SARAH BUSH LINCOLN HEALTH CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SARAH BUSH LINCOLN HEALTH CENTER (EIN 23-7098532)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-09
IRS object ID
201531299349300508
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-09T11:42:53-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1211 N BROADWAY SUITE 600AddressLine1
CityST LOUISCity
StateMOState
ZIP Code631022733ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237098532EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Sarah Bush Lincoln Health CenterBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% DENNIS J PLUARD CPAInCareOfNm
Business Name ControlSARABusinessNameControlTxt
Phone2172582514PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 372AddressLine1
Address Line2SuiteAddressLine2
CityMattoonCity
StateILState
ZIP Code61938ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENNIS PLUARDPersonNm
Person TitleVICE PRESIDENT OPERATIONSPersonTitleTxt
Phone2172582514PhoneNum
Signature2015-05-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDonna J LarsonPreparerPersonNm
PTINP00043751PTIN
Phone2172582514PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTIMOTHY A OLSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRIVEAddressLine1
CityMATTOONCity
StateILState
ZIP Code61938ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$330,243,033GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.sarahbush.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE MISSION OF SARAH BUSH LINCOLN HEALTH CENTER IS TO PROVIDE EXCEPTIONAL CARE FOR ALL AND CREATE HEALTHY COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2154TotalEmployeeCnt
Total Volunteers203TotalVolunteersCnt
Total Gross UBI$4,435,735TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$285,550NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$975,742PYContributionsGrantsAmt
CY Contributions Grants$3,476,174CYContributionsGrantsAmt
PY Program Service Revenue$193,339,755PYProgramServiceRevenueAmt
CY Program Service Revenue$223,596,343CYProgramServiceRevenueAmt
PY Investment Income$9,318,480PYInvestmentIncomeAmt
CY Investment Income$10,313,420CYInvestmentIncomeAmt
PY Other Revenue$14,506,904PYOtherRevenueAmt
CY Other Revenue$15,279,420CYOtherRevenueAmt
PY Total Revenue$218,140,881PYTotalRevenueAmt
CY Total Revenue$252,665,357CYTotalRevenueAmt
PY Grants And Similar Paid$56,140PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$51,665CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$123,556,391PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$138,747,283CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$72,178,294PYOtherExpensesAmt
CY Other Expenses$85,584,818CYOtherExpensesAmt
PY Total Expenses$195,790,825PYTotalExpensesAmt
CY Total Expenses$224,383,766CYTotalExpensesAmt
PY Revenues Less Expenses$22,350,056PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$28,281,591CYRevenuesLessExpensesAmt
Total Assets BOY$345,534,207TotalAssetsBOYAmt
Total Assets EOY$390,306,007TotalAssetsEOYAmt
Total Liabilities BOY$121,748,903TotalLiabilitiesBOYAmt
Total Liabilities EOY$129,121,296TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$223,785,304NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$261,184,711NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$198,038,011ExpenseAmt
Grant$51,665GrantAmt
Revenue$228,032,078RevenueAmt
DescSEE SCHEDULE O.Desc
Total Program Service Expenses$198,038,011TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document136IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2154EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Foreign CountryBDForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDENNIS J PLUARD CPAPersonNm
Phone2172582102PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRIVEAddressLine1
CityMATTOONCity
StateILState
ZIP Code61938ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MR SCOTT LENSINK
CHAIRPERSON1.04.0Yes (X)Yes (X)$0$0$0
MR MICHAEL SMITH
CHAIRPERSON ELECT1.03.0Yes (X)Yes (X)$0$0$0
MS JILL NILSEN
DIRECTOR1.01.0Yes (X)$0$0$0
MS JEANNE DAU
SECRETARY1.01.0Yes (X)Yes (X)$0$0$0
MR STEVE WENTE
TREASURER1.01.0Yes (X)Yes (X)$0$0$0
DR GARY MIKEL
DIRECTOR53.02.0Yes (X)$375,114$0$29,188
MS LAUREL ALLENBAUGH
DIRECTOR1.01.0Yes (X)$0$0$0
DR SHERYL ARTMANN
DIRECTOR54.01.0Yes (X)$509,275$0$32,599
MS ANN BACON
DIRECTOR1.02.0Yes (X)$0$0$0
MR CHRIS CONSIDINE
DIRECTOR1.01.0Yes (X)$0$0$0
MR STEVE HONSELMAN
DIRECTOR1.02.0Yes (X)$0$0$0
DR KIRAN JOAG
DIRECTOR54.01.0Yes (X)$505,289$0$32,077
MR JIM LITTLEFORD
DIRECTOR1.01.0Yes (X)$0$0$0
MS LYLA MCGUIRE
DIRECTOR1.01.0Yes (X)$0$0$0
MR TIM MOONEY
DIRECTOR1.01.0Yes (X)$0$0$0
MR WILLIAM PERRY
DIRECTOR1.02.0Yes (X)$0$0$0
DR ALDO RUFFOLO
DIRECTOR1.01.0Yes (X)$0$0$0
MR MICHAEL STANFIELD
DIRECTOR1.01.0Yes (X)$0$0$0
MR SCOTT WILSON
DIRECTOR1.01.0Yes (X)$0$0$0
MR DON DAVIS
DIRECTOR1.01.0Yes (X)$0$0$0
MS TINA STOVALL
DIRECTOR1.01.0Yes (X)$0$0$0
MR TIMOTHY A OLS
PRESIDENT & CEO40.015.0Yes (X)$619,090$0$33,301
MR CRAIG W SHEAGREN
VP FINANCE52.03.0Yes (X)$336,807$0$22,861
MR DENNIS J PLUARD
VP OPERATIONS55.00.0$372,672$0$26,025Yes (X)
MR JERRY J ESKER
VP PRACTICE MANAGEMENT55.00.0$338,175$0$20,697Yes (X)
MS MARY LOU WILD
VP PATIENT CARE55.00.0$322,802$0$16,627Yes (X)
DR JAMES HILDEBRANDT
DIRECTOR54.01.0$522,727$0$30,751Yes (X)
