SARAH BUSH LINCOLN HEALTH CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SARAH BUSH LINCOLN HEALTH CENTER (EIN 23-7098532)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-04-29
IRS object ID
201141199349300709
Schema version
2009v1.7
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)
Timestamp2011-04-29T11:37:17-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1211 N BROADWAY SUITE 600AddressLine1
CityST LOUISCity
StateMOState
ZIP Code631022733ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237098532EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Sarah Bush Lincoln Health CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSARANameControl
Phone2172582514Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 372AddressLine1
Address Line21000 HEALTH CENTER DRIVEAddressLine2
CityMattoonCity
StateILState
ZIP Code61938ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCRAIG SHEAGRENName
TitleVICE PRESIDENT FINANCETitle
Phone2172582514Phone
Date Signed2011-04-29DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3142315544Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGARY L BARNETTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRIVEAddressLine1
CityMATTOONCity
StateILState
ZIP Code61938ZIPCode
FieldValueIRS element (for citing)
Gross Receipts368187007GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.sarahbush.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF SARAH BUSH LINCOLN HEALTH CENTER IS TO PROVIDE EXCEPTIONAL CARE FOR ALL AND CREATE HEALTHY COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees1848TotalNbrEmployees
Total Nbr Volunteers223TotalNbrVolunteers
Total Gross UBI4975265TotalGrossUBI
Contributions Grants Prior Year1197591ContributionsGrantsPriorYear
Contributions Grants Current Year1936900ContributionsGrantsCurrentYear
Program Service Revenue Prior Year165406157ProgramServiceRevenuePriorYear
Program Service Revenue CY171676358ProgramServiceRevenueCY
Investment Income Prior Year-4602808InvestmentIncomePriorYear
Investment Income Current Year8824515InvestmentIncomeCurrentYear
Other Revenue Prior Year11137731OtherRevenuePriorYear
Other Revenue Current Year11543280OtherRevenueCurrentYear
Total Revenue Prior Year173138671TotalRevenuePriorYear
Total Revenue Current Year193981053TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year33345GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY33780GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year100002534SalariesEtcPriorYear
Salaries Etc Current Year103264363SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year70051737OtherExpensePriorYear
Other Expenses Current Year72211336OtherExpensesCurrentYear
Total Expenses Prior Year170087616TotalExpensesPriorYear
Total Expenses Current Year175509479TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3051055RevenuesLessExpensesPriorYear
Revenues Less Expenses CY18471574RevenuesLessExpensesCY
Total Assets BOY218268034TotalAssetsBOY
Total Assets EOY226469954TotalAssetsEOY
Total Liabilities BOY68479952TotalLiabilitiesBOY
Total Liabilities EOY70237535TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY149788082NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY156232419NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF SARAH BUSH LINCOLN HEALTH CENTER 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense155662461Expense
Grants33780Grants
Revenue176651623Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense155662461TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096172NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1848NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCRAIG W SHEAGREN CPANamePerson
Telephone Number2172582514TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRIVEAddressLine1
CityMATTOONCity
StateILState
ZIP Code61938ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MR SCOTT LENSINK
VICE CHAIRPERSON1.0X000
DR GARY MIKEL
SECRETARY55.0X333516024852
MS ANN BACON
TREASURER1.0X000
DR ALDO RUFFOLO
DIRECTOR1.0X000
MS LINDA HANCE
DIRECTOR1.0X000
MR STEVE HONSELMAN
CHAIRPERSON1.0X000
DR LOUIS BUTLER
DIRECTOR1.0X000
MS JEANNE DAU
DIRECTOR1.0X000
MR MARK DONNELL
DIRECTOR1.0X000
MR CHRIS CONSIDINE
DIRECTOR1.0X000
DR KIRAN JOAG MD
DIRECTOR55.0X499748024687
MR WILLIAM PERRY
DIRECTOR1.0X000
MR STEVE WENTE
DIRECTOR1.0X000
MR TIM MOONEY
DIRECTOR1.0X000
MR GARY BARNETT
PRESIDENT AND CEO39.0703255033604X
MR CRAIG W SHEAGREN
VP FINANCE52.0247205021626X
MR DENNIS J PLUARD
VP OPERATIONS54.0391843023783X
MS MARY LOU RANDOLPH
VP PATIENT CARE55.0281323013993X
MR JERRY J ESKER
VP SYSTEM PRACTICES55.0263789018276X
MR ERIC BENSON
VP HUMAN RESOURCES54.0215131022051X
MS VALERY MUNCIE
VP FOUNDATION13.0201058011419X
CHARLEY NGUYEN MD
PHYSICIAN55.01116333031292X
LOUIS B MENDELLA MD
PHYSICIAN55.01094834026194X
KETAN A SHAH MD
PHYSICIAN55.01034690016569X
