BLESSINGCARE CORPORATION: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BLESSINGCARE CORPORATION (EIN 37-1396010)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-07-05
- IRS object ID
- 201801869349300605
- Schema version
- 2016v3.1
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-07-05T08:47:06-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | 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 | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371396010 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLESSINGCARE CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BLES | BusinessNameControlTxt |
| Phone | 2172852113 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 WEST WASHINGTON | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62363 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATRICK M GERVELER | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 2172852113 | PhoneNum |
| Signature | 2018-06-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEPHEN C KOESTER CPA | PreparerPersonNm |
| PTIN | P00342386 | PTIN |
| Phone | 2172220304 | PhoneNum |
| Preparation | 2018-06-28 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ILLINI COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KATHLEEN E HULL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 WEST WASHINGTON | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62363 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,590,268 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ILLINIHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 260 | TotalEmployeeCnt |
| Total Volunteers | 42 | TotalVolunteersCnt |
| Total Gross UBI | $19,587 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $16,047 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $78,457 | PYContributionsGrantsAmt |
| CY Contributions Grants | $107,469 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $25,566,187 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $26,887,599 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$10,243 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,697 | CYInvestmentIncomeAmt |
| PY Other Revenue | $314,738 | PYOtherRevenueAmt |
| CY Other Revenue | $551,455 | CYOtherRevenueAmt |
| PY Total Revenue | $25,949,139 | PYTotalRevenueAmt |
| CY Total Revenue | $27,553,220 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,700 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,350 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,082,548 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,629,161 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,660,712 | PYOtherExpensesAmt |
| CY Other Expenses | $12,706,754 | CYOtherExpensesAmt |
| PY Total Expenses | $24,748,960 | PYTotalExpensesAmt |
| CY Total Expenses | $26,341,265 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,200,179 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,211,955 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,476,123 | TotalAssetsBOYAmt |
| Total Assets EOY | $23,659,760 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,705,994 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,677,676 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,770,129 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,982,084 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH OF OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $18,865,740 | ExpenseAmt |
| Grant | $5,350 | GrantAmt |
| Revenue | $26,887,599 | RevenueAmt |
| Desc | ILLINI COMMUNITY HOSPITAL TREATED PATIENTS THROUGH THE FOLLOWING SERVICES DURING FISCAL YEAR 2017: INPATIENT ADMISSIONS 529 OBSERVATION ADMISSIONS 121 OUTPATIENT VISITS 92,783 TOTAL SURGERIES 318 EMERGENCY VISITS 6,128 LABORATORY TESTS 60,786 RESPIRATORY TREATMENTS 6,236 RADIOLOGY PROCEDURES 10,280 RURAL HEALTH CLINIC & XPRESS VISITS 12,539 IN ADDITION TO THESE HEALTHCARE SERVICES, ILLINI COMMUNITY HOSPITAL PROVIDED 433,059 IN CHARITY CARE. MEDICARE AND MEDICAID SHORTFALLS WERE 2,892,857. THE HOSPITAL PROVIDED ADDITIONAL BENEFITS OF 123,246 DURING FISCAL YEAR 2017 AS FOLLOWS: 1)HEALTH PROFESSIONALS EDUCATION - 73,618 HEALTHCARE STUDENT INTERNSHIPS ACCOUNTING INTERNSHIPS NURSE PRACTITIONER CLINICALS RADIOLOGY CLINICALS 2)IN-KIND CONTRIBUTIONS AND DONATIONS - 25,019 COURTESY BLOOD DRAWS FOR AREA PUBLIC AGENCIES PIKE CEO PROGRAM PITTSFIELD FIRE DEPARTMENT PIKE COUNTY MINISTERIAL ALLIANCE DONATED MEETING ROOM SPACE HEALTH FAIRS HEALTH SCREENINGS 3)COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND SERVICES - 21,851 FLU CLINICS PIKELAND WELLNESS COMMITTEE FOOD DRIVE READY, SET, GLOW RUN RELAY FOR LIFE FIRST AID STATION AT WESTERN ILLINOIS FAIR BLOOD AND PLATELET DRIVES SPORTS INJURY CLINIC ME, ONLY BETTER - HEALTHY PIKE COUNTY THIS ONE'S FOR THE GHOULS RUN/WALK UNREIMBURSED PATIENT TRANSPORTATION WALK TO SCHOOL DAY 4)COMMUNITY EDUCATIONAL PROGRAMS AND SERVICES - 2,758 COFFEE BREAK EDUCATIONAL RADIO PROGRAMS DESTRUCTIVE DECISIONS EDUCATIONAL PROGRAM HEALTH OCCUPATIONS JOB SHADOWING KIDS CLUB ALCS AND BLS CLASSES SELF-DEFENSE CLASSES CATCH KIDS CAMP | Desc |
