Civic Intelligence

Blessing Hospital

990 • Fiscal year 2016 • EIN 37-0661183

Oct 01, 2015 to Sep 30, 2016 • Filed on Feb 06, 2017

1005 BroadwayQuincy, IL 62301

(217) 223-1200

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

66th percentile

0.49x

Higher debt load relative to assets than 66% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Liabilities / Revenue

56th percentile

0.65x

Higher debt load relative to revenue than 56% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Net Margin

80th percentile

15%

Higher net margin than 80% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Top Officer Pay

47th percentile

$830,220

Higher top officer pay than 47% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Asset Growth

71st percentile

6.7%

Faster asset growth than 71% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Revenue Growth

44th percentile

2.0%

Faster revenue growth than 44% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Assets

Up

$474,135,117

Up $29,588,872 (+6.7%) from 2015

Net Assets

Up

$242,174,627

Up $40,490,399 (+20%) from 2015

Liabilities

Down

$231,960,490

Down $10,901,527 (-4.5%) from 2015

Revenue

Up

$355,191,369

Up $6,918,144 (+2.0%) from 2015

Expenses

Down

$302,613,794

Down $7,361,935 (-2.4%) from 2015

Net Income

Up

$52,577,575

Up $14,280,079 (+37%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.0B$500M$0Assets 2010: $313,257,536Liabilities 2010: $186,867,667Net Assets 2010: $126,389,8692010Assets 2011: $328,885,814Liabilities 2011: $195,215,968Net Assets 2011: $133,669,8462011Assets 2012: $363,145,586Liabilities 2012: $214,615,775Net Assets 2012: $148,529,8112012Assets 2013: $382,927,402Liabilities 2013: $181,540,921Net Assets 2013: $201,386,4812013Assets 2014: $434,374,816Liabilities 2014: $225,804,038Net Assets 2014: $208,570,7782014Assets 2015: $444,546,245Liabilities 2015: $242,862,017Net Assets 2015: $201,684,2282015Assets 2016: $474,135,117Liabilities 2016: $231,960,490Net Assets 2016: $242,174,6272016Assets 2017: $524,033,244Liabilities 2017: $233,771,654Net Assets 2017: $290,261,5902017Assets 2018: $555,365,606Liabilities 2018: $204,674,586Net Assets 2018: $350,691,0202018Assets 2019: $638,426,630Liabilities 2019: $255,691,048Net Assets 2019: $382,735,5822019Assets 2020: $750,159,833Liabilities 2020: $327,516,993Net Assets 2020: $422,642,8402020Assets 2021: $780,426,354Liabilities 2021: $272,716,874Net Assets 2021: $507,709,4802021Assets 2022: $685,386,611Liabilities 2022: $232,628,047Net Assets 2022: $452,758,5642022Assets 2023: $758,035,073Liabilities 2023: $264,680,169Net Assets 2023: $493,354,9042023Assets 2024: $806,578,528Liabilities 2024: $281,289,946Net Assets 2024: $525,288,5822024

Highlighted filing

2016

Assets$474,135,117
Liabilities$231,960,490
Net Assets$242,174,627

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$800M$600M$400M$200M$0Expenses 2010: $248,724,7212010Expenses 2011: $269,824,5902011Expenses 2012: $278,668,2792012Expenses 2013: $284,677,8292013Revenue 2014: $330,645,253Expenses 2014: $286,990,296Net Income 2014: $43,654,9572014Revenue 2015: $348,273,225Expenses 2015: $309,975,729Net Income 2015: $38,297,4962015Revenue 2016: $355,191,369Expenses 2016: $302,613,794Net Income 2016: $52,577,5752016Revenue 2017: $398,440,662Expenses 2017: $323,829,677Net Income 2017: $74,610,9852017Revenue 2018: $455,409,651Expenses 2018: $365,582,720Net Income 2018: $89,826,9312018Revenue 2019: $462,478,418Expenses 2019: $372,800,582Net Income 2019: $89,677,8362019Revenue 2020: $495,453,993Expenses 2020: $399,452,024Net Income 2020: $96,001,9692020Revenue 2021: $575,471,430Expenses 2021: $468,498,751Net Income 2021: $106,972,6792021Revenue 2022: $590,268,525Expenses 2022: $536,357,023Net Income 2022: $53,911,5022022Revenue 2023: $625,066,977Expenses 2023: $602,108,120Net Income 2023: $22,958,8572023Revenue 2024: $704,735,162Expenses 2024: $687,641,188Net Income 2024: $17,093,9742024

