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SARAH BUSH LINCOLN HEALTH CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SARAH BUSH LINCOLN HEALTH CENTER (EIN 23-7098532)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-05-11
IRS object ID
202001329349302475
Schema version
2018v3.3
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)
Return2020-05-11T17:09:23-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

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CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
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Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

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EIN237098532EIN

Business Name BusinessName

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Business Name Line1SARAH BUSH LINCOLN HEALTH CENTERBusinessNameLine1Txt
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In Care Of% DENNIS J PLUARD CPAInCareOfNm
Business Name ControlSARABusinessNameControlTxt
Phone2172582514PhoneNum

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Person TitleCHIEF FINANCE OFFICRPersonTitleTxt
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IP Address IPAddress

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I Pv4 Address167.68.126.162IPv4AddressTxt
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Federal Original Submission Id43032820201325000016FederalOriginalSubmissionId
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Form 990 IRS990

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Principal OfficerJERRY ESKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRIVEAddressLine1Txt
CityMATTOONCityNm
State AbbreviationILStateAbbreviationCd
ZIP61938ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$474,808,677GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
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 Body17VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee2787TotalEmployeeCnt
Total Volunteers250TotalVolunteersCnt
Total Gross UBI$4,228,578TotalGrossUBIAmt
PY Contributions Grants$3,795,974PYContributionsGrantsAmt
CY Contributions Grants$2,250,642CYContributionsGrantsAmt
PY Program Service Revenue$316,617,628PYProgramServiceRevenueAmt
CY Program Service Revenue$330,079,987CYProgramServiceRevenueAmt
PY Investment Income$14,333,314PYInvestmentIncomeAmt
CY Investment Income$7,544,581CYInvestmentIncomeAmt
PY Other Revenue$11,379,049PYOtherRevenueAmt
CY Other Revenue$15,183,949CYOtherRevenueAmt
PY Total Revenue$346,125,965PYTotalRevenueAmt
CY Total Revenue$355,059,159CYTotalRevenueAmt
PY Grants And Similar Paid$38,045PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$40,085CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$186,678,162PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$192,805,641CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$119,255,370PYOtherExpensesAmt
CY Other Expenses$132,821,742CYOtherExpensesAmt
PY Total Expenses$305,971,577PYTotalExpensesAmt
CY Total Expenses$325,667,468CYTotalExpensesAmt
PY Revenues Less Expenses$40,154,388PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$29,391,691CYRevenuesLessExpensesAmt
Total Assets BOY$599,930,643TotalAssetsBOYAmt
Total Assets EOY$641,206,592TotalAssetsEOYAmt
Total Liabilities BOY$184,908,515TotalLiabilitiesBOYAmt
Total Liabilities EOY$192,922,341TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$415,022,128NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$448,284,251NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$291,617,942ExpenseAmt
Grant$40,085GrantAmt
Revenue$334,308,565RevenueAmt
DescSocial Accountability 2019 As a not-for-profit provider of healthcare, Sarah Bush Lincoln Health Center leadership and staff happily shoulder the social responsibility to provide care and resources to members of the community who are in need-- regardless of their personal circumstances. The public trusts us to conserve our resources and use them wisely, while it looks to us for leadership, partnership and collaboration on a variety of projects. To that end, we provide high quality healthcare to people regardless of their race, creed, sex, national origin, handicap, age or ability to pay. Although reimbursement for services is critical to the operation and stability of SBLHC, we recognize that not everyone is able to afford essential medical services. Since it is our mission to provide healthcare and education to all members of the community, we provide: - both free and subsidized care, -care to persons covered by government programs at below-cost reimbursement and, -health activities and programs to support the community at large During the fiscal year that ended June 30, 2019, we served 6,907 inpatients and provided 351,330 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 2019, 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 2019. Each program is further described throughout this booklet. Improve Patient Experience and Loyalty $14,858 -AdvantAge 