2026-07-22T14:44:10-04:00 2025-09-30 363077757 GRAY HUNTER STENN LLP 500 MAINE ST QUINCY IL 62301 990 2024-10-01 370661183 BLESSING HOSPITAL BLES 2172231200 1005 BROADWAY QUINCY IL 62301 PATRICK M GERVELER CFO & TREASURER 2172231200 2026-05-21 true false ERIN J WHARTON CPA P01294277 2172220304 2026-07-21 2024 2025-03-06 01:10:19Z PATRICK M GERVELER 1005 BROADWAY QUINCY IL 62301 848541497 false X WWW.BLESSINGHEALTH.ORG X 1873 IL BLESSING HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES. 13 8 4529 382 1773015 35076 5069653 13370066 650383762 672197377 25998789 12363981 23282958 33256969 704735162 731188393 4362864 4428649 0 373537270 379948834 0 0 309741054 321723939 687641188 706101422 17093974 25086971 806578528 859741645 281289946 304730432 525288582 555011213 X BLESSING HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES. false false 558345506 4428649 672197377 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 HEATH/EDUCATION/WELLNESS PROGRAMS. FOR FISCAL YEAR 2025, THE COST OF CHARITY CARE PROVIDED WAS 8,110,560 AND MEDICARE SHORTFALLS WERE 110,542,589. BLESSING HOSPITAL TREATED PATIENTS THROUGH THE FOLLOWING SERVICES DURING FISCAL YEAR 2025: 39,880 EMERGENCY CENTER VISITS; 562,288 OUTPATIENT VISITS; 14,237 SURGICAL OPERATIONS, 14,821 INPATIENT ADMISSIONS, AND 1,119 BABIES. OUTPATIENT SERVICES INCLUDED 84,401 CARDIOPULMONARY/CARDIOLOGY PROCEDURES, 1,035,075 LABORATORY TESTS, 122,297 RADIOLOGY PROCEDURES, AND 135,761 PHYSICAL THERAPY/REHABILITATION VISITS. BLESSING HOSPITAL PROVIDED ADDITIONAL BENEFITS OF 9,968,515 TO THE COMMUNITY DURING FISCAL YEAR 2025 AS FOLLOWS: HEALTH PROFESSIONALS EDUCATION SIU RESIDENCY PROGRAM 2,921,873 BLESSING-RIEMAN COLLEGE OF NURSING AND HEALTH SCIENCES 2,624,815 NURSING EDUCATIONAL PRECEPTORS 51,102 SUB TOTAL HEALTH PROFESSIONALS EDUCATION 5,597,790 COMMUNITY HEALTH IMPROVEMENT SERVICES ADAMS COUNTY HEALTH DEPARTMENT DENTAL PROGRAM 50,000 PATIENT TRANSPORTATION AND LODGING 421,729 CHARITY PHARMACY PRESCRIPTIONS 2,390,462 HEALTH SCREENINGS/TESTS 86,913 MEDICAL SUPPLIES/SERVICES FOR PATIENTS 53,454 BEHAVIORAL HEALTH EDUCATIONAL PROGRAMS 8,220 MEDICAL INTERPRETING SERVICES 54,201 SUB TOTAL COMMUNITY HEALTH IMPROVEMENT SERVICES 3,064,979 SUBSIDIZED HEALTH SERVICES CARE COORDINATION 1,232,011 SUB TOTAL SUBSIDIZED HEALTH SERVICES 1,232,011 IN-KIND CONTRIBUTIONS/DONATIONS DONATIONS/SPONSORSHIPS 73,735 SUB TOTAL IN-KIND CONTRIBUTIONS/DONATIONS 73,735 BLESSING HOSPITAL'S STRATEGIC OBJECTIVES FOR THE UPCOMING YEARS ARE AS FOLLOWS: 1)PATIENT SATISFACTION INCREASE PERCENT PROMOTERS TO 82% OR HIGHER 2)PATIENT QUALITY IMPROVE OVERALL QUALITY TO 81% OR HIGHER 3)PATIENT ACCESS INCREASE PATIENT OFFICE VISITS TO GREATER THAN 8.4 VISITS PER PROVIDER 4)FISCAL HEALTH INCREASE CASH FROM OPERATIONS TO GREATER THAN -1.1% ACHIEVE OPERATING MARGIN OF GREATER THAN 1.5% 5)EMPLOYEE ENGAGEMENT ACHIEVE AN ENGAGEMENT SCORE OF GREATER THAN 7.7 6)ELECTRONIC HEALTH RECORD CHANGE RETENTION OF GREATER THAN 90% FOR THE EPIC SYSTEM STANDARDIZATION 558345506 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 4529 true true true false false false false true true false false false false false false X 13 8 false true false 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 DR HUMAM FARAH PHYSICIAN 40.00 0.00 