Highlighted filing

2016

Revenue$355,191,369
Expenses$302,613,794
Net Income$52,577,575
Jump To
Filing Snapshot
Filing Period
Oct 1, 2015 to Sep 30, 2016
Signed
Feb 6, 2017
Return Version
2015v3.0
Gross Receipts
$435,796,702
Mission and Program Overview

Mission

Blessing hospital's mission is to improve the health of our communities.

Blessing hospital's mission is to improve the health of our community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$185,926,411$196,936,297▲ $11,009,886
Investments in Publicly Traded Securities$57,889,063$98,026,856▲ $40,137,793
Accounts Receivable$43,689,124$51,876,955▲ $8,187,831
Investments Other Securities$41,208,217$47,085,758▲ $5,877,541
Cash and Non-Interest-Bearing Accounts$82,072,257$46,088,169▼ $35,984,088
Inventories for Sale or Use$6,872,834$6,853,284▼ $19,550
Prepaid Expenses and Deferred Charges$4,309,668$4,763,745▲ $454,077
Total Assets$444,546,245$474,135,117▲ $29,588,872
Other Assets Total$22,578,671$22,504,053▼ $74,618
Liabilities
Other Liabilities$113,616,579$101,280,251▼ $12,336,328
Tax Exempt Bond Liabilities$86,540,000$82,735,000▼ $3,805,000
Accounts Payable and Accrued Expenses$33,775,316$39,647,770▲ $5,872,454
Mortgage Notes Payable Secured by Investment Property$8,930,122$8,297,469▼ $632,653
Total Liabilities$242,862,017$231,960,490▼ $10,901,527
Net Assets / Fund Balance
Unrestricted Net Assets$197,872,910$238,001,176▲ $40,128,266
Temporarily Rstr Net Assets$2,114,045$2,476,178▲ $362,133
Permanently Rstr Net Assets$1,697,273$1,697,273→ $0
Total Net Assets Fund Balance$201,684,228$242,174,627▲ $40,490,399
Total Liabilities and Net Assets / Fund Balance$444,546,245$474,135,117▲ $29,588,872

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$117,519,499$88,766,335$206,285,834
Other Land Buildings$63,634,880$92,929,487$156,564,367
Land$13,311,335-$13,311,335
Leasehold Improvements$2,470,583$4,155,595$6,626,178
Other Securities$4,264,183--
Financial Derivatives$1,279,866--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$1,838,747-▼ $1,080-$1,837,667
2014$1,818,441-▲ $20,306-$1,838,747
2013$1,808,535-▲ $9,906-$1,818,441
2012$1,844,729-▼ $36,194-$1,808,535
2011$560,920$60,036▲ $1,223,773-$1,844,729
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Timothy a MooreSecretaryFT$357,735$477,243$830,220
Abby Reich MdTrustee-$272,551$478,086$746,874
Maureen a KahnPresident/cePT-$728,530$728,530
Harsha V Polavarapu MdTrustee-$359,648$344,815$699,705
Maureen a KahnPresident/CEO-$362,525$313,264$671,031
Patrick M GervelerTreasurer-$477,875$169,216$642,248
Jerry R JacksonVP EngineeriFT-$448,926$448,926
Betty J KasparieVP PlanningFT-$431,548$431,548
Joellen L RandallVP Human ResFT-$280,538$280,538
Jerry R JacksonVP Engineering/facil--$179,495$179,495
Todd H Petty MdChief of Sta-$29,705-$29,705
Hrishikesh Ghanekar MdChief of Sta-$25,200-$25,200
Dennis Go MdTrustee-$18,000-$18,000