50 -Dine with a Doc Improve Clinical and Operational Quality $786,898 - Community Health Screens - Sarah Bush Lincoln Dental Services - Health Education - Heart to Heart Community Screening Program - METS Phase III at EIU - Regional Behavioral Health Network - Sarah Bush Lincoln Website - Step in the Right Direction & Living with Diabetes - Support Groups Enhance Human Capital $20,895 - Health Occupations Create Healthy Communities $515,753 - Community Aid - Organizational Support - Healthy Kids - Sports Physicals Maintain Financial Viability $16,404,304 - 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 $12,679. Dine with a Doc Doctors/mid-levels hosted a series of lunch programs focusing on a wide variety of health topics. The nonreimbrused cost to SBLHC is $2,179. 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 $103,630. 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 $353,228. 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 $83,615. 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 $14,699. METS Phase III at EIU Exercise and cardiovascular education are combined to help people with cardiac events rehabilitate. The nonreimbursed cost to SBLHS is $24,302. 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. Step in the Right Direction and Living with Diabetes This six-month lifestyle modification program is free to area residents who are at risk for diabetes. Participants exercise twice weekly in a class setting, while learning about their health and ways to improve it. It is designed to assist participants with weight loss, establish regular and appropriate exercise and diet changes. The program served more than 75-100 community members with blood glucose levels of 100 to 125. The nonreimbursed cost was $35,222. 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 $23,662. 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 $20,895. 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 $91,980. 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 $233,519 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 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 tourismDesc
Total Program Service Expenses$291,617,942TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
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Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
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Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
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Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
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Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
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Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document165IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2787EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
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Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
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Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
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Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
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Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
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Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDENNIS J PLUARD CPAPersonNm
Phone2172582102PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRIVEAddressLine1Txt
CityMATTOONCityNm
State AbbreviationILStateAbbreviationCd
ZIP61938ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

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
STEVE WENTE
CHAIRPERSON1.03.0Yes (X)Yes (X)$0$0$0
SCOTT WILSON
VICE CHAIRPERSON1.04.0Yes (X)Yes (X)$0$0$0
TINA STOVALL
SECRETARY1.02.0Yes (X)Yes (X)$0$0$0
LAUREL ALLENBAUGH
DIRECTOR1.01.0Yes (X)$0$0$0
DR LORI CUDONE
DIRECTOR54.01.0Yes (X)$687,651$0$27,397
DON DAVIS
DIRECTOR1.01.0Yes (X)$0$0$0
DAVID GLASSMAN
COMMITTEE COMMUNITY MEMBER1.00.0Yes (X)$0$0$0
BARB HALL
TREASURER1.01.0Yes (X)Yes (X)$0$0$0
PHILIP KEPP
DIRECTOR1.01.0Yes (X)$0$0$0
JOHN LAUER
DIRECTOR54.02.0Yes (X)$414,046$0$36,149
JIM LITTLEFORD
DIRECTOR1.02.0Yes (X)$0$0$0
JAY MARKWELL
DIRECTOR1.01.0Yes (X)$0$0$0
ALAN METZGER
DIRECTOR1.01.0Yes (X)$0$0$0
RAY RIECK
DIRECTOR1.00.0Yes (X)$0$0$0
LUCAS CATT
DIRECTOR54.01.0Yes (X)$465,758$0$30,213
STEVE CHILDERS
DIRECTOR1.00.0Yes (X)$0$0$0
JIM ZIMMER
DIRECTOR1.00.0Yes (X)$0$0$0
JERRY ESKER
PRESIDENT40.015.0Yes (X)$899,295$0$31,514
DENNIS PLUARD
CHIEF FINANCE OFFICER52.03.0Yes (X)$554,683$0$32,113
LISA HERNANDEZ
VP PATIENT CARE55.00.0Yes (X)$316,602$0$24,435
GREGORY TAYLOR
VP PRACTICE MANAGEMENT55.00.0Yes (X)$319,737$0$28,576
JAMES HILDEBRANDT
VP MEDICAL AFFAIRS54.01.0Yes (X)$528,337$0$31,582
ERIC BENSON
VP HUMAN RESOURCES55.00.0Yes (X)$375,619$0$32,067
KIM UPHOFF
VP DEVELOPMENT27.028.0Yes (X)$368,014$0$17,581
BRIAN MURPHY
VP INFORMATION SYSTEMS55.00.0Yes (X)$133,235$0$10,612
