SARAH BUSH LINCOLN HEALTH CENTER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SARAH BUSH LINCOLN HEALTH CENTER (EIN 23-7098532)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-13
- IRS object ID
- 202141339349300349
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-13T10:45:10-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N MERIDIAN ST SUITE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237098532 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SARAH BUSH LINCOLN HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SARA | BusinessNameControlTxt |
| Phone | 2172582514 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 HEALTH CENTER DR | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 619380372 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS PLUARD | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2172582514 | PhoneNum |
| Signature | 2021-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NATHAN A RODGERS CPA | PreparerPersonNm |
| PTIN | P01568275 | PTIN |
| Phone | 3176334705 | PhoneNum |
| Preparation | 2021-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JERRY ESKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 HEALTH CENTER DR | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 619380372 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $505,902,972 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SARAHBUSH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF SARAH BUSH LINCOLN HEALTH CENTER IS TO PROVIDE EXCEPTIONAL CARE FOR ALL AND CREATE HEALTHY COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 2853 | TotalEmployeeCnt |
| Total Volunteers | 250 | TotalVolunteersCnt |
| Total Gross UBI | $3,842,060 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,250,642 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,726,205 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $330,079,987 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $347,364,941 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,544,581 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,448,498 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,183,949 | PYOtherRevenueAmt |
| CY Other Revenue | $22,209,695 | CYOtherRevenueAmt |
| PY Total Revenue | $355,059,159 | PYTotalRevenueAmt |
| CY Total Revenue | $379,749,339 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $40,085 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $40,040 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $192,805,641 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $206,329,660 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $132,821,742 | PYOtherExpensesAmt |
| CY Other Expenses | $145,046,488 | CYOtherExpensesAmt |
| PY Total Expenses | $325,667,468 | PYTotalExpensesAmt |
| CY Total Expenses | $351,416,188 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $29,391,691 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $28,333,151 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $641,206,592 | TotalAssetsBOYAmt |
| Total Assets EOY | $680,049,286 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $192,922,341 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $202,326,224 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $448,284,251 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $477,723,062 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE OTHE MISSION OF SARAH BUSH LINCOLN HEALTH CENTER IS TO PROVIDE EXCEPTIONAL CARE FOR ALL AND CREATE HEALTHY COMMUNITIES. SARAH BUSH LINCOLN HEALTH CENTER PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO THE RESIDENTS OF MATTOON AND CHARLESTON, ILLINOIS AND SURROUNDING COUNTIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $315,567,887 | ExpenseAmt |
| Grant | $40,040 | GrantAmt |
| Revenue | $347,364,941 | RevenueAmt |
| Desc | SOCIAL ACCOUNTABILITY 2020AS A NOT-FOR-PROFIT PROVIDER OF HEALTHCARE, SARAH BUSH LINCOLN HEALTH CENTER LEADERSHIP AND STAFF HAPPILY SHOULDER THE SOCIAL RESPONSIBILITY TO PROVIDE CARE AND RESOURCES TO MEMBERS OF THE COMMUNITY WHO ARE IN NEED-- REGARDLESS OF THEIR PERSONAL CIRCUMSTANCES. THE PUBLIC TRUSTS US TO CONSERVE OUR RESOURCES AND USE THEM WISELY, WHILE IT LOOKS TO US FOR LEADERSHIP, PARTNERSHIP AND COLLABORATION ON A VARIETY OF PROJECTS.[CONTINUED ON SCHEDULE O] | Desc |
| Total Program Service Expenses | $315,567,887 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 171 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2853 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Foreign Country | BD | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENNIS PLUARD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2172582514 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 HEALTH CENTER DR | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 619380372 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SCOTT WILSON | ||||||||
| CHAIRPERSON | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TINA STOVALL | ||||||||
| SECRETARY | 1.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JIM LITTLEFORD | ||||||||
| SECRETARY | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BARB HALL | ||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DR LORI CUDONE | ||||||||
| DIRECTOR | 54.00 | 1.00 | Yes (X) | $746,598 | $0 | $29,052 | ||
| DALE BOYER | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOSH BULLOCK | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LUCAS CATT | ||||||||
| DIRECTOR | 54.00 | 1.00 | Yes (X) | $560,545 | $0 | $35,294 | ||
| STEVE CHILDERS | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID GLASSMAN | ||||||||
| COMMITTEE COMMUNITY MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PHILLIP KEPP | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN LAUER | ||||||||
| DIRECTOR | 54.00 | 2.00 | Yes (X) | $451,300 | $0 | $33,466 | ||
| JAY MARKWELL | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALAN METZGER | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANYA SCHUETZ | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JIM ZIMMER | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JERRY ESKER | ||||||||
| PRESIDENT | 40.00 | 15.00 | Yes (X) | $711,172 | $0 | $36,595 | ||
| DENNIS PLUARD | ||||||||
| CHIEF FINANCE OFFICER | 52.00 | 3.00 | Yes (X) | $438,060 | $0 | $37,388 | ||
| SANDRA MILLER | ||||||||
| VP PATIENT CARE | 55.00 | 0.00 | Yes (X) | $132,022 | $0 | $21,798 | ||
| GREGORY TAYLOR | ||||||||
| VP PRACTICE MANAGEMENT | 55.00 | 0.00 | Yes (X) | $267,889 | $0 | $34,878 | ||
| JAMES HILDEBRANDT | ||||||||
| VP MEDICAL AFFAIRS | 54.00 | 1.00 | Yes (X) | $441,668 | $0 | $35,945 | ||
| DEBORAH SADDORIS | ||||||||
| VP HUMAN RESOURCES | 55.00 | 0.00 | Yes (X) | $176,210 | $0 | $32,138 | ||
