2013-04-27T13:55:10-05:00 2012-06-30 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2011-07-01 237098532 Sarah Bush Lincoln Health Center % CRAIG W SHEAGREN CPA SARA 2172582514 PO BOX 372 Mattoon IL 61938 CRAIG W SHEAGREN 2172582514 2013-04-25 true Donna J Larson 3142315544 2011 2016-03-07 17:11:31Z TIMOTHY A OLS 1000 HEALTH CENTER DRIVE MATTOON IL 61938 294706564 false X www.sarahbush.org X 1977 IL THE MISSION OF SARAH BUSH LINCOLN HEALTH CENTER IS TO PROVIDE EXCEPTIONAL CARE FOR ALL AND CREATE HEALTHY COMMUNITIES. 14 7 1891 223 4893022 1172631 1832937 177799760 181887410 4543416 2210549 12214109 14668989 195729916 200599885 27638 61598 0 0 108124738 115342915 0 0 0 73551517 67135862 181703893 182540375 14026023 18059510 275371572 315364003 93738269 117204059 181633303 198159944 X THE 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. false false 158127590 61598 186780432 SEE SCHEDULE O 158127590 true true false true false false false false false true true true false false true false false true false false true false false false false false true true true false true true false false false false false false false false true false false false false false false true false false false false true 127 0 true 1891 true true true true CJ BD false false false false false false false false X 14 7 true false false false true true false true true false false true true true true true true true true false IL X CRAIG W SHEAGREN CPA 2172582514 1000 HEALTH CENTER DRIVE MATTOON IL 61938 X MR JIM LITTLEFORD 1.0 X 0 0 0 MR STEVE HONSELMAN 1.0 X X 0 0 0 MR SCOTT LENSINK 1.0 X X 0 0 0 DR GARY MIKEL 55.0 X X 328123 0 27094 MR CHRIS CONSIDINE 1.0 X 0 0 0 MS ANN BACON 1.0 X X 0 0 0 DR ALDO RUFFOLO 1.0 X 0 0 0 MS JEANNE DAU 1.0 X 0 0 0 MR MARK DONNELL 1.0 X 0 0 0 MR TIM MOONEY 1.0 X 0 0 0 MR STEVE WENTE 1.0 X 0 0 0 MR LARRY LILLY 1.0 X 0 0 0 DR KIRAN JOAG 55.0 X 445239 0 27477 DR BILL PERRY 1.0 X 0 0 0 MR TIMOTHY A OLS 39.0 X 232503 0 12474 MR CRAIG SHEAGREN 52.0 X 270311 0 21470 MR DENNIS J PLUARD 54.0 X 349900 0 23735 MR JERRY E ESKER 55.0 X 285246 0 18802 MS MARY LOU WILD 55.0 X 280057 0 14937 MR ERIC G BENSON 54.0 X 220401 0 22625 MS KIMBERLY A UPHOFF 27.0 X 165697 0 21069 AARON C EUBANKS MD 55.0 X 1430560 0 31322 LOUIS B MENDELLA MD 55.0 X 1351928 0 33575 CHARLEY T NGUYEN MD 55.0 X 1305699 0 34777 MICHAEL S SMITH MD 55.0 X 1109701 0 34559 CURTIS R GREEN MD 55.0 X 912170 0 32960 MR GARY BARNETT 39.0 X 548351 0 19024 9235886 0 375900 110 true true false SM WILSON COMPANY 2185 HAMPTON AVE PO BOX 5210 ST LOUIS MO 63139 CNSTRCTN CONTRACTOR 10770190 AON RISK SERVICES INC OF MINNESOTA 75 REMITTANCE DR SUITE 1943 CHICAGO IL 606751943 INSURANCE PROF LIAB 1393420 AETNO-HARTFORD PO BOX 88863 CHICAGO IL 60695 INSURANCE ASO & ADMI 1290371 GE HEALTHCARE PO BOX 843553 DALLAS TX 752843553 PREV MAINT AGREEMENT 963417 SOUTH BEND MEDICAL FOUNDATION INC PO BOX 2030 MISHAWAKA IN 465462030 LABORATORY SERVICES 872864 40 518360 1244360 70217 1832937 NET PATIENT REV. 621110 147221015 147221015 OUTREACH REVENUE 541900 58228 58228 NET PROVIDER REVENUE 621110 34608167 34608167 181887410 1627216 1627216 0 0 360549 360549 360549 360549 94582927 107085 93880088 226591 702839 -119506 583333 583333 0 0 0 REFERENCE LAB. 621500 9006303 