BLESSING HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- BLESSING HOSPITAL (EIN 37-0661183)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-03-29
- IRS object ID
- 201210899349301086
- Schema version
- 2010v3.2
- 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 K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-03-29T14:42:25-07:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gray Hunter Stenn LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Maine Street | AddressLine1 |
| City | Quincy | City |
| State | IL | State |
| ZIP Code | 62301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370661183 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLESSING HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BLES | NameControl |
| Phone | 2172231200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1005 BROADWAY | AddressLine1 |
| City | QUINCY | City |
| State | IL | State |
| ZIP Code | 62301 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MAUREEN KAHN | Name |
| Title | President | Title |
| Date Signed | 2012-03-29 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEPHEN C KOESTER CPA | Name |
| Phone | 2172220304 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 384565568 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.blessinghealthsystem.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1875 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | Blessing Hospital's mission is to provide high quality, accessible health care showing compassion and respect to those we serve. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2594 | TotalNbrEmployees |
| Total Nbr Volunteers | 878 | TotalNbrVolunteers |
| Total Gross UBI | 1233363 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -553110 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1866686 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4442876 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 269293168 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 283831888 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 10275378 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5133171 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6802145 | OtherRevenuePriorYear |
| Other Revenue Current Year | 9364075 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 288237377 | TotalRevenuePriorYear |
| Total Revenue Current Year | 302772010 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1382779 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1292592 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 125724913 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 136683604 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 121617029 | OtherExpensePriorYear |
| Other Expenses Current Year | 131848394 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 248724721 | TotalExpensesPriorYear |
| Total Expenses Current Year | 269824590 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 39512656 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 32947420 | RevenuesLessExpensesCY |
| Total Assets BOY | 313257536 | TotalAssetsBOY |
| Total Assets EOY | 328885814 | TotalAssetsEOY |
| Total Liabilities BOY | 186867667 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 195215968 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 126389869 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 133669846 | NetAssetsOrFundBalancesEOY |
| Mission Description | Blessing Hospital's mission is to provide high quality, accessible health care showing compassion and respect to those we serve. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 217421404 | Expense |
| Grants | 1292592 | Grants |
| Revenue | 283831888 | Revenue |
| Description | SINCE IT WAS FOUNDED IN 1875, Blessing Hospital HAS PROVIDED quality healthcare services to ALL patients regardless of race, sex, national origin, age or ability to pay. In serving all members of its community, 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 2011, the cost of charity care provided was $7,594,928. Medicare and Medicaid shortfalls were $41,474,139 and $14,418,986, respectively. Blessing Hospital serviced 13,872 inpatients and 65,532 emergency department patients. Outpatient services included 334,694 laboratory exams and 93,860 radiology procedures.Blessing Hospital provided ADDITIONAL benefits of $8,162,258 to the community DURING FISCAL YEAR 2011 as follows:Health Professionals Education SIU Residency Program $1,780,785 Blessing-Rieman College of Nursing $ 987,489 NURSING EDUCATIONAL PreceptorS $ 801,285 SCHOOL OF RADIOLOGIC TECHNOLOGY $ 246,943 SCHOOL OF MEDICAL LABORATORY TECHNICIANS $ 84,641 SUB Total Health Professionals education $3,901,143Community Health Improvement Services COMMUNITY OUTREACH CLINIC $ 758,291 Health Screenings/Tests $ 155,916 Support Groups $ 77,720 SIU PATIENT CENTERED MEDICAL HOME $ 42,834 Educational Programs $ 36,307 Medical Supplies/Services for Patients $ 21,287 CHARITY PHARMACY PRESCRIPTIONS $ 8,062 Patient Transportation $ 6,250 MEDICAL INTERPRETING SERVICES $ 2,796 SUB Total community health improvement serviceS $1,109,463Subsidized Health Services Home Healthcare SERVICES $1,223,518 HOSPICE $ 748,355 BLESSING FAST CARE $ 201,264 SUB TOTAL SUBSIDIZED HEALTH SERVICES $2,173,137In-Kind Contributions/Donations Donations/Sponsorships $ 71,762 MEETING SPACE $ 67,081 Access Health Adams County $ 27,920 Arthritis Foundation $ 11,220 Adams County Ambulance Service $ 56,620 COMMUNITY OUTREACH CLINIC $ 55,160 SUB Total in-kind contributions/donations $ 289,763Community Building Activities SUPPORT TO ACCESS HEALTH ADAMS COUNTY $ 688,752 | Description |