| BRIAN MURPHY | ||||||||
| VP INFORMATION SYSTEMS | 55.00 | 0.00 | Yes (X) | $237,564 | $0 | $20,405 | ||
| KIM UPHOFF | ||||||||
| VP DEVELOPMENT | 27.00 | 28.00 | Yes (X) | $319,383 | $0 | $34,895 | ||
| RAGAI MITRY | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,255,297 | $0 | $35,960 | Yes (X) | ||
| JOSHUA GARRETT | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,479,716 | $0 | $37,105 | Yes (X) | ||
| LOUIS MENDELLA | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,250,178 | $0 | $37,694 | Yes (X) | ||
| AZIZ AHMED | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,596,169 | $0 | $13,010 | Yes (X) | ||
| MATTHEW JONES | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,403,167 | $0 | $36,831 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $11,466,938 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $512,454 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 226 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCCARTHY BUILDING COMPANIES | |||||
| 3117 BIG BEND BOULEVARD | ST LOUIS | MO | 63143 | CONSTRUCTION CONTRACTOR | $13,833,437 |
| CERNER CORPORATION | |||||
| PO BOX 959156 | ST LOUIS | MO | 63195 | SOFTWARE SERVICE | $4,577,807 |
| PRAIRIE CARDIOVASCULAR CONSULTANTS | |||||
| 619 EAST MASON ST | SPRINGFIELD | IL | 62701 | MEDICAL SPECIALIST FEES | $2,734,125 |
| STRYKER ORTHOPAEDICS | |||||
| 7 WESTPORT CT B | BLOOMINGTON | IL | 61704 | MEDICAL TECHNOLOGIES | $2,697,815 |
| RESOURCE ANESTHESIOLOGY ASSOCIATES | |||||
| 3 ERIE ST | OAK PARK | IL | 60302 | MEDICAL SPECIALIST FEES | $1,856,665 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 173 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,609,338 | RelatedOrganizationsAmt |
| Government Grants | $116,867 | GovernmentGrantsAmt |
| Total Contributions | $1,726,205 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $288,913,436 | $288,913,436 |
| NET PROVIDER REVENUE | 621110 | $58,389,835 | $58,389,835 |
| OUTREACH REVENUE | 541900 | $61,670 | $61,670 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $347,364,941 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,800,330 | TotalRevenueColumnAmt |
| Exclusion | $3,800,330 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $207,289 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $207,289 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $207,289 | TotalRevenueColumnAmt |
| Exclusion | $207,289 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $130,801,801 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $126,102,697 | SecuritiesAmt |
| Other | $50,936 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,699,104 | SecuritiesAmt |
| Other | -$50,936 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,648,168 | TotalRevenueColumnAmt |
| Exclusion | $4,648,168 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PEACE MEAL PROGRAM REVENUE | 900099 | $3,578,796 | $3,578,796 | |
| REFERENCE LAB | 621500 | $3,329,375 | $3,329,375 | |
| CAFETERIA & CATERING | 722320 | $834,643 | $834,643 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,259,592 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $512,685 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,746,907 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $22,002,406 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $379,749,339 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $347,364,941 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,842,060 | UnrelatedBusinessRevenueAmt |
| Exclusion | $26,816,133 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,040 | TotalAmt |
| Program Services | $40,040 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,800,508 | TotalAmt |
| Management And General | $5,800,508 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,583,196 | TotalAmt |
| Program Services | $145,123,303 | ProgramServicesAmt |
| Management And General | $11,459,893 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,692,204 | TotalAmt |
| Program Services | $6,202,420 | ProgramServicesAmt |
| Management And General | $489,784 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,256,621 | TotalAmt |
| Program Services | $26,188,597 | ProgramServicesAmt |
| Management And General | $2,068,024 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,997,131 | TotalAmt |
| Program Services | $8,338,656 | ProgramServicesAmt |
| Management And General | $658,475 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,197 | TotalAmt |
| Management And General | $320,197 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,392 | TotalAmt |
| Management And General | $259,392 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,628 | TotalAmt |
| Management And General | $32,628 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,346,392 | TotalAmt |
| Program Services | $24,723,305 | ProgramServicesAmt |
| Management And General | $1,623,087 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,110,618 | TotalAmt |
| Program Services | $1,110,618 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,266,970 | TotalAmt |
| Program Services | $58,636,635 | ProgramServicesAmt |
| Management And General | $4,630,335 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,298,408 | TotalAmt |
| Program Services | $3,057,007 | ProgramServicesAmt |
| Management And General | $241,401 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,473,638 | TotalAmt |
| Program Services | $4,146,225 | ProgramServicesAmt |
| Management And General | $327,413 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,083,107 | TotalAmt |
| Program Services | $1,003,837 | ProgramServicesAmt |
| Management And General | $79,270 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,095,068 | TotalAmt |
| Program Services | $1,014,923 | ProgramServicesAmt |
| Management And General | $80,145 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,414,029 | TotalAmt |
| Program Services | $1,414,029 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,003,199 | TotalAmt |
| Program Services | $21,319,658 | ProgramServicesAmt |
| Management And General | $1,683,541 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,759,992 | TotalAmt |
| Management And General | $5,759,992 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| IL HOSPITAL TAX ASSESSM | $7,899,643 | $7,899,643 | |
| MAINTENANCE/PREVENTATIV | $3,782,515 | $3,505,683 | $276,832 |
| RECRUITMENT EXPENSES | $603,039 | $603,039 | |
| DUES AND SUBSCRIPTIONS | $513,585 | $513,585 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $784,068 | TotalAmt |
| Program Services | $726,684 | ProgramServicesAmt |
| Management And General | $57,384 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,416,188 | TotalAmt |