Highest Paid Contractors

ContractorServicesLocationCompensation
Quincy Anesthesia Associates PCAnesthesia SvcsBROADWAY AT 11TH, Quincy, IL 62301$9,040,287
Quincy Medical GroupPhysician Svcs1025 MAINE STREET, Quincy, IL 62301$3,321,546
West Central Pathology SpecialistsPathology Svcs4000 CATAMARAN CT, Quincy, IL 62301$2,885,966
Waterkotte Construction CoFacility Cntrct2630 WISMANN LANE PO BOX 3586, Quincy, IL 62301$2,562,348
Sound Physicians Of Il LLCPhysician SvcsPO BOX 742936, Los Angeles, CA 90074$1,585,355
Revenue and Support

Revenue Composition

Contributions and Grants
$2,730,547
Program Service Revenue
$339,601,856
Investment Income
$2,704,367
Other Revenue
$10,154,599
All Other Contributions
$1,420,556
Change in Net Assets
$52,577,575

Audited Revenue Reconciliation

Revenue per Audited Statements
$349,756,455
Revenue Not Reported on Financial Statements
$5,434,914
Revenue Not Reported on Form 990
$-5,921,030
Other Revenue Adjustments
$5,434,914
Total Revenue per Audited Statements
$343,835,425
Total Revenue per Form 990
$355,191,369
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$151,341,079
Salaries, Compensation, and Employee Benefits$148,495,324
Grants and Similar Amounts Paid$2,777,391
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$85,349,170$18,664,938-$104,014,108
Fees for Services Other$24,858,414$10,656,467-$35,514,881
Other Employee Benefits$17,701,121$3,871,043-$21,572,164
Fees for Services Management-$17,988,912-$17,988,912
Depreciation Depletion$8,270,471$5,747,276-$14,017,747
Pension Plan Contributions$9,652,748$2,110,951-$11,763,699
Payroll Taxes$5,791,565$1,266,553-$7,058,118
All Other Expenses$3,073,166$3,688,364-$6,761,530
Occupancy$2,123,725$2,873,307-$4,997,032
Other Expenses$3,368,870$1,402,702-$4,771,572
Current Officers, Directors, Trustees, and Key Employees$3,353,796$733,439-$4,087,235
Interest$2,079,752$454,819-$2,534,571
Grants to Domestic Orgs$2,005,995--$2,005,995
Insurance$696,887$221,125-$918,012
Travel$592,568$239,263-$831,831
Grants to Domestic Individuals$771,396--$771,396
Fees for Service Investment Mgmnt Fees-$485,787-$485,787
Advertising$453,042--$453,042
Fees for Services Legal-$233,591-$233,591
Office Expenses$118,069$102,284-$220,353
Conferences and Meetings$97,456$104,004-$201,460
Fees for Services Accounting$6,484$115,011-$121,495
Total Functional Expenses$226,480,329$76,133,465$0$302,613,794