| Total Program Service Expense | 217421404 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 176 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2594 | NumberOfEmployees |
| Employment Tax Returns Filed | false | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TIMOTHY MOORE | NamePerson |
| Telephone Number | 2172238400 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BROADWAY AT 11TH PO BOX 7005 | AddressLine1 |
| City | QUINCY | City |
| State | IL | State |
| ZIP Code | 62305 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|---|
| TIMOTHY KOONTZ | ||||||||
| CHAIR/trustee | 1.00 | X | X | 0 | 0 | 0 | ||
| TIMOTHY A MOORE | ||||||||
| SECRETARY/CAO | 40.00 | X | 216829 | 0 | 68486 | |||
| THOMAS H MILLER MD | ||||||||
| ViceChair/Trust | 1.00 | X | X | 0 | 0 | 0 | ||
| THOMAS A CLIATT DO | ||||||||
| PHYSICIAN | 40.00 | 628064 | 0 | 42954 | X | |||
| STUART L PYATT DO | ||||||||
| PHYSICIAN | 40.00 | 653881 | 0 | 47747 | X | |||
| STEPHEN W NESBIT | ||||||||
| CMO | 40.00 | X | 391702 | 0 | 17126 | |||
| PATRICK M GERVELER | ||||||||
| Treasurer | 1.00 | X | 0 | 359591 | 43537 | |||
| NANCY BLUHM | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL J FOSTER | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL HULSEN | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL D KLINGNER | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| MAUREEN A KAHN | ||||||||
| PRESIDENT/CEO | 40.00 | X | X | 460371 | 0 | 50250 | ||
| LYNN P HOUSE | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| JOHN BARBAGIOVANNI DO | ||||||||
| Trustee | 5.00 | X | 27517 | 0 | 0 | |||
| JILL MASON | ||||||||
| CNO | 40.00 | 224135 | 0 | 111222 | X | |||
| JEAN A DISSELER MD | ||||||||
| Trustee | 1.00 | X | 1250 | 0 | 0 | |||
| JAMES B KASE MD | ||||||||
| PHYSICIAN | 40.00 | 572501 | 0 | 21222 | X | |||
| HARRY RUTH MD | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| DAVID BOSTER | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| CHRISTOPHER R SOLARO MD | ||||||||
| PHYSICIAN | 40.00 | 539647 | 0 | 20126 | X | |||
| CHRISTOPHER J NIEMANN | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| B BRADFORD BILLINGS | ||||||||
| Trustee | 1.00 | X | 0 | 908579 | 289183 | |||
| ANTHONY S WOLLASTON MD | ||||||||
| PHYSICIAN | 40.00 | 545523 | 0 | 20424 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4261420 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1268170 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 732277 | TotalOtherCompensation |
| Number Individuals GT100 K | 70 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WEST CENTRAL PATHOLOGY SPECIALISTS SC | |||||
| 4000 CATAMARAN CT | QUINCY | IL | 62301 | PATHOLOGY SERVICES | 2386946 |
| QUINCY ANESTHESIA ASSOCIATES PC | |||||
| BROADWAY AT 11TH | QUINCY | IL | 62301 | ANESTHESIA SERVICES | 7730618 |
| MEDICAL REIMBURSEMENT OF AMERICA LLC | |||||
| 7105 MOORES LANE | BRENTWOOD | TN | 37027 | COLLECTION SERVICES | 1063079 |
| ECLIPSYS CORPORATION | |||||
| PO BOX 8538-0133 | PHILADELPHIA | PA | 191710133 | SOFTWARE CONSULTING | 1900692 |
| CHRISTNER INC | |||||
| PO BOX 790379 | ST LOUIS | MO | 63179 | ENGINEERING | 1987567 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 49 | NumberOfContractorsGT100K |
| Related Organizations | 470000 | RelatedOrganizations |
| Government Grants | 2445324 | GovernmentGrants |
| All Other Contributions | 1527552 | AllOtherContributions |
| Total Contributions | 4442876 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| PATIENT REVENUE | 621110 | 713350177 | 713350177 | |
| LESS: CONTRACT ALLOW | 621110 | -405613024 | -405613024 | |
| LESS: CHARITY CARE | 621110 | -26878630 | -26878630 | |
| COLLEGE OF NURSING | 611600 | 2973365 | $2,973,365 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 283831888 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1694640 | TotalRevenueColumn |
| Exclusion | $1,694,640 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1190702 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1190702 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1190702 | TotalRevenueColumn |
| Exclusion | $1,190,702 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 84394661 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 80956130 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3438531 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3438531 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3438531 | RelatedOrExemptFunctionIncome |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 2070791 | GrossSalesOfInventory |
| Cost Of Goods Sold | 837428 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1233363 | TotalRevenueColumn |
| Unrelated Business Revenue | 1233363 | UnrelatedBusinessRevenue |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| SALE OF FOOD | 722210 | 1387774 | $1,387,774 |
| OTHER | 900099 | 2148771 | $2,148,771 |
| MANAGEMENT & ACCNTG FEES | 541610 | 2076920 | $2,076,920 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1326545 | TotalRevenueColumn |
| Exclusion | $1,326,545 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6940010 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 302772010 | TotalRevenueColumn |
| Related Or Exempt Function Income | 284297054 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1233363 | UnrelatedBusinessRevenue |
| Exclusion | $12,798,717 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 979253 | Total |
| Program Services | 979253 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 313339 | Total |
| Program Services | 313339 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6120968 | Total |