CURTIS R GREEN MD
PHYSICIAN55.0996173030675X
MICHAEL S SMITH MD
PHYSICIAN55.0939511031480X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8318409TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation330501TotalOtherCompensation
Number Individuals GT100 K98NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PERSONAL CARE INSURANCE OF IL INC
PO BOX 6470CAROL STREAMIL60197ASO & ADMIN FEES1119449
AON RISK SERVICES INC OF MINNESOTA
75 REMITTANCE DR SUITE 1943CHICAGOIL606751943INSURANCE PROF LIAB1393420
SOUTH BEND MEDICAL FOUNDATION INC
530 N LAFAYETTE BLVDSOUTH BENDIL46601LAB SERVICES987050
SM WILSON COMPANY
2185 HAMPTON AVE PO BOX 5210ST LOUISMO63139CONSTR CONTRACTOR7899452
UNUM LIFE INSURANCE CO OF AM
PO BOX 406955ATLANTAGA303846955INS PREMIUMS881524
FieldValueIRS element (for citing)
Number Of Contractors GT100 K35NumberOfContractorsGT100K
Related Organizations995777RelatedOrganizations
Government Grants667252GovernmentGrants
All Other Contributions273871AllOtherContributions
Total Contributions1936900TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REV.621110139269132139269132
OUTREACH REVENUE5419008853188531
NET PROVIDER6211103231869532318695
PATIENT REVENUE
FieldValueIRS element (for citing)
Total Program Service Revenue171676358TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4752055TotalRevenueColumn
Exclusion$4,752,055ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real313759Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real313759Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column313759TotalRevenueColumn
Exclusion$313,759ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities178140918Securities
Other137496Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities174130617Securities
Other75337Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4010301Securities
Other62159Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4072460TotalRevenueColumn
Exclusion$4,072,460ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
REFERENCE LAB.62150083507914881627$3,469,164
CAFETERIA & OTHER7223202785092$2,785,092
MANAGEMENT FEES5610005625256252

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column37386TotalRevenueColumn
Unrelated Business Revenue37386UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue11229521TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column193981053TotalRevenueColumn
Related Or Exempt Function Income171676358RelatedOrExemptFunctionIncome
Unrelated Business Revenue4975265UnrelatedBusinessRevenue
Exclusion$15,392,530ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total33780Total
Program Services33780ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3331160Total
Management And General3331160ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total17456Total
Management And General17456ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total80954808Total
Program Services74189066ProgramServices
Management And General6765742ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3828827Total
Program Services3508079ProgramServices
Management And General320748ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10349053Total
Program Services9482093ProgramServices
Management And General866960ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4783059Total
Program Services4382373ProgramServices
Management And General400686ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total150338Total
Management And General150338ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total160000Total
Management And General160000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total24642Total
Management And General24642ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6625777Total
Program Services6130269ProgramServices
Management And General495508ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total643349Total
Program Services643349ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total24968459Total
Program Services22876804ProgramServices
Management And General2091655ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1224262Total
Program Services1121703ProgramServices
Management And General102559ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2599869Total
Program Services2382073ProgramServices
Management And General217796ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total946431Total
Program Services867147ProgramServices
Management And General79284ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total711996Total
Program Services652351ProgramServices
Management And General59645ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1579697Total
Program Services1579697ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10358551Total
Program Services9490796ProgramServices
Management And General867755ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3682266Total
