2012-03-29T14:42:25-07:00 2011-09-30 Gray Hunter Stenn LLP 500 Maine Street Quincy IL 62301 990 2010-10-01 370661183 BLESSING HOSPITAL BLES 2172231200 1005 BROADWAY QUINCY IL 62301 MAUREEN KAHN 2012-03-29 STEPHEN C KOESTER CPA 2172220304 2010 2016-02-24 21:20:13Z 384565568 false false X www.blessinghealthsystem.org X 1875 IL Blessing Hospital's mission is to provide high quality, accessible health care showing compassion and respect to those we serve. 14 11 2594 878 1233363 -553110 1866686 4442876 269293168 283831888 10275378 5133171 6802145 9364075 288237377 302772010 1382779 1292592 0 125724913 136683604 0 0 121617029 131848394 248724721 269824590 39512656 32947420 313257536 328885814 186867667 195215968 126389869 133669846 Blessing Hospital's mission is to provide high quality, accessible health care showing compassion and respect to those we serve. false false 217421404 1292592 283831888 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 217421404 true true false false false false false false false true true false false false true false true true false false false false false false false false true true true true true true false false false false false false false false false false false false false false false true false false false false true 176 0 true 2594 false true true false false false false false false false false false 0 false false false false false false false false false false false X 14 11 false true true false true true true true true false false false true true true true true true true 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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 49 470000 2445324 1527552 4442876 PATIENT REVENUE 621110 713350177 713350177 LESS: CONTRACT ALLOW 621110 -405613024 -405613024 LESS: CHARITY CARE 621110 -26878630 -26878630 COLLEGE OF NURSING 611600 2973365 2973365 283831888 1694640 1694640 0 0 1190702 1190702 1190702 1190702 84394661 80956130 3438531 3438531 3438531 0 0 2070791 837428 1233363 1233363 SALE OF FOOD 722210 1387774 1387774 OTHER 900099 2148771 2148771 MANAGEMENT & ACCNTG FEES 541610 2076920 2076920 1326545 1326545 6940010 302772010 284297054 1233363 12798717 979253 979253 313339 313339 0 0 6120968 5019194 1101774 0 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true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 568392 -5502 1970 560920 555077 14824 1509 568392 489658 80883 15464 555077 0.36330 0.63670 false false false 12458355 12458355 135155106 53925347 81229759 5697771 4336351 1361420 127673782 120152437 7521345 102570879 STORZ ENDOSCOPY LEASE 20963 PREMIUM ON LONG TERM DEBT 748618 MOB CARDIO REHAB LEASE 150970 MOB BLOOD DRAW LEASE 143988 MATERIALS MGT LEASE 8155 MAMMOGRAPHY FURNITURE LEASE 36355 HILL-ROM LEASE 404179 ESTIMATED 3RD-PARTY PAYOR SETTLEMENTS 8520978 DEFERRED COMPENSATION 3763049 DA VINCI ROBOT LEASE 1572977 CATH LAB IVUS LEASE 36018 BRCN LEASE 51184 ADVANCES AND DEFERRED REVENUE 1865092 ACCRUED SALARIES & WAGES 15810660 ACCRUED PENSION COSTS 51194434 ACCRUED PAYROLL TAXES 691504 ACCRUED INTEREST 693127 85712251 302772010 269824590 32947420 -3608714 -22065392 -25674106 7273314 283854424 -17757462 -17757462 301611886 1160124 1160124 302772010 251506011 1194769 1194769 250311242 19513348 19513348 269824590 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. 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AMBULATORY SURGICAL TREATMENT CENTER 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. 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 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 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 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 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 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. 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. true 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 2 0 GRANTS TO STUDENTS AT BLESSING-RIEMAN COLLEGE OF NURSING 97 313339 BOOK Additional Supplemental Information 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. X X X X false true false false false false false false false false 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 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 22009681 315954 4693727 2010 true false true true 48853595 570296 2009 true true true true 15090422 220658 14869764 2005 false false true true false false false false true true false false false false true 0.02900 0.02900 true false false false false true true false true false false false false false false false false false false false true false false false true PART II, LINE 7, BOND A - $29,463.50 OF THE $220,657.61 BOND ISSUANCE COSTS WERE LETTER OF CREDIT FEES. 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 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 15b 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 12c 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 11 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 7a 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 6 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 4 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 3 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. 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 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 DENMAN SERVICES INC PO BOX 40 QUINCY IL 62306 371132117 MED. EQUIP. IL BCS INC false true true true false false false false true true true true true true true true false false