| Program Services | $315,567,887 | ProgramServicesAmt |
| Management And General | $35,848,301 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,470 | BOYAmt |
| EOY | $11,970 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,595,731 | BOYAmt |
| EOY | $180,328,280 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,753,570 | BOYAmt |
| EOY | $40,011,673 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,881,426 | BOYAmt |
| EOY | $8,517,215 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,524,216 | BOYAmt |
| EOY | $11,142,951 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $407,376,042 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $189,169,761 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,340,836 | BOYAmt |
| EOY | $218,206,281 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,846,578 | BOYAmt |
| EOY | $90,209,845 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,426,558 | BOYAmt |
| EOY | $116,784,189 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,827,207 | BOYAmt |
| EOY | $14,836,882 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $641,206,592 | BOYAmt |
| EOY | $680,049,286 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,078,319 | BOYAmt |
| EOY | $61,612,862 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,083,801 | BOYAmt |
| EOY | $53,098,404 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,760,221 | BOYAmt |
| EOY | $87,614,958 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,922,341 | BOYAmt |
| EOY | $202,326,224 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $448,284,251 | BOYAmt |
| EOY | $477,723,062 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $448,284,251 | BOYAmt |
| EOY | $477,723,062 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $641,206,592 | BOYAmt |
| EOY | $680,049,286 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $28,333,151 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,105,660 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $35,707 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $35,707 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THIS IS THE PORTION OF THE IHA/AHA DUES THAT IS OFFSET AND ALLOCATED TO LOBBYING PURPOSES. THE LOBBYING PERCENTAGE THAT WAS PUBLISHED BY THE AMERICAN HOSPITAL ASSOCIATION WAS DETERMINED TO BE 23.32% OF THE ANNUAL MEMBERSHIP DUES AND THE PERCENTAGE BY IHA WAS DETERMINED TO BE 37.00% OF THEIR DUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,901,732 | BeginningYearBalanceAmt |
| Contributions | $581,156 | ContributionsAmt |
| Investment Earnings Or Losses | $46,995 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,529,883 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,734,498 | BeginningYearBalanceAmt |
| Contributions | $86,458 | ContributionsAmt |
| Investment Earnings Or Losses | $80,776 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,901,732 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,833,608 | BeginningYearBalanceAmt |
| Contributions | $491,598 | ContributionsAmt |
| Investment Earnings Or Losses | $409,292 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,734,498 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,569,996 | BeginningYearBalanceAmt |
| Contributions | $678,021 | ContributionsAmt |
| Investment Earnings Or Losses | $585,591 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,833,608 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,938,638 | BeginningYearBalanceAmt |
| Contributions | $10,493 | ContributionsAmt |
| Investment Earnings Or Losses | -$379,135 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,569,996 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00900 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.67300 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.31800 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,850,247 | OtherCostOrOtherBasisAmt |
| Book Value | $6,850,247 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $227,869,541 | OtherCostOrOtherBasisAmt |
| Depreciation | $76,345,632 | DepreciationAmt |
| Book Value | $151,523,909 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $364,206 | OtherCostOrOtherBasisAmt |
| Depreciation | $259,884 | DepreciationAmt |
| Book Value | $104,322 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $163,057,997 | OtherCostOrOtherBasisAmt |
| Depreciation | $110,445,062 | DepreciationAmt |
| Book Value | $52,612,935 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,234,051 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,119,183 | DepreciationAmt |
| Book Value | $7,114,868 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $218,206,281 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| SUPPLEMENTAL PENSION | $46,938,823 | C |
| DEFERRED COMPENSATION | $19,290,622 | C |
| HEDGE FUNDS | $50,554,744 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $116,784,189 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| SUPPLEMENTAL PENSION | $46,938,823 |
| DEFERRED COMPENSATION | $19,290,622 |
| EST PROFESSIONAL LIABILITY CLA | $21,385,513 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $87,614,958 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ALL FUNDS ARE HELD BY A RELATED ORGANIZATION, SARAH BUSH LINCOLN HEALTH FOUNDATION. PER THE DONORS SPECIFIED INTENTIONS, PERMANENT AND TEMPORARY ENDOWMENT FUNDS MAY BE USED FOR CHARITABLE, BENEVOLENT, EDUCATIONAL AND SCIENTIFIC PURPOSES TO SUPPORT SARAH BUSH LINCOLN HEALTH CENTER. THE PURPOSE OF THE BOARD DESIGNATED FUNDS IS TO PROVIDE FINANCIAL SUPPORT FOR ACTIVITIES OF THE SARAH BUSH LINCOLN HEALTH SYSTEM OR EXPENSES ASSOCIATED WITH MANAGING THE FOUNDATION. |
| PART X, LINE 2: | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF JUNE 30, 2020 AND 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THESE ENTITIES HAVE FILED THEIR FEDERAL AND STATE INCOME TAX RETURNS FOR PERIODS THROUGH JUNE 30, 2019. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS). |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICAN/CARIBBEAN | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | INVESTMENTS | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $44,254,645 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $44,254,645 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $44,254,645 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III ACCOUNTING METHOD: | FormAndLineReferenceDesc |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 130.