2012-05-09T10:15:19-04:00 2011-06-30 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2010-07-01 237098532 Sarah Bush Lincoln Health Center SARA 2172582514 PO BOX 372 Mattoon IL 61938 CRAIG SHEAGREN 2172582514 2012-05-08 true 3142315544 2010 2016-02-24 21:20:13Z TIMOTHY A OLS 1000 HEALTH CENTER DRIVE MATTOON IL 61938 272756866 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 11 1842 201 4664122 1936900 1172631 171676358 177799760 8824515 4543416 11543280 12214109 193981053 195729916 33780 27638 0 0 103264363 108124738 0 0 0 72211336 73551517 175509479 181703893 18471574 14026023 226469954 275371572 70237535 93738269 156232419 181633303 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 161803982 27638 182463882 SEE SCHEDULE O 161803982 true true false true false false false false true true true false false true false false true false false false 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 133 0 true 1842 true true true false false false false false false false false false X 14 11 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 SCOTT LENSINK 1.0 X 0 0 0 MS ANN BACON 1.0 X 0 0 0 DR ALDO RUFFOLO 1.0 X 0 0 0 MS LINDA HANCE 1.0 X 0 0 0 DR GARY MIKEL 55.0 X 342835 0 26624 MR STEVE HONSELMAN 1.0 X 0 0 0 DR LOUIS BUTLER 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 CHRIS CONSIDINE 1.0 X 0 0 0 MR WILLIAM PERRY 1.0 X 0 0 0 MR STEVE WENTE 1.0 X 0 0 0 MR TIM MOONEY 1.0 X 0 0 0 DR KIRAN JOAG 55.0 X 482625 0 26718 MR GARY BARNETT 39.0 X 1089703 0 34640 MR CRAIG W SHEAGREN 52.0 X 282022 0 22458 MR DENNIS J PLUARD 54.0 X 375828 0 24708 MS MARY LOU WILD 55.0 X 297534 0 14682 MR JERRY J ESKER 55.0 X 286559 0 19257 MR ERIC BENSON 54.0 X 235221 0 23024 CHARLEY T NGUYEN MD 55.0 X 1315554 0 32594 AARON C EUBANKS MD 55.0 X 1243421 0 20756 MICHAEL S SMITH MD 55.0 X 1220979 0 32596 LOUIS B MENDELLA MD 55.0 X 1192259 0 32095 CURTIS R GREEN MD 55.0 X 916604 0 28802 9281144 0 338954 110 false true false SM WILSON COMPANY 2185 HAMPTON AVE PO BOX 5210 ST LOUIS MO 63139 CONSTRUCTION CONTRAC 6984356 AON RISK SERVICES INC OF MINNESOTA 75 REMITTANCE DR SUITE 1943 CHICAGO IL 606751943 INSURANCE PROF LIAB 1851856 THE ESTOPINAL GROUP LLC 903 SPRING STREET JEFFERSONVILLE IN 47130 ENGINEER CONTRACTOR 1566708 CONSOLIDATED COMMUNICATIONS 121 SOUTH 17TH ST MATTOON IL 619383987 TELEPHONE SERVICES 1188066 GE HEALTHCARE PO BOX 843553 DALLAS TX 752843553 PREV MAINT AGREEMENT 1071397 32 411291 704349 56991 1172631 NET PATIENT REVENUE 621110 144292133 144292133 OUTREACH REVENUE 541900 73847 73847 NET PROVIDER REVENUE 621110 33433780 33433780 177799760 2197233 2197233 0 0 361092 361092 361092 361092 79175510 197623 76851133 175817 2324377 21806 2346183 2346183 0 0 0 REFERENCE LAB. 621500 8930691 4566805 4363886 CAFETERIA & OTHER 722320 2825009 2825009 MANAGEMENT FEES 561000 58943 58943 38374 38374 11853017 195729916 177799760 4664122 12093403 27638 27638 0 0 0 2086748 2086748 0 21056 21056 83767614 76864739 6902875 3666761 3363756 303005 13672593 12542749 1129844 4909966 4504228 405738 0 84156 84156 130000 130000 25364 25364 0 0 6398012 5960241 437771 634008 634008 25624927 23507394 2117533 1434723 1316164 118559 0 2916167 2675188 240979 977457 896684 80773 0 831090 762412 68678 2133164 2133164 0 10910393 10008806 901587 4596058 4596058 BAD DEBT EXPENSE 10208761 10208761 MAINTENANCE & PRENTATIVE 2646105 2427442 218663 IL HOSPITAL TAX ASSESSMENT 2617068 2617068 DUES & SUBSCRIPTIONS 324657 324657 RECRUITMENT EXPENSE 690029 690029 369378 338854 30524 181703893 161803982 19899911 0 5110 5370 18855168 47164649 24963858 25355275 2972937 3103841 1964219 2481784 179794258 109697515 64632311 70096743 81751338 96942839 23876411 23820928 7448602 6400143 226469954 275371572 25819711 23535662 