SARAH BUSH LINCOLN HEALTH CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: SARAH BUSH LINCOLN HEALTH CENTER (EIN 23-7098532)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-04
IRS object ID: 201801249349301300
Schema version: 2016v3.1
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	2018-05-04T13:17:42-05:00	ReturnTs
Tax Period End	2017-06-30	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	2016-07-01	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	VP FINANCE & OPS	PersonTitleTxt
Phone	2172582102	PhoneNum
Signature	2018-04-26	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	2018-03-31	PreparationDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$427,490,250	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	27	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	2622	TotalEmployeeCnt
Total Volunteers	252	TotalVolunteersCnt
Total Gross UBI	$4,968,430	TotalGrossUBIAmt
PY Contributions Grants	$543,208	PYContributionsGrantsAmt
CY Contributions Grants	$2,860,052	CYContributionsGrantsAmt
PY Program Service Revenue	$275,791,473	PYProgramServiceRevenueAmt
CY Program Service Revenue	$290,073,788	CYProgramServiceRevenueAmt
PY Investment Income	$3,582,280	PYInvestmentIncomeAmt
CY Investment Income	$11,114,907	CYInvestmentIncomeAmt
PY Other Revenue	$20,282,117	PYOtherRevenueAmt
CY Other Revenue	$17,655,992	CYOtherRevenueAmt
PY Total Revenue	$300,199,078	PYTotalRevenueAmt
CY Total Revenue	$321,704,739	CYTotalRevenueAmt
PY Grants And Similar Paid	$70,055	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$37,740	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$165,832,941	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$178,265,383	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$103,015,367	PYOtherExpensesAmt
CY Other Expenses	$112,437,742	CYOtherExpensesAmt
PY Total Expenses	$268,918,363	PYTotalExpensesAmt
CY Total Expenses	$290,740,865	CYTotalExpensesAmt
PY Revenues Less Expenses	$31,280,715	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$30,963,874	CYRevenuesLessExpensesAmt
Total Assets BOY	$474,947,748	TotalAssetsBOYAmt
Total Assets EOY	$547,494,439	TotalAssetsEOYAmt
Total Liabilities BOY	$152,916,497	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$183,792,471	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$322,031,251	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$363,701,968	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	$260,126,024	ExpenseAmt
Grant	$37,740	GrantAmt
Revenue	$295,042,218	RevenueAmt
Desc	SEE ATTACHED SOCIAL ACCOUNTABILITY STATEMENT	Desc
Total Program Service Expenses	$260,126,024	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	147	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2622	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	CJ	ForeignCountryCd
Foreign Country	BD	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	27	GoverningBodyVotingMembersCnt
Independent Voting Member	20	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	false	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 (41 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
MS LYLA MCGUIRE
SECRETARY	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
MR STEVE WENTE
CHAIRPERSON	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
DR GARY MIKEL
COMMITTEE COMMUNITY MEMBER	50.0	0.0	Yes (X)		$319,039	$0	$31,265
MS LAUREL ALLENBAUGH
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
DR SHERYL ARTMANN