Management And General3682266ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE1265060012650600
MAINTENANCE & PREVENTATIVE25329322320744212188
IL HOSPITAL TAX ASSESSMENT26936392693639
DUES & SUBSCRIPTIONS304826304826
RECRUITMENT EXPENSE346182346182

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7520Total
Program Services6890ProgramServices
Management And General630ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total175509479Total
Program Services155662461ProgramServices
Management And General19847018ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4640BOY
EOY5110EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY19930432BOY
EOY18855168EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY28228322BOY
EOY24963858EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2462632BOY
EOY2972937EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2010286BOY
EOY1964219EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis166692699LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec102060388LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY58901051BOY
EOY64632311EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY75653705BOY
EOY81751338EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY19823986BOY
EOY23876411EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11252980BOY
EOY7448602EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY218268034BOY
EOY226469954EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26174333BOY
EOY25819711EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY26990000BOY
EOY25320000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1303665BOY
EOY924346EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14011954BOY
EOY18173478EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY68479952BOY
EOY70237535EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY141654825BOY
EOY156232419EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5705627BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2427630BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY149788082BOY
EOY156232419EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY218268034BOY
EOY226469954EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$24,642GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB24642TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPOLITICAL CAMPAIGN AND LOBBYING ACTIVITESIdentifier
Return ReferenceSCHEDULE C, PART IVReturnReference
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 23.76% OF THE ANNUAL MEMBERSHIP DUES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance38975241BeginningOfYearBalance
Contributions5800500Contributions
Investment Earnings Or Losses3288311InvestmentEarningsOrLosses
Grants Or Scholarships658806GrantsOrScholarships
Administrative Expenses3225958AdministrativeExpenses
End Of Year Balance44179288EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance42423175BeginningOfYearBalance
Contributions5589131Contributions
Investment Earnings Or Losses-5482375InvestmentEarningsOrLosses
Grants Or Scholarships326818GrantsOrScholarships
Administrative Expenses3227872AdministrativeExpenses
End Of Year Balance38975241EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2826301OtherCostOrOtherBasis
Book Value2826301BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis61748945OtherCostOrOtherBasis
Depreciation33943544Depreciation
Book Value27805401BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis227639OtherCostOrOtherBasis
Depreciation166699Depreciation
Book Value60940BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis87127721OtherCostOrOtherBasis
Depreciation65017246Depreciation
Book Value22110476BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14762092OtherCostOrOtherBasis
Depreciation2932899Depreciation
Book Value11829193BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings64632311TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
DESIGNATED UNDER BOND AGRMT6524685F
SUPPLEMENTAL PENSION12900062F
DEFERRED COMPENSATION4451664F
FieldValueIRS element (for citing)
Total Of Book Value Securities23876411TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
SUPPLEMENTAL PENSION$13,510,602
DEFERRED COMPENSATION$4,662,876
FieldValueIRS element (for citing)
Total Of Amounts18173478TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSPART VIBOARD 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. PREVIOUSLY, THE FOUNDATION'S OPERATING ACTIVITY WAS RECORDED IN THE INTERCOMPANY ACCOUNT OF THE HEALTH CENTER. BEGINNING IN 2010, THE FOUNDATION'S ACTIVITY IS BEING REPORTED SEPARATELY AND THE PRIOR YEAR'S BALANCE HAS BEEN RESTATED TO ACCOUNT FOR THIS CHANGE.
FIN 48 FOOTNOTEPART X, LINE 2MANAGEMENT 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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage130.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6459260TotalCommunityBenefitExpense