X 1657384 0 58172 DR JOHN H ARNOLD PHYSICIAN & 40.00 0.00 X 1496679 0 50554 DR JEFFREY R COOK PHYSICIAN 40.00 X 1282405 0 43285 DR MILTON OCHIENG PHYSICIAN 40.00 0.00 X 1258275 0 67797 DR HARSHA POLAVARAPU PHYSICIAN 40.00 0.00 X 1158956 0 52099 DR BRYAN J PIMLOTT PHYSICIAN 40.00 0.00 X 1158275 0 36236 DR STEVEN W KRAUSE PHYSICIAN & 40.00 0.00 X 987112 0 68115 BRIAN T CANFIELD TERMED 42025 PRES/CEO BCS 0.00 40.00 X X 0 827269 155433 PATRICK M GERVELER CFO & TREASU 0.00 40.00 X 0 661193 148238 DR CHRISTOPHER R SOLARO CMO & PHYSIC 40.00 0.00 X 699500 0 32440 MAUREEN A KAHN RETIRED 72023 FORMER BH PR 0.00 0.00 X 0 434838 6317 TIMOTHY L TRANOR EVP/COO/CNO 40.00 0.00 X 353673 0 49962 DR ABBY REICH PHYSICIAN & 40.00 0.00 X 279726 0 35222 JUSTIN R HALE VP FINANCE 0.00 40.00 X 0 253349 44720 MARK BAUMANN TRUSTEE 1.00 0.00 X 0 0 0 NANCY BLUHM TRUSTEE 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13370066 NET PATIENT SERVICE REVENUE 621110 666856839 666856839 COLLEGE OF NURSING 621110 5085838 5085838 PHYSICAL THERAPY 621110 254700 254700 672197377 10789407 10789407 1424812 1424812 1424812 34492 1390320 72233033 209133 69512700 1354892 2720333 -1145759 1574574 -1145759 2720333 121409 69550 98795 22614 22614 61403283 46386717 15016566 1738523 13278043 OTHER 900099 5322162 5322162 MANAGEMENT & ACCNTG FEES 541610 4397494 4397494 SALE OF FOOD 722100 3834588 3834588 3238733 20688 3218045 16792977 731188393 665986468 1773015 50058844 2452778 2452778 1975871 1975871 7906513 6488339 1418174 292622179 240135162 52487017 5914036 4853248 1060788 55304772 45384873 9919899 18201334 14936600 3264734 21277286 21277286 176565 176565 222170 7500 214670 598904 598904 48843067 39387254 9455813 944167 944167 291851 177436 114415 5840817 4848960 991857 1190013 1000645 189368 379664 357787 21877 4455258 4455258 30427942 20074206 10353736 11466293 9725909 1740384 SUPPLIES 109570640 105684523 3886117 ILLINOIS PROVIDER TAX 22333952 22333952 SOFTWARE 20796762 11804245 8992517 EQUIPMENT RENTAL & MAINT. 17977293 14750374 3226919 24931295 6566419 18364876 706101422 558345506 147755916 0 147738773 128255391 99908214 89915237 16186195 19961873 13247833 15309800 10101576 11860632 690187165 340977120 335669058 349210045 97289983 129099076 67963156 97516276 18473740 18613315 806578528 859741645 24387014 24374519 123806180 120832291 12726792 10670701 120369960 148852921 281289946 304730432 X 519243432 549196296 6045150 5814917 525288582 555011213 806578528 859741645 X 25086971 2991167 1644493 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 43003 false false false 43003 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. 1964444 75982 38402 8083 1993941 1959605 49364 37587 6938 1964444 1859684 135779 29021 6837 1959605 1859659 25 1859684 1826971 32688 1859659 0.95150 0.04850 false true true 17410524 17410524 347067369 137211951 209855418 14112787 8533867 5578920 311596485 195231302 116365183 349210045 MUTUAL FUNDS 61881172 F OTHER INVESTMENT ASSETS 23988428 F CORP. MORTGAGE/ASSET BACKED SE 8635067 F PREFERRED FIXED RATE SECURITIES 2159342 F CERTIFICATES OF DEPOSITS 396748 F FOREIGN BONDS 390004 F MUNICIPAL BONDS 65515 F 97516276 ACCRUED SALARIES & WAGES 38764413 OTHER LONG TERM LIABILITY 38352778 ESTIMATED 3RD-PARTY PAYOR SETTLEMENT 25857000 DEFERRED