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1 location registered under this record — data as of November 6, 2026

Critical access hospital · Pittsfield, IL

Illini Community Hospital

Taking partYesLast certifiedAugust 19, 2026

  • 1Registered locations
  • 2Associated locations
  • 20Contract pharmacies
  • 10With no end date
  • January 1, 2014In 340B since

Where this record sits: among the 56 Critical access hospitals in Illinois, the median open contract-pharmacy count is 7.5; this record’s open count ranks 23.

Every Medicare cost report this hospital has filed is on its cost-report record.

Finances, as filed

From this hospital’s Medicare cost report for the year ended September 30, 2025.

FigureAs filedWhere it comes from
Total patient revenue$101,491,415CMS-2552-10 worksheet G300000 line 100 column 100
Contractual allowances$64,057,083CMS-2552-10 worksheet G300000 line 200 column 100
Net patient revenue$37,434,332CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses$32,384,790CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients$5,049,542CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges$840,544CMS-2552-10 worksheet S100001 line 2000 column 300
Charity care, at cost$361,031CMS-2552-10 worksheet S100001 line 2300 column 300
Bad debt expense$2,208,400CMS-2552-10 worksheet S100001 line 2600 column 100
Bad debt other than Medicare, at cost$687,178CMS-2552-10 worksheet S100001 line 2900 column 100
Uncompensated care, at cost$1,048,209CMS-2552-10 worksheet S100001 line 3000 column 100
Total facility beds25CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio0.2925CMS-2552-10 worksheet S100001 line 100 column 100

Cost report filed under CMS certification number 141315 for October 1, 2024 to September 30, 2025, as submitted. The public file it was read from.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by BLESSINGCARE CORPORATION (employer identification number 371396010) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$1,668,702IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$362,625IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$1,124,308IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$1,486,933IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$181,769IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0492IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202431999349300508. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by BLESSINGCARE CORPORATION (employer identification number 371396010) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
AMY RUEBUSHTRUSTEETrustee/director$0$0$0
BRIAN T CANFIELDVICE-CHAIRTrustee/director, Officer$0$525,747$15,250
DAMAN EMRICKTRUSTEETrustee/director$0$0$0
DR ALBORZ JAVADZADEHPHYSICIANHighest-compensated employee$185,583$0$8,640
DR CHRISTOPHER S WAGONERPHYSICIANHighest-compensated employee$322,959$0$39,952
DR MARY FRANCIS BARTHELTRUSTEETrustee/director$0$438,832$37,633
DR ROBERT D THOMASTRUSTEETrustee/director$459,457$0$46,489
DR STUART L PYATTPHYSICIANHighest-compensated employee$434,000$0$36,906
DR THOMAS A CLIATTPHYSICIANHighest-compensated employee$445,852$0$44,285
HOLLY A JONESVP ADM ILLINTrustee/director, Officer$173,137$0$26,549
JASON STRATTONTRUSTEETrustee/director$0$0$0
K JEANNIE GOODMANBOARD CHAIRTrustee/director, Officer$0$0$0
KATHLEEN E HULLCHF RURAL HOTrustee/director, Officer$0$306,825$39,913
MAUREEN A KAHNVICE-CHAIRTrustee/director, Officer$0$1,032,261$222,469
MICHAEL DUNSETHCRNAHighest-compensated employee$210,777$0$40,534
PATRICK M GERVELERSECRETARY/TRTrustee/director, Officer$0$641,872$144,045

E-file object id 202431999349300508. The IRS archive it was read from.

The full report for Illini Community Hospital

Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.

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Where this hospital sits among its peers

A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: critical access hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.

  • 30thpercentile of 40 hospitals in IL, same facility class, 25 to 49 bedsNet patient revenue, in dollars, as filed

Net patient revenue across every hospital that filed for 2025, in every state and of every size, with this one marked.

Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)

This hospital$13,421,290$688,185,845

Middle half between $26,780,592 and $275,353,989, median $73,049,131, across 5,659 hospitals that filed for 2025, in every state and of every size.

  • 23rdpercentile of 40 hospitals in IL, same facility class, 25 to 49 bedsTotal operating expenses, in dollars, as filed

Total operating expenses across every hospital that filed for 2025, in every state and of every size, with this one marked.

Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)

This hospital$15,363,143$674,207,581

Middle half between $27,953,478 and $268,914,289, median $72,935,955, across 5,819 hospitals that filed for 2025, in every state and of every size.

