SARAH BUSH LINCOLN HEALTH CENTER: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- SARAH BUSH LINCOLN HEALTH CENTER (EIN 23-7098532)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-02
- IRS object ID
- 201941229349301509
- Schema version
- 2017v2.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-02T14:41:11-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 N BROADWAY SUITE 600 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 631022733 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237098532 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SARAH BUSH LINCOLN HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DENNIS J PLUARD CPA | InCareOfNm |
| Business Name Control | SARA | BusinessNameControlTxt |
| Phone | 2172582514 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 372 | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61938 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS PLUARD | PersonNm |
| Person Title | CHIEF FINANCE OFFICR | PersonTitleTxt |
| Phone | 2172582102 | PhoneNum |
| Signature | 2019-04-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Donna J Larson | PreparerPersonNm |
| PTIN | P00043751 | PTIN |
| Phone | 3142315544 | PhoneNum |
| Preparation | 2019-04-17 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 43032820191225000002 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-05-02 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 862F674DBEF30346F22E5DCD75FCDBC5A3811553 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B60A4EE9D24CBCA4447F2481469D084F848E2D39 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JERRY ESKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 HEALTH CENTER DRIVE | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61938 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $444,840,119 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SARAHBUSH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF SARAH BUSH LINCOLN HEALTH CENTER IS TO PROVIDE EXCEPTIONAL CARE FOR ALL AND CREATE HEALTHY COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 25 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 2715 | TotalEmployeeCnt |
| Total Volunteers | 235 | TotalVolunteersCnt |
| Total Gross UBI | $3,860,756 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$1,003,068 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,860,052 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,795,974 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $290,073,788 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $316,617,628 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,114,907 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,333,314 | CYInvestmentIncomeAmt |
| PY Other Revenue | $17,655,992 | PYOtherRevenueAmt |
| CY Other Revenue | $11,379,049 | CYOtherRevenueAmt |
| PY Total Revenue | $321,704,739 | PYTotalRevenueAmt |
| CY Total Revenue | $346,125,965 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $37,740 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $38,045 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $178,265,383 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $186,678,162 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $290,740,865 | PYOtherExpensesAmt |
| CY Other Expenses | $119,255,370 | CYOtherExpensesAmt |
| PY Total Expenses | $469,043,988 | PYTotalExpensesAmt |
| CY Total Expenses | $305,971,577 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$147,339,249 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $40,154,388 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $547,494,439 | TotalAssetsBOYAmt |
| Total Assets EOY | $599,930,643 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $183,792,471 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $184,908,515 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $363,701,968 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $415,022,128 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $274,872,454 | ExpenseAmt |
| Grant | $38,045 | GrantAmt |
| Revenue | $320,478,384 | RevenueAmt |
| Desc | SEE ATTACHED SOCIAL ACCOUNTABILITY STATEMENT | Desc |