4790865 4215438 CAFETERIA & OTHER 722320 5199980 5199980 MANAGEMENT FEES 561000 61903 61903 40254 40254 14308440 200599885 181887410 4893022 11986516 61598 61598 0 0 0 3215984 3215984 39100 39100 89302111 82080096 7222015 3631449 3337767 293682 13916848 12791369 1125479 5237423 4813864 423559 0 123991 123991 105479 105479 25931 25931 0 0 8093056 7556231 536825 728256 728256 26347078 24216345 2130733 1557222 1431287 125935 0 3227345 2966344 261001 1049636 964750 84886 0 811643 746004 65639 900185 900185 0 9917215 9115193 802022 7588200 7588200 MAINTENANCE/PREVENTATIVE MAINT 2589281 2379881 209400 IL HOSPITAL TAX ASSESSMENT 2617068 2617068 DUES AND SUBSCRIPTIONS 353316 353316 RECRUITMENT EXPENSES 693881 693881 407079 374155 32924 182540375 158127590 24412785 0 5370 5670 47164649 89599328 0 0 25355275 31150762 0 0 0 0 0 0 3103841 3131064 2481784 2670893 188163594 107141053 70096743 81022541 96942839 54811183 23820928 45703046 0 0 0 0 6400143 7269516 275371572 315364003 23535662 32636623 0 0 0 0 44450000 42245000 0 0 0 0 632589 356004 0 0 25120018 41966432 93738269 117204059 X 181633303 198159944 0 0 0 0 181633303 198159944 275371572 315364003 X 18059510 -1532869 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 25931 false false false 25931 false POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES SCHEDULE C, PART IV THIS 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 24.6% OF THE ANNUAL MEMBERSHIP DUES. 65660868 6860 8519 62518959 3157288 44179288 18233631 6968167 502922 3217296 65660868 38975241 5800500 3288311 658806 3225958 44179288 42423175 5589131 -5482375 326818 3227872 38975241 0.01066 0.78793 0.20141 false true true 0 3194269 3194269 80493743 37950821 42542922 169555 70265 99290 85227311 65699759 19527551 19078717 3420208 15658509 81022541 DESIGNATED UNDER BOND AGRMT 2977252 F SUPPLEMENTAL PENSION 16895413 F DEFERRED COMPENSATION 6525819 F HEDGE FUNDS 19304562 F 45703046 0 SUPPLEMENTAL PENSION 20184978 DEFERRED COMPENSATION 7423027 EST PROFESSIONAL LIABILITY CLAIMS 14358427 41966432 ENDOWMENT FUNDS PART VI 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. IN THE CURRENT YEAR, THE ORGANIZATION REVIEWED ITS CLASSIFICATION OF FUNDS AS ENDOWMENTS UNDER THE GUIDANCE OF SFAS 117. FUNDS THAT DID NOT MEET THE DEFINITIONS UNDER SFAS 117 HAVE BEEN REMOVED ON LINE 1E OF PART V. FIN 48 FOOTNOTE PART X, LINE 2 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. Central America and the Caribbean Investments 16719275 16719275 16719275 true false true true false false INVESTMENTS & EXPENDITURES PART I, COLUMN F INVESTMENTS IN REGION: 16,628,634 EXPENDITURES IN REGION: 90,641 (INVESTMENT EXPENSES) true true true X 130. true X true true true false true true 10302641 10302641 0.05810 37380598 30914454 6466144 0.03640 47683239 30914454 16768785 0.09450 511327 511327 0.00290 359409 359409 0.00200 870736 870736 0.00490 48553975 30914454 17639521 0.09940 46255 46255 0.00030 25000 25000 0.00010 2350 2350 73605 73605 0.00040 true 1820389 39086479 52571487 -13485008 X true true 1 1 SARAH BUSH LINCOLN HEALTH CENTER

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CLINIC SBL CHARLESTON FAMILY PRACTICE

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CLINIC SBL FAMILY MEDICAL CENTER