MR ERIC G BENSON
VP HUMAN RESOURCES55.00.0$260,902$0$24,032Yes (X)
MS KIMBERLY A UPHOFF
VP DEVELOPMENT27.028.0$212,609$0$24,491Yes (X)
AARON C EUBANKS MD
PHYSICIAN50.00.0$1,797,512$0$35,638Yes (X)
LOUIS B MENDELLA MD
PHYSICIAN50.00.0$1,764,241$0$37,347Yes (X)
CHARLEY T NGUYEN MD
PHYSICIAN50.00.0$1,156,484$0$35,405Yes (X)
DONALD M SANDERCOCK MD
PHYSICIAN50.00.0$1,046,130$0$33,125Yes (X)
CURTIS R GREEN MD
PHYSICIAN50.00.0$917,450$0$36,762Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$11,057,279TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$470,926TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K156IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
SM WILSON COMPANY
2185 HAMPTON AVEST LOUISMO63139CONSTRUCT CONTRACTOR$10,644,608
PEPCO ENERGY SERVICES
PO BOX 75620BALTIMOREMD212755620ENERGY CONSULT/CONTR$2,408,677
PRAIRIE CARDIOVASCULAR
619 EAST MASON STSPRINGFIELDIL62701MEDICAL SPEC FEE$1,876,872
SOUTH BEND MEDICAL FDTN INC
PO BOX 2030MISHAWAKAIN465462030LABORATORY SERVICES$864,968
DRAKE HOMESS CORPORATION
1765 BEECHTREE RDCHARLESTONIL61920CONSTRUCT CONTRACTOR$854,147
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K43CntrctRcvdGreaterThan100KCnt
Related Organizations$2,806,814RelatedOrganizationsAmt
Government Grants$644,570GovernmentGrantsAmt
All Other Contributions$24,790AllOtherContributionsAmt
Total Contributions$3,476,174TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REV.621110$181,713,657$181,713,657
OUTREACH REVENUE541900$78,432$78,432
NET PROVIDER REVENUE621110$41,804,254$41,804,254
FieldValueIRS element (for citing)
Total Program Service Revenue$223,596,343TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,923,301TotalRevenueColumnAmt
Exclusion$2,923,301ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$331,354RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$331,354RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$331,354TotalRevenueColumnAmt
Exclusion$331,354ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$84,825,347SecuritiesAmt
Other$142,448OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$76,655,628SecuritiesAmt
Other$922,048OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$8,169,719SecuritiesAmt
Other-$779,600OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,390,119TotalRevenueColumnAmt
Exclusion$7,390,119ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
REFERENCE LAB.621500$8,165,392$4,402,771$3,762,621
CAFETERIA & CATERING722320$747,119$32,964$714,155
PEACE MEAL PROGRAM REV900099$1,658,851$1,658,851

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,376,704TotalRevenueColumnAmt
Exclusion$4,376,704ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$14,948,066OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$252,665,357TotalRevenueColumnAmt
Related Or Exempt Func Income$223,596,343RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,435,735UnrelatedBusinessRevenueAmt
Exclusion$21,157,105ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$51,665TotalAmt
Program Services$51,665ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,531,986TotalAmt
Management And General$4,531,986ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$117,975TotalAmt
Management And General$117,975ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$104,882,911TotalAmt
Program Services$96,970,664ProgramServicesAmt
Management And General$7,912,247ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,097,329TotalAmt
Program Services$3,788,231ProgramServicesAmt
Management And General$309,098ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,969,287TotalAmt
Program Services$17,538,266ProgramServicesAmt
Management And General$1,431,021ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,147,795TotalAmt
Program Services$5,684,012ProgramServicesAmt
Management And General$463,783ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$118,391TotalAmt
Management And General$118,391ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$165,500TotalAmt
Management And General$165,500ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$38,750TotalAmt
Management And General$38,750ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,731,284TotalAmt
Program Services$12,125,530ProgramServicesAmt
Management And General$605,754ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$814,366TotalAmt
Program Services$814,366ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$34,281,507TotalAmt
Program Services$31,695,349ProgramServicesAmt
Management And General$2,586,158ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,345,947TotalAmt
Program Services$2,168,971ProgramServicesAmt
Management And General$176,976ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,343,279TotalAmt
Program Services$3,091,066ProgramServicesAmt
Management And General$252,213ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,171,186TotalAmt
Program Services$1,082,833ProgramServicesAmt
Management And General$88,353ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,173,947TotalAmt
Program Services$1,085,386ProgramServicesAmt
Management And General$88,561ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,099,487TotalAmt
Program Services$1,099,487ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,925,949TotalAmt
Program Services$10,101,708ProgramServicesAmt
