2025-07-10T17:29:40-04:00 2024-09-30 363077757 GRAY HUNTER STENN LLP 500 MAINE ST QUINCY IL 62301 990 2023-10-01 370661183 BLESSING HOSPITAL BLES 2172231200 1005 BROADWAY QUINCY IL 62301 TIM TRANOR PRES/CEO BCS AND BH 2172231200 2025-07-07 true false ERIN J WHARTON CPA P01294277 2172220304 2025-07-07 2023 2025-03-06 01:10:19Z TIM TRANOR 1005 BROADWAY QUINCY IL 62301 858295946 false X WWW.BLESSINGHEALTH.ORG X 1873 IL BLESSING HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES. 15 10 4486 391 1475698 7210581 5069653 580508670 650383762 4001220 25998789 33346506 23282958 625066977 704735162 3839987 4362864 0 327112608 373537270 0 0 271155525 309741054 602108120 687641188 22958857 17093974 758035073 806578528 264680169 281289946 493354904 525288582 X BLESSING HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES. false false 546703307 4362864 650383762 SINCE IT WAS FOUNDED IN 1873, BLESSING HOSPITAL HAS PROVIDED QUALITY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF RACE, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY. IN SERVING ALL MEMBERS OF ITS COMMUNITIES, BLESSING HOSPITAL CONTINUES THIS TRADITION BY PROVIDING FREE/SUBSIDIZED CARE, CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT LESS THAN FULL CHARGES, AND COMMUNITY HEALTH/EDUCATION/WELLNESS PROGRAMS. FOR FISCAL YEAR 2024, THE COST OF CHARITY CARE PROVIDED WAS 7,183,012 AND MEDICARE SHORTFALLS WERE 100,288,631. BLESSING HOSPITAL TREATED PATIENTS THROUGH THE FOLLOWING SERVICES DURING FISCAL YEAR 2024: 40,821 EMERGENCY CENTER VISITS; 575,586 OUTPATIENT VISITS; 15,240 SURGICAL OPERATIONS, INCLUDING 165 OPEN HEART SURGERIES, 14,914 INPATIENT ADMISSIONS, AND 1,157 BABIES. OUTPATIENT SERVICES INCLUDED 91,836 CARDIOPULMONARY/CARDIOLOGY PROCEDURES, 1,108,122 LABORATORY TESTS, 126,256 RADIOLOGY PROCEDURES, AND 140,077 PHYSICAL THERAPY/REHABILITATION VISITS. BLESSING HOSPITAL PROVIDED ADDITIONAL BENEFITS OF 8,191,394 TO THE COMMUNITY DURING FISCAL YEAR 2024 AS FOLLOWS: HEALTH PROFESSIONALS EDUCATION SIU RESIDENCY PROGRAM 2,707,717 BLESSING-RIEMAN COLLEGE OF NURSING 2,826,331 NURSING EDUCATIONAL PRECEPTORS 36,842 SUB TOTAL HEALTH PROFESSIONALS EDUCATION 5,570,890 COMMUNITY HEALTH IMPROVEMENT SERVICES ADAMS COUNTY HEALTH DEPARTMENT DENTAL PROGRAM 100,000 PATIENT TRANSPORTATION AND LODGING 395,163 CHARITY PHARMACY PRESCRIPTIONS 731,535 HEALTH SCREENINGS/TESTS 101,197 MEDICAL SUPPLIES/SERVICES FOR PATIENTS 58,400 BEHAVIORAL HEALTH EDUCATIONAL PROGRAMS 8,753 MEDICAL INTERPRETING SERVICES 37,138 SUB TOTAL COMMUNITY HEALTH IMPROVEMENT SERVICES 1,432,186 SIU CENTER FOR FAMILY MEDICINE - QUINCY, CHADDOCK, AND TRANSITIONS OF WESTERN ILLINOIS SUBSIDIZED HEALTH SERVICES CARE COORDINATION 1,159,948 SUB TOTAL SUBSIDIZED HEALTH SERVICES 1,159,948 IN-KIND CONTRIBUTIONS/DONATIONS DONATIONS/SPONSORSHIPS 28,370 SUB TOTAL IN-KIND CONTRIBUTIONS/DONATIONS 28,370 BLESSING HOSPITAL'S STRATEGIC OBJECTIVES FOR THE UPCOMING YEARS ARE AS FOLLOWS: 1) QUALITY ZERO HARM A) REDUCE PATIENT HARM EVENTS BY 15% PER YEAR 2) BEST PLACE TO WORK A) INCREASE EMPLOYEE SATISFICATION TO >= 8.0 3) PATIENT EXPERIENCE A) INCREASE PATIENT EXPERIENCE (ALWAYS RECOMMEND) TO 82% 4) ACCESS TO CARE A) INCREASE CLINIC VISITS PER DAY BY 5% 5) FISCAL HEALTH A) CONTROL EXPENSES AND INCREASE REVENUE B) ACHIEVE GREATER THAN 200 DAYS CASH ON HAND C) ACHIEVE GREATER THAN 1% OPERATING MARGIN 6) ELECTRONIC HEALTH RECORD CHANGE A) ON TIME/ON BUDGET B) STANDARDIZATION 546703307 true true false true false false false false false true true true false false true false true true false false false false false false true false true true true true true true false false false false false false false false true false false false false false false true true true false false true 248 0 true 4486 true true true false false false false true true false false false false false false X 15 10 false true true false true true true true true false true true true true true true true true false true true true IL X PATRICK M GERVELER 2172231200 1005 BROADWAY QUINCY IL 62301 MAUREEN A KAHN RETIRED 7123 FORM.BCS/BH X 0 1399070 214544 DR HUMAM FARAH CLINIC PHYSI 40.00 0.00 X 1393498 0 35797 DR HARSHA POLAVARAPU TERMED 124 TRUSTEE 40.00 0.00 X 1347867 0 40489 DR JOHN H ARNOLD PRES OF MED 40.00 0.00 X 1345956 0 36524 DR DARR W LEUTZ CLINIC PHYSI 40.00 0.00 X 1278641 0 54094 DR WILLIAM C SEVERINO CLINIC PHYSI 40.00 0.00 X 1147893 0 52359 DR DAVID C LIEBER CLINIC PHYSI 40.00 0.00 X 1145937 0 52359 DR JOHN P OLSON CLINIC PHYSI 40.00 0.00 X 1101032 0 25665 BRIAN T CANFIELD PRES/CEO BCS 0.00 40.00 X X 0 976127 142463 STEVEN W KRAUSE TRUSTEE 40.00 0.00 X 1071585 0 40489 PATRICK M GERVELER TREASURER 0.00 40.00 X 0 831554 136905 DR JOHN D HAMMOCK TERMED 124 TRUSTEE 40.00 0.00 X 832407 0 37030 DR CHRISTOPHER R SOLARO CHIEF MEDICA 40.00 0.00 X 772362 0 32293 TIMOTHY L TRANOR CHIEF NURSIN 40.00 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false false 41751 false SCHEDULE C, PART II-B, LINE 1 MEMBERSHIP DUES ARE PAID ON AN ANNUAL BASIS TO THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. 37% OF DUES ARE ALLOCABLE TO LOBBYING EXPENDITURES, WHICH INCLUDE CONGRESSIONAL VISITS AND CONTACTING REPRESENTATIVES. 1959605 49364 37587 6938 1964444 1859684 135779 29021 6837 1959605 1859659 25 1859684 1826971 32688 1859659 1859737 -32766 1826971 0.93870 0.06130 false true true 17322524 17322524 349356912 129465281 219891631 14079632 7704012 6375620 275653921 183574638 92079283 335669058 MUTUAL FUNDS 41198465 F OTHER INVESTMENT ASSETS 21102782 F CORP. MORTGAGE/ASSET BACKED SE 3080488 F PREFERRED FIXED RATE SECURITIES 1693156 F FOREIGN BONDS 344775 F MUNICIPAL BONDS 332955 F CERTIFICATES OF DEPOSITS 210535 F 67963156 ACCRUED SALARIES & WAGES 30600964 ESTIMATED 3RD-PARTY PAYOR SETTLEMENT 23856123 OTHER LONG TERM LIABILITY 23030232 DEFERRED COMPENSATION 19644383 LONG TERM FINANCE LEASE LIABILITY 8569253 LONG TERM LEASE LIABILITIES 4661159 DUE TO RELATED ORGANIZATIONS 2376997 ADVANCES AND DEFERRED REVENUE 1977807 SHORT TERM LEASE LIABILITIES 1870525 ACCRUED PAYROLL TAXES 1655158 ACCRUED INTEREST 1296298 SHORT TERM FINANCE LEASE LIABILITY 1276601 DEFERRED FINANCING COST -445540 120369960 688799624 12828212 12828212 675971412 28763750 28763750 704735162 663872177 663872177 23769011 23769011 687641188 SCHEDULE D, PAGE 2, PART V, LINE 4 ENDOWMENT FUNDS ARE TO BE USED FOR THE GENERAL SUPPORT AND OPERATIONS OF BLESSING HOSPITAL. SCHEDULE D, PAGE 4, PART XI, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 4,879,990 UNREALIZED GAINS 7,948,222 SCHEDULE D, PAGE 4, PART XI, LINE 4B TEMPORARILY RESTRICTED CONTRIBUTIONS 4,989,900 TEMPORARILY RESTRICTED INCOME 0 INVESTMENT MANAGEMENT FEES 553,917 BAD DEBT REDUCTION OF REVENUE ON F/S 23,215,094 UNREALIZED LOSS 0 PERMANENTLY RESTRICTED INCOME 4,839 SCHEDULE D, PAGE 4, PART XII, LINE 4B INVESTMENT EXPENSES 553,917 BAD DEBT REDUCTION OF REVENUE ON F/S 23,215,094 HEART GALA 154700 105000 49700 