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CLINIC SBL NEOGA CLINIC

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CLINIC SBL SULLIVAN CLINIC

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CLINIC SBL TOLEDO CLINIC

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CLINIC SBL EFFINGHAM CLINIC

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CLINIC PART I, LINE 6A IT IS PUBLISHED ON OUR WEBSITE (WWW.SARAHBUSH.ORG). PART I, LINE 7, COLUMN F THE ORGANIZATION INCURRED BAD DEBT EXPENSE IN THE AMOUNT OF $5,070,722, HOWEVER, IT HAS BEEN DISREGARDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. 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 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. COLES COMMUNITY HEALTH PLAN IS A NOT-FOR-PROFIT CORPORATION EXCLUSIVELY FOR CHARITABLE PURPOSES AND TO SUPPORT AND ENCOURAGE GIFTS OF MONEY AND PROPERTY FROM DONORS, INCLUDING BUT NOT LIMITED TO GIFTS FROM INDIVIDUALS, CORPORATIONS, AND TRUSTS, AND TO APPLY SUCH GIFTS AND THE PROCEEDS THEREOF TO THE DEVELOPMENT AND STAINABILITY OF IMPROVED HEALTH CARE ACCESS FOR LOW INCOME PEOPLE OF COLES COUNTY. PART III, LINE 4 THE SYSTEM REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. USED THE RATIO OF PATIENT CARE COST TO CHARGES (0.3590) AS COMPUTED ON WORKSHEET 2 OF THE ACCOUNTING WORK PAPERS TO CALCULATE THE BAD DEBT EXPENSE (5,070,722) AT COST (1,820,389). WE REDUCE BAD DEBT EXPENSE BY THE DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS. 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. PART III, LINE 9B ACCOUNTS, WHICH HAVE BEEN WRITTEN OFF AS A BAD DEBT AND REFERRED TO A COLLECTION AGENCY, WILL BE PLACED ON HOLD AT THE COLLECTION AGENCY AND ADDED TO THE BALANCES CONSIDERED FOR FINANCIAL ASSISTANCE. PART V, SECTION B, LINE 19D PATIENTS WITHOUT INSURANCE AND WHO QUALIFY FOR FINANCIAL ASSISTANCE (OR HAVE PREVIOUSLY QUALIFIED FOR FINANCIAL ASSISTANCE) ARE GIVEN A DISCOUNT IN ACCORDANCE WITH HOSPITAL POLICY. 2. NEEDS ASSESSMENT SARAH BUSH LINCOLN (SBL) ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH A VARIETY OF METHODS. DATA COLLECTED FROM THE ILLINOIS BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (IBRFSS) IS USED TO ROUTINELY MONITOR THE HEALTH STATUS OF THOSE IN THE COMMUNITY. DATA IS SEGMENTED AT A COUNTY-LEVEL AND ASSESSES HEALTH INDICATORS SUCH AS OBESITY, PHYSICAL ACTIVITY, NUTRITION, TOBACCO USE, SUBSTANCE ABUSE, MENTAL HEALTH, IMMUNIZATIONS AND ACCESS TO HEALTH CARE. SARAH BUSH LINCOLN USES INFORMATION FROM THE IBRFSS AND HEALTH PEOPLE 2020 TO DETERMINE THE LEADING HEALTH INDICATORS WITH THE LARGEST PREDICTED TARGET AUDIENCE FOR THE COMMUNITIES IT SERVES. BASED ON THE CURRENT COMMUNITY NEEDS ASSESSMENT, SBL'S HEALTH COMMUNITY STRATEGY IS TO REDUCE OBESITY AMONG THE POPULATION LIVING IN ITS SERVICE AREA. SBL WILL WORK COLLABORATIVELY WITH OTHERS TO ACHIEVE THIS GOAL. SARAH BUSH LINCOLN ALSO ASSESSES THE HEALTH CARE NEEDS OF THE YOUTH BY CONDUCTING A YOUTH RISK BEHAVIOR SURVEY THROUGH ITS I SING THE BODY ELECTRIC, NATIONALLY-RECOGNIZED PROGRAM. THE SURVEY GATHERS DATA FROM MORE THAN 4,000 HIGH SCHOOL STUDENTS IN THE REGION AND ASSESSES HEALTH BEHAVIORS SUCH AS NUTRITION, SUBSTANCE ABUSE, INJURIES, PHYSICAL ACTIVITY, SEXUAL BEHAVIOR, BODY IMAGE, AND SUICIDE. SURVEY QUESTIONS COME FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION YOUTH RISK BEHAVIOR SURVEILLANCE SURVEY, THE ILLINOIS YOUTH SURVEY, AND MONITORING THE FUTURE SURVEY. ADDITIONALLY, SARAH BUSH LINCOLN WORKS CLOSELY WITH THE COLES COUNTY HEALTH DEPARTMENT TO REVIEW DATA FROM THE I-PLAN, WHICH IS ANOTHER ASSESSMENT TOOL USED TO DETERMINE THE HEALTH NEEDS OF THE COMMUNITY. 