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,835,469 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,835,469 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01380 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $66,014,868 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $58,074,141 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,940,727 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02260 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $70,850,337 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $58,074,141 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,776,196 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03640 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $845,194 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $845,194 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $436,616 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $436,616 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,281,810 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,281,810 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,132,147 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $58,074,141 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,058,006 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,783,523 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $65,344,207 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $116,970,661 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$51,626,454 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SARAH BUSH LINCOLN HEALTH CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 HEALTH CENTER DRIVE | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61938 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SARAHBUSH.ORG | WebsiteAddressTxt |
| State License | 0003392 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SARAH BUSH LINCOLN HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 130.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SARAH BUSH LINCOLN HEALTH CENTER | PART V, SECTION B, LINE 5: A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FROM JULY 2018 THROUGH OCTOBER 2018. COMMUNITY INPUT WAS PROVIDED THROUGH 16 KEY INFORMANTS, INCLUDING REPRESENTATIVES OF PUBLIC HEALTH, PHYSICIANS AND OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. PARTICIPANTS INCLUDED A REPRESENTATIVE OF PUBLIC HEALTH, AS WELL AS SEVERAL INDIVIDUALS WHO WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS, AND THOSE WHO WORK WITH PERSONS WITH CHRONIC DISEASE CONDITIONS. SPECIFIC NAMES/TITLES OF THE PARTICIPATING ARE AVAILABLE UPON REQUEST. |
| SARAH BUSH LINCOLN HEALTH CENTER | PART V, SECTION B, LINE 11: PRIORITY 1: MAXIMIZE ACCESS TO CARE & EXPAND MARKET PRESENCE: INCREASE ACCESS TO HEALTHCARE SERVICES BY ENHANCING RECRUITMENT AND RETENTION EFFORTS, INCREASE POINTS OF ACCESS TO PRIMARY CARE SERVICES, AND ADDRESS MENTAL AND BEHAVIORAL HEALTH NEEDS IN OUR COMMUNITY. PRIORITY 2: JOIN WITH OTHERS TO ACTIVATE HEALTHY CHOICES THROUGHOUT THE COMMUNITY: ADDRESS OBESITY PREVALENCE AND POOR NUTRITION AND PHYSICAL INACTIVITY SOCIAL DETERMINANTS OF HEALTH THROUGH PROMOTION OF HEALTHY COMMUNITIES AND WELLNESS PROGRAMS. BUILD ON ESTABLISHED ORAL HEALTH PROGRAMS TO ADDRESS THE NEED FOR PEDIATRIC, ADOLESCENT AND ADULT DENTAL CARE IN OUR SERVICE AREA.NEEDS NOT BEING ADDRESSED: SUBSTANCE ABUSE: THE SUBSTANCE ABUSE NEEDS OF THE COMMUNITY ARE PRIMARILY REFERRED TO AND ADDRESSED BY THE CENTRAL EAST ALCOHOLISM AND DRUG (CEAD) COUNCIL. CEAD PROVIDES A COMPREHENSIVE ARRAY OF SERVICES TO ADDRESS CHEMICAL ABUSE, DEPENDENCY AND OTHER THERAPUTIC NEEDS.NEEDS BEING ADDRESSED:TRANSPORTATION: THE TRANSPORTATION NEEDS OF THE COMMUNITY ARE CURRENTLY BEING ADDRESSED BY OTHER COMMUNITY AGENCIES SUCH AS ILLINOIS PUBLIC TRANSIT, RIDES MASS TRANSIT DISTRICT, DIAL-A-RIDE PROGRAM AND RIDES PLUS. THESE PUBLIC TRANSPORTATION OPTIONS PROVIDE DOOR-TO-DOOR SERVICES AS WELL AS FIXED ROUTES AND ARE AVAILABLE TO ANYONE NEEDING ACCESS TO TRANSPORTATION. |
| SARAH BUSH LINCOLN HEALTH CENTER: | SCHEDULE H, PART V, LINE 7A:WWW.SARAHBUSH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| SARAH BUSH LINCOLN HEALTH CENTER: | SCHEDULE H, PART V, LINE 16A:HTTPS://WWW.SARAHBUSH.ORG/HOSPITAL-SERVICES/FINANCIAL-ASSISTANCE/SCHEDULE H, PART V, LINE 16B:HTTPS://WWW.SARAHBUSH.ORG/HOSPITAL-SERVICES/FINANCIAL-ASSISTANCE/SCHEDULE H, PART V, LINE 16C:HTTPS://WWW.SARAHBUSH.ORG/HOSPITAL-SERVICES/FINANCIAL-ASSISTANCE/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - SBL ARCOLA CLINIC | ||||
| 241 W SPRINGFIELD RD | ARCOLA | IL | 61920 | CLINIC |
| 2 - SBL ARTHUR CLINIC | ||||
| 211 S WALNUT | ARTHUR | IL | 61911 | CLINIC |
| 3 - SBL CASEY CLINIC | ||||
| 934 NORTH RT 49 PO BOX 460 | CASEY | IL | 62420 | CLINIC |
| 4 - SBL CHARLESTON FAMILY PRACTICE | ||||
| 116 WEST BUCHANAN AVE | CHARLESTON | IL | 61920 | CLINIC |
| 5 - SBL FAMILY MEDICAL CENTER | ||||
| 200 RICHMOND AVE | MATTOON | IL | 61928 | CLINIC |
| 6 - SBL NEOGA CLINIC | ||||
| 650 OAK AVE PO BOX 640 | NEGOA | IL | 62447 | CLINIC |
| 7 - SBL SULLIVAN CLINIC | ||||
| 7 HAWTHORNE LANE | SULLIVAN | IL | 61951 | CLINIC |
| 8 - SBL TOLEDO CLINIC | ||||
| 168 COURTHOUSE SQUARE PO BOX 99 | TOLEDO | IL | 62468 | CLINIC |
| 9 - SBL EFFINGHAM CLINIC | ||||
| 905 N MAPLE | EFFINGHAM | IL | 62401 | CLINIC |
| 10 - SBL MATTOON WALK-IN CLINIC | ||||
| 200 DETTRO DRIVE | MATTOON | IL | 61938 | CLINIC |
| 11 - SBL NEWTON CLINIC | ||||
| 910 SOUTH BUREN ST | NEWTON | IL | 62448 | CLINIC |
| 12 - SBL CHARLESTON WALK-IN CLINIC | ||||
| 2040 EAST LINCOLN | CHARLESTON | IL | 61920 | CLINIC |
| 13 - SBL SHELBYVILLE CLINIC | ||||
| 207 S PINE ST SUITE 10 | SHELBYVILLE | IL | 62565 | CLINIC |
| 14 - SBL TUSCOLA CLINIC | ||||
| 1100 TUSCOLA BLVD | TUSCOLA | IL | 61953 | CLINIC |
| 15 - SBL MARTINSVILLE CLINIC | ||||
| 890 RIDGELAWN ROAD | MARTINSVILLE | IL | 62442 | CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | SEE PART V, LINE 13 FOR OTHER CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. |
| PART I, LINE 7: | THE COSTING METHODOLOGY THAT WAS USED TO CALCULATE THESE AMOUNTS WAS THE RATIO OF PATIENT CARE COST TO CHARGES CALCULATED ON WORKSHEET 2 OF THE WORKING PAPERS. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COLES TOGETHER IS A NOT-FOR-PROFIT CORPORATION FOUNDED FOR AND TO PROMOTE ECONOMIC DEVELOPMENT FOR NEW AND EXISTING INDUSTRY IN OUR COUNTY, COLES COUNTY, ILLINOIS. OUR HOSPITAL BOARD HAS MADE A COMMITMENT TO SUPPORT THIS ORGANIZATION WHOSE COMMUNITY DEVELOPMENT EFFORTS BENEFIT OUR ORGANIZATION AS WELL AS OTHER ORGANIZATIONS IN OUR COMMUNITY THAT WOULD ULTIMATELY IMPACT AND KEEP OUR HOSPITAL A VIABLE ORGANIZATION. SUPPORT IS PROVIDED FINANCIALLY AND THROUGH PARTICIPATION ON THEIR BOARD. ADDITIONALLY, DONATIONS WERE MADE TO A VARIETY OF NON-PROFIT GROUPS TO HELP OUR COMMUNITY WITH ECONOMIC DEVELOPMENT. |