| Total Program Service Expenses | $274,872,454 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 171 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2715 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | BD | ForeignCountryCd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 25 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS J PLUARD CPA | PersonNm |
| Phone | 2172582102 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 HEALTH CENTER DRIVE | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61938 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| STEVE WENTE | ||||||||
| CHAIRPERSON | 1.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SCOTT WILSON | ||||||||
| VICE CHAIRPERSON | 1.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TINA STOVALL | ||||||||
| SECRETARY | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TIM MOONEY | ||||||||
| TREASURER | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LAUREL ALLENBAUGH | ||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| DALE BOYER | ||||||||
| COMMITTEE COMMUNITY MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DR LORI CUDONE | ||||||||
| DIRECTOR | 54.0 | 1.0 | Yes (X) | $754,475 | $0 | $18,282 | ||
| DON DAVIS | ||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| HANK DAVIS | ||||||||
| COMMITTEE COMMUNITY MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JOSH GARRETT | ||||||||
| COMMITTEE COMMUNITY MEMBER | 50.0 | 0.0 | Yes (X) | $1,220,305 | $0 | $27,240 | ||
| DAVID GLASSMAN | ||||||||
| COMMITTEE COMMUNITY MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| TIMOTHY GOVER | ||||||||
| COMMITTEE COMMUNITY MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JANET GROVE | ||||||||
| COMMITTEE COMMUNITY MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| BARB HALL | ||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| PHILIP KEPP | ||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| JOHN LAUER | ||||||||
| DIRECTOR | 54.0 | 2.0 | Yes (X) | $462,411 | $0 | $34,044 | ||
| JIM LITTLEFORD | ||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||
| JAY MARKWELL | ||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| ALAN METZGER | ||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| GARY MIKEL | ||||||||
| COMMITTEE COMMUNITY MEMBER | 50.0 | 0.0 | Yes (X) | $347,552 | $0 | $30,195 | ||
| JAMIE PILSON | ||||||||
| COMMITTEE COMMUNITY MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| RAY RIECK | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DEE SCOTT | ||||||||
| COMMITTEE COMMUNITY MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL SMITH | ||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| SHERYL ARTMANN | ||||||||
| DIRECTOR | 54.0 | 1.0 | Yes (X) | $266,721 | $0 | $28,404 | ||
| JERRY ESKER | ||||||||
| PRESIDENT | 40.0 | 15.0 | Yes (X) | $803,968 | $0 | $36,789 | ||
| DENNIS PLUARD | ||||||||
| CHIEF FINANCE OFFICER | 52.0 | 3.0 | Yes (X) | $519,317 | $0 | $34,225 | ||
| LISA HERNANDEZ | ||||||||
| VP PATIENT CARE | 55.0 | 0.0 | Yes (X) | $310,306 | $0 | $19,292 | ||
| GREGORY TAYLOR | ||||||||
| VP PRACTICE MANAGEMENT | 55.0 | 0.0 | Yes (X) | $270,481 | $0 | $26,993 | ||
| JAMES HILDEBRANDT | ||||||||
| VP MEDICAL AFFAIRS | 54.0 | 1.0 | Yes (X) | $550,808 | $0 | $32,432 | ||
| ERIC BENSON | ||||||||
| VP HUMAN RESOURCES | 55.0 | 0.0 | Yes (X) | $337,922 | $0 | $32,605 | ||
| KIM UPHOFF | ||||||||
| VP DEVELOPMENT | 27.0 | 28.0 | Yes (X) | $330,028 | $0 | $33,498 | ||
| BRIAN MURPHY | ||||||||
| VP INFORMATION SYSTEMS | 55.0 | 0.0 | Yes (X) | $133,235 | $0 | $5,939 | ||
| LOUIS MENDELLA | ||||||||
| PHYSICIAN | 50.0 | 0.0 | $1,628,609 | $0 | $40,187 | Yes (X) | ||
| RAGAI MITRY | ||||||||
| PHYSICIAN | 50.0 | 0.0 | $1,169,061 | $0 | $35,023 | Yes (X) | ||
| AZIZ AHMED | ||||||||
| PHYSICIAN | 50.0 | 0.0 | $1,279,924 | $0 | $14,094 | Yes (X) | ||
| MATTHEW JONES | ||||||||
| PHYSICIAN | 50.0 | 0.0 | $1,235,597 | $0 | $33,223 | Yes (X) | ||
| CHARLY NGUYEN | ||||||||
| PHYSICIAN | 50.0 | 0.0 | $1,196,911 | $0 | $41,081 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $12,817,631 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $523,546 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 215 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCCARTHY BUILDING COMPANIES | |||||
| 3117 BIG BEND BOULEVARD | ST LOUIS | MO | 63143 | CONSTRUCTION | $20,666,471 |
| K WOHLTMAN CONSTRUCTION INC | |||||
| PO BOX 1607 | EFFINGHAM | IL | 62401 | CONSTRUCTION | $2,403,195 |
