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            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>606751943</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>INSURANCE PROF LIAB</DescriptionOfServices>
        <Compensation>1393420</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SOUTH BEND MEDICAL FOUNDATION INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>530 N LAFAYETTE BLVD</AddressLine1>
            <City>SOUTH BEND</City>
            <State>IL</State>
            <ZIPCode>46601</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LAB SERVICES</DescriptionOfServices>
        <Compensation>987050</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SM WILSON COMPANY</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2185 HAMPTON AVE PO BOX 5210</AddressLine1>
            <City>ST LOUIS</City>
            <State>MO</State>
            <ZIPCode>63139</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTR CONTRACTOR</DescriptionOfServices>
        <Compensation>7899452</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>UNUM LIFE INSURANCE CO OF AM</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 406955</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>303846955</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>INS PREMIUMS</DescriptionOfServices>
        <Compensation>881524</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>35</NumberOfContractorsGT100K>
      <RelatedOrganizations>995777</RelatedOrganizations>
      <GovernmentGrants>667252</GovernmentGrants>
      <AllOtherContributions>273871</AllOtherContributions>
      <TotalContributions>1936900</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT REV.</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>139269132</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>139269132</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OUTREACH REVENUE</Description>
        <BusinessCode>541900</BusinessCode>
        <TotalRevenueColumn>88531</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>88531</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>NET PROVIDER</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>32318695</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>32318695</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PATIENT REVENUE</Description>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>171676358</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>4752055</TotalRevenueColumn>
        <ExclusionAmount>4752055</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>313759</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>313759</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>313759</TotalRevenueColumn>
        <ExclusionAmount>313759</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>178140918</Securities>
        <Other>137496</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>174130617</Securities>
        <Other>75337</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>4010301</Securities>
        <Other>62159</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>4072460</TotalRevenueColumn>
        <ExclusionAmount>4072460</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>REFERENCE LAB.</Description>
        <BusinessCode>621500</BusinessCode>
        <TotalRevenueColumn>8350791</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>4881627</UnrelatedBusinessRevenue>
        <ExclusionAmount>3469164</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>CAFETERIA &amp; OTHER</Description>
        <BusinessCode>722320</BusinessCode>
        <TotalRevenueColumn>2785092</TotalRevenueColumn>
        <ExclusionAmount>2785092</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MANAGEMENT FEES</Description>
        <BusinessCode>561000</BusinessCode>
        <TotalRevenueColumn>56252</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>56252</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>37386</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>37386</UnrelatedBusinessRevenue>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>11229521</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>193981053</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>171676358</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>4975265</UnrelatedBusinessRevenue>
        <ExclusionAmount>15392530</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>33780</Total>
        <ProgramServices>33780</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>3331160</Total>
        <ManagementAndGeneral>3331160</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>17456</Total>
        <ManagementAndGeneral>17456</ManagementAndGeneral>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>80954808</Total>
        <ProgramServices>74189066</ProgramServices>
        <ManagementAndGeneral>6765742</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>3828827</Total>
        <ProgramServices>3508079</ProgramServices>
        <ManagementAndGeneral>320748</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>10349053</Total>
        <ProgramServices>9482093</ProgramServices>
        <ManagementAndGeneral>866960</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>4783059</Total>
        <ProgramServices>4382373</ProgramServices>
        <ManagementAndGeneral>400686</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>150338</Total>
        <ManagementAndGeneral>150338</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>160000</Total>
        <ManagementAndGeneral>160000</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>24642</Total>
        <ManagementAndGeneral>24642</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>6625777</Total>
        <ProgramServices>6130269</ProgramServices>
        <ManagementAndGeneral>495508</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>643349</Total>
        <ProgramServices>643349</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>24968459</Total>
        <ProgramServices>22876804</ProgramServices>
        <ManagementAndGeneral>2091655</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>1224262</Total>
        <ProgramServices>1121703</ProgramServices>
        <ManagementAndGeneral>102559</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>2599869</Total>
        <ProgramServices>2382073</ProgramServices>
        <ManagementAndGeneral>217796</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>946431</Total>
        <ProgramServices>867147</ProgramServices>
        <ManagementAndGeneral>79284</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>711996</Total>
        <ProgramServices>652351</ProgramServices>
        <ManagementAndGeneral>59645</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>1579697</Total>
        <ProgramServices>1579697</ProgramServices>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>10358551</Total>