Management And General$824,241ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,362,106TotalAmt
Management And General$6,362,106ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MAINTENANCE/PREVENTATIVE MAINT$2,867,735$2,651,396$216,339$0
IL HOSPITAL TAX ASSESSMENT$6,392,100$6,392,100
DUES AND SUBSCRIPTIONS$397,993$397,993
RECRUITMENT EXPENSES$608,954$608,954

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$746,337TotalAmt
Program Services$690,034ProgramServicesAmt
Management And General$56,303ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$224,383,766TotalAmt
Program Services$198,038,011ProgramServicesAmt
Management And General$26,345,755ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,220BOYAmt
EOY$6,820EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$72,995,764BOYAmt
EOY$102,230,734EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,725,772BOYAmt
EOY$31,918,043EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,685,501BOYAmt
EOY$4,092,610EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,788,296BOYAmt
EOY$2,440,646EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$240,425,135LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$118,132,698LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$104,652,809BOYAmt
EOY$122,292,437EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$68,742,942BOYAmt
EOY$52,177,698EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$55,869,658BOYAmt
EOY$70,892,169EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,067,245BOYAmt
EOY$4,254,850EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$345,534,207BOYAmt
EOY$390,306,007EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,933,076BOYAmt
EOY$38,977,235EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,845,000BOYAmt
EOY$37,370,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$177,308BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$42,793,519BOYAmt
EOY$52,774,061EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$121,748,903BOYAmt
EOY$129,121,296EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$223,785,304BOYAmt
EOY$261,184,711EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$223,785,304BOYAmt
EOY$261,184,711EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$345,534,207BOYAmt
EOY$390,306,007EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$28,281,591ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$9,117,816NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$38,750GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$38,750TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART IVFormAndLineReferenceDesc
ExplanationTHIS IS THE PORTION OF THE IHHA/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 23.65% OF THE ANNUAL MEMBERSHIP DUES AND THE PERCENTAGE BY IHHA WAS DETERMINED TO BE 39.0% OF THEIR DUES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,440,394BeginningYearBalanceAmt
Contributions$15,359ContributionsAmt
Investment Earnings Or Losses$417,278InvestmentEarningsOrLossesAmt
End Year Balance$3,873,031EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,157,288BeginningYearBalanceAmt
Contributions$10ContributionsAmt
Investment Earnings Or Losses$283,096InvestmentEarningsOrLossesAmt
End Year Balance$3,440,394EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$65,660,868BeginningYearBalanceAmt
Contributions$6,860ContributionsAmt
Investment Earnings Or Losses$8,519InvestmentEarningsOrLossesAmt
Other Expenditures$62,518,959OtherExpendituresAmt
End Year Balance$3,157,288EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$44,179,288BeginningYearBalanceAmt
Contributions$18,233,631ContributionsAmt
Investment Earnings Or Losses$6,968,167InvestmentEarningsOrLossesAmt
Grants Or Scholarships$502,922GrantsOrScholarshipsAmt
Other Expenditures$3,217,296OtherExpendituresAmt
End Year Balance$65,660,868EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$38,975,241BeginningYearBalanceAmt
Contributions$5,800,500ContributionsAmt
Investment Earnings Or Losses$3,288,311InvestmentEarningsOrLossesAmt
Grants Or Scholarships$658,806GrantsOrScholarshipsAmt
Other Expenditures$3,225,958OtherExpendituresAmt
End Year Balance$44,179,288EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.01159BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.64628PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.34213TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,265,418OtherCostOrOtherBasisAmt
Book Value$3,265,418BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$111,176,847OtherCostOrOtherBasisAmt
Depreciation$40,621,596DepreciationAmt
Book Value$70,555,251BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$626,853OtherCostOrOtherBasisAmt
Depreciation$226,345DepreciationAmt
Book Value$400,508BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$97,370,454OtherCostOrOtherBasisAmt
Depreciation$73,314,037DepreciationAmt
Book Value$24,056,417BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,985,564OtherCostOrOtherBasisAmt
Depreciation$3,970,721DepreciationAmt
Book Value$24,014,843BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$122,292,437TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SUPPLEMENTAL PENSION$27,945,013F
DEFERRED COMPENSATION$11,870,222F
HEDGE FUNDS$31,076,934F
FieldValueIRS element (for citing)