DIRECTOR	54.0	1.0	Yes (X)		$272,898	$0	$27,913
MR CHRIS CONSIDINE
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
MR DON DAVIS
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
MR JIM LITTLEFORD
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
MR TIM MOONEY
TREASURER	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
MS TINA STOVALL
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
MR SCOTT WILSON
VICE CHAIRPERSON	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
MR DALE BOYER
COMMITTEE COMMUNITY MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
MR TIMOTHY GOVER
COMMITTEE COMMUNITY MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
MR HANK DAVIS
COMMITTEE COMMUNITY MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
MS JANET GROVE
COMMITTEE COMMUNITY MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
MR KEVIN LEWTON
COMMITTEE COMMUNITY MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
DR JOSHUA W GARRETT
COMMITTEE COMMUNITY MEMBER	50.0	0.0	Yes (X)		$1,323,607	$0	$37,064
DR LORI L CUDONE
DIRECTOR	54.0	1.0	Yes (X)		$783,789	$0	$30,923
DR PHILLIP KEPP
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
MR RAY RIECK
DIRETOR	1.0	1.0	Yes (X)		$0	$0	$0
MR MICHAEL SMITH
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
MS BARB HALL
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
DR JOHN LAUER
DIRECTOR	54.0	2.0	Yes (X)		$448,101	$0	$37,037
MR JAY MARKWELL
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
MR ALAN METZGER
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
MS DEE SCOTT
COMMITTEE COMMUNITY MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
MR JAMIE PILSON
COMMITTEE COMMUNITY MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
MR TIMOTHY OLS
FORMER PRESIDENT & CEO	40.0	15.0		Yes (X)	$950,956	$0	$27,556
MR JERRY ESKER
PRESIDENT & CEO	40.0	15.0		Yes (X)	$450,450	$0	$28,702
MR DENNIS PLUARD
VP FINANCE & OPERATIONS	52.0	3.0		Yes (X)	$466,849	$0	$34,753
MR GREGORY TAYLOR
VP PRACTICE MANAGEMENT	55.0	0.0		Yes (X)	$135,721	$0	$24,606
MS LISA HERNANDEZ
VP PATIENT CARE	55.0	0.0		Yes (X)	$240,795	$0	$13,107
DR JAMES HILDEBRANDT
VP MEDICAL AFFAIRS	54.0	1.0		Yes (X)	$497,382	$0	$32,388
MR ERIC G BENSON
VP HUMAN RESOURCES	55.0	0.0		Yes (X)	$309,062	$0	$30,764
MS KIMBERLY UPHOFF
VP DEVELOPMENT	27.0	28.0		Yes (X)	$300,310	$0	$28,816
MS MARGARETT A RATLIFF
VP INFORMATION SYSTEMS	55.0	0.0		Yes (X)	$300,683	$0	$24,154
DR LOUIS MENDELLA
PHYSICIAN	50.0	0.0			$1,541,198	$0	$41,583	Yes (X)
DR AZIZ AHMED
PHYSICIAN	50.0	0.0			$1,295,782	$0	$13,695	Yes (X)
DR MICHAEL SMITH
PHYSICIAN	50.0	0.0			$1,109,443	$0	$40,397	Yes (X)
DR MATTHEW JONES
PHYSICIAN	50.0	0.0			$1,274,127	$0	$33,152	Yes (X)
DR DONALD SANDERCOCK
PHYSICIAN	50.0	0.0			$1,064,930	$0	$38,787	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,085,122	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$576,662	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	19	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
SM WILSON COMPANY
2185 HAMPTON AVE PO BOX 5210	ST LOUIS	MO	63139	CONSTRUCTION	$3,101,966
PRAIRIE CARDIOVASCULAR CONSULTANTS
619 EAST MASON ST	SPRINGFIELD	IL	62701	MED SPECIALIST FEES	$2,603,916
MCCARTHY BUILDING COMPANIES
3117 BIG BEND BOULEVARD	ST LOUIS	MO	63143	CONSTRUCTION	$12,562,484
K WOHLTMAN CONSTRUCTION INC
PO BOX 1607	EFFINGHAM	IL	62401	CONSTRUCTION	$2,729,816
CERNER CORPORATION
PO BOX 959156	ST LOUIS	MO	63195	SOFTWARE SERVICE	$1,714,460