| Program Services | 5019194 | ProgramServices |
| Management And General | 1101774 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94257420 | Total |
| Program Services | 77019654 | ProgramServices |
| Management And General | 17237766 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8460167 | Total |
| Program Services | 6914460 | ProgramServices |
| Management And General | 1545707 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21412549 | Total |
| Program Services | 17500389 | ProgramServices |
| Management And General | 3912160 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6432500 | Total |
| Program Services | 5257256 | ProgramServices |
| Management And General | 1175244 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6555983 | Total |
| Management And General | 6555983 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 218850 | Total |
| Management And General | 218850 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103015 | Total |
| Program Services | 4800 | ProgramServices |
| Management And General | 98215 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21230410 | Total |
| Program Services | 17579855 | ProgramServices |
| Management And General | 3650555 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 412953 | Total |
| Program Services | 21369 | ProgramServices |
| Management And General | 391584 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3770875 | Total |
| Program Services | 1617250 | ProgramServices |
| Management And General | 2153625 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 767683 | Total |
| Program Services | 460935 | ProgramServices |
| Management And General | 306748 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200096 | Total |
| Program Services | 163538 | ProgramServices |
| Management And General | 36558 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3056659 | Total |
| Program Services | 2498195 | ProgramServices |
| Management And General | 558464 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14271234 | Total |
| Program Services | 11910772 | ProgramServices |
| Management And General | 2360462 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2560202 | Total |
| Program Services | 2366789 | ProgramServices |
| Management And General | 193413 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 39398795 | 38321017 | 1077778 |
| SOFTWARE | 5886664 | 3995411 | 1891253 |
| FEES | 4800649 | 1528760 | 3271889 |
| EQUIP RENTAL AND MAINTENAN | 4725130 | 3579727 | 1145403 |
| BAD DEBT EXPENSE | 19513348 | 19513348 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4375848 | Total |
| Program Services | 856093 | ProgramServices |
| Management And General | 3519755 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 269824590 | Total |
| Program Services | 217421404 | ProgramServices |
| Management And General | 52403186 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45438695 | BOY |
| EOY | 49924693 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59291867 | BOY |
| EOY | 65377263 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5248864 | BOY |
| EOY | 5660877 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3685414 | BOY |
| EOY | 3598118 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 280985014 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 178414135 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102711464 | BOY |
| EOY | 102570879 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73493052 | BOY |
| EOY | 71308196 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5235666 | BOY |
| EOY | 14788632 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18152514 | BOY |
| EOY | 15657156 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 313257536 | BOY |
| EOY | 328885814 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26059556 | BOY |
| EOY | 27814534 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74735868 | BOY |
| EOY | 70555000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11616951 | BOY |
| EOY | 11134183 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74455292 | BOY |
| EOY | 85712251 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 186867667 | BOY |
| EOY | 195215968 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 123767999 | BOY |
| EOY | 130805632 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2418068 | BOY |
| EOY | 2660412 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 203802 | BOY |
| EOY | 203802 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 126389869 | BOY |
| EOY | 133669846 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 313257536 | BOY |
| EOY | 328885814 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 32947420 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -25667443 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 568392 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -5502 | InvestmentEarningsOrLosses |
| Other Expenditures | 1970 | OtherExpenditures |
| End Of Year Balance | 560920 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 555077 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 14824 | InvestmentEarningsOrLosses |
| Other Expenditures | 1509 | OtherExpenditures |
| End Of Year Balance | 568392 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 489658 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 80883 | InvestmentEarningsOrLosses |
| Other Expenditures | 15464 | OtherExpenditures |
| End Of Year Balance | 555077 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.36330 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.63670 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12458355 | OtherCostOrOtherBasis |