Total Book Value Securities$70,892,169TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
SUPPLEMENTAL PENSION$27,971,847
DEFERRED COMPENSATION$11,870,222
EST PROFESSIONAL LIABILITY CLA$12,931,992
FieldValueIRS element (for citing)
Total Liability$52,774,061TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VIENDOWMENT FUNDS ALL FUNDS ARE HELD BY A RELATED ORGANIZATION, SARAH BUSH LINCOLN HEALTH FOUNDATION. PER THE DONORS SPECIFIED INTENTIONS, PERMANENT AND TERM 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 2FIN 48 FOOTNOTE MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Region Total Expenditures$23,495,423RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Spent$23,495,423SubtotalSpentAmt
Total Spent$23,495,423TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN FFormAndLineReferenceDesc
ExplanationINVESTMENTS & EXPENDITURES INVESTMENTS IN REGION: $ 23,495,423 EXPENDITURES IN REGION: 0 (INVESTMENT EXPENSES)ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other130.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,954,710TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,954,710NetCommunityBenefitExpnsAmt
Total Expense0.04240TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,370,877TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,899,336DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,471,541NetCommunityBenefitExpnsAmt
Total Expense0.03060TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55,325,587TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,899,336DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,426,251NetCommunityBenefitExpnsAmt
Total Expense0.07300TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$823,432TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$823,432NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$325,997TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$325,997NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,149,429TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,149,429NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$56,475,016TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,899,336DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,575,680NetCommunityBenefitExpnsAmt
Total Expense0.07840TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,700TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$38,700NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,700TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$38,700NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,650,284BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$43,758,118ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$65,577,277CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$21,819,159MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SARAH BUSH LINCOLN HEALTH CENTERBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRIVEAddressLine1
CityMATTOONCity
StateILState
ZIP Code61938ZIPCode
FieldValueIRS element (for citing)
Website AddressHTTP://WWW.SARAHBUSH.ORGWebsiteAddressTxt
State License0003392StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SARAH BUSH LINCOLN HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLhttp://Mattoon.HealthForecast.netOtherWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care130.FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Asset LevelYes (X)AssetLevelInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 3AS PART OF THE COMMUNITY HEALTH ASSESSMENT, TWO FOCUS GROUPS WERE HELD ON JULY 24-25, 2012. FOCUS GROUPS WERE COMPRISED OF 14 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 THOSE PARTICIPATING ARE AVAILABLE UPON REQUEST.
PART V, SECTION B, LINE 5AHOSPITAL FACILITY WEBSITE: HTTP://WWW.SARAHBUSH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ THE IMPLEMENTATION STRATEGY IS NOT POSTED TO THE WEBSITE, BUT HAS BEEN ATTACHED TO THE FEDERAL TAX RETURN.
PART V, SECTION B, LINE 71.) DIABETES: SBLHC FEELS THAT EFFORTS OUTLINED TO ADDRESS HEART DISEASE & STROKE WILL HAVE A POSITIVE IMPACT ON ADDRESSING DIABETES DEATHS AS WELL. THE AGE-ADJUSTED MORTALITY RATE FOR DIABETES IS LOWER THAN THE OTHER HEALTH NEEDS IDENTIFIED; THEREFORE WE ARE FOCUSING OUR RESOURCES ON THE NEEDS WITH THE HIGHER MAGNITUDE. 2.) MENTAL HEALTH: SBLHC HAS LIMITED RESOURCES AND SERVICES AVAILABLE TO ADDRESS MENTAL HEALTH, SPECIFICALLY SUICIDE DEATHS. THE RESOURCES EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. 3.) MATERNAL, INFANT AND CHILD HEALTH: SBLHC FEELS THAT OTHER HEALTH NEEDS IDENTIFIED ARE OF HIGHER PRIORITY THAN THE INFANT DEATH RATE DUE TO LOWER NUMBER OF ANNUAL INFANT DEATHS AND THE SMALL VARIANCE FROM THE BENCHMARK DATA. 4.) CHRONIC KIDNEY DISEASE: SBLHC FEELS THAT EFFORTS OUTLINED TO ADDRESS HEART DISEASE & STROKE WILL HAVE A POSITIVE IMPACT ON ADDRESSING CHRONIC KIDNEY DISEASE DEATHS AS WELL. THE AGE-ADJUSTED MORTALITY RATE FOR CHRONIC KIDNEY DISEASE IS LOWER THAN THE OTHER HEALTH NEEDS IDENTIFIED; THEREFORE WE ARE FOCUSING OUR RESOURCES ON THE NEEDS WITH THE HIGHER MAGNITUDE. 5.) INJURY & VIOLENCE PREVENTION: SBLHC HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS INJURY & VIOLENCE PREVENTION. OTHER COMMUNITY RESOURCES, SUCH AS LOCAL LAW ENFORCEMENT, HAVE THE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER SUPPORT THIS HEALTH NEED. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.