| CERNER CORPORATION | |||||
| PO BOX 959156 | ST LOUIS | MO | 63195 | SOFTWARE SERVICE | $3,785,172 |
| PRAIRIE CARDIOVASCULAR CONS | |||||
| 619 EAST MASON ST | SPRINGFIELD | IL | 62701 | MED SPECIALIST FEES | $3,340,800 |
| GE HEALTHCARE IITS USA CORP | |||||
| 16133 INVERRARY LN | BLOOMINGTON | IL | 61705 | DIAGNOSTIC IMAGING | $1,435,692 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 156 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $3,553,954 | RelatedOrganizationsAmt |
| Government Grants | $242,020 | GovernmentGrantsAmt |
| Total Contributions | $3,795,974 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REV. | 621110 | $261,892,574 | $261,892,574 |
| OUTREACH REVENUE | 541900 | $65,297 | $65,297 |
| NET PROVIDER REVENUE | 621110 | $54,659,757 | $54,659,757 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $316,617,628 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,824,183 | TotalRevenueColumnAmt |
| Exclusion | $3,824,183 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $340,722 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $340,722 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $340,722 | TotalRevenueColumnAmt |
| Exclusion | $340,722 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $109,223,285 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $98,515,534 | SecuritiesAmt |
| Other | $198,620 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,707,751 | SecuritiesAmt |
| Other | -$198,620 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,509,131 | TotalRevenueColumnAmt |
| Exclusion | $10,509,131 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| REFERENCE LAB. | 621500 | $3,825,227 | $3,825,227 | |
| CAFETERIA & CATERING | 722320 | $930,541 | $930,541 | |
| PEACE MEAL PROGRAM REVENUE | 900099 | $2,931,000 | $2,931,000 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,351,559 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $35,529 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,316,030 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,038,327 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $346,125,965 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $316,617,628 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,860,756 | UnrelatedBusinessRevenueAmt |
| Exclusion | $21,851,607 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,045 | TotalAmt |
| Program Services | $38,045 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,207,827 | TotalAmt |
| Management And General | $5,207,827 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,832 | TotalAmt |
| Management And General | $286,832 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,282,885 | TotalAmt |
| Program Services | $132,042,816 | ProgramServicesAmt |
| Management And General | $10,240,069 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,736,511 | TotalAmt |
| Program Services | $5,323,656 | ProgramServicesAmt |
| Management And General | $412,855 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,033,668 | TotalAmt |
| Program Services | $23,232,000 | ProgramServicesAmt |
| Management And General | $1,801,668 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,130,439 | TotalAmt |
| Program Services | $7,545,293 | ProgramServicesAmt |
| Management And General | $585,146 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $402,783 | TotalAmt |
| Management And General | $402,783 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,208 | TotalAmt |
| Management And General | $245,208 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,497 | TotalAmt |
| Management And General | $34,497 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,397,100 | TotalAmt |
| Program Services | $20,247,100 | ProgramServicesAmt |
| Management And General | $1,150,000 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,197,456 | TotalAmt |
| Program Services | $1,197,456 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,642,813 | TotalAmt |
| Program Services | $45,142,000 | ProgramServicesAmt |
| Management And General | $3,500,813 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,250,050 | TotalAmt |
| Program Services | $3,944,175 | ProgramServicesAmt |
| Management And General | $305,875 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,018,488 | TotalAmt |
| Program Services | $3,729,278 | ProgramServicesAmt |
| Management And General | $289,210 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $997,910 | TotalAmt |
| Program Services | $926,091 | ProgramServicesAmt |
| Management And General | $71,819 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,175,775 | TotalAmt |
| Program Services | $1,091,155 | ProgramServicesAmt |
| Management And General | $84,620 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,718,229 | TotalAmt |
| Program Services | $1,718,229 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,790,501 | TotalAmt |
| Program Services | $18,366,183 | ProgramServicesAmt |
| Management And General | $1,424,318 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,756,898 | TotalAmt |
| Management And General | $4,756,898 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| UNRELATED BUSINESS TAX | $5,000 | $5,000 | |
| MAINTENANCE/PREVENTATIVE MAINT | $3,283,330 | $236,301 | $3,047,029 |
| IL HOSPITAL TAX ASSESSMENT | $5,300,447 | $5,300,447 | |
| DUES AND SUBSCRIPTIONS | $485,859 | $485,859 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,553,026 | TotalAmt |
| Program Services | $1,495,642 | ProgramServicesAmt |
| Management And General | $57,384 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,971,577 | TotalAmt |
| Program Services | $274,872,454 | ProgramServicesAmt |
| Management And General | $31,099,123 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,770 | BOYAmt |
| EOY | $10,220 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,560,093 | BOYAmt |
| EOY | $143,014,701 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,067,595 | BOYAmt |
| EOY | $55,863,735 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,280,642 | BOYAmt |
| EOY | $5,094,073 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,757,238 | BOYAmt |
| EOY | $6,034,315 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $353,379,836 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $149,896,286 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $188,426,434 | BOYAmt |
| EOY | $203,483,550 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,683,959 | BOYAmt |
| EOY | $68,630,678 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,006,226 | BOYAmt |
| EOY | $110,102,626 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,703,482 | BOYAmt |
| EOY | $7,696,745 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $547,494,439 | BOYAmt |
| EOY | $599,930,643 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,216,674 | BOYAmt |
| EOY | $47,666,521 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,157,203 | BOYAmt |
| EOY | $64,646,954 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,418,594 | BOYAmt |
| EOY | $72,595,040 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,792,471 | BOYAmt |
| EOY | $184,908,515 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $363,701,968 | BOYAmt |
| EOY | $415,022,128 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $363,701,968 | BOYAmt |
| EOY | $415,022,128 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $547,494,439 | BOYAmt |
| EOY | $599,930,643 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $40,154,388 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,971,683 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $7,194,089 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $34,497 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $34,497 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1F | FormAndLineReferenceDesc |
| Explanation | 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 22.12% OF THE ANNUAL MEMBERSHIP DUES AND THE PERCENTAGE BY IHA WAS DETERMINED TO BE 34.0% OF THEIR DUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,833,608 | BeginningYearBalanceAmt |
| Contributions | $491,598 | ContributionsAmt |
| Investment Earnings Or Losses | $409,292 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,734,498 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,569,996 | BeginningYearBalanceAmt |
| Contributions | $678,021 | ContributionsAmt |
| Investment Earnings Or Losses | $585,591 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,833,608 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,938,638 | BeginningYearBalanceAmt |
| Contributions | $10,493 | ContributionsAmt |
| Investment Earnings Or Losses | -$379,135 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,569,996 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,873,031 | BeginningYearBalanceAmt |
| Contributions | $43,737 | ContributionsAmt |
| Investment Earnings Or Losses | $21,870 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,938,638 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,440,394 | BeginningYearBalanceAmt |
| Contributions | $15,359 | ContributionsAmt |
| Investment Earnings Or Losses | $417,278 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,873,031 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00900 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.65000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.34100 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,677,396 | OtherCostOrOtherBasisAmt |
| Book Value | $3,677,396 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $178,882,111 | OtherCostOrOtherBasisAmt |
| Depreciation | $61,015,251 | DepreciationAmt |
| Book Value | $117,866,860 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $270,012 | OtherCostOrOtherBasisAmt |
| Depreciation | $229,582 | DepreciationAmt |
| Book Value | $40,430 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $137,891,663 | OtherCostOrOtherBasisAmt |
| Depreciation | $87,116,745 | DepreciationAmt |
| Book Value | $50,774,918 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,931,297 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,807,351 | DepreciationAmt |
| Book Value | $31,123,946 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $203,483,550 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| SUPPLEMENTAL PENSION | $39,892,518 | F |
| DEFERRED COMPENSATION | $16,238,052 | F |
| HEDGE FUNDS | $53,972,056 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $110,102,626 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| SUPPLEMENTAL PENSION | $39,892,518 |
| DEFERRED COMPENSATION | $16,238,052 |
| EST PROFESSIONAL LIABILITY CLA | $16,464,470 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $72,595,040 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|
| Central America and the Caribbean | INVESTMENTS | $39,415,567 |
| Central America and the Caribbean | Investments | $400,774 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $39,816,341 | SubtotalSpentAmt |
| Total Spent | $39,816,341 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (true) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE F, PART I, COLUMN F | FormAndLineReferenceDesc |
| Explanation | INVESTMENTS & EXPENDITURES: INVESTMENTS IN REGION: $ 39,415,567 INVESTMENT FEES IN REGION: 400,774 --------------- $ 39,816,641 | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 130. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,879,630 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,879,630 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01270 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,424,405 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $52,193,994 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,230,411 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03020 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $65,304,035 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $52,193,994 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,110,041 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04290 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,445,318 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,445,318 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $350,292 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $350,292 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,795,610 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,795,610 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,099,645 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $52,193,994 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,905,651 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04870 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,043,950 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $56,261,806 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $103,309,134 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$47,047,328 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SARAH BUSH LINCOLN HEALTH CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 HEALTH CENTER DRIVE | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61938 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SARAHBUSH.ORG | WebsiteAddressTxt |
| State License | 0003392 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SARAH BUSH LINCOLN HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 130. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN THE SUMMER OF 2015. COMMUNITY INPUT WAS PROVIDED THROUGH 25 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 | NEEDS NOT BEING ADDRESSED: HEALTH KNOWLEDGE AND EDUCATION: SARAH BUSH LINCOLN EMPLOYS A COMMUNITY OUTREACH REPRESENTATIVE THAT IS ACTIVE AT HEALTH FAIRS, SYMPOSIUMS AND COMMUNITY EVENTS TO PROVIDE HEALTH EDUCATION TO COMMUNITY RESIDENTS. IN ADDITION, SBL HAS NUMEROUS EDUCATIONAL PROGRAMS AND SUPPORT GROUPS FOCUSED ON SPECIFIC HEALTH NEEDS AND EDUCATION. NEEDS BEING ADDRESSED: LACK OF MENTAL HEALTH PROVIDERS/SERVICES - SARAH BUSH LINCOLN (SBL) OFFERS A CONTINUUM OF BEHAVIORAL HEALTH PROGRAMS FOR ADULTS AND ADOLESCENTS, INCLUDING INPATIENT SERVICES, OUTPATIENT COUNSELING AND EMPLOYEE ASSISTANCE PROGRAMS. IN FY18, SBL EXPANDED OUR MENTAL HEALTH SERVICES BY ADDING ADDITIONAL PROVIDERS TO OUR PROGRAM TO HELP ADDRESS THE GROWING MENTAL HEALTH NEEDS IN OUR COMMUNITY. OUR MENTAL HEALTH TEAM NOW INCLUDES: 2 LICENSED CLINICAL PROFESSIONAL COUNSELORS, 2 LICENSED CLINICAL SOCIAL WORKERS, 3 ADVANCED PRACTICE NURSES AND 4 PSYCHIATRISTS. IN AN EFFORT TO FURTHER MEET THE MENTAL HEALTH DEMAND, IN APRIL 2018, SBL CONTRACTED WITH REGROUP TO PROVIDE TELE-PSYCHIATRY SERVICES TO PATIENTS IN OUR OUTPATIENT PSYCHIATRY CLINIC. MAXIMIZE ACCESS TO CARE - FY 14 - BUILT WALK-IN CLINIC LOCATION IN CHARLESTON, IL. FY 15 - ACQUIRED PRIMARY CARE CLINICS IN SHELBYVILLE, IL AND NEWTON, IL. FY 16 - BUILT WALK-IN/PRIMARY CARE CLINIC IN TUSCOLA, IL. HIRED 7 FAMILY MEDICINE PRIMARY CARE PROVIDERS, 1 PEDIATRICIAN, 2 CARDIOLOGISTS, 3 RADIOLOGISTS, 1 DERMATOLOGIST, 1 NEUROLOGIST, 1 PSYCHIATRIST, 1 UROLOGIST, 2 GASTROENTEROLOGISTS. IMPLEMENTED A HOSPITALIST PROGRAM WHICH ALLOWS THE PRIMARY CARE PROVIDERS TO SPEND MORE TIME IN THEIR OFFICE PRACTICES. FY 17 - CANCER CENTER OPENS, ACQUIRED PRIMARY CARE CLINIC IN MARTINSVILLE, IL, HIRED 2 HOSPITALISTS, 1 PEDIATRICIAN, 2 MID-LEVEL PHYSICIANS, 1 ORTHOPEDIC. IN FY18, SBL CONTINUED TO INCREASE ACCESS TO HEALTHCARE SERVICES THROUGH OUR RECRUITMENT AND RETENTION INITIATIVES AS WELL AS BY INCREASING ACCESS POINTS TO RECEIVE CARE. SBL PARTNERED WITH A SEVEN-PHYSICIAN ORTHOPEDIC MEDICAL GROUP TO FURTHER IMPROVE ACCESS TO CARE IN OUR SOUTHERN SERVICE AREA. IN ADDITION, SBL RECRUITED FOURTEEN ADDITIONAL PROVIDERS TO JOIN OUR EMPLOYED MEDICAL STAFF DURING THE FISCAL YEAR. THESE PROVIDERS INCLUDE THE FOLLOWING SPECIALTIES: PEDIATRICS, ORTHOPEDICS, HOSPITAL MEDICINE, PSYCHIATRY, FAMILY PRACTICE, EMERGENCY MEDICINE, AMOUNG OTHERS. ACTIVATE HEALTHY CHOICES AMONG ADULTS: SBLHC BUILT THE CENTER FOR HEALTHY LIVING IN FY 2015; THERE ARE 771 MEMBERS AS OF JUNE 30,2017. SBLHC WORKS WITH PATIENTS TO FIND COMMUNITY-BASED CENTERS TO CONTINUE EXCERCISE ROUTINES. IN SEPTEMBER 2017, SBL PARTNERED WITH THE MATTOON AREA FAMILY YMCA TO FURTHER IMPROVE THE HEALTH OF OUR COMMUNITY. THE CENTER FOR HEALTHY LIVING (CFHL) (WHICH WAS BUILT IN FY15), INCREASED ACCESS TO HEALTH AND FITNESS FACILITIES IN OUR COMMUNITY THROUGH NEW MEMBERSHIP OPTIONS WITH THE YMCA. CANCER CARE - WORKED WITH ONCOLOGY SOLUTIONS (CONSULTANT) TO DEVELOP AN ENVIRONMENTAL ASSESSMENT AND NEEDS ASSESSMENT FOR THE CANCER CENTER. DEVELOPED CAPITAL AND OPERATIONAL PLAN FOR THE CANCER CENTER: INCLUDES CONSTRUCTION OF A NEW FREESTANDING BUILDING ON SBL CAMPUS, HIRING OF PATIENT NAVIGATORS TO ASSIST PATIENTS AND A CLINICAL RESEARCH COORDINATOR. HIGHLIGHTED CANCER CARE AWARENESS IN SBL HEALTH STYLES MAGAZINE THAT IS SENT TO HOMES THROUGHOUT OUR 7-COUNTY SERVICE AREA. TOBACCO USE - FY 17: ENROLLED 37 PEOPLE IN THE SMOKING CESSATION CLASSES. 55-60% QUIT RATE. NON-TOBACCO HIRING POLICY BEGAN IN 2015. ONGOING FOCUS ON SBL EMPLOYEE HEALTH INITIATIVES. CREATED HEALTH AND WELLNESS PLAN INTEGRATOR TO ASSIST WITH WELLNESS INITIATIVES AND HEALTH PREVENTION FOR SBL EMPLOYEES (GOAL IS TO REDUCE EMPLOYEE HEALTH COSTS WHILE EVOLVING TO A HEALTHIER WORKFORCE). ORAL HEALTH- WE PARTNER WITH 70 SCHOOLS IN OUR 9 COUNTY SERVICE AREA TO BRING DENTAL SERVICES TO CHILDREN WITH NEED. FY17 = 9,120 TOTAL DENTAL TREATMENTS PERFORMED. WE PARTNER WITH 7 COMMUNITY DENTISTS WHO VOLUNTEER THEIR TIME AND OFFICE SPACE TO PROVIDE RESTORATIVE DENTAL CARE TO KIDS IN NEED. WE PARTNER WITH AREA SCHOOLS TO PROVIDE ORAL HEALTH EDUCATION TO STUDENTS. WE HAVE A FULL TIME ORAL HEALTH EDUCATOR THAT PERFORMS THESE PRESENTATIONS. IN ADDITION, WE ARE ACTIVELY INVOLVED AT HEALTH FAIRS AND OTHER COMMUNITY EVENTS TO PROMOTE THE IMPORTANCE OF PROPER ORAL HYGIENE. IN FY 18, SARAH BUSH LINCOLN PROVIDED PREVENTATIVE, RESTORATIVE AND SURGICAL DENTAL CARE TO PEDIATRIC PATIENTS IN OUR 9-COUNTY SERVICE AREA THROUGH OUR PARTNERSHIP WITH 66 LOCAL SCHOOL DISTRICTS. THESE PARTNERSHIPS PROVIDED US THE OPPORTUNITY TO MEET THE DENTAL NEEDS OF NEARLY 3,000 CHILDREN IN OUR COMMUNITY. IN ADDITION, SARAH BUSH LINCOLN IS COMMITTED TO ADDRESSING THE ADULT DENTAL NEEDS IN OUR COMMUNITY. THROUGH PARTNERSHIPS WITH LOCAL DENTISTS, SBL PROVIDES MONETARY VOUCHERS TO ADULT DENTAL PATIENTS WHO REQUIRE EMERGENCY DENTAL CARE. |
| 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/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 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 |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART III, SECTION A, LINE 2 | USED THE RATIO OF PATIENT CARE COST TO CHARGES (0.3481) AS COMPUTED ON WORKSHEET 2 OF THE ACCOUNTING WORK PAPERS TO CALCULATE THE BAD DEBT EXPENSE (8,744,639) AT COST (3,043,950). 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 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 $8,744,639. HOWEVER, IT HAS BEEN DISREGARDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. |
| SCHEDULE H, PART I, LINE 3C | SEE PART V, LINE 13 FOR OTHER CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLES TOGETHER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 AIRPORT ROAD | AddressLine1Txt |
| City | MATTOON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61938 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 371243664 | RecipientEIN |
| IRC Section | 501(C)(6) | IRCSectionDesc |
| Cash Grant | $27,500 | CashGrantAmt |
| Purpose Of Grant | SEE PART IV | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART II, COLUMN H | FormAndLineReferenceDesc |
| Explanation | PURPOSE OF GRANT OR ASSISTANCE: COLES TOGETHER IS A NOT-FOR-PROFIT CORPORATION FOUNDED FOR AND TO PROMOTE COLES ECONOMIC DEVELOPMENT FOR NEW AND EXISTING INDUSTRY IN OUR COUNTY, COLES COUNTY, ILLINOIS. OUR HOSPITAL BOARD HAS MADE A COMMITMENT TO SUPPORT THIS ORGANIZATION WHOSE COMMUNITY DEVELOPMENT EFFORTS BENEFIT OUR ORGANIZATION AS WELL AS OTHER ORGANIZATIONS IN OUR COMMUNITY THAT WOULD ULTIMATELY IMPACT THE UTILIZATION AND VIABILITY OF OUR HOSPITAL ORGANIZATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JERRY ESKER | ||||||||||||
| PRESIDENT | $466,860 | $0 | $238,400 | $0 | $98,708 | $0 | $15,146 | $0 | $21,643 | $0 | $840,757 | $0 |
| DENNIS PLUARD | ||||||||||||
| CHIEF FINANCE OFFICER | $325,758 | $0 | $143,668 | $0 | $49,891 | $0 | $11,275 | $0 | $22,950 | $0 | $553,542 | $0 |
| LISA HERNANDEZ | ||||||||||||
| VP PATIENT CARE | $199,489 | $0 | $92,158 | $0 | $18,659 | $0 | $4,494 | $0 | $14,798 | $0 | $329,598 | $0 |
| GREGORY TAYLOR | ||||||||||||
| VP PRACTICE MANAGEMENT | $185,058 | $0 | $64,167 | $0 | $21,256 | $0 | $7,740 | $0 | $19,253 | $0 | $297,474 | $0 |
| JAMES HILDEBRANDT | ||||||||||||
| VP MEDICAL AFFAIRS | $353,130 | $0 | $138,558 | $0 | $59,120 | $0 | $9,095 | $0 | $23,337 | $0 | $583,240 | $0 |
| ERIC BENSON | ||||||||||||
| VP HUMAN RESOURCES | $211,373 | $0 | $94,972 | $0 | $31,577 | $0 | $8,811 | $0 | $23,794 | $0 | $370,527 | $0 |
| KIM UPHOFF | ||||||||||||
| VP DEVELOPMENT | $208,967 | $0 | $95,182 | $0 | $25,879 | $0 | $8,665 | $0 | $24,833 | $0 | $363,526 | $0 |
| DR LORI CUDONE | ||||||||||||
| DIRECTOR | $444,556 | $0 | $252,347 | $0 | $57,572 | $0 | $0 | $0 | $18,282 | $0 | $772,757 | $0 |
| JOSH GARRETT | ||||||||||||
| COMMITTEE COMMUNITY MEMBER | $800,449 | $0 | $365,099 | $0 | $54,757 | $0 | $0 | $0 | $27,240 | $0 | $1,247,545 | $0 |
| JOHN LAUER | ||||||||||||
| DIRECTOR | $314,212 | $0 | $104,049 | $0 | $44,150 | $0 | $10,831 | $0 | $23,213 | $0 | $496,455 | $0 |
| GARY MIKEL | ||||||||||||
| COMMITTEE COMMUNITY MEMBER | $252,450 | $0 | $58,823 | $0 | $36,279 | $0 | $9,000 | $0 | $21,195 | $0 | $377,747 | $0 |
| SHERYL ARTMANN | ||||||||||||
| DIRECTOR | $221,739 | $0 | $11,187 | $0 | $33,795 | $0 | $9,000 | $0 | $19,404 | $0 | $295,125 | $0 |
| LOUIS MENDELLA | ||||||||||||
| PHYSICIAN | $843,767 | $0 | $685,707 | $0 | $99,135 | $0 | $14,384 | $0 | $25,803 | $0 | $1,668,796 | $0 |
| RAGAI MITRY | ||||||||||||
| PHYSICIAN | $413,214 | $0 | $700,241 | $0 | $55,606 | $0 | $12,538 | $0 | $22,485 | $0 | $1,204,084 | $0 |
| AZIZ AHMED | ||||||||||||
| PHYSICIAN | $807,512 | $0 | $422,876 | $0 | $49,536 | $0 | $10,789 | $0 | $3,305 | $0 | $1,294,018 | $0 |
| MATTHEW JONES | ||||||||||||
| PHYSICIAN | $790,457 | $0 | $383,804 | $0 | $61,336 | $0 | $10,796 | $0 | $22,427 | $0 | $1,268,820 | $0 |
| CHARLY NGUYEN | ||||||||||||
| PHYSICIAN | $817,767 | $0 | $280,259 | $0 | $98,885 | $0 | $13,944 | $0 | $27,137 | $0 | $1,237,992 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: GARY MIKEL, MD SHERYL ARTMANN, MD 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 CHARLY NGUYEN, MD |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCE AUTHORITY | |||||||
| A | 861091967 | 2011-03-18 | $45,000,000 | SEE PART VI | false | Yes (true) | false |
| ILLINOIS FINANCE AUTHORITY | |||||||
| B | 861091967 | 2015-11-01 | $30,000,000 | SEE PART VI | false | Yes (true) | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $18,540,000 | $0 | $45,000,000 | $0 | $0 | $0 | $517,777 | $0 | $0 | $26,444,431 | $18,037,792 | $0 | 2014 | Yes (true) | false | false | Yes (true) |
| B | $753,000 | $0 | $30,000,000 | $0 | $0 | $0 | $0 | $0 | $0 | $30,000,000 | $0 | $0 | false | false | false | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | false | Yes (true) |
| B | false | false | false | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|
| 0 | |||||||
| A | Yes (true) | Yes (true) | false | false | 0 | false | Yes (true) |
| 0 | |||||||
| B | Yes (true) | Yes (true) | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| LAURIE E MOONEY | |||
| WIFE OF TIM MOONEY | $131,826 | EMPLOYED BY HEALTH CENTER | false |
| MORGAN E DAVIS | |||
| DAUGHTER OF DON DAVIS | $26,380 | EMPLOYED BY THE HEALTH CENTER | false |
| ROBERT CUDONE | |||
| HUSBAND OF LORI CUDONE | $128,625 | EMPLOYED BY THE HEALTH CENTER | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BUSINESS RELATIONSHIPS: SCOTT WILSON, TINA STOVALL, JIM LITTLEFORD, AND JOHN LAUER HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER AS A RESULT OF ALL SERVING AS BOARD MEMBERS OF SARAH BUSH LINCOLN HEALTH MANAGEMENT SERVICES, A FOR-PROFIT AFFILIATE OF THE ORGANIZATION. ALL MEMBERS OF THE HEALTH CENTER BOARD HAVE DUAL MEMBERSHIP WITH THE HEALTH SYSTEM BOARD. JANET GROVE AND TIMOTHY GOVER HAVE A BUSINESS RELATIONSHIP. |
| 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 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 XI, LINE 9 | FUND BALANCE TRANSFERS 7,194,089 |
| 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 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SARAH BUSH LINCOLN HEALTH MGMT SERVICES | |||||||||||||||
| 1000 HEALTH CENTER DRIVE | MATTOON | IL | 61938 | 371136614 | RETAIL DME/RX | IL | SBLHS | C CORP | Yes (true) | ||||||
| SARAH BUSH LINCOLN CAPTIVE INSURANCE LTD | |||||||||||||||
| INSURANCE | SBLHS | C CORP | Yes (true) | 18 FORUM LANE 2ND FLOOR PO BOX 69 | GEORGE TOWN | GRAND CAYMAN | CJ | KY1-1102 | CJ | ||||||
| SBL PRACTICE ACQUISITIONS INC | |||||||||||||||
| 1000 HEALTH CENTER DRIVE | MATTOON | IL | 61938 | 824716884 | MANAGEMENT | IL | SBLHS | C CORP | Yes (true) | ||||||
| BONUTTI ORTHOPEDIC SERVICES INC | |||||||||||||||
| 1303 W EVERGREEN AVE | EFFINGHAM | IL | 62401 | 371257387 | HEALTHCARE | IL | SBLPA | C CORP | Yes (true) | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SARAH BUSH LINCOLN HEALTH MANAGEMENT SERVICES | ||
| A | $226,364 | CONTRACTED RATE |
| SARAH BUSH LINCOLN HEALTH CENTER FOUNDATION | ||
| C | $3,523,954 | BOOK VALUE |
| SARAH BUSH LINCOLN HEALTH MANAGEMENT SERVICES | ||
| L | $2,939,976 | BOOK VALUE |
| SBL PRACTICE ACQUISITIONS | ||
| R | $117,387 | INTERCO ACCTS |
| BONUTTI ORTHOPEDIC SERVICES | ||
| R | $1,211,181 | INTERCO ACCTS |