| PART III, LINE 2: | USED THE RATIO OF PATIENT CARE COST TO CHARGES (0.3444) AS COMPUTED ON WORKSHEET 2 OF THE ACCOUNTING WORKPAPERS TO CALCULATE THE BAD DEBT EXPENSE (13,889,441) AT COST (4,783,523). WE REDUCE BAD DEBT EXPENSE BY THE DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS. |
| PART III, LINE 4: | SEE THE PATIENT ACCOUNTS RECEIVABLE NOTE ON PAGE 6 OF THE ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | ALTHOUGH SBL DOES NOT TREAT SHORTFALL FOR MEDICARE AS A COMMUNITY BENEFIT, THERE COULD BE A CASE MADE THAT NOT BEING FULLY REIMBURSED FOR TREATING THE ELDERLY IS CONSIDERED TO BE THE PROVISION OF A BENEFIT TO THE COMMUNITY. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 WAS THE RATIO OF PATIENT CARE COST TO CHARGES CALCULATED ON WORKSHEET 2 AND ALSO DETAILED ON WORKSHEET C OF THE WORKING PAPERS. |
| PART VI, LINE 2: | NEEDS ASSESSMENT:EVERY THREE YEARS, SARAH BUSH LINCOLN ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. THIS ASSESSMENT INCORPORATES DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH (COMMUNITY HEALTH SURVEY THAT IS BASED LARGELY ON THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)) AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA); THESE QUANTITATIVE COMPONENTS ALLOW FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH A SERIES OF KEY INFORMANT FOCUS GROUPS. BASED ON THE RESULTS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, SBL DETERMINED TO FOCUS ON DEVELOPING AND/OR SUPPORTING STRATEGIES AND INITIATIVES TO IMPROVE ACCESS TO HEALTH SERVICES, ACTIVATE HEALTHY CHOICES AMOUNG ADULTS, CANCER, TOBACCO USE AND ORAL HEALTH. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:WHEN A PATIENT IS PRIVATE PAY (OR SHOWS CONCERN ABOUT PAYING THE BILL), OUR REGISTRATION CLERK INFORMS THEM OF OUR FINANCIAL ASSISTANCE POLICY AT THE TIME OF REGISTRATION. ALL STAFF ARE ORIENTED AS TO HOW THE PROGRAM WORKS DURING NEW EMPLOYEE ORIENTATION. WE ALSO HAVE FINANCIAL ASSISTANCE REPRESENTATIVES AVAILABLE DURING NORMAL BUSINESS HOURS TO SPEAK WITH THE PATIENT IF THERE ARE QUESTIONS BEYOND THE REGISTRATION CLERK'S KNOWLEDGE. PATIENTS ARE INFORMED (NOT NECESSARILY AT REGISTRATION) THEY NEED TO APPLY FOR MEDICAID SHOULD THEY HAVE ANY PRE-QUALIFIERS FOR THE PROGRAM (IE: BLIND, DISABLED, DEPENDENT CHILDREN IN THE HOME, ETC.). THIS INFORMATION IS IN THE FINANCIAL ASSISTANCE BROCHURE WITH THE APPLICATION AS WELL. IF A PATIENT NEEDS TO APPLY FOR MEDICAID PRIOR TO FINANCIAL ASSISTANCE, WE PROVIDE THEM THE INFORMATION AND ASSISTANCE TO APPLY AT THE PUBLIC AID OFFICE. ADDITIONALLY, OUR SBL FINANCIAL ASSISTANCE PROGRAM BROCHURES ARE IN EVERY DEPARTMENT AND CLINIC IN THE SYSTEM AND WIDELY AVAILABLE THROUGHOUT THE FACILITY. THE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE (INCLUDING APPLICATIONS) WITH A DEDICATED PHONE NUMBER. |
| PART VI, LINE 4: | COMMUNITY INFORMATION:SARAH BUSH LINCOLN (SBL) SERVES RURAL COMMUNITIES IN EAST CENTRAL ILLINOIS. SBL'S MARKET AREA ENCOMPASSES 9 COUNTIES INCLUDING: CLARK, COLES, CUMBERLAND, DOUGLAS, EDGAR, EFFINGHAM, JASPER, MOULTRIE, AND SHELBY. THE POPULATION OF THE HOSPITAL'S SERVICE AREA IS ESTIMATED AT 157,198 PEOPLE. THE REGION IS PREDOMINANTLY WHITE, WITH FEWER THAN 4 PERCENT OF THE POPULATION IDENTIFYING THEMSELVES AS MEMBERS OF RACIAL MINORITY GROUPS. THE REGION IS RURAL, WITH MORE THAN 53 PERCENT OF THE POPULATION LIVING IN COMMUNITIES OF LESS THAN 2,500. THE MEDIAN AGE IN EACH COUNTY, EXCEPT COLES, IS HIGHER THAN THE ILLINOIS MEDIAN OF 36.2 YEARS. TWELVE PERCENT OF THE POPULATION AS INCOMES BELOW THE FEDERAL POVERTY LEVEL. AN ESTIMATED 13.5 PERCENT OF ADULT POPULATION UNDER AGE 65 IS WITHOUT HEALTHCARE INSURANCE. ALTHOUGH SBL HAS HAD A POSITIVE IMPACT ON THE PHYSICIAN-TO-POPULATION RATIOS OF THE REGION, THE AREA IS MEDICALLY UNDERSERVED AS DETERMINED BY BOTH FEDERAL AND STATE GUIDELINES. |
| PART VI, LINE 5: | PROMOTION OF COMMUNITY HEALTH:SARAH BUSH LINCOLN HEALTH CENTER HAS AN OPEN MEDICAL STAFF AS WELL AS A COMMUNITY BOARD. |
| SCHEDULE H, PART I, LINE 7, COLUMN F: | THE ORGANIZATION INCURRED BAD DEBT EXPENSE IN THE AMOUNT OF 13,889,441. HOWEVER, IT HAS BEEN DISREGARDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLES TOGETHER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 AIRPORT ROAD | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61938 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 371243664 | RecipientEIN |
| IRC Section | 501C3 | IRCSectionDesc |
| Cash Grant | $27,500 | CashGrantAmt |
| Purpose Of Grant | COLES TOGETHER IS A NOT-FOR-PROFIT CORPORATION FOUNDED FOR AND TO PROMOTE COLES ECONOMIC DEVELOPMENT FOR NEW AND EXISTING INDUSTRY IN OUR COUNTY, COLES COUNTY, ILLINOIS. OUR HOSPITAL BOARD HAS MADE A COMMITMENT TO SUPPORT THIS ORGANIZATION WHOSE COMMUNITY DEVELOPMENT EFFORTS BENEFIT OUR ORGANIZATION AS WELL AS OTHER ORGANIZATIONS IN OUR COMMUNITY THAT WOULD ULTIMATELY IMPACT THE UTILIZATION AND VIABILITY OF OUR HOSPITAL ORGANIZATION. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DISTRIBUTIONS ARE SELECTED DURING THE BUDGET PROCESS. MONTHLY REQUESTS ARE RECEIVED FOR SPECIAL PURPOSES. ALL DISTRIBUTIONS ARE APPROVED BY THE SARAH BUSH LINCOLN HEALTH CENTER BOARD. DOCUMENTATION IS RECORDED FOR ALL GRANTS MADE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR LORI CUDONE | ||||||||||||||
| DIRECTOR | $443,543 | $0 | $243,134 | $0 | $59,921 | $0 | $9,500 | $0 | $19,552 | $0 | $775,650 | $0 | $0 | $0 |
| LUCAS CATT | ||||||||||||||
| DIRECTOR | $318,422 | $0 | $194,590 | $0 | $47,533 | $0 | $9,500 | $0 | $25,794 | $0 | $595,839 | $0 | $0 | $0 |
| JOHN LAUER | ||||||||||||||
| DIRECTOR | $323,368 | $0 | $82,636 | $0 | $45,296 | $0 | $9,500 | $0 | $23,966 | $0 | $484,766 | $0 | $0 | $0 |
| JERRY ESKER | ||||||||||||||
| PRESIDENT | $579,444 | $0 | $153 | $0 | $131,575 | $0 | $9,500 | $0 | $27,095 | $0 | $747,767 | $0 | $0 | $0 |
| DENNIS PLUARD | ||||||||||||||
| CHIEF FINANCE OFFICER | $352,034 | $0 | $153 | $0 | $85,873 | $0 | $9,500 | $0 | $27,888 | $0 | $475,448 | $0 | $0 | $0 |
| SANDRA MILLER | ||||||||||||||
| VP PATIENT CARE | $128,659 | $0 | $508 | $0 | $2,855 | $0 | $5,393 | $0 | $16,405 | $0 | $153,820 | $0 | $0 | $0 |
| GREGORY TAYLOR | ||||||||||||||
| VP PRACTICE MANAGEMENT | $241,263 | $0 | $153 | $0 | $26,473 | $0 | $9,500 | $0 | $25,378 | $0 | $302,767 | $0 | $0 | $0 |
| JAMES HILDEBRANDT | ||||||||||||||
| VP MEDICAL AFFAIRS | $379,130 | $0 | $153 | $0 | $62,385 | $0 | $9,500 | $0 | $26,445 | $0 | $477,613 | $0 | $0 | $0 |
| DEBORAH SADDORIS | ||||||||||||||
| VP HUMAN RESOURCES | $169,362 | $0 | $153 | $0 | $6,695 | $0 | $7,106 | $0 | $25,032 | $0 | $208,348 | $0 | $0 | $0 |
| BRIAN MURPHY | ||||||||||||||
| VP INFORMATION SYSTEMS | $213,707 | $0 | $153 | $0 | $23,704 | $0 | $8,401 | $0 | $12,004 | $0 | $257,969 | $0 | $0 | $0 |
