOR THE CLIENT WHEN NEEDED; AND MAKING SURE THEY ARE CONNECTED TO ALL APPROPRIATE HEALTH AND SUPPORT PROGRAMS. -DEVELOPMENT AND ENHANCEMENT OF FIVE IDENTIFIED SERVICE LINES TO OFFER COMPREHENSIVE AND COORDINATED ACCESS TO SPECIALTY SERVICES BLESSING HOSPITAL WELLNESS AND PREVENTION STRATEGY: BLESSING HOSPITAL HAS A GOAL OF HELPING PATIENTS TO PROMOTE HEALTH AND REDUCE CHRONIC DISEASE RISK THROUGH THE CONSUMPTION OF HEALTHFUL DIETS AND ACHIEVEMENT AND MAINTENANCE OF HEALTHY BODY WEIGHTS AS AN IMPORTANT COMPONENT OF A POPULATION HEALTH STRATEGY: -DEVELOPMENT OF COMMUNITY GARDEN -EXPANSION OF BARIATRIC SURGERY OPTIONS FOR COMMUNITY RESIDENTS -COMMUNITY EDUCATION AND SCREENINGS: BLESSING HEALTH SYSTEMS AND ITS AFFILIATED ORGANIZATIONS HAVE LONG BEEN DEDICATED TO COMMUNITY OUTREACH PROGRAMS, INVESTING MILLIONS OF DOLLARS IN RECENT YEARS TO THESE EFFORTS. THERE ARE AVAILABLE SPEAKERS, EDUCATIONAL OPPORTUNITIES, AND SUPPORT GROUPS. MOST UTILIZED ARE THE NUMEROUS FREE OR LOW COST SCREENINGS, SOME OF WHICH ARE PROVIDED MORE THAN ONCE A YEAR AND CAN BE PROVIDED ONSITE FOR COMPANIES OR LOCAL CLUBS. THE SCREENINGS INCLUDE: BLOOD PRESSURE, CANCER (COLORECTAL, ORAL, PROSTATE, AND SKIN), CARDIAC RISK ASSESSMENT, CAROTID, CHOLESTEROL, DEPRESSION, GLUCOSE, KIDNEY, PERIPHERAL VASCULAR DISEASE, AND MAMMOGRAMS. FRIENDS OF THE TRAILS COMMUNITY BASED INITIATIVE: BLESSING HOSPITAL HAS SUPPORTED THIS PROJECT THROUGH PERSONNEL RESOURCES FOR PLANNING AND BY PROVIDING FINANCIAL SUPPORT. FRIENDS OF THE TRAILS' MISSION IS TO COLLABORATE, PROMOTE, AND EDUCATE THE COMMUNITY ON THE MULTI-USE TRAIL SYSTEM AND GREENWAYS WHILE PROVIDING ORGANIZATIONAL AND FUNDRAISING CAPACITIES TO SUPPLEMENT AND LESSEN THE BURDEN OF THE CITY OF QUINCY, QUINCY PARK DISTRICT, AND ADAMS COUNTY. THE GOAL IS TO COMPLETE THE QUINCY GREENWAYS AND TRAILS PLAN AND ASSIST IN THE DEVELOPMENT OF THE ADAMS COUNTY TRAILS PLAN IN AN ATTEMPT TO MEET THE FOLLOWING OBJECTIVES: PROVIDE FREE, HEALTH-RELATED RECREATIONAL OPPORTUNITIES FOR WHICH FAMILIES CAN PARTICIPATE TOGETHER; ALLOW SAFER ACCESS TO OUR EXISTING PARKS; PROVIDE LINKAGE THROUGHOUT THE COMMUNITY FOR ALL SOCIOECONOMIC POPULATIONS; INCREASE EDUCATIONAL OPPORTUNITIES FOR CHILDREN AND ADULTS TO LEARN BIKE SAFETY; INCREASE EDUCATIONAL OPPORTUNITIES FOR MOTORISTS THROUGH PUBLIC AWARENESS AND MEDIA COVERAGE; AND ENHANCE THE ECONOMIC BENEFITS FOR THE COMMUNITY. THE REMAINING PRIORITY AREAS OF ARE NOT BEING DIRECTLY ADDRESSED BY BLESSING HOSPITAL ALTHOUGH WE CONTINUE TO SUPPORT THE INITIATIVES AND HAVE REPRESENTATION ON MOST 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: -SUBSTANCE ABUSE- THIS INITIATIVE IS LED BY THE ADAMS COUNTY HEALTH DEPARTMENT AND FOCUSES ON SOCIAL NORMS OF UNDERAGE DRINKING. -EDUCATION (GRADE LEVEL READING) - THIS INITIATIVE IS LED BY REPRESENTATIVES FROM THE REGIONAL OFFICE OF EDUCATION AND THE QUINCY PUBLIC LIBRARY AND HAS PLACED ITS FOCUS ON EARLY