| Total Program Service Expenses | $18,865,740 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 260 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | 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 | KATHY HULL | PersonNm |
| Phone | 2172852113 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 WEST WASHINGTON | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62363 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JAN BLEICH | ||||||||
| CHAIRPERSON | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PATRICK M GERVELER | ||||||||
| TRUSTEE | 1.00 | 39.00 | Yes (X) | $0 | $502,724 | $80,352 | ||
| K JEANNIE GOODMAN | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHLEEN E HULL | ||||||||
| PRESIDENT/CE | 40.00 | 0.00 | Yes (X) | Yes (X) | $0 | $262,945 | $23,019 | |
| MAUREEN A KAHN | ||||||||
| SECRETARY | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $724,035 | $88,566 | |
| LAURA KENT-DONAHUE | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER S WAGONER MD | ||||||||
| PRES - MED S | 40.00 | 0.00 | Yes (X) | $0 | $261,427 | $18,618 | ||
| PAUL HIBBERT MD | ||||||||
| PRES - MED S | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIC MILLER | ||||||||
| VICE CHAIRPE | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JANE ANN PETTY | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TIMOTHY A MOORE | ||||||||
| TREASURER | 1.00 | 39.00 | Yes (X) | $0 | $306,608 | $82,307 | ||
| CAITLIN M BARTON | ||||||||
| PHARMACIST | 40.00 | 0.00 | $121,228 | $0 | $11,362 | Yes (X) | ||
| VERNA D O'ROURKE | ||||||||
| NP/DIR. GERI | 40.00 | 0.00 | $115,151 | $0 | $10,504 | Yes (X) | ||
| MARK A TATUM | ||||||||
| PHARMACIST | 40.00 | 0.00 | $137,693 | $0 | $17,195 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $374,072 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,057,739 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $331,923 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | 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 |
|---|---|---|---|---|---|
| AIMS OF PITTSFIELD LLC | |||||
| 8657 WEDGEWOOD DRIVE | BURR RIDGE | IL | 60527 | ER PHYSICIANS | $2,036,729 |
| BROWN ELECTRIC INC | |||||
| 1309 WATTS LANE | QUINCY | IL | 62305 | ELECTRICAL SVCS | $284,425 |
| QUINCY MEDICAL GROUP | |||||
| 1025 MAINE ST | QUINCY | IL | 62301 | MEDICAL SVCS | $269,683 |
| CHRISTNER INC | |||||
| 168 N MERAMEC AVE 400 | ST LOUIS | MO | 63105 | ENGINEERING SVC | $210,927 |
| SM WILSON & CO | |||||
| 2185 HAMPTON AVE | ST LOUIS | MO | 63139 | CONSTRUCTION SE | $200,664 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $70,000 | GovernmentGrantsAmt |
| All Other Contributions | $37,469 | AllOtherContributionsAmt |
| Total Contributions | $107,469 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PATIENT REVENUE | $62,277,686 | $62,277,686 |
| CONTRACTUAL ALLOWANCE | -$35,390,087 | -$35,390,087 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $26,887,599 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,697 | TotalRevenueColumnAmt |
| Exclusion | $6,697 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $136,006 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $37,048 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $98,958 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $98,958 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$1,761 | UnrelatedBusinessRevenueAmt |
| Exclusion | $100,719 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $50,639 | GrossSalesOfInventoryAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,639 | TotalRevenueColumnAmt |
| Exclusion | $50,639 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| OTHER | 900099 | $276,203 | $276,203 | |
| EQUITY IN SUB'S EARNINGS | 900099 | $104,307 | $104,307 | |
| ILLINI HEALTH SERVICES, LLC | 446110 | $21,348 | $21,348 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $401,858 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,553,220 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,887,599 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $19,587 | UnrelatedBusinessRevenueAmt |
| Exclusion | $538,565 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,350 | TotalAmt |