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	62	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,296,501	RelatedOrganizationsAmt
Government Grants	$547,384	GovernmentGrantsAmt
All Other Contributions	$16,167	AllOtherContributionsAmt
Total Contributions	$2,860,052	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REV.	621110	$238,420,855	$238,420,855
OUTREACH REVENUE	541900	$39,214	$39,214
NET PROVIDER REVENUE	621110	$51,613,719	$51,613,719

Field	Value	IRS element (for citing)
Total Program Service Revenue	$290,073,788	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,622,613	TotalRevenueColumnAmt
Exclusion	$2,622,613	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	$376,065	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$376,065	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$376,065	TotalRevenueColumnAmt
Exclusion	$376,065	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$114,254,081	SecuritiesAmt
Other	$23,724	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$105,535,291	SecuritiesAmt
Other	$250,220	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,718,790	SecuritiesAmt
Other	-$226,496	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,492,294	TotalRevenueColumnAmt
Exclusion	$8,492,294	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	$9,611,748	$4,968,430	$4,643,318
PEACE MEAL PROGRAM REVENUE	900099	$3,055,642		$3,055,642
CAFETERIA & CATERING	722320	$948,303		$948,303

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,664,234	TotalRevenueColumnAmt
Exclusion	$3,664,234	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$17,279,927	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$321,704,739	TotalRevenueColumnAmt
Related Or Exempt Func Income	$290,073,788	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,968,430	UnrelatedBusinessRevenueAmt
Exclusion	$23,802,469	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$37,740	TotalAmt
Program Services	$37,740	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	$5,585,493	TotalAmt
Management And General	$5,585,493	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$265,798	TotalAmt
Management And General	$265,798	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$137,594,924	TotalAmt
Program Services	$127,746,935	ProgramServicesAmt
Management And General	$9,847,989	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,382,406	TotalAmt
Program Services	$4,997,175	ProgramServicesAmt
Management And General	$385,231	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,501,573	TotalAmt
Program Services	$19,962,655	ProgramServicesAmt
Management And General	$1,538,918	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,935,189	TotalAmt
Program Services	$7,367,249	ProgramServicesAmt
Management And General	$567,940	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	$368,296	TotalAmt
Management And General	$368,296	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$221,253	TotalAmt
Management And General	$221,253	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$30,458	TotalAmt
Management And General	$30,458	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

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	$20,474,805	TotalAmt
Program Services	$19,408,689	ProgramServicesAmt
Management And General	$1,066,116	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,159,871	TotalAmt
Program Services	$1,159,871	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$46,070,397	TotalAmt
Program Services	$42,773,032	ProgramServicesAmt
Management And General	$3,297,365	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,197,478	TotalAmt
Program Services	$2,968,627	ProgramServicesAmt
Management And General	$228,851	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,685,221	TotalAmt
Program Services	$3,421,461	ProgramServicesAmt
Management And General	$263,760	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$982,423	TotalAmt
Program Services	$912,109	ProgramServicesAmt
Management And General	$70,314	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	$1,304,908	TotalAmt
Program Services	$1,211,513	ProgramServicesAmt
Management And General	$93,395	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,631,940	TotalAmt
Program Services	$1,631,940	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,449,868	TotalAmt
Program Services	$16,200,940	ProgramServicesAmt
Management And General	$1,248,928	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,231,448	TotalAmt
Management And General	$5,231,448	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MAINTENANCE/PREVENTATIVE MAINT	$3,417,163	$3,172,589	$244,574
IL HOSPITAL TAX ASSESSMENT	$5,199,538	$5,199,538
DUES AND SUBSCRIPTIONS	$450,119	$450,119
UNRELATED BUSINESS TAX	$5,053		$5,053

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,557,503	TotalAmt
Program Services	$1,503,842	ProgramServicesAmt
Management And General	$53,661	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$290,740,865	TotalAmt
Program Services	$260,126,024	ProgramServicesAmt
Management And General	$30,614,841	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,020	BOYAmt
EOY	$8,770	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$94,235,869	BOYAmt
EOY	$103,560,093	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	$39,658,093	BOYAmt
EOY	$67,067,595	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	$3,518,805	BOYAmt
EOY	$4,280,642	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,069,938	BOYAmt
EOY	$4,757,238	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$322,428,682	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$134,002,248	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$165,321,815	BOYAmt
EOY	$188,426,434	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$77,264,347	BOYAmt
EOY	$71,683,959	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$83,285,525	BOYAmt
EOY	$95,006,226	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	$8,585,336	BOYAmt
EOY	$12,703,482	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$474,947,748	BOYAmt
EOY	$547,494,439	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$42,277,766	BOYAmt
EOY	$51,216,674	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	$59,174,442	BOYAmt
EOY	$70,157,203	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	$51,464,289	BOYAmt
EOY	$62,418,594	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$152,916,497	BOYAmt
EOY	$183,792,471	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$322,031,251	BOYAmt
EOY	$363,701,968	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	$322,031,251	BOYAmt
EOY	$363,701,968	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$474,947,748	BOYAmt
EOY	$547,494,439	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$30,963,874	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,706,843	NetUnrlzdGainsLossesInvstAmt
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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$30,458	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$30,458	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 21.78% OF THE ANNUAL MEMBERSHIP DUES AND THE PERCENTAGE BY IHA WAS DETERMINED TO BE 31.0% 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	$3,569,996	BeginningYearBalanceAmt
Contributions	$678,021	ContributionsAmt
Investment Earnings Or Losses	$585,591	InvestmentEarningsOrLossesAmt
End Year Balance	$4,833,608	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,157,288	BeginningYearBalanceAmt
Contributions	$10	ContributionsAmt
Investment Earnings Or Losses	$283,096	InvestmentEarningsOrLossesAmt
End Year Balance	$3,440,394	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.01050	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.66930	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.32020	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	$172,742,897	OtherCostOrOtherBasisAmt
Depreciation	$54,800,243	DepreciationAmt
Book Value	$117,942,654	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$541,780	OtherCostOrOtherBasisAmt
Depreciation	$465,652	DepreciationAmt
Book Value	$76,128	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$128,774,988	OtherCostOrOtherBasisAmt
Depreciation	$77,103,782	DepreciationAmt
Book Value	$51,671,206	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,691,621	OtherCostOrOtherBasisAmt
Depreciation	$1,632,571	DepreciationAmt
Book Value	$15,059,050	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$188,426,434	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
SUPPLEMENTAL PENSION	$35,030,768	F
DEFERRED COMPENSATION	$14,554,500	F
HEDGE FUNDS	$45,420,958	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$95,006,226	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
SUPPLEMENTAL PENSION	$35,030,767
DEFERRED COMPENSATION	$14,554,500
EST PROFESSIONAL LIABILITY CLA	$12,833,327

Field	Value	IRS element (for citing)
Total Liability	$62,418,594	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	$33,170,759
Central America and the Caribbean	Investments	$218,645

Field	Value	IRS element (for citing)
Subtotal Spent	$33,389,404	SubtotalSpentAmt
Total Spent	$33,389,404	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: $ 33,170,759 EXPENDITURES IN REGION: 218,645 --------------- $ 33,389,404	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	$4,079,721	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,079,721	NetCommunityBenefitExpnsAmt
Total Expense	0.01400	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,621,226	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,532,561	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,088,665	NetCommunityBenefitExpnsAmt
Total Expense	0.04500	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$71,700,947	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,532,561	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,168,386	NetCommunityBenefitExpnsAmt
Total Expense	0.05900	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$999,397	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$999,397	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$942,694	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$942,694	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,942,091	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,942,091	NetCommunityBenefitExpnsAmt
Total Expense	0.00660	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,643,038	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,532,561	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,110,477	NetCommunityBenefitExpnsAmt
Total Expense	0.06560	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	$2,821,473	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$48,865,811	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$87,643,506	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$38,777,695	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	HTTP://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)
Facility	1	FacilityNum
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 (3 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 CHNA REPORT: https://www.sarahbush.org/media/filer_public/bf/fb/bffb5913-a582-4fdc-bfc7 -de5826db4ffa/chna_report.pdf
SCHEDULE H, PART V, SECTION B, LINE 11	NEEDS NOT BEING ADDRESSED: (1) MENTAL HEALTH: SBLHC HAS LIMITED RESOURCES AND SERVICES AVAILABLE TO ADDRESS MENTAL HEALTH. OTHER COMMUNITY RESOURCES, SUCH AS THE REGIONAL BEHAVIOR HEALTH NETWORK, HAVE THE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER SUPPORT THIS HEALTH NEED. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. (2) HEALTH KNOWLEDGE AND EDUCATION: SBLHC 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: 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. 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. 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 & 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.
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	16	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 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
144 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 ALTAMONT CLINIC
8 NORTH THIRD ST	ALTAMONT	IL	62411	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 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 II	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 III, LINE 2	USED THE RATIO OF PATIENT CARE COST TO CHARGES (0.3483) AS COMPUTED ON WORKSHEET 2 OF THE ACCOUNTING WORK PAPERS TO CALCULATE THE BAD DEBT EXPENSE (8,100,074) AT COST (2,821,473). WE REDUCE BAD DEBT EXPENSE BY THE DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS.
SCHEDULE H, PART III, LINE 4	SEE THE PATIENT ACCOUNTS RECEIVABLE NOTE ON PAGE 8 OF THE ATTACHED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 8	ALTHOUGH SBL DOES NOT TREAT SHORTFALL FOR MEDICARE AS A COMMUNITY BENEFIT, THERE COULD BE A CASE MADE THAT NOT BEING FULLY REIMBURSED FOR TREATING THE ELDERLY IS CONSIDERED TO BE THE PROVISION OF A BENEFIT TO THE COMMUNITY. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 WAS THE RATIO OF PATIENT CARE COST TO CHARGES CALCULATED ON WORKSHEET 2 AND ALSO DETAILED ON WORKSHEET C OF THE WORKING PAPERS.
SCHEDULE H, PART III, 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 I, LINE 3C	SEE PART V, LINE 13 FOR OTHER CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 7, COLUMN F	THE ORGANIZATION INCURRED BAD DEBT EXPENSE IN THE AMOUNT OF $8,100,074. HOWEVER, IT HAS BEEN DISREGARDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.

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)
Total Other Org	1	TotalOtherOrgCnt

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	Yes (true)	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 (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
DR GARY MIKEL
COMMITTEE COMMUNITY MEMBER	$252,602	$29,484	$36,953	$10,400	$20,865	$350,304
DR SHERYL ARTMANN
DIRECTOR	$230,689	$7,632	$34,577	$9,733	$18,180	$300,811
DR JOSHUA W GARRETT
COMMITTEE COMMUNITY MEMBER	$735,398	$574,645	$13,564	$11,250	$25,814	$1,360,671
DR LORI L CUDONE
DIRECTOR	$444,808	$191,539	$147,442	$13,500	$17,423	$814,712
DR JOHN LAUER
DIRECTOR	$313,093	$91,448	$43,560	$11,323	$25,714	$485,138
MR TIMOTHY OLS
FORMER PRESIDENT & CEO	$327,544	$222,102	$401,310	$10,184	$17,372	$978,512
MR JERRY ESKER
PRESIDENT & CEO	$283,369	$132,008	$35,073	$11,390	$17,312	$479,152
MR DENNIS PLUARD
VP FINANCE & OPERATIONS	$306,114	$112,759	$47,976	$12,561	$22,192	$501,602
MR GREGORY TAYLOR
VP PRACTICE MANAGEMENT	$118,784	$15,532	$1,405	$5,015	$19,591	$160,327
MS LISA HERNANDEZ
VP PATIENT CARE	$172,617	$55,404	$12,774	$0	$13,107	$253,902
DR JAMES HILDEBRANDT
VP MEDICAL AFFAIRS	$336,454	$104,826	$56,102	$10,271	$22,117	$529,770
MR ERIC G BENSON
VP HUMAN RESOURCES	$201,688	$76,624	$30,750	$8,403	$22,361	$339,826
MS KIMBERLY UPHOFF
VP DEVELOPMENT	$200,764	$74,445	$25,101	$8,289	$20,527	$329,126
MS MARGARETT A RATLIFF
VP INFORMATION SYSTEMS	$201,692	$81,754	$17,237	$8,808	$15,346	$324,837
DR LOUIS MENDELLA
PHYSICIAN	$844,173	$595,685	$101,340	$17,000	$24,583	$1,582,781
DR AZIZ AHMED
PHYSICIAN	$704,813	$545,212	$45,757	$11,250	$2,445	$1,309,477
DR MICHAEL SMITH
PHYSICIAN	$737,030	$280,108	$92,305	$14,860	$25,537	$1,149,840
DR MATTHEW JONES
PHYSICIAN	$700,792	$517,024	$56,311	$11,250	$21,902	$1,307,279
DR DONALD SANDERCOCK
PHYSICIAN	$741,577	$230,034	$93,319	$15,080	$23,707	$1,103,717

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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 & CEO, JERRY ESKER. ANY PERSONAL ITEMS, EXTRA DAYS, AND MEALS FOR BOTH ARE PAID FOR USING HIS PERSONAL CREDIT CARD. THESE POLICIES WERE ALSO APPLIED TO THE FORMER PRESIDENT & CEO, TIMOTHY OLS.
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 TIMOTHY A OLS DENNIS J PLUARD ERIC BENSON JERRY ESKER KIMBERLY UPHOFF JAMES HILDEBRANDT, MD MARGARETT RATLIFF AZIZ AHMED, MD JOSHUA GARRETT, MD LORI CUDONE, MD MATTHEW JONES, MD GREGORY TAYLOR LISA HERNANDEZ MICHAEL SMITH, MD DONALD SANDERCOCK, MD THE FOLLOWING RECEIVED DISTRIBUTIONS FROM THE PLAN DURING THE TAX YEAR: JAMES HILDEBRANDT - $10,000 DONALD SANDERCOCK - $35,203
SCHEDULE J, PART I, LINE 4A	TIMOTHY OLS RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $188,944.

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	$15,665,000	$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	$0	$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	Rebate Not Due YetRebateNotDueYetInd	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	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false	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	$131,000	L MOONEY EMPLOYED BY HLTH CTR	false
MORGAN E DAVIS
DAUGHTER OF DON DAVIS	$14,082	M DAVIS EMPLOYED BY HLTH CTR	false
ROBERT CUDONE
HUSBAND OF LORI CUDONE	$120,716	R CUDONE EMPLOYED BY HLTH CTR	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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.
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.
PART VI, SECTION A, LINE 7B	DECISIONS OF THE GOVERNING BODY: THE SARAH BUSH LINCOLN HEALTH SYSTEM BOARD, THE SOLE MEMBER OF THE HEALTH CENTER BOARD, RETAINS CERTAIN RESERVED POWERS INCLUDING; AMENDING ARTICLES OF INCORPORATION OR BYLAWS, APPROVING THE ANNUAL OPERATING BUDGET AND LONG RANGE STRATEGIC PLAN, APPROVAL OF ANY TRANSACTIONS REQUIRING A CERTIFICATE OF NEED, APPROVAL OF THE BORROWING OF FUNDS AND INCURRING DEBT, APPROVAL OF MERGERS, CONSOLIDATIONS, SALE, OF ALL OR SUBSTANTIALLY ALL ASSETS, SELECTING AUDITORS, CREATING OR ACQUIRING SUBSIDIARY OR AFFILIATE CORPORATIONS, DISSOLVING THE CORPORATION, APPOINTING, EVALUATING AND REMOVAL OF PRESIDENT/CEO, AND ELECTING BOARD MEMBERS.