COMPENSATION 22631994 LONG TERM FINANCE LEASE LIABILITY 11201545 DUE TO RELATED ORGANIZATIONS 3176409 ADVANCES AND DEFERRED REVENUE 2287292 SHORT TERM FINANCE LEASE LIABILITY 1747275 LONG TERM LEASE LIABILITIES 1483238 ACCRUED INTEREST 1430045 SHORT TERM LEASE LIABILITIES 1231156 ACCRUED PAYROLL TAXES 1106069 DEFERRED FINANCING COST -416293 148852921 730352535 7071974 7071974 723280561 7907832 7907832 731188393 705502518 705502518 598904 598904 706101422 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 4,285,648 UNREALIZED GAINS 2,786,326 SCHEDULE D, PAGE 4, PART XI, LINE 4B TEMPORARILY RESTRICTED CONTRIBUTIONS 4,312,370 TEMPORARILY RESTRICTED INCOME 0 INVESTMENT MANAGEMENT FEES 598,904 BAD DEBT REDUCTION OF REVENUE ON F/S 0 UNREALIZED LOSS 0 PERMANENTLY RESTRICTED INCOME 29,497 TRANSFERS TO PARENT 2,967,061 SCHEDULE D, PAGE 4, PART XII, LINE 4B INVESTMENT EXPENSES 598,904 BAD DEBT REDUCTION OF REVENUE ON F/S 0 HEART GALA 118550 69550 49000 2500 29694 8250 16910 BREAST CENTER A 72409 72409 41441 190959 69550 121409 2500 29694 8250 58351 98795 22614 true true X true X 2.750000000000 true X true true false true true 8110560 8110560 0.01150 105032080 105032080 113142640 105032080 8110560 0.01150 3064979 3064979 0.00430 5597790 5597790 0.00790 1232011 1232011 0.00170 73735 73735 0.00010 9968515 9968515 0.01400 123111155 105032080 18079075 0.02550 67083 67083 0.00010 67083 67083 0.00010 true 21916245 1023489 131376755 137123075 -5746320 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 24 true false true true X WWW.BLESSINGHEALTH.ORG X WWW.UNITEDWAYADAMSCO.ORG X X true 25 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 COMMUNITY'S 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. ONGOING EFFORTS THAT AIM TO LEVERAGE THIS DATA TO INFORM AND IMPLEMENT COMMUNITY-WIDE INITIATIVES AND STRATEGIES FOR IMPROVING THE OVERALL WELL- BEING OF ADAMS COUNTY RESIDENTS CONTINUE. THE 2024 ADAMS COUNTY COMMUNITY NEEDS ASSESSMENT UPDATE BUILDS UPON THE PROGRESS MADE, REVISITS THE IDENTIFIED CHALLENGES, AND ENSURES CONTINUING EFFORTS FOR SUSTAINABLE OUTCOMES FOR THE ADAMS COUNTY COMMUNITY. THE 2024 COMMUNITY NEEDS ASSESSMENT FOR ADAMS COUNTY INCLUDES OVER 100 DATA POINTS. THIS ASSESSMENT OFFERS AN IN-DEPTH EXPLORATION OF CRITICAL AREAS INCLUDING HEALTH, POVERTY, YOUTH AND FINANCIAL SECURITY. IT EXPANDS ON THE FINDINGS FROM 2021, WHICH HIGHLIGHTED THE PRESSING ISSUES OF BEHAVIORAL HEALTH, HOUSING INSTABILITY, AND ECONOMIC DISPARITIES. AS ADAMS COUNTY EMERGES FROM THE LONG-LASTING IMPACTS OF THE COVID-19 PANDEMIC, THIS ASSESSMENT SEEKS TO PROVIDE A MORE NUANCED UNDERSTANDING OF THE CHALLENGES FACING THE COMMUNITY. 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, YWCA, 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 2024, 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 2024 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: 1. ADAMS COUNTY COMMUNITY MENTAL HEALTH/SUBSTANCE USE GOALS IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES, INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE DISORDER SERVICES. INCREASE AWARENESS AND NORMALIZE TREATMENT OF MENTAL HEALTH. 