| KIM UPHOFF | ||||||||||||||
| VP DEVELOPMENT | $278,569 | $0 | $153 | $0 | $40,661 | $0 | $9,500 | $0 | $25,395 | $0 | $354,278 | $0 | $0 | $0 |
| RAGAI MITRY | ||||||||||||||
| PHYSICIAN | $590,058 | $0 | $588,404 | $0 | $76,835 | $0 | $9,500 | $0 | $26,460 | $0 | $1,291,257 | $0 | $0 | $0 |
| JOSHUA GARRETT | ||||||||||||||
| PHYSICIAN | $842,852 | $0 | $539,607 | $0 | $97,257 | $0 | $9,500 | $0 | $27,605 | $0 | $1,516,821 | $0 | $0 | $0 |
| LOUIS MENDELLA | ||||||||||||||
| PHYSICIAN | $842,113 | $0 | $306,650 | $0 | $101,415 | $0 | $9,500 | $0 | $28,194 | $0 | $1,287,872 | $0 | $0 | $0 |
| AZIZ AHMED | ||||||||||||||
| PHYSICIAN | $850,013 | $0 | $494,267 | $0 | $251,889 | $0 | $9,500 | $0 | $3,510 | $0 | $1,609,179 | $0 | $0 | $0 |
| MATTHEW JONES | ||||||||||||||
| PHYSICIAN | $842,746 | $0 | $463,263 | $0 | $97,158 | $0 | $9,500 | $0 | $27,331 | $0 | $1,439,998 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | HEALTH OR SOCIAL CLUB DUES AND COMPANION TRAVEL. COUNTRY CLUB DUES ARE REPORTED AS TAXABLE COMPENSATION FOR OUR PRESIDENT AND CEO, MR. JERRY ESKER. TRAVEL FOR COMPANIONS IS PROVIDED PER THE EMPLOYMENT AGREEMENT WITH THE PRESIDENT AND CEO, JERRY ESKER. ANY PERSONAL ITEMS, EXTRA DAYS, AND MEALS FOR BOTH ARE PAID FOR USING HIS PERSONAL CREDIT CARD. |
| PART I, LINE 7 | ADDITIONAL COMPENSATION TO OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE DEPENDENT ON SPECIFIC ORGANIZATIONAL AND INDIVIDUAL GOALS. THESE GOALS INCLUDE FINANCIAL, QUALITY, CUSTOMER SERVICE, AND OTHER GOALS RELATED TO THE ORGANIZATION'S STRATEGIC PLAN. |
| SCHEDULE J, PART I, LINE 4B: | SARAH BUSH LINCOLN HEALTH CENTER CURRENTLY MAINTAINS A NONQUALIFIED, UNFUNDED, DEFINED CONTRIBUTION SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, ON BEHALF OF CERTAIN DESIGNATED MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THE PLAN IS INTENDED TO BE AN UNFUNDED DEFERRED COMPENSATION PLAN FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES, AS DESCRIBED IN THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED ("ERISA"). THE FOLLOWING PERSONS LISTED IN FORM 990, PART VII ARE PARTICIPANTS IN THE PLAN: DR. JOHN LAUER DR. LUCAS CATT SANDRA MILLER DEBORAH SADDORIS BRIAN MURPHY DENNIS PLUARD JERRY ESKER GREGORY TAYLOR DR. JAMES HILDEBRANDT KIMBERLY UPHOFF DR. RAGAI MITRY DR. JOSHUA GARRET DR. LOUIS MENDELLA DR. AZIZ AHMED DR. LORI CUDONE DR. MATTHEW JONES |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCE AUTHORITY | |||||||
| A | 861091967 | 2011-03-18 | $45,000,000 | SEE PART VI | 0 | Yes (1) | 0 |
| ILLINOIS FINANCE AUTHORITY | |||||||
| B | 861091967 | 2015-11-01 | $30,000,000 | SEE PART VI | 0 | Yes (1) | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $21,535,000 | $45,000,000 | $517,777 | $264,444,431 | $18,037,792 | 2014 | Yes (1) | 0 | 0 | Yes (1) |
| B | $1,524,000 | $30,000,000 | $30,000,000 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|
| A | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART I, LINE B, COLUMN F: | THE 2015 REVENUE BONDS, SERIES 2015, ALLOWS BORROWING UP TO $30,000,000 WHICH BEARS A VARIABLE INTEREST RATE OF 68 PERCENT OF ONE MONTH LIBOR PLUS 45 BASIS POINTS PER ANNUM. BONDS BORROWED FOR REIMBURSING THE HEALTH CENTER FOR ACQUIRING, CONSTUCTING, RENOVATING, EXPANDING AND EQUIPPING CERTAIN FACILITIES IN THE HOSPITAL. |
| SCHEDULE K, PART I, LINE A, COLUMN F: | REFINANCE OLD BONDS AND CONSTRUCTION OF MASTER FACILITY PLAN |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT CUDONE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | HUSBAND OF LORI CUDONE | RelationshipDescriptionTxt |
| Transaction | $104,035 | TransactionAmt |
| Transaction | EMPLOYED BY THE HEALTH CENTER | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A: | SOCIAL ACCOUNTABILITY 2020 CONTINUED: TO THAT END, WE PROVIDE HIGH QUALITY HEALTHCARE TO PEOPLE REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES IS CRITICAL TO THE OPERATION AND STABILITY OF SBLHC, WE RECOGNIZE THAT NOT EVERYONE IS ABLE TO AFFORD ESSENTIAL MEDICAL SERVICES. SINCE IT IS OUR MISSION TO PROVIDE HEALTHCARE AND EDUCATION TO ALL MEMBERS OF THE COMMUNITY, WE PROVIDE: -BOTH FREE AND SUBSIDIZED CARE, -CARE TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT BELOW-COST REIMBURSEMENT AND, -HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY AT LARGE DURING THE FISCAL YEAR THAT ENDED JUNE 30, 2020, WE SERVED 7,431 INPATIENTS AND PROVIDED 322,437 OUTPATIENT SERVICES. WE SPONSORED NUMEROUS WELLNESS AND COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR OLDER RESIDENTS AND THE MEDICALLY UNDERSERVED, AND A WIDE VARIETY OF COMMUNITY SUPPORT ACTIVITIES. THIS INFORMATION OUTLINES THE MANY PROGRAMS AND SERVICES PROVIDED BY SBLHC DURING FISCAL YEAR 2020, MOST OF WHICH ARE ON-GOING. WE MAKE THIS INFORMATION AVAILABLE TO YOU SO YOU HAVE A BETTER UNDERSTANDING OF OUR MISSION, INCLUDING THE WAYS IN WHICH OUR RESOURCES ARE USED WITHIN THE COMMUNITY. WE ARE FIRMLY COMMITTED TO PROVIDING EXCEPTIONAL CARE AND CREATING HEALTHY COMMUNITIES, AND WE TRUST YOU'LL SEE THAT OUR ACTIONS MATCH OUR WORDS. SUMMARY: WE HAVE CATEGORIZED OUR COMMUNITY SOCIAL RESPONSIBILITY STATEMENT TO CORRESPOND WITH OUR STRATEGIC GOALS. THE FOLLOWING IS A SNAPSHOT OF OUR ACTIVITIES FOR FISCAL YEAR 2020. EACH PROGRAM IS FURTHER DESCRIBED THROUGHOUT THIS BOOKLET. IMPROVE PATIENT EXPERIENCE AND LOYALTY $10,249 -ADVANTAGE 50 -DINE WITH A DOC IMPROVE CLINICAL AND OPERATIONAL QUALITY $746,498 -COMMUNITY HEALTH SCREENS -SARAH BUSH LINCOLN DENTAL SERVICES -HEALTH EDUCATION -HEART TO HEART COMMUNITY SCREENING PROGRAM -METS PHASE III AT EIU -REGIONAL BEHAVIORAL HEALTH NETWORK -SARAH BUSH LINCOLN WEBSITE -STEP IN THE RIGHT DIRECTION & LIVING WITH DIABETES -SUPPORT GROUPS ENHANCE HUMAN CAPITAL $21,918 -HEALTH OCCUPATIONS CREATE HEALTHY COMMUNITIES $530,644 -COMMUNITY AID -ORGANIZATIONAL SUPPORT -HEALTHY KIDS -SPORTS PHYSICALS MAINTAIN FINANCIAL VIABILITY $12,776,196 -FINANCIAL ASSISTANCE -GOVERNMENTAL INSURANCE PROGRAMS IMPROVE PATIENT EXPERIENCE AND LOYALTY -ADVANTAGE 50: THIS FREE MEMBERSHIP GROUP IS OPEN TO ANYONE 50 YEARS OLD OR BETTER. IT PROVIDES HEALTH INFORMATION AND SOCIAL OUTINGS, AS WELL AS A VARIETY OF DISCOUNTS. THE NON-REIMBURSED COST TO SBLHC IS $9,048. -DINE WITH A DOC: DOCTORS/MID-LEVELS HOSTED A SERIES OF LUNCH PROGRAMS FOCUSING ON A WIDE VARIETY OF HEALTH TOPICS. THE NON-REIMBRUSED COST TO SBLHC IS $1,201. IMPROVE CLINICAL AND OPERATIONAL QUALITY -COMMUNITY HEALTH SCREEN: PREVENTIVE HEALTH SCREENS ARE AVAILABLE FOR FREE AND AT REDUCED COSTS BOTH AT THE HEALTH CENTER AND AT OUTREACH LOCATIONS. TESTS SCREEN FOR VARIOUS CANCERS AND MEASURE CHOLESTEROL LEVELS, PULMONARY FUNCTION, BONE DENSITY, BLOOD PRESSURE AND BODY FAT. BLOOD