LEARNING IN THE FIRST FIVE YEARS OF LIFE- CRITICAL STATE FOR BRAIN DEVELOPMENT THAT IMPACTS FUTURE SUCCESS IN SCHOOL AND INTO ADULTHOOD. -FINANCIAL STABILITY- THIS INITIATIVE IS LED BY THE GREAT RIVER ECONOMIC DEVELOPMENT FOUNDATION AND THE WORK FORCE INVESTMENT BOARD OF ILLINOIS AND FOCUSES ITS' EFFORTS ON INCREASING WORK READINESS AND FINANCIAL LITERACY SKILLS OF YOUTH AND ADULTS. GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 13B PATIENTS ARE ELIGIBLE FOR CATASTROPHIC FINANCIAL ASSISTANCE IF THEIR INCOME EXCEEDS 250% 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, FAMILY SIZE, AND ASSETS. 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. 8 BLESSING AMBULATORY SURGERY CENTER 1118 HAMPSHIRE STREET QUINCY IL 62301 AMBULATORY SURGICAL TREATMENT CENTER BLESSING HOME CARE BROADWAY AT 14TH STREET QUINCY IL 62301 HOME HEALTH AGENCY IN ILLINOIS BLESSING HOME CARE - PALMYRA 6996 COUNTY ROAD 326 PALMYRA MO 63461 HOME HEALTH AGENCY IN MISSOURI BLESSING HOSPICE & PALLIATIVE CARE 936 BROADWAY QUINCY IL 62301 FULL HOSPICE PROGRAM IN ILLINOIS BLESSING HOSPICE - HANCOCK COUNTY 71 SOUTH ADAMS CARTHAGE IL 62321 FULL HOSPICE PROGRAM IN ILLINOIS BLESSING HOSPICE - PIKE COUNTY 967 WEST WASHINGTON PITTSFIELD IL 62363 FULL HOSPICE PROGRAM IN ILLINOIS DENMAN COUNTRY DRUGS 102 PRAIRIE MILLS ROAD GOLDEN IL 62339 PHARMACY WITHIN RURAL HEALTH CLINIC EAST ADAMS COUNTY RURAL HEALTH CLIN 102 PRAIRIE MILLS ROAD GOLDEN IL 62339 RURAL HEALTH CLINIC PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE PATIENTS ARE ELIGIBLE FOR CATASTROPHIC FINANCIAL ASSISTANCE IF THEIR INCOME EXCEEDS 250% 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, FAMILY SIZE AND ASSETS. PATIENTS EXPERIENCING CATASTROPHIC MEDICAL INDIGENCE ARE ELIGIBLE FOR A DISCOUNT OF 85%. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION BLESSING HOSPITAL DOES NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE BAD DEBT EXPENSE OF 15,971,333 IS SUBTRACTED FROM TOTAL EXPENSES OF 372,800,582 REPORTED ON LINE 25, COLUMN A OF FORM 990, PART IX,FOR A NET TOTAL EXPENSE OF 356,829,249. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION 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. PART II - COMMUNITY BUILDING ACTIVITIES 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. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY BAD DEBT EXPENSE IS CALCULATED ON THE NET PATIENT ACCOUNT BALANCE AFTER THE BALANCE HAS BEEN REDUCED FOR ANY PAYMENTS RECEIVED OR DISCOUNTS/ADJUSTMENTS THAT ARE KNOWN. PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE ARE RECOGNIZED AS CHARITY CARE ACCOUNTS WHEN SUFFICIENT INFORMATION IS RECEIVED TO DETERMINE THEIR ELIGIBILITY. PRIOR TO THIS POINT, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS CALCULATED ON UNINSURED ACCOUNTS. THIS ALLOWANCE IS REVERSED IF THE ACCOUNT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE 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. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS SEE NOTE (3) ON PAGE 11 OF THE HOSPITAL'S ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8 - MEDICARE EXPLANATION 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. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION COLLECTION PRACTICES ARE NOT PURSUED IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION HAS BEEN RETURNED AND APPROVED. PART VI, LINE 2 - NEEDS ASSESSMENT 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 2018. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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 AT THEIR HOME. 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 FAS ARE NOT AVAILABLE TO MEET WITH THE PATIENT PRIOR TO SERVICE, CONTACT INFORMATION IS GIVEN TO THE PATIENT IF ASSISTANCE IS NEEDED. PART VI, LINE 4 - COMMUNITY INFORMATION FOR 146 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 63,575. THE MEDIAN HOUSEHOLD INCOME IN THE FOUR ILLINOIS COUNTIES IN BLESSINGS PRIMARY MARKET AREA IS BELOW THE ILLINOIS AVERAGE, RANGING FROM 4,800 TO 20,900 LOWER. THE MISSOURI MEDIAN HOUSEHOLD INCOME IS 53,560. IN THE TWO MISSOURI COUNTIES IN BLESSINGS PRIMARY MARKET AREA THE MEDIAN HOUSEHOLD INCOME IS BELOW THE STATE AVERAGE BETWEEN 5,800 AND 6,800. THE PERCENTAGE OF RESIDENTS OVER THE AGE OF 65 IN ILLINOIS IS 15.6 PERCENT. THE ILLINOIS COUNTIES IN BLESSINGS PRIMARY MARKET AREA, WITH THE EXCEPTION OF BROWN COUNTY, EXCEED THAT RATE BY AN AVERAGE OF 5.9 PERCENTAGE POINTS. THE PERCENTAGE OF RESIDENTS OVER THE AGE OF 65 IN MISSOURI IS 16.9 PERCENT. THE MISSOURI COUNTIES IN BLESSINGS PRIMARY MARKET AREA EXCEED THE STATE AVERAGE BY APPROXIMATELY 1.4 PERCENTAGE POINTS. THE ILLINOIS POVERTY RATE IS 12.1 PERCENT. FOR THE FOUR COUNTIES IN BLESSINGS PRIMARY MARKET IN ILLINOIS, THE AVERAGE POVERTY RATE IS 13.0 PERCENT, WHICH IS 0.9 PERCENTAGE POINTS ABOVE THE STATE AVERAGE. THE MISSOURI POVERTY RATE IS 13.2 PERCENT. FOR THE TWO MISSOURI COUNTIES IN BLESSINGS PRIMARY MARKET, THE POVERTY RATE AVERAGES 14.5 PERCENT, WHICH IS 1.3 PERCENTAGE POINTS ABOVE THE STATE AVERAGE. THE OBESITY RATE AVERAGE ACROSS THE FOUR ILLINOIS COUNTIES IN BLESSINGS PRIMARY MARKET IS 30.3 PERCENT, SLIGHTLY ABOVE THE STATE AVERAGE OF 30.0 PERCENT. IN MISSOURI, THE OBESITY RATE AVERAGE IS 34.5 PERCENT IN THE TWO COUNTIES IN BLESSINGS PRIMARY MARKET, 2.5 PERCENTAGE POINTS ABOVE THE STATE AVERAGE OF 32.0 PERCENT. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH 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 3,948 EMPLOYEES. OF SIGNIFICANT IMPORTANCE ARE THE VOLUNTEERS WHO SERVE THE HOSPITAL. IN FISCAL YEAR 2019, BLESSING HOSPITAL HAD 696 ACTIVE VOLUNTEERS WHO SERVED FOR A TOTAL OF 78,282 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. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM BLESSING CORPORATE SERVICES, INC. IS THE PARENT ORGANIZATION OF A GROUP OF RELATED ORGANIZATIONS AND PROVIDES OVERALL DIRECTION TO ALL ENTITIES WITHIN THE STRUCTURE. DURING THE YEAR ENDED SEPTEMBER 30, 2005, BLESSING CORPORATE SERVICES, INC. BEGAN OPERATING A DIVISION COMPRISED OF PRACTICING PHYSICIANS. THE GROUP IS RELATED THROUGH BOARD CONTROL. THE FOLLOWING IS A BRIEF DESCRIPTION OF EACH MEMBER OF THE GROUP. ORGANIZATION - BLESSING HOSPITAL (HOSPITAL), LOCATED IN QUINCY, ILLINOIS, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF WESTERN ILLINOIS, NORTHEASTERN MISSOURI, AND SOUTHEASTERN IOWA. THE HOSPITAL WAS INCORPORATED IN ILLINOIS IN 1875. ORGANIZATION - THE BLESSING FOUNDATION, INC. SERVES BLESSING CORPORATE SERVICES AND ITS AFFILIATED ENTITIES BY PROVIDING FINANCIAL SUPPORT FOR SERVICES AND PROGRAMS PROMOTING THE IMPROVEMENT AND AVAILABILITY OF HEALTHCARE SERVICES WITHIN THE GENERAL COMMUNITY. ORGANIZATION - DENMAN SERVICES, INC. (A TAXABLE CORPORATION) ENGAGES PRIMARILY IN THE BUSINESS OF SELLING AND RENTING MEDICAL EQUIPMENT AND OPERATING A COMMERCIAL LAUNDRY. DENMAN SERVICES, INC. IS A WHOLLY OWNED SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. ORGANIZATION - BLESSINGCARE CORPORATION DBA ILLINI COMMUNITY HOSPITAL AND SUBSIDIARY, LOCATED IN PITTSFIELD, ILLINOIS, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF WESTERN ILLINOIS. THE HOSPITAL WAS INCORPORATED ON JANUARY 20, 2000. ORGANIZATION - ILLINI HEALTH SERVICES, LLC CONDUCTS A PHARMACY BUSINESS IN PITTSFIELD, ILLINOIS. THE PHARMACY IS OWNED NINETY-FIVE PERCENT (95%) BY DENMAN SERVICES, INC. AND FIVE PERCENT (5%) BY BLESSINGCARE CORPORATION DBA ILLINI COMMUNITY HOSPITAL. ORGANIZATION - CHS HOLDING COMPANY (A TAXABLE CORPORATION) PROVIDES HEALTH INSURANCE PRODUCTS AND SERVICES. ORGANIZATION - BLESSING WALK-IN CLINIC, LLC DBA BLESSING CONVENIENT CARE OPERATES HEALTH CLINICS IN RETAIL FACILITIES. ORGANIZATION - CROSSRIVER QUALITY HEALTH PARTNERS IS A CLINICALLY INTEGRATED NETWORK FOCUSED ON IMPROVING QUALITY AND EFFICIENCY OF PATIENT CARE ACROSS ILLINOIS, MISSOURI, AND IOWA. IT IS A WHOLLY OWNED SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. ORGANIZATION - BLESSING ASSURANCE COMPANY IS A WHOLLY OWNED FOREIGN SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. AND IS A PROVIDER OF SELF-INSURANCE TO THE AFFILIATED GROUP. ORGANIZATION - THE HANNIBAL CLINIC, INC. (A TAXABLE CORPORATION) PROVIDES A GROUP OF HEALTH CARE PROVIDERS SERVING NORTHEAST MISSOURI AND WEST CENTRAL ILLINOIS. IT IS A WHOLLY OWNED SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT ILLINOIS ADDITIONAL INFORMATION 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. true SIU SCHOOL OF MEDICINE PO BOX 19607 327 W CALHOUN SPRINGFIELD IL 62794 376005961 501C3 1840942 BOOK MED ED & RESEARCH ADAMS COUNTY HEALTH DEPARTMENT 330 VERMONT ST QUINCY IL 62301 376000379 GOV 100000 BOOK DENTAL PROGRAM UNITED WAY OF ADAMS COUNTY 936 BROADWAY SUITE F QUINCY IL 62301 370673476 501C3 66122 BOOK