2500 37238 6000 16624 BREAST CENTER A 72409 72409 41441 227109 105000 122109 2500 37238 6000 58065 103803 18306 true true X true X 2.750000000000 true X true true false true true 7183012 7183012 0.01080 103220623 103220623 110403635 103220623 7183012 0.01080 1432186 1432186 0.00220 5570890 5570890 0.00840 1159948 1159948 0.00170 28370 28370 8191394 8191394 0.01230 118595029 103220623 15374406 0.02310 67776 67776 0.00010 67776 67776 0.00010 true 23143050 1080780 121703598 128921559 -7217961 X true true 1 1 BLESSING HOSPITAL AT 11TH ST BROADWAY AT 11TH ST QUINCY IL 62301 X X X X X A A 1 false false true X X X X X X X X X X 21 true false true true X WWW.BLESSINGHEALTH.ORG X WWW.UNITEDWAYADAMSCO.ORG X X true 22 true WWW.BLESSINGHEALTH.ORG false false true X 275.000000000000 275.000000000000 X X X X X true true X X X true X WWW.BLESSINGHEALTH.ORG X WWW.BLESSINGHEALTH.ORG X WWW.BLESSINGHEALTH.ORG X X X X X X true X false X X X X true X false false GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 3E COMMUNITY PRIORITIES WERE IDENTIFIED BY THE COMMUNITY BUILDING COUNCIL ("CBC") MEMBERS UTILIZING THE DATA OBTAINED THROUGH THE NEEDS ASSESSMENT PROCESS. CBC MEMBERS ARE COMMUNITY LEADERS REPRESENTING WORKFORCE/BUSINESSES, FOUNDATIONS, HUMAN SERVICE PROVIDERS, FAITH, LAW ENFORCEMENT, MEDIA, EDUCATION, PUBLIC HEALTH, HEALTHCARE-INCLUDING BLESSING HOSPITAL (WHICH IS THE ONLY LOCAL HOSPITAL) AND OUTPATIENT PROVIDERS, COMMUNITY MEMBERS, AND GOVERNMENT. COMMUNITY PRIORITIES WERE CHOSEN BASED ON THE MAGNITUDE OF THE PROBLEM, THE SEVERITY OF THE PROBLEM, THE NEED AMONG VULNERABLE POPULATIONS, THE COMMUNITYS CAPACITY AND WILLINGNESS TO ACT ON THE ISSUE, THE ABILITY TO HAVE A MEASURABLE IMPACT ON THE ISSUE, EXISTING INTERVENTIONS FOCUSED ON THE ISSUE AND OPPORTUNITY TO INTERVENE AT THE PREVENTION LEVEL. THREE COMMUNITY PRIORITIES WERE IDENTIFIED AND INCLUDE: 1. HOUSING: GOOD HEALTH DEPENDS ON HAVING HOMES THAT ARE SAFE AND FREE FROM PHYSICAL HAZARDS. POOR QUALITY AND INADEQUATE HOUSING CONTRIBUTE TO HEALTH PROBLEMS SUCH AS INFECTIOUS AND CHRONIC DISEASES, INJURIES, AND POOR CHILD DEVELOPMENT. 2. POVERTY: POVERTY IS LINKED WITH NEGATIVE CONDITIONS SUCH AS SUBSTANDARD HOUSING, HOMELESSNESS, INADEQUATE NUTRITION, FOOD INSECURITY, AND UNDER-RESOURCED SCHOOLS. POOR CHILDREN AND TEENS ARE AT A GREATER RISK FOR NEGATIVE OUTCOMES SUCH AS POOR ACADEMIC ACHIEVEMENT, SCHOOL DROPOUT, ABUSE AND NEGLECT, BEHAVIORAL AND SOCIOEMOTIONAL PROBLEMS, PHYSICAL HEALTH PROBLEMS, AND DEVELOPMENTAL DELAYS. 3. BEHAVIORAL HEALTH: BEHAVIORAL HEALTH ISSUES SIGNIFICANTLY IMPACT PEOPLE, FAMILIES, COMMUNITIES, AND SOCIETIES. MANY FACTORS ARE LINKED TO BEHAVIORAL HEALTH, INCLUDING GENETICS, AGE, INCOME, EDUCATION, EMPLOYMENT, AND ENVIRONMENTAL CONDITIONS. SUBSTANCE ABUSE IS A CHRONIC BUT TREATABLE BRAIN DISORDER. PEOPLE ADDICTED CANNOT CONTROL THEIR NEED FOR ALCOHOL OR OTHER DRUGS, EVEN IN THE FACE OF NEGATIVE HEALTH, SOCIAL OR LEGAL CONSEQUENCES. GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 5 ADAMS COUNTY HAS BEEN CONDUCTING A COMMUNITY ASSESSMENT FOR 20 YEARS. IN 2021-2022, THE UNITED WAY OF ADAMS COUNTY, BLESSING HEALTH SYSTEM, ADAMS COUNTY HEALTH DEPARTMENT, AND THEIR PARTNERS OPTED TO DIG DEEPER TO PAINT A MORE ROBUST PICTURE OF ADAMS COUNTY, AND PROVIDE A FOUNDATION FOR PROBLEM IDENTIFICATION AND SOLVING ON BEHALF OF THE COMMUNITY. THE SURVEY INSTRUMENT WAS OVERHAULED AND AN EFFORT WAS LAUNCHED TO GET A MORE DIVERSE REPRESENTATION OF THE COMMUNITY. WE WERE ABLE TO SECURE FEEDBACK FROM 861 RESPONDENTS VIA TWO SURVEY INSTRUMENTS. RESPONDENTS FROM THE SURVEYS WERE 93 PERCENT WHITE OR CAUCASIAN, 55 PERCENT FEMALE, AND THE RATIO OF QUINCY TO RURAL ADAMS COUNTY RESIDENTS WAS AROUND 80/20. THESE DEMOGRAPHICS GENERALLY MATCH THE DEMOGRAPHICS OF THE ADAMS COUNTY REGION. IN ADDITION TO THE SURVEY, THE FOLLOWING DATA WAS INCLUDED IN THE CHNA: O 535 2-QUESTION COMMUNITY THEMES SURVEY RESPONSES O 36 KEY INFORMANT INTERVIEWS O 290 KEY INFORMANT SURVEY RESPONSES O 64% RESPONSE RATE TO KEY INFORMANT SURVEY AND INTERVIEWS O KEY INFORMANTS WERE IDENTIFIED WITH THE HELP OF THE COMMUNITY BUILDING COUNCIL AND INCLUDE REPRESENTATIVES FROM COMMUNITY SECTORS SUCH AS GOVERNMENT, SOCIAL SERVICE, CHURCHES/FAITH, HEALTHCARE, BUSINESS, EDUCATION, AND NONPROFIT ORGANIZATIONS. FOLLOWING THE ASSESSMENT, A GROUP OF 40 COMMUNITY LEADERS AND FRONTLINE WORKERS IN THE AREAS OF EDUCATION, SOCIAL SERVICES, AND HEALTH (INCLUDING 4 LEADERS FROM BLESSING) CONVENED FOR AN ALL-DAY PLANNING SESSION. THE PURPOSE OF THE SESSION WAS TO DEVELOP FOCUS AREAS, SHARED GOALS, AND COMMUNITY-WIDE INITIATIVES THAT SUPPORT THE HEALTH AND WELL-BEING OF ALL ADAMS COUNTY RESIDENTS. IN ADDITION, FIVE FOCUS GROUPS AND NINE ONE-ON- ONE INTERVIEWS WERE CONDUCTED WITH 43 PARTICIPANTS. A STRUCTURED GUIDE WAS USED TO GATHER PARTICIPANT EXPERIENCES WITH AND PERSPECTIVES ON THE IDENTIFIED COMMUNITY PRIORITY AREAS. THE COMMUNITY BUILDING STRUCTURE, FACILITATED BY THE UNITED WAY OF ADAMS COUNTY IS ANOTHER SOURCE OF COMMUNITY FEEDBACK AND INPUT FOR THE CHNA. THE STRUCTURE INCLUDES TEAMS OF INDIVIDUALS WITH REPRESENTATION FROM BLESSING HEALTH SYSTEM, THE ADAMS COUNTY HEALTH DEPARTMENT, MENTAL HEALTH PROFESSIONALS, SOCIAL WORKERS, AND MANY OTHER COMMUNITY PROFESSIONALS. IN TOTAL, APPROXIMATELY 125 VOLUNTEERS PARTICIPATE IN ALL ASPECTS OF COMMUNITY BUILDING, ENGAGING IN MEANINGFUL AND RISK DISCUSSIONS TO LEARN ABOUT COMMUNITY ISSUES AND PROMISING PRACTICES. THEY HAVE A LEAD ROLE IN THE FORMATION, IMPLEMENTATION, AND UPDATING OF LONG-RANGE VISIONS AND GOALS TO MEET THE MOST CRITICAL NEEDS IN OUR COMMUNITY THROUGH STUDYING TRENDS THAT AFFECT OUR COMMUNITY AND RECOMMENDING WAYS IN WHICH WE CAN MAKE AN IMPACT ON THESE TRENDS THROUGH THE MOBILIZATION OF FINANCIAL, VOLUNTEER, AND COMMUNITY RESOURCES. GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 6B THE CHNA IS LED IN PARTNERSHIP WITH THE UNITED WAY OF ADAMS COUNTY, ADAMS COUNTY HEALTH DEPARTMENT, AND THE BLESSING HEALTH SYSTEM. IN ADDITION THE FOLLOWING ENTITIES ARE ON THE COMMUNITY BUILDING COUNCIL LEADERSHIP STEERING COMMITTEE: PHIBRO ANIMAL HEALTH (BUSINESS SECTOR), TRANSITIONS MENTAL HEALTH FACILITY, QUANADA WOMEN'S SHELTER, QUINCY UNIVERSITY, PUBLIC SCHOOLS, YMCA, UWCA, TRI-STATE VETERANS SUPPORT, SIU MEDICAL, TRACY FAMILY FOUNDATION, JOHN WOOD COMMUNITY COLLEGE, QUINCY YOUNG LIFE, COMMUNITY FOUNDATION, WORKFORCE OFFICE OF WESTERN ILLINOIS, QUINCY CHAMBER OF COMMERCE, THE MOORMAN FOUNDATION, J.W. GARDNER II FOUNDATION, QUINCY POLICE DEPARTMENT, GREAT RIVER ECONOMIC DEVELOPMENT FOUNDATION, CITY OF QUINCY, TRINITY UNITED CHURCH OF CHRIST, KHQA-TV, AND QUINCY HOUSING AUTHORITY. GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 7D SINCE THE RELEASE OF THE CHNA, REPRESENTATIVES FROM THE UNITED WAY OF ADAMS COUNTY AND THE CONSULTANT WHO ASSISTED IN THE CREATION OF THE REPORT, HAVE PRESENTED THE KEY FINDINGS OF THE REPORT TO NUMEROUS COMMUNITY GROUPS