| Program Services | $5,350 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,601,205 | TotalAmt |
| Program Services | $6,649,022 | ProgramServicesAmt |
| Management And General | $2,952,183 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,645 | TotalAmt |
| Program Services | $249,123 | ProgramServicesAmt |
| Management And General | $110,522 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,000,818 | TotalAmt |
| Program Services | $2,074,569 | ProgramServicesAmt |
| Management And General | $926,249 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $667,493 | TotalAmt |
| Program Services | $462,366 | ProgramServicesAmt |
| Management And General | $205,127 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,623 | TotalAmt |
| Management And General | $10,623 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,943 | TotalAmt |
| Management And General | $85,943 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,668 | TotalAmt |
| Program Services | $130,380 | ProgramServicesAmt |
| Management And General | $204,288 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,565 | TotalAmt |
| Program Services | $30,571 | ProgramServicesAmt |
| Management And General | $37,994 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,751 | TotalAmt |
| Management And General | $106,751 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,037,640 | TotalAmt |
| Program Services | $376,729 | ProgramServicesAmt |
| Management And General | $660,911 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,054 | TotalAmt |
| Management And General | $168,054 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT SUPPLIES | $2,939,064 | $2,865,764 | $73,300 |
| OUTSIDE FEES | $2,693,669 | $1,350,219 | $1,343,450 |
| PHYSICIAN FEES | $2,674,810 | $2,674,810 | |
| BAD DEBTS | $772,665 | $772,665 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,814,302 | TotalAmt |
| Program Services | $1,224,172 | ProgramServicesAmt |
| Management And General | $590,130 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,341,265 | TotalAmt |
| Program Services | $18,865,740 | ProgramServicesAmt |
| Management And General | $7,475,525 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,806,624 | BOYAmt |
| EOY | $2,980,699 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,652,558 | BOYAmt |
| EOY | $1,659,012 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,679,689 | BOYAmt |
| EOY | $5,071,340 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $568,235 | BOYAmt |
| EOY | $608,538 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,479 | BOYAmt |
| EOY | $176,482 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $23,895,897 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,036,023 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,156,047 | BOYAmt |
| EOY | $12,859,874 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,785 | BOYAmt |
| EOY | $123,636 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $348,706 | BOYAmt |
| EOY | $180,179 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,476,123 | BOYAmt |
| EOY | $23,659,760 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $904,452 | BOYAmt |
| EOY | $748,265 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,719,594 | BOYAmt |
| EOY | $4,211,993 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,081,948 | BOYAmt |
| EOY | $3,717,418 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,705,994 | BOYAmt |
| EOY | $8,677,676 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,712,974 | BOYAmt |
| EOY | $14,906,362 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,155 | BOYAmt |
| EOY | $75,722 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,770,129 | BOYAmt |
| EOY | $14,982,084 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,476,123 | BOYAmt |
| EOY | $23,659,760 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,211,955 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $279,691 | OtherCostOrOtherBasisAmt |
| Book Value | $279,691 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,532,697 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,505,242 | DepreciationAmt |
| Book Value | $10,027,455 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $613,286 | OtherCostOrOtherBasisAmt |
| Depreciation | $351,867 | DepreciationAmt |
| Book Value | $261,419 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,470,223 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,178,914 | DepreciationAmt |
| Book Value | $2,291,309 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,859,874 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD-PARTY SETTLEMENTS | $2,424,617 |
| ACCRUED SALARIES | $808,893 |