Net Community Benefit Expense6459260NetCommunityBenefitExpense
Percent Of Total Expense0.03970PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense32845638TotalCommunityBenefitExpense
Direct Offsetting Revenue26155509DirectOffsettingRevenue
Net Community Benefit Expense6690129NetCommunityBenefitExpense
Percent Of Total Expense0.04110PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense39304898TotalCommunityBenefitExpense
Direct Offsetting Revenue26155509DirectOffsettingRevenue
Net Community Benefit Expense13149389NetCommunityBenefitExpense
Percent Of Total Expense0.08080PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense519106TotalCommunityBenefitExpense
Net Community Benefit Expense519106NetCommunityBenefitExpense
Percent Of Total Expense0.00320PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense301182TotalCommunityBenefitExpense
Net Community Benefit Expense301182NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense820288TotalCommunityBenefitExpense
Net Community Benefit Expense820288NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense40125186TotalCommunityBenefitExpense
Direct Offsetting Revenue26155509DirectOffsettingRevenue
Net Community Benefit Expense13969677NetCommunityBenefitExpense
Percent Of Total Expense0.08580PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense27500TotalCommunityBuildingExpense
Net Community Building Expense27500NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense27500TotalCommunityBuildingExpense
Net Community Building Expense27500NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$4,765,481BadDebtExpenseAmount
Amount Reimbursed By Medicare34461247AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare45291733CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-10830486MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (10 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalOtherOther
SARAH BUSH LINCOLN HEALTH CENTER
1000 HEALTH CENTER DRIVEMATTOONIL61938X
SBL ARCOLA CLINIC
241 W SPRINGFIELD RDARCOLAIL61910CLINIC
SBL ARTHUR CLINIC
211 S WALNUTARTHURIL61911CLINIC
SBL CASEY CLINIC
412 NW THIRD STCASEYIL62420CLINIC
SBL CHARLESTON FAMILY PRACTICE
116 WEST BUCHANAN AVECHARLESTONIL61920CLINIC
SBL FAMILY MEDICAL CENTER
200 RICHMOND AVENUE EMATTOONIL61938CLINIC
SBL NEOGA CLINIC
650 OAK AVE PO BOX 640NEOGAIL62447CLINIC
SBL SULLIVAN CLINIC
7 HAWTHORNE LNSULLIVANIL61951CLINIC
SBL TOLEDO CLINIC
168 COURTHOUSE SQUARE PO BOX 99TOLEDOIL62468CLINIC
SBL EFFINGHAM CLINIC
905 N MAPLEEFFINGHAMIL62420CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Annual Community Benefit ExplnIT IS PUBLISHED ON OUR WEBSITE (www.sarahbush.org).AnnualCommunityBenefitExpln
Costing Method UsedTHE 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.CostingMethodUsed
Percent Of Total Expense ExplnTHE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $12,650,600 REPORTED ON PART IX, LINE 25, HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.PercentOfTotalExpenseExpln
Bad Debt FootnoteTHE 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 (0.3767) AS COMPUTED ON WORKSHEET 2 OF THE ACCOUNTING WORK PAPERS TO CALCULATE THE BAD DEBT EXPENSE (12,650,600) AT COST (4,765,481). WE REDUCE BAD DEBT EXPENSE BY THE DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS.BadDebtFootnote
Shortfall As Community BenefitWE DID NOT TREAT ANY OF THE SHORTFALL AS BENEFIT.ShortfallAsCommunityBenefit
Debt Collection PolicyACCOUNTS, WHICH HAVE BEEN WRITTEN OFF AS 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.DebtCollectionPolicy
Number Of Facility Type ExplnONE LICENSED HOSPITAL, NINE CLINICS/OFF-SITE LOCATIONS.NumberOfFacilityTypeExpln
Needs AssessmentSARAH 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 TARGETH AUDIENCE FOR THE COMMUNITIES IT SERVES. BASED ON THE CURRENT COMMUNITY NEEDS ASSESSMENT, SBL'S HEALTHY 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.NeedsAssessment
Patient Education 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) THAT THEY NEED TO APPLY FOR MEDICAID SHOULD THEY HAVE ANY PRE-QUALIFIERS FOR THE PROGRAM (IE: BLIND, DISABLED, DEPENDANT 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.PatientEducationAssistance
Community InformationSARAH BUSH LINCOLN SERVES RURAL COMMUNITES 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.CommunityInformation
Community Building ActivitiesCOLES 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.CommunityBuildingActivities
Other InformationTHE HEALTH CENTER ALSO SUPPORTS THE RECENTLY OPENED LOCAL COMMUNITY CLINIC BY VOLUNTEERING TO SERVE ON THEIR BOARD OF DIRECTORS.OtherInformation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1COLES TOGETHERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 AIRPORT ROADAddressLine1
CityMATTOONCity
StateILState