IN ADAMS COUNTY. IN ADDITION TO THE PRESENTATIONS, THREE ONLINE MEETINGS WERE HELD IN WHICH A VARIETY OF COMMUNITY LEADERS AND INTERESTED STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION ON THE CHNA. TIME WAS ALLOCATED FOR PARTICIPANTS TO ASK QUESTIONS AND TO PROVIDE FEEDBACK. ALSO, A GROUP OF 40 COMMUNITY LEADERS AND FRONTLINE WORKERS CONVENED IN AN ALL-DAY PLANNING SESSION TO DISCUSS THE CHNA AND IDENTIFY COMMUNITY PRIORITIES. THE PRESENTATIONS PROVIDED AN OPPORTUNITY TO CREATE BROAD COMMUNITY AWARENESS OF THE ISSUES AND OPPORTUNITIES ADDRESSED IN THE CHNA. THE CHNA IS SHARED WITH THE COMMUNITY BUILDING COUNCIL MEMBERS AS WELL AS THE COMMUNITY SOLUTIONS TEAM MEMBERS TO GUIDE THEIR STRATEGIC PLANNING AROUND THE IDENTIFIED COMMUNITY PRIORITIES. THE UNITED WAY MEMBER ORGANIZATIONS ALSO RECEIVE A COPY OF THE CHNA AND ARE REQUIRED TO DISCUSS HOW THEIR PROGRAMMING MEETS THE NEEDS IDENTIFIED IN THE CHNA DURING THE ANNUAL FUNDING PROCESS. THE CHNA IS ALSO POSTED ON THE UNITED WAY AND BLESSING HEALTH SYSTEM WEBSITES FOR THE PUBLIC TO ACCESS. GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 11 IN 2021, BLESSING CONTINUED ITS STRONG PARTNERSHIP WITH THE UNITED WAY OF ADAMS COUNTY AND THE ADAMS COUNTY HEALTH DEPARTMENT IN FUNDING AND CONDUCTING THE CHNA. THE ADAMS COUNTY COMMUNITY BUILDING COUNCIL (CBC) GUIDES THE COMMUNITY NEEDS ASSESSMENT AND PLANNING PROCESS THROUGH THE DEVELOPMENT OF PROGRAMS, PARTNERSHIPS, AND COLLABORATIONS WORKING TO ADDRESS THE NEEDS IDENTIFIED IN THE 2021 CHNA. CBC MEMBERS ARE COMMUNITY LEADERS REPRESENTING WORKFORCE/ BUSINESSES, FOUNDATIONS, HUMAN SERVICE PROVIDERS, FAITH, LAW ENFORCEMENT, MEDIA, EDUCATION, PUBLIC HEALTH, HEALTHCARE- INCLUDING BLESSING HOSPITAL (WHICH IS THE ONLY LOCAL HOSPITAL) AND OUTPATIENT PROVIDERS, COMMUNITY MEMBERS, AND GOVERNMENT. THE CBC IS CO-CHAIRED BY STAFF OF BLESSING HOSPITAL AND THE ADAMS COUNTY HEALTH DEPARTMENT. REPORTING TO THE CBC ARE THREE COMMUNITY SOLUTIONS TEAMS (CST) COMPRISED OF COMMUNITY EXPERTS IN THE AREAS OF THE STRATEGIC PRIORITIES. THE COMMUNITY SOLUTIONS TEAMS ARE CHARGED WITH ESTABLISHING GOALS AND WORK PLANS TO CREATE POSITIVE IMPACT ON THE GAPS IDENTIFIED IN THE CHNA. BLESSING HOSPITAL STAFF ARE ACTIVE IN EITHER LEADERSHIP OR MEMBERSHIP OF THE CST THAT ALIGN WITH BLESSING HOSPITAL'S IDENTIFIED FOCUS AREAS. THREE TOP HEALTH PRIORITIES WERE IDENTIFIED IN ORDER TO PROVIDE A COLLECTIVE FOCUS FOR VARIOUS ENTITIES TO SUPPORT EFFORTS RESULTING IN POSITIVE, LASTING CHANGE FOR ADAMS COUNTY: 1.HOUSING INSTABILITY/HOMELESSNESS 2.POVERTY/FINANCIAL INSTABILITY 3.BEHAVIORAL HEALTH BLESSING HOSPITAL IDENTIFIED BEHAVIORAL HEALTH AS ITS HEALTH PRIORITY AS IT MOST CLOSELY ALIGNS WITH THE ORGANIZATION'S GOALS. THIS PRIORITY AREA AND STRATEGIES WERE DETERMINED BY TAKING INTO ACCOUNT THE PROGRAMMING, RESOURCES, AND PRIORITIES OF THE HOSPITAL. BLESSING HOSPITAL'S BEHAVIORAL HEALTH STRATEGY INCLUDES: IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES, INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE DISORDER SERVICES. INCREASE AWARENESS AND NORMALIZE TREATMENT OF MENTAL HEALTH. DECREASE THE PERCENTAGE OF ADAMS COUNTY ADULTS WHO REPORT 14 OR MORE DAYS OF POOR MENTAL HEALTH PER MONTH. TARGET: 12% BY 2025; BASELINE: 14%; DATA SOURCE: 2021 COUNTY HEALTH RANKINGS, BRFSS DECREASE THE NUMBER OF MENTALLY UNHEALTHY DAYS REPORTED BY ADAMS COUNTY RESIDENTS IN THE PAST 30 DAYS. TARGET: 3.8% BY 2025; BASELINE: 4.5%; DATA SOURCE: 2021 COUNTY HEALTH RANKINGS, BRFSS DECREASE THE PERCENTAGE OF EMERGENCY DEPARTMENT VISITS FOR MENTAL AND BEHAVIORAL DISORDERS AT BLESSING HOSPITAL. TARGET 30% BY 2025; BASELINE 35% DATA SOURCE: BLESSING HEALTH SYSTEM DATA ANALYTICS, 2021 DECREASE THE PERCENTAGE OF THE ADAMS COUNTY POPULATION THAT IS AT RISK FOR BINGE DRINKING (5 OR MORE DRINKS ON ONE OCCASION FOR MEN, 4 OR MORE DRINKS ON ONE OCCASION FOR WOMEN). TARGET: 15% BY 2025; BASELINE: 19.2%; DATA SOURCE: ILLINOIS COUNTY BEHAVIORAL RISK FACTOR SURVEY, 2015-2019. DECREASE THE PERCENTAGE OF THE ADAMS COUNTY POPULATION THAT IS AT RISK FOR HEAVY DRINKING (2 OR MORE DRINKS PER DAY FOR MEN, 1 OR MORE DRINK PER DAY FOR WOMEN). TARGET: 6.4 % BY 2025; BASELINE 6.9%; DATA SOURCE: ILLINOIS COUNTY BEHAVIORAL RISK FACTOR SURVEY, 2015-2019. DECREASE THE PERCENTAGE OF ADAMS COUNTY 10TH GRADERS WHO CONSIDERED SUICIDE. TARGET 19%; BASELINE 21%; DATA SOURCE: 2020 ILLINOIS YOUTH SURVEY. DECREASE THE PERCENTAGE OF ADAMS COUNTY 10TH GRADERS WHO REPORT THAT THEY EXPERIENCE DEPRESSION. TARGET: 38% BY 2025; BASELINE 43%; DATA SOURCE: 2020 ILLINOIS YOUTH SURVEY. DECREASE THE NUMBER OF NON-FATAL OPIOID OVERDOSE PER 10,000 POPULATION IN ADAMS COUNTY. TARGET: 3% BY 2025; BASELINE 3.8%; DATA SOURCE: ILLINOIS DEPARTMENT OF PUBLIC HEALTH. DECREASE THE NUMBER OF DRUG OVERDOSE DEATHS IN ADAMS COUNTY. TARGET 1% REDUCTION IN NUMBER BY 2025; BASELINE: 41 PEOPLE; DATA SOURCE: ILLINOIS DEPARTMENT OF PUBLIC HEALTH. DECREASE THE PERCENTAGE OF ADAMS COUNTY 10TH GRADERS WHO USE TOBACCO OR VAPE. TARGET 5% BY 2025; BASELINE 7%; DATA SOURCE 2020 ILLINOIS YOUTH SURVEY. BLESSING HOSPITAL DEVELOPS AN INTERNAL STRATEGY THAT ALIGNS WITH THE IDENTIFIED COMMUNITY GOALS AND OBJECTIVES. BLESSING HOSPITAL'S BEHAVIORAL HEALTH STRATEGY AIMS TO INCREASE ACCESS, REDUCE BEHAVIORAL HEALTH ADMISSIONS TO THE EMERGENCY DEPARTMENT, AND INCREASE COMMUNITY PARTICIPATION. TACTICS UTILIZED TO ACHIEVE THIS GOAL INCLUDE: RECRUITMENT-ADD ADDITIONAL THERAPISTS, PSYCHOLOGISTS, PMHNP, AND PSYCHIATRISTS RETENTION-RETAIN EXISTING THERAPISTS, PSYCHOLOGISTS, PMHNP, AND PSYCHIATRISTS MARKETING/SOCIAL MEDIA TACTICS TO CONTINUE EFFORTS OF PROMOTING BEHAVIORAL HEALTH SERVICES CONTINUE TO GROW THE PARTIAL HOSPITALIZATION PROGRAM INCREASE TELEHEALTH USAGE FOR BEHAVIORAL HEALTH SERVICES, INCLUDING THE RURAL CLINICS UTILIZE THE BEHAVIORAL HEALTH INTEGRATION MODEL TO IMPROVE THE QUALITY OF BEHAVIORAL HEALTH SERVICES IN PRIMARY AND SPECIALTY CARE CLINICS CRISIS STABILIZATION MODEL FOR EMERGENCY ROOM-DEVELOP A MODEL FOR CRISIS STABILIZATION FOR PATIENTS WHO PRESENT WITH BEHAVIORAL HEALTH CONCERNS IN THE EMERGENCY DEPARTMENT EVIDENCE-BASED TRAINING-PROVIDE TRAINING TO ALL STAFF THROUGHOUT THE SERVICE LINE STRENGTHEN CLINICAL INTERVENTION STRATEGIES AND TREATMENT IN INPATIENT UNITS THE REMAINING PRIORITY AREAS ARE NOT BEING DIRECTLY ADDRESSED BY BLESSING HOSPITAL, ALTHOUGH BLESSING CONTINUES TO SUPPORT THE INITIATIVES AND HAS REPRESENTATION ON ALL OF THE COMMUNITY SOLUTION TEAMS. THE REASON THAT BLESSING HOSPITAL IS NOT WORKING ON THESE DIRECTLY IS THAT THEY DON'T FIT WITHIN THE STRATEGIC PRIORITIES OF THE HEALTH SYSTEM, AND THERE ARE OTHER ENTITIES WITHIN THE COMMUNITY BETTER EQUIPPED TO ADDRESS THESE IMPORTANT COMMUNITY PRIORITIES: POVERTY- THE POVERTY TEAM IS CO-CHAIRED BY THE WORKFORCE DEVELOPMENT COMMITTEE MEMBERS. THE GOAL IS TO LIFT FAMILIES OUT OF POVERTY THROUGH SUSTAINED FINANCIAL STABILITY. BLESSING HAS THREE REPRESENTATIVES ON THE