2. ADAMS COUNTY MENTAL HEALTH OBJECTIVES DECREASE THE PERCENTAGE OF ADAMS COUNTY ADULTS WHO REPORT EXPERIENCING FREQUENT MENTAL DISTRESS. TARGET: 12% BY 2027; BASELINE: 15.2%; DATA SOURCE: "HEALTHIEST COMMUNITIES 2022." U.S. NEWS & WORLD REPORT, 2022 DECREASE THE NUMBER OF MENTALLY UNHEALTHY DAYS REPORTED BY ADAMS COUNTY RESIDENTS IN THE PAST 30 DAYS. TARGET: 3.6% BY 2027; BASELINE: 4.7%; DATA SOURCE: 2021 COUNTY HEALTH RANKINGS, BRFSS DECREASE THE NUMBER OF ADAMS COUNTY RESIDENTS WHO REPORT EXPERIENCING 8 OR MORE DAYS OF POOR MENTAL HEALTH IN THE LAST 30 DAYS. TARGET: 18% BY 2027; BASELINE: 19.4%; DATA SOURCE: ADAMS COUNTY ILLINOIS COUNTY BEHAVIORAL RISK FACTOR SURVEYS (BRFSS). ILLINOIS DEPARTMENT OF PUBLIC HEALTH, OFFICE OF POLICY, PLANNING & STATISTICS, 2020-2023. DECREASE THE PERCENTAGE OF ADAMS COUNTY MEDICARE POPULATION WHO REPORT HAVING DEPRESSION. TARGET: 18% BY 2027; BASELINE 20.2%; DATA SOURCE: HEALTHIEST COMMUNITIES 2022. U.S. NEWS & WORLD REPORT DECREASE THE PERCENTAGE OF ADAMS COUNTY 10TH GRADERS WHO REPORT THAT THEY FELT SAD OR HOPELESS ALMOST EVERY DAY FOR TWO WEEKS OR MORE IN A ROW THAT THEY STOPPED DOING SOME USUAL ACTIVITIES. TARGET: 38% BY 2027; BASELINE 40%; DATA SOURCE: 2024 ILLINOIS YOUTH SURVEY 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 2027; BASELINE: 17%; DATA SOURCE: ADAMS COUNTY ILLINOIS COUNTY BEHAVIORAL RISK FACTOR SURVEYS (BRFSS). ILLINOIS DEPARTMENT OF PUBLIC HEALTH, OFFICE OF POLICY, PLANNING & STATISTICS, 2020-2023 DECREASE THE PERCENTAGE OF THE ADAMS COUNTY POPULATION THAT REPORTED THEY DRANK ALCOHOL IN THE PAST 30 DAYS. TARGET: 50% BY 2027; BASELINE 58.9%; DATA SOURCE: ADAMS COUNTY ILLINOIS COUNTY BEHAVIORAL RISK FACTOR SURVEYS (BRFSS). ILLINOIS DEPARTMENT OF PUBLIC HEALTH, OFFICE OF POLICY, PLANNING & STATISTICS, 2022-2023 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: 10% OF THERAPISTS CERTIFIED IN SPECIFIC (BUT DIFFERENT) EVIDENCE-BASED MODALITIES CLEARLY IDENTIFIED AND ARTICULATED THROUGH WEBSITE/MARKETING/ETC. OUR CLINICAL AREAS OF EXPERTISE AND NICHE AREAS OF EXPERTISE - WHAT DO WE WANT TO BE KNOWN FOR? ENSURE THERAPIST TRAINING IN THEIR AREA OF EXPERTISE/INTEREST CONSISTENT WITH COMMUNITY AND ORGANIZATIONAL NEEDS RECRUITMENT FOCUS TOWARDS CLINICAL NEEDS/GAPS INCREASE INPATIENT BED UTILIZATION RATE BY 10% IMPLEMENT BHI AND PSYCHIATRIC COC TWO SERVICE LINE THERAPISTS TRAINED IN CBT GROWTH INTEGRATED CARE THERAPY SERVICES GROWTH IN USE OF VIRTUAL/DIGITAL TECHNOLOGIES IN DAILY PRACTICES AS APPROPRIATE IMPLEMENT INNOVATIONS IDENTIFIED BY INNOVATION TEAM FOR BOTH INPATIENT AND OUTPATIENT PROGRAMS CREATE AN INTERNAL COMMUNICATION GROUP FOR PRIMARY CARE PROVIDERS AND PSYCHIATRIC TEAM AS INFORMAL CONSULTATION MODEL FOR GENERAL GUIDANCE RELATED TO PATIENT CARE AND TREATMENT DIRECTION 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 COMMITTEES' 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. BLESSING HOSPITAL HAS TAKEN THE LEAD ON A COMMUNITY COLLABORATIVE PROJECT TO PROVIDE MEDICAL RESPITE SERVICES FOR THE HOUSING INSECURE POPULATION. 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. 24 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 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 4929 OAK STREET 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 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 THE HOSPITAL HAS ADOPTED THE REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2025. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, LINE 2. 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 15-18 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 2024. 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 153 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 83,390. THE MEDIAN HOUSEHOLD INCOME IN THE FOUR ILLINOIS COUNTIES IN BLESSINGS PRIMARY MARKET AREA IS BELOW THE ILLINOIS AVERAGE, RANGING FROM 15,473 TO 23,613 LOWER. THE MISSOURI MEDIAN HOUSEHOLD INCOME IS 70,702. IN THE TWO MISSOURI COUNTIES IN BLESSINGS PRIMARY MARKET AREA THE MEDIAN HOUSEHOLD INCOME IS BELOW THE STATE AVERAGE BETWEEN 7,799 AND 10,768. THE PERCENTAGE OF RESIDENTS OVER THE AGE OF 65 IN ILLINOIS IS 17.9 PERCENT. THE ILLINOIS COUNTIES IN BLESSINGS PRIMARY MARKET AREA, WITH THE EXCEPTION OF BROWN COUNTY, EXCEED THAT RATE BY AN AVERAGE OF 5.3 PERCENTAGE POINTS. THE PERCENTAGE OF RESIDENTS OVER THE AGE OF 65 IN MISSOURI IS 18.7 PERCENT. THE MISSOURI COUNTIES IN BLESSINGS PRIMARY MARKET AREA EXCEED THE STATE AVERAGE BY APPROXIMATELY 1.0 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 12.9 PERCENT, WHICH IS 1.3 PERCENTAGE POINTS ABOVE THE STATE AVERAGE. THE MISSOURI POVERTY RATE IS 12.3 PERCENT. FOR THE TWO MISSOURI COUNTIES IN BLESSINGS PRIMARY MARKET, THE POVERTY RATE AVERAGES 13.8 PERCENT, WHICH IS 1.5 PERCENTAGE POINTS ABOVE. THE OBESITY RATE AVERAGE ACROSS THE FOUR ILLINOIS COUNTIES IN BLESSINGS PRIMARY MARKET IS 38.3 PERCENT, 5.3 PERCENT ABOVE THE STATE AVERAGE OF 33.0 PERCENT. IN MISSOURI, THE OBESITY RATE AVERAGE IS 38.0 PERCENT IN THE TWO COUNTIES IN BLESSINGS PRIMARY MARKET, 1.0 PERCENT ABOVE THE STATE AVERAGE OF 37.0 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 AND HEALTH SCIENCES, 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 4,529 EMPLOYEES. OF SIGNIFICANT IMPORTANCE ARE THE VOLUNTEERS WHO SERVE THE HOSPITAL. IN FISCAL YEAR 2025, BLESSING HOSPITAL HAD 382 ACTIVE VOLUNTEERS WHO SERVED FOR A TOTAL OF 49,257 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. SCHEDULE H, PART VI, LINE 7 ILLINOIS true SIU SCHOOL OF MEDICINE PO BOX 19607 SPRINGFIELD IL 62794 376005961 501C3 2294195 BOOK MED ED & RESEARCH ADAMS COUNTY HEALTH DEPARTMENT 330 VERMONT ST QUINCY IL 62301 376000379 GOV 50000 BOOK DENTAL PROGRAM UNITED WAY OF ADAMS COUNTY 936 BROADWAY SUITE F QUINCY IL 62301 370673476 501C3 68583 BOOK GENERAL SUPPORT HORIZONS SOCIAL SERVICES 224 SOUTH 8TH ST QUINCY IL 62301 263734445 501C3 9000 BOOK GENERAL SUPPORT JACKSON LINCOLN SWIMMING COMPLEX PO BOX 176 QUINCY IL 62306 364168494 501C3 8500 BOOK GENERAL SUPPORT CATHOLIC CHARITIES DIOCESES OF SPRI 620 MAINE ST QUINCY IL 62301 370661499 501C3 7000 BOOK GENERAL SUPPORT QUINCY PARK DISTRICT 1231 BONASINGA DR QUINCY IL 62301 364139745 501C3 10000 BOOK GENERAL SUPPORT QMG FOUNDATION 1025 MAINE ST QUINCY IL 62301 263038062 501C3 5500 BOOK GENERAL SUPPORT 8 BLESSING-RIEMAN STUDENTS 310 1766241 BOOK BLESSING HEALTH PATIENTS 399 111409 BOOK EMPLOYEE ASSISTANCE 78 98221 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 AND HEALTH SCIENCES STUDENTS THE BLESSING-RIEMAN COLLEGE OF NURSING AND HEALTH SCIENCES 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 FUNDS ARE MONITORED FOR APPROPRIATE USE THROUGH MULTIPLE LAYERS OF