| Book Value | 12458355 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 135155106 | OtherCostOrOtherBasis |
| Depreciation | 53925347 | Depreciation |
| Book Value | 81229759 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5697771 | OtherCostOrOtherBasis |
| Depreciation | 4336351 | Depreciation |
| Book Value | 1361420 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 127673782 | OtherCostOrOtherBasis |
| Depreciation | 120152437 | Depreciation |
| Book Value | 7521345 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 102570879 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (17 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| STORZ ENDOSCOPY LEASE | $20,963 |
| PREMIUM ON LONG TERM DEBT | $748,618 |
| MOB CARDIO REHAB LEASE | $150,970 |
| MOB BLOOD DRAW LEASE | $143,988 |
| MATERIALS MGT LEASE | $8,155 |
| MAMMOGRAPHY FURNITURE LEASE | $36,355 |
| HILL-ROM LEASE | $404,179 |
| ESTIMATED 3RD-PARTY PAYOR SETTLEMENTS | $8,520,978 |
| DEFERRED COMPENSATION | $3,763,049 |
| DA VINCI ROBOT LEASE | $1,572,977 |
| CATH LAB IVUS LEASE | $36,018 |
| BRCN LEASE | $51,184 |
| ADVANCES AND DEFERRED REVENUE | $1,865,092 |
| ACCRUED SALARIES & WAGES | $15,810,660 |
| ACCRUED PENSION COSTS | $51,194,434 |
| ACCRUED PAYROLL TAXES | $691,504 |
| ACCRUED INTEREST | $693,127 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 85712251 | TotalOfAmounts |
| Total Revenue | 302772010 | TotalRevenue |
| Total Expenses | 269824590 | TotalExpenses |
| Excess Or Deficit For Year | 32947420 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -3608714 | NetUnrealizedGLOnInvestments |
| Other | -$22,065,392 | OtherAmount |
| Total Adjustments | -25674106 | TotalAdjustments |
| Excess Or Deficit Per FS | 7273314 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 283854424 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -17757462 | OtherRevenues |
| Revenue Not Rptd F990 | -17757462 | RevenueNotRptdF990 |
| Revenue Subtotal | 301611886 | RevenueSubtotal |
| Other Revenues Not Included | 1160124 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1160124 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 302772010 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 251506011 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1194769 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1194769 | ExpensesNotRptdF990 |
| Expenses Subtotal | 250311242 | ExpensesSubtotal |
| Other Expenses Not Included | 19513348 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 19513348 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 269824590 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part XIII, Line 4b | Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S | BAD DEBT REDUCTION OF REVENUE ON F/S $19513348 |
| Part XIII, Line 2d | Part XIII, Line 2d: Other expenses and losses per audited F/S | LIABILITY CLAIMS RPTD ON SEPARATE 990 $357341 COGS INCLUDED IN EXPENSES ON F/S $837428 |
| Part XII, Line 4b | Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S | COGS INCLUDED IN EXPENSES ON F/S $-837428 TEMPORARILY RESTRICTED CONTRIBUTIONS $1997552 |
| Part XI, Line 8 | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | FAS 158 INCREASE IN MINIMUM PENSION LIABILITY $ -9308247 TRANSFERS TO AFFILIATES $ -12400482 TRANSFERS TO SITF $ -350000 |
| Part V, Line 4 | Part V, Line 4: Intended uses of the endowment fund. | ENDOWMENT FUNDS ARE TO BE USED FOR THE GENERAL SUPPORT AND OPERATIONS OF BLESSING HOSPITAL. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 250.000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7594928 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7594928 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03030 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37654431 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23235445 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14418986 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05760 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 45249359 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23235445 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22013914 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08790 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1109463 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20387 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1089076 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00440 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3901143 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3901143 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01560 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8866953 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6693816 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2173137 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00870 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 289763 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 289763 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14167322 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6714203 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7453119 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02990 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 59416681 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29949648 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 29467033 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11780 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 688752 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 688752 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 688752 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 688752 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $6,564,290 | BadDebtExpenseAmount |