FORM 990 PART VI, SECTION B, LINE 11B	FORM 990 REVIEW: THE SENIOR ACCOUNTING STAFF REVIEWS ALL ELEMENTS OF THE 990 BASED ON PRIOR KNOWLEDGE AND INTERVIEWS WITH OTHER INDIVIDUALS IN THE ORGANIZATION. IN ADDITION, BOARD MEMBERS SUBMIT DETAILED QUESTIONNAIRES WITH REGARDS TO THEIR RELATIONSHIPS WITH THE ORGANIZATION. THE FINAL FORM 990 IS MADE AVAILABLE TO THEM ONLINE VIA A WEB PORTAL AND AT THEIR BOARD MEETING FOR REVIEW AND QUESTIONS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: MEMBERS OF THE BOARD OF DIRECTORS ANNUALLY COMPLETE A CERTIFICATION STATEMENT WHICH IDENTIFIES POSSIBLE CONFLICTS OF INTEREST RELATED TO THEIR PROFESSIONAL AND PERSONAL LIVES. DURING DELIBERATIONS AND DECISIONS ON WHICH THERE APPEARS TO BE A CONFLICT OF INTEREST, THE BOARD MEMBER IS EXCUSED FROM THE DISCUSSION AND DELIBERATION, SHALL NOT VOTE ON, NOR USE HIS PERSONAL INFLUENCE ON OR BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM IN RESPECT TO THE TRANSACTION OR CONTRACT.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	PROCESS FOR DETERMINING COMPENSATION: COMPENSATION IS DETERMINED FOR THE PRESIDENT & CEO, VP MEDICAL AFFAIRS, VP FINANCE & OPERATIONS, VP PRACTICE MANAGEMENT, VP PATIENT CARE SERVICES, VP INFORMATION SERVICES, VP HUMAN RESOURCES, AND THE VP DEVELOPMENT & FOUNDATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE SBL BOARD. AN INDEPENDENT CONSULTANT, HAY GROUP, INC., REVIEWED CURRENT COMPENSATION FOR EACH POSITION AND COMPARED IT TO SIMILAR POSITIONS IN LIKE ORGANIZATIONS. THE COMMITTEE APPROVED COMPENSATION CONSISTENT WITH THE BOARD-APPROVED EXECUTIVE COMPENSATION PHILOSOPHY. THIS PROCESS IS DONE ANNUALLY, BETWEEN JUNE AND AUGUST, FOR ALL THE LISTED POSITIONS.
FORM 990, PART VI, SECTION C, LINE 19	PUBLIC DISCLOSURE: CURRENTLY, SARAH BUSH LINCOLN HEALTH CENTER POSTS THEIR COMMUNITY BENEFITS STATEMENT ON OUR PUBLIC WEB-SITE. NO OTHER GOVERNING DOCUMENTS ARE ROUTINELY MADE AVAILABLE.
FORM 990, PART XII	A FEDERAL AWARD WAS GRANTED AND AN A-133 AUDIT REQUIRED. THE A-133 AUDIT WAS PERFORMED IN CONJUNCTION WITH THE HOSPITAL'S ROUTINE AUDIT.

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-I	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 (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	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	$0	$0	Yes (true)
SARAH BUSH LINCOLN CAPTIVE INSURANCE LTD
					INSURANCE		SBLHS	C CORP	$0	$0	Yes (true)	PO BOX 69	GRAND CAYMAN	CJ	KY1-1102	CJ

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	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SARAH BUSH LINCOLN HEALTH CENTER FOUNDATION
C	$2,266,501	BOOK VALUE
SARAH BUSH LINCOLN HEALTH MANAGEMENT SERVICES
A	$243,780	CONTRACTED RATE
SARAH BUSH LINCOLN HEALTH MANAGEMENT SERVICES
L	$3,145,026	BOOK VALUE