GENERAL SUPPORT QUINCY UNIVERSITY 1800 COLLEGE AVENUE QUINCY IL 62301 370661231 501C3 37150 7414 BOOK CABLING INSTALL GENERAL SUPPORT HORIZONS SOCIAL SERICES OF ADAMS CO 224 SOUTH 8TH ST QUINCY IL 62301 263734445 501C3 25000 BOOK GENERAL SUPPORT HISTORIC QUINCY BUSINESS DISTRICT 128 NORTH 5TH STREET QUINCY IL 62301 371049939 501C3 10500 BOOK GENERAL SUPPORT QUINCY PUBLIC SCHOOLS FOUNDATION 1444 MAINE STREET QUINCY IL 62301 371251029 501C3 10000 BOOK GENERAL SUPPORT CULVER-STOCKTON COLLEGE ONE COLLEGE HILL CANTON MO 63435 430610813 501C3 10000 BOOK GENERAL SUPPORT AMERICAN RED CROSS-WESTERN IL CHAP 3000 NORTH 23RD STREET QUINCY IL 62301 530196605 501C3 6000 BOOK GENERAL SUPPORT JACKSON LINCOLN SWIMMING COMPLEX PO BOX 176 QUINCY IL 62306 364168494 501C3 5000 5482 BOOK GIVE AWAY ITEMS GENERAL SUPPORT 10 BLESSING-RIEMAN STUDENTS 235 1355498 BOOK BLESSING HEALTH PATIENTS 833 237708 BOOK EMPLOYEE ASSISTANCE 21 36897 BOOK SCHEDULE I, PAGE 1, PART I, LINE 2 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 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 HEALTHCARE PROFESSIONALS WITHIN THE BLESSING HEALTH SYSTEM SEND REQUESTS FOR ASSISTANCE OF 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 MEETING A REQUIRED LENGTH OF SERVICE AND IN GOOD EMPLOYMENT STANDING. EMPLOYEES MAKE REQUESTS FOR ASSISTANCE THROUGH THEIR DEPARTMENT LEADERS. THE APPLICATIONS GO TO A COMMITTEE WHO REVIEWS THEM FOR APPROVAL. THE BALANCE OF THE FUND IS IN A GENERAL LEDGER ACCOUNT ON THE BOOKS OF BLESSING HOSPITAL AND IS MONITORED BY HOSPITAL ACCOUNTANTS. false true false false false false false false false MAUREEN A KAHN PRESIDENT/CEO 645235 251223 144945 209500 30532 1281435 ABBY REICH MD TRUSTEE 175566 1343 9180 24010 207708 HARSHA V POLAVARAPU MD CHIEF OF STAFF 420919 75320 19679 13750 22215 547187 PATRICK M GERVELER TREASURER 405141 136215 82355 98500 30814 753025 TIMOTHY A MOORE SECRETARY 257267 74919 31975 13750 25508 395430 MARY F BARTHEL CHIEF QUALITY/SAFETY 394392 42591 2180 5459 22130 460970 BETTY J KASPARIE VP PLANNING & COMP 205311 56653 51259 11333 23192 341423 ELLIOT H KUIDA COO 347858 112723 47040 82750 25983 607238 CHRISTOPHER R SOLARO MD CHIEF OF MEDICINE 564825 131468 35366 13750 28749 767028 ARDEN J REYNOLDS MD CHIEF OF SURGERY 221894 30516 8175 12959 1913 273544 JOELLEN L RANDALL VP HUMAN RESOURCES 240242 65420 30273 11057 24694 364511 TIMOTHY L TRANOR CNO 201257 50265 52464 11660 26575 336057 SETH C THIBODEAU DO PHYSICIAN 385253 302165 900 10638 21386 715823 ANTONY S WOLLASTON MD PHYSICIAN 373886 224460 23623 11369 26482 654957 SCOTT M HOUGH MD PHYSICIAN 359273 308917 24130 13750 26440 727689 DAVID J ECKERSLEY MD PHYSICIAN 354462 329311 23468 13750 25393 742610 JOHN H ARNOLD MD PHYSICIAN 741470 24339 10231 25654 792907 SCHEDULE J, PAGE 1, PART I, LINE 3 COMPENSATION OF ORGANIZATION'S CEO - CEO MAUREEN KAHN IS AN EMPLOYEE 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, ABBY