25320000 44450000 924346 632589 18173478 25120018 70237535 93738269 X 156232419 181633303 156232419 181633303 226469954 275371572 X 14026023 11374861 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 25361 false false false 25361 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 24.42% OF THE ANNUAL MEMBERSHIP DUES. 44179288 18233631 6968167 502922 3217296 65660868 38975241 5800500 3288311 658806 3225958 44179288 42423175 5589131 -5482375 326818 3227872 38975241 1.00000 false true true 0 3194269 3194269 0 70350323 37196458 33153865 0 105831 57046 48785 0 89570341 69262493 20307848 0 16573494 3181518 13391976 70096743 INVESTMENTS EXTERNALLY 0 DESIGNATED UNDER BOND AGRMT 3770648 F SUPPLEMENTAL PENSION 14822435 F DEFERRED COMPENSATION 5227845 F 23820928 0 SUPPLEMENTAL PENSION 18656670 DEFERRED COMPENSATION 6463348 25120018 ENDOWMENT FUNDS PART VI BOARD DESIGNATED ENDOWMENTS ARE FUNDS DESIGNATED FOR FUTURE CAPITAL IMPROVEMENTS OF SARAH BUSH LINCOLN HEALTH CENTER. OTHER RESTRICTED FUNDS ARE HELD FOR BOND TRANSACTIONS, SUPPLEMENTAL PENSION FUNDING, AND 457B FUNDING. 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 TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true true X 130. true X true true true false true true 8023234 8023234 0.04680 34877795 28202385 6675410 0.03890 42901029 28202385 14698644 0.08570 607239 607239 0.00350 292988 292988 0.00170 900227 900227 0.00520 43801256 28202385 15598871 0.09090 27500 27500 0.00020 27500 27500 0.00020 true 3821139 35438163 49601124 -14162961 X true true 1 1 SARAH BUSH LINCOLN HEALTH CENTER

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CLINIC SBL CASEY CLINIC

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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

905 N MAPLE EFFINGHAM IL 62401

CLINIC PART I, LINE 6A IT IS PUBLISHED ON OUR WEBSITE (WWW.SARAHBUSH.ORG). PART I, LINE 7, COLUMN F THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $10,208,761 REPORTED ON PART IX, LINE 25, HOWEVER, IT HAS BEEN SUBTRACTED 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. 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 (0.3743) AS COMPUTED ON WORKSHEET 2 OF THE ACCOUNTING WORK PAPERS TO CALCULATE THE BAD DEBT EXPENSE (10,208,761) AT COST (3,821,139). 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. 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. true COLES TOGETHER 400 AIRPORT ROAD MATTOON IL 61938 371243664 27500 SEE PART IV 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 ULTIMATELY IMPACT THE UTILIZATION AND VIABILITY OF OUR HOSPITAL ORGANIZATION. X true true X X X X X false true false false false false false true false DR GARY MIKEL 211436 0 104755 0 26644 0 8250 0 18374 0 369459 0 0 0 MR DENNIS J PLUARD 240751 0 107108 0 27969 0 8250 0 16458 0 400536 0 0 0 MR GARY BARNETT 435938 0 599000 0 54765 0 8250 0 26390 0 1124343 0 0 0 DR KIRAN JOAG 338341 0 106835 0 37449 0 8250 0 18468 0 509343 0 0 0 MR CRAIG W SHEAGREN 202122 0 74842 0 5058 0 8184 0 14274 0 304480 0 0 0 MS MARY LOU WILD 200053 0 72958 0 24523 0 8120 0 6562 0 312216 0 0 0 MR JERRY J ESKER 188795 0 75519 0 22245 0 7697 0 11560 0 305816 0 0 0 MR ERIC BENSON 146193 0 70038 0 18990 0 6321 0 16703 0 258245 0 0 0 CHARLEY T NGUYEN MD 757228 0 475756 0 82570 0 8250 0 24344 0 1348148 0 0 0 AARON C EUBANKS MD 707696 0 530245 0 5480 0 0 0 20756 0 1264177 0 0 0 MICHAEL S SMITH MD 680165 0 466475 0 74339 0 8250 0 24346 0 1253575 0 0 0 LOUIS B MENDELLA MD 734610 0 449724 0 7925 0 8250 0 23845 0 1224354 0 0 0 CURTIS R GREEN MD 650000 0 193155 0 73449 0 4760 0 24042 0 945406 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 FINANCIAL, 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 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 