ZIP Code61938ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient371243664EINOfRecipient
Amount Of Cash Grant27500AmountOfCashGrant
Purpose Of GrantSEE PART IVPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPART IIIdentifier
ExplanationCOLES 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DR GARY MIKEL
1973450111880024291078570169950358368000
MR DENNIS J PLUARD
232333089289070221082500155330415626000
MR GARY BARNETT
4292540221415052586082500253540736859000
DR KIRAN JOAG MD
2841320182971032645078570168300524435000
MR CRAIG W SHEAGREN
19809504581103299079850136410268831000
MS MARY LOU RANDOLPH
19419606363202349507750062430295316000
MR JERRY J ESKER
179795063358020636073080109680282065000
MR ERIC BENSON
146930049668018533062030158480237182000
MS VALERY MUNCIE
13643504752901709405479059400212477000
CHARLEY NGUYEN MD
68796003513520770210825002304201147625000
LOUIS B MENDELLA MD
6994150387972074470412802206601121028000
KETAN A SHAH MD
6365380327782070370082500831901051259000
CURTIS R GREEN MD
62147203071100675910825002242501026848000
MICHAEL S SMITH MD
6259680242893070650082500232300970991000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION INFORMATIONSCHEDULE J, LINE 7ADDITIONAL COMPENSATION TO OFFICERS AND KEY EMPLOYEES OF THE ORGANZIATION 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 FEESSCHEDULE J, LINE 1ACOUNTRY CLUB DUES ARE REPORTED AS TAXABLE COMPENSATION FOR OUR PRESIDENT AND CEO, GARY BARNETT.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, LINE 4BSARAH 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 KIRAN JOAG, MD GARY BARNETT CRAIG SHEAGREN DENNIS PLUARD MARY LOU RANDOLPH JERRY ESKER ERIC BENSON VALERY MUNCIE CHARLEY NGUYEN, MD LOUIS MENDELLA, MD KETAN SHAH, MD CURTIS GREEN, MD MICHAEL SMITH, MD THE FOLLOWING PERSONS RECEIVED DISTRIBUTIONS FROM THE PLAN DURING THE TAX YEAR: DENNIS PLUARD $ 25,696 VALERY MUNCIE $ 67,966 KETAN SHAH, MD $ 350,735

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonTRACI BLUMENamePerson
FieldValueIRS element (for citing)
RelationshipSIBLING - CHRIS CONSIDINERelationship
Amount Of Transaction17456AmountOfTransaction
Description Of TransactionBLUME EMPLOYED BY HEALTH CENTEDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990,PART III, LINE 4AAS 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 IN OUR SERVICE AREA 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, 2010, WE SERVED 7,018 INPATIENTS AND PROVIDED 427,562 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 2010, 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 2010. EACH PROGRAM IS FURTHER DESCRIBED THROUGHOUT THIS BOOKLET. IMPROVE PATIENT EXPERIENCE AND LOYALTY $42,653 - ADVANTAGE 50 - NEWSPAPER TO ALL PATIENTS - VALET PARKING SERVICES IMPROVE CLINICAL AND OPERATIONAL QUALITY $672,165 - COMMUNITY BENEFIT PROGRAMS - COMMUNITY HEALTH FAIRS - EAST CENTRAL ILLINOIS BREAST & CERVICAL CANCER PROGRAM - HEALTH STYLES - HEART SMART FOR TEENS - HEART SMART FOR WOMEN - HOME HEALTH CARE FOR CLARK AND CUMBERLAND COUNTIES - METS PHASE III AT EIU - OH, BABY! - PEACE MEALS DELIVERY - REGIONAL BEHAVIORAL HEALTH NETWORK - SARAH BUSH LINCOLN WEBSITE - SUPPORT GROUPS - STEP IN THE RIGHT DIRECTION ENHANCE HUMAN CAPITAL $2,431 - HEALTH OCCUPATIONS - SEVEN HABITS OF HIGHLY EFFECTIVE TEENS - STRATEGIC PARTNERSHIP FOR A COMPETITIVE WORKFORCE PROMOTE A HEALTHIER COMMUNITY $155,851 - COMMUNITY AID - I SING THE BODY ELECTRIC - MOBILE MAMMOGRAPHY - ORGANIZATIONAL SUPPORT - ROTARY HIGH SCHOOL ATHLETIC HEART SCAN - YOUTH EDUCATION - KOMEN WABASH GRANT MAINTAIN FINANCIAL VIABILITY $22,683,006 - FINANCIAL ASSISTANCE - GOVERNMENTAL INSURANCE PROGRAMS - 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 $11,457. 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 $4,923. 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 $26,273. IMPROVE CLINICAL AND OPERATIONAL QUALITY COMMUNITY BENEFIT PROGRAMS 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 $103,911. 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. 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 $500. 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 $91,762. 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 $107,342. SBLHC PROVIDED 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 $4,410. 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 FY2010, ECIBCCP PROVIDED SERVICES TO 1,131 WOMEN. THE NON-REIMBURSED COST WAS APPROXIMATELY $219,373. HEART SMART FOR TEENS ADOLESCENTS IN AREA MIDDLE SCHOOLS LEARNED 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 $3,494. 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. THE NON-REIMBURSED COST WAS $1,200. 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 PERSONS 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 $6,733. 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.