        <ProgramServices>9490796</ProgramServices>
        <ManagementAndGeneral>867755</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>3682266</Total>
        <ManagementAndGeneral>3682266</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>12650600</Total>
        <ProgramServices>12650600</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MAINTENANCE &amp; PREVENTATIVE</Description>
        <Total>2532932</Total>
        <ProgramServices>2320744</ProgramServices>
        <ManagementAndGeneral>212188</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>IL HOSPITAL TAX ASSESSMENT</Description>
        <Total>2693639</Total>
        <ProgramServices>2693639</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES &amp; SUBSCRIPTIONS</Description>
        <Total>304826</Total>
        <ProgramServices>304826</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>RECRUITMENT EXPENSE</Description>
        <Total>346182</Total>
        <ProgramServices>346182</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>7520</Total>
        <ProgramServices>6890</ProgramServices>
        <ManagementAndGeneral>630</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>175509479</Total>
        <ProgramServices>155662461</ProgramServices>
        <ManagementAndGeneral>19847018</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>4640</BOY>
        <EOY>5110</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>19930432</BOY>
        <EOY>18855168</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>28228322</BOY>
        <EOY>24963858</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>2462632</BOY>
        <EOY>2972937</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>2010286</BOY>
        <EOY>1964219</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>166692699</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>102060388</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>58901051</BOY>
        <EOY>64632311</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>75653705</BOY>
        <EOY>81751338</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>19823986</BOY>
        <EOY>23876411</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>11252980</BOY>
        <EOY>7448602</EOY>
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      <TotalAssets>
        <BOY>218268034</BOY>
        <EOY>226469954</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>26174333</BOY>
        <EOY>25819711</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>26990000</BOY>
        <EOY>25320000</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>1303665</BOY>
        <EOY>924346</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>14011954</BOY>
        <EOY>18173478</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>68479952</BOY>
        <EOY>70237535</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>141654825</BOY>
        <EOY>156232419</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>5705627</BOY>
        <EOY>0</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>2427630</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>149788082</BOY>
        <EOY>156232419</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>218268034</BOY>
        <EOY>226469954</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>true</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>24642</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>24642</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>POLITICAL CAMPAIGN AND LOBBYING ACTIVITES</Identifier>
        <ReturnReference>SCHEDULE C, PART IV</ReturnReference>
        <Explanation>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 23.76% OF THE ANNUAL MEMBERSHIP DUES.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
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        <Contributions>5800500</Contributions>
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        <GrantsOrScholarships>658806</GrantsOrScholarships>
        <AdministrativeExpenses>3225958</AdministrativeExpenses>
        <EndOfYearBalance>44179288</EndOfYearBalance>
      </CurrentYear>
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        <Contributions>5589131</Contributions>
        <InvestmentEarningsOrLosses>-5482375</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>326818</GrantsOrScholarships>
        <AdministrativeExpenses>3227872</AdministrativeExpenses>
        <EndOfYearBalance>38975241</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <BoardDesignatedEOYBalance>1.00000</BoardDesignatedEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>true</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>true</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>2826301</OtherCostOrOtherBasis>
        <BookValue>2826301</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>61748945</OtherCostOrOtherBasis>
        <Depreciation>33943544</Depreciation>
        <BookValue>27805401</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>227639</OtherCostOrOtherBasis>
        <Depreciation>166699</Depreciation>
        <BookValue>60940</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>87127721</OtherCostOrOtherBasis>
        <Depreciation>65017246</Depreciation>
        <BookValue>22110476</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>14762092</OtherCostOrOtherBasis>
        <Depreciation>2932899</Depreciation>
        <BookValue>11829193</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>64632311</TotalOfBookValueLandBuildings>
      <FinancialDerivatives />
      <CloselyHeldEquityInterests />
      <OtherSecurities>
        <Description>DESIGNATED UNDER BOND AGRMT</Description>
        <BookValue>6524685</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>SUPPLEMENTAL PENSION</Description>
        <BookValue>12900062</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>DEFERRED COMPENSATION</Description>
        <BookValue>4451664</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>23876411</TotalOfBookValueSecurities>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>SUPPLEMENTAL PENSION</Description>
        <Amount>13510602</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED COMPENSATION</Description>
        <Amount>4662876</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>18173478</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>ENDOWMENT FUNDS</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>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. 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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>PART X, LINE 2</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
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      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>130.</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