OVERSIGHT. WITHIN BLESSING HEALTH SYSTEM, REQUESTS FOR PATIENT ASSISTANCE ORIGINATE FROM LICENSED SOCIAL WORKERS AND CARE MANAGERS WHO VERIFY MEDICAL NECESSITY AND FINANCIAL HARDSHIP WHEN NO COMMUNITY RESOURCES ARE AVAILABLE. THE BLESSING FOUNDATION THEN ADMINISTERS A RESTRICTED, PURPOSE-SPECIFIC FUND ALIGNED WITH THE PATIENT'S HEALTH NEED. ALL APPLICATIONS MUST BE REVIEWED AND APPROVED BY THE FOUNDATION OFFICE PRIOR TO DISBURSEMENT, ENSURING ALIGNMENT WITH DONOR INTENT AND INTERNAL POLICIES. FUNDS ARE DISBURSED ONLY FOR THE APPROVED PURPOSE, PROVIDING DOCUMENTED ASSURANCE THAT ASSISTANCE IS USED APPROPRIATELY. FUNDS ARE PAID DIRECTLY TO SERVICE PROVIDERS OR VENDORS, AND SUPPORTING DOCUMENTATION IS RETAINED FOR ACCOUNTABILITY AND AUDIT PURPOSES. PART III, LINE 3 EMPLOYEE ASSISTANCE THE EMPLOYEE CRISIS FUND PROVIDES FINANCIAL ASSISTANCE TO EMPLOYEES WHO MEET REQUIRED LENGTH OF SERVICE CRITERIA AND ARE IN GOOD EMPLOYMENT STANDING. THE FUND IS ADMINISTERED BY THE BLESSING FOUNDATION. EMPLOYEES SUBMIT REQUESTS FOR ASSISTANCE THROUGH THEIR LEADER WHO WILL SUBMIT THE GRANT APPLICATION TO THE FOUNDATION FOR APPROVAL. THE FUND BALANCE IS MAINTAINED IN A GENERAL LEDGER ACCOUNT ON THE BOOKS OF BLESSING HOSPITAL AND IS MONITORED BY HOSPITAL ACCOUNTANTS, ENSURING THAT DISBURSEMENTS ARE REVIEWED, TRACKED, AND USED IN ACCORDANCE WITH FUND PURPOSE AND INTERNAL CONTROLS. false true false false false false false false false DR HUMAM FARAH PHYSICIAN 727774 927725 1885 5007 53165 1715556 DR JOHN H ARNOLD PHYSICIAN & TRUSTEE 1426402 40610 29667 5132 45422 1547233 DR JEFFREY R COOK PHYSICIAN 844989 436271 1145 3595 49406 1325690 DR MILTON OCHIENG PHYSICIAN 1219935 14500 23840 6900 60897 1326072 DR HARSHA POLAVARAPU PHYSICIAN 593219 542347 23390 6900 51670 1211055 DR BRYAN J PIMLOTT PHYSICIAN 1123805 7858 26612 6900 29336 1194511 DR STEVEN W KRAUSE PHYSICIAN & TRUSTEE 953402 7098 26612 6900 61215 1055227 BRIAN T CANFIELD TERMED 42025 PRES/CEO BCS AND BH 798725 28544 140118 15315 982702 PATRICK M GERVELER CFO & TREASURER 541086 120107 110486 37752 809431 94364 DR CHRISTOPHER R SOLARO CMO & PHYSICIAN 598904 75274 25322 6900 32705 731940 MAUREEN A KAHN RETIRED 72023 FORMER BH PRES/CEO 90737 344101 4354 3223 441155 173252 TIMOTHY L TRANOR EVP/COO/CNO 329800 23873 4214 54653 403635 DR ABBY REICH PHYSICIAN & TRUSTEE 240066 39298 362 5782 33521 314948 JUSTIN R HALE VP FINANCE 238780 14569 3229 47894 298069 SCHEDULE J, PAGE 1, PART I, LINE 3 COMPENSATION OF ORGANIZATION'S CEO - CEO BRIAN CANFIELD IS AN EMPLOYEE OF BLESSING CORPORATE SERVICES, INC., THE PARENT COMPANY OF BLESSING HOSPITAL. COMPARABILITY DATA PROVIDED BY A THIRD PARTY IS USED TO ESTABLISH A MARKET RANGE OF COMPENSATION. THIS INFORMATION IS SUBMITTED TO THE BLESSING CORPORATE SERVICES BOARD OF TRUSTEE'S COMPENSATION COMMITTEE FOR APPROVAL. COMPENSATION OF ORGANIZATION'S BOARD MEMBERS - BRIAN CANFIELD, MAUREEN KAHN, PATRICK GERVELER, AND JUSTIN HALE 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 BRIAN T. CANFIELD (TERMED 4/2025) 0 135,718 0 PATRICK M. GERVELER 0 103,586 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 9630000 15955000 2412 147588 4000000 11805000 2017 false false true true B 565000 28977500 378000 32400000 41515200 2022 true false true true C 565000 28977500 