| Amount Attributable To | 306552 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 85698767 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 89517974 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3819207 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JCH DIALYSIS CENTER LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | DIALYSIS SERVICES | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50000 | OrganizationProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Research FacilityResearchFacility | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|---|---|
| BLESSING HOSPITAL AT 14TH ST | |||||||||
| 2 | BROADWAY AT 14TH ST | QUINCY | IL | 62301 | X | X | X | X | |
| BLESSING HOSPITAL AT 11TH ST | |||||||||
| 1 | BROADWAY AT 11TH ST | QUINCY | IL | 62301 | X | X | X | X | X |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | CHNA ConductedCHNAConducted | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Permit LawsuitPermitLawsuit | Permit Lien On ResidencePermitLienOnResidence | Permit Other ActionsPermitOtherActions | Collection ActivitiesCollectionActivities | LawsuitLawsuit | Lien On ResidenceLienOnResidence | Other ActionsOtherActions | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Lowest Negotiated RatesLowestNegotiatedRates | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLESSING HOSPITAL AT 14TH ST | |||||||||||||||||||||||||||||||||||||
| 2 | false | true | true | 250.0000 | true | 400.0000 | true | X | X | X | X | X | X | X | true | true | X | X | X | X | X | false | X | X | X | true | X | X | X | X | X | X | X | true | X | false | false |
| BLESSING HOSPITAL AT 11TH ST | |||||||||||||||||||||||||||||||||||||
| 1 | true | true | 250.0000 | true | 400.0000 | true | X | X | X | X | X | X | X | true | true | X | X | X | X | X | true | X | X | X | true | X | X | X | X | X | X | X | true | X | false | false | |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 11 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (11 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| BLESSING HOME CARE - PALMYRA | ||||
| 6996 COUNTY ROAD 326 | PALMYRA | MO | 63461 | HOME HEALTH AGENCY IN MISSOURI |
| JCH DIALYSIS LLC | ||||
| 917 SOUTH STATE STREET | JERSEYVILLE | IL | 62052 | DIALYSIS CENTER |
| BLESSING HOSPICE - HANNIBAL | ||||
| 7 MELGROVE LANE SUITE 201 | HANNIBAL | MO | 63401 | FULL HOSPICE PROGRAM IN MISSOURI |
| EAST ADAMS COUNTY RURAL HEALTH CLINIC | ||||
| 102 PRAIRIE MILLS ROAD | GOLDEN | IL | 62339 | RURAL HEALTH CLINIC |
| BLESSING HOSPICE - GREENE COUNTY | ||||
| 330 5TH STREET | CARROLTON | IL | 62016 | FULL HOSPICE PROGRAM IN ILLINOIS |
| BLESSING HOSPICE - PIKE COUNTY | ||||
| 967 WEST WASHINGTON | PITTSFIELD | IL | 62363 | FULL HOSPICE PROGRAM IN ILLINOIS |
| BLESSING HOSPICE - HANCOCK COUNTY | ||||
| 71 SOUTH ADAMS | CARTHAGE | IL | 62321 | FULL HOSPICE PROGRAM IN ILLINOIS |
| BLESSING HOSPICE & PALLIATIVE CARE | ||||
| BROADWAY AT 14TH STREET | QUINCY | IL | 62301 | FULL HOSPICE PROGRAM IN ILLINOIS |
| DENMAN COUNTRY DRUGS | ||||
| 102 PRAIRIE MILLS ROAD | GOLDEN | IL | 62339 | PHARMACY WITHIN RURAL HEALTH CLINIC |
| BLESSING HOME CARE | ||||
| BROADWAY AT 14TH STREET | QUINCY | IL | 62301 | HOME HEALTH AGENCY IN ILLINOIS |
| BLESSING AMBULATORY SURGERY CENTER | ||||
| 1118 HAMPSHIRE STREET | QUINCY | IL | 62301 | AMBULATORY SURGICAL TREATMENT CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part VI - Additional Information | BLESSING HOSPITAL'S COMMUNITY BENEFIT REPORT IS PRESENTED TO THE COMMUNITY AS A SUPPLEMENT IN THE QUINCY HERALD-WHIG ONCE A YEAR. IT IS ALSO PLACED IN LITERATURE RACKS AROUND THE HOSPITAL CAMPUS. ILLINOIS IS THE ONLY STATE IN WHICH THE COMMUNITY BENEFIT REPORT IS PUBLISHED. | |
| Part V - Explanation of Number of Facility Type | BLESSING HOSPITAL OPERATES NO FACILITIES OTHER THAN THE LOCATIONS LISTED IN PART V. | |
| Part VI - States Where Community Benefit Report Filed | IL | |
| Part VI - Affilated Health Care System Roles and Promotion | 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 and Northeastern Missouri. 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 - Blessing Affiliates, Inc. operates the Community Outreach Clinic which provides healthcare services to uninsured patients. ON THE LAST DAY OF ITS FISCAL YEAR, 9/30/2011, BLESSING AFFILIATES TRANSFERRED SUBSTANTIALLY ALL OF ITS ASSETS AND LIABILITIES TO ITS SOLE MEMBER, BLESSING CORPORATE SERVICES, INC.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. For financial reporting purposes, the Hospital's financial information is consolidated with West Central Illinois Therapy & Sports Medicine, LLC. The Hospital has a 51% partnership interest in West Central Illinois Therapy & Sports Medicine, LLC, and the outside investor's 49% interest in the partnership is included as a minority interest.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. | |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | 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 these operations, as well as the operations of all other Blessing Hospital Services, 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 operates 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 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 2,594 employees. Of significant importance is the volunteers that serve the Hospital. In Fiscal Year 2011, Blessing Hospital had 878 active volunteers who served for a total of 87,758 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 - Community Building Activities | Blessing Hospital's support of access health adams county aids in making healthcare available to indigent members of the population which we serve. | |