| DUE TO BLESSING HOSPITAL | $269,636 |
| PAYROLL TAXES & WITHHOLDING | $108,777 |
| NONCURRENT ACCRUED MALPRACTICE | $88,732 |
| ACCRUED EMPLOYEE BENEFITS | $9,987 |
| ACCRUED INTEREST | $6,776 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,717,418 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $26,799,036 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$691,881 | OtherRevenueAmt |
| Revenue Not Reported | -$691,881 | RevenueNotReportedAmt |
| Revenue Subtotal | $27,490,917 | RevenueSubtotalAmt |
| Other Revenues Not Included | $62,303 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $62,303 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $27,553,220 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $25,605,648 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $25,605,648 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $735,617 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $735,617 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $26,341,265 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | NA RELEASED FROM RESTRICTIONS FOR OPERATIONS 80,784 BAD DEBT REDUCTION OF REVENUE ON FS -772,665 |
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | RESTRICTED CONTRIBUTIONS 99,351 RENTAL EXPENSES -37,048 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | BAD DEBT REDUCTION OF REVENUE ON F/S 772,665 RENTAL EXPENSES -37,048 990-T DEPRECIATION -1,612 BOOK / TAX DEPRECIATION DIFFERENCE 1,612 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| 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 | $433,059 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $433,059 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01690 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,056,628 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,847,879 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,208,749 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08640 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,489,687 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,847,879 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,641,808 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10330 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,609 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,609 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,618 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $73,618 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,019 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,019 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $123,246 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $123,246 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,612,933 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,847,879 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,765,054 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10820 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $772,665 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $36,083 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,023,296 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,707,404 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$684,108 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ILLINI COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 WEST WASHINGTON STREET | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62363 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BLESSINGHEALTH.ORG | WebsiteAddressTxt |
| State License | HF110395 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ILLINI COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BLESSINGHEALTH.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.BLESSINGHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.BLESSINGHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.BLESSINGHEALTH.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| 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 (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, ILLINI COMMUNITY HOSPITAL - PART V, LINE 5 | THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH ILLINI COMMUNITY HOSPITAL THROUGH A CONSULTING ARRANGEMENT WITH THE ILLINOIS INSTITUTE FOR RURAL AFFAIRS WESTERN ILLINOIS UNIVERSITY. MULTIPLE METHODS WERE USED TO COLLECT DATA FOR THE PROJECT. SURVEY QUESTIONS AND PROTOCOLS WERE DEVELOPED IN PARTNERSHIP WITH THE ILLINI COMMUNITY HOSPITAL, THE PIKE COUNTY COMMUNITY HEALTH PARTNERSHIP, THE PIKE COUNTY HEALTH DEPARTMENT, AND THE HEALTH AND WELLNESS FOUNDATION OF PIKE COUNTY. THE HEALTH DEPARTMENT AND FOUNDATION ALSO ASSISTED IN IDENTIFYING APPROPRIATE LOCAL GROUPS TO