COMMITTEE. OTHER MEMBERS REPRESENT QUANADA, UNIVERSITY OF ILLINOIS EXTENSION, BELLA EASE, COMMUNITY FOUNDATION, ADAMS COUNTY HEALTH DEPARTMENT, HORIZONS, UNITED WAY OF ADAMS COUNTY, THE CROSSING CHURCH, SIU, SAFE AND LIVABLE HOUSING COMMITTEE, WESTERN ILLINOIS WORKS, QUINCY PUBLIC SCHOOLS, FIRST BANKER'S TRUST, SALVATION ARMY, AND WEST CENTRAL CHILDCARE CONNECTION. HOUSING- A REPRESENTITIVE FROM THE YWCA AND THE GREAT RIVER ECONOMIC DEVELOPMENT OFFICE CO-CHAIR THE HOUSING TEAM. THERE ARE TWO SUBCOMMITTEES- SUPPLY AND ACCESS. THE COMMITTEE'S GOAL IS TO INCREASE THE NUMBER OF RESIDENTS IN AFFORDABLE, SAFE, AND LIVABLE HOUSING. THE KEY STRATEGIES ARE IDENTIFYING THE NUMBER OF AFFORDABLE HOUSING UNITS AVAILABLE TO RESIDENTS IN ADAMS COUNTY AND INCREASING AND REMOVING BARRIERS TO HOUSING FOR LOW-INCOME RESIDENTS. BLESSING HAS FOUR REPRESENTATIVES ON THE COMMITTEE. OTHER MEMBERS REPRESENT THE ADAMS COUNTY BOARD, CONNECT CHILD AND FAMILY SOLUTIONS, LOCAL REALTORS, FIRST BANKER'S TRUST, KROC CENTER, QUINCY HUMAN RIGHTS COMMISSION, TRANSITIONS, QUANADA WOMEN'S SHELTER, TWO RIVERS, BELLA EASE, HORIZONS, QUINCY HOUSING AUTHORITY, QUINCY SAFE AND LIVABLE HOUSING COMMITTEE, SALVATION ARMY, AND THE ADAMS COUNTY HEALTH DEPARTMENT. GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 13B PATIENTS ARE ELIGIBLE FOR CATASTROPHIC FINANCIAL ASSISTANCE IF THEIR INCOME EXCEEDS 275% OF THE FEDERAL POVERTY GUIDELINES AND THEIR MEDICAL BILLS EXCEED 20% OF THEIR TOTAL REPORTED FAMILY INCOME. ELIGIBILITY IS BASED ON AN INDIVIDUAL'S FAMILY'S TOTAL INCOME AND FAMILY SIZE. PATIENTS EXPERIENCING CATASTROPHIC MEDICAL INDIGENCE ARE ELIGIBLE FOR A DISCOUNT OF 85%. GROUP A, FACILITY 1, BLESSING HOSPITAL AT 11TH ST. - PART V, LINE 16J THE UNITED WAY SHARES BLESSING HOSPITALS FINANCIAL ASSISTANCE POLICY TO THOSE IN NEED OF MEDICAL CARE OR FACING MEDICAL DEBT THROUGH THEIR HELPLINE AND THEIR UNMET NEEDS GROUP. THE HELPLINE IS A FREE INFORMATION AND REFERRAL SERVICE THAT ASSISTS RESIDENTS IN FINDING THE HELP THEY NEED. WHETHER THOSE CALLING NEED A PHONE NUMBER OR INFORMATION ABOUT AVAILABILITY OF A SERVICE OR THEY NEED ASSISTANCE IN FINDING HEALTHCARE, HOUSING, FOOD, UTILITY AND RENT ASSISTANCE, SENIOR SERVICES, SUBSTANCE ABUSE PROGRAMS, OR LEGAL SERVICES, THE UNITED WAY HELPLINE OFFERS THAT HELP. THE UNITED WAY ALSO SHARES THE INFORMATION THROUGH THE QUINCY AREA PARTNERSHIP FOR UNMET NEEDS. THIS GROUP IS A NETWORK OF SOCIAL SERVICE AGENCIES AND FAITH-BASED ORGANIZATIONS. MEMBER AGENCIES PRESENT CASES FOR CONSIDERATION AT UNMET NEEDS MEETINGS. CLIENTS IN NEED OF ASSISTANCE CONTACT A MEMBER AGENCY WITH THEIR SPECIFIC NEED. AS THE CASES ARE DISCUSSED, ENTITY REPRESENTATIVES TALK ABOUT PROGRAMS THEY HAVE THAT COULD ASSIST THE PATIENT. BLESSING IS REPRESENTED AT THESE MEETINGS. THE UNITED WAY ALSO HAS AN INTERAGENCY COUNCIL THAT MEETS MONTHLY. SEVERAL AGENCIES FROM THROUGHOUT THE COMMUNITY ATTEND THIS MEETING. THEY HAVE A PRESENTER AT MOST MEETINGS. BLESSING HAS PRESENTED IN THE PAST, FOCUSING ON CARE COORDINATION AND TOUCHING ON THE FINANCIAL ASSISTANCE PROGRAM. BLESSING HOSPITAL HAS ALSO ESTABLISHED A CARE COORDINATION DEPARTMENT THAT WORKS WITH PATIENTS IN THE AMBULATORY SETTING TO ASSIST THEM IN MEETING THEIR HEALTHCARE NEEDS. ONE OF THE TARGETED AREAS OF THE CARE COORDINATION PROGRAM IS TO HELP PATIENTS ESTABLISH A PRIMARY CARE HOME. THIS CAN INCLUDE PROVIDING EDUCATION TO PATIENTS ABOUT SERVICES AVAILABLE IN THE COMMUNITY AND IF APPLICABLE HOW TO ACCESS THE FINANCIAL ASSISTANCE PROGRAMS WITHIN THOSE AGENCIES. 25 DENMAN COUNTRY DRUGS 102 PRAIRIE MILLS ROAD GOLDEN IL 62339 PHARMACY BLESSING AMBULATORY SURGERY CENTER 1100 SPRING STREET QUINCY IL 62301 AMBULATORY SURGICAL CENTER THE BROWN DRUG COMPANY 1121 MAINE STREET QUINCY IL 62301 PHARMACY BLESSING HOME CARE 5011 OAK STREET QUINCY IL 62301 HOME HEALTH AGENCY IN ILLINOIS BLESSING HOSPICE & PALLIATIVE CARE 5011 OAK STREET QUINCY IL 62301 FULL HOSPICE PROGRAM IN ILLINOIS HOME CARE - PALMYRA 6996 COUNTY ROAD 326 PALMYRA MO 63461 HOME HEALTH AGENCY IN MISSOURI HOSPICE - PIKE COUNTY 967 WEST WASHINGTON PITTSFIELD IL 62363 FULL HOSPICE PROGRAM IN ILLINOIS ILLINI HEALTH SERVICES 321 NORTH MONROE PITTSFIELD IL 62363 PHARMACY BLESSING HEALTH CENTER 4800 MAINE 4800 MAINE STREET QUINCY IL 62305 MULTI-PURPOSE OUTPATIENT FACILITY BLESSING HEALTH HANNIBAL 100 MEDICAL DRIVE HANNIBAL MO 63401 MULTI-PURPOSE OUTPATIENT FACILITY BLESSING EXPRESS CLINIC 420 NORTH 35TH STREET QUINCY IL 62301 OUTPATIENT DRIVE-THRU CLINIC BE WELL AT WORK EMPLOYER CLINIC 326 NORTH 24TH STREET QUINCY IL 62305 OUTPATIENT CLINIC BLESSING BARIATRIC INSTITUTE 1107 COLLEGE STREET QUINCY IL 62031 OUTPATIENT BARIATRIC CLINIC BLESSING HEALTH BOWLING GREEN 710 BUSINESS 61 SOUTH BOWLING GREEN MO 63334 RURAL HEALTH CLINIC BLESSING HEALTH KAHOKA 103 EAST COMMERCIAL STREET KAHOKA MO 63445 RURAL HEALTH CLINIC BLESSING HEALTH MONROE CITY 400 NORTH MAIN MONROE CITY MO 63456 OUTPATIENT CLINIC BLESSING HEALTH MT STERLING 521 EAST MAIN STREET MT STERLING IL 62353 RURAL HEALTH CLINIC BLESSING HEALTH PALMYRA 6996 COUNTY ROAD 326 PALMYRA MO 63461 RURAL HEALTH CLINIC BLESSING HEALTH EAST ADAMS RHC 102 PRAIRIE MILLS ROAD GOLDEN IL 62339 RURAL HEALTH CLINIC BLESSING HEALTH HAMILTON-WARSAW 1102 NORTH COUNTY ROAD 700 WARSAW IL 62379 RURAL HEALTH CLINIC BLESSING PAIN CLINIC QUINCY 910 BROADWAY SUITE D QUINCY IL 62301 OUTPATIENT PAIN CLINIC MACOMB CLINIC 437 EAST GRANT MACOMB IL 61455 OUTPATIENT CLINIC ADVANCE PT & SPORTS MED ADAMS COUNT 3011 MAINE STREET SUITE 2 QUINCY IL 62301 PHYSICAL THERAPY AND REHABILITATION ADVANCE PT CHATHAM 100 WEST MAIN STREET MT STERLING IL 62353 PHYSICAL THERAPY AND REHABILITATION BLESSING HEALTH CENTER 901 AND 927 BROADWAY QUINCY IL 62301 MULTI-PURPOSE OUTPATIENT FACILITY SCHEDULE H, PART I, LINE 3C PATIENTS ARE ELIGIBLE FOR CATASTROPHIC FINANCIAL ASSISTANCE IF THEIR INCOME EXCEEDS 275% OF THE FEDERAL POVERTY GUIDELINES AND THEIR MEDICAL BILLS EXCEED 20% OF THEIR TOTAL REPORTED FAMILY INCOME. ELIGIBILITY IS BASED ON AN INDIVIDUAL'S OR FAMILY'S TOTAL INCOME AND FAMILY SIZE. PATIENTS EXPERIENCING CATASTROPHIC MEDICAL INDIGENCE ARE ELIGIBLE FOR A DISCOUNT OF 85%. SCHEDULE H, PART I, LINE 7G BLESSING HOSPITAL DOES NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. SCHEDULE H, PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE OF 23,143,050 IS SUBTRACTED FROM TOTAL EXPENSES OF 687,641,188 REPORTED ON LINE 25, COLUMN A OF FORM 990, PART IX, FOR A NET TOTAL EXPENSE OF 664,498,138. SCHEDULE H, PART I, LINE 7 WHEN POSSIBLE, CALCULATIONS OF DIRECT AND INDIRECT COSTS ASSOCIATED WITH THE SERVICES PROVIDED ARE REPORTED. IF NOT AVAILABLE, A COST-TO-CHARGE RATIO IS USED TO CALCULATE THE COST AMOUNTS. THIS RATIO IS COMPUTED USING BLESSING HOSPITAL'S AS-FILED MEDICARE COST REPORT. THESE COSTS AND CHARGES ARE ADJUSTED TO ACCOUNT FOR ITEMS NOT REIMBURSED THROUGH THE COST REPORT SUCH AS PROVIDER-BASED PHYSICIAN SERVICES. SCHEDULE