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        <NetCommunityBenefitExpense>6459260</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03970</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>32845638</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>26155509</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6690129</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04110</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>39304898</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>26155509</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>13149389</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08080</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>519106</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>519106</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00320</PercentOfTotalExpense>
      </CommunityHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>301182</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>301182</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00180</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>820288</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>820288</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00500</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>40125186</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>26155509</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>13969677</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08580</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <TotalCommunityBuildingExpense>27500</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>27500</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </EconomicDevelopment>
      <Total>
        <TotalCommunityBuildingExpense>27500</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>27500</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>4765481</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>34461247</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>45291733</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-10830486</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>SARAH BUSH LINCOLN HEALTH CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1000 HEALTH CENTER DRIVE</AddressLine1>
          <City>MATTOON</City>
          <State>IL</State>
          <ZIPCode>61938</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>SBL ARCOLA CLINIC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>241 W SPRINGFIELD RD</AddressLine1>
          <City>ARCOLA</City>
          <State>IL</State>
          <ZIPCode>61910</ZIPCode>
        </Address>
        <Other>CLINIC</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>SBL ARTHUR CLINIC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>211 S WALNUT</AddressLine1>
          <City>ARTHUR</City>
          <State>IL</State>
          <ZIPCode>61911</ZIPCode>
        </Address>
        <Other>CLINIC</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>SBL CASEY CLINIC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>412 NW THIRD ST</AddressLine1>
          <City>CASEY</City>
          <State>IL</State>
          <ZIPCode>62420</ZIPCode>
        </Address>
        <Other>CLINIC</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>SBL CHARLESTON FAMILY PRACTICE</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>116 WEST BUCHANAN AVE</AddressLine1>
          <City>CHARLESTON</City>
          <State>IL</State>
          <ZIPCode>61920</ZIPCode>
        </Address>
        <Other>CLINIC</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>SBL FAMILY MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>200 RICHMOND AVENUE E</AddressLine1>
          <City>MATTOON</City>
          <State>IL</State>
          <ZIPCode>61938</ZIPCode>
        </Address>
        <Other>CLINIC</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>SBL NEOGA CLINIC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>650 OAK AVE PO BOX 640</AddressLine1>
          <City>NEOGA</City>
          <State>IL</State>
          <ZIPCode>62447</ZIPCode>
        </Address>
        <Other>CLINIC</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>SBL SULLIVAN CLINIC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>7 HAWTHORNE LN</AddressLine1>
          <City>SULLIVAN</City>
          <State>IL</State>
          <ZIPCode>61951</ZIPCode>
        </Address>
        <Other>CLINIC</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>SBL TOLEDO CLINIC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>168 COURTHOUSE SQUARE PO BOX 99</AddressLine1>
          <City>TOLEDO</City>
          <State>IL</State>
          <ZIPCode>62468</ZIPCode>
        </Address>
        <Other>CLINIC</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>SBL EFFINGHAM CLINIC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>905 N MAPLE</AddressLine1>
          <City>EFFINGHAM</City>
          <State>IL</State>
          <ZIPCode>62420</ZIPCode>
        </Address>
        <Other>CLINIC</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <AnnualCommunityBenefitExpln>IT IS PUBLISHED ON OUR WEBSITE (www.sarahbush.org).</AnnualCommunityBenefitExpln>
        <CostingMethodUsed>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.</CostingMethodUsed>
        <PercentOfTotalExpenseExpln>THE 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>
        <BadDebtFootnote>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 (0.3767) 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>
        <ShortfallAsCommunityBenefit>WE DID NOT TREAT ANY OF THE SHORTFALL AS BENEFIT.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>ACCOUNTS, 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>
        <NumberOfFacilityTypeExpln>ONE LICENSED HOSPITAL, NINE CLINICS/OFF-SITE LOCATIONS.</NumberOfFacilityTypeExpln>
        <NeedsAssessment>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 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>
        <PatientEducationAssistance>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) 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>
        <CommunityInformation>SARAH 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>
        <CommunityBuildingActivities>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.</CommunityBuildingActivities>
        <OtherInformation>THE HEALTH CENTER ALSO SUPPORTS THE RECENTLY OPENED LOCAL COMMUNITY CLINIC BY VOLUNTEERING TO SERVE ON THEIR BOARD OF DIRECTORS.</OtherInformation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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      <RecordsMaintained>false</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COLES TOGETHER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>400 AIRPORT ROAD</AddressLine1>
          <City>MATTOON</City>
          <State>IL</State>
          <ZIPCode>61938</ZIPCode>
        </AddressUS>
        <EINOfRecipient>371243664</EINOfRecipient>
        <AmountOfCashGrant>27500</AmountOfCashGrant>
        <PurposeOfGrant>SEE PART IV</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOfOtherOrganizations>1</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>PART II</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>DR GARY MIKEL</NamePerson>
        <BaseCompensationFilingOrg>197345</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>111880</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>24291</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MR DENNIS J PLUARD</NamePerson>
        <BaseCompensationFilingOrg>232333</BaseCompensationFilingOrg>
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        <BonusFilingOrg>89289</BonusFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>MR GARY BARNETT</NamePerson>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MR CRAIG W SHEAGREN</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>MS MARY LOU RANDOLPH</NamePerson>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
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        <NamePerson>LOUIS B MENDELLA MD</NamePerson>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KETAN A SHAH MD</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CURTIS R GREEN MD</NamePerson>
        <BaseCompensationFilingOrg>621472</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>307110</BonusFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL S SMITH MD</NamePerson>
        <BaseCompensationFilingOrg>625968</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>242893</BonusFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION INFORMATION</Identifier>
        <ReturnReference>SCHEDULE J, LINE 7</ReturnReference>
        <Explanation>ADDITIONAL 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES</Identifier>
        <ReturnReference>SCHEDULE J, LINE 1A</ReturnReference>
        <Explanation>COUNTRY CLUB DUES ARE REPORTED AS TAXABLE COMPENSATION FOR OUR PRESIDENT AND CEO, GARY BARNETT.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>SCHEDULE J, LINE 4B</ReturnReference>
        <Explanation>SARAH BUSH LINCOLN HEALTH CENTER CURRENTLY MAINTAINS, A NONQUALIFIED, UNFUNDED, DEFINED CONTRIBUTION SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, ON BEHALF OF CERTAIN DESIGNATED MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THE PLAN IS INTENDED TO BE AN UNFUNDED DEFERRED COMPENSATION PLAN FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES, AS DESCRIBED IN THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED ("ERISA"). THE FOLLOWING PERSONS LISTED IN FORM 990, PART VII ARE PARTICIPANTS IN THE PLAN: GARY MIKEL, MD 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</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>TRACI BLUME</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SIBLING - CHRIS CONSIDINE</Relationship>
        <AmountOfTransaction>17456</AmountOfTransaction>
        <DescriptionOfTransaction>BLUME EMPLOYED BY HEALTH CENTE</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990,PART III, LINE 4A</ReturnReference>
        <Explanation>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 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 &amp; 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICES ACCOMPLISHMENTS CONTINUED</Identifier>
        <ReturnReference>PART III, LINE 4A CONTINUED</ReturnReference>
        <Explanation>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 $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 &amp; 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS</Identifier>
        <ReturnReference>PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS SARAH BUSH LINCOLN HEALTH SYSTEM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ELECTION OF GOVERNING BODY</Identifier>
        <ReturnReference>PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISIONS OF THE GOVERNING BODY</Identifier>
        <ReturnReference>PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>DECISIONS OF THE GOVERNING BODY DO NOT NEED ADDITIONAL APPROVALS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW</Identifier>
        <ReturnReference>PART VI, SECTION A, LINE 11</ReturnReference>
        <Explanation>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 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>PART VI, SECTION B, LINES 12A-C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR DETERMINING COMPENSATION</Identifier>
        <ReturnReference>PART VI, SECTION B, LINES 15A &amp; B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PUBLIC DISCLOSURE</Identifier>
        <ReturnReference>PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>CURRENTLY, SARAH BUSH LINCOLN HEALTH CENTER POSTS THEIR COMMUNITY BENEFITS STATEMENT ON OUR PUBLIC WEBSITE. NO OTHER GOVERNING DOCUMENTS ARE MADE AVAILABLE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>BUSINESS RELATIONSHIPS</Identifier>
        <ReturnReference>PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SARAH BUSH LINCOLN HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 HEALTH CENTER DRIVE</AddressLine1>
          <City>MATTOON</City>
          <State>IL</State>
          <ZIPCode>61938</ZIPCode>
        </AddressUS>
        <EIN>371136714</EIN>
        <PrimaryActivities>PARENT CO</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SARAH BUSH LINCOLN HEALTH CTR FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 HEALTH CENTER DRIVE</AddressLine1>
          <City>MATTOON</City>
          <State>IL</State>
          <ZIPCode>61938</ZIPCode>
        </AddressUS>
        <EIN>371136713</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SARAH'S HOMEMAKERS OF SARAH BUSH LINCOLN</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 HEALTH CENTER DRIVE</AddressLine1>
          <City>MATTOON</City>
          <State>IL</State>
          <ZIPCode>61938</ZIPCode>
        </AddressUS>
        <EIN>371395122</EIN>
        <PrimaryActivities>HOME CARE</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SARAH BUSH LINCOLN HEALTH MGMT SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 HEALTH CENTER DRIVE</AddressLine1>
          <City>MATTOON</City>
          <State>IL</State>
          <ZIPCode>61938</ZIPCode>
        </AddressUS>
        <EIN>371136614</EIN>
        <PrimaryActivity>RETAIL DME/RX</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SARAH BUSH LINCOLN CAPTIVE INSURANCE LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 69</AddressLine1>
          <City>GRAND CAYMAN</City>
          <Country>CJ</Country>
        </AddressForeign>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>