SUGAR ANALYSIS AND VISION/GLAUCOMA SCREENINGS ARE ALSO PROVIDED, AS ARE WORKSHOPS FOCUSED ON LIFESTYLE MODIFICATION. THE NET NON-REIMBURSED COST OF THESE SERVICES AFTER DISCOUNTED FEES AND GRANT FUNDING WAS APPROXIMATELY $111,312. -SARAH BUSH LINCOLN DENTAL SERVICES: SARAH BUSH LINCOLN DENTAL SERVICES IS A COLLABORATIVE COMMUNITY EFFORT THAT PROVIDES DENTAL CARE AT NO COST TO FAMILIES WHO QUALIFY. THE STAFF CONSISTS OF DENTISTS, DENTAL HYGIENISTS, DENTAL ASSISTANTS, SUPPORT STAFF AND VOLUNTEER DENTISTS. THE PROGRAM SERVES A NINE-COUNTY SERVICE AREA INCLUDING CLARK, COLES, CUMBERLAND, DOUGLAS, EDGAR, EFFINGHAM, JASPER, MOULTRIE AND SHELBY. MORE THAN HALF OF THE STUDENT POPULATION IN OUR PARTNERING SCHOOLS QUALIFY FOR DENTAL SERVICES. THROUGH THE SBL DENTAL SERVICES, PREVENTATIVE AND RESTORATIVE DENTAL CARE IS PROVIDED TO CHILDREN WITHOUT MEANS TO IMPROVE THEIR HEALTH AND SELF-ESTEEM THROUGH A COLLABORATIVE EFFORT BETWEEN SARAH BUSH LINCOLN HEALTH SYSTEM, LAKELAND COLLEGE DENTAL HYGIENE PROGRAM, SEVEN VOLUNTEER DENTISTS AND SIX LOCAL HEALTH DEPARTMENTS. SIXTY SIX SCHOOLS PARTICIAPATE IN A 9-COUNTY REGION. THE NET NON-REIMBURSED COST OF THESE SERVICES AFTER DISCOUNTED FEES AND GRANT FUNDING WAS APPROXIMATELY $310,032. -HEALTH EDUCATION: HEALTH-RELATED EDUCATIONAL PROGRAMS ARE OFFERED IN MANY SETTINGS THROUGHOUT THE COMMUNITY ON SUCH TOPICS AS NUTRITION, DIABETES, DEPRESSION, EATING DISORDERS, SLEEP DISORDERS, OSTEOPOROSIS, HYPERTENSION, EXERCISE, CARDIAC HEALTH, CANCER, BEREAVEMENT, LIVING WILLS AND PRE- AND POST-NATAL CARE OF MOTHERS AND INFANTS. HEALTH STYLES, THE HEALTH CENTER'S QUARTERLY OUTREACH MAGAZINE, PROVIDES HEALTH INFORMATION AND IS DISTRIBUTED TO 97,000 HOUSEHOLDS IN A TEN-COUNTY AREA AT A COST OF $96,550. -HEART TO HEART COMMUNITY SCREENING PROGRAM: HEART TO HEART IS A COMMUNITY CARDIAC SCREENING PROGRAM THAT PROVIDES AFFORDABLE HEART DISEASE SCREENING AND EDUCATION. IT INCLUDES BASELINE EKG, BLOOD PRESSURE, CORONARY CT CALCIUM SCORING, LIPID PROFILE, RENAL FUNCTION TESTING, ETC. FOR A $95 CHARGE THAT DOES NOT COVER COSTS FOR TESTING, ADMINISTRATION OF THE PROGRAM AND PROGRAM PROMOTION. THE NET NON-REIMBURSED COST OF THIS SERVICE TO SBLHS IS $20,981. -METS PHASE III AT EIU: EXERCISE AND CARDIOVASCULAR EDUCATION ARE COMBINED TO HELP PEOPLE WITH CARDIAC EVENTS REHABILITATE. THE NON-REIMBURSED COST TO SBLHS IS $14,681. -REGIONAL BEHAVIORAL HEALTH NETWORK: SARAH BUSH LINCOLN, THE COLES COUNTY MENTAL HEALTH CENTER (NOW LIFE LINKS) AND THE HUMAN RESOURCES CENTER OF EDGAR AND CLARK COUNTIES JOINED FORCES TO CREATE THE REGIONAL BEHAVIORAL HEALTH NETWORK, AN ORGANIZATION THAT STREAMLINES ACCESS TO MENTAL HEALTHCARE FOR PEOPLE IN CRISIS. TOGETHER, THE THREE ORGANIZATIONS ESTIMATE THEY RESPOND TO ABOUT 3,000 CRISES INQUIRES FOR BEHAVIORAL HEALTH SERVICES ANNUALLY. THE COLLABORATIVE EFFORT IS PARTIALLY FUNDED BY GRANTS. THE HEALTH CENTER'S DIRECT AND IN-KIND NON-REIMBURSED COST WAS $74,000. -SARAH BUSH LINCOLN WEBSITE: THE HEALTH CENTER'S WEBSITE, WWW.SARAHBUSH.ORG, PROVIDES AREA RESIDENTS WITH ACCESS TO ACCURATE MEDICAL INFORMATION ABOUT ILLNESSES, TESTS AND TREATMENTS, AND IT OFFERS THEM A PLACE TO STORE THEIR OWN HEALTH INFORMATION. THE COST OF MAINTAINING THE SITE WAS $74,540. -STEP IN THE RIGHT DIRECTION AND LIVING WITH DIABETES: THIS SIX-MONTH LIFESTYLE MODIFICATION PROGRAM IS FREE TO AREA RESIDENTS WHO ARE AT RISK FOR DIABETES. PARTICIPANTS EXERCISE TWICE WEEKLY IN A CLASS SETTING, WHILE LEARNING ABOUT THEIR HEALTH AND WAYS TO IMPROVE IT. IT IS DESIGNED TO ASSIST PARTICIPANTS WITH WEIGHT LOSS, ESTABLISH REGULAR AND APPROPRIATE EXERCISE AND DIET CHANGES. THE PROGRAM SERVED MORE THAN 75-100 COMMUNITY MEMBERS WITH BLOOD GLUCOSE LEVELS OF 100 TO 125. THE NON-REIMBURSED COST WAS $32,388. -SUPPORT GROUPS: SUPPORT GROUPS ASSIST THOSE AFFECTED BY CANCER, OSTOMY, STROKE, ADD, ADHD, POOR PULMONARY FUNCTION, LOSS OF A CHILD THROUGH MISCARRIAGE AND STILLBIRTH, NUTRITION AND CERTAIN CARDIAC EVENTS. THE NON-REIMBURSED COST OF PROVIDING EDUCATION AND RESOURCES WAS APPROXIMATELY $12,015. ENHANCE HUMAN CAPITAL -HEALTH OCCUPATIONS: THE HEALTH OCCUPATIONS PROGRAM PROVIDES AREA HIGH SCHOOL STUDENTS WITH THE OPPORTUNITY TO LEARN MORE ABOUT HEALTHCARE. THE COLLABORATIVE PROGRAM RUNS THROUGHOUT THE SCHOOL YEAR, PROVIDES JOB SHADOWING FOR STUDENTS AND FREQUENT INTERACTION WITH PRACTICING PROFESSIONALS. STUDENTS GRADUATE WITH A CERTIFIED NURSE ASSISTANT CERTIFICATE. THE NON-REIMBURSED COST OF PROVIDING CLASSROOM SPACE FOR TRAINING WAS $21,918. CREATE HEALTHY COMMUNITIES -COMMUNITY AID: SBLHC ASSISTED MISSIONS IN VARIOUS AREAS AND LOCAL PROJECTS WITH HEALTHCARE NEEDS BY DONATING MEDICAL SUPPLIES AND EQUIPMENT. THE COST WAS APPROXIMATELY $211,549. -ORGANIZATIONAL SUPPORT (CASH AND IN-KIND GIFTS): BEING A GOOD NEIGHBOR MEANS SUPPORTING THE EFFORTS OF LOCAL AND REGIONAL ORGANIZATIONS WITH SIMILAR MISSIONS. THE HEALTH SYSTEM GAVE DIRECT FINANCIAL SUPPORT, STAFF TIME, THE USE OF HEALTH CENTER FACILITIES, AND OTHER RESOURCES IN EXCESS OF $221,509 TO COMMUNITY ORGANIZATIONS AND/OR PROJECTS, INCLUDING BUT NOT LIMITED TO: -COLES COUNTY DIAL-A-RIDE, A SERVICE THAT TRANSPORTS LOCAL RESIDENTS TO THEIR PHYSICIANS OFFICES -AMERICAN HEART ASSOCIATION HEART WALK, TO SUPPORT CARDIOVASCULAR RESEARCH -AMERICAN CANCER SOCIETY'S RELAY FOR LIFE, TO SUPPORT CANCER RESEARCH -COLES COUNTY 4-H AUCTION, TO SUPPORT EDUCATION -HOPE HOUSE, HOMELESS SHELTERS AND FOOD PANTRIES, AN AREA SCHOOL THROUGH OUR ADOPT-A-SCHOOL PROGRAM TO SUPPORT EDUCATION, MULTIPLE SPORTS TEAMS IN CHARLESTON, MATTOON, NEOGA, AND CASEY TO HELP FOSTER ACTIVE LIFESTYLES IN OUR YOUTH -YMCA RUN FOR BAGEL, TO SUPPORT HEALTH AND TOURISM -CHARLESTON COMMUNITY THEATRE, TO SUPPORT THE ARTS -AMERICAN DIABETES ASSOCIATION WALK, TO SUPPORT RESEARCH -MARCH OF DIMES WALK, TO SUPPORT RESEARCH CONTINUED |