  • 47thpercentile of 38 hospitals in IL, same facility class, 25 to 49 bedsCharity care, at cost, in dollars, as filed
  • 28thpercentile of 39 hospitals in IL, same facility class, 25 to 49 bedsUncompensated care, at cost, in dollars, as filed
  • 100thpercentile of 40 hospitals in IL, same facility class, 25 to 49 bedsTotal facility beds, a count of beds, as filed

Total facility beds across every hospital that filed for 2025, in every state and of every size, with this one marked.

Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)

This hospital18338

Middle half between 25 and 168, median 64, across 5,777 hospitals that filed for 2025, in every state and of every size.

  • 31stpercentile of 39 hospitals in IL, same facility class, 25 to 49 bedsCost-to-charge ratio, the ratio, as filed

Cost-to-charge ratio across every hospital that filed for 2025, in every state and of every size, with this one marked.

Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)

This hospital0.12330.6732

Middle half between 0.1809 and 0.4503, median 0.2651, across 4,413 hospitals that filed for 2025, in every state and of every size.

Changes recorded

Nothing on this record has moved since it was first read here on September 6, 2026.

Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in Illinois beside it — each figure with the cell it came from — are in the report above.

Register detail and identifiers

Participation, as filed

Participating
TRUE
Participation start date
January 1, 2014
Certification date
August 19, 2026
Record last edited
August 19, 2026

Identifiers

340B ID
CAH141315-00
Entity type as filed
CAH
CMS certification number
141315
NPI
1710920129 (IL), 1720086218 (IL,MO)
Rural
Yes

640 W. Washington Street, Pittsfield IL 62363

Locations registered under this record

Browse all of them as a list →

CAH141315-02Infusion 2 - B24CAHPittsfield, ILNo

Associated locations

Illini Community Hospital640 W. Washington StreetPittsfield IL 62363
Illini Community Hospital In House, OP Pharmacy640 W. Washington St.Pittsfield IL 62363

Pharmacy contracts

No end date filed10

BLESSING HOSPITALPITTSFIELD, ILJanuary 1, 2024no end date filed
BLESSING HOSPITALPITTSFIELD, ILOctober 1, 2026no end date filed
BLESSING HOSPITALQUINCY, ILJanuary 1, 2024no end date filed
THE BROWN DRUG COMPANYQUINCY, ILJanuary 1, 2024no end date filed
WAL-MART CENTRAL FILL 10-2670SPRING, TXJanuary 1, 2024no end date filed
WAL-MART PHARMACY 10-0200JACKSONVILLE, ILJuly 1, 2026no end date filed
WAL-MART PHARMACY 10-0480PITTSFIELD, ILJanuary 1, 2024no end date filed
WAL-MART PHARMACY 10-5997ORLANDO, FLJanuary 1, 2024no end date filed
WALMART PHARMACY 10-5169ROGERS, ARJanuary 1, 2024no end date filed
Walmart Pharmacy 10-7611Plainfield, INJanuary 1, 2024no end date filed

An end date is filed10

An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.

BLESSING HOSPITAL PHARMACYQUINCY, ILApril 1, 2018June 16, 2023
ILLINI HEALTH SERVICES LLCPITTSFIELD, ILJuly 1, 2014October 1, 2017
NIEMANN FOODS INCPITTSFIELD, ILJanuary 1, 2024September 30, 2026
OPTUM FRONTIER THERAPIES II, LLCLAS VEGAS, NVJanuary 1, 2020September 23, 2020
OPTUM INFUSION SERVICES 305, LLCLENEXA, KSJanuary 1, 2020September 23, 2020
OPTUM PHARMACY 702, LLCJEFFERSONVILLE, INJanuary 1, 2020September 23, 2020
OPTUM PHARMACY 705, LLCLENEXA, KSJanuary 1, 2020September 23, 2020
OPTUM PHARMACY 801, INC.PHOENIX, AZJanuary 1, 2020September 23, 2020
THE BROWN DRUG COMPANYQUINCY, ILJanuary 1, 2020October 12, 2023
WAL-MART PHARMACY 10-0480PITTSFIELD, ILApril 1, 2022February 18, 2022

How this page is built

What is counted
One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
As of
November 6, 2026 — the date of the register file this record was last listed in.
Contract-pharmacy arrangements
Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.

Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261106_071011.xlsx, stamped by its publisher November 6, 2026. This record has been read here since September 6, 2026.

How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261106_071011.xlsx, read November 6, 2026.

What this page shows

Illini Community Hospital is a critical access hospital located in Pittsfield, IL. The entity began participating in 2014 and was certified in 2026.