147500 12600000 16144800 2022 true false true true D 2547709 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 true 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) TO PAY CERTAIN EXPENSES RELATED TO THE ISSUANCE OF THE SERIES 2019A/C 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 65590 EMPLOYMENT false ELLEN J TRAMAN FAMILY MEMBER 64727 EMPLOYMENT false ROBERT G TRAMAN FAMILY MEMBER 34706 EMPLOYMENT false EVAN CANFIELD FAMILY MEMBER 196317 EMPLOYMENT false MEGAN HALE FAMILY MEMBER 100535 EMPLOYMENT false ANN DIXON FAMILY MEMBER 16060 EMPLOYMENT false ABIGAIL TRANOR FAMILY MEMBER 65338 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 HEATH/EDUCATION/WELLNESS PROGRAMS. FOR FISCAL YEAR 2025, THE COST OF CHARITY CARE PROVIDED WAS 8,110,560 AND MEDICARE SHORTFALLS WERE 110,542,589. BLESSING HOSPITAL TREATED PATIENTS THROUGH THE FOLLOWING SERVICES DURING FISCAL YEAR 2025: 39,880 EMERGENCY CENTER VISITS; 562,288 OUTPATIENT VISITS; 14,237 SURGICAL OPERATIONS, 14,821 INPATIENT ADMISSIONS, AND 1,119 BABIES. OUTPATIENT SERVICES INCLUDED 84,401 CARDIOPULMONARY/CARDIOLOGY PROCEDURES, 1,035,075 LABORATORY TESTS, 122,297 RADIOLOGY PROCEDURES, AND 135,761 PHYSICAL THERAPY/REHABILITATION VISITS. BLESSING HOSPITAL PROVIDED ADDITIONAL BENEFITS OF 9,968,515 TO THE COMMUNITY DURING FISCAL YEAR 2025 AS FOLLOWS: HEALTH PROFESSIONALS EDUCATION SIU RESIDENCY PROGRAM 2,921,873 BLESSING-RIEMAN COLLEGE OF NURSING AND HEALTH SCIENCES 2,624,815 NURSING EDUCATIONAL PRECEPTORS 51,102 SUB TOTAL HEALTH PROFESSIONALS EDUCATION 5,597,790 COMMUNITY HEALTH IMPROVEMENT SERVICES ADAMS COUNTY HEALTH DEPARTMENT DENTAL PROGRAM 50,000 PATIENT TRANSPORTATION AND LODGING 421,729 CHARITY PHARMACY PRESCRIPTIONS 2,390,462 HEALTH SCREENINGS/TESTS 86,913 MEDICAL SUPPLIES/SERVICES FOR PATIENTS 53,454 BEHAVIORAL HEALTH EDUCATIONAL PROGRAMS 8,220 MEDICAL INTERPRETING SERVICES 54,201 SUB TOTAL COMMUNITY HEALTH IMPROVEMENT SERVICES 3,064,979 SUBSIDIZED HEALTH SERVICES CARE COORDINATION 1,232,011 SUB TOTAL SUBSIDIZED HEALTH SERVICES 1,232,011 IN-KIND CONTRIBUTIONS/DONATIONS DONATIONS/SPONSORSHIPS 73,735 SUB TOTAL IN-KIND CONTRIBUTIONS/DONATIONS 73,735 BLESSING HOSPITAL'S STRATEGIC OBJECTIVES FOR THE UPCOMING YEARS ARE AS FOLLOWS: 1)PATIENT SATISFACTION INCREASE PERCENT PROMOTERS TO 82% OR HIGHER 2)PATIENT QUALITY IMPROVE OVERALL QUALITY TO 81% OR HIGHER 3)PATIENT ACCESS INCREASE PATIENT OFFICE VISITS TO GREATER THAN 8.4 VISITS PER PROVIDER 4)FISCAL HEALTH INCREASE CASH FROM OPERATIONS TO GREATER THAN -1.1% ACHIEVE OPERATING MARGIN OF GREATER THAN 1.5% 5)EMPLOYEE ENGAGEMENT ACHIEVE AN ENGAGEMENT SCORE OF GREATER THAN 7.7 6)ELECTRONIC HEALTH RECORD CHANGE RETENTION OF GREATER THAN 90% FOR THE EPIC SYSTEM STANDARDIZATION FORM 990, PART VI BLESSING HOSPITAL CONTRACTS WITH BLESSING CORPORATE SERVICES INC. (BCS) TO EXECUTE THE DUTIES NORMALLY PERFORMED BY MANAGEMENT. BCS'S MANAGEMENT TEAM CARRIES OUT MANY OF THE GOVERNING DECISIONS OF BCS (AS SOLE MEMBER) AND BLESSING HOSPITAL'S BOARD OF TRUSTEES, SIMILAR TO THE ROLE AND FUNCTIONS OF AN EMPLOYEE-OFFICER. BCS PAID COMPENSATION TO VARIOUS EMPLOYEES COLLECTIVELY ACTING AS MANAGEMENT. THE COMPENSATION PAID TO THOSE EMPLOYEES WHO SERVE AS TRUSTEES OR OFFICERS OF BLESSING HOSPITAL IS DISCLOSED ON PART VII. FORM 990, PAGE 6, PART VI, LINE 3 1) BLESSING CORPORATE SERVICES PROVIDED GENERAL MANAGEMENT SERVICES. 