MANAGMENT 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 KIRAN JOAG, MD GARY BARNETT CRAIG SHEAGREN DENNIS PLUARD MARY LOU WILD JERRY ESKER ERIC BENSON CHARLEY NGUYEN, MD MICHAEL S SMITH, MD LOUIS MENDELLA, MD AARON EUBANKS, MD CURTIS R GREEN, MD THE FOLLOWING PERSONS RECEIVED DISTRIBUTIONS FROM THE PLAN DURING THE TAX YEAR: DENNIS PLUARD $25,766 ILLINOIS FINANCE AUTHORITY 861091967 2011-03-18 45000000 SEE PART V false true false 0 0 45000000 0 0 19058107 517777 0 0 7386612 18037792 0 2014 true false false true false false false false true 0.00000 0.00000 0.00000 true true true false false false false false false DESCRIPTION OF PURPOSE PART I, LINE A, COLUMN F REFINANCE OLD BONDS AND CONSTRUCTION OF MASTER FACILITY PLAN TRACI BLUME SIBLING-CHRIS CONSIDINE 21056 T BLUME EMPLOYED BY HEALTH CTR false 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, 2011, WE SERVED 6,899 INPATIENTS AND PROVIDED 433,122 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 2011, 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 2011. EACH PROGRAM IS FURTHER DESCRIBED THROUGHOUT THIS BOOKLET. IMPROVE PATIENT EXPERIENCE AND LOYALTY $38,835 O ADVANTAGE 50 O NEWSPAPER TO ALL PATIENTS O VALET PARKING SERVICES IMPROVE CLINICAL AND OPERATIONAL QUALITY $767,405 O COMMUNITY HEALTH SCREENS O EAST CENTRAL ILLINOIS BREAST & CERVICAL CANCER PROGRAM O HEALTH EDUCATION O HEART SMART FOR TEENS O HEART SMART FOR WOMEN O HOME HEALTH CARE FOR CLARK AND CUMBERLAND COUNTIES 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 $2,150 O HEALTH OCCUPATIONS O STRATEGIC PARTNERSHIP FOR A COMPETITIVE WORKFORCE CREATE HEALTHY COMMUNITIES $145,238 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 MAINTAIN FINANCIAL VIABILITY $14,715,714 O FINANCIAL ASSISTANCE O GOVERNMENTAL INSURANCE PROGRAMS O SPORTS PHYSICALS 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 $7,533. IN-ROOM NEWSPAPER LOCAL NEWSPAPERS ARE PROVIDED EVERY DAY TO ALL INPATIENTS TO HELP KEEP THEM INFORMED OF LOCAL AND AREA EVENTS. THE NON-REIMBURSED COST IS $5,000. VALET PARKING PATIENTS AND VISITORS ARE ENCOURAGED TO TAKE ADVANTAGE OF FREE VALET PARKING SERVICES AT THE MAIN ENTRANCE. THE NON-REIMBURSED COST TO SBLHC IS $26,302. 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 $107,618. 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 2011, ECIBCCP PROVIDED SERVICES TO 1,184 WOMEN. THE NON-REIMBURSED COST WAS APPROXIMATELY $219,432. 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 $107,899. 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 $2,161. HEART SMART FOR WOMEN IN PARTNERSHIP WITH FIVE LOCAL COUNTY HEALTH DEPARTMENTS, SBLHC SPONSORS A 12-WEEK PROGRAM DESIGNED TO IDENTIFY WOMEN AT RISK FOR CARDIOVASCULAR DISEASE. THE PROGRAM EDUCATES ADULT WOMEN ABOUT HEART HEALTHY BEHAVIORS AND GOAL SETTING. THE PROGRAM IS DELIVERED BY HEALTHCARE WORKERS IN COMMUNITIES WITHIN THE AREA AND INCLUDES A GOAL SETTING, EDUCATION ABOUT HEART-HEALTHY EATING, EXERCISE AND INCENTIVES. HOME HEALTH CARE FOR CLARK AND CUMBERLAND COUNTIES LINCOLNLAND HOME CARE OF SARAH BUSH LINCOLN MANAGES A PROJECT TO PROVIDE HOME HEALTH SERVICES TO FINANCIALLY QUALIFIED PEOPLE AGE 60 AND OLDER IN CLARK AND CUMBERLAND COUNTIES. MANY OF THE PEOPLE SERVED BY THIS PROGRAM HAVE NO MEANS TO PAY FOR THEIR IN-HOME HEALTH NEEDS. THESE SERVICES WERE PARTIALLY GRANT FUNDED. THE NON-REIMBURSED COST WAS $1,708. 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 $15,885. 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 $4,746. 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 $14,112. 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 $179,925. 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 $38,000. 