H, PART II IN PARTNERSHIP WITH THE ALLIANCE FOR BUILDING COMMUNITY, BLESSING HOSPITAL PROVIDES FUNDS TO PAY FOR THE POSITION OF THE DIRECTOR OF COMMUNITY IMPACT, A KEY INDIVIDUAL IN THE COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE IS CALCULATED ON THE NET PATIENT ACCOUNT BALANCE AFTER THE BALANCE HAS BEEN REDUCED FOR ANY PAYMENTS RECEIVED OR DISCOUNTS/ADJUSTMENTS THAT ARE KNOWN. PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE ARE RECOGNIZED AS CHARITY CARE ACCOUNTS WHEN SUFFICIENT INFORMATION IS RECEIVED TO DETERMINE THEIR ELIGIBILITY. PRIOR TO THIS POINT, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS CALCULATED ON UNINSURED ACCOUNTS. THIS ALLOWANCE IS REVERSED IF THE ACCOUNT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART III, LINE 3 A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY FOR THEIR MEDICAL EXPENDITURES BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE. THE HOSPITAL USES FINANCIAL AND OTHER INFORMATION OF SUCH PATIENTS OTHERWISE AVAILABLE TO THE HOSPITAL TO IDENTIFY THOSE PATIENTS THAT WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK. THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES THE PERCENTAGE OF THE BAD DEBT EXPENSE THAT IS EVENTUALLY REVERSED DUE TO PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE. THE HOSPITAL APPLIES THAT PERCENTAGE TO THE BAD DEBT EXPENSE TO ESTIMATE THE AMOUNT OF THE HOSPITAL'S BAD DEBT EXPENSE THAT WILL BE FOUND TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. THE BAD DEBT EXPENSE ASSOCIATED WITH SUCH PATIENTS' ACCOUNTS ARE TREATED AS COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 4 SEE NOTE (2) ON PAGES 13-16 OF THE HOSPITAL'S ATTACHED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 THE HOSPITAL USES A COST-TO-CHARGE RATIO TO CALCULATE COST AMOUNTS. THIS RATIO IS COMPUTED USING BLESSING HOSPITAL'S AS-FILED MEDICARE COST REPORT. THESE COSTS AND CHARGES ARE ADJUSTED TO ACCOUNT FOR ITEMS NOT REIMBURSED THROUGH THE COST REPORT SUCH AS PROVIDER-BASED PHYSICIAN SERVICES. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES ARE NOT PURSUED IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION HAS BEEN RETURNED AND APPROVED. SCHEDULE H, PART VI, LINE 2 BLESSING HOSPITAL HAS WORKED IN PARTNERSHIP WITH THE COMMUNITY PUBLIC HEALTH DEPARTMENT, THE LOCAL UNITED WAY AGENCY AND OTHER AREA AGENCIES IN CONDUCTING A NEEDS ASSESSMENT. THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2021. SCHEDULE H, PART VI, LINE 3 BLESSING HOSPITAL FINANCIAL ACCOUNT SPECIALISTS (FAS) ATTEMPT TO CONTACT SELF-PAY INPATIENTS WITHIN 24 HOURS OF ADMISSION. IF THIS ATTEMPT TO MEET WITH THE PATIENT IS UNSUCCESSFUL, FURTHER ATTEMPTS ARE MADE LATER DURING THEIR STAY OR VIA PHONE FOLLOWING DISCHARGE. THE PATIENT IS SCREENED FOR GOVERNMENT PROGRAMS AND ELIGIBILITY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. OUTPATIENTS ARE CONTACTED ONCE THE PATIENT'S CONDITION HAS BEEN STABILIZED AND ARE SCREENED IN THE SAME MANNER AS INPATIENTS. FOR SCHEDULED TESTING, FAS CONTACT UNINSURED PATIENTS PRIOR TO THEIR SERVICE AND PROVIDE ESTIMATES OF CHARGES AND EDUCATION ON AVAILABLE PROGRAMS IF THE SERVICE IS SCHEDULED 3 OR MORE DAYS IN ADVANCE. THE METHOD FOR OUTREACH, WHETHER THAT BE PHONE OR MAIL, IS DEPENDENT ON THE ESTIMATED PATIENT RESPONSIBILITY FOR THE SCHEDULED SERVICE. IF THE FAS ARE NOT AVAILABLE TO MEET WITH THE PATIENT PRIOR TO SERVICE, CONTACT INFORMATION IS GIVEN TO THE PATIENT IF ASSISTANCE IS NEEDED. SCHEDULE H, PART VI, LINE 4 FOR 152 YEARS, BLESSING HOSPITAL HAS SERVED THE HEALTH CARE NEEDS OF THE PEOPLE OF WEST CENTRAL ILLINOIS, NORTHEAST MISSOURI AND SOUTHEAST IOWA. APPROXIMATELY 238,000 PEOPLE LIVE WITHIN A 50 MILE RADIUS OF BLESSING HOSPITAL. THE HOSPITALS PRIMARY MARKET AREA COVERS SIX COUNTIES, FOUR IN WEST CENTRAL ILLINOIS (ADAMS, BROWN, HANCOCK AND PIKE) AND TWO IN NORTHEAST MISSOURI (MARION AND LEWIS). THE REGIONS ECONOMY IS HEAVILY AGRICULTURAL, WITH A MIX OF MANUFACTURING, COMMERCIAL/RETAIL BUSINESS, AND RESTAURANTS MAKING UP THE REST OF THE LOCAL ECONOMY. BLESSING HOSPITAL IS THE LARGEST EMPLOYER IN ITS REGION. QUINCY, ILLINOIS, THE CITY IN WHICH THE MAIN BLESSING HOSPITAL CAMPUS IS LOCATED, IS THE HUB OF NON-FARM EMPLOYMENT AND RETAIL TRADE IN THE MARKET AREA. THE MEDIAN HOUSEHOLD INCOME IN ILLINOIS IS 81,702. THE MEDIAN HOUSEHOLD INCOME IN THE FOUR ILLINOIS COUNTIES IN BLESSINGS PRIMARY MARKET AREA IS BELOW THE ILLINOIS AVERAGE, RANGING FROM 9,414 TO 23,673 LOWER. THE MISSOURI MEDIAN HOUSEHOLD INCOME IS 68,920. IN THE TWO MISSOURI COUNTIES IN BLESSINGS PRIMARY MARKET AREA THE MEDIAN HOUSEHOLD INCOME IS BELOW THE STATE AVERAGE BETWEEN 5,012 AND 16,580. THE PERCENTAGE OF RESIDENTS OVER THE AGE OF 65 IN ILLINOIS IS 17.6 PERCENT. THE ILLINOIS COUNTIES IN BLESSINGS PRIMARY MARKET AREA, WITH THE EXCEPTION OF BROWN COUNTY, EXCEED THAT RATE BY AN AVERAGE OF 5.2 PERCENTAGE POINTS. THE PERCENTAGE OF RESIDENTS OVER THE AGE OF 65 IN MISSOURI IS 18.3 PERCENT. THE MISSOURI COUNTIES IN BLESSINGS PRIMARY MARKET AREA EXCEED THE STATE AVERAGE BY APPROXIMATELY 1.2 PERCENTAGE POINTS. THE ILLINOIS POVERTY RATE IS 11.6 PERCENT. FOR THE FOUR COUNTIES IN BLESSINGS PRIMARY MARKET IN ILLINOIS, THE AVERAGE POVERTY RATE IS 13.5 PERCENT, WHICH IS 1.9 PERCENTAGE POINTS ABOVE THE STATE AVERAGE. THE MISSOURI POVERTY RATE IS 12.0 PERCENT. FOR THE TWO MISSOURI COUNTIES IN BLESSINGS PRIMARY MARKET, THE POVERTY RATE AVERAGES 13.9 PERCENT, WHICH IS 1.9 PERCENTAGE POINTS ABOVE. THE OBESITY RATE AVERAGE ACROSS THE FOUR ILLINOIS COUNTIES IN BLESSINGS PRIMARY MARKET IS 37.8 PERCENT, 3.7 PERCENT ABOVE THE STATE AVERAGE OF 34.0 PERCENT. IN MISSOURI, THE OBESITY RATE AVERAGE IS 43.0 PERCENT IN THE TWO COUNTIES IN BLESSINGS PRIMARY MARKET, 5.0 PERCENT ABOVE THE STATE AVERAGE OF 38.0 PERCENT. SCHEDULE H, PART VI, LINE 5 BLESSING HOSPITAL OFFERS A WIDE RANGE OF SPECIALTY SERVICES IMPORTANT TO PROMOTING THE HEALTH AND WELL-BEING OF ADAMS COUNTY AND THE SURROUNDING AREA. INCLUDED IN THESE ARE THE CANCER CENTER, THE HEART AND VASCULAR CENTER, THE BREAST CENTER, PSYCHIATRIC SERVICES, AND HOSPICE AND HOME CARE PROGRAMS. SURPLUS FUNDS GENERATED FROM HOSPITAL OPERATIONS ARE USED TO FUND CAPITAL EXPENDITURES AND THE EXPANSION OF HEALTH CARE SERVICE LINES TO THE COMMUNITY WE SERVE. BLESSING HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF THE ABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY OF BLESSING HOSPITAL ENABLES PATIENTS TO HAVE ACCESS TO AREA RESOURCES TO ASSIST THEM WITH PAYMENT OF MEDICAL EXPENSES. BLESSING HOSPITAL IS AFFILIATED WITH THE BLESSING-RIEMAN COLLEGE OF NURSING, WHICH OFFERS A BACHELOR OF SCIENCE IN NURSING DEGREE AND A MASTER OF SCIENCE IN NURSING DEGREE, ALONG WITH OTHER PROGRAMS. THE COLLEGE HAS OVER A 100 YEAR HISTORY IN THE COMMUNITY AND IS CURRENTLY ACCREDITED BY THE HIGHER LEARNING COMMISSION. BLESSING HOSPITAL IS THE LARGEST EMPLOYER IN THE AREA WITH 4,486 EMPLOYEES. OF SIGNIFICANT IMPORTANCE ARE THE VOLUNTEERS WHO SERVE THE HOSPITAL. IN FISCAL YEAR 2024, BLESSING HOSPITAL HAD 391 ACTIVE VOLUNTEERS WHO SERVED FOR A TOTAL OF 42,813 HOURS. IN ADDITION TO THE VOLUNTEERS ACTIVELY WORKING IN THE HOSPITAL, BLESSING'S BOARD OF TRUSTEES IS COMPRISED OF VOLUNTEERS THAT INCLUDE BUSINESS LEADERS, PHYSICIANS, AND OTHER COMMUNITY LEADERS. SCHEDULE H, PART VI, LINE 6 BLESSING CORPORATE SERVICES, INC. IS THE PARENT ORGANIZATION OF A GROUP OF RELATED ORGANIZATIONS AND PROVIDES OVERALL DIRECTION TO ALL ENTITIES WITHIN THE STRUCTURE. DURING THE YEAR ENDED SEPTEMBER 30, 2005, BLESSING CORPORATE SERVICES, INC. BEGAN OPERATING A DIVISION COMPRISED OF PRACTICING PHYSICIANS. THE GROUP IS RELATED BY BLESSING CORPORATE SERVICES, INC. CONTROL OVER THE RELATED ORGANIZATION'S BOARD. THE FOLLOWING IS A BRIEF DESCRIPTION OF EACH MEMBER OF THE GROUP. ORGANIZATION - BLESSING HOSPITAL IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN QUINCY, ILLINOIS. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF WESTERN ILLINOIS, NORTHEASTERN MISSOURI, AND SOUTHEASTERN IOWA. THE HOSPITAL WAS INCORPORATED IN ILLINOIS IN 1873. ORGANIZATION - THE BLESSING FOUNDATION, INC. RAISES, MANAGES, AND DISTRIBUTES CHARITABLE DONATIONS ON BEHALF OF THE BLESSING HEALTH SYSTEM. ORGANIZATION - DENMAN SERVICES, INC. IS A TAXABLE CORPORATION THAT IS ENGAGED PRIMARILY IN THE BUSINESS OF SELLING AND RENTING MEDICAL EQUIPMENT AND OPERATING A COMMERCIAL LAUNDRY. THE ENTITY IS A WHOLLY OWNED SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. ORGANIZATION - BLESSINGCARE CORPORATION DBA ILLINI COMMUNITY HOSPITAL IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN PITTSFIELD, ILLINOIS. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF WESTERN ILLINOIS. THE HOSPITAL WAS INCORPORATED IN ILLINOIS IN 2000. ORGANIZATION - CHS HOLDING COMPANY IS A TAXABLE CORPORATION THAT PROVIDES HEALTH INSURANCE PRODUCTS AND SERVICES. ORGANIZATION - BLESSING ASSURANCE COMPANY IS A WHOLLY OWNED FOREIGN SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. AND IS A PROVIDER OF SELF-INSURANCE TO THE AFFILIATED GROUP. ORGANIZATION - THE HANNIBAL CLINIC, INC. IS A TAXABLE CORPORATION THAT OPERATES A PHYSICIAN CLINIC PROVIDING MULTI-SPECIALTY OUTPATIENT SERVICES TO THE REGION. IT IS A WHOLLY OWNED SUBSIDIARY OF BLESSING CORPORATE SERVICES, INC. ORGANIZATION - KEOKUK HEALTH SYSTEMS, INC. IS A PARENT COMPANY TO KEOKUK AREA MEDICAL EQUIPMENT AND SUPPLY, INC., AND FORMALLY A PARENT COMPANY TO KEOKUK AREA HOSPITAL DBA BLESSING HEALTH KEOKUK (INTEREST TRANSFERRED IN 2023), TRI-STATE MEDICAL GROUP, INC. (A TAXABLE ENTITY DISSOLVED IN 2022), AND KEOKUK AREA HOSPITAL FOUNDATION (DISSOLVED IN 2022. SCHEDULE H, PART VI, LINE 7 ILLINOIS SCHEDULE H, PART VI BLESSING HOSPITAL'S COMMUNITY BENEFIT REPORT IS PRESENTED TO THE COMMUNITY AS AN ADVERTISEMENT IN THE HERALD-WHIG, QUINCY, ILLINOIS' LOCAL NEWSPAPER, ONCE A YEAR. IN THIS AD, INFORMATION IS PROVIDED TO DIRECT PEOPLE TO THE HOSPITAL'S WEBSITE FOR A COMPREHENSIVE INVESTMENT REPORT. true SIU SCHOOL OF MEDICINE PO BOX 19607 SPRINGFIELD IL 62794 376005961 501C3 2286816 BOOK MED ED & RESEARCH ADAMS COUNTY HEALTH DEPARTMENT 330 VERMONT ST QUINCY IL 62301 376000379 GOV 100000 BOOK DENTAL PROGRAM UNITED WAY OF ADAMS COUNTY 936 BROADWAY SUITE F QUINCY IL 62301 370673476 501C3 67776 BOOK GENERAL SUPPORT CULVER-STOCKTON COLLEGE ONE COLLEGE HILL CANTON MO 63435 430610813 501C3 10000 BOOK STUDENT SCHOLARSHIPS JACKSON LINCOLN SWIMMING COMPLEX PO BOX 176 QUINCY IL 62306 364168494 501C3 10800 BOOK GENERAL SUPPORT 5 BLESSING-RIEMAN STUDENTS 331 1648599 BOOK BLESSING HEALTH PATIENTS 1395 161726 BOOK EMPLOYEE ASSISTANCE 61 77147 BOOK SCHEDULE I, PAGE 1, PART I, LINE 2 SIU SCHOOL OF MEDICINE SIU PROVIDES THE HOSPITAL BOARD OF TRUSTEES WITH AN ANNUAL UPDATE REGARDING THEIR USE OF THE GRANT FUNDS PROVIDED TO THEIR PROGRAM. ALL OTHER ORGANIZATIONS BLESSING HOSPITAL PROVIDED GRANTS PRIMARILY TO LOCALLY MANAGED 501C3 ORGANIZATIONS THAT SUPPORT OR SHARE THE MISSION OF THE BLESSING HEALTH SYSTEM. SENIOR LEADERSHIP APPROVES ALL GRANTS. WHEN AN ORGANIZATION IS GIVEN A DONATION, IT EITHER AGREES TO RESTRICT THE DONATION TO THE PURPOSE FOR WHICH IT WAS GIVEN, OR IT RECEIVES A LETTER DIRECTING THAT THE DONATION MAY BE USED ONLY FOR THE APPROVED PURPOSE. BLESSING HEALTH SYSTEM EMPLOYEES FREQUENTLY ATTEND MANY OF THE SPONSORED EVENTS OR THE HEALTH SYSTEM RECEIVES ACKNOWLEDGEMENT FROM THE ORGANIZATION ABOUT THE PROGRAM THAT WAS SUPPORTED BY THE GRANT. PART III, LINE 1 BLESSING-RIEMAN COLLEGE OF NURSING STUDENTS THE BLESSING-RIEMAN COLLEGE OF NURSING REQUIRES A FINANCIAL AID APPLICATION UPON ADMITTANCE, HAS ACADEMIC PERFORMANCE AND FINANCIAL NEED CRITERIA, AND HAS A SELECTION COMMITTEE THAT AWARDS GRANTS. THE COLLEGE MONITORS AND REVIEWS THE RECIPIENTS INDIVIDUALLY ON A SEMESTER BASIS FOR SATISFACTORY ACADEMIC PROGRESS AND GOOD STANDING. PART III, LINE 2 BLESSING HEALTH SYSTEM PATIENTS SOCIAL WORKERS AND CARE MANAGERS WITHIN THE BLESSING HEALTH SYSTEM SEND REQUESTS FOR ASSISTANCE TO PATIENTS WHO ARE IN MEDICAL NECESSITY AND FINANCIAL DISABILITY WHEN THERE ARE NO COMMUNITY RESOURCES AVAILABLE. THE BLESSING FOUNDATION ADMINISTERS THE BEST MATCHED RESTRICTED SPECIFIC PURPOSE FUND TO THE HEALTH ISSUE OF THE PATIENT. THE APPLICATIONS MUST BE APPROVED BY THE FOUNDATION OFFICE BEFORE THE FUNDS ARE DISBURSED. PART III, LINE 3 EMPLOYEE ASSISTANCE THE EMPLOYEE CRISIS FUND IS FOR FINANCIAL ASSISTANCE FOR EMPLOYEES WHO MEET A REQUIRED LENGTH OF SERVICE AND ARE IN GOOD EMPLOYMENT STANDING. THE FUND IS ADMINISTERED BY THE BLESSING FOUNDATION. EMPLOYEES MAKE REQUESTS FOR ASSISTANCE DIRECTLY TO THE OUTPATIENT CARE COORDINATION DEPARTMENT. THE SOCIAL WORKER OR CARE MANAGER DISCUSSES THE NEEDS WITH THE EMPLOYEE AND AVAILABLE COMMUNITY RESOURCES ARE UTILIZED. IF FURTHER ASSISTANCE IS NEEDED, A GRANT FORM IS SENT TO THE BLESSING FOUNDATION REQUESTING USE OF THE EMPLOYEE CRISIS FUND. THE BALANCE OF THE FUND IS IN A GENERAL LEDGER ACCOUNT ON THE BOOKS OF BLESSING HOSPITAL AND IS MONITORED BY HOSPITAL ACCOUNTANTS. false true false false false false false false false MAUREEN A KAHN RETIRED 7123 FORM.BCS/BH PRES/CEO 837001 358631 203438 179852 34692 1613614 173252 DR HUMAM FARAH CLINIC PHYSICIAN 736300 650230 6968 5366 38551 1429295 DR HARSHA POLAVARAPU TERMED 124 TRUSTEE 700368 622584 24915 6600 38215 1388356 DR JOHN H ARNOLD PRES OF MED STAFF 1280406 850 64700 5140 31384 1382480 DR DARR W LEUTZ CLINIC PHYSICIAN 1247646 834 30161 6600 47494 1332735 DR WILLIAM C SEVERINO CLINIC PHYSICIAN 1127047 441 20405 6600 45759 1200252 DR DAVID C LIEBER CLINIC PHYSICIAN 1099276 367 46294 6600 45759 1198296 DR JOHN P OLSON CLINIC PHYSICIAN 1064270 850 35912 4136 31416 1126697 BRIAN T CANFIELD PRES/CEO BCS AND BH 654047 293944 28136 130281 12182 1118590 STEVEN W KRAUSE TRUSTEE 885698 155015 30872 6600 42753 1112074 PATRICK M GERVELER TREASURER 524681 195687 111186 107438 29467 968459 