| Part VI - Community Information | For 135 years, Blessing Hospital has served the health care needs of the people of west central Illinois, northeast Missouri and southeast Iowa. Approximately 247,000 people live within a 50 mile radius of Blessing Hospital. The Hospital's 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 region's economy is heavily agricultural, with a mix of some 100 manufacturers in addition to commercial/retail businesses making up the rest of the local economy. Blessing Hospital is the largest employer in its region. Quincy,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 latest unemployment rate for the primary market counties served by Blessing Hospital stood at 7.4 percent for west central Illinois and 7.9 percent for northeast Missouri. The median household income in Blessing's west central Illinois counties is $38,070 (with 11.5% below the Poverty Level), compared to $53,974 for Illinois. The median household income for the northeast Missouri counties in Blessing's primary market is $34,172 (with 14.3% below the Poverty Level), compared to $45,194 for the state of Missouri. The majority of Blessing's primary market area, either entire counties or low income populations within the counties, are designated federal Health Professional Shortage Areas for Primary Care. | |
| Part VI - Patient Education of Eligibility for Assistance | All Blessing Hospital self-pay inpatients are contacted by a Financial Account Specialist (FAS) within 24 hours of admission. The patient is screened for government programs or eligibility for participation in our Community Outreach Clinic or Access Health Adams County. Outpatients are contacted once the patient's condition has been stabilized and are screened in the same manner as inpatients. If a FAS is not available to meet with a patient at an appropriate time, the patient is given contact information and asked to call if assistance is needed. | |
| Part VI - Needs Assessment | Blessing Hospital is working in partnership with the community public health department, the local United Way agency and other area agencies in conducting a needs assessment. | |
| Part V, Line 16e - Other Collection Actions by Facility or Third Party Engaged | WAGE DEDUCTION ORDER, COLLECTION AGENCY, COURT ORDERED PAYMENT AGREEMENT, ASSET LIEN | Number of Hospital Faciltiy - 2 |
| Part V, Line 16e - Other Collection Actions by Facility or Third Party Engaged | WAGE DEDUCTION ORDER, COLLECTION AGENCY, COURT ORDERED PAYMENT AGREEMENT, ASSET LIEN | Number of Hospital Faciltiy - 1 |
| Part V, Line 15e - Other Collection Actions Against a Patient | WAGE DEDUCTION ORDER, COLLECTION AGENCY, COURT ORDERED PAYMENT AGREEMENT, ASSET LIEN | Number of Hospital Faciltiy - 2 |
| Part V, Line 15e - Other Collection Actions Against a Patient | WAGE DEDUCTION ORDER, COLLECTION AGENCY, COURT ORDERED PAYMENT AGREEMENT, ASSET LIEN | Number of Hospital Faciltiy - 1 |
| Part V, Line 13g - Other Means Hospital Facility Publicized the Policy | THE BILLING INVOICE INCLUDES A STATEMENT INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE AND WHO TO CONTACT IN THE ORGANIZATION. | Number of Hospital Faciltiy - 2 |
| Part V, Line 13g - Other Means Hospital Facility Publicized the Policy | THE BILLING INVOICE INCLUDES A STATEMENT INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE AND WHO TO CONTACT IN THE ORGANIZATION. | Number of Hospital Faciltiy - 1 |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | Collection practices are not pursued if a completed financial assistance application has been returned. | |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | 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 hospital's 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 4 - Bad Debt Expense | 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. 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. 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. These patients would qualify for charity care if they completed the paperwork, so the bad debt expense associated with treating them should be treated as community benefit.FINANCIAL STATEMENT NOTE:Patient accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. For receivables associated with self-pay patients, the Hospital records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.The Hospital's self-pay write-offs increased from $17,084,600 for the year ended September 30, 2010 to $20,662,094 for the year ended September 30, 2011. This increase is the result of negative trends experienced in the collection of amounts due from patients. The Hospital has not changed its charity care or uninsured discount policies during the years ended September 30, 2011 and 2010. The Hospital does not maintain a material allowance for doubtful accounts from third-party payors nor did it have significant bad debt write-offs from third-party payors. | |
| Part I, Line 7g - Costs Associated With Physicans Clinics | BLESSING HOSPITAL DOES NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. | |
| Part I, Line 7, Column F - Explanation of Bad Debt Expense | BAD DEBT EXPENSE OF $19,513,348 IS SUBTRACTED FROM TOTAL EXPENSES OF $269,824,590 REPORTED ON LINE 25, COLUMN A OF FORM 990, PART IX,FOR A NET TOTAL EXPENSE OF $250,311,242. | |