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 THE APPLICATION) WITH A DEDICATED PHONE NUMBER. 4. COMMUNITY INFORMATION SARAH BUSH LINCOLN SERVES RURAL COMMUNITIES IN EAST CENTRAL ILLINOIS. SBL'S MARKET AREA ENCOMPASSES 7 COUNTIES INCLUDING: COLES, CUMBERLAND, DOUGLAS, SHELBY, CLARK, EDGAR, AND MOULTRIE. POPULATION OF THIS MARKET IS 160,267. TWENTY-EIGHT PERCENT OF HOUSEHOLDS IN COLES COUNTY HAVE INCOMES BELOW THE FEDERAL POVERTY LEVEL, AND 28 PERCENT OF COLES COUNTY RESIDENTS ARE UNINSURED, WHICH IS SUBSTANTIALLY HIGHER THAN THE UNINSURED NATIONAL AVERAGE OF 15 PERCENT. 5. PROMOTION OF COMMUNITY HEALTH DESCRIPTION IS LISTED IN #1, PART II - COLES COMMUNITY HEALTH PLAN. true COLES TOGETHER 400 AIRPORT ROAD MATTOON IL 61938 371243664 501(C)(6) 27500 SEE PART IV COLES COMMUNITY HEALTH PLAN 825 18TH ST CHARLESTON IL 61920 753246048 501(C)(3) 25000 SEE PART IV 1 1 PART II 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 UTIMATELY IMPACT THE UTILIZATION AND VIABILITY OF OUR HOSPITAL ORGANIZATION. COLES COMMUNITY HEALTH PLANS IS A NOT-FOR-PROFIT CORPORATION EXCLUSIVELY FOR CHARITABLE PURPOSES AND TO SUPPORT AND ENCOURAGE GIFTS OF MONEY AND PROPERTY FROM DONORS, INCLUDING BUT NOT LIMITED TO GIFTS FROM INDIVIDUALS, CORPORATIONS, AND TRUSTS, AND TO APPLY SUCH GIFTS AND THE PROCEEDS THEREOF TO THE DEVELOPMENT AND SUSTAINABILITY OF IMPROVED HEALTH CARE ACCESS FOR LOW INCOME PEOPLE OF COLES COUNTY. X true true X X X X X false true false false false false false true false DR GARY MIKEL 213060 0 88292 0 26771 0 8250 0 18844 0 355217 0 0 0 DR KIRAN JOAG 299513 0 106835 0 38891 0 8250 0 19227 0 472716 0 0 0 MR DENNIS J PLUARD 249473 0 72000 0 28427 0 8250 0 15485 0 373635 0 0 0 MR GARY BARNETT 262650 0 268517 0 17184 0 4442 0 14582 0 567375 0 0 0 MR TIMOTHY A OLS 220979 0 10000 0 1524 0 0 0 12474 0 244977 0 0 0 MR CRAIG SHEAGREN 206820 0 58470 0 5021 0 8250 0 13220 0 291781 0 0 0 MR JERRY E ESKER 196428 0 65958 0 22860 0 7972 0 10830 0 304048 0 0 0 MS MARY LOU WILD 203086 0 52415 0 24556 0 8155 0 6782 0 294994 0 0 0 MR ERIC G BENSON 148589 0 52796 0 19016 0 6341 0 16284 0 243026 0 0 0 MS KIMBERLY A UPHOFF 112105 0 40771 0 12821 0 4704 0 16365 0 186766 0 0 0 AARON C EUBANKS MD 809616 0 614997 0 5947 0 8250 0 23072 0 1461882 0 0 0 LOUIS B MENDELLA MD 809617 0 534204 0 8107 0 8250 0 25325 0 1385503 0 0 0 CHARLEY T NGUYEN MD 823993 0 389377 0 92329 0 8250 0 26527 0 1340476 0 0 0 MICHAEL S SMITH MD 742997 0 283027 0 83677 0 8250 0 26309 0 1144260 0 0 0 CURTIS R GREEN MD 650000 0 191647 0 70523 0 7615 0 25345 0 945130 0 0 0 COMPENSATION INFORMATION, SCHEDULE J, LINE 7 ADDITIONAL COMPENSATION TO OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE DEPENDENT ON SPECIFIC ORGANIZATIONAL AND INDIVIDUAL GOALS. THESE GOALS INCLUDE FINANCAIL, QUALITY, CUSTOMER SERVICE, AND OTHER GOALS RELATED TO THE ORGANIZATION'S STRATEGIC PLAN. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES, SCHEDULE J, LINE 1A COUNTRY CLUB DUES ARE REPORTED AS TAXABLE COMPENSATION FOR OUR PRESIDENT AND CEO, MR. TIMOTHY A OLS AND WOULD INCLUDE OUR PRIOR PRESIDENT AND CEO, MR. GARY BARNETT. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, SCHEDULE J, 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: GARY MIKEL, MD CRAIG SHEAGREN JERRY ESKER AARON EUBANKS, MD MICHAEL SMITH, MD KIRAN JOAG, MD DENNIS PLURAD ERIN BENSON CURTIS GREEN, MD LOUIS MENDELLA, MD GARY BARNETT MARY LOU WILD TIMOTHY OLS CHARLEY NGUYEN, MD KIMBERLY UPHOFF THE FOLLOWING PERSONS RECEIVED DISTRIBUTIONS FROM THE PLAN DURING THE TAX YEAR: DENNIS PLUARD $10,070 ILLINOIS FINANCE AUTHORITY 861091967 2011-03-18 45000000 SEE PART VI false true false 0 0 45000000 0 0 12159250 517777 0 0 14285181 18037792 0 2014 true false false true false false false false 0 true true true false 0 false 0 false false SEE SCHEDULE O 0 THERESE A BLUME SIBLING-CHRIS CONSIDINE 16393 T BLUME EMPLOYEED BY HLTH CNTR false MAGGIE R WENTE SISTER-IN-LAW-STEVE WENTE 22707 M WENTE EMPLOYEED BY HLTH CNTR false SBL MANAGEMENT SERVICES DIRECTORS SEE PART V 216581 RENT INCOME false SBL HEALTH MANAGEMENT SERVICES RELATIONSHIP PART IV SBL HEALTH MANAGEMENT SERVICES IS A TAXABLE ENTITY RELATED TO SBL HEALTH CENTER. ANN BACON, SCOTT LENSINK, AND LARRY LILLY 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. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A 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, 2012, WE SERVED 6,968 INPATIENTS AND PROVIDED 449,676 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 2012, 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. THIS INFORMATION OUTLINES THE MANY PROGRAMS AND SERVICES PROVIDED BY SBLHC DURING FISCAL YEAR 2012, 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 2012. EACH PROGRAM IS FURTHER DESCRIBED THROUGHOUT THIS BOOKLET. IMPROVE PATIENT EXPERIENCE AND LOYALTY $8,919 o ADVANTAGE 50 IMPROVE CLINICAL AND OPERATIONAL QUALITY $688,479 o COMMUNITY HEALTH SCREENS o EAST CENTRAL ILLINOIS BREAST & CERVICAL CANCER PROGRAM o HEALTH EDUCATION o HEART SMART FOR TEENS o METS PHASE III AT EIU o NOURISHMENT o OH, BABY! 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 $14,046 o HEALTH OCCUPATIONS CREATE HEALTHY COMMUNITIES $232,897 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 SPORTS PHYSICALS MAINTAIN FINANCIAL VIABILITY $15,488,370 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 $8,919. 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 $89,563. 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 2012 ECIBCCP PROVIDED SERVICES TO 1,149 WOMEN. THE NON-REIMBURSED COST WAS APPROXIMATELY $249,784. 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 $108,983. HEART SMART FOR TEENS ADOLESCENTS IN AREA MIDDLE SCHOOLS LEARN ABOUT MAKING HEALTHY CHOICES ABOUT FOOD AND EXERCISE AS AN EASY WAY TO IMPROVE THE QUALITY OF THEIR LIVES. THE PROGRAM WAS PARTIALLY GRANT FUNDED. THE NON-REIMBURSED COST WAS $6,306. 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 $17,018. 