REICH, HARSHA POLAVARAPU, PATRICK GERVELER, AND TIMOTHY MOORE ARE EMPLOYEES OF BLESSING CORPORATE SERIVCES, 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 0 195,750 0 PATRICK M. GERVELER 0 84,750 0 ELLIOT H. KUIDA 0 69,000 0 A ILLINOIS FINANCE AUTHORITY 861091967 2017-11-15 15955000 SEE PART VI false false false B ILLINOIS FINANCE AUTHORITY REVENUE REFUNDING BONDS SERIES 2019 861091967 2019-06-27 28977500 SEE PART VI false false false C ILLINOIS FINANCE AUTHORITY REVENUE REFUNDING BONDS SERIES 2019 861091967 2019-06-27 28977500 SEE PART VI false false false D ILLINOIS FINANCE AUTHORITY REVENUE BONDS SERIES 2019C 861091967 2019-06-27 45230000 SEE PART VI false false false A 3660000 15955000 147588 4000000 2017 false false true true B 28977500 147500 28830000 2019 true false true true C 28977500 147500 28830000 2019 true false true true D 45230000 230000 45000000 false false true true A false true true true false 0.02900 0.02900 false false true B false true true true false false false true C false true true true false false false true D false true true true false false false true A false false true false false false false false true B false false true false true false false false true C false false true false true false false false true D false false true false true false false false true A true B true C true D true SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION ILLINOIS FINANCE AUTHORITY 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. ILLINOIS FINANCE AUTHORITY B - SERIES 2019A - 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. ILLINOIS FINANCE AUTHORITY C - SERICES 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. ILLINOIS FINANCE AUTHORITY D - SERIES 2019C - USED FOR (I) 35M - THE CONSTRUCTION AND EQUIPPING OF AN EXPANSION OF THE MOORMAN PAVILION, (II) 10M - THE CONSTRUCTION AND EQUIPPING OF AN EXPANSION TO THE AMBULATORY SURGERY CENTER, AND (III) 230K TO PAY EXPENSES RELATED TO THE ISSUANCE OF THE SERIES 2019C BONDS. JOHN H ARNOLD MD EMPLOYEE EDUCATIONAL DEBT X 120000 120000 false true true SETH C THIBODEAU DO EMPLOYEE EDUCATIONAL DEBT X 150000 90000 false true true SETH C THIBODEAU DO EMPLOYEE SIGN BONUS X 50000 30000 false true true DAVID J ECKERSLEY EMPLOYEE EDUCATIONAL DEBT X 100000 20000 false true true 260000 MISSA J GERVELER FAMILY MEMBER 34147 EMPLOYMENT false ELLEN J TRAMAN FAMILY MEMBER 40508 EMPLOYMENT false ROBERT G TRAMAN FAMILY MEMBER 27680 EMPLOYMENT false ANN M REICH FAMILY MEMBER 44198 EMPLOYMENT false SURYA V POLAVARAPU FAMILY MEMBER 40990 EMPLOYMENT false FORM 990, PAGE 2, PART III, LINE 4A SEE SCHEDULE O SINCE IT WAS FOUNDED IN 1875, 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 2019, THE COST OF CHARITY CARE PROVIDED WAS 9,133,153 AND MEDICARE SHORTFALLS WERE 50,249,890. BLESSING HOSPITAL TREATED PATIENTS THROUGH THE FOLLOWING SERVICES DURING FISCAL YEAR 2019: 39,570 EMERGENCY CENTER AND 