2022-05-11T14:50:07-05:00 2021-06-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2020-07-01 237098532 SARAH BUSH LINCOLN HEALTH CENTER SARA 2172582514 1000 HEALTH CENTER DR MATTOON IL 619380372 DENNIS PLUARD CFO 2172582514 2022-05-11 1 DENNIS PLUARD 999009999 NATHAN A RODGERS CPA P01568275 3176334705 2022-05-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JERRY ESKER 1000 HEALTH CENTER DR MATTOON IL 619380372 733089509 0 X WWW.SARAHBUSH.ORG X 1977 IL THE MISSION OF SARAH BUSH LINCOLN HEALTH CENTER IS TO PROVIDE EXCEPTIONAL CARE FOR ALL AND CREATE HEALTHY COMMUNITIES. 16 13 3053 220 7292605 0 1726205 1356068 347364941 425699298 8448498 21638142 22209695 39829203 379749339 488522711 40040 36340 0 0 206329660 231547124 0 0 0 145046488 169547884 351416188 401131348 28333151 87391363 680049286 796812032 202326224 215832030 477723062 580980002 X SEE 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. 0 0 360524268 36340 425699298 SOCIAL 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] 360524268 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 222 0 1 3053 1 1 1 1 CJ BD 0 0 0 0 0 0 0 0 0 0 X 16 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X DENNIS PLUARD 2172582514 1000 HEALTH CENTER DR MATTOON IL 619380372 SCOTT WILSON CHAIRPERSON 1.00 3.00 X X 0 0 0 TINA STOVALL SECRETARY 1.00 4.00 X X 0 0 0 JIM LITTLEFORD SECRETARY 1.00 2.00 X X 0 0 0 BARB HALL TREASURER 1.00 1.00 X X 0 0 0 DR LORI CUDONE DIRECTOR 54.00 1.00 X 648637 0 30426 DALE BOYER DIRECTOR 1.00 1.00 X 0 0 0 JOSH BULLOCK DIRECTOR 1.00 1.00 X 0 0 0 LUCAS CATT DIRECTOR 54.00 1.00 X 496228 0 36812 STEVE CHILDERS DIRECTOR 1.00 1.00 X 0 0 0 DAVID GLASSMAN COMMITTEE COMMUNITY MEMBER 1.00 0.00 X 0 0 0 PHILLIP KEPP DIRECTOR 1.00 1.00 X 0 0 0 JOHN LAUER DIRECTOR 54.00 2.00 X 417976 0 29981 JAY MARKWELL DIRECTOR 1.00 1.00 X 0 0 0 ALAN METZGER DIRECTOR 1.00 1.00 X 0 0 0 ANYA SCHUETZ DIRECTOR 1.00 1.00 X 0 0 0 JIM ZIMMER DIRECTOR 1.00 1.00 X 0 0 0 JERRY ESKER PRESIDENT 40.00 15.00 X 994161 0 42432 DENNIS PLUARD CHIEF FINANCE OFFICER 52.00 3.00 X 539450 0 39715 SANDRA MILLER VP PATIENT CARE 55.00 0.00 X 304882 0 35519 GREGORY TAYLOR VP PRACTICE MANAGEMENT 55.00 0.00 X 360946 0 36590 JAMES HILDEBRANDT VP MEDICAL AFFAIRS 54.00 1.00 X 552435 0 38541 DEBORAH SADDORIS VP HUMAN RESOURCES 55.00 0.00 X 309729 0 36223 BRIAN MURPHY VP INFORMATION SYSTEMS 55.00 0.00 X 303241 0 36534 KIM UPHOFF VP DEVELOPMENT 27.00 28.00 X 425639 0 37459 DWIGHT PENTZIEN VP MEDICAL AFFAIRS 27.00 28.00 X 392321 0 40116 RAGAI MITRY PHYSICIAN 50.00 0.00 X 1181994 0 38618 LOUIS MENDELLA PHYSICIAN 50.00 0.00 X 1239448 0 39940 AZIZ AHMED PHYSICIAN 50.00 0.00 X 1355126 0 13121 MATTHEW JONES PHYSICIAN 50.00 0.00 X 1320836 0 39122 JOSHUA GARRETT PHYSICIAN 50.00 0.00 X 1368594 0 37872 12211643 0 609021 249 0 1 0 MCCARTHY BUILDING COMPANIES 3117 BIG BEND BOULEVARD ST LOUIS MO 63143 CONSTRUCTION CONTRACTOR 13180600 MEDLINE INDUSTRIES INC 1501 HARRIS RD LIBERTYVILLE IL 60048 MEDICAL SUPPLIES DISTRIBUTOR 5912497 STRYKER ORTHOPAEDICS 7 WESTPORT CT B BLOOMINGTON IL 61704 MEDICAL TECHNOLOGIES 5607195 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 63195 SOFTWARE SERVICE 4297959 ZIMMER US INC 1800 W CENTER ST WARSAW IN 46580 ORTHOPEDIC PRODUCTS DESIGNER 3640767 177 1211539 144529 1356068 NET PATIENT REVENUE 621110 366298735 366298735 NET PROVIDER REVENUE 621110 59344911 59344911 OUTREACH REVENUE 541900 55652 55652 425699298 5168526 5168526 115491 0 115491 115491 115491 261036414 243936478 630320 17099936 -630320 16469616 16469616 REFERENCE LAB 621500 6729686 6729686 PEACE MEAL PROGRAM REVENUE 900099 2249041 2249041 CAFETERIA & CATERING 722320 747711 747711 29987274 562919 29424355 39713712 488522711 425699298 7292605 54174740 36340 36340 6351136 6351136 177023909 164476224 12547685 6409648 5955324 454324 31558661 29321742 2236919 10203770 9480514 723256 294003 294003 170004 170004 36237 36237 26372723 24607254 1765469 1043489 1043489 81675314 75886062 5789252 3921301 3643354 277947 5007665 4652715 354950 1105119 1026787 78332 854521 793951 60570 1287820 1287820 24494584 22758376 1736208 7298512 7298512 IL HOSPITAL TAX ASSESSM 8971000 8971000 MAINTENANCE/PREVENTATIV 4620938 4293400 327538 DUES AND SUBSCRIPTIONS 572575 572575 RECRUITMENT EXPENSES 344429 344429 1477650 1372912 104738 401131348 360524268 40607080 0 11970 13782 180328280 146865931 40011673 50156046 8517215 8736506 11142951 10097938 423826115 199126637 218206281 224699478 90209845 208210730 116784189 126694168 14836882 21337453 680049286 796812032 61612862 54629153 53098404 52991425 87614958 108211452 202326224 215832030 X 477723062 580980002 477723062 580980002 680049286 796812032 87391363 15865577 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 36237 36237 0 PART II-B, LINE 1: THIS 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. 6529883 621386 1439060 8590329 5901732 581156 46995 6529883 5734498 86458 80776 5901732 4833608 491598 409292 5734498 3569996 678021 585591 4833608 0.00850 0.58890 0.40260 0 1 1 6837062 6837062 232609128 82723302 149885826 323308 245528 77780 162507908 113862377 48645531 21548709 2295430 19253279 224699478 SUPPLEMENTAL PENSION 65422365 C DEFERRED COMPENSATION 25192803 C HEDGE FUNDS 36079000 C 126694168 SUPPLEMENTAL PENSION 65422365 DEFERRED COMPENSATION 25192802 EST PROFESSIONAL LIABILITY CLAIM 17596285 108211452 X 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). CENTRAL AMERICAN/CARIBBEAN 0 0 INVESTMENTS 8311874 0 0 0 0 0 0 8311874 0 8311874 0 0 1 1 0 0 PART III ACCOUNTING METHOD: 1 1 X 1 X 130.000000000000 1 X 1 1 1 0 1 1 3973986 3973986 0.00990 76013829 38194235 37819594 0.09430 79987815 38194235 41793580 0.10420 816908 816908 0.00200 409272 409272 0.00100 1226180 1226180 0.00300 81213995 38194235 43019760 0.10720 27500 27500 0.00010 27500 27500 0.00010 1 4817369 76907184 130156319 -53249135 X 1 1 1 1 SARAH BUSH LINCOLN HEALTH CENTER 1000 HEALTH CENTER DRIVE MATTOON IL 61938 WWW.SARAHBUSH.ORG 0003392 X SARAH BUSH LINCOLN HEALTH CENTER 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X SEE PART V, PAGE 8 X 1 18 0 0 0 1 X 130.000000000000 400.000000000000 X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 SARAH BUSH LINCOLN HEALTH CENTER PART 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 CENTER PART 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/ 19 1 - SBL ARCOLA CLINIC 241 W SPRINGFIELD RD ARCOLA IL 61920 CLINIC 2 - SBL ARTHUR CLINIC 211 S WALNUT ARTHUR IL 61911 CLINIC 3 - SBL CASEY CLINIC 934 NORTH RT 49 PO BOX 460 CASEY IL 62420 CLINIC 4 - SBL CHARLESTON FAMILY PRACTICE 116 WEST BUCHANAN AVE CHARLESTON IL 61920 CLINIC 5 - SBL FAMILY MEDICAL CENTER 200 RICHMOND AVE MATTOON IL 61928 CLINIC 6 - SBL NEOGA CLINIC 650 OAK AVE PO BOX 640 NEGOA IL 62447 CLINIC 7 - SBL SULLIVAN CLINIC 7 HAWTHORNE LANE SULLIVAN IL 61951 CLINIC 8 - SBL TOLEDO CLINIC 168 COURTHOUSE SQUARE PO BOX 99 TOLEDO IL 62468 CLINIC 9 - SBL EFFINGHAM CLINIC 905 N MAPLE EFFINGHAM IL 62401 CLINIC 10 - SBL MATTOON WALK-IN CLINIC 200 DETTRO DRIVE MATTOON IL 61938 CLINIC 11 - SBL NEWTON CLINIC 910 SOUTH BUREN ST NEWTON IL 62448 CLINIC 12 - SBL CHARLESTON WALK-IN CLINIC 2040 EAST LINCOLN CHARLESTON IL 61920 CLINIC 13 - SBL SHELBYVILLE CLINIC 207 S PINE ST SUITE 10 SHELBYVILLE IL 62565 CLINIC 14 - SBL TUSCOLA CLINIC 1100 TUSCOLA BLVD TUSCOLA IL 61953 CLINIC 15 - SBL MARTINSVILLE CLINIC 890 RIDGELAWN ROAD MARTINSVILLE IL 62442 CLINIC 16 - ALTAMONT MEDICAL CENTER 8 NORTH THIRD STREET ALTAMONT IL 62411 CLINIC 17 - BONUTTI CLINIC 1303 W EVERGREEN AVE EFFINGHAM IL 62401 CLINIC 18 - CHARLESTON CLINIC EAST 2040 LINCOLN AVE SUITE 101 CHARLESTON IL 61920 CLINIC 19 - EFFINGHAM FAMILY PRACTICE 901 MEDICAL PARK DR SUITE 101 EFFINGHAM IL 62401 CLINIC 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. 1 COLES TOGETHER 400 AIRPORT ROAD MATTOON IL 61938 371243664 501C3 27500 COLES 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. 1 PART I, LINE 2: DISTRIBUTIONS 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. X X 1 1 X X X X 0 1 0 0 0 0 0 1 0 DR LORI CUDONE DIRECTOR 441891 0 148206 0 58540 0 9500 0 20926 0 679063 0 0 0 LUCAS CATT DIRECTOR 315447 0 138825 0 41956 0 9500 0 27312 0 533040 0 0 0 JOHN LAUER DIRECTOR 330224 0 42246 0 45506 0 9500 0 20481 0 447957 0 0 0 JERRY ESKER PRESIDENT 855058 0 800 0 138303 0 9500 0 32932 0 1036593 0 0 0 DENNIS PLUARD CHIEF FINANCE OFFICER 451728 0 800 0 86922 0 9500 0 30215 0 579165 0 0 0 SANDRA MILLER VP PATIENT CARE 276069 0 800 0 28013 0 9304 0 26215 0 340401 0 0 0 GREGORY TAYLOR VP PRACTICE MANAGEMENT 330950 0 800 0 29196 0 9500 0 27090 0 397536 0 0 0 JAMES HILDEBRANDT VP MEDICAL AFFAIRS 488968 0 800 0 62667 0 9500 0 29041 0 590976 0 0 0 DEBORAH SADDORIS VP HUMAN RESOURCES 283122 0 800 0 25807 0 9301 0 26922 0 345952 0 0 0 BRIAN MURPHY VP INFORMATION SYSTEMS 277510 0 800 0 24931 0 9105 0 27429 0 339775 0 0 0 KIM UPHOFF VP DEVELOPMENT 374202 0 800 0 50637 0 9500 0 27959 0 463098 0 0 0 DWIGHT PENTZIEN VP MEDICAL AFFAIRS 346693 0 800 0 44828 0 9500 0 30616 0 432437 0 0 0 RAGAI MITRY PHYSICIAN 591977 0 514481 0 75536 0 9500 0 29118 0 1220612 0 0 0 LOUIS MENDELLA PHYSICIAN 842427 0 299286 0 97735 0 9500 0 30440 0 1279388 0 0 0 AZIZ AHMED PHYSICIAN 850013 0 416646 0 88467 0 9500 0 3621 0 1368247 0 0 0 MATTHEW JONES PHYSICIAN 843119 0 384243 0 93474 0 9500 0 29622 0 1359958 0 0 0 JOSHUA GARRETT PHYSICIAN 841686 0 433334 0 93574 0 9500 0 28372 0 1406466 0 0 0 PART I, LINE 1A HEALTH 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 7 ADDITIONAL COMPENSATION TO OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE DEPENDENT ON SPECIFIC ORGANIZATIONAL AND INDIVIDUAL GOALS. THESE GOALS INCLUDE FINANCIAL, QUALITY, CUSTOMER SERVICE, AND OTHER GOALS RELATED TO THE ORGANIZATION'S STRATEGIC PLAN. 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 A ILLINOIS FINANCE AUTHORITY 861091967 2011-03-18 45000000 SEE PART VI 0 1 0 B ILLINOIS FINANCE AUTHORITY 861091967 2015-11-01 30000000 SEE PART VI 1 1 0 C ILLINOIS FINANCE AUTHORITY 861091967 2020-09-01 28000000 SEE PART VI 0 1 0 A 45000000 517777 26444431 18037792 2014 1 0 0 1 B 30000000 30000000 0 0 0 1 C 28000000 28000000 0 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 1 1 0 0 0 1 B 1 1 0 0 0 1 C 1 1 0 0 0 1 A 1 B 1 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. ROBERT CUDONE HUSBAND OF LORI CUDONE 97437 EMPLOYED BY THE HEALTH CENTER 0 SARAH MILLER DAUGHTER OF SANDRA MILLER 51568 EMPLOYED BY THE HEALTH CENTER 0 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 2 DENNIS 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 6 THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS SARAH BUSH LINCOLN HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A BOARD MEMBERS WILL AID IN THE SELECTION FOR THE NOMINATION OF NEW BOARD MEMBERS WHEN VACANCIES OCCUR OR WHEN TERMS WILL EXPIRE, BUT THE FINAL APPROVAL OF THE CANDIDATES IS MADE BY THE SOLE MEMBER OF THE CORPORATION, SARAH BUSH LINCOLN HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7B THE SARAH BUSH HEALTH SYSTEM BOARD, THE SOLE MEMBER OF THE HEALTH CENTER BOARD, RETAINS CERTAIN RESERVED POWERS INCLUDING; AMENDING ARTICLES OF INCORPORATION OR BYLAWS, APPROVING THE ANNUAL OPERATING BUDGET AND LONG RANGE STRATEGIC PLAN, APPROVAL OF ANY TRANSACTIONS REQUIRING A CERTIFICATE OF NEED, APPROVAL OF THE BORROWING OF FUNDS AND INCURRING DEBT, APPROVAL OF MERGERS, CONSOLIDATIONS, SALE, OF ALL OR SUBSTANTIALLY ALL ASSETS, SELECTING AUDITORS, CREATING OR ACQUIRING SUBSIDIARY OR AFFILIATE CORPORATIONS, DISSOLVING THE CORPORATION, APPOINTING, EVALUATING AND REMOVAL OF PRESIDENT/CEO, AND ELECTING BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE SENIOR ACCOUNTING STAFF REVIEWS ALL ELEMENTS OF THE 990 BASED ON PRIOR KNOWLEDGE AND INTERVIEWS WITH OTHER INDIVIDUALS IN THE ORGANIZATION. IN ADDITION, BOARD MEMBERS SUBMIT DETAILED QUESTIONNAIRES WITH REGARDS TO THEIR RELATIONSHIPS WITH THE ORGANIZATION. THE FINAL FORM 990 IS MADE AVAILABLE TO THEM ONLINE VIA A WEB PORTAL AND AT THEIR BOARD MEETING FOR REVIEW AND QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION 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 19 CURRENTLY, SARAH BUSH LINCOLN HEALTH CENTER POSTS THEIR COMMUNITY BENEFITS STATEMENT ON OUR PUBLIC WEB-SITE. NO OTHER GOVERNING DOCUMENTS ARE ROUTINELY MADE AVAILABLE. 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. SARAH BUSH LINCOLN HEALTH SYSTEM 1000 HEALTH CENTER DRIVE MATTOON IL 61938 371136714 PARENT COMPANY IL 501(C)(3) LINE 12B, II 0 SARAH BUSH LINCOLN HEALTH CENTER FOUNDATION 1000 HEALTH CENTER DRIVE MATTOON IL 61938 371136713 FUNDRAISING IL 501(C)(3) LINE 12A, I SARAH BUSH LINCOLN HEALTH SYSTEM 1 HEARTLAND HEALTH SYSTEM INC 1000 HEALTH CENTER DRIVE MATTOON IL 61938 201890414 HEALTHCARE IL 501(C)(3) LINE 3 SARAH BUSH LINCOLN HEALTH CENTER 1 SARAH BUSH LINCOLN CAPTIVE INSURANCE 18 FORUM LANE 2ND FLOOR PO BOX 69 GEORGE TOWN CJ INSURANCE CJ N/A C 1 SBL PRACTICE ACQUISITIONS INC 1000 HEALTH CENTER DRIVE MATTOON IL 61938 824716884 MANAGEMENT IL N/A C 1 BONUTTI ORTHOPEDIC SVCS INC 1303 W EVERGREEN AVE EFFINGHAM IL 62401 371257387 HEALTHCARE IL N/A C 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SARAH BUSH LINCOLN HEALTH CENTER FOUNDATION C 1211539 BOOK VALUE