84168 DR JOHN D HAMMOCK TERMED 124 TRUSTEE 805838 692 25877 6600 39422 869437 DR CHRISTOPHER R SOLARO CHIEF MEDICAL OFF. 594405 151454 26503 6600 31153 804655 TIMOTHY L TRANOR CHIEF NURSING OFF. 285862 97567 25284 4075 39893 446677 JUSTIN R HALE SECRETARY 217399 56889 42418 3009 32701 351772 DR TIMOTHI J BETH TRUSTEE 222569 65355 2040 5465 24241 316958 DR ABBY REICH TRUSTEE 194518 21037 2026 4538 23190 243135 SCHEDULE J, PAGE 1, PART I, LINE 3 COMPENSATION OF ORGANIZATION'S CEO - CEO MAUREEN KAHN AND BRIAN CANFIELD ARE EMPLOYEES OF BLESSING CORPORATE SERVICES, INC., THE PARENT COMPANY OF BLESSING HOSPITAL. COMPARABILITY DATA PROVIDED BY A THIRD PARTY IS USED TO ESTABLISH A MARKET RANGE OF COMPENSATION. THIS INFORMATION IS SUBMITTED TO THE BLESSING CORPORATE SERVICES BOARD OF TRUSTEE'S COMPENSATION COMMITTEE FOR APPROVAL. COMPENSATION OF ORGANIZATION'S BOARD MEMBERS - MAUREEN KAHN, BRIAN CANFIELD, DR. ABBY REICH, DR. HARSHA POLAVARAPU, PATRICK GERVELER, DR. JOHN HAMMOCK, AND DR. TIMOTHI BETH ARE EMPLOYEES OF BLESSING CORPORATE SERVICES, INC., THE PARENT COMPANY OF BLESSING HOSPITAL. COMPARABILITY DATA PROVIDED BY A THIRD PARTY IS USED TO ESTABLISH A MARKET RANGE OF COMPENSATION. THIS INFORMATION IS SUBMITTED TO THE BLESSING CORPORATE SERVICES BOARD OF TRUSTEE'S COMPENSATION COMMITTEE FOR APPROVAL. SCHEDULE J, PAGE 1, PART I, LINE 4 MAUREEN A. KAHN (RETIRED 7/1/23) 0 173,252 0 BRIAN T. CANFIELD 0 124,538 0 PATRICK M. GERVELER 0 100,838 0 A ILLINOIS FINANCE AUTHORITY 861091967 2017-11-15 15955000 SEE PART VI A - TO REIMBURSE CERTAIN COSTS OF A CAPITAL EXPENDITURE PROJECT, CURRENTLY REFUND A PORT false false false B ILLINOIS FINANCE AUTHORITY REVENUE REFUNDING BONDS SER 2019A/C 861091967 2019-06-27 28977500 SEE PART VI B - SERIES 2019A/C - USED TO (I) LEGALLY DEFEASE THE OUTSTANDING VARIABLE RATE REVENUE R false false false C ILLINOIS FINANCE AUTHORITY REVENUE REFUNDING BONDS SERIES 2019 861091967 2022-06-30 28977500 SEE PART VI C - SERIES 2019B - USED TO (I) LEGALLY DEFEASE A PORTION OF THE SERIES 2012B BONDS, AND false false false D ILLINOIS FINANCE AUTHORITY REVENUE NOTE SERIES 2023 861091967 2023-04-06 15000000 SEE PART VI D - USED TO (I) FINANCE AND REIMBURSE CERTAIN COSTS OF CAPITAL EXPENDITURE PROJECTS AND false false false A 8535000 15955000 2412 147588 4000000 11805000 2017 false false true true B 275000 74207500 378000 32400000 41515200 2022 true false true true C 275000 28977500 147500 12600000 16144800 2022 true false true true D 1248820 15000000 89025 14910975 2023 false false false true A false true true true false 0.02900 0.02900 false false true B false true true true false false false true C false true true true false false false true D false false false false false false true A false false true false false false false false true B false false true false true false false false true C false false true false true false false false true D false false false false false false false false true A true B true C true D true PURPOSE OF ISSUE DESCRIPTION ILLINOIS FINANCE AUTHORITY SEE PART VI A - TO REIMBURSE CERTAIN COSTS OF A CAPITAL EXPENDITURE PROJECT, CURRENTLY REFUND A PORTION OF THE CITY OF QUINCY, ADAMS COUNTY, ILLINOIS REVENUE REFUNDING BONDS, SERIES 2007 (BLESSING HOSPITAL), PAY A PORTION OF THE INTEREST ON THE SERIES 2017 BONDS AND PAY CERTAIN EXPENSES RELATED TO THE ISSUANCE OF THE SERIES 2017 BONDS. PURPOSE OF ISSUE DESCRIPTION ILLINOIS FINANCE AUTHORITY SEE PART VI B - SERIES 2019A/C - USED TO (I) LEGALLY DEFEASE THE OUTSTANDING VARIABLE RATE REVENUE REFUNDING BONDS, SERIES 2012A (BLESSING HOSPITAL)(THE "SERIES 2012A BONDS"), (II) LEGALLY DEFEASE A PORTION OF THE OUTSTANDING VARIABLE RATE REVENUE BONDS, SERIES 2012B (BLESSING HOSPITAL) (THE "SERIES 2012B BONDS"), AND (III) PAY CERTAIN EXPENSES RELATED TO THE ISSUANCE OF THE SERIES 2019A BONDS. PURPOSE OF ISSUE DESCRIPTION ILLINOIS FINANCE AUTHORITY SEE PART VI C - SERIES 2019B - USED TO (I) LEGALLY DEFEASE A PORTION OF THE SERIES 2012B BONDS, AND (II) PAY EXPENSES RELATED TO THE ISSUANCE OF THE SERIES 2019B BONDS. A FORM 8038 INFORMATION RETURN FOR TAX-EXEMPT PRIVATE ACTIVITY BOND ISSUES WAS FILED ON JUNE 30, 2022 FOR THE DEEMED REISSUANCE OF THE SERIES 2019B BONDS. PURPOSE OF ISSUE DESCRIPTION ILLINOIS FINANCE AUTHORITY SEE PART VI D - USED TO (I) FINANCE AND REIMBURSE CERTAIN COSTS OF CAPITAL EXPENDITURE PROJECTS AND (II) PAY CERTAIN EXPENSES RELATED TO THE ISSUANCE OF THE SERIES 2023 NOTE. MISSA J GERVELER FAMILY MEMBER 57263 EMPLOYMENT false ELLEN J TRAMAN FAMILY MEMBER 53279 EMPLOYMENT false ROBERT G TRAMAN FAMILY MEMBER 70602 EMPLOYMENT false SURYA V POLAVARAPU FAMILY MEMBER 220797 EMPLOYMENT false EVAN CANFIELD FAMILY MEMBER 187106 EMPLOYMENT false MEGAN HALE FAMILY MEMBER 95876 EMPLOYMENT false APRIL CANFIELD FAMILY MEMBER 12281 EMPLOYMENT false FORM 990, PAGE 2, PART III, LINE 4A SINCE IT WAS FOUNDED IN 1873, BLESSING HOSPITAL HAS PROVIDED QUALITY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF RACE, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY. IN SERVING ALL MEMBERS OF ITS COMMUNITIES, BLESSING HOSPITAL CONTINUES THIS TRADITION BY PROVIDING FREE/SUBSIDIZED CARE, CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT LESS THAN FULL CHARGES, AND COMMUNITY HEALTH/EDUCATION/WELLNESS PROGRAMS. FOR FISCAL YEAR 2024, THE COST OF CHARITY CARE PROVIDED WAS 7,183,012 AND MEDICARE SHORTFALLS WERE 100,288,631. BLESSING HOSPITAL TREATED PATIENTS THROUGH THE FOLLOWING SERVICES DURING FISCAL YEAR 2024: 40,821 EMERGENCY CENTER VISITS; 575,586 OUTPATIENT VISITS; 15,240 SURGICAL OPERATIONS, INCLUDING 165 OPEN HEART SURGERIES, 14,914 INPATIENT ADMISSIONS, AND 1,157 BABIES. OUTPATIENT SERVICES INCLUDED 91,836 CARDIOPULMONARY/CARDIOLOGY PROCEDURES, 1,108,122 LABORATORY TESTS, 126,256 RADIOLOGY PROCEDURES, AND 140,077 PHYSICAL THERAPY/REHABILITATION VISITS. BLESSING HOSPITAL PROVIDED ADDITIONAL BENEFITS OF 8,191,394 TO THE COMMUNITY DURING FISCAL YEAR 2024 AS FOLLOWS: HEALTH PROFESSIONALS EDUCATION SIU RESIDENCY PROGRAM 2,707,717 BLESSING-RIEMAN COLLEGE OF NURSING 2,826,331 NURSING EDUCATIONAL PRECEPTORS 36,842 SUB TOTAL HEALTH PROFESSIONALS EDUCATION 5,570,890 COMMUNITY HEALTH IMPROVEMENT SERVICES ADAMS COUNTY HEALTH DEPARTMENT DENTAL PROGRAM 100,000 PATIENT TRANSPORTATION AND LODGING 395,163 CHARITY PHARMACY PRESCRIPTIONS 731,535 HEALTH SCREENINGS/TESTS 101,197 MEDICAL SUPPLIES/SERVICES FOR PATIENTS 58,400 BEHAVIORAL HEALTH EDUCATIONAL PROGRAMS 8,753 MEDICAL INTERPRETING SERVICES 37,138 SUB TOTAL COMMUNITY HEALTH IMPROVEMENT SERVICES 1,432,186 SIU CENTER FOR FAMILY MEDICINE - QUINCY, CHADDOCK, AND TRANSITIONS OF WESTERN ILLINOIS SUBSIDIZED HEALTH SERVICES CARE COORDINATION 1,159,948 SUB TOTAL SUBSIDIZED HEALTH SERVICES 1,159,948 IN-KIND CONTRIBUTIONS/DONATIONS DONATIONS/SPONSORSHIPS 28,370 SUB TOTAL IN-KIND CONTRIBUTIONS/DONATIONS 28,370 BLESSING HOSPITAL'S STRATEGIC OBJECTIVES FOR THE UPCOMING YEARS ARE AS FOLLOWS: 1) QUALITY