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$302,613,794
Total Expenses per Audited Statements$295,963,301
Expenses per Audited Statements$294,074,925
Expenses Not Reported on Financial Statements$8,538,869
Other Expense Adjustments$8,538,869
Expenses Not Reported on Form 990$1,888,376
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Siu School of MedicineSpringfield, IL501c3Med Ed & Research$1,892,737
Culver-stockton CollegeCanton, MO501c3General Support$30,000
Quincy Notre Dame FoundationQuincy, IL501c3General Support$30,000
Quincy Public Schools FoundationQuincy, IL501c3General Support$20,000
Quincy UniversityQuincy, IL501c3General Support$20,000
United Way of Adams CountyQuincy, IL501c3General Support$7,258
American Red CrossQuincy, IL501c3General Support$6,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Jason H HetzlerFamily MemberEmploymentNo$99,197
Craig B KurkFamily MemberEmploymentNo$81,540
Erin E KurkFamily MemberEmploymentNo$73,347
Ellen J TramanFamily MemberEmploymentNo$54,960
Missa J GervelerFamily MemberEmploymentNo$34,516
Robert G TramanFamily MemberEmploymentNo$30,112
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Pension Costs$57,962,188
Accrued Salaries & Wages$15,473,879
Estimated 3rd-party Payor Settlement$11,746,000
Other Long Term Liability$6,440,480
Deferred Compensation$4,783,279
Advances and Deferred Revenue$2,140,129
Leases Payable$1,574,710
Accrued Interest$686,384
Accrued Payroll Taxes$578,484
Premium on Long Term Debt$331,573
Deferred Financing Cost-
Rounding$-436,855

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity of Quincy Adams County2007-05-03$48,850,181SEE PART VI
BCity of Quincy Adams County2012-08-01$32,785,000SEE PART VI
CCity of Quincy Adams County2012-08-01$30,000,000SEE PART VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$48,853,595$48,853,595$23,073,595$570,296
B$32,785,000$32,620,418$2,025,000$164,582
C$30,000,000--$168,089

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

1) blessing corporate services provides general management services. 2) wound care advantage provides management services for the wound care department which includes hyperbaric services. 3) quincy medical group provides management of the surgery center of quincy. 4) aramark provides management of food services and environmental services. 5) bridge home care partners provides management of blessing's home care services.

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 rights and responsibilites to approve expressly all amendments to the corporation's articles of incorporation and bylaws before they may become effective; approve long- term debt, long-range plans and capital and operating budgets; approve the purchase and sale of real and personal property and contracts entered into by the corporation, not expressly made part of an approved budget, the reasonable value of which exceeds an amount set forth in the bylaws of the member; approve material investment decisions, including without limitation establishment and modification of investment policies, engagement and removal of investment managers and advisors, and changes in investment allocations not permitted by an existing investment policy; approve the parameters for terms of employment of physicians, including physician compensation plans, and any material variances from such parameters for individual physicians; approve the selection of auditors and legal counsel; approve charity care and community benefits-related policies; approve the formation of subsidiary entities and/or joint ventures; approve the filing of a petition in bankruptcy, making an assignment for the benefit of creditors, or applying for protection under any insolvency laws; approve the participation in any merger, combination, consolidation, liquidation, dissolution or other corporate or business entity restructuring; and have the power to compel the corporation to enforce and/or perform any contractual obligation.

Form 990, Page 6, Part VI, Line 11B

Following management and legal review, the form 990 was provided to the board of trustees for review and comment prior to filing.

Form 990, Page 6, Part VI, Line 12C

A copy of the conflict of interest policy is distributed annually to officers, directors, trustees, and key employees to be read, signed, and returned to the organization. The signed policies are retained in the corporate administrative files. In addition, each officer, director, or trustee is required to declare no conflict of interest in regards to agenda items being presented at the start of each monthly board meeting.

Form 990, Page 6, Part VI, Line 15A

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 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.