PART V, SECTION B, LINE 20DPATIENTS WITHOUT INSURANCE AND WHO QUALIFY FOR FINANCIAL ASSISTANCE (OR HAVE PREVIOUSLY QUALIFIED FOR FINANCIAL ASSISTANCE) ARE GIVEN A DISCOUNT IN ACCORDANCE WITH HOSPITAL POLICY.
FieldValueIRS element (for citing)
Facility13FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
SBL ARCOLA CLINIC
241 W SPRINGFIELD RDARCOLAIL61920CLINIC
SBL ARTHUR CLINIC
211 S WALNUTARTHURIL61911CLINIC
SBL CASEY CLINIC
412 NW 3RD STCASEYIL62420CLINIC
SBL CHARLESTON FAMILY PRACTICE
116 WEST BUCHANAN AVECHARLESTONIL61920CLINIC
SBL FAMILY MEDICAL CENTER
200 RICHMOND AVE EMATTOONIL61928CLINIC
SBL NEOGA CLINIC
650 OAK AVE PO BOX 640NEGOAIL62447CLINIC
SBL SULLIVAN CLINIC
7 HAWTHORNE LANESULLIVANIL61951CLINIC
SBL TOLEDO CLINIC
168 COURTHOUSE SQUARE PO BOX 99TOLEDOIL62468CLINIC
SBL EFFINGHAM CLINIC
905 N MAPLEEFFINGHAMIL62401CLINIC
SBL MATTOON WALK-IN CLINIC
144 DETTRO DRIVEMATTOONIL61938CLINIC
SBL NEWTON CLINIC
910 SOUTH VAN BUREN STNEWTONIL62448CLINIC
SBL CHARLESTON WALK-IN CLINIC
2040 EAST LINCOLNCHARLESTONIL61820CLINIC
SBL ALTAMONT CLINIC
8 NORTH THIRD STREETALTAMONTIL62441CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6AIT IS PUBLISHED ON OUR WEBSITE (WWW.SARAHBUSH.ORG).
PART I, LINE 7, COLUMN FTHE ORGANIZATION INCURRED BAD DEBT EXPENSE IN THE AMOUNT OF $13,128,978, HOWEVER, IT HAS BEEN DISREGARDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
PART I, LINE 7THE 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 IICOLES 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 2USED THE RATIO OF PATIENT CARE COST TO CHARGES (0.3542) AS COMPUTED ON WORKSHEET 2 OF THE ACCOUNTING WORK PAPERS CALCULATE THE BAD DEBT EXPENSE (13,128,978) AT COST (4,650,284). WE REDUCE BAD DEBT EXPENSE BY THE DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS.
PART III, LINE 4SEE THE PATIENT ACCOUNTS RECEIVABLE NOTE ON PAGE 8 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8ALTHOUGH 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.
PART III, LINE 9BACCOUNTS WRITTEN OFF AS A BAD DEBT AND REFERRED TO A COLLECTION AGENCY BUT LATER DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE WILL BE PLACED ON HOLD AT THE COLLECTION AGENCY AND ADDED TO THE BALANCES CONSIDERED FOR FINANCIAL ASSISTANCE.
2. NEEDS ASSESSMENTEVERY 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 CENTERS 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, HEART DISEASE & STROKE, CANCER, TOBACCO USE AND ORAL HEALTH.
3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEWHEN 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.
4. COMMUNITY INFORMATIONSARAH BUSH LINCOLN (SBL) SERVES RURAL COMMUNITIES IN EAST CENTRAL ILLINOIS. SBL'S MARKET AREA ENCOMPASSES 7 COUNTIES INCLUDING: CLARK, COLES, CUMBERLAND, DOUGLAS, EDGAR, 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 HAS 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.