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 $4,250. OH, BABY! OH, BABY! CLASSES ENHANCE THE PRENATAL CARE OF NEW MOTHERS, HELP THEM UNDERSTAND THE MANY CHANGES THEIR BODIES UNDERGO, AND PREPARE THEM FOR THE BIRTH AND CARE OF THEIR NEWBORNS. ADDITIONALLY, LACTATION SUPPORT SERVICES ARE PROVIDED FREE TO ALL WOMEN WHO DELIVER THEIR BABIES AT THE HEALTH CENTER FOR AN UNLIMITED PERIOD OF TIME. A BREASTFEEDING WARMLINE PAGER GIVES MOTHERS FREE ACCESS TO INTERNATIONALLY BOARD-CERTIFIED LACTATION CONSULTANTS DEDICATED TO ANSWERING BREASTFEEDING QUESTIONS AND CONCERNS. THESE SERVICES ASSIST WOMEN IN NURSING THEIR BABIES LONGER, THUS IMPROVING THE LONG-TERM HEALTH OF THEIR INFANTS. THE NON-REIMBURSED COST TO PROVIDE THESE SERVICES IS $8,261. 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 $87,185. 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 $40,731. 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 $2,400. ENHANCE HUMAN CAPITAL HEALTH OCCUPATIONS 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. SEVENTY-FIVE STUDENTS WERE INVOLVED IN THE PROGRAM DURING FY12. THE NON-REIMBURSED COST OF PROVIDING CLASSROOM SPACE FOR TRAINING WAS $14,046. 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 $97,420. I SING THE BODY ELECTRIC THROUGH I SING THE BODY ELECTRIC, HIGH SCHOOL YOUTH IN A SEVEN-COUNTY AREA USE THE ARTS TO ENCOURAGE THEIR PEERS TO MAKE HEALTHY CHOICES. THE BODY ELECTRIC COALITION INCLUDES SBLHC, THE REGIONAL OFFICE OF EDUCATION, EASTERN ILLINOIS UNIVERSITY, LAKE LAND COLLEGE, PARIS COMMUNITY HOSPITAL, AND WEIU-TV. APPROXIMATELY 65 PERCENT OF HIGH SCHOOL STUDENTS IN THE TARGETED REGION PARTICIPATE IN THE BIENNIAL YOUTH RISK BEHAVIOR SURVEY, AND AGGREGATE RESULTS ARE BROADLY SHARED TO INCREASE AWARENESS. STUDENTS WHO PARTICIPATE IN BODY ELECTRIC CREATE ARTS-BASED PROJECTS, WHICH FORM THE BASIS OF THE BODY ELECTRIC ARTS & HEALTH TOUR. IN ADDITION, THE PROGRAM TRAINS UNIVERSITY INTERNS, WHO GAIN EXPERIENCE IN COMMUNITY-BASED PREVENTION EDUCATION. IN FY 2012, THE NON-REIMBURSED COST OF BODY ELECTRIC WAS $62,833. MOBILE MAMMOGRAPHY BRINGING BREAST CANCER SCREENING SERVICES TO AREA TOWNS HAS INCREASED ACCESSIBILITY TO MAMMOGRAPHY FOR THOUSANDS OF WOMEN. A COLLABORATIVE PROGRAM WITH AREA HEALTH DEPARTMENTS AND BANKS, MOBILE MAMMOGRAPHY HAS SERVED 19,293 WOMEN. IN FY12, 1,352 MAMMOGRAMS WERE PERFORMED ON THE VAN WITH THE HELP OF A GRANT FROM THE WABASH VALLEY AFFILIATE OF THE SUSAN G. KOMEN FOR THE CURE FOUNDATION. THE NON-REIMBURSED COST TO SBLHS WAS $3,612. 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 $54,562 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, 3,391 HIGH SCHOOL ATHLETES FROM 20 AREA SCHOOLS HAVE TAKEN ADVANTAGE OF THIS LIFE-SAVING AND PAINLESS TEST. THE NON-REIMBURSED COST OF THESE SCANS IS APPROXIMATELY $3,080. YOUTH EDUCATION SBLHC SPONSORS YOUTH AND CHILDREN'S PROGRAMS FOCUSED ON THE IMPORTANCE OF HEALTHY LIFESTYLES, STAYING SAFE AND WAYS TO PROVIDE SAFE BABYSITTING. THE NON-REIMBURSED COST OF THESE EFFORTS IS APPROXIMATELY $4,104. 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 360 SPORTS PHYSICALS WERE PROVIDED AT A COST OF $7,285. 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 $27,882,169 FOR THE YEAR AND THE COST OF THOSE SERVICES AFTER CONTRIBUTIONS AND OTHER DIRECT ASSISTANCE WAS $10,009,569. IN FY 2012, 3,921 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 $5,478,801 DURING THE YEAR. BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 SCOTT LENSINK, ANN BACON, AND LARRY LILLY HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER AS A RESULT OF ALL SERVING AS BOARD MEMBERS OF SARAH BUSH LINCOLN HEALTH MANAGEMENTS SERVICES, A FOR-PROFIT AFFILIATE OF THE ORGANIZATION. MEMBERS FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS SARAH BUSH LINCOLN HEALTH SYSTEM. ELECTION OF GOVERNING BODY 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. DECISIONS OF THE GOVERNING BODY 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 REVIEW FORM 990 PART VI, SECTION B, LINE 11A 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. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12A-C 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. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, SECTION B, LINES 15A & 15B 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. PUBLIC DISCLOSURE 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. INDEPENDENT VOTING MEMBERS PART VI, LINE 1B THREE 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 10 INDEPENDENT VOTING MEMBERS. SCHEDULE K PART V A POLICY HAD NOT BEEN ESTABLISHED PRIOR TO THE END OF OUR TAX REPORTING PERIOD; HOWEVER, A POLICY HAS SUBSEQUENTLY BEEN ADOPTED AND DOES INCLUDE PROCEDURES TO TAKE CORRECTIVE ACTIONS INCLUDING THE VOLUNTARY CLOSING AGREEMENT PROGRAM WHERE APPROPRIATE. THIS POLICY WAS ADOPTED BY THE BOARD ON JANUARY 24TH, 2013. DESCRIPTION OF PURPOSE SCHEDULE K, PART I, LINE A, COLUMN F REFINANCE OLD BONDS AND CONSTRUCTION OF MASTER FACILITY PLAN OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 THIS AMOUNT REPRESENTS THE NET UNREALIZED GAINS/(LOSSES) ON INVESTMENT SECURITIES. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MR STEVE HONSELMAN TITLE:CHAIRPERSON HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MR SCOTT LENSINK TITLE:VICE CHAIRPERSON HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MS ANN BACON TITLE:TREASURER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MR STEVE WENTE TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MR LARRY LILLY TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MR TIMOTHY A OLS TITLE:PRESIDENT & CEO HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MR CRAIG SHEAGREN TITLE:VP FINANCE HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MR DENNIS J PLUARD TITLE:VP OPERATIONS HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MR ERIC G BENSON TITLE:VP HUMAN RESOURCES HOURS:1 SARAH BUSH LINCOLN HEALTH SYSTEM 1000 HEALTH CENTER DRIVE MATTOON IL 61938 371136714 PARENT CO IL 501(C)(3) 11-I NA false SARAH BUSH LINCOLN HEALTH CTR FOUNDATION 1000 HEALTH CENTER DRIVE MATTOON IL 61938 371136713 FUNDRAISING IL 501(C)(3) 11-I SBLHS false SARAH'S HOMEMAKERS OF SARAH BUSH LINCOLN 1000 HEALTH CENTER DRIVE MATTOON IL 61938 371395122 HOME CARE IL 501(C)(3) 9 SBLHS false SARAH BUSH LINCOLN HEALTH MGMT SERVICES 1000 HEALTH CENTER DRIVE MATTOON IL 61938 371136614 RETAIL DME/RX IL SBLHS C CORP 0 0 0.00000 SARAH BUSH LINCOLN CAPTIVE INSURANCE LTD INSURANCE CJ SBLHS C CORP 0 0 0.00000 false false true false false false false false true true false false false false false false false false