PARTICIPATE IN FOCUS GROUPS. ONE FOCUS GROUP WAS HELD IN THE ICH ADMINISTRATIVE CONFERENCE ROOM. PRIMARY DATA COLLECTION METHODS INCLUDED TELEPHONE SURVEYS WITH SOCIAL SERVICE AGENCIES AND SCHOOL ADMINISTRATORS, AS WELL AS A ONE PAGE SELF- ADMINISTERED PENCIL AND PAPER SURVEY OF LOCAL HEALTH CARE PROVIDERS. THE SAMPLE NOT ONLY INCLUDED PHYSICIANS BUT SCHOOL NURSES, OPTICIANS, CHIROPRACTORS, DENTISTS, AND PHARMACISTS. FOCUS GROUPS WERE CONDUCTED WITH LOCAL SENIORS, PARENTS OF YOUNG CHILDREN, AREA MINISTERS, AND THE PIKE COUNTY INTERAGENCY COUNCIL. TWO MODIFIED FOCUS GROUPS WERE CONDUCTED WITH LOCAL ELECTED OFFICIALS AND A BUSINESS GROUP. BECAUSE OF THE LARGE NUMBER OF PARTICIPANTS, THE BUSINESS GROUP AND ELECTED OFFICIALS WERE GIVEN AND ASKED TO COMPLETE AND RETURN FOCUS GROUP QUESTIONS AND THE ACCOMPANYING DEMOGRAPHIC SURVEY; HOWEVER, VERY FEW ELECTED OFFICIALS RETURNED THE FOCUS GROUP QUESTIONS. COLLECTIVELY THERE WAS GOOD REPRESENTATION IN THE FOCUS GROUPS OF A CROSS-SECTION OF COUNTY RESIDENTS, WITH OVER ONE-THIRD OF FOCUS GROUP PARTICIPANTS RESIDING OUTSIDE OF PITTSFIELD. |
| FACILITY 1, ILLINI COMMUNITY HOSPITAL - PART V, LINE 6B | YES, THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH PIKE COUNTY COMMUNITY HEALTH PARTNERSHIP, PIKE COUNTY HEALTH DEPARTMENT AND HEALTH AND WELLNESS FOUNDATION OF PIKE COUNTY. |
| FACILITY 1, ILLINI COMMUNITY HOSPITAL - PART V, LINE 11 | THE MOST SALIENT HEALTH NEEDS IN PIKE COUNTY IDENTIFIED IN THE ASSESSMENTS ARE: (1) OBESITY, NUTRITION, AND EXERCISE (2) SMOKING CESSATIONS AND SUBSTANCE ABUSE (3) MENTAL HEALTH SERVICES THIS INCLUDES A BROAD RANGE OF MENTAL HEALTH SERVICES, ENCOMPASSING EVERYTHING FROM PEER COUNSELING TO PSYCHIATRY. (4) ACCESS TO CARE/SERVICES THE FOLLOWING STEPS ARE BEING TAKEN/HAVE BEEN TAKEN TO ADDRESS THE NEEDS NOTED. 1.ILLINI COMMUNITY HOSPITAL HAS A FITNESS CENTER THAT IS OPEN TO THE PUBLIC FOR A MONTHLY FEE. PRESENTLY, CLASSES AND CHALLENGES ARE OFFERED TO MEMBERS AND NON-MEMBERS ALIKE. A KIDS CLUB PROGRAM IS AVAILABLE FOR CHILDREN TO ENCOURAGE HEALTHY EATING AND EXERCISE HABITS. THE FOURTH ANNUAL KIDS CLUB CAMP WAS HELD IN THE SUMMER OF 2017. THE FITNESS TEAM HAS IMPLEMENTED A HEALTHY PIKE 2017 CHALLENGE. THIS WAS A YEARLONG EFFORT TO EDUCATE THE COMMUNITY AT LARGE ON FITNESS AND NUTRITION. THE CHALLENGE WAS KICKED OFF IN JANUARY 2017 AND CONCLUDED IN NOVEMBER 2017 WITH 100+ IN ATTENDANCE AT THE FINALE EVENT. 2.ILLINI COMMUNITY HOSPITAL IS PARTICIPATING WITH THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK ON A PROGRAM TO ADDRESS THE OPIOID CRISIS IN RURAL COMMUNITIES. THIS INCLUDES THE PIKE COUNTY SHERIFFS DEPARTMENT, PITTSFIELD CITY POLICE, PIKE COUNTY HEALTH DEPARTMENT, HEALTH AND WELLNESS FOUNDATION OF PIKE COUNTY, PIKE COUNTY COMMUNITY HEALTH PARTNERSHIP AND THE ILLINOIS STATE POLICE. THE GOAL OF THIS PROGRAM IS TO INCREASE AWARENESS OF THE RAPIDLY GROWING PROBLEM OF OPIOID AND HEROIN USE IN RURAL COMMUNITIES AND IDENTIFY OPPORTUNITIES FOR COMMUNITY COLLABORATIVE RESPONSE. ADDITIONALLY, ILLINI COMMUNITY HOSPITAL PARTICIPATES IN THE BLESSING HEALTH SYSTEM OPIOID REDUCTION TEAM. 3.ILLINI COMMUNITY HOSPITAL OPENED A 10-BED INPATIENT GERIATRIC BEHAVIORAL HEALTH UNIT IN OCTOBER 2015. IN AN EFFORT TO MOVE THIS SERVICE TO A BROADER NUMBER OF PATIENTS, AN OUTPATIENT CLINIC FOR PSYCHIATRIC FOLLOW UP OPENED IN AUGUST 2016 IN THE ILLINI RURAL HEALTH CLINIC. BEHAVIORAL HEALTH SERVICES ARE PROVIDED AT THE ILLINI RURAL HEALTH CLINIC BY LSW, LCSW, NURSE PRACTIONER AND RANGE FROM CHILD/ADOLESCENT SERVICES AND FAMILY COUNSELING TO MEDICATION MANAGEMENT AND GERIATRIC SERVICES. 4.ILLINI CONTINUES TO OPERATE ILLINI XPRESS AN ACUTE WALK IN CLINIC IN PITTSFIELD. SINCE ITS OPENING IN AUGUST OF 2015, THE SERVICE HAS GROWN TO AN AVERAGE OF 400 PATIENT VISITS PER MONTH. ADDITIONALLY ONE FAMILY MEDICINE NURSE PRACTITIONER HAS BEEN HIRED FOR THE ILLINI RURAL HEALTH CLINIC AND THERE IS AN ACTIVE RECRUIT FOR A SECOND PRIMARY CARE PHYSICIAN FOR THIS CLINIC. THIS CLINIC HAS ONE PHYSICIAN AND 3 FULL-TIME FAMILY MEDICINE NURSE PRACTICIONERS, ONE PART-TIME FAMILY MEDICINE NURSE PRACTIONER, AND ONE FULL-TIME BEHAVIORAL HEALTH COUNSELOR. ADDITIONAL SPECIALTY SERVICES HAVE BEEN ADDED TO THE ILLINI CONSULTING PHYSICIANS CLINIC (CPC) IN THE FORM OF TELEMEDICINE CLINICS IN THE AREAS OF CARDIOLOGY, GASTROENTEROLOGY, UROLOGY, AND DERMATOLOGY. ADDITIONAL AREAS IDENTIFIED IN THE CHNA THAT ILLINI COMMUNITY HOSPITAL IS NOT ADDRESSING DIRECTLY INCLUDE DENTAL NEEDS, TRANSPORTATION NEEDS, AND ADDRESSING GAPS IN BASIC NEEDS (FOOD, CLOTHING, SHELTER.) ADDITIONALLY ILLINI DOES PROVIDE OPERATING ROOM SERVICES TO A LOCAL DENTIST FOR EXTRACTIONS/PROCEDURES