LOUIS MENDELLA
PHYSICIAN50.00.0$1,603,262$0$34,864Yes (X)
RAGAI MITRY
PHYSICIAN50.00.0$1,212,584$0$32,314Yes (X)
AZIZ AHMED
PHYSICIAN50.00.0$1,251,312$0$12,760Yes (X)
MATTHEW JONES
PHYSICIAN50.00.0$1,471,179$0$33,284Yes (X)
JOSHUA GARRETT
PHYSICIAN50.00.0$1,684,213$0$34,374Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$12,285,527TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$449,835TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K234IndivRcvdGreaterThan100KCnt
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Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MCCARTHY BUILDING COMPANIES
3117 BIG BEND BOULEVARDST LOUISMO63143CONSTRUCTION$11,412,726
CERNER CORPORATION
PO BOX 959156ST LOUISMO63195SOFTWARE SERVICE$4,374,253
PRAIRIE CARDIOVASCULAR CONS
619 EAST MASON STSPRINGFIELDIL62701MED SPECIALIST FEES$2,858,033
STRYKER ORTHOPAEDICS
7 WESTPORT CT BBLOOMINGTONIL61704MEDICAL TECHNOLOGIES$2,563,183
GE PRECISION HEALTHCARE LLC
3000 N GRANDVIEW BLVDWAUKESHAWI53188MEDICAL TECHNOLOGIES$1,778,195
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K152CntrctRcvdGreaterThan100KCnt
Related Organizations$2,041,955RelatedOrganizationsAmt
Government Grants$208,687GovernmentGrantsAmt
Total Contributions$2,250,642TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REV.621110$266,266,352$266,266,352
OUTREACH REVENUE541900$58,799$58,799
NET PROVIDER REVENUE621110$63,754,836$63,754,836
FieldValueIRS element (for citing)
Total Program Service Revenue$330,079,987TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,355,328TotalRevenueColumnAmt
Exclusion$3,355,328ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$164,725RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$164,725RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$164,725TotalRevenueColumnAmt
Exclusion$164,725ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$123,903,213SecuritiesAmt
Other$35,558OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$119,749,518SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,153,695SecuritiesAmt
Other$35,558OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,189,253TotalRevenueColumnAmt
Exclusion$4,189,253ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
REFERENCE LAB.621500$3,772,473$3,772,473
CAFETERIA & CATERING722320$901,574$901,574
PEACE MEAL PROGRAM REVENUE900099$3,201,091$3,201,091

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,144,086TotalRevenueColumnAmt
Unrelated Business Revenue$456,105UnrelatedBusinessRevenueAmt
Exclusion$6,687,981ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$15,019,224OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$355,059,159TotalRevenueColumnAmt
Related Or Exempt Func Income$330,079,987RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,228,578UnrelatedBusinessRevenueAmt
Exclusion$18,499,952ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$40,085TotalAmt
Program Services$40,085ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,800,508TotalAmt
Management And General$5,800,508ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$116,117TotalAmt
Management And General$116,117ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$144,419,520TotalAmt
Program Services$133,787,700ProgramServicesAmt
Management And General$10,631,820ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,223,372TotalAmt
Program Services$5,760,591ProgramServicesAmt
Management And General$462,781ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$27,604,966TotalAmt
Program Services$25,552,210ProgramServicesAmt
Management And General$2,052,756ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,641,158TotalAmt
Program Services$7,998,586ProgramServicesAmt
Management And General$642,572ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$552,438TotalAmt
Management And General$552,438ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$210,000TotalAmt
Management And General$210,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$32,628TotalAmt
Management And General$32,628ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,613,232TotalAmt
Program Services$21,304,772ProgramServicesAmt
Management And General$1,308,460ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$944,858TotalAmt
Program Services$944,858ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$56,610,946TotalAmt
Program Services$52,401,252ProgramServicesAmt
Management And General$4,209,694ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,825,910TotalAmt
Program Services$3,541,408ProgramServicesAmt
Management And General$284,502ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,224,841TotalAmt
Program Services$3,910,674ProgramServicesAmt
Management And General$314,167ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,091,521TotalAmt
Program Services$1,010,353ProgramServicesAmt
Management And General$81,168ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,194,020TotalAmt
Program Services$1,105,230ProgramServicesAmt
Management And General$88,790ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,733,590TotalAmt
Program Services$1,733,590ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,934,921TotalAmt
Program Services$19,378,162ProgramServicesAmt
Management And General$1,556,759ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,352,517TotalAmt
Management And General$5,352,517ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RECRUITMENT EXPENSES$719,958$719,958
MAINTENANCE/PREVENTATIVE MAINT$3,577,445$3,311,420$266,025
IL HOSPITAL TAX ASSESSMENT$7,902,643$7,902,643
DUES AND SUBSCRIPTIONS$510,524$510,524

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$789,750TotalAmt
Program Services$703,926ProgramServicesAmt
Management And General$85,824ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$325,667,468TotalAmt
Program Services$291,617,942ProgramServicesAmt
Management And General$34,049,526ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,220BOYAmt
EOY$10,470EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$143,014,701BOYAmt
EOY$148,595,731EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$55,863,735BOYAmt
EOY$55,753,570EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,094,073BOYAmt
EOY$6,881,426EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,034,315BOYAmt
EOY$6,524,216EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$379,158,895LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$168,818,059LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$203,483,550BOYAmt
EOY$210,340,836EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$68,630,678BOYAmt
EOY$81,846,578EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$110,102,626BOYAmt
EOY$116,426,558EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,696,745BOYAmt
EOY$14,827,207EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$599,930,643BOYAmt
EOY$641,206,592EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$47,666,521BOYAmt
EOY$48,078,319EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$64,646,954BOYAmt
EOY$61,083,801EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$72,595,040BOYAmt
EOY$83,760,221EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$184,908,515BOYAmt
EOY$192,922,341EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$415,022,128BOYAmt
EOY$448,284,251EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$415,022,128BOYAmt
EOY$448,284,251EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$599,930,643BOYAmt
EOY$641,206,592EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$29,391,691ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,870,432NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)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)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$32,628GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$32,628TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FFormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITIES: 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 22.73% OF THE ANNUAL MEMBERSHIP DUES AND THE PERCENTAGE BY IHA WAS DETERMINED TO BE 35.0% OF THEIR DUES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,938,638BeginningYearBalanceAmt
Contributions$10,493ContributionsAmt
Investment Earnings Or Losses-$379,135InvestmentEarningsOrLossesAmt
End Year Balance$3,569,996EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,873,031BeginningYearBalanceAmt
Contributions$43,737ContributionsAmt
Investment Earnings Or Losses$21,870InvestmentEarningsOrLossesAmt
End Year Balance$3,938,638EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00970BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.64620PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.34410TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,811,646OtherCostOrOtherBasisAmt
Book Value$3,811,646BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$208,326,554OtherCostOrOtherBasisAmt
Depreciation$68,150,550DepreciationAmt
Book Value$140,176,004BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$286,453OtherCostOrOtherBasisAmt
Depreciation$243,456DepreciationAmt
Book Value$42,997BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$150,909,836OtherCostOrOtherBasisAmt
Depreciation$98,481,117DepreciationAmt
Book Value$52,428,719BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,824,405OtherCostOrOtherBasisAmt
Depreciation$1,942,935DepreciationAmt
Book Value$13,881,470BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$210,340,836TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SUPPLEMENTAL PENSION$45,639,914F
DEFERRED COMPENSATION$17,705,878F
HEDGE FUNDS$53,080,766F
FieldValueIRS element (for citing)
Total Book Value Securities$116,426,558TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
SUPPLEMENTAL PENSION$45,639,914
DEFERRED COMPENSATION$17,705,878
EST PROFESSIONAL LIABILITY CLA$20,414,429
FieldValueIRS element (for citing)
Total Liability$83,760,221TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS: 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.
SCHEDULE D, PART X, LINE 2FIN 48 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the CaribbeanInvestments$40,264,326
Central America and the CaribbeanInvestments$313,200
FieldValueIRS element (for citing)
Subtotal Spent$40,577,526SubtotalSpentAmt
Total Spent$40,577,526TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE F, PART I, COLUMN FFormAndLineReferenceDesc
ExplanationINVESTMENTS & EXPENDITURES: INVESTMENTS IN REGION: $ 40,264,326 INVESTMENT FEES IN REGION: 313,200 --------------- $ 40,577,526ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,310,893TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,310,893NetCommunityBenefitExpnsAmt
Total Expense0.01320TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$66,278,619TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$58,711,657DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,566,962NetCommunityBenefitExpnsAmt
Total Expense0.02320TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$70,589,512TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$58,711,657DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,877,855NetCommunityBenefitExpnsAmt
Total Expense0.03640TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$980,470TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$980,470NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$330,434TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$330,434NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,310,904TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,310,904NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,900,416TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$58,711,657DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,188,759NetCommunityBenefitExpnsAmt
Total Expense0.04040TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$27,500NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$27,500NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,575,855BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$60,771,385ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$108,354,473CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$47,583,088MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)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)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)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 (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care130.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
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 (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
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 (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5A 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 THOSE PARTICIPATING ARE AVAILABLE UPON REQUEST.
SCHEDULE H, PART V, SECTION B, LINE 7AWWW.SARAHBUSH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, SECTION B, LINE 11PRIORITY 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 THERAPEUTIC NEEDS. NEEDS BEING ADDRESSED: TRANSPORATION: THE TRANSPORTATION NEEDS OF THE COMMUNITY ARE CURRENTLY BEING ADDRESSED BY OTHER COMMUNITY AGENCIES SUCH AS CENTRAL 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.
SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, & 16CFAP, FAP APPLICATION, AND FAP PLAIN LANGUAGE SUMMARY: HTTPS://WWW.SARAHBUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/
FieldValueIRS element (for citing)
Facility15FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
SBL ARCOLA CLINIC
241 W SPRINGFIELD RDARCOLAIL61920CLINIC
SBL ARTHUR CLINIC
211 S WALNUTARTHURIL61911CLINIC
SBL CASEY CLINIC
934 NORTH RT 49 PO BOX 460CASEYIL62420CLINIC
SBL CHARLESTON FAMILY PRACTICE
116 WEST BUCHANAN AVECHARLESTONIL61920CLINIC
SBL FAMILY MEDICAL CENTER
200 RICHMOND AVEMATTOONIL61928CLINIC
SBL NEOGA CLINIC
650 OAK AVE PO BOX 640NEGOAIL62447CLINIC
SBL SULLIVAN CLINIC
7 HAWTHORNE LANESULLIVANIL61951CLINIC
SBL TOLEDO CLINIC
168 COURTHOUSE SQUARE PO BOX 99TOLEDOIL62468CLINIC
SBL EFFINGHAM CLINIC
905 N MAPLEEFFINGHAMIL62401CLINIC
SBL MATTOON WALK-IN CLINIC
200 DETTRO DRIVEMATTOONIL61938CLINIC
SBL NEWTON CLINIC
910 SOUTH BUREN STNEWTONIL62448CLINIC
SBL CHARLESTON WALK-IN CLINIC
2040 EAST LINCOLNCHARLESTONIL61920CLINIC
SBL SHELBYVILLE CLINIC
207 S PINE ST SUITE 10SHELBYVILLEIL62565CLINIC
SBL TUSCOLA CLINIC
1100 TUSCOLA BLVDTUSCOLAIL61953CLINIC
SBL MARTINSVILLE CLINIC
890 RIDGELAWN ROADMARTINSVILLEIL62442CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2USED THE RATIO OF PATIENT CARE COST TO CHARGES (0.3434) AS COMPUTED ON WORKSHEET 2 OF THE ACCOUNTING WORK PAPERS TO CALCULATE THE BAD DEBT EXPENSE (13,325,146) AT COST (4,575,855). WE REDUCE BAD DEBT EXPENSE BY THE DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS.
SCHEDULE H, PART III, SECTION A, LINE 4SEE THE PATIENT ACCOUNTS RECEIVABLE NOTE ON PAGE 8 OF THE ATTACHED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 8ALTHOUGH 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.
SCHEDULE H, PART III, SECTION C, LINE 9BACCOUNTS WRITTEN OFF AS A BAD DEBT AND REFERRED TO A COLLECTION AGENCY BUT LATER DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE WILL BE PLACED ON HOLD AT THE COLLECTION AGENCY AND ADDED TO THE BALANCES CONSIDERED FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 2NEEDS 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 CENTERS 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 AMONG ADULTS, CANCER, TOBACCO USE AND ORAL HEALTH.
SCHEDULE H, PART VI, LINE 3PATIENT 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.
SCHEDULE H, PART VI, LINE 4COMMUNITY 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 HAS 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.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH SARAH BUSH LINCOLN HEALTH CENTER HAS AN OPEN MEDICAL STAFF AS WELL AS A COMMUNITY BOARD.
SCHEDULE H, PART II, LINES 1 - 10COLES 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.
SCHEDULE H, PART I, LINE 3CSEE PART V, LINE 13 FOR OTHER CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 6AIT IS PUBLISHED ON OUR WEBSITE (WWW.SARAHBUSH.ORG).
SCHEDULE H, PART I, LINE 7THE 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.
SCHEDULE H, PART I, LINE 7, COLUMN FTHE ORGANIZATION INCURRED BAD DEBT EXPENSE IN THE AMOUNT OF $13,325,146. HOWEVER, IT HAS BEEN DISREGARDED FOR PURPOSES OF CALCULATING TPERCENTAGE IN THIS COLUMN.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)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 Section501 (C) (6)IRCSectionDesc
Cash Grant$27,500CashGrantAmt
Purpose Of GrantSEE PART IVPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART II, COLUMN HFormAndLineReferenceDesc
ExplanationPURPOSE OF GRANT OR ASSISTANCE: COLES TOGETHER IS A NOT-FOR-PROFIT CORPORYTION 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.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 (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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 OrgsTotalCompensationRltdOrgsAmt
JERRY ESKER
PRESIDENT$504,861$0$268,510$0$125,924$0$9,250$0$22,264$0$930,809$0
DENNIS PLUARD
CHIEF FINANCE OFFICER$338,922$0$133,774$0$81,987$0$9,250$0$22,863$0$586,796$0
LISA HERNANDEZ
VP PATIENT CARE$208,835$0$87,157$0$20,610$0$9,191$0$15,244$0$341,037$0
GREGORY TAYLOR
VP PRACTICE MANAGEMENT$211,043$0$85,036$0$23,658$0$8,683$0$19,893$0$348,313$0
JAMES HILDEBRANDT
VP MEDICAL AFFAIRS$367,649$0$99,907$0$60,781$0$9,250$0$22,332$0$559,919$0
ERIC BENSON
VP HUMAN RESOURCES$220,419$0$85,222$0$69,978$0$9,164$0$22,903$0$407,686$0
KIM UPHOFF
VP DEVELOPMENT$252,877$0$92,162$0$22,975$0$4,758$0$12,823$0$385,595$0
DR LORI CUDONE
DIRECTOR$443,144$0$184,586$0$59,921$0$9,250$0$18,147$0$715,048$0
JOHN LAUER
DIRECTOR$307,026$0$62,871$0$44,149$0$9,250$0$26,899$0$450,195$0
LUCAS CATT
DIRECTOR$316,391$0$106,563$0$42,804$0$9,250$0$20,963$0$495,971$0
LOUIS MENDELLA
PHYSICIAN$844,035$0$657,813$0$101,414$0$9,250$0$25,614$0$1,638,126$0
RAGAI MITRY
PHYSICIAN$453,142$0$699,264$0$60,178$0$9,250$0$23,064$0$1,244,898$0
AZIZ AHMED
PHYSICIAN$807,512$0$394,265$0$49,535$0$9,250$0$3,510$0$1,264,072$0
MATTHEW JONES
PHYSICIAN$843,950$0$389,832$0$237,397$0$9,250$0$24,034$0$1,504,463$0
JOSHUA GARRETT
PHYSICIAN$843,594$0$608,877$0$231,742$0$9,250$0$25,124$0$1,718,587$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, 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.
SCHEDULE J, PART I, LINE 7COMPENSATION INFORMATION: 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 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: 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: JOHN LAUER, MD LOUIS MENDELLA, MD DENNIS J PLUARD ERIC BENSON JERRY ESKER KIMBERLY UPHOFF JAMES HILDEBRANDT, MD AZIZ AHMED, MD JOSHUA GARRETT, MD LORI CUDONE, MD MATTHEW JONES, MD GREGORY TAYLOR LISA HERNANDEZ RAGAI MITRY, MD

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A8610919672011-03-18$45,000,000SEE PART VIfalseYes (true)false
ILLINOIS FINANCE AUTHORITY
B8610919672015-11-01$30,000,000SEE PART VIfalseYes (true)false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$21,535,000$0$45,000,000$0$0$0$517,777$0$0$264,444,431$18,037,792$02014Yes (true)falsefalseYes (true)
B$1,524,000$0$30,000,000$0$0$0$0$0$0$30,000,000$0$0falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AYes (true)Yes (true)falsefalse0falseYes (true)
0
BYes (true)Yes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, LINE A, COLUMN FDESCRIPTION OF PURPOSE: REFINANCE OLD BONDS AND CONSTRUCTION OF MASTER FACILITY PLAN
SCHEDULE K, PART I, LINE B, COLUMN FTHE 2015 REVENUE BONDS, SERIES 2015, ALLOWS BORROWING UP TO $30,000,000 WHICH BEAR 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, CONSTRUCTING, RENOVATING, EXPANDING AND EQUIPPING CERTAIN FACILITIES IN THE HOSPITAL.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonROBERT CUDONEPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionHUSBAND OF LORI CUDONERelationshipDescriptionTxt
Transaction$116,117TransactionAmt
TransactionEMPLOYED BY THE HEALTH CENTERTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BUSINESS RELATIONSHIPS: DENNIS PLUARD, JERRY ESKER, KIM UPHOFF, SCOTT WILSON, AND TINA STOVAL 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 6MEMBERS: THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS SARAH BUSH LINCOLN HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7AELECTION OF GOVERNING BODY: 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 7BDECISIONS OF THE GOVERNING BODY: THE SARAH BUSH LINCOLN 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 11BFORM 990 REVIEW: 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 12CCONFLICT OF INTEREST POLICY: 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 15APROCESS FOR DETERMINING COMPENSATION: COMPENSATION IS DETERMINED FOR THE PRESIDENT AND CEO, VP MEDICAL AFFAIRS, VP FINANCE AND OPERATIONS, VP PRACTICE MANAGEMENT, VP PATIENT CARE SERVICES, VP INFORMATION SERVICES, VP HUMAN RESOURCES, AND THE VP DEVELOPMENT AND 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 B, LINE 15BSEE NOTE FOR LINE 15A.
FORM 990, PART VI, SECTION C, LINE 19PUBLIC DISCLOSURE: 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 XIIA FEDERAL AWARD WAS GRANTED AND AN A-133 AUDIT REQUIRED. THE A-133 AUDIT WAS PERFORMED IN CONJUNCTION WITH THE HOSPITAL'S ROUTINE AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SARAH BUSH LINCOLN HEALTH SYSTEM
1000 HEALTH CENTER DRIVEMATTOONIL61938371136714PARENT COIL501(C)(3)12-IINAfalse
SARAH BUSH LINCOLN HEALTH CTR FOUNDATION
1000 HEALTH CENTER DRIVEMATTOONIL61938371136713FUNDRAISINGIL501(C)(3)12-ISBLHSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
SARAH BUSH LINCOLN CAPTIVE INSURANCE LTD
18 FORUM LANE 2ND FLOOR PO BOX 69GEORGE TOWNGRAND CAYMANCJKY1-1102INSURANCECJSBLHSC CORPYes (true)
SBL PRACTICE ACQUISITIONS INC
MANAGEMENTSBLHSC CORPYes (true)1000 HEALTH CENTER DRIVEMATTOONIL61938824716884IL
BONUTTI ORTHOPEDIC SERVICES INC
HEALTHCARESBLPAC CORPYes (true)1303 W EVERGREEN AVEEFFINGHAMIL62401371257387IL
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SARAH BUSH LINCOLN HEALTH CENTER FOUNDATION
C$2,011,955BOOK VALUE
BONUTTI ORTHOPEDIC SERVICES
S$2,500,000INTERCO ACCTS