Filing and Contact Details

Filer

Filer Name
Blessing Hospital
EIN
37-0661183
Phone
2172231200
Address
1005 BROADWAY, QUINCY, IL 62301

Signing Officer

Name
Maureen a Kahn
Title
President/CEO
Phone
2172231200
Signed
2017-02-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Maureen a Kahn
Formed
1873
Legal Domicile
Il
Voting Board Members
13
Independent Board Members
8
Employees
2,206
Volunteers
707

Preparer

Firm
Gray Hunter Stenn Llp
Address
500 MAINE ST, QUINCY, IL 62301
Preparer
Stephen C Koester CPA
Phone
2172220304
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4A

Since it was founded in 1875, 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 2016, the cost of charity care provided was 6,899,766. Medicare and medicaid shortfalls were 40,684,952 and 10,740,306, respectively. Blessing hospital treated patients through the following services during fiscal year 2016: 45,731 emergency center and 28,322 urgent care visits; 381,826 outpatient visits; 16,597 surgical operations, including 115 open heart surgeries, 14,716 inpatient admissions, and 1,168 babies. Outpatient services included 169,719 cardiopulmonary/cardiology procedures, 702,168 laboratory tests, 111,089 radiology procedures, and 130,001 physical therapy/rehabilitation visits. Blessing hospital provided additional benefits of 13,017,980 to the community during fiscal year 2016 as follows: health professionals education siu residency program 4,285,925 blessing-rieman college of nursing 2,195,363 nursing educational preceptors 1,027,933 school of radiologic technology 305,763 school of medical laboratory technicians 65,112 sub total health professionals education 7,880,096 community health improvement services siu patient centered medical home 139,140 adams county health department dental program 35,000 patient transportation 38,363 medical supplies/services for patients 31,678 educational programs 26,603 charity pharmacy prescriptions 51,920 support groups 19,267 health screenings/tests 7,868 medical interpreting services 3,970 sub total community health improvement services 353,809 subsidized health services home healthcare services 2,192,973 care coordination 1,580,780 hospice 468,963 blessing fast care 293,513 sub total subsidized health services 4,536,229 in-kind contributions/donations donations/sponsorships 151,360 adams county ambulance service 70,775 meeting space 25,711 sub total in-kind contributions/donations 247,846 blessing hospital's strategic objectives for the upcoming years are as follows: -continue to transition to a new business model in response to health care reform, with focus on affiliation/partnership -incorporate disruptive innovation into our business model -ensure high quality, patient centered care as measured against national benchmarks -ensure physician leadership development, alignment, and engagement -ensure effective resource allocation through evidence based practices/leadership

Form 990, Part IX, Line 11G

Other fees 24,858,414 10,656,467 0

Form 990, Part XI, Line 9

Increase in minimum pension liability 11,178,212 transfers to affiliates -24,754,390 transfers to sitf -2,025,000 total -15,601,178

Financial Statement Notes

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

Bad debt reduction of revenue on f/s -8,053,082 net assets released from restrictions 2,132,052

Schedule D, Page 4, Part XI, Line 4B

Investment income 2,120,449 realized gains on securities and assets 583,918 temporarily restricted contributions 2,730,547

Schedule D, Page 4, Part XII, Line 2D

Liability claims reported on separate 990 1,888,376

Schedule D, Page 4, Part XII, Line 4B

Bad debt reduction of revenue on f/s 8,053,082 investment expenses 485,787

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IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0583918

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$807$281$525$705$688$17.1
2023Detailed filing. Detailed filing data is available for this year.$758$265$493$625$602$23.0
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$685$233$453$590$536$53.9
2021Detailed filing. Detailed filing data is available for this year.$780$273$508$575$468$107
2020Detailed filing. Detailed filing data is available for this year.$750$328$423$495$399$96.0
2019Detailed filing. Detailed filing data is available for this year.$638$256$383$462$373$89.7
2018Detailed filing. Detailed filing data is available for this year.$555$205$351$455$366$89.8
2017Detailed filing. Detailed filing data is available for this year.$524$234$290$398$324$74.6
2016Detailed filing. Detailed filing data is available for this year.$474$232$242$355$303$52.6
2015Detailed filing. Detailed filing data is available for this year.$445$243$202$348$310$38.3
2014Detailed filing. Detailed filing data is available for this year.$434$226$209$331$287$43.7
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$383$182$201$285
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$363$215$149$279
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$329$195$134$270
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$313$187$126$249