ON SPECIAL NEEDS PATIENTS AND/OR CHILDREN. THIS IS PRIMARILY A MEDICAID POPULATION WITH VERY MINIMAL OR NO PAY FOR THE SERVICES PROVIDED. THE ILLINI EMPLOYEES COLLECT FOOD FOR THE LOCAL FOOD PANTRIES SEVERAL TIMES PER YEAR AND COLLECT SCHOOL AND PERSONAL NEEDS ITEMS FOR LOCAL SCHOOLS. ILLINI COMMUNITY HOSPITAL PARTICIPATES IN THE PIKE COUNTY COMMUNITY HEALTH PARTNERSHIP WITH OTHER COMMUNITY AGENCIES INCLUDING MENTAL HEALTH SERVICES OF WESTERN ILLINOIS, PIKE COUNTY HEALTH DEPARTMENT, PACT HEADSTART, AND THE HEALTH & WELLNESS FOUNDATION OF PIKE COUNTY. THESE NEEDS ARE ADDRESSED DIRECTLY BY OTHER MEMBERS OF THE PCCHP OR THE COMMUNITY. ALTHOUGH ILLINI ISNT DIRECTLY ADDRESSING THESE ISSUES, WE PARTICIPATE IN THE PCCHP AND WORK COLLABORATIVELY WITH OUR PARTNERS TO HELP DEVISE WORK PLANS AND ACHIEVE GOALS TO POSITIVELY IMPACT THESE INITIATIVES. |
| FACILITY 1, ILLINI COMMUNITY HOSPITAL - 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 80%. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ILLINI COMMUNITY HOSPITAL RURAL HEA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 WEST WASHINGTON | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62363 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | RURAL HEALTH CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 AN 80% DISCOUNT. |
| PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION | ILLINI COMMUNITY 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 772,665 IS SUBTRACTED FROM TOTAL EXPENSES OF 26,341,265 REPORTED ON LINE 25, COLUMN A OF FORM 990, PART IX, FOR A NET TOTAL EXPENSE OF 25,568,600. |
| 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 ILLINI COMMUNITY HOSPITAL'S AS-FILED MEDICARE COST REPORT. THESE COSTS AND CHARGES ARE ADJUSTED TO ACCOUNT FOR ITEMS NOT REIMBURSED THROUGH THE COST REPORT SUCH AS PROVIDER-BASED PHYSICIAN SERVICES. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | METHODOLOGY USED TO DETERMINE BAD DEBT EXPENSE - BAD DEBT EXPENSE IS CALCULATED ON THE NET PATIENT ACCOUNT BALANCE AFTER THE BALANCE HAS BEEN REDUCED FOR ANY PAYMENTS RECEIVED OR DISCOUNTS/ADJUSTMENTS THAT ARE KNOWN. PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE ARE RECOGNIZED AS CHARITY CARE ACCOUNTS WHEN SUFFICIENT INFORMATION IS RECEIVED TO DETERMINE THEIR ELIGIBILITY. PRIOR TO THIS POINT, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS CALCULATED ON UNINSURED ACCOUNTS. THIS ALLOWANCE IS REVERSED IF THE ACCOUNT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE. |
| PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE | METHODOLOGY OF ESTIMATED AMOUNT & RATIONALE FOR INCLUDING IN COMMUNITY BENEFIT - A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY FOR THEIR MEDICAL EXPENDITURES BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE. THE HOSPITAL PERFORMS AN ASSESSMENT USING FINANCIAL AND OTHER INFORMATION OF SUCH PATIENTS OTHERWISE AVAILABLE TO THE HOSPITAL TO IDENTIFY THOSE PATIENTS THAT WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK. THIS INFORMATION IS USED TO ESTIMATE THE AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE THAT WILL BE FOUND TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. THE BAD DEBT EXPENSE WITH SUCH PATIENTS ACCOUNTS ARE TREATED AS COMMUNITY BENEFIT. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | SEE NOTE (3) ON PAGE 13 OF THE ATTACHED AUDITED CONSOLIDATED 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 ILLINI COMMUNITY HOSPITAL'S AS-FILED MEDICARE COST REPORT. THESE COSTS AND CHARGES ARE ADJUSTED TO ACCOUNT FOR ITEMS NOT REIMBURSED THROUGH THE COST REPORT SUCH AS PROVIDER-BASED PHYSICIAN SERVICES. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. |
| 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 | ILLINI COMMUNITY HOSPITAL HAS CONTRACTED WITH THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK TO ASSIST WITH THE COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. ILLINI COMMUNITY HOSPITAL WILL PARTNER WITH THE PIKE COUNTY COMMUNITY HEALTH PARTNERSHIP TO ASSURE THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL ARE ASSESSED AND INDIVIDUALS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH ARE INCLUDED. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | ALL ILLINI COMMUNITY HOSPITAL SELF-PAY INPATIENTS ARE CONTACTED BY A FINANCIAL COUNSELOR WITHIN 24 HOURS OF ADMISSION ON WEEKDAYS. THE PATIENT IS SCREENED FOR GOVERNMENT PROGRAMS OR ELIGIBILITY FOR PARTICIPATION IN AVAILABLE COMMUNITY PROGRAMS. OUTPATIENTS ARE CONTACTED ONCE THE PATIENT'S CONDITION HAS BEEN STABILIZED AND ARE SCREENED IN THE SAME MANNER AS INPATIENTS. IF THE FINANCIAL COUNSELOR IS NOT AVAILABLE TO MEET WITH A PATIENT AT AN APPROPRIATE TIME OR IT IS THE WEEKEND, THE PATIENT IS GIVEN CONTACT INFORMATION AND ASKED TO CALL IF ASSISTANCE IS NEEDED. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | ILLINI COMMUNITY HOSPITAL OPENED ITS DOORS ON JANUARY 26, 1942 TO SERVE THE PEOPLE RESIDING WITHIN A 25 MILE RADIUS OF PITTSFIELD, ILLINOIS, WHICH IS PRIMARILY PIKE COUNTY BUT INCLUDES PARTS OF SCOTT, GREEN, CALHOUN, BROWN, AND ADAMS COUNTY. PIKE COUNTY HAS 831 SQUARE MILES OF LAND AREA AND A POPULATION OF APPROXIMATELY 16,054 PEOPLE. PIKE COUNTY AGE DEMOGRAPHICS INCLUDE 22.2% UNDER 18 YEARS OLD, AND 19.8% OVER 65 YEARS OLD. 49.8% OF THE RESIDENTS ARE FEMALE, 96.7% WHITE AND 1.3% BLACK. 87.9% OF THE POPULATION HAVE GRADUATED FROM HIGH SCHOOL AND 15.3% HAVE A BACHELORS DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IS 40,157 AND 14.4% OF THE POPULATION IS BELOW THE POVERTY LEVEL. PIKE COUNTY IS DESIGNATED AS A HEALTH PROFESSIONALS SHORTAGE AREA AND MEDICALLY UNDERSERVED AREA. THE UNEMPLOYMENT RATE IN PIKE COUNTY WAS 4.9% IN JANUARY 2018. THE REGIONS ECONOMY IS HEAVILY AGRICULTURAL WITH RETAIL AND TOURISMS ASSOCIATED WITH DEER HUNTING. ILLINI COMMUNITY HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE COUNTY WITH 260 EMPLOYEES. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | ILLINI COMMUNITY HOSPITAL OFFERS A WIDE RANGE OF SERVICES IMPORTANT TO PROMOTING THE HEALTH AND WELL-BEING OF PIKE COUNTY AND THE SURROUNDING AREA. ILLINI COMMUNITY HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF THE ABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY OF ILLINI COMMUNITY HOSPITAL ENABLES PATIENTS TO HAVE ACCESS TO AREA RESOURCES TO ASSIST THEM WITH PAYMENT OF MEDICAL EXPENSES. ILLINI COMMUNITY HOSPITAL IS THE LARGEST EMPLOYER IN THE AREA WITH 260 EMPLOYEES. OF SIGNIFICANT IMPORTANCE IS THE VOLUNTEERS THAT SERVE THE HOSPITAL. IN FISCAL YEAR 2017, ILLINI COMMUNITY HOSPITAL HAD 42 ACTIVE VOLUNTEERS. IN ADDITION TO THE VOLUNTEERS ACTIVELY WORKING IN THE HOSPITAL, ILLINI COMMUNITY HOSPITAL'S BOARD OF TRUSTEES IS COMPRISED OF VOLUNTEERS THAT INCLUDES 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, 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 ORGANIZATION) PROVIDES HEALTH INSURANCE PRODUCTS AND SERVICES. ORGANIZATION - BLESSING WALK-IN CLINIC, LLC DBA BLESSING CONVENIENT CARE OPERATES HEALTH CLINICS IN RETAIL FACILITIES. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | ILLINOIS |
| ADDITIONAL INFORMATION | PART I, LINE 6B - ILLINI COMMUNITY HOSPITAL'S COMMUNITY BENEFIT REPORT IS PUBLISHED IN THE LOCAL NEWSPAPER AS AN INSERT AND IS AVAILABLE ON THE HOSPITAL'S WEBSITE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | EMPLOYEE ASSISTANCE | GrantTypeTxt |
| Recipient | 6 | RecipientCnt |
| Cash Grant | $5,350 | CashGrantAmt |
| Valuation Method Used | BOOK | ValuationMethodUsedDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | EMPLOYEE ASSISTANCE THE EMPLOYEE CRISIS FUND IS FOR FINANCIAL ASSISTANCE FOR EMPLOYEES IN GOOD EMPLOYMENT STANDING WHO MEET A REQUIRED LENGTH OF SERVICE. 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 REMAINS IN A GENERAL LEDGER ACCOUNT ON THE BOOKS OF BLESSINGCARE CORPORATION AND IS MONITORED BY BLESSINGCARE CORPORATION ACCOUNTANTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | 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 (6 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 | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PATRICK M GERVELER | ||||||||||||
| TRUSTEE | $349,945 | $118,453 | $34,326 | $59,905 | $27,531 | $583,076 | ||||||
| KATHLEEN E HULL | ||||||||||||
| PRESIDENT/CEO | $191,048 | $66,720 | $5,177 | $3,313 | $24,217 | $285,964 | ||||||
| MAUREEN A KAHN | ||||||||||||
| SECRETARY | $496,676 | $197,575 | $29,784 | $72,620 | $24,362 | $812,601 | ||||||
| CHRISTOPHER S WAGONER MD | ||||||||||||
| PRES - MED STAFF | $253,076 | $8,351 | $1,347 | $19,777 | $280,045 | |||||||
| TIMOTHY A MOORE | ||||||||||||
| TREASURER | $212,462 | $64,034 | $30,112 | $66,361 | $21,342 | $388,915 | ||||||
| MARK A TATUM | ||||||||||||
| PHARMACIST | $135,395 | $1,058 | $1,240 | $3,313 | $15,730 | $154,888 | ||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | COMPENSATION OF ORGANIZATION'S CEO - EXECUTIVE DIRECTOR - KATHLEEN HULL IS AN EMPLOYEE OF BLESSING CORPORATE SERVICES, INC., THE PARENT COMPANY OF BLESSINGCARE CORPORATION. COMPARABILITY DATA PROVIDED BY A THIRD PARTY IS USED TO ESTABLISH A MARKET RANGE OF COMPENSATION. THIS INFORMATION IS SUBMITTED TO THE PRESIDENT OF BLESSING CORPORATE SERVICES FOR REVIEW AND TO THE BLESSING CORPORATE SERVICES BOARD OF TRUSTEES COMPENSATION COMMITTEE FOR APPROVAL. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CHARLES R HULL | |||