2) ARAMARK PROVIDED MANAGEMENT OF FOOD SERVICES AND ENVIRONMENTAL SERVICES. 3) BRIDGE HOME CARE PARTNERS PROVIDED MANAGEMENT OF BLESSING'S HOME CARE SERVICES. 4) OMNICELL, INC. PROVIDED MANAGEMENT OF BLESSING'S SPECIALTY PHARMACY. FORM 990, PAGE 6, PART VI, LINE 6 BLESSING CORPORATE SERVICES, INC., AN ILLINOIS NOT-FOR-PROFIT CORPORATION, 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 (CORPORATION), SHALL POSSESS THE EXCLUSIVE RIGHTS AND RESPONSIBILITIES TO APPOINT AND/OR REMOVE ALL THE TRUSTEES OF THE CORPORATION AND APPOINT THE CORPORATION'S PRESIDENT. FORM 990, PAGE 6, PART VI, LINE 7B BLESSING CORPORATE SERVICES, INC., THE SOLE VOTING MEMBER OF BLESSING HOSPITAL (CORPORATION) SHALL POSSESS THE EXCLUSIVE RIGHTS AND RESPONSIBILITIES TO: A) APPROVE EXPRESSLY ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE; B) 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; C) 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; D) APPROVE THE PARAMETERS FOR TERMS OF EMPLOYMENT OF PROVIDERS, INCLUDING PROVIDER COMPENSATION PLANS, AND ANY MATERIAL VARIANCES FROM SUCH PARAMETERS FOR INDIVIDUAL PROVIDERS: E) APPROVE THE SELECTION OF AUDITORS AND LEGAL COUNSEL AND OVERSEE AUDITS; F) APPROVE THE FORMATION OF SUBSIDIARY ENTITIES AND/OR JOINT VENTURES; G) APPROVE THE FILING OF A PETITION IN BANKRUPTCY, MAKING AN ASSIGNMENT FOR THE BENEFIT OF CREDITORS, OR APPLYING FOR PROTECTION UNDER ANY INSOLVENCY LAWS; H) APPROVE THE PARTICIPATION IN ANY MERGER, COMBINATION, CONSOLIDATION, LIQUIDATION, DISSOLUTION OR OTHER CORPORATE OR BUSINESS ENTITY RESTRUCTURING; I) ENACT AND IMPLEMENT SUCH POLICIES AND PROCEDURES AS THE MEMBER DEEMS NECESSARY OR ADVISABLE FOR THE MANAGEMENT OF THE CORPORATION; J) 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 DEEM NECESSARY OR ADVISABLE FOR THE MANAGEMENT OF THE CORPORATION; K) APPROVE THE DEVELOPMENT, IMPLEMENTATION, MONITORING, AND REPORTING ON THE COMMUNITY BENEFITS PLANS, PROGRAMS, AND OTHER ACTIVITIES OF THE CORPORATION, INCLUDING, BUT NOT LIMITED TO, THE COMMUNITY NEEDS ASSESSMENT; L) APPROVE ADVOCACY EFFORTS ON BEHALF OF PATIENTS, THE COMMUNITY, AND THE CORPORATION REGARDING THE ALLOCATION OF EXTERNAL AND INTERNAL RESOURCES TO THE COMMUNITY HEALTH NEEDS; M) DETERMINE TRUSTEE COMPENSATION, IF ANY. FORM 990, PAGE 6, PART VI, LINE 11B FOLLOWING MANAGEMENT AND LEGAL REVIEW, THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES OF BLESSING HOSPITAL 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 ANY CONFLICT OF INTEREST IN REGARDS TO AGENDA ITEMS BEING PRESENTED AT THE START OF EACH 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 DOCUMENTS 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 1,641,266 TRANSFER OF CLINIC ASSETS AND LIABILITIES 3,227 TRANSFERS TO AFFILIATES 0 CUMULATIVE EFFECT OF ADOPTION OF ASC 842 0 TRANSFER OF CLINIC ASSETS AND LIABILITIES 0 TOTAL 1,644,493 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 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 true true true true false false false false false true true true true true true true true true false DENMAN SERVICES INC A 126563 FMV DENMAN SERVICES INC Q 2155122 FMV DENMAN SERVICES INC M 2556266 FMV