5. PROMOTION OF COMMUNITY HEALTHSARAH BUSH LINCOLN HEALTH CENTER HAS AN OPEN MEDICAL STAFF AS WELL AS A COMMUNITY BOARD.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
COLES TOGETHER
400 AIRPORT ROADMATTOONIL61938371243664501(C)(6)$27,500SEE PART IV
ILLINOIS PERFORMANCE EXCELLENCE
1415 W DIEHL RDNAPERVILLEIL60563363952696501(C)(3)$15,000SEE PART IV
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, COLUMN HFormAndLineReferenceDesc
ExplanationPURPOSE OF GRANT OR ASSISTANCE 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. ILLINOIS PERFORMANCE EXCELLENCE IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 1994 TO ASSIST ORGANIZATIONS IN USING THE BALDRIGE CRITERIA FOR PERFORMANCE EXCELLENCE TO LEARN AND SHARE WITH OTHER ORGANIZATIONS BEST PRACTICES FOR CHANGE AND PROCESS IMPROVEMENTS. OUR PARTICIPATION AND COMMITMENT TO THIS PROCESS ENABLES US TO IMPROVE PROCESSES AND PERFORMANCE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR GARY MIKEL
DIRECTOR$238,651$0$107,335$0$29,128$0$8,750$0$20,438$0$404,302$0$0$0
DR SHERYL ARTMANN
DIRECTOR$455,025$0$992$0$53,258$0$8,750$0$23,849$0$541,874$0$0$0
DR KIRAN JOAG
DIRECTOR$330,750$0$135,098$0$39,441$0$8,750$0$23,327$0$537,366$0$0$0
MR TIMOTHY A OLS
PRESIDENT & CEO$398,738$0$213,441$0$6,911$0$8,750$0$24,551$0$652,391$0$0$0
MR CRAIG W SHEAGREN
VP FINANCE$223,369$0$85,805$0$27,633$0$8,750$0$14,111$0$359,668$0$0$0
MR DENNIS J PLUARD
VP OPERATIONS$243,130$0$100,897$0$28,645$0$8,750$0$17,275$0$398,697$0$0$0
MR JERRY J ESKER
VP PRACTICE MANAGEMENT$217,364$0$94,798$0$26,013$0$8,665$0$12,032$0$358,872$0$0$0
MS MARY LOU WILD
VP PATIENT CARE$217,817$0$77,656$0$27,329$0$8,714$0$7,913$0$339,429$0$0$0
DR JAMES HILDEBRANDT
DIRECTOR$373,964$0$106,171$0$42,592$0$8,750$0$22,001$0$553,478$0$0$0
MR ERIC G BENSON
VP HUMAN RESOURCES$169,128$0$70,555$0$21,219$0$6,920$0$17,112$0$284,934$0$0$0
MS KIMBERLY A UPHOFF
VP DEVELOPMENT$141,547$0$55,675$0$15,387$0$5,708$0$18,783$0$237,100$0$0$0
AARON C EUBANKS MD
PHYSICIAN$849,992$0$766,924$0$180,596$0$8,750$0$26,888$0$1,833,150$0$0$0
LOUIS B MENDELLA MD
PHYSICIAN$849,993$0$605,116$0$309,132$0$8,750$0$28,597$0$1,801,588$0$0$0
CHARLEY T NGUYEN MD
PHYSICIAN$823,992$0$236,168$0$96,324$0$8,750$0$26,655$0$1,191,889$0$0$0
DONALD M SANDERCOCK MD
PHYSICIAN$597,497$0$232,716$0$215,917$0$8,750$0$24,375$0$1,079,255$0$0$0
CURTIS R GREEN MD
PHYSICIAN$650,000$0$194,126$0$73,324$0$8,750$0$28,012$0$954,212$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, LINE 7COMPENSATION INFORMATION 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, LINE 1AHEALTH OR SOCIAL CLUB DUES AND COMPANION TRAVEL COUNTRY CLUB DUES ARE REPORTED AS TAXABLE COMPENSATION FOR OUR PRESIDENT AND CEO, MR. TIMOTHY A OLS. TRAVEL FOR COMPANIONS IS PROVIDED PER THE EMPLOYMENT AGREEMENT WITH THE PRESIDENT & CEO, TIM OLS. ANY PERSONAL ITEMS, EXTRA DAYS, AND MEALS FOR BOTH ARE PAID FOR USING HIS PERSONAL CREDIT CARD.