| FAMILY MEMBER | $65,059 | EMPLOYMENT | false |
| JOHN HULL | |||
| FAMILY MEMBER | $70,375 | EMPLOYMENT | false |
| JESSICA L HULL | |||
| FAMILY MEMBER | $28,456 | EMPLOYMENT | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | RURAL HEALTH CLINIC & XPRESS VISITS 12,539 IN ADDITION TO THESE HEALTHCARE SERVICES, ILLINI COMMUNITY HOSPITAL PROVIDED 433,059 IN CHARITY CARE. MEDICARE AND MEDICAID SHORTFALLS WERE 2,892,857. THE HOSPITAL PROVIDED ADDITIONAL BENEFITS OF 123,246 DURING FISCAL YEAR 2017 AS FOLLOWS: 1)HEALTH PROFESSIONALS EDUCATION - 73,618 HEALTHCARE STUDENT INTERNSHIPS ACCOUNTING INTERNSHIPS NURSE PRACTITIONER CLINICALS RADIOLOGY CLINICALS 2)IN-KIND CONTRIBUTIONS AND DONATIONS - 25,019 COURTESY BLOOD DRAWS FOR AREA PUBLIC AGENCIES PIKE CEO PROGRAM PITTSFIELD FIRE DEPARTMENT PIKE COUNTY MINISTERIAL ALLIANCE DONATED MEETING ROOM SPACE HEALTH FAIRS HEALTH SCREENINGS 3)COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND SERVICES - 21,851 FLU CLINICS PIKELAND WELLNESS COMMITTEE FOOD DRIVE READY, SET, GLOW RUN RELAY FOR LIFE FIRST AID STATION AT WESTERN ILLINOIS FAIR BLOOD AND PLATELET DRIVES SPORTS INJURY CLINIC ME, ONLY BETTER - HEALTHY PIKE COUNTY THIS ONE'S FOR THE GHOULS RUN/WALK UNREIMBURSED PATIENT TRANSPORTATION WALK TO SCHOOL DAY 4)COMMUNITY EDUCATIONAL PROGRAMS AND SERVICES - 2,758 COFFEE BREAK EDUCATIONAL RADIO PROGRAMS DESTRUCTIVE DECISIONS EDUCATIONAL PROGRAM HEALTH OCCUPATIONS JOB SHADOWING KIDS CLUB ALCS AND BLS CLASSES SELF-DEFENSE CLASSES CATCH KIDS CAMP |
| FORM 990, PAGE 6, PART VI, LINE 3 | BLESSING CORPORATE SERVICES PROVIDES GENERAL MANAGEMENT SERVICES. |
| FORM 990, PAGE 6, PART VI, LINE 6 | BLESSING CORPORATE SERVICES, INC., AN ILLINOIS NOT FOR PROFIT CORPORATION, IS THE SOLE VOTING MEMBER OF BLESSINGCARE CORPORATION, DBA ILLINI COMMUNITY HOSPITAL. |
| FORM 990, PAGE 6, PART VI, LINE 7A | BLESSING CORPORATE SERVICES, INC., THE SOLE VOTING MEMBER OF BLESSINGCARE CORPORATION, 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, INC., THE SOLE VOTING MEMBER OF BLESSINGCARE CORPORATION, SHALL POSSESS THE RIGHTS AND RESPONSIBILITIES TO APPROVE EXPRESSLY ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE; APPROVE 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; 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 15A | THE PRESIDENT/CEO OF BLESSING CORPORATE SERVICES, INC. USES SULLIVAN AND COTTER TO IDENTIFY APPROPRIATE COMPENSATION. SHE TAKES HER RECOMMENDATIONS TO THE BCS BOARD COMPENSATION COMMITTEE. SHE LEAVES AND THE COMMITTEE DECIDES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE PRESIDENT/CEO OF BLESSING CORPORATE SERVICES, INC. USES SULLIVAN AND COTTER TO IDENTIFY APPROPRIATE COMPENSATION. SHE TAKES HER RECOMMENDATIONS TO THE BCS BOARD COMPENSATION COMMITTEE. SHE LEAVES AND THE COMMITTEE DECIDES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THESE DOCUMENTS ARE LOCATED IN THE HOSPITAL'S ADMINISTRATIVE OFFICES AND ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. |
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 | ||
| BLESSING HOSPITAL | ||||||||||||
| 1005 BROADWAY | QUINCY | IL | 62301 | 370661183 | NON-PROFIT | IL | 501C3 | 3 | false | BCS INC | BLESSING CORPORATE SERVICES INC | |
| BLESSING AFFILIATES INC | ||||||||||||
| BROADWAY AT 11TH PO BOX 7005 | QUINCY | IL | 623057005 | 371128708 | INACTIVE | IL | 501C3 | 10 | false | BCS INC | BLESSING CORPORATE SERVICES INC | |
| THE BLESSING FOUNDATION INC | ||||||||||||
| PO BOX 7005 | QUINCY | IL | 62301 | 371128705 | FUNDRAISE | IL | 501C3 | 12B | false | BCS INC | BLESSING CORPORATE SERVICES INC | |
| BLESSING WALK-IN CLINIC LLC | ||||||||||||
| 1005 BROADWAY | QUINCY | IL | 62301 | 814181593 | MED SVCS | IL | 501C3 | 3 | false | BCS INC | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 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 | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ILLINI HEALTH SERVICES LLC | ||||||||||
| PO BOX 40 | QUINCY | IL | 623060040 | 470901851 | PHARMACY | IL | BCS INC | BCS INC | false | false |
| CURRENT HEALTH NETWORK LLC | ||||||||||
| 1005 BROADWAY | QUINCY | IL | 62301 | 811681509 | PRVDR NTWK | IL | CHS HLDGS | false | false | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| DENMAN SERVICES INC | |||||||||
| BROADWAY AT 11TH PO BOX 40 | QUINCY | IL | 62306 | 371132117 | MED EQUIP | IL | BCS INC | C CORP | false |
| CHS HOLDING COMPANY | |||||||||
| 1005 BROADWAY | QUINCY | IL | 62301 | 320481381 | GRP HLTH | IL | BCS INC | C CORP | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (true) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |