2020-05-11T17:09:23-05:00 2019-06-30 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2018-07-01 237098532 SARAH BUSH LINCOLN HEALTH CENTER % DENNIS J PLUARD CPA SARA 2172582514 PO BOX 372 MATTOON IL 61938 DENNIS PLUARD CHIEF FINANCE OFFICR 2172582102 2020-05-06 true Donna J Larson P00043751 3142315544 2020-05-15 167.68.126.162 43032820201325000016 2020-05-11 P F5FB05BD96356D339715AD1C463683DE15300CE4 314706F158FE0D3D1300FB52DB4F4535BDE58A99 2018 2020-09-23 17:36:50Z JERRY ESKER 1000 HEALTH CENTER DRIVE MATTOON IL 61938 474808677 false 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. 17 14 2787 250 4228578 3795974 2250642 316617628 330079987 14333314 7544581 11379049 15183949 346125965 355059159 38045 40085 0 0 186678162 192805641 0 0 0 119255370 132821742 305971577 325667468 40154388 29391691 599930643 641206592 184908515 192922341 415022128 448284251 X THE 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. false false 291617942 40085 334308565 Social 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 tourism 291617942 true true false true false false false false false true true true false false true false false true false false true false false false false false true true true false true true false false false false false false false false true false false false false false false true true true false false true 165 0 true 2787 true true true true BD CJ false false false false false false false false false false X 17 14 true false false false true true true true true false false true true true true true true true true false IL X DENNIS J PLUARD CPA 2172582102 1000 HEALTH CENTER DRIVE MATTOON IL 61938 X STEVE WENTE CHAIRPERSON 1.0 3.0 X X 0 0 0 SCOTT WILSON VICE CHAIRPERSON 1.0 4.0 X X 0 0 0 TINA STOVALL SECRETARY 1.0 2.0 X X 0 0 0 LAUREL ALLENBAUGH DIRECTOR 1.0 1.0 X 0 0 0 DR LORI CUDONE DIRECTOR 54.0 1.0 X 687651 0 27397 DON DAVIS DIRECTOR 1.0 1.0 X 0 0 0 DAVID GLASSMAN COMMITTEE COMMUNITY MEMBER 1.0 0.0 X 0 0 0 BARB HALL TREASURER 1.0 1.0 X X 0 0 0 PHILIP KEPP DIRECTOR 1.0 1.0 X 0 0 0 JOHN LAUER DIRECTOR 54.0 2.0 X 414046 0 36149 JIM LITTLEFORD DIRECTOR 1.0 2.0 X 0 0 0 JAY MARKWELL DIRECTOR 1.0 1.0 X 0 0 0 ALAN METZGER DIRECTOR 1.0 1.0 X 0 0 0 RAY RIECK DIRECTOR 1.0 0.0 X 0 0 0 LUCAS CATT DIRECTOR 54.0 1.0 X 465758 0 30213 STEVE CHILDERS DIRECTOR 1.0 0.0 X 0 0 0 JIM 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ST SPRINGFIELD IL 62701 MED SPECIALIST FEES 2858033 STRYKER ORTHOPAEDICS 7 WESTPORT CT B BLOOMINGTON IL 61704 MEDICAL TECHNOLOGIES 2563183 GE PRECISION HEALTHCARE LLC 3000 N GRANDVIEW BLVD WAUKESHA WI 53188 MEDICAL TECHNOLOGIES 1778195 152 2041955 208687 2250642 NET PATIENT REV. 621110 266266352 266266352 OUTREACH REVENUE 541900 58799 58799 NET PROVIDER REVENUE 621110 63754836 63754836 330079987 3355328 3355328 0 0 164725 164725 0 164725 164725 123903213 35558 119749518 0 4153695 35558 4189253 4189253 0 0 0 0 0 0 0 0 0 REFERENCE LAB. 621500 3772473 3772473 CAFETERIA & CATERING 722320 901574 901574 PEACE MEAL PROGRAM REVENUE 900099 3201091 3201091 7144086 456105 6687981 15019224 355059159 330079987 4228578 18499952 40085 40085 0 0 0 5800508 5800508 116117 116117 144419520 133787700 10631820 6223372 5760591 462781 27604966 25552210 2052756 8641158 7998586 642572 0 552438 552438 210000 210000 32628 32628 0 0 22613232 21304772 1308460 944858 944858 56610946 52401252 4209694 3825910 3541408 284502 0 4224841 3910674 314167 1091521 1010353 81168 0 1194020 1105230 88790 1733590 1733590 0 20934921 19378162 1556759 5352517 5352517 RECRUITMENT EXPENSES 719958 719958 MAINTENANCE/PREVENTATIVE MAINT 3577445 3311420 266025 IL HOSPITAL TAX ASSESSMENT 7902643 7902643 DUES AND SUBSCRIPTIONS 510524 510524 789750 703926 85824 325667468 291617942 34049526 0 10220 10470 143014701 148595731 0 0 55863735 55753570 0 0 0 0 0 0 5094073 6881426 6034315 6524216 379158895 168818059 203483550 210340836 68630678 81846578 110102626 116426558 0 0 0 0 7696745 14827207 599930643 641206592 47666521 48078319 0 0 0 0 64646954 61083801 0 0 0 0 0 0 0 0 72595040 83760221 184908515 192922341 X 415022128 448284251 0 0 0 0 415022128 448284251 599930643 641206592 29391691 3870432 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 32628 false false false 32628 false SCHEDULE C, PART II-B, LINE 1F LOBBYING 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. 5734498 86458 80776 5901732 4833608 491598 409292 5734498 3569996 678021 585591 4833608 3938638 10493 -379135 3569996 3873031 43737 21870 3938638 0.00970 0.64620 0.34410 false true true 3811646 3811646 208326554 68150550 140176004 286453 243456 42997 150909836 98481117 52428719 15824405 1942935 13881470 210340836 SUPPLEMENTAL PENSION 45639914 F DEFERRED COMPENSATION 17705878 F HEDGE FUNDS 53080766 F 116426558 0 SUPPLEMENTAL PENSION 45639914 DEFERRED COMPENSATION 17705878 EST PROFESSIONAL LIABILITY CLA 20414429 83760221 SCHEDULE D, PART V, LINE 4 ENDOWMENT 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 2 FIN 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. Central America and the Caribbean Investments 40264326 Central America and the Caribbean Investments 313200 40577526 40577526 false false true true false false SCHEDULE F, PART I, COLUMN F INVESTMENTS & EXPENDITURES: INVESTMENTS IN REGION: $ 40,264,326 INVESTMENT FEES IN REGION: 313,200 --------------- $ 40,577,526 true true X true X 130. true X true true true false true true 4310893 4310893 0.01320 66278619 58711657 7566962 0.02320 70589512 58711657 11877855 0.03640 980470 980470 0.00300 330434 330434 0.00100 1310904 1310904 0.00400 71900416 58711657 13188759 0.04040 27500 27500 0.00020 27500 27500 0.00020 true 4575855 0 60771385 108354473 -47583088 X true true 1 1 SARAH BUSH LINCOLN HEALTH CENTER 1000 HEALTH CENTER DRIVE MATTOON IL 61938 WWW.SARAHBUSH.ORG 0003392 X SARAH BUSH LINCOLN HEALTH CENTER false false true X X X X X X X X X 18 true false false true X SEE PART V, SECTION C X true 18 false true false true X 130. 400. X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, 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 THOSE PARTICIPATING ARE AVAILABLE UPON REQUEST. SCHEDULE H, PART V, SECTION B, LINE 7A WWW.SARAHBUSH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ SCHEDULE H, 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 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, & 16C FAP, FAP APPLICATION, AND FAP PLAIN LANGUAGE SUMMARY: HTTPS://WWW.SARAHBUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ 15 SBL ARCOLA CLINIC 241 W SPRINGFIELD RD ARCOLA IL 61920 CLINIC SBL ARTHUR CLINIC 211 S WALNUT ARTHUR IL 61911 CLINIC SBL CASEY CLINIC 934 NORTH RT 49 PO BOX 460 CASEY IL 62420 CLINIC SBL CHARLESTON FAMILY PRACTICE 116 WEST BUCHANAN AVE CHARLESTON IL 61920 CLINIC SBL FAMILY MEDICAL CENTER 200 RICHMOND AVE MATTOON IL 61928 CLINIC SBL NEOGA CLINIC 650 OAK AVE PO BOX 640 NEGOA IL 62447 CLINIC SBL SULLIVAN CLINIC 7 HAWTHORNE LANE SULLIVAN IL 61951 CLINIC SBL TOLEDO CLINIC 168 COURTHOUSE SQUARE PO BOX 99 TOLEDO IL 62468 CLINIC SBL EFFINGHAM CLINIC 905 N MAPLE EFFINGHAM IL 62401 CLINIC SBL MATTOON WALK-IN CLINIC 200 DETTRO DRIVE MATTOON IL 61938 CLINIC SBL NEWTON CLINIC 910 SOUTH BUREN ST NEWTON IL 62448 CLINIC SBL CHARLESTON WALK-IN CLINIC 2040 EAST LINCOLN CHARLESTON IL 61920 CLINIC SBL SHELBYVILLE CLINIC 207 S PINE ST SUITE 10 SHELBYVILLE IL 62565 CLINIC SBL TUSCOLA CLINIC 1100 TUSCOLA BLVD TUSCOLA IL 61953 CLINIC SBL MARTINSVILLE CLINIC 890 RIDGELAWN ROAD MARTINSVILLE IL 62442 CLINIC SCHEDULE H, PART III, SECTION A, LINE 2 USED 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 4 SEE THE PATIENT ACCOUNTS RECEIVABLE NOTE ON PAGE 8 OF THE ATTACHED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION B, 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. SCHEDULE H, PART III, SECTION C, LINE 9B ACCOUNTS 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 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 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 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. SCHEDULE H, 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 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 5 PROMOTION 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 - 10 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. SCHEDULE H, PART I, LINE 3C SEE PART V, LINE 13 FOR OTHER CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. SCHEDULE H, PART I, LINE 6A IT IS PUBLISHED ON OUR WEBSITE (WWW.SARAHBUSH.ORG). SCHEDULE H, 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. SCHEDULE H, PART I, LINE 7, COLUMN F THE 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. true COLES TOGETHER 400 AIRPORT ROAD MATTOON IL 61938 371243664 501 (C) (6) 27500 SEE PART IV 1 SCHEDULE I, PART II, COLUMN H PURPOSE 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. X X true true X X X X false true false false false false false true false JERRY ESKER PRESIDENT 504861 0 268510 0 125924 0 9250 0 22264 0 930809 0 DENNIS PLUARD CHIEF FINANCE OFFICER 338922 0 133774 0 81987 0 9250 0 22863 0 586796 0 LISA HERNANDEZ VP PATIENT CARE 208835 0 87157 0 20610 0 9191 0 15244 0 341037 0 GREGORY TAYLOR VP PRACTICE MANAGEMENT 211043 0 85036 0 23658 0 8683 0 19893 0 348313 0 JAMES HILDEBRANDT VP MEDICAL AFFAIRS 367649 0 99907 0 60781 0 9250 0 22332 0 559919 0 ERIC BENSON VP HUMAN RESOURCES 220419 0 85222 0 69978 0 9164 0 22903 0 407686 0 KIM UPHOFF VP DEVELOPMENT 252877 0 92162 0 22975 0 4758 0 12823 0 385595 0 DR LORI CUDONE DIRECTOR 443144 0 184586 0 59921 0 9250 0 18147 0 715048 0 JOHN LAUER DIRECTOR 307026 0 62871 0 44149 0 9250 0 26899 0 450195 0 LUCAS CATT DIRECTOR 316391 0 106563 0 42804 0 9250 0 20963 0 495971 0 LOUIS MENDELLA PHYSICIAN 844035 0 657813 0 101414 0 9250 0 25614 0 1638126 0 RAGAI MITRY PHYSICIAN 453142 0 699264 0 60178 0 9250 0 23064 0 1244898 0 AZIZ AHMED PHYSICIAN 807512 0 394265 0 49535 0 9250 0 3510 0 1264072 0 MATTHEW JONES PHYSICIAN 843950 0 389832 0 237397 0 9250 0 24034 0 1504463 0 JOSHUA GARRETT PHYSICIAN 843594 0 608877 0 231742 0 9250 0 25124 0 1718587 0 SCHEDULE J, 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. SCHEDULE J, PART I, LINE 7 COMPENSATION 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 4B SUPPLEMENTAL 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 A ILLINOIS FINANCE AUTHORITY 861091967 2011-03-18 45000000 SEE PART VI false true false B ILLINOIS FINANCE AUTHORITY 861091967 2015-11-01 30000000 SEE PART VI false true false A 21535000 0 45000000 0 0 0 517777 0 0 264444431 18037792 0 2014 true false false true B 1524000 0 30000000 0 0 0 0 0 0 30000000 0 0 false false false true A false false false false 0 false false false true B false false false false 0 false false false true A true true false 0 false 0 false true B true true false 0 false 0 false true A true B true SCHEDULE K, PART I, LINE A, COLUMN F DESCRIPTION OF PURPOSE: REFINANCE OLD BONDS AND CONSTRUCTION OF MASTER FACILITY PLAN SCHEDULE K, PART I, LINE B, COLUMN F THE 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. ROBERT CUDONE HUSBAND OF LORI CUDONE 116117 EMPLOYED BY THE HEALTH CENTER false FORM 990, PART VI, SECTION A, LINE 2 BUSINESS 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 6 MEMBERS: THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS SARAH BUSH LINCOLN HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A ELECTION 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 7B DECISIONS 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 11B FORM 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 12C CONFLICT 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 15A PROCESS 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 15B SEE NOTE FOR LINE 15A. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC 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 XII A FEDERAL AWARD WAS GRANTED AND AN A-133 AUDIT REQUIRED. THE A-133 AUDIT WAS PERFORMED IN CONJUNCTION WITH THE HOSPITAL'S ROUTINE AUDIT. SARAH BUSH LINCOLN HEALTH SYSTEM 1000 HEALTH CENTER DRIVE MATTOON IL 61938 371136714 PARENT CO IL 501(C)(3) 12-II NA false SARAH BUSH LINCOLN HEALTH CTR FOUNDATION 1000 HEALTH CENTER DRIVE MATTOON IL 61938 371136713 FUNDRAISING IL 501(C)(3) 12-I SBLHS true SARAH BUSH LINCOLN CAPTIVE INSURANCE LTD 18 FORUM LANE 2ND FLOOR PO BOX 69 GEORGE TOWN GRAND CAYMAN CJ KY1-1102 INSURANCE CJ SBLHS C CORP true SBL PRACTICE ACQUISITIONS INC 1000 HEALTH CENTER DRIVE MATTOON IL 61938 824716884 MANAGEMENT IL SBLHS C CORP true BONUTTI ORTHOPEDIC SERVICES INC 1303 W EVERGREEN AVE EFFINGHAM IL 62401 371257387 HEALTHCARE IL SBLPA C CORP true false false true false false false false false false false false false false false false false false false true SARAH BUSH LINCOLN HEALTH CENTER FOUNDATION C 2011955 BOOK VALUE BONUTTI ORTHOPEDIC SERVICES S 2500000 INTERCO ACCTS