| FORM 990, PART III, LINE 4A: | [CONTINUED] -HABITAT FOR HUMANITY, TO HELP BUILD AFFORDABLE, QUALITY HOMES -VARIOUS COMMUNITY FESTIVALS, TO SUPPORT FITNESS AND TOURISM -PEACEMEAL, TO DELIVER MEALS TO THE COMMUNITIES WE ALSO LEND SUPPORT TO COLES COUNTY UNITED WAY, ROTARY INTERNATIONAL, CCAR INDUSTRIES, COLES TOGETHER, COLES COMMUNITY HEALTH PLAN, AREA CHAMBERS OF COMMERCE, AND OTHER AGENCIES BY PARTICIPATING IN THEIR FUNDRAISING EVENTS, BOARDS AND COMMITTEES. IN ADDITION, SBLHC SUPPORTS A WIDE VARIETY OF SCHOOL ACTIVITIES BY SPONSORING PROGRAMS AND NEWSLETTERS SO STUDENTS HAVE A MORE FULFILLING SCHOOL EXPERIENCE. -HEALTHY KIDS: IN OUR SEVEN COUNTY SERVICE AREA THERE ARE APPROXIMATELY 9,000 CHILDREN WHO ARE CONSIDERED OVERWEIGHT OR OBESE. THAT IS AROUND 36%! (THE NATIONAL AVERAGE IS CLOSER TO 32%) OVERWEIGHT ADOLESCENTS HAVE A 70% CHANCE OF BECOMING OVERWEIGHT ADULTS. THIS INCREASES TO 80% IF ONE OR BOTH PARENTS ARE OVERWEIGHT OR OBESE. 70% OF OBESE YOUTH HAVE AT LEAST ONE RISK FACTOR FOR CARDIOVASCULAR DISEASE. THAT'S WHY WE CREATED OUR HEALTHY KIDS PROGRAMS; WE WANTED TO SEE THIS NUMBER DECREASE. WE WANT TO SEE KIDS LIVE HEALTHY LONG LIVES. THE MISSION OF THE HEALTHY KIDS PROGRAM IS "BRINGING AWARENESS TO FAMILIES IN OUR COMMUNITY ABOUT CHILDHOOD OBESITY AND PROMOTE HEALTHY LIFESTYLE CHOICES." OVER THE YEARS OUR HEALTHY KIDS PROGRAMS HAVE GROWN TO SERVE APPROXIMATELY 5,000 STUDENTS EACH MONTH. IN FY 2020, WE PROVIDED EDUCATIONAL EXPERIENCES TO 32,631 STUDENTS. (SOME STUDENTS ARE REPEATED VISITS EACH MONTH.) THE COST OF THIS PROGRAM TO SBLHC IS $88,446. -SPORTS PHYSICALS: ORTHOPEDIC SURGEONS AND FAMILY PRACTICE PHYSICIANS PARTNER WITH AREA SCHOOLS TO PROVIDE SPORTS PHYSICALS FOR ATHLETES. STUDENTS PAY $20 PER PHYSICAL, A FEE THAT IS THEN DONATED TO THEIR SCHOOLS' BOOSTER CLUBS BY SBLHC. SOME 457 SPORTS PHYSICALS WERE PROVIDED AT A COST OF $9,140. MAINTAIN FINANCIAL VIABILITY -FINANCIAL ASSISTANCE: TRADITIONAL CHARITY CARE COVERS SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY FOR THEIR HEALTHCARE. THE HEALTH SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE FINANCIAL ASSISTANCE POLICIES WITHOUT CHARGE OR AT AMOUNTS LESS THAN THEIR ESTABLISHED RATES. EFFECTIVE JANUARY 1, 2005, THE HEALTH SYSTEM ADOPTED A NEW CHARITY CARE POLICY THAT SIGNIFICANTLY EXPANDED THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR PATIENTS OF THE SYSTEM. THE POLICY GIVES FINANCIAL ASSISTANCE IN SOME CASES AT FOUR TIMES THE FEDERAL POVERTY GUIDELINES. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED WAS $14,976,935 FOR THE YEAR AND THE COST OF THOSE SERVICES AFTER CONTRIBUTIONS AND OTHER DIRECT ASSISTANCE WAS $3,577,184 IN FY 2020, 2,942 PEOPLE RECEIVED FINANCIAL ASSISTANCE. -GOVERNMENTAL INSURANCE PROGRAM: UNPAID COST OF PUBLIC PROGRAMS FOR TREATING MEDICARE, MEDICAID, AND OTHER GOVERNMENTAL PROGRAMS IN EXCESS OF GOVERNMENT PAYMENTS WAS $7,940,727 DURING THE YEAR. |
| FORM 990, PART VI, SECTION A, LINE 2 | DENNIS PLUARD, JERRY ESKER, KIM UPHOFF, SCOTT WILSON AND TINA STOVALL HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER AS A RESULT OF ALL SERVING AS BOARD MEMBERS OF SBL PRACTICE ACQUISITIONS, A FOR-PROFIT AFFILIATE OF THE ORGANIZATION. ALL MEMBERS OF THE HEALTH CENTER BOARD HAVE DUAL MEMBERSHIP WITH THE HEALTH SYSTEM BOARD. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS SARAH BUSH LINCOLN HEALTH SYSTEM. |
| FORM 990, PART VI, SECTION A, LINE 7A | BOARD MEMBERS WILL AID IN THE SELECTION FOR THE NOMINATION OF NEW BOARD MEMBERS WHEN VACANCIES OCCUR OR WHEN TERMS WILL EXPIRE, BUT THE FINAL APPROVAL OF THE CANDIDATES IS MADE BY THE SOLE MEMBER OF THE CORPORATION, SARAH BUSH LINCOLN HEALTH SYSTEM. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SARAH BUSH HEALTH SYSTEM BOARD, THE SOLE MEMBER OF THE HEALTH CENTER BOARD, RETAINS CERTAIN RESERVED POWERS INCLUDING; AMENDING ARTICLES OF INCORPORATION OR BYLAWS, APPROVING THE ANNUAL OPERATING BUDGET AND LONG RANGE STRATEGIC PLAN, APPROVAL OF ANY TRANSACTIONS REQUIRING A CERTIFICATE OF NEED, APPROVAL OF THE BORROWING OF FUNDS AND INCURRING DEBT, APPROVAL OF MERGERS, CONSOLIDATIONS, SALE, OF ALL OR SUBSTANTIALLY ALL ASSETS, SELECTING AUDITORS, CREATING OR ACQUIRING SUBSIDIARY OR AFFILIATE CORPORATIONS, DISSOLVING THE CORPORATION, APPOINTING, EVALUATING AND REMOVAL OF PRESIDENT/CEO, AND ELECTING BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE SENIOR ACCOUNTING STAFF REVIEWS ALL ELEMENTS OF THE 990 BASED ON PRIOR KNOWLEDGE AND INTERVIEWS WITH OTHER INDIVIDUALS IN THE ORGANIZATION. IN ADDITION, BOARD MEMBERS SUBMIT DETAILED QUESTIONNAIRES WITH REGARDS TO THEIR RELATIONSHIPS WITH THE ORGANIZATION. THE FINAL FORM 990 IS MADE AVAILABLE TO THEM ONLINE VIA A WEB PORTAL AND AT THEIR BOARD MEETING FOR REVIEW AND QUESTIONS. |
| FORM 990, PART VI, SECTION B, LINE 12C | MEMBERS OF THE BOARD OF DIRECTORS ANNUALLY COMPLETE A CERTIFICATION STATEMENT WHICH IDENTIFIES POSSIBLE CONFLICTS OF INTEREST RELATED TO THEIR PROFESSIONAL AND PERSONAL LIVES. DURING DELIBERATIONS AND DECISIONS ON WHICH THERE APPEARS TO BE A CONFLICT OF INTEREST, THE BOARD MEMBER IS EXCUSED FROM THE DISCUSSION AND DELIBERATION, SHALL NOT VOTE ON, NOR USE HIS PERSONAL INFLUENCE ON OR BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM IN RESPECT TO THE TRANSACTION OR CONTRACT. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION IS DETERMINED FOR THE PRESIDENT & CEO, VP MEDICAL AFFAIRS, VP FINANCE & OPERATIONS, VP PRACTICE MANAGEMENT, VP PATIENT CARE SERVICES, VP INFORMATION SERVICES, VP HUMAN RESOURCES, AND THE VP DEVELOPMENT & FOUNDATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE SBL BOARD. AN INDEPENDENT CONSULTANT, HAY GROUP, INC., REVIEWED CURRENT COMPENSATION FOR EACH POSITION AND COMPARED IT TO SIMILAR POSITIONS IN LIKE ORGANIZATIONS. THE COMMITTEE APPROVED COMPENSATION CONSISTENT WITH THE BOARD-APPROVED EXECUTIVE COMPENSATION PHILOSOPHY. THIS PROCESS IS DONE ANNUALLY, BETWEEN JUNE AND AUGUST, FOR ALL THE LISTED POSITIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | CURRENTLY, SARAH BUSH LINCOLN HEALTH CENTER POSTS THEIR COMMUNITY BENEFITS STATEMENT ON OUR PUBLIC WEB-SITE. NO OTHER GOVERNING DOCUMENTS ARE ROUTINELY MADE AVAILABLE. |
| FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT: | THE SOLE CORPORATE MEMBER ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| SARAH BUSH LINCOLN HEALTH SYSTEM | ||||||||||
| 1000 HEALTH CENTER DRIVE | MATTOON | IL | 61938 | 371136714 | PARENT COMPANY | IL | 501(C)(3) | LINE 12B, II | 0 | |
| SARAH BUSH LINCOLN HEALTH CENTER FOUNDATION | ||||||||||
| 1000 HEALTH CENTER DRIVE | MATTOON | IL | 61938 | 371136713 | FUNDRAISING | IL | 501(C)(3) | LINE 12A, I | Yes (1) | SARAH BUSH LINCOLN HEALTH SYSTEM |
| HEARTLAND HEALTH SYSTEM INC | ||||||||||
| 1000 HEALTH CENTER DRIVE | MATTOON | IL | 61938 | 201890414 | HEALTHCARE | IL | 501(C)(3) | LINE 3 | Yes (1) | SARAH BUSH LINCOLN HEALTH SYSTEM |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SARAH BUSH LINCOLN CAPTIVE INSURANCE | |||||||||||||
| 18 FORUM LANE 2ND FLOOR PO BOX 69 | GEORGE TOWN | CJ | INSURANCE | CJ | N/A | C | Yes (1) | ||||||
| SBL PRACTICE ACQUISITIONS INC | |||||||||||||
| MANAGEMENT | N/A | C | Yes (1) | 1000 HEALTH CENTER DRIVE | MATTOON | IL | 61938 | 824716884 | IL | ||||
| BONUTTI ORTHOPEDIC SVCS INC | |||||||||||||
| HEALTHCARE | N/A | C | Yes (1) | 1303 W EVERGREEN AVE | EFFINGHAM | IL | 62401 | 371257387 | IL | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BONUTTI ORTHOPEDIC SERVICES | ||
| S | $2,500,000 | INTERCO ACCOUNTS |
| SARAH BUSH LINCOLN HEALTH CENTER FOUNDATION | ||
| C | $1,609,338 | BOOK VALUE |