ZERO HARM A) REDUCE PATIENT HARM EVENTS BY 15% PER YEAR 2) BEST PLACE TO WORK A) INCREASE EMPLOYEE SATISFICATION TO >= 8.0 3) PATIENT EXPERIENCE A) INCREASE PATIENT EXPERIENCE (ALWAYS RECOMMEND) TO 82% 4) ACCESS TO CARE A) INCREASE CLINIC VISITS PER DAY BY 5% 5) FISCAL HEALTH A) CONTROL EXPENSES AND INCREASE REVENUE B) ACHIEVE GREATER THAN 200 DAYS CASH ON HAND C) ACHIEVE GREATER THAN 1% OPERATING MARGIN 6) ELECTRONIC HEALTH RECORD CHANGE A) ON TIME/ON BUDGET B) STANDARDIZATION FORM 990, PART VI BLESSING HOSPITAL CONTRACTS WITH BLESSING CORPORATE SERVICES TO EXECUTE THE DUTIES NORMALLY PERFORMED BY MANAGEMENT. THE MANAGEMENT COMPANY CARRIES OUT THE GOVERNING DECISIONS OF THE BOARD OF DIRECTORS, SIMILAR TO THE ROLE AND FUNCTIONS OF AN EMPLOYEE-OFFICER. BLESSING CORPORATE SERVICES PAID COMPENSATION TO VARIOUS EMPLOYEES COLLECTIVELY ACTING AS MANAGMENT. THE COMPENSATION PAID TO THOSE EMPLOYEES WHO SERVE ON BLESSING HOSPITAL'S BOARD OF DIRECTORS IS DISCLOSED ON PART VII. FORM 990, PAGE 6, PART VI, LINE 3 1) BLESSING CORPORATE SERVICES PROVIDES GENERAL MANAGEMENT SERVICES. 2) ARAMARK PROVIDES MANAGEMENT OF FOOD SERVICES AND ENVIRONMENTAL SERVICES. 3) BRIDGE HOME CARE PARTNERS PROVIDES MANAGEMENT OF BLESSING'S HOME CARE SERVICES. 4) OMNICELL, INC. PROVIDES MANAGEMENT OF BLESSING'S SPECIALTY PHARMACY. FORM 990, PAGE 6, PART VI, LINE 4 THE BYLAWS OF BLESSING HOSPITAL WERE AMENDED AND RESTATED ON DECEMBER 18, 2023. THE KEY CHANGES INCLUDE THE FOLLOWING: ADDING TO THE BOARD'S DUTIES, SUBJECT TO APPROVAL OF THE SOLE MEMBER, TO ADDRESS COMMUNITY BENEFIT PLANS, PROGRAMS AND OTHER ACTIVITIES SUCH AS THE COMMUNITY NEEDS ASSESSMENT AND TO ADVOCATE ON BEHALF OF PATIENTS, THE COMMUNITY AND BLESSING HOSPITAL REGARDING THE ALLOCATION OF RESOURCES TO THE COMMUNITY'S HEALTH NEEDS. FORM 990, PAGE 6, PART VI, LINE 6 BLESSING CORPORATE SERVICES, INC. IS THE SOLE VOTING MEMBER OF BLESSING HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 7A BLESSING CORPORATE SERVICES, INC., THE SOLE VOTING MEMBER OF BLESSING HOSPITAL, SHALL POSSESS THE RIGHTS AND RESPONSIBILITIES TO APPOINT AND/OR REMOVE ALL THE TRUSTEES OF THE CORPORATION AND APPOINT THE CORPORATION'S PRESIDENT. FORM 990, PAGE 6, PART VI, LINE 7B BLESSING CORPORATE SERVICES SHALL POSSESS THE EXCLUSIVE RIGHTS AND RESPONSIBILITIES TO (A) APPOINT AND/OR REMOVE ALL THE TRUSTEES OF THE CORPORATION, (B) APPOINT THE CORPORATION'S PRESIDENT, (C) APPROVE EXPRESSLY ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE, (D) APPROVE AND OVERSEE CAPITAL AND OPERATING BUDGETS, LONG-TERM DEBT, LONG-RANGE PLANS, THE SALE OR PURCHASE OF REAL ESTATE, AND CONTRACTS ENTERED INTO BY THE CORPORATION, THE REASONABLE VALUE OF WHICH EXCEEDS AN AMOUNT SPECIFIED IN THE BYLAWS OF THE MEMBER, (E) APPROVE MATERIAL INVESTMENT DECISIONS, INCLUDING WITHOUT LIMITATION ESTABLISHMENT AND MODIFICATION OF INVESTMENT POLICIES, ENGAGEMENT AND REMOVAL OF INVESTMENT MANAGERS AND ADVISORS, AND CHANGES IN INVESTMENT ALLOCATIONS NOT PERMITTED BY AN EXISTING INVESTMENT POLICY, (F) APPROVE THE PARAMETERS FOR TERMS OF EMPLOYMENT OF PROVIDERS, INCLUDING PROVIDER COMPENSATION PLANS, AND ANY MATERIAL VARIANCES FROM SUCH PARAMETERS FOR INDIVIDUAL PROVIDERS, (G) APPROVE THE SELECTION OF AUDITORS AND LEGAL COUNSEL AND OVERSEE AUDITS, (H) APPROVE CHARITY CARE AND COMMUNITY BENEFITS-RELATED POLICIES, (I) APPROVE THE FORMATION OF SUBSIDIARY ENTITIES AND/OR JOINT VENTURES, (J) APPROVE THE FILING OF A PETITION IN BANKRUPTCY, MAKING AN ASSIGNMENT FOR THE BENEFIT OF CREDITORS, OR APPLYING FOR PROTECTION UNDER ANY INSOLVENCY LAWS, (K) APPROVE THE PARTICIPATION IN ANY MERGER, COMBINATION, CONSOLIDATION, LIQUIDATION, DISSOLUTION OR OTHER CORPORATE OR BUSINESS ENTITY RESTRUCTURING, (L) ENACT AND IMPLEMENT SUCH POLICIES AND PROCEDURES AS THE MEMBER DEEMS NECESSARY OR ADVISABLE FOR THE MANAGEMENT OF THE CORPORATION, AND (M) COMPEL THE CORPORATION'S BOARD, OFFICERS AND AGENTS TO ENFORCE AND/OR PERFORM ANY CONTRACTUAL OR OTHER OBLIGATIONS AND/OR TAKE ANY ACTION THE MEMBER DETERMINES IS NECESSARY OR ADVISABLE FOR THE MANAGEMENT OF THE CORPORATION. FORM 990, PAGE 6, PART VI, LINE 11B FOLLOWING MANAGEMENT REVIEW, THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C A COPY OF THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY TO OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO BE READ, SIGNED, AND RETURNED TO THE ORGANIZATION. THE SIGNED POLICIES ARE RETAINED IN THE CORPORATE ADMINISTRATIVE FILES. IN ADDITION, EACH OFFICER, DIRECTOR, OR TRUSTEE IS REQUIRED TO DECLARE NO CONFLICT OF INTEREST IN REGARDS TO AGENDA ITEMS BEING PRESENTED AT THE START OF EACH MONTHLY BOARD MEETING. FORM 990, PAGE 6, PART VI, LINE 15B NO COMPENSATION IS RECEIVED FOR SERVING AS AN OFFICER OF BLESSING HOSPITAL. ON A BIANNUAL BASIS, COMPARABLE COMPENSATION DATA THROUGH A THIRD PARTY (SULLIVAN-COTTER) IS USED TO ESTABLISH MARKET RANGE. INFORMATION IS SUBMITTED TO THE BLESSING CORPORATE SERVICES COMPENSATION COMMITTEE FOR REVIEW AND TO BLESSING HOSPITAL BOARD OF TRUSTEES FOR APPROVAL. FORM 990, PAGE 6, PART VI, LINE 19 THESE FORMS ARE LOCATED IN THE CORPORATE ADMINISTRATIVE OFFICES AND ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. FORM 990, PART XI, LINE 9 INCREASE IN MINIMUM PENSION LIABILITY 4,341,467 TRANSFER OF CLINIC ASSETS AND LIABILITIES 0 TRANSFERS TO AFFILIATES -322,751 CUMULATIVE EFFECT OF ADOPTION OF ASC 842 0 TRANSFER OF CLINIC ASSETS AND LIABILITIES -193,742 TOTAL 3,824,974 BLESSING CORPORATE SERVICES INC BROADWAY AT 11TH PO BOX 7005 QUINCY IL 623057005 371128706 MGMT SVCS IL 501C3 10 N/A false THE BLESSING FOUNDATION BROADWAY AT 11TH POBOX 7005 QUINCY IL 623057005 371128705 FUNDRAISE IL 501C3 12B BCS INC BCS INC false BLESSINGCARE CORPORATION DBA ILLINI 640 WEST WASHINGTON PITTSFIELD IL 62363 371396010 HOSPITAL IL 501C3 3 BCS INC BCS INC false BLESSING VOLUNTEERS IN PARTNERSHIP BROADWAY AT 11TH PO BOX 7005 QUINCY IL 623057005 237160187 HSP SUPPRT IL 501C3 12B N/A false KEOKUK HEALTH SYSTEMS INC 1600 MORGAN STREET KEOKUK IA 52632 421237361 MGMT SVCS IA 501C3 12B BCS INC false CURRENT HEALTH NETWORK LLC 1005 BROADWAY QUINCY IL 62301 811681509 PRVDR NTWK IL CHS HLDGS false false DENMAN SERVICES INC PO BOX 40 QUINCY IL 62306 371132117 MED EQUIP IL BCS INC BCS INC C CORP false CHS HOLDING COMPANY 1005 BROADWAY QUINCY IL 62301 320481381 GRP HLTH IL BCS INC BCS INC C CORP false HANNIBAL CLINIC INC 100 MEDICAL DRIVE HANNIBAL MO 63401 431033473 MED SVCS MO BCS INC C CORP false BLESSING ASSURANCE COMPANY PO BOX 1159 GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 981454767 SELF-INSUR CJ BCS INC BCS INC C CORP false KEOKUK AREA MEDICAL EQUIP & SUPPLY 420 NORTH 17TH STREET KEOKUK IA 52632 421237312 MED EQUIP IA KHS INC C CORP false true true true true false false false false false true true true true true true true true true false DENMAN SERVICES INC A 168153 FMV DENMAN SERVICES INC Q 2610904 FMV DENMAN SERVICES INC M 4351631 FMV