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 $1,920. ENHANCE HUMAN CAPITAL HEALTH OCCUPATIONS THE HEALTH OCCUPATIONS PROGRAM PROVIDES AREA HIGH SCHOOL STUDENTS WITH THE OPPORTUNITY TO LEARN MORE ABOUT HEALTHCARE. THE COLLABORATIVE PROGRAM RUNS THROUGHOUT THE SCHOOL YEAR, PROVIDES JOB SHADOWING FOR STUDENTS AND FREQUENT INTERACTION WITH PRACTICING PROFESSIONALS. STUDENTS GRADUATE WITH A CERTIFIED NURSE ASSISTANT CERTIFICATE. FIFTY-SIX STUDENTS WERE INVOLVED IN THE PROGRAM DURING FY11. STRATEGIC PARTNERSHIPS FOR A COMPETITIVE WORKFORCE SARAH BUSH LINCOLN, ALONG WITH LAKE LAND COLLEGE, EASTERN ILLINOIS EDUCATION FOR EMPLOYMENT SYSTEM AND GREATER EFFINGHAM CHAMBER OF COMMERCE HAVE WORKED TOGETHER THROUGH A JOINT PROJECT OF THE DEPARTMENT OF EDUCATION AND U.S. DEPARTMENT OF LABOR TO CREATE PATHWAYS FOR INDIVIDUALS TO ENTER HEALTHCARE CAREERS. THE PARTNERSHIP REVIEWS POPULATIONS AND LABOR STATISTICS TO IDENTIFY EMPLOYMENT OPPORTUNITIES IN THE COMMUNITY. IT IDENTIFIED POTENTIAL OBSTACLES TO OBTAIN THE NEEDED EDUCATION FOR A PARTICULAR CAREER. THE NON-REIMBURSED COST TO SBLHC WAS $2,150. 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 $56,840. 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 2011, THE NON-REIMBURSED COST OF BODY ELECTRIC WAS $55,000. 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 17,941 WOMEN. IN FY11, 1,429 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 $3,925. 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 $28,872 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, 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, 3,237 HIGH SCHOOL ATHLETES FROM 20 AREA SCHOOLS HAVE TAKEN ADVANTAGE OF THIS LIFE-SAVING AND PAINLESS TEST. 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 $601. 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 $21,432,199 FOR THE YEAR AND THE COST OF THOSE SERVICES AFTER CONTRIBUTIONS AND OTHER DIRECT ASSISTANCE WAS $8,021,738. IN FY 2011, 2,485 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 $6,669,412 DURING THE YEAR. 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 270 SPORTS PHYSICALS WERE PROVIDED AT A COST OF $5,400. BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 SCOTT LENSINK, ANN BACON, AND LINDA HANCE ALL HAVE A BUSINESS RELATIONSHIP 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. MEMBERS FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS SARAH BUSH LINCOLN HEALTH SYSTEM. ELECTION OF A GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 7A BOARD MEMBERS WILL AID IN THE SELECTION FOR THE NOMINATION OF NEW BOARD MEMBERS WHEN VACANCIES OCCUR OR WHEN TERMS WILL EXPIRE, BUT THE FINAL APPROVAL OF THE CANDIDATES IS MADE BY THE SOLE MEMBER OF THE CORPORATION, SARAH BUSH LINCOLN HEALTH SYSTEM. DECISIONS OF THE GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 7B THE SARAH BUSH HEALTH SYSTEM BOARD, THE SOLE MEMBER OF THE HEALTH CENTER BOARD, RETAINS CERTAIN RESERVED POWERS INCLUDING; AMENDING ARTICLES OF INCORPORATION OR BYLAWS, APPROVING THE ANNUAL OPERATING BUDGET AND LONG RANGE STRATEGIC PLAN, APPROVAL OF ANY TRANSACTIONS REQUIRING A CERTIFICATE OF NEED, APPROVAL OF THE BORROWING OF FUNDS AND INCURRING DEBT, APPROVAL OF MERGERS, CONSOLIDATIONS, SALE, OF ALL OR SUBSTANTIALLY ALL ASSETS, SELECTING AUDITORS, CREATING OR ACQUIRING SUBSIDIARY OR AFFILIATE CORPORATIONS, DISSOLVING THE CORPORATION, APPOINTING, EVALUATING AND REMOVAL OF PRESIDENT/CEO, AND ELECTING BOARD MEMBERS. FORM 990 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, LINES 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. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 THIS AMOUNT REPRESENTS THE NET UNREALIZED GAINS / (LOSSES) ON INVESTMENT SECURITIES. 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