30,458 URGENT CARE VISITS; 294,289 OUTPATIENT VISITS; 17,975 SURGICAL OPERATIONS, INCLUDING 135 OPEN HEART SURGERIES, 15,041 INPATIENT ADMISSIONS, AND 1,072 BABIES. OUTPATIENT SERVICES INCLUDED 107,696 CARDIOPULMONARY/CARDIOLOGY PROCEDURES, 827,071 LABORATORY TESTS, 117,624 RADIOLOGY PROCEDURES, AND 130,415 PHYSICAL THERAPY/REHABILITATION VISITS. BLESSING HOSPITAL PROVIDED ADDITIONAL BENEFITS OF 11,165,200 TO THE COMMUNITY DURING FISCAL YEAR 2019 AS FOLLOWS: HEALTH PROFESSIONALS EDUCATION SIU RESIDENCY PROGRAM 4,427,526 BLESSING-RIEMAN COLLEGE OF NURSING 1,564,894 NURSING EDUCATIONAL PRECEPTORS 847,327 SCHOOL OF RADIOLOGIC TECHNOLOGY 315,216 SCHOOL OF MEDICAL LABORATORY TECHNICIANS 63,077 SUB TOTAL HEALTH PROFESSIONALS EDUCATION 7,218,040 COMMUNITY HEALTH IMPROVEMENT SERVICES PSYCHIATRIC SERVICES TO SIU CENTER FOR FAMILY MEDICINE - QUINCY, CHADDOCK, AND TRANSITIONS OF WESTERN ILLINOIS 314,037 ADAMS COUNTY HEALTH DEPARTMENT DENTAL PROGRAM 100,000 PATIENT TRANSPORTATION AND LODGING 199,909 CHARITY PHARMACY PRESCRIPTIONS 65,505 HEALTH SCREENINGS/TESTS 28,836 MEDICAL SUPPLIES/SERVICES FOR PATIENTS 34,527 SUPPORT GROUPS 34,641 EDUCATIONAL PROGRAMS 10,667 MEDICAL INTERPRETING SERVICES 7,159 SUB TOTAL COMMUNITY HEALTH IMPROVEMENT SERVICES 795,281 SIU CENTER FOR FAMILY MEDICINE - QUINCY, CHADDOCK, AND TRANSITIONS OF WESTERN ILLINOIS SUBSIDIZED HEALTH SERVICES CARE COORDINATION 2,116,279 HOME HEALTHCARE SERVICES 744,775 SUB TOTAL SUBSIDIZED HEALTH SERVICES 2,861,054 IN-KIND CONTRIBUTIONS/DONATIONS DONATIONS/SPONSORSHIPS 282,373 MEETING SPACE 8,452 SUB TOTAL IN-KIND CONTRIBUTIONS/DONATIONS 290,825 BLESSING HOSPITAL'S STRATEGIC OBJECTIVES FOR THE UPCOMING YEARS ARE AS FOLLOWS: -BECOME AN INDEPENDENT REGIONAL DESTINATION HEALTH SYSTEM -ACHIEVE TOP DECILE PERFORMANCE -ACHIEVE TOP DECILE STAKEHOLDER ENGAGEMENT -IMPROVE PEOPLE SYSTEMS -EFFECTIVE RESOURCE ALLOCATION THROUGH EVIDENCE BASED FINANCIAL LEADERSHIP PRACTICES FORM 990, PAGE 6, PART VI, LINE 3 1) BLESSING CORPORATE SERVICES PROVIDES GENERAL MANAGEMENT SERVICES. 2) QUINCY MEDICAL GROUP PROVIDES MANAGEMENT OF THE SURGERY CENTER OF QUINCY. 3) ARAMARK PROVIDES MANAGEMENT OF FOOD SERVICES AND ENVIRONMENTAL SERVICES. 4) BRIDGE HOME CARE PARTNERS PROVIDES MANAGEMENT OF BLESSING'S HOME CARE SERVICES. 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 RIGHTS AND RESPONSIBILITES TO APPROVE EXPRESSLY ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE; APPROVE LONG- TERM DEBT, LONG-RANGE PLANS AND CAPITAL AND OPERATING BUDGETS; APPROVE THE PURCHASE AND SALE OF REAL AND PERSONAL PROPERTY AND CONTRACTS ENTERED INTO BY THE CORPORATION, NOT EXPRESSLY MADE PART OF AN APPROVED BUDGET, THE REASONABLE VALUE OF WHICH EXCEEDS AN AMOUNT SET FORTH IN THE BYLAWS OF THE MEMBER; 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; APPROVE THE PARAMETERS FOR TERMS OF EMPLOYMENT OF PHYSICIANS, INCLUDING PHYSICIAN COMPENSATION PLANS, AND ANY