SCHEDULE J, LINE 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 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: GARY MIKEL, MD AARON EUBANKS, MD LOUIS MENDELLA, MD DONALD SANDERCOCK, MD CHARLEY NGUYEN, MD CURTIS GREEN, MD KIRAN JOAG, MD SHERYL ARTMANN, MD DENNIS PLUARD TIMOTHY OLS CRAIG SHEAGREN ERIC BENSON JERRY ESKER MARY LOU WILD KIMBERLY UPHOFF JAMES HILDEBRANDT THE FOLLOWING PERSONS RECEIVED DISTRIBUTIONS FROM THE PLAN DURING THE TAX YEAR: DENNIS PLUARD $10,175 AARON EUBANKS $79,386 D SANDERCOCK $97,191

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN861091967BondIssuerEIN
Bond Issued2011-03-18BondIssuedDt
Issue Price$45,000,000IssuePriceAmt
PurposeSEE PART VIPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerYes (true)OnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$45,000,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$517,777IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$26,444,431CapitalExpendituresAmt
Other Spent Proceeds$18,037,792OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2014SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledYes (true)Form8038TFiledInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE A, COLUMN FFormAndLineReferenceDesc
ExplanationDESCRIPTION OF PURPOSE REFINANCE OLD BONDS AND CONSTRUCTION OF MASTER FACILITY PLANExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
RHONDA WILSON
SISTER OF SCOTT WILSON$36,975R WILSON EMPLOYED BY HLTH CTRfalse
MORGAN E DAVIS
DAUGHTER OF DON DAVIS$15,787M DAVIS EMPLOYED BY HLTH CTRfalse
LAURIE E MOONEY
WIFE OF TIM MOONEY$65,213L MOONEY EMPLOYED BY HLTH CTRfalse
SBL MANAGEMENT SERVICES DIRECTORS
SEE PART V$1,578,003PHARMACEUTICAL SERVICES EXPfalse
SBL MANAGEMENT SERVICES DIRECTORS
SEE PART V$629,262ADMINISTRATIVE SVCS INCOMEfalse
SBL MANAGEMENT SERVICES DIRECTORS
SEE PART V$226,599RENT INCOMEfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IVFormAndLineReferenceDesc
ExplanationSBL HEALTH MANAGEMENT SERVICES RELATIONSHIP SBL HEALTH MANAGEMENT SERVICES IS A TAXABLE ENTITY RELATED TO SBL HEALTH CENTER. SCOTT LENSINK, WILLIAM PERRY, DR. GARY MIKEL, AND ANN BACON ARE BOARD MEMBERS OF BOTH SBL HEALTH CENTER AND SBL HEALTH MANAGEMENT SERVICES. NONE OF THE BOARD MEMBERS HAVE A FINANCIAL INTEREST IN SBL HEALTH MANAGEMENT SERVICES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4APROGRAM SERVICE ACCOMPLISHMENTS As 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. 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, 2014, we served 6,810 inpatients and provided 462,427 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 2014, 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 2014. Each program is further described throughout this booklet. Improve Patient Experience and Loyalty $9,018 o AdvantAge 50 Improve Clinical and Operational Quality $872,425 o Community Health Screens o Sarah Bush Lincoln Dental Services o East Central Illinois Breast & Cervical Cancer Program o Health Education o Heart to Heart Community Screening Program o METS Phase III at EIU o Nourishment o Regional Behavioral Health Network o Sarah Bush Lincoln Website o Step in the Right Direction & Living with Diabetes o Support Groups Enhance Human Capital $17,760 o Health Occupations Create Healthy Communities $288,926 o Community Aid o I Sing the Body Electric o Mobile Mammography o Organizational Support o Rotary High School Athletic Heart Scan o Youth Education o Healthy Kids o Sports Physicals Maintain Financial Viability $17,777,419 o Financial Assistance o 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 $9,018. Improve Clinical and Operational Quality Community Health Screens 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 $76,412. 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. Almost 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, eight volunteer dentists and six local health departments. The net non-reimbursed cost of these services after discounted fees and grant funding was approximately $316,472. East Central Illinois Breast and Cervical Cancer Program The East Central Illinois Breast and Cervical Cancer Program (ECIBCCP) provides mammograms and cervical cancer screens to women. SBLHC promotes the program and works with women in need in a nine-county area by scheduling their appointments. In FY 2014 ECIBCCP provided services to 779 women. The non-reimbursed cost was approximately $214,286. 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 68,000 households in an eight-county area at a cost of $57,400. 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 $22,506. 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 $19,956. Nourishment SBLHC provides meals at a subsidized rate for community residents unable to prepare meals for themselves. Recipient's specific dietary needs made it difficult, if not impossible, for them to participate in other community meal programs. The non-reimbursed cost was $6,108. 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 $39,540. 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 has served more than 50 community members with blood glucose levels of 100 to 125. The non-reimbursed cost was $42,145. 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 $3,600.