PROGRAM SERVICES ACCOMPLISHMENTS CONTINUEDPART III, LINE 4A CONTINUEDOH, 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 $5,927. 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. 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 $41,886. 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 FY10. 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 $2,431. PROMOTE A HEALTHIER COMMUNITY COMMUNITY AID SBLHC ASSISTED MISSIONS IN VARIOUS AREAS AND LOCAL PROJECTS WITH HEALTHCARE NEEDS BY DONATING MEDICAL SUPPLIES AND EQUIPMENT. THE COST WAS APPROXIMATELY $41,609. 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 2010, 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 16,476 WOMEN. IN FY10, 1,465 MAMMOGRAMS WERE PERFORMED ON THE VAN. 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 $47,958 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 * 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. THROUGH ROTARY COMEDY NIGHT, THE CLUBS RAISED FUNDS TO PROVIDE FREE ULTRASOUND HEART SCANS TO AREA HIGH SCHOOL SOPHOMORE ATHLETES TO UNCOVER HEART ABNORMALITIES, 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. THIS PAST YEAR, 190 STUDENTS RECEIVED FREE ECHOCARDIOGRAMS. THE NON-REIMBURSED COST WAS $3,800. 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 $3,226. 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. IN MARCH 2008, THE HEALTH SYSTEM MADE FURTHER REVISIONS WHICH EXPANDED ASSISTANCE, PARTICULARLY FOR LOW INCOME INDIVIDUALS. IN APRIL 2009, THE PROGRAM WAS REVISED TO PROVIDE YET ANOTHER LAYER OF PROTECTION TO PATIENTS WITH NO INSURANCE. THE POLICY GIVES FINANCIAL ASSISTANCE IN SOME CASES AT FOUR TIMES THE FEDERAL POVERTY GUIDELINES. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED WAS $14,526,232 FOR THE YEAR AND THE COST OF THOSE SERVICES AFTER CONTRIBUTIONS AND OTHER DIRECT ASSISTANCE WAS $9,074,435. IN ALL, 2,890 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 $13,602,591 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. 299 SPORTS PHYSICALS WERE PROVIDED AT A COST OF $5,980.
MEMBERSPART VI, SECTION A, LINE 6THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS SARAH BUSH LINCOLN HEALTH SYSTEM.
ELECTION OF GOVERNING BODYPART VI, SECTION A, LINE 7ABOARD 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 BODYPART VI, SECTION A, LINE 7BDECISIONS OF THE GOVERNING BODY DO NOT NEED ADDITIONAL APPROVALS.
FORM 990 REVIEWPART VI, SECTION A, LINE 11THE 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 SUBMITTTED DETAILED QUESTIONNAIRES WITH REGARD TO THEIR RELATIONSHIPS WITH THE ORGANIZATION PER THE RECOMMENDATION WITH INDEPENDENT CONSULTANTS. 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 POLICYPART VI, SECTION B, LINES 12A-CMEMBERS 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 COMPENSATIONPART VI, SECTION B, LINES 15A & BCOMPENSATION 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 DISCLOSUREPART VI, SECTION C, LINE 19CURRENTLY, SARAH BUSH LINCOLN HEALTH CENTER POSTS THEIR COMMUNITY BENEFITS STATEMENT ON OUR PUBLIC WEBSITE. NO OTHER GOVERNING DOCUMENTS ARE MADE AVAILABLE.
BUSINESS RELATIONSHIPSPART VI, SECTION A, LINE 2SCOTT 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SARAH BUSH LINCOLN HEALTH SYSTEM
1000 HEALTH CENTER DRIVEMATTOONIL61938371136714PARENT COIL501(c)(3)11-INA
SARAH BUSH LINCOLN HEALTH CTR FOUNDATION
1000 HEALTH CENTER DRIVEMATTOONIL61938371136713FUNDRAISINGIL501(c)(3)11-INA
SARAH'S HOMEMAKERS OF SARAH BUSH LINCOLN
1000 HEALTH CENTER DRIVEMATTOONIL61938371395122HOME CAREIL501(c)(3)9NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
SARAH BUSH LINCOLN HEALTH MGMT SERVICES
1000 HEALTH CENTER DRIVEMATTOONIL61938371136614RETAIL DME/RXILNAC CORP000.00000
SARAH BUSH LINCOLN CAPTIVE INSURANCE LTD
INSURANCENAC CORP000.00000PO BOX 69GRAND CAYMANCJCJ
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Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
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Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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