MATERIAL VARIANCES FROM SUCH PARAMETERS FOR INDIVIDUAL PHYSICIANS; APPROVE THE SELECTION OF AUDITORS AND LEGAL COUNSEL; APPROVE CHARITY CARE AND COMMUNITY BENEFITS-RELATED POLICIES; APPROVE THE FORMATION OF SUBSIDIARY ENTITIES AND/OR JOINT VENTURES; APPROVE THE FILING OF A PETITION IN BANKRUPTCY, MAKING AN ASSIGNMENT FOR THE BENEFIT OF CREDITORS, OR APPLYING FOR PROTECTION UNDER ANY INSOLVENCY LAWS; APPROVE THE PARTICIPATION IN ANY MERGER, COMBINATION, CONSOLIDATION, LIQUIDATION, DISSOLUTION OR OTHER CORPORATE OR BUSINESS ENTITY RESTRUCTURING; AND HAVE THE POWER TO COMPEL THE CORPORATION TO ENFORCE AND/OR PERFORM ANY CONTRACTUAL OBLIGATION. FORM 990, PAGE 6, PART VI, LINE 11B FOLLOWING MANAGEMENT AND LEGAL REVIEW, THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C 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 TRANSFERS TO AFFILIATES -29,895,558 DECREASE IN MINIMUM PENSION LIABILITY -27,826,265 TOTAL -57,721,823 BLESSING CORPORATE SERVICES BROADWAY AT 11TH PO BOX 7005 QUINCY IL 623057005 371128706 MGMT SVCS IL 501C3 10 N/A false THE BLESSING FOUNDATION BROADWAY AT 11TH POBOX 7005 QUINCY IL 623057005 371128705 FUNDRAISE IL 501C3 12B BCS INC BCS INC false BLESSINGCARE CORP DBA ILLINI COMM H 640 WEST WASHINGTON PITTSFIELD IL 62363 371396010 HOSPITAL IL 501C3 3 BCS INC BCS INC false BLESSING HOSPITAL SELF-INSURANCE PL BROADWAY AT 11TH PO BOX 7005 QUINCY IL 623057005 371045366 MED CLAIMS IL 501C3 12A BCS INC BCS INC false BLESSINGCARE CORPORATION - MISSOURI 1005 BROADWAY QUINCY IL 62301 431371818 INACTIVE MO 501C3 3 BCS INC BCS INC false BLESSING VOLUNTEERS IN PARTNERSHIP BROADWAY AT 11TH PO BOX 7005 QUINCY IL 623057005 237160187 HSP SUPPRT IL 501C3 12B N/A false BLESSING AFFILIATES INC BROADWAY AT 11TH PO BOX 7005 QUINCY IL 623057005 371128708 INACTIVE IL 501C3 10 BCS INC false BLESSING WALK-IN CLINIC LLC 1005 BROADWAY QUINCY IL 62301 814181593 MED SVCS IL 501C3 3 BCS INC BCS INC false ILLINI HEALTH SERVICES LLC PO BOX 40 QUINCY IL 623060040 470901851 PHARMACY IL DENMAN DENMAN false false CURRENT HEALTH NETWORK LLC 1005 BROADWAY QUINCY IL 62301 811681509 PRVDR NTWK IL CHS HLDGS false false NORTHEAST MISSOURI AMBULATORY SURGE 98 MEDICAL DRIVE HANNIBAL MO 634010511 431857277 MED SVCS MO HANNIBAL false false DENMAN SERVICES INC BROADWAY AT 11TH PO BOX 40 QUINCY IL 62306 371132117 MED EQUIP IL BCS INC BCS INC C CORP false CHS HOLDING COMPANY 1005 BROADWAY QUINCY IL 62301 320481381 GRP HLTH IL BCS INC BCS INC C CORP false HANNIBAL CLINIC INC 100 MEDICAL DRIVE HANNIBAL MO 63401 431033473 MED SVCS MO BCS INC C CORP false BLESSING ASSURANCE COMPANY PO BOX 1159 GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 981454767 SELF-INSUR CJ BCS INC BCS INC C CORP false true true true true false false false false false true true true true true true true true true false DENMAN SERVICES INC A 110070 FMV DENMAN SERVICES INC Q 1654993 FMV DENMAN SERVICES INC M 2946403 FMV