ENHANCE HUMAN CAPITALHealth 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. Seventy-five students were involved in the program during FY14. The non-reimbursed cost of providing classroom space for training was $17,760. 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 $95,645. 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 $29,566 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 Habitat for Humanity, to help build affordable, quality homes Various community festivals, to support fitness and tourism 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. Rotary High School Athletic Heart Scan Area Rotary clubs formed a unique partnership with the Sarah Bush Lincoln Health Foundation to help prevent premature deaths of seemingly healthy young athletes. In past years the clubs raised funds to provide free ultrasound heart scans to area high school sophomore athletes to uncover cardiomyopathy, which may produce sudden heart attacks during strenuous activities. Twice a year, Sarah Bush Lincoln provides free echocardiograms to high school sophomore athletes. So far, 3,447 high school athletes, 96 of them this year in 2014, from 20 area schools have taken advantage of this life-saving and painless test. The non-reimbursed cost of these scans is approximately $1,920. Healthy Kids In our seven county service area there are approximately 9,000 children who are considered overweight or obese. That is around 36%. 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 4,000 students each month. In FY 2014, we provided educational experiences to 31,975 students. (Some students are repeated visits each month.) which equals approximately 7,866 unduplicated students. The cost of this program to SBLHC is $154,355. 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 372 sports physicals were provided at a cost of $7,440. 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 $25,282,900 for the year and the cost of those services after contributions and other direct assistance was $8,954,710. In FY 2014, 3,323 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 $8,822,709 during the year.
FORM 990, PART VI, SECTION A, LINE 2BUSINESS RELATIONSHIPS SCOTT LENSINK, WILLIAM PERRY, DR. GARY MIKEL, AND ANN BACON HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER AS A RESULT OF ALL SERVING AS BOARD MEMBERS OF SARAH BUSH LINCOLN HEALTH MANAGEMENT SERVICES, 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 6MEMBERS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS SARAH BUSH LINCOLN HEALTH SYSTEM.
PART VI, SECTION A, LINE 7AELECTION OF GOVERNING BODY 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.
PART VI, SECTION A, LINE 7BDECISIONS OF THE GOVERNING BODY 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 11AFORM 990 REVIEW 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 FOR REVIEW AND QUESTIONS.
FORM 990, PART VI, SECTION B, LINE 12A-CCONFLICT OF INTEREST POLICY 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, LINES 15A & 15BPROCESS FOR DETERMINING COMPENSATION COMPENSATION IS DETERMINED FOR THE CEO, VP OPERATIONS, VP SYSTEM PRACTICES, VP FINANCE, VP PATIENT CARE SERVICES, VP INFORMATION SERVICES, VP HUMAN RESOURCES, AND VP 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 19PUBLIC DISCLOSURE CURRENTLY, SARAH BUSH LINCOLN HEALTH CENTER POSTS THEIR COMMUNITY BENEFITS STATEMENT ON OUR PUBLIC WEB-SITE. NO OTHER GOVERNING DOCUMENTS ARE ROUTINELY MADE AVAILABLE.
PART VI, LINE 1BINDEPENDENT VOTING MEMBERS FOUR BOARD MEMBERS ARE NOT CONSIDERED INDEPENDENT DUE TO THE FACT THAT THEY ARE LISTED IN A TRANSACTION REPORTED ON SCHEDULE L INVOLVING A TAXABLE RELATED ENTITY. IF NOT FOR THE REQUIREMENT TO REPORT THIS TRANSACTION, THERE WOULD BE 15 INDEPENDENT VOTING MEMBERS.
FORM 990, PART XIIA FEDERAL AWARD WAS GRANTED AND AN A-133 AUDIT REQUIRED. THE A-133 AUDIT WAS PERFORMED IN CONJUNCTION WITH THE HOSPITALS ROUTINE AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
SARAH BUSH LINCOLN HEALTH SYSTEM
1000 HEALTH CENTER DRIVEMATTOONIL61938371136714PARENT COIL501(C)(3)11-INAfalse
SARAH BUSH LINCOLN HEALTH CTR FOUNDATION
1000 HEALTH CENTER DRIVEMATTOONIL61938371136713FUNDRAISINGIL501(C)(3)11-ISBLHSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
SARAH BUSH LINCOLN HEALTH MGMT SERVICES
1000 HEALTH CENTER DRIVEMATTOONIL61938371136614RETAIL DME/RXILSBLHSC CORP$0$00.00000Yes (true)
SARAH BUSH LINCOLN CAPTIVE INSURANCE LTD
INSURANCESBLHSC CORP$0$00.00000Yes (true)CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SARAH BUSH LINCOLN HEALTH CENTER FOUNDATION
C$2,776,814BOOK VALUE
SARAH BUSH LINCOLN HEALTH MANAGEMENT SERVICES
A$226,599CONTRACTED RATE
SARAH BUSH LINCOLN HEALTH MANAGEMENT SERVICES
L$2,207,265BOOK VALUE

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