| Part I, Line 7 - Explanation of Costing Methodology | 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 I, Line 6a - Related Organization Community Benefit Report | BLESSING HOSPITAL'S COMMUNITY BENEFIT REPORT IS PREPARED BY BLESSING HOSPITAL, NOT A RELATED ORGANIZATION. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| SIU SCHOOL OF MEDICINE | ||||||||
| PO BOX 19607 327 W CALHOUN STREET | SPRINGFIELD | IL | 62794 | 376005961 | 959888 | 0 | BOOK | Medical education & research programs at S. IL university |
| BLESSING AFFILIATES | ||||||||
| BROADWAY AT 11TH PO BOX 7005 | QUINCY | IL | 62305 | 371128708 | 19365 | 0 | BOOK | to support the community outreach clinic |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | GRANTS TO STUDENTS AT BLESSING-RIEMAN COLLEGE OF NURSING | TypeOfGrant |
| Number Of Recipients | 97 | NumberOfRecipients |
| Amount Of Cash Grant | 313339 | AmountOfCashGrant |
| Method Of Valuation | BOOK | MethodOfValuation |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Additional Supplemental Information | Identifier |
| Explanation | PART I, LINE 2SIU SCHOOL OF MEDICINESIU PROVIDES THE HOSPITAL BOARD OF TRUSTEES WITH AN ANNUAL UPDATE REGARDING THEIR USE OF THE GRANT FUNDS PROVIDED TO THEIR PROGRAM.BLESSING AFFILIATESONCE A GRANT IS AWARDED TO THE GRANTEE, THE FUNDS ARE DISBURSED BASED ON THE FUNDS BEING EXPENDED BY THE GRANTEE AFFILIATE ORGANIZATION. DOCUMENTATION OF EXPENSES BY THE GRANTEE AFFILIATE IS MAINTAINED WITHIN THE BLESSING HEALTH SYSTEM TO CONFIRM THE EXPENDITURE AND NEED FOR THE GRANTS.Blessing-Rieman College of NursingBlessing-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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| TIMOTHY A MOORE | |||||||||||
| 161716 | 44386 | 10727 | 52172 | 16314 | 285315 | ||||||
| THOMAS A CLIATT DO | |||||||||||
| 313399 | 289021 | 25644 | 26484 | 16470 | 671018 | ||||||
| STUART L PYATT DO | |||||||||||
| 322334 | 323466 | 8081 | 31277 | 16470 | 701628 | ||||||
| STEPHEN W NESBIT | |||||||||||
| 305979 | 72394 | 13329 | 657 | 16469 | 408828 | ||||||
| PATRICK M GERVELER | |||||||||||
| 243257 | 80532 | 35802 | 30654 | 12883 | 403128 | ||||||
| MAUREEN A KAHN | |||||||||||
| 320397 | 116581 | 23393 | 37841 | 12409 | 510621 | ||||||
| JILL MASON | |||||||||||
| 174144 | 41811 | 8180 | 104691 | 6531 | 335357 | ||||||
| JAMES B KASE MD | |||||||||||
| 544374 | 16500 | 11627 | 4752 | 16470 | 593723 | ||||||
| CHRISTOPHER R SOLARO MD | |||||||||||
| 400778 | 136603 | 2266 | 3656 | 16470 | 559773 | ||||||
| B BRADFORD BILLINGS | |||||||||||
| 421279 | 487300 | 276774 | 12409 | 1197762 | |||||||
| ANTHONY S WOLLASTON MD | |||||||||||
| 313468 | 212840 | 19215 | 3954 | 16470 | 565947 | ||||||
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| CITY OF QUINCY ADAMS COUNTY ILLINOIS | ||||||
| 376000378 | 748476BP2 | 2008-10-30 | 22000000 | SCHEDULE O | false | false |
| CITY OF QUINCY ADAMS COUNTY ILLINOIS | ||||||
| 376000378 | 748476BN7 | 2007-05-03 | 48850181 | SCHEDULE O | false | false |
| CITY OF QUINCY ADAMS COUNTY ILLINOIS | ||||||
| 376000378 | 748476AX6 | 2004-03-04 | 15000000 | SCHEDULE O | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|
| 22009681 | 315954 | 4693727 | 2010 | true | false | true | true |
| 48853595 | 570296 | 2009 | true | true | true | true | |
| 15090422 | 220658 | 14869764 | 2005 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Total Private Business UseTotalPrivateBusinessUse |
|---|---|---|---|---|---|---|---|
| false | false | false | false | true | true | ||
| false | false | false | false | true | true | 0.02900 | 0.02900 |
| false | false | false | false | true | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| false | true | false | false | false | false |
| false | false | false | false | false | false |
| false | true | false | false | false | true |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | PART II, LINE 7, BOND A - $29,463.50 OF THE $220,657.61 BOND ISSUANCE COSTS WERE LETTER OF CREDIT FEES. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| SCHEDULE K, PART I, (f) DESC. OF PURPOSE | A - TO REIMBURSE FOR THE COSTS OF THE PROJECT AND TO PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2004 BONDS. THE PROJECT CONSISTS OF (i) THE CONSTRUCTION OF AN APPROXIMATELY 42,000 SQ. FOOT, THREE-STORY ADDITION TO THE MAIN CAMPUS BUILDING LOCATED AT BROADWAY AND 11TH STREET WHICH WILL HOUSE THE EMERGENCY DEPARTMENT AND CARDIOVASCULAR UNIT; AND (ii) THE RENOVATION, CONSTRUCTION , REMODELING AND EQUIPPING OF APPROXIMATELY 28,600 SQ. FEET OF SPACE WITHIN THE EXISTING MAIN CAMPUS BUILDING.B - USED TO (i) CURRENTLY REFUND ALL OF THE OUTSTANDING CITY OF QUINCY, ADAMS COUNTY, ILLINOIS REVENUE BONDS, SERIES 1993 (BLESSING HOSPITAL)(THE "SERIES 1993 BONDS"), (ii) ADVANCE REFUND ALL OF THE OUTSTANDING ILLINOIS HEALTH FACILITIES AUTHORITY REVENUE BONDS, SERIES 1999A (BLESSING HOSPITAL)(THE "SERIES 1999A BONDS") AND (iii) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2007 BONDS AND THE REFUNDING OF THE SERIES 1993 BONDS AND THE SERIES 1999A BONDS.C - USED TO (i) REFUND THE OUTSTANDING ILLINOIS HEALTH FACILITIES AUTHORITY VARIABLE RATE DEMAND REVENUE BONDS, SERIES 1999B (BLESSING HOSPITAL)(THE "SERIES 1999B BONDS"),(ii) PAY OR REIMBURSE FOR THE ACQUISITION AND INSTALLATION OF CERTAIN EQUIPMENT AND THE REMODELING OF THE INPATIENT REHABILITATION UNIT AND HEATING, VENTILATION AND AIR CONDITIONING SYSTEMS AND (iii) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2008 BONDS AND THE REFUNDING OF THE SERIES 1999B BONDS, INCLUDING CERTAIN COSTS OF THE INITIAL CREDIT FACILITY. | |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | These forms are located in the corporate administrative offices and are available upon request for public inspection. | Form 990, Part VI, Line 19 |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | Treasurer of blessing hospital/treasurer and cfo of BCS - No compensation as Treasurer. As CFO, comparability data through a third party (Sullivan-Cotter) is used to establish market range. Information is submitted to the President of Blessing Corporate Services for review and to the blessing corporate services board of trustees for approval.secretary and cao of blessing hospital - No compensation as Secretary. As CAO, comparability data through a third party (Sullivan-Cotter) is used to establish market range. Information is submitted to the President of Blessing Hospital for review and to the blessing hospital board of trustees for approval.cno - Comparability data through a third party (Sullivan-cotter) is used to establish market range. Information is submitted to the President of Blessing Hospital for review and to the blessing hospital board of trustees for approval.Cardiovascular Surgeon. Salary and production incentive payments are based on comparative data obtained through a third party source, and validated by review by a separate independent organization (Sullivan-Cotter).Emergency Medicine physician. Salary and production incentive payment formula are based on current comparative data obtained from a third party source (Medical Group Management Association) and validated by review by a separate independent organization (Sullivan-Cotter). Production data is independently measured by a third-party company and audited by internal staff. | Form 990, Part VI, Line 15b |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | 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, Part VI, Line 12c |
| Form 990, Part VI, Line 11: Form 990 Review Process | FOLLOWING MANAGEMENT AND LEGAL REVIEW, THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT PRIOR TO FILING. | Form 990, Part VI, Line 11 |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | BLESSING CORPORATE SERVICES SHALL POSSESS THE RIGHTS AND RESPONSIBILITIES TO (A) Appoint and/or remove all the trustees of the corporation. | Form 990, Part VI, Line 7a |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | BLESSING CORPORATE SERVICES, INC. IS THE SOLE VOTING MEMBER OF BLESSING HOSPITAL. | Form 990, Part VI, Line 6 |
| Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents | BYLAWS AND ARTICLES OF INCORPORATION WERE AMENDED TO 1) CHANGE THE NUMBER AND QUALIFICATIONS OF TRUSTEES 2) CHANGE THE TENURE OF TRUSTEES 3) CHANGE THE NUMBER OF MEMBERS OF THE PERFORMANCE IMPROVEMENT LEADERSHIP COUNCIL AND 4) CHANGE THE NUMBER OF MEMBERS OF THE OPERATIONS AND FINANCE COMMITTEE. | Form 990, Part VI, Line 4 |
| Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company | 1) BLESSING CORPORATE SERVICES PROVIDES GENERAL MANAGEMENT SERVICES.2) NATIONAL HEALING PROVIDES MANAGEMENT SERVICES FOR THE WOUND CARE DEPARTMENT WHICH INCLUDES HYPERBARIC SERVICES.3) QUINCY MEDICAL GROUP PROVIDES MANAGEMENT OF THE SURGERY CENTER OF QUINCY.4) ARAMARK PROVIDES MANAGEMENT OF FOOD SERVICES AND STERILE PROCESSING.5) BRIDGE HOME CARE PARTNERS PROVIDES MANAGEMENT OF BLESSING'S HOME CARE SERVICES. | Form 990, Part VI, Line 3 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| BLESSING EDUCATIONAL REVOLVING FUND | ||||||||||
| PO BOX 7005 | QUINCY | IL | 623057005 | 376051449 | MAKE LOANS FOR EDUCATIONAL PURPOSES | IL | 501(C)(3) | 11C | NA | false |
| BLESSING VOLUNTEERS IN PARTNERSHIP | ||||||||||
| BROADWAY AT 14TH PO BOX 7005 | QUINCY | IL | 623057005 | 237160187 | PROVIDE SUPPORT FOR BLESSING HOSPITAL | IL | 501(C)(3) | 11B | NA | false |
| BLESSINGCARE CORPORATION - MISSOURI | ||||||||||
| 1005 BROADWAY | QUINCY | IL | 62301 | 431371818 | CURRENTLY INACTIVE | MO | 501(C)(3) | 3 | BCS INC | false |
| BLESSING HOSPITAL SELF-INSURANCE PLAN | ||||||||||
| BROADWAY AT 11TH PO BOX 7005 | QUINCY | IL | 623057005 | 371045366 | PROVIDE SUPPORT FOR MEDICAL LIABILITY CLAIMS | IL | 501(C)(3) | 11A | BCS INC | false |
| BLESSINGCARE CORP DBA ILLINI COMM HOSP | ||||||||||
| 640 WEST WASHINGTON | PITTSFIELD | IL | 62363 | 371396010 | PROVIDE HEALTHCARE | IL | 501(C)(3) | 3 | BCS INC | false |
| THE BLESSING FOUNDATION | ||||||||||
| BROADWAY AT 11TH POBOX 7005 | QUINCY | IL | 623057005 | 371128705 | FUNDRAISING & GRANT-MAKING | IL | 501(C)(3) | 11B | BCS INC | false |
| BLESSING AFFILIATES INC | ||||||||||
| BROADWAY AT 11TH PO BOX 7005 | QUINCY | IL | 623057005 | 371128708 | COMMUNITY OUTREACH CLINIC, EDUCATIONAL PROGRAMS | IL | 501(C)(3) | 9 | BCS INC | false |
| BLESSING CORPORATE SERVICES | ||||||||||
| BROADWAY AT 11TH PO BOX 7005 | QUINCY | IL | 623057005 | 371128706 | PROVIDE DIRECTION AND CONTROL TO ENTITIES | IL | 501(C)(3) | 9 | BCS INC | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|
| JCH DIALYSIS CENTER LLC | |||||||||
| 1005 BROADWAY PO BOX 7005 | QUINCY | IL | 623017005 | 731644728 | DIALYSIS | IL | na | false | true |
| ILLINI HEALTH SERVICES LLC | |||||||||
| PO BOX 40 | QUINCY | IL | 623060040 | 470901851 | PHARMACY | IL | DENMAN | false | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENMAN SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 40 | AddressLine1 |
| City | QUINCY | City |
| State | IL | State |
| ZIP Code | 62306 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371132117 | EIN |
| Primary Activity | MED. EQUIP. | PrimaryActivity |
| Legal Domicile State | IL | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BCS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |