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SARAH BUSH LINCOLN HEALTH CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SARAH BUSH LINCOLN HEALTH CENTER (EIN 23-7098532)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-11
IRS object ID
202231319349305253
Schema version
2020v4.2
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)
Return2022-05-11T14:50:07-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 N MERIDIAN ST SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237098532EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SARAH BUSH LINCOLN HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSARABusinessNameControlTxt
Phone2172582514PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRAddressLine1Txt
CityMATTOONCityNm
State AbbreviationILStateAbbreviationCd
ZIP619380372ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENNIS PLUARDPersonNm
Person TitleCFOPersonTitleTxt
Phone2172582514PhoneNum
Signature2022-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDENNISPersonFirstNm
Person LastPLUARDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNATHAN A RODGERS CPAPreparerPersonNm
PTINP01568275PTIN
Phone3176334705PhoneNum
Preparation2022-05-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJERRY ESKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRAddressLine1Txt
CityMATTOONCityNm
State AbbreviationILStateAbbreviationCd
ZIP619380372ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$733,089,509GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SARAHBUSH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE MISSION OF SARAH BUSH LINCOLN HEALTH CENTER IS TO PROVIDE EXCEPTIONAL CARE FOR ALL AND CREATE HEALTHY COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee3053TotalEmployeeCnt
Total Volunteers220TotalVolunteersCnt
Total Gross UBI$7,292,605TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,726,205PYContributionsGrantsAmt
CY Contributions Grants$1,356,068CYContributionsGrantsAmt
PY Program Service Revenue$347,364,941PYProgramServiceRevenueAmt
CY Program Service Revenue$425,699,298CYProgramServiceRevenueAmt
PY Investment Income$8,448,498PYInvestmentIncomeAmt
CY Investment Income$21,638,142CYInvestmentIncomeAmt
PY Other Revenue$22,209,695PYOtherRevenueAmt
CY Other Revenue$39,829,203CYOtherRevenueAmt
PY Total Revenue$379,749,339PYTotalRevenueAmt
CY Total Revenue$488,522,711CYTotalRevenueAmt
PY Grants And Similar Paid$40,040PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$36,340CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$206,329,660PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$231,547,124CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$145,046,488PYOtherExpensesAmt
CY Other Expenses$169,547,884CYOtherExpensesAmt
PY Total Expenses$351,416,188PYTotalExpensesAmt
CY Total Expenses$401,131,348CYTotalExpensesAmt
PY Revenues Less Expenses$28,333,151PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$87,391,363CYRevenuesLessExpensesAmt
Total Assets BOY$680,049,286TotalAssetsBOYAmt
Total Assets EOY$796,812,032TotalAssetsEOYAmt
Total Liabilities BOY$202,326,224TotalLiabilitiesBOYAmt
Total Liabilities EOY$215,832,030TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$477,723,062NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$580,980,002NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OTHE MISSION OF SARAH BUSH LINCOLN HEALTH CENTER IS TO PROVIDE EXCEPTIONAL CARE FOR ALL AND CREATE HEALTHY COMMUNITIES. SARAH BUSH LINCOLN HEALTH CENTER PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO THE RESIDENTS OF MATTOON AND CHARLESTON, ILLINOIS AND SURROUNDING COUNTIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$360,524,268ExpenseAmt
Grant$36,340GrantAmt
Revenue$425,699,298RevenueAmt
DescSOCIAL ACCOUNTABILITY 2021AS A NOT-FOR-PROFIT PROVIDER OF HEALTHCARE, SARAH BUSH LINCOLN HEALTH CENTER LEADERSHIP AND STAFF HAPPILY SHOULDER THE SOCIAL RESPONSIBILITY TO PROVIDE CARE AND RESOURCES TO MEMBERS OF THE COMMUNITY WHO ARE IN NEED-- REGARDLESS OF THEIR PERSONAL CIRCUMSTANCES. THE PUBLIC TRUSTS US TO CONSERVE OUR RESOURCES AND USE THEM WISELY, WHILE IT LOOKS TO US FOR LEADERSHIP, PARTNERSHIP AND COLLABORATION ON A VARIETY OF PROJECTS.[CONTINUED ON SCHEDULE O]Desc
Total Program Service Expenses$360,524,268TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document222IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3053EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Foreign CountryBDForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DENNIS PLUARDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2172582514PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRAddressLine1Txt
CityMATTOONCityNm
State AbbreviationILStateAbbreviationCd
ZIP619380372ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
SCOTT WILSON
CHAIRPERSON1.003.00Yes (X)Yes (X)$0$0$0
TINA STOVALL
SECRETARY1.004.00Yes (X)Yes (X)$0$0$0
JIM LITTLEFORD
SECRETARY1.002.00Yes (X)Yes (X)$0$0$0
BARB HALL
TREASURER1.001.00Yes (X)Yes (X)$0$0$0
DR LORI CUDONE
DIRECTOR54.001.00Yes (X)$648,637$0$30,426
DALE BOYER
DIRECTOR1.001.00Yes (X)$0$0$0
JOSH BULLOCK
DIRECTOR1.001.00Yes (X)$0$0$0
LUCAS CATT
DIRECTOR54.001.00Yes (X)$496,228$0$36,812
STEVE CHILDERS
DIRECTOR1.001.00Yes (X)$0$0$0
DAVID GLASSMAN
COMMITTEE COMMUNITY MEMBER1.000.00Yes (X)$0$0$0
PHILLIP KEPP
DIRECTOR1.001.00Yes (X)$0$0$0
JOHN LAUER
DIRECTOR54.002.00Yes (X)$417,976$0$29,981
JAY MARKWELL
DIRECTOR1.001.00Yes (X)$0$0$0
ALAN METZGER
DIRECTOR1.001.00Yes (X)$0$0$0
ANYA SCHUETZ
DIRECTOR1.001.00Yes (X)$0$0$0
JIM ZIMMER
DIRECTOR1.001.00Yes (X)$0$0$0
JERRY ESKER
PRESIDENT40.0015.00Yes (X)$994,161$0$42,432
DENNIS PLUARD
CHIEF FINANCE OFFICER52.003.00Yes (X)$539,450$0$39,715
SANDRA MILLER
VP PATIENT CARE55.000.00Yes (X)$304,882$0$35,519
GREGORY TAYLOR
VP PRACTICE MANAGEMENT55.000.00Yes (X)$360,946$0$36,590
JAMES HILDEBRANDT
VP MEDICAL AFFAIRS54.001.00Yes (X)$552,435$0$38,541
DEBORAH SADDORIS
VP HUMAN RESOURCES55.000.00Yes (X)$309,729$0$36,223
BRIAN MURPHY
VP INFORMATION SYSTEMS55.000.00Yes (X)$303,241$0$36,534
KIM UPHOFF
VP DEVELOPMENT27.0028.00Yes (X)$425,639$0$37,459
DWIGHT PENTZIEN
VP MEDICAL AFFAIRS27.0028.00Yes (X)$392,321$0$40,116
RAGAI MITRY
PHYSICIAN50.000.00$1,181,994$0$38,618Yes (X)
LOUIS MENDELLA
PHYSICIAN50.000.00$1,239,448$0$39,940Yes (X)
AZIZ AHMED
PHYSICIAN50.000.00$1,355,126$0$13,121Yes (X)
MATTHEW JONES
PHYSICIAN50.000.00$1,320,836$0$39,122Yes (X)
JOSHUA GARRETT
PHYSICIAN50.000.00$1,368,594$0$37,872Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$12,211,643TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$609,021TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K249IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MCCARTHY BUILDING COMPANIES
3117 BIG BEND BOULEVARDST LOUISMO63143CONSTRUCTION CONTRACTOR$13,180,600
MEDLINE INDUSTRIES INC
1501 HARRIS RDLIBERTYVILLEIL60048MEDICAL SUPPLIES DISTRIBUTOR$5,912,497
STRYKER ORTHOPAEDICS
7 WESTPORT CT BBLOOMINGTONIL61704MEDICAL TECHNOLOGIES$5,607,195
CERNER CORPORATION
PO BOX 959156ST LOUISMO63195SOFTWARE SERVICE$4,297,959
ZIMMER US INC
1800 W CENTER STWARSAWIN46580ORTHOPEDIC PRODUCTS DESIGNER$3,640,767
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K177CntrctRcvdGreaterThan100KCnt
Related Organizations$1,211,539RelatedOrganizationsAmt
Government Grants$144,529GovernmentGrantsAmt
Total Contributions$1,356,068TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621110$366,298,735$366,298,735
NET PROVIDER REVENUE621110$59,344,911$59,344,911
OUTREACH REVENUE541900$55,652$55,652
FieldValueIRS element (for citing)
Total Program Service Revenue$425,699,298TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,168,526TotalRevenueColumnAmt
Exclusion$5,168,526ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$115,491RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$115,491RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$115,491TotalRevenueColumnAmt
Exclusion$115,491ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$261,036,414SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$243,936,478SecuritiesAmt
Other$630,320OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$17,099,936SecuritiesAmt
Other-$630,320OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,469,616TotalRevenueColumnAmt
Exclusion$16,469,616ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
REFERENCE LAB621500$6,729,686$6,729,686
PEACE MEAL PROGRAM REVENUE900099$2,249,041$2,249,041
CAFETERIA & CATERING722320$747,711$747,711

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,987,274TotalRevenueColumnAmt
Unrelated Business Revenue$562,919UnrelatedBusinessRevenueAmt
Exclusion$29,424,355ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$39,713,712OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$488,522,711TotalRevenueColumnAmt
Related Or Exempt Func Income$425,699,298RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$7,292,605UnrelatedBusinessRevenueAmt
Exclusion$54,174,740ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$36,340TotalAmt
Program Services$36,340ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,351,136TotalAmt
Management And General$6,351,136ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$177,023,909TotalAmt
Program Services$164,476,224ProgramServicesAmt
Management And General$12,547,685ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,409,648TotalAmt
Program Services$5,955,324ProgramServicesAmt
Management And General$454,324ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$31,558,661TotalAmt
Program Services$29,321,742ProgramServicesAmt
Management And General$2,236,919ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,203,770TotalAmt
Program Services$9,480,514ProgramServicesAmt
Management And General$723,256ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$294,003TotalAmt
Management And General$294,003ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$170,004TotalAmt
Management And General$170,004ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$36,237TotalAmt
Management And General$36,237ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,372,723TotalAmt
Program Services$24,607,254ProgramServicesAmt
Management And General$1,765,469ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,043,489TotalAmt
Program Services$1,043,489ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$81,675,314TotalAmt
Program Services$75,886,062ProgramServicesAmt
Management And General$5,789,252ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,921,301TotalAmt
Program Services$3,643,354ProgramServicesAmt
Management And General$277,947ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,007,665TotalAmt
Program Services$4,652,715ProgramServicesAmt
Management And General$354,950ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,105,119TotalAmt
Program Services$1,026,787ProgramServicesAmt
Management And General$78,332ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$854,521TotalAmt
Program Services$793,951ProgramServicesAmt
Management And General$60,570ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,287,820TotalAmt
Program Services$1,287,820ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,494,584TotalAmt
Program Services$22,758,376ProgramServicesAmt
Management And General$1,736,208ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,298,512TotalAmt
Management And General$7,298,512ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
IL HOSPITAL TAX ASSESSM$8,971,000$8,971,000
MAINTENANCE/PREVENTATIV$4,620,938$4,293,400$327,538
DUES AND SUBSCRIPTIONS$572,575$572,575
RECRUITMENT EXPENSES$344,429$344,429

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,477,650TotalAmt
Program Services$1,372,912ProgramServicesAmt
Management And General$104,738ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$401,131,348TotalAmt
Program Services$360,524,268ProgramServicesAmt
Management And General$40,607,080ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,970BOYAmt
EOY$13,782EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$180,328,280BOYAmt
EOY$146,865,931EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$40,011,673BOYAmt
EOY$50,156,046EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,517,215BOYAmt
EOY$8,736,506EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,142,951BOYAmt
EOY$10,097,938EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$423,826,115LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$199,126,637LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$218,206,281BOYAmt
EOY$224,699,478EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$90,209,845BOYAmt
EOY$208,210,730EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$116,784,189BOYAmt
EOY$126,694,168EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,836,882BOYAmt
EOY$21,337,453EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$680,049,286BOYAmt
EOY$796,812,032EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$61,612,862BOYAmt
EOY$54,629,153EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$53,098,404BOYAmt
EOY$52,991,425EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$87,614,958BOYAmt
EOY$108,211,452EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$202,326,224BOYAmt
EOY$215,832,030EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$477,723,062BOYAmt
EOY$580,980,002EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$477,723,062BOYAmt
EOY$580,980,002EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$680,049,286BOYAmt
EOY$796,812,032EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$87,391,363ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$15,865,577NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$36,237OtherActivitiesAmt
Total Lobbying Expenditures$36,237TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHIS IS THE PORTION OF THE IHA/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 25.56% OF THE ANNUAL MEMBERSHIP DUES AND THE PERCENTAGE BY IHA WAS DETERMINED TO BE 35.00% OF THEIR DUES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,529,883BeginningYearBalanceAmt
Contributions$621,386ContributionsAmt
Investment Earnings Or Losses$1,439,060InvestmentEarningsOrLossesAmt
End Year Balance$8,590,329EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,901,732BeginningYearBalanceAmt
Contributions$581,156ContributionsAmt
Investment Earnings Or Losses$46,995InvestmentEarningsOrLossesAmt
End Year Balance$6,529,883EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,734,498BeginningYearBalanceAmt
Contributions$86,458ContributionsAmt
Investment Earnings Or Losses$80,776InvestmentEarningsOrLossesAmt
End Year Balance$5,901,732EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,833,608BeginningYearBalanceAmt
Contributions$491,598ContributionsAmt
Investment Earnings Or Losses$409,292InvestmentEarningsOrLossesAmt
End Year Balance$5,734,498EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,569,996BeginningYearBalanceAmt
Contributions$678,021ContributionsAmt
Investment Earnings Or Losses$585,591InvestmentEarningsOrLossesAmt
End Year Balance$4,833,608EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00850BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.58890PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.40260TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,837,062OtherCostOrOtherBasisAmt
Book Value$6,837,062BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$232,609,128OtherCostOrOtherBasisAmt
Depreciation$82,723,302DepreciationAmt
Book Value$149,885,826BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$323,308OtherCostOrOtherBasisAmt
Depreciation$245,528DepreciationAmt
Book Value$77,780BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$162,507,908OtherCostOrOtherBasisAmt
Depreciation$113,862,377DepreciationAmt
Book Value$48,645,531BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,548,709OtherCostOrOtherBasisAmt
Depreciation$2,295,430DepreciationAmt
Book Value$19,253,279BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$224,699,478TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SUPPLEMENTAL PENSION$65,422,365C
DEFERRED COMPENSATION$25,192,803C
HEDGE FUNDS$36,079,000C
FieldValueIRS element (for citing)
Total Book Value Securities$126,694,168TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
SUPPLEMENTAL PENSION$65,422,365
DEFERRED COMPENSATION$25,192,802
EST PROFESSIONAL LIABILITY CLAIM$17,596,285
FieldValueIRS element (for citing)
Total Liability$108,211,452TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:ALL FUNDS ARE HELD BY A RELATED ORGANIZATION, SARAH BUSH LINCOLN HEALTH FOUNDATION. PER THE DONORS SPECIFIED INTENTIONS, PERMANENT AND TEMPORARY ENDOWMENT FUNDS MAY BE USED FOR CHARITABLE, BENEVOLENT, EDUCATIONAL AND SCIENTIFIC PURPOSES TO SUPPORT SARAH BUSH LINCOLN HEALTH CENTER. THE PURPOSE OF THE BOARD DESIGNATED FUNDS IS TO PROVIDE FINANCIAL SUPPORT FOR ACTIVITIES OF THE SARAH BUSH LINCOLN HEALTH SYSTEM OR EXPENSES ASSOCIATED WITH MANAGING THE FOUNDATION.
PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF JUNE 30, 2021 AND 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THESE ENTITIES HAVE FILED THEIR FEDERAL AND STATE INCOME TAX RETURNS FOR PERIODS THROUGH JUNE 30, 2020. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS).

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICAN/CARIBBEANRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConductedTxt
Region Total Expenditures$8,311,874RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$8,311,874SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$8,311,874TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other130.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,973,986TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,973,986NetCommunityBenefitExpnsAmt
Total Expense0.00990TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,013,829TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,194,235DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,819,594NetCommunityBenefitExpnsAmt
Total Expense0.09430TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,987,815TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,194,235DirectOffsettingRevenueAmt
Net Community Benefit Expns$41,793,580NetCommunityBenefitExpnsAmt
Total Expense0.10420TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$816,908TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$816,908NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$409,272TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$409,272NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,226,180TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,226,180NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81,213,995TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,194,235DirectOffsettingRevenueAmt
Net Community Benefit Expns$43,019,760NetCommunityBenefitExpnsAmt
Total Expense0.10720TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$27,500NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$27,500NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,817,369BadDebtExpenseAmt
Reimbursed By Medicare$76,907,184ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$130,156,319CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$53,249,135MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SARAH BUSH LINCOLN HEALTH CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRIVEAddressLine1Txt
CityMATTOONCityNm
State AbbreviationILStateAbbreviationCd
ZIP61938ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SARAHBUSH.ORGWebsiteAddressTxt
State License0003392StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SARAH BUSH LINCOLN HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care130.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SARAH BUSH LINCOLN HEALTH CENTERPART V, SECTION B, LINE 5: A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FROM JULY 2018 THROUGH OCTOBER 2018. COMMUNITY INPUT WAS PROVIDED THROUGH 16 KEY INFORMANTS, INCLUDING REPRESENTATIVES OF PUBLIC HEALTH, PHYSICIANS AND OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. PARTICIPANTS INCLUDED A REPRESENTATIVE OF PUBLIC HEALTH, AS WELL AS SEVERAL INDIVIDUALS WHO WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS, AND THOSE WHO WORK WITH PERSONS WITH CHRONIC DISEASE CONDITIONS. SPECIFIC NAMES/TITLES OF THE PARTICIPATING ARE AVAILABLE UPON REQUEST.
SARAH BUSH LINCOLN HEALTH CENTERPART V, SECTION B, LINE 11: PRIORITY 1: MAXIMIZE ACCESS TO CARE & EXPAND MARKET PRESENCE: INCREASE ACCESS TO HEALTHCARE SERVICES BY ENHANCING RECRUITMENT AND RETENTION EFFORTS, INCREASE POINTS OF ACCESS TO PRIMARY CARE SERVICES, AND ADDRESS MENTAL AND BEHAVIORAL HEALTH NEEDS IN OUR COMMUNITY. PRIORITY 2: JOIN WITH OTHERS TO ACTIVATE HEALTHY CHOICES THROUGHOUT THE COMMUNITY: ADDRESS OBESITY PREVALENCE AND POOR NUTRITION AND PHYSICAL INACTIVITY SOCIAL DETERMINANTS OF HEALTH THROUGH PROMOTION OF HEALTHY COMMUNITIES AND WELLNESS PROGRAMS. BUILD ON ESTABLISHED ORAL HEALTH PROGRAMS TO ADDRESS THE NEED FOR PEDIATRIC, ADOLESCENT AND ADULT DENTAL CARE IN OUR SERVICE AREA.NEEDS NOT BEING ADDRESSED: SUBSTANCE ABUSE: THE SUBSTANCE ABUSE NEEDS OF THE COMMUNITY ARE PRIMARILY REFERRED TO AND ADDRESSED BY THE CENTRAL EAST ALCOHOLISM AND DRUG (CEAD) COUNCIL. CEAD PROVIDES A COMPREHENSIVE ARRAY OF SERVICES TO ADDRESS CHEMICAL ABUSE, DEPENDENCY AND OTHER THERAPUTIC NEEDS.NEEDS BEING ADDRESSED:TRANSPORTATION: THE TRANSPORTATION NEEDS OF THE COMMUNITY ARE CURRENTLY BEING ADDRESSED BY OTHER COMMUNITY AGENCIES SUCH AS ILLINOIS PUBLIC TRANSIT, RIDES MASS TRANSIT DISTRICT, DIAL-A-RIDE PROGRAM AND RIDES PLUS. THESE PUBLIC TRANSPORTATION OPTIONS PROVIDE DOOR-TO-DOOR SERVICES AS WELL AS FIXED ROUTES AND ARE AVAILABLE TO ANYONE NEEDING ACCESS TO TRANSPORTATION.
SARAH BUSH LINCOLN HEALTH CENTER:SCHEDULE H, PART V, LINE 7A:HTTPS://WWW.SARAHBUSH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SARAH BUSH LINCOLN HEALTH CENTER:SCHEDULE H, PART V, LINE 16A:HTTPS://WWW.SARAHBUSH.ORG/HOSPITAL-SERVICES/FINANCIAL-ASSISTANCE/SCHEDULE H, PART V, LINE 16B:HTTPS://WWW.SARAHBUSH.ORG/HOSPITAL-SERVICES/FINANCIAL-ASSISTANCE/SCHEDULE H, PART V, LINE 16C:HTTPS://WWW.SARAHBUSH.ORG/HOSPITAL-SERVICES/FINANCIAL-ASSISTANCE/
FieldValueIRS element (for citing)
Facility19FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - SBL ARCOLA CLINIC
241 W SPRINGFIELD RDARCOLAIL61920CLINIC
2 - SBL ARTHUR CLINIC
211 S WALNUTARTHURIL61911CLINIC
3 - SBL CASEY CLINIC
934 NORTH RT 49 PO BOX 460CASEYIL62420CLINIC
4 - SBL CHARLESTON FAMILY PRACTICE
116 WEST BUCHANAN AVECHARLESTONIL61920CLINIC
5 - SBL FAMILY MEDICAL CENTER
200 RICHMOND AVEMATTOONIL61928CLINIC
6 - SBL NEOGA CLINIC
650 OAK AVE PO BOX 640NEGOAIL62447CLINIC
7 - SBL SULLIVAN CLINIC
7 HAWTHORNE LANESULLIVANIL61951CLINIC
8 - SBL TOLEDO CLINIC
168 COURTHOUSE SQUARE PO BOX 99TOLEDOIL62468CLINIC
9 - SBL EFFINGHAM CLINIC
905 N MAPLEEFFINGHAMIL62401CLINIC
10 - SBL MATTOON WALK-IN CLINIC
200 DETTRO DRIVEMATTOONIL61938CLINIC
11 - SBL NEWTON CLINIC
910 SOUTH BUREN STNEWTONIL62448CLINIC
12 - SBL CHARLESTON WALK-IN CLINIC
2040 EAST LINCOLNCHARLESTONIL61920CLINIC
13 - SBL SHELBYVILLE CLINIC
207 S PINE ST SUITE 10SHELBYVILLEIL62565CLINIC
14 - SBL TUSCOLA CLINIC
1100 TUSCOLA BLVDTUSCOLAIL61953CLINIC
15 - SBL MARTINSVILLE CLINIC
890 RIDGELAWN ROADMARTINSVILLEIL62442CLINIC
16 - ALTAMONT MEDICAL CENTER
8 NORTH THIRD STREETALTAMONTIL62411CLINIC
17 - BONUTTI CLINIC
1303 W EVERGREEN AVEEFFINGHAMIL62401CLINIC
18 - CHARLESTON CLINIC EAST
2040 LINCOLN AVE SUITE 101CHARLESTONIL61920CLINIC
19 - EFFINGHAM FAMILY PRACTICE
901 MEDICAL PARK DR SUITE 101EFFINGHAMIL62401CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:SEE PART V, LINE 13 FOR OTHER CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
PART I, LINE 7:THE COSTING METHODOLOGY THAT WAS USED TO CALCULATE THESE AMOUNTS WAS THE RATIO OF PATIENT CARE COST TO CHARGES CALCULATED ON WORKSHEET 2 OF THE WORKING PAPERS.
PART II, COMMUNITY BUILDING ACTIVITIES: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. ADDITIONALLY, DONATIONS WERE MADE TO A VARIETY OF NON-PROFIT GROUPS TO HELP OUR COMMUNITY WITH ECONOMIC DEVELOPMENT.
PART III, LINE 2:USED THE RATIO OF PATIENT CARE COST TO CHARGES (0.3147) AS COMPUTED ON WORKSHEET 2 OF THE ACCOUNTING WORKPAPERS TO CALCULATE THE BAD DEBT EXPENSE (15,307,814) AT COST (4,817,369). WE REDUCE BAD DEBT EXPENSE BY THE DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS.
PART III, LINE 4:SEE THE PATIENT ACCOUNTS RECEIVABLE NOTE ON PAGE 6 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:ALTHOUGH SBL DOES NOT TREAT SHORTFALL FOR MEDICARE AS A COMMUNITY BENEFIT, THERE COULD BE A CASE MADE THAT NOT BEING FULLY REIMBURSED FOR TREATING THE ELDERLY IS CONSIDERED TO BE THE PROVISION OF A BENEFIT TO THE COMMUNITY. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 WAS THE RATIO OF PATIENT CARE COST TO CHARGES CALCULATED ON WORKSHEET 2 AND ALSO DETAILED ON WORKSHEET C OF THE WORKING PAPERS.
PART VI, LINE 2:NEEDS ASSESSMENT:EVERY THREE YEARS, SARAH BUSH LINCOLN ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. THIS ASSESSMENT INCORPORATES DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH (COMMUNITY HEALTH SURVEY THAT IS BASED LARGELY ON THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC), BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)) AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA); THESE QUANTITATIVE COMPONENTS ALLOW FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH A SERIES OF KEY INFORMANT FOCUS GROUPS. BASED ON THE RESULTS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, SBL DETERMINED TO FOCUS ON DEVELOPING AND/OR SUPPORTING STRATEGIES AND INITIATIVES TO IMPROVE ACCESS TO HEALTH SERVICES, ACTIVATE HEALTHY CHOICES AMOUNG ADULTS, CANCER, TOBACCO USE AND ORAL HEALTH.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:WHEN A PATIENT IS PRIVATE PAY (OR SHOWS CONCERN ABOUT PAYING THE BILL), OUR REGISTRATION CLERK INFORMS THEM OF OUR FINANCIAL ASSISTANCE POLICY AT THE TIME OF REGISTRATION. ALL STAFF ARE ORIENTED AS TO HOW THE PROGRAM WORKS DURING NEW EMPLOYEE ORIENTATION. WE ALSO HAVE FINANCIAL ASSISTANCE REPRESENTATIVES AVAILABLE DURING NORMAL BUSINESS HOURS TO SPEAK WITH THE PATIENT IF THERE ARE QUESTIONS BEYOND THE REGISTRATION CLERK'S KNOWLEDGE. PATIENTS ARE INFORMED (NOT NECESSARILY AT REGISTRATION) THEY NEED TO APPLY FOR MEDICAID SHOULD THEY HAVE ANY PRE-QUALIFIERS FOR THE PROGRAM (IE: BLIND, DISABLED, DEPENDENT CHILDREN IN THE HOME, ETC.). THIS INFORMATION IS IN THE FINANCIAL ASSISTANCE BROCHURE WITH THE APPLICATION AS WELL. IF A PATIENT NEEDS TO APPLY FOR MEDICAID PRIOR TO FINANCIAL ASSISTANCE, WE PROVIDE THEM THE INFORMATION AND ASSISTANCE TO APPLY AT THE PUBLIC AID OFFICE. ADDITIONALLY, OUR SBL FINANCIAL ASSISTANCE PROGRAM BROCHURES ARE IN EVERY DEPARTMENT AND CLINIC IN THE SYSTEM AND WIDELY AVAILABLE THROUGHOUT THE FACILITY. THE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE (INCLUDING APPLICATIONS) WITH A DEDICATED PHONE NUMBER.
PART VI, LINE 4:COMMUNITY INFORMATION:SARAH BUSH LINCOLN (SBL) SERVES RURAL COMMUNITIES IN EAST CENTRAL ILLINOIS. SBL'S MARKET AREA ENCOMPASSES 9 COUNTIES INCLUDING: CLARK, COLES, CUMBERLAND, DOUGLAS, EDGAR, EFFINGHAM, JASPER, MOULTRIE, AND SHELBY. THE POPULATION OF THE HOSPITAL'S SERVICE AREA IS ESTIMATED AT 157,198 PEOPLE. THE REGION IS PREDOMINANTLY WHITE, WITH FEWER THAN 4 PERCENT OF THE POPULATION IDENTIFYING THEMSELVES AS MEMBERS OF RACIAL MINORITY GROUPS. THE REGION IS RURAL, WITH MORE THAN 53 PERCENT OF THE POPULATION LIVING IN COMMUNITIES OF LESS THAN 2,500. THE MEDIAN AGE IN EACH COUNTY, EXCEPT COLES, IS HIGHER THAN THE ILLINOIS MEDIAN OF 36.2 YEARS. TWELVE PERCENT OF THE POPULATION AS INCOMES BELOW THE FEDERAL POVERTY LEVEL. AN ESTIMATED 13.5 PERCENT OF ADULT POPULATION UNDER AGE 65 IS WITHOUT HEALTHCARE INSURANCE. ALTHOUGH SBL HAS HAD A POSITIVE IMPACT ON THE PHYSICIAN-TO-POPULATION RATIOS OF THE REGION, THE AREA IS MEDICALLY UNDERSERVED AS DETERMINED BY BOTH FEDERAL AND STATE GUIDELINES.
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTH:SARAH BUSH LINCOLN HEALTH CENTER HAS AN OPEN MEDICAL STAFF AS WELL AS A COMMUNITY BOARD.
SCHEDULE H, PART I, LINE 7, COLUMN F:THE ORGANIZATION INCURRED BAD DEBT EXPENSE IN THE AMOUNT OF 15,307,814. HOWEVER, IT HAS BEEN DISREGARDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1COLES TOGETHERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 AIRPORT ROADAddressLine1Txt
CityMATTOONCityNm
State AbbreviationILStateAbbreviationCd
ZIP61938ZIPCd
FieldValueIRS element (for citing)
Recipient EIN371243664RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$27,500CashGrantAmt
Purpose Of GrantCOLES TOGETHER IS A NOT-FOR-PROFIT CORPORATION FOUNDED FOR AND TO PROMOTE COLES ECONOMIC DEVELOPMENT FOR NEW AND EXISTING INDUSTRY IN OUR COUNTY, COLES COUNTY, ILLINOIS. OUR HOSPITAL BOARD HAS MADE A COMMITMENT TO SUPPORT THIS ORGANIZATION WHOSE COMMUNITY DEVELOPMENT EFFORTS BENEFIT OUR ORGANIZATION AS WELL AS OTHER ORGANIZATIONS IN OUR COMMUNITY THAT WOULD ULTIMATELY IMPACT THE UTILIZATION AND VIABILITY OF OUR HOSPITAL ORGANIZATION.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDISTRIBUTIONS ARE SELECTED DURING THE BUDGET PROCESS. MONTHLY REQUESTS ARE RECEIVED FOR SPECIAL PURPOSES. ALL DISTRIBUTIONS ARE APPROVED BY THE SARAH BUSH LINCOLN HEALTH CENTER BOARD. DOCUMENTATION IS RECORDED FOR ALL GRANTS MADE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR LORI CUDONE
DIRECTOR$441,891$0$148,206$0$58,540$0$9,500$0$20,926$0$679,063$0$0$0
LUCAS CATT
DIRECTOR$315,447$0$138,825$0$41,956$0$9,500$0$27,312$0$533,040$0$0$0
JOHN LAUER
DIRECTOR$330,224$0$42,246$0$45,506$0$9,500$0$20,481$0$447,957$0$0$0
JERRY ESKER
PRESIDENT$855,058$0$800$0$138,303$0$9,500$0$32,932$0$1,036,593$0$0$0
DENNIS PLUARD
CHIEF FINANCE OFFICER$451,728$0$800$0$86,922$0$9,500$0$30,215$0$579,165$0$0$0
SANDRA MILLER
VP PATIENT CARE$276,069$0$800$0$28,013$0$9,304$0$26,215$0$340,401$0$0$0
GREGORY TAYLOR
VP PRACTICE MANAGEMENT$330,950$0$800$0$29,196$0$9,500$0$27,090$0$397,536$0$0$0
JAMES HILDEBRANDT
VP MEDICAL AFFAIRS$488,968$0$800$0$62,667$0$9,500$0$29,041$0$590,976$0$0$0
DEBORAH SADDORIS
VP HUMAN RESOURCES$283,122$0$800$0$25,807$0$9,301$0$26,922$0$345,952$0$0$0
BRIAN MURPHY
VP INFORMATION SYSTEMS$277,510$0$800$0$24,931$0$9,105$0$27,429$0$339,775$0$0$0
KIM UPHOFF
VP DEVELOPMENT$374,202$0$800$0$50,637$0$9,500$0$27,959$0$463,098$0$0$0
DWIGHT PENTZIEN
VP MEDICAL AFFAIRS$346,693$0$800$0$44,828$0$9,500$0$30,616$0$432,437$0$0$0
RAGAI MITRY
PHYSICIAN$591,977$0$514,481$0$75,536$0$9,500$0$29,118$0$1,220,612$0$0$0
LOUIS MENDELLA
PHYSICIAN$842,427$0$299,286$0$97,735$0$9,500$0$30,440$0$1,279,388$0$0$0
AZIZ AHMED
PHYSICIAN$850,013$0$416,646$0$88,467$0$9,500$0$3,621$0$1,368,247$0$0$0
MATTHEW JONES
PHYSICIAN$843,119$0$384,243$0$93,474$0$9,500$0$29,622$0$1,359,958$0$0$0
JOSHUA GARRETT
PHYSICIAN$841,686$0$433,334$0$93,574$0$9,500$0$28,372$0$1,406,466$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AHEALTH OR SOCIAL CLUB DUES AND COMPANION TRAVEL. COUNTRY CLUB DUES ARE REPORTED AS TAXABLE COMPENSATION FOR OUR PRESIDENT AND CEO, MR. JERRY ESKER. TRAVEL FOR COMPANIONS IS PROVIDED PER THE EMPLOYMENT AGREEMENT WITH THE PRESIDENT AND CEO, JERRY ESKER. ANY PERSONAL ITEMS, EXTRA DAYS, AND MEALS FOR BOTH ARE PAID FOR USING HIS PERSONAL CREDIT CARD.
PART I, LINE 7ADDITIONAL COMPENSATION TO OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE DEPENDENT ON SPECIFIC ORGANIZATIONAL AND INDIVIDUAL GOALS. THESE GOALS INCLUDE FINANCIAL, QUALITY, CUSTOMER SERVICE, AND OTHER GOALS RELATED TO THE ORGANIZATION'S STRATEGIC PLAN.
SCHEDULE J, PART I, LINE 4B:SARAH BUSH LINCOLN HEALTH CENTER CURRENTLY MAINTAINS A NONQUALIFIED, UNFUNDED, DEFINED CONTRIBUTION SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, ON BEHALF OF CERTAIN DESIGNATED MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THE PLAN IS INTENDED TO BE AN UNFUNDED DEFERRED COMPENSATION PLAN FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES, AS DESCRIBED IN THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED ("ERISA"). THE FOLLOWING PERSONS LISTED IN FORM 990, PART VII ARE PARTICIPANTS IN THE PLAN: DR. JOHN LAUER DR. LUCAS CATT SANDRA MILLER DEBORAH SADDORIS BRIAN MURPHY DENNIS PLUARD JERRY ESKER GREGORY TAYLOR DR. JAMES HILDEBRANDT KIMBERLY UPHOFF DR. JOSHUA GARRET DR. LOUIS MENDELLA DR. AZIZ AHMED DR. LORI CUDONE DR. MATTHEW JONES

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A8610919672011-03-18$45,000,000SEE PART VI0Yes (1)0
ILLINOIS FINANCE AUTHORITY
B8610919672015-11-01$30,000,000SEE PART VIYes (1)Yes (1)0
ILLINOIS FINANCE AUTHORITY
C8610919672020-09-01$28,000,000SEE PART VI0Yes (1)0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$45,000,000$517,777$26,444,431$18,037,7922014Yes (1)00Yes (1)
B$30,000,000$30,000,000000Yes (1)
C$28,000,000$28,000,000000Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AYes (1)Yes (1)000Yes (1)
BYes (1)Yes (1)000Yes (1)
CYes (1)Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, LINE B, COLUMN F:THE 2015 REVENUE BONDS, SERIES 2015, ALLOWS BORROWING UP TO $30,000,000 WHICH BEARS A VARIABLE INTEREST RATE OF 68 PERCENT OF ONE MONTH LIBOR PLUS 45 BASIS POINTS PER ANNUM. BONDS BORROWED FOR REIMBURSING THE HEALTH CENTER FOR ACQUIRING, CONSTUCTING, RENOVATING, EXPANDING AND EQUIPPING CERTAIN FACILITIES IN THE HOSPITAL.
SCHEDULE K, PART I, LINE A, COLUMN F:REFINANCE OLD BONDS AND CONSTRUCTION OF MASTER FACILITY PLAN
SCHEDULE K, PART I, LINE C, COLUMN F:BUILDING & CONSTRUCTION OF NEW SARAH BUSH LINCOLN CLINIC IN EFFINGHAM.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ROBERT CUDONE
HUSBAND OF LORI CUDONE$97,437EMPLOYED BY THE HEALTH CENTER0
SARAH MILLER
DAUGHTER OF SANDRA MILLER$51,568EMPLOYED BY THE HEALTH CENTER0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4A:SOCIAL ACCOUNTABILITY 2021 CONTINUED: 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, 2021, WE SERVED 7,198 INPATIENTS AND PROVIDED 358,904 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 2021, 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 2021. EACH PROGRAM IS FURTHER DESCRIBED THROUGHOUT THIS BOOKLET. IMPROVE PATIENT EXPERIENCE AND LOYALTY $7,565 -ADVANTAGE 50 IMPROVE CLINICAL AND OPERATIONAL QUALITY $792,483 -COMMUNITY HEALTH SCREENS -SARAH BUSH LINCOLN DENTAL SERVICES -HEALTH EDUCATION -HEART TO HEART COMMUNITY SCREENING PROGRAM -REGIONAL BEHAVIORAL HEALTH NETWORK -SARAH BUSH LINCOLN WEBSITE -SUPPORT GROUPS ENHANCE HUMAN CAPITAL $24,891 -HEALTH OCCUPATIONS CREATE HEALTHY COMMUNITIES $326,209 -COMMUNITY AID -ORGANIZATIONAL SUPPORT -HEALTHY KIDS -SPORTS PHYSICALS MAINTAIN FINANCIAL VIABILITY $66,552,414 -FINANCIAL ASSISTANCE -GOVERNMENTAL INSURANCE PROGRAMS IMPROVE PATIENT EXPERIENCE AND LOYALTY ADVANTAGE 50 THIS FREE MEMBERSHIP GROUP IS OPEN TO ANYONE 50 YEARS OLD OR BETTER. IT PROVIDES HEALTH INFORMATION AND SOCIAL OUTINGS, AS WELL AS A VARIETY OF DISCOUNTS. THE NON-REIMBURSED COST TO SBLHC IS $7,565. IMPROVE CLINICAL AND OPERATIONAL QUALITY COMMUNITY HEALTH SCREENS PREVENTIVE HEALTH SCREENS ARE AVAILABLE FOR FREE AND AT REDUCED COSTS BOTH AT THE HEALTH CENTER AND AT OUTREACH LOCATIONS. TESTS SCREEN FOR VARIOUS CANCERS AND MEASURE CHOLESTEROL LEVELS, PULMONARY FUNCTION, BONE DENSITY, BLOOD PRESSURE AND BODY FAT. BLOOD SUGAR ANALYSIS AND VISION/GLAUCOMA SCREENINGS ARE ALSO PROVIDED, AS ARE WORKSHOPS FOCUSED ON LIFESTYLE MODIFICATION. THE NET NON-REIMBURSED COST OF THESE SERVICES AFTER DISCOUNTED FEES AND GRANT FUNDING WAS APPROXIMATELY $155,253. SARAH BUSH LINCOLN DENTAL SERVICES SARAH BUSH LINCOLN DENTAL SERVICES IS A COLLABORATIVE COMMUNITY EFFORT THAT PROVIDES DENTAL CARE AT NO COST TO FAMILIES WHO QUALIFY. THE STAFF CONSISTS OF DENTISTS, DENTAL HYGIENISTS, DENTAL ASSISTANTS, SUPPORT STAFF AND VOLUNTEER DENTISTS. THE PROGRAM SERVES A NINE-COUNTY SERVICE AREA INCLUDING CLARK, COLES, CUMBERLAND, DOUGLAS, EDGAR, EFFINGHAM, JASPER, MOULTRIE AND SHELBY. MORE THAN HALF OF THE STUDENT POPULATION IN OUR PARTNERING SCHOOLS QUALIFY FOR DENTAL SERVICES. THROUGH THE SBL DENTAL SERVICES, PREVENTATIVE AND RESTORATIVE DENTAL CARE IS PROVIDED TO CHILDREN WITHOUT MEANS TO IMPROVE THEIR HEALTH AND SELF-ESTEEM THROUGH A COLLABORATIVE EFFORT BETWEEN SARAH BUSH LINCOLN HEALTH SYSTEM, LAKELAND COLLEGE DENTAL HYGIENE PROGRAM, SEVEN VOLUNTEER DENTISTS AND SIX LOCAL HEALTH DEPARTMENTS. SIXTY SIX SCHOOLS PARTICIAPATE IN A 9-COUNTY REGION. THE NET NON-REIMBURSED COST OF THESE SERVICES AFTER DISCOUNTED FEES AND GRANT FUNDING WAS APPROXIMATELY $265,833. HEALTH EDUCATION HEALTH-RELATED EDUCATIONAL PROGRAMS ARE OFFERED IN MANY SETTINGS THROUGHOUT THE COMMUNITY ON SUCH TOPICS AS NUTRITION, DIABETES, DEPRESSION, EATING DISORDERS, SLEEP DISORDERS, OSTEOPOROSIS, HYPERTENSION, EXERCISE, CARDIAC HEALTH, CANCER, BEREAVEMENT, LIVING WILLS AND PRE- AND POST-NATAL CARE OF MOTHERS AND INFANTS. HEALTH STYLES, THE HEALTH CENTER'S QUARTERLY OUTREACH MAGAZINE, PROVIDES HEALTH INFORMATION AND IS DISTRIBUTED TO 97,000 HOUSEHOLDS IN A TEN-COUNTY AREA AT A COST OF $101,079. HEART TO HEART COMMUNITY SCREENING PROGRAM HEART TO HEART IS A COMMUNITY CARDIAC SCREENING PROGRAM THAT PROVIDES AFFORDABLE HEART DISEASE SCREENING AND EDUCATION. IT INCLUDES BASELINE EKG, BLOOD PRESSURE, CORONARY CT CALCIUM SCORING, LIPID PROFILE, RENAL FUNCTION TESTING, ETC. FOR A $95 CHARGE THAT DOES NOT COVER COSTS FOR TESTING, ADMINISTRATION OF THE PROGRAM AND PROGRAM PROMOTION. THE NET NON-REIMBURSED COST OF THIS SERVICE TO SBLHS IS $40,041. REGIONAL BEHAVIORAL HEALTH NETWORK SARAH BUSH LINCOLN, THE COLES COUNTY MENTAL HEALTH CENTER (NOW LIFE LINKS) AND THE HUMAN RESOURCES CENTER OF EDGAR AND CLARK COUNTIES JOINED FORCES TO CREATE THE REGIONAL BEHAVIORAL HEALTH NETWORK, AN ORGANIZATION THAT STREAMLINES ACCESS TO MENTAL HEALTHCARE FOR PEOPLE IN CRISIS. TOGETHER, THE THREE ORGANIZATIONS ESTIMATE THEY RESPOND TO ABOUT 3,000 CRISES INQUIRES FOR BEHAVIORAL HEALTH SERVICES ANNUALLY. THE COLLABORATIVE EFFORT IS PARTIALLY FUNDED BY GRANTS. THE HEALTH CENTER'S DIRECT AND IN-KIND NON-REIMBURSED COST WAS $74,000. SARAH BUSH LINCOLN WEBSITE THE HEALTH CENTER'S WEBSITE, WWW.SARAHBUSH.ORG, PROVIDES AREA RESIDENTS WITH ACCESS TO ACCURATE MEDICAL INFORMATION ABOUT ILLNESSES, TESTS AND TREATMENTS, AND IT OFFERS THEM A PLACE TO STORE THEIR OWN HEALTH INFORMATION. THE COST OF MAINTAINING THE SITE WAS $74,540. SUPPORT GROUPS SUPPORT GROUPS ASSIST THOSE AFFECTED BY CANCER, OSTOMY, STROKE, ADD, ADHD, POOR PULMONARY FUNCTION, LOSS OF A CHILD THROUGH MISCARRIAGE AND STILLBIRTH, NUTRITION AND CERTAIN CARDIAC EVENTS. THE NON-REIMBURSED COST OF PROVIDING EDUCATION AND RESOURCES WAS APPROXIMATELY $22,736. 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. THE NON-REIMBURSED COST OF PROVIDING CLASSROOM SPACE FOR TRAINING WAS $24,891. CREATE HEALTHY COMMUNITIES COMMUNITY AID SBLHC ASSISTED MISSIONS IN VARIOUS AREAS AND LOCAL PROJECTS WITH HEALTHCARE NEEDS BY DONATING MEDICAL SUPPLIES AND EQUIPMENT. THE COST WAS APPROXIMATELY $175,856. 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 $121,532 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 -PEACEMEAL, TO DELIVER MEALS TO THE COMMUNITIES WE ALSO LEND SUPPORT TO COLES COUNTY UNITED WAY, ROTARY INTERNATIONAL, CCAR INDUSTRIES, COLES TOGETHER, COLES COMMUNITY HEALTH PLAN, AREA CHAMBERS OF COMMERCE, AND OTHER AGENCIES BY PARTICIPATING IN THEIR FUNDRAISING EVENTS, BOARDS AND COMMITTEES. IN ADDITION, SBLHC SUPPORTS A WIDE VARIETY OF SCHOOL ACTIVITIES BY SPONSORING PROGRAMS AND NEWSLETTERS SO STUDENTS HAVE A MORE FULFILLING SCHOOL EXPERIENCE. HEALTHY KIDS IN OUR SEVEN COUNTY SERVICE AREA THERE ARE APPROXIMATELY 9,000 CHILDREN WHO ARE CONSIDERED OVERWEIGHT OR OBESE. THAT IS AROUND 36%! (THE NATIONAL AVERAGE IS CLOSER TO 32%) OVERWEIGHT ADOLESCENTS HAVE A 70% CHANCE OF BECOMING OVERWEIGHT ADULTS. THIS INCREASES TO 80% IF ONE OR BOTH PARENTS ARE OVERWEIGHT OR OBESE. 70% OF OBESE YOUTH HAVE AT LEAST ONE RISK FACTOR FOR CARDIOVASCULAR DISEASE. [CONTINUED]
FORM 990, PART III, LINE 4A:[CONTINUED] THAT'S WHY WE CREATED OUR HEALTHY KIDS PROGRAMS; WE WANTED TO SEE THIS NUMBER DECREASE. WE WANT TO SEE KIDS LIVE HEALTHY LONG LIVES. THE MISSION OF THE HEALTHY KIDS PROGRAM IS "BRINGING AWARENESS TO FAMILIES IN OUR COMMUNITY ABOUT CHILDHOOD OBESITY AND PROMOTE HEALTHY LIFESTYLE CHOICES." OVER THE YEARS OUR HEALTHY KIDS PROGRAMS HAVE GROWN TO SERVE APPROXIMATELY 5,000 STUDENTS EACH MONTH. IN FY 2021, WE PROVIDED EDUCATIONAL EXPERIENCES TO 3,498 STUDENTS. (SOME STUDENTS ARE REPEATED VISITS EACH MONTH.) THE COST OF THIS PROGRAM TO SBLHC IS $16,861. SPORTS PHYSICALS ORTHOPEDIC SURGEONS AND FAMILY PRACTICE PHYSICIANS PARTNER WITH AREA SCHOOLS TO PROVIDE SPORTS PHYSICALS FOR ATHLETES. STUDENTS PAY $20 PER PHYSICAL, A FEE THAT IS THEN DONATED TO THEIR SCHOOLS' BOOSTER CLUBS BY SBLHC. SOME 598 SPORTS PHYSICALS WERE PROVIDED AT A COST OF $11,960. MAINTAIN FINANCIAL VIABILITY FINANCIAL ASSISTANCE TRADITIONAL CHARITY CARE COVERS SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY FOR THEIR HEALTHCARE. THE HEALTH SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE FINANCIAL ASSISTANCE POLICIES WITHOUT CHARGE OR AT AMOUNTS LESS THAN THEIR ESTABLISHED RATES. EFFECTIVE JANUARY 1, 2005, THE HEALTH SYSTEM ADOPTED A NEW CHARITY CARE POLICY THAT SIGNIFICANTLY EXPANDED THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR PATIENTS OF THE SYSTEM. THE POLICY GIVES FINANCIAL ASSISTANCE IN SOME CASES AT FOUR TIMES THE FEDERAL POVERTY GUIDELINES. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED WAS $17,074,494 FOR THE YEAR AND THE COST OF THOSE SERVICES AFTER CONTRIBUTIONS AND OTHER DIRECT ASSISTANCE WAS $3,973,986. IN FY 2021, 3,268 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 $62,578,428 DURING THE YEAR.
FORM 990, PART VI, SECTION A, LINE 2DENNIS PLUARD, JERRY ESKER, KIM UPHOFF, SCOTT WILSON AND TINA STOVALL HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER AS A RESULT OF ALL SERVING AS BOARD MEMBERS OF SBL PRACTICE ACQUISITIONS, A FOR-PROFIT AFFILIATE OF THE ORGANIZATION. ALL MEMBERS OF THE HEALTH CENTER BOARD HAVE DUAL MEMBERSHIP WITH THE HEALTH SYSTEM BOARD.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS SARAH BUSH LINCOLN HEALTH SYSTEM.
FORM 990, PART 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.
FORM 990, PART VI, SECTION A, LINE 7BTHE SARAH BUSH HEALTH SYSTEM BOARD, THE SOLE MEMBER OF THE HEALTH CENTER BOARD, RETAINS CERTAIN RESERVED POWERS INCLUDING; AMENDING ARTICLES OF INCORPORATION OR BYLAWS, APPROVING THE ANNUAL OPERATING BUDGET AND LONG RANGE STRATEGIC PLAN, APPROVAL OF ANY TRANSACTIONS REQUIRING A CERTIFICATE OF NEED, APPROVAL OF THE BORROWING OF FUNDS AND INCURRING DEBT, APPROVAL OF MERGERS, CONSOLIDATIONS, SALE, OF ALL OR SUBSTANTIALLY ALL ASSETS, SELECTING AUDITORS, CREATING OR ACQUIRING SUBSIDIARY OR AFFILIATE CORPORATIONS, DISSOLVING THE CORPORATION, APPOINTING, EVALUATING AND REMOVAL OF PRESIDENT/CEO, AND ELECTING BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BTHE SENIOR ACCOUNTING STAFF REVIEWS ALL ELEMENTS OF THE 990 BASED ON PRIOR KNOWLEDGE AND INTERVIEWS WITH OTHER INDIVIDUALS IN THE ORGANIZATION. IN ADDITION, BOARD MEMBERS SUBMIT DETAILED QUESTIONNAIRES WITH REGARDS TO THEIR RELATIONSHIPS WITH THE ORGANIZATION. THE FINAL FORM 990 IS MADE AVAILABLE TO THEM ONLINE VIA A WEB PORTAL AND AT THEIR BOARD MEETING FOR REVIEW AND QUESTIONS.
FORM 990, PART VI, SECTION B, LINE 12CMEMBERS OF THE BOARD OF DIRECTORS ANNUALLY COMPLETE A CERTIFICATION STATEMENT WHICH IDENTIFIES POSSIBLE CONFLICTS OF INTEREST RELATED TO THEIR PROFESSIONAL AND PERSONAL LIVES. DURING DELIBERATIONS AND DECISIONS ON WHICH THERE APPEARS TO BE A CONFLICT OF INTEREST, THE BOARD MEMBER IS EXCUSED FROM THE DISCUSSION AND DELIBERATION, SHALL NOT VOTE ON, NOR USE HIS PERSONAL INFLUENCE ON OR BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM IN RESPECT TO THE TRANSACTION OR CONTRACT.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS DETERMINED FOR THE PRESIDENT & CEO, VP MEDICAL AFFAIRS, VP FINANCE & OPERATIONS, VP PRACTICE MANAGEMENT, VP PATIENT CARE SERVICES, VP INFORMATION SERVICES, VP HUMAN RESOURCES, AND THE VP DEVELOPMENT & FOUNDATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE SBL BOARD. AN INDEPENDENT CONSULTANT, HAY GROUP, INC., REVIEWED CURRENT COMPENSATION FOR EACH POSITION AND COMPARED IT TO SIMILAR POSITIONS IN LIKE ORGANIZATIONS. THE COMMITTEE APPROVED COMPENSATION CONSISTENT WITH THE BOARD-APPROVED EXECUTIVE COMPENSATION PHILOSOPHY. THIS PROCESS IS DONE ANNUALLY, BETWEEN JUNE AND AUGUST, FOR ALL THE LISTED POSITIONS.
FORM 990, PART VI, SECTION C, LINE 19CURRENTLY, SARAH BUSH LINCOLN HEALTH CENTER POSTS THEIR COMMUNITY BENEFITS STATEMENT ON OUR PUBLIC WEB-SITE. NO OTHER GOVERNING DOCUMENTS ARE ROUTINELY MADE AVAILABLE.
FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT:THE SOLE CORPORATE MEMBER ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

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SARAH BUSH LINCOLN HEALTH CENTER FOUNDATION
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HEARTLAND HEALTH SYSTEM INC
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SBL PRACTICE ACQUISITIONS INC
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BONUTTI ORTHOPEDIC SVCS INC
HEALTHCAREN/ACYes (1)1303 W EVERGREEN AVEEFFINGHAMIL62401371257387IL
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Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
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Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
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Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
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Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
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Transactions Related Org TransactionsRelatedOrgGrp

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FieldValueIRS element (for citing)
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FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$1,211,539InvolvedAmt
Method Of Amount DeterminationBOOK VALUEMethodOfAmountDeterminationTxt