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SARAH BUSH LINCOLN HEALTH CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SARAH BUSH LINCOLN HEALTH CENTER (EIN 23-7098532)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-04
IRS object ID
201701249349300330
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-04T13:05:05-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1211 N BROADWAY SUITE 600AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP631022733ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237098532EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Sarah Bush Lincoln Health CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DENNIS J PLUARD CPAInCareOfNm
Business Name ControlSARABusinessNameControlTxt
Phone2172582514PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 372AddressLine1Txt
CityMattoonCityNm
State AbbreviationILStateAbbreviationCd
ZIP61938ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENNIS PLUARDPersonNm
Person TitleVP FINANCE & OPSPersonTitleTxt
Phone2172582102PhoneNum
Signature2017-05-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDonna J LarsonPreparerPersonNm
PTINP00043751PTIN
Phone3142315544PhoneNum
Preparation2017-04-01PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJERRY ESKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRIVEAddressLine1Txt
CityMATTOONCityNm
State AbbreviationILStateAbbreviationCd
ZIP61938ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$407,317,236GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.sarahbush.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE MISSION OF SARAH BUSH LINCOLN HEALTH CENTER IS TO PROVIDE EXCEPTIONAL CARE FOR ALL AND CREATE HEALTHY COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body29VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee2500TotalEmployeeCnt
Total Volunteers236TotalVolunteersCnt
Total Gross UBI$5,120,510TotalGrossUBIAmt
PY Contributions Grants$524,606PYContributionsGrantsAmt
CY Contributions Grants$543,208CYContributionsGrantsAmt
PY Program Service Revenue$261,119,722PYProgramServiceRevenueAmt
CY Program Service Revenue$275,791,473CYProgramServiceRevenueAmt
PY Investment Income$9,229,291PYInvestmentIncomeAmt
CY Investment Income$3,582,280CYInvestmentIncomeAmt
PY Other Revenue$17,948,054PYOtherRevenueAmt
CY Other Revenue$20,282,117CYOtherRevenueAmt
PY Total Revenue$288,821,673PYTotalRevenueAmt
CY Total Revenue$300,199,078CYTotalRevenueAmt
PY Grants And Similar Paid$53,990PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$70,055CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$153,930,826PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$165,832,941CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$94,036,126PYOtherExpensesAmt
CY Other Expenses$103,015,367CYOtherExpensesAmt
PY Total Expenses$248,020,942PYTotalExpensesAmt
CY Total Expenses$268,918,363CYTotalExpensesAmt
PY Revenues Less Expenses$40,800,731PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$31,280,715CYRevenuesLessExpensesAmt
Total Assets BOY$426,721,690TotalAssetsBOYAmt
Total Assets EOY$474,947,748TotalAssetsEOYAmt
Total Liabilities BOY$127,769,617TotalLiabilitiesBOYAmt
Total Liabilities EOY$152,916,497TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$298,952,073NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$322,031,251NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF SARAH BUSH LINCOLN HEALTH CENTER IS TO PROVIDE EXCEPTIONAL CARE FOR ALL AND CREATE HEALTHY COMMUNITIES. SARAH BUSH LINCOLN HEALTH CENTER PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO THE RESIDENTS OF MATTOON AND CHARLESTON, ILLINOIS AND SURROUNDING COUNTIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$238,880,675ExpenseAmt
Grant$70,055GrantAmt
Revenue$280,911,983RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$238,880,675TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document119IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2500EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Foreign CountryBDForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members29GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDENNIS J PLUARD CPAPersonNm
Phone2172582102PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MS JEANNE DAU
IMMEDIATE PAST CHAIRPERSON1.01.0Yes (X)Yes (X)$0$0$0
MS LYLA MCGUIRE
CHAIRPERSON1.03.0Yes (X)Yes (X)$0$0$0
MR MICHAEL STANFIELD
SECRETARY1.01.0Yes (X)Yes (X)$0$0$0
MR STEVE WENTE
CHAIRPERSON ELECT1.03.0Yes (X)Yes (X)$0$0$0
DR GARY MIKEL
COMMITTEE COMMUNITY MEMBER50.00.0Yes (X)$353,822$0$29,086
MS LAUREL ALLENBAUGH
DIRECTOR1.01.0Yes (X)$0$0$0
DR SHERYL ARTMANN
DIRECTOR54.01.0Yes (X)$367,419$0$31,613
MR CHRIS CONSIDINE
DIRECTOR1.01.0Yes (X)$0$0$0
MR DON DAVIS
DIRECTOR1.01.0Yes (X)$0$0$0
MR STEVE HONSELMAN
DIRECTOR1.01.0Yes (X)$0$0$0
DR KIRAN JOAG
PHYSICIAN OFFICER53.01.0Yes (X)$544,330$0$27,329
DR JOHN LAUER
DIRECTOR54.02.0Yes (X)$462,850$0$33,107
MR JIM LITTLEFORD
DIRECTOR1.02.0Yes (X)$0$0$0
MR TIM MOONEY
TREASURER1.01.0Yes (X)Yes (X)$0$0$0
MS TINA STOVALL
DIRECTOR1.02.0Yes (X)$0$0$0
MR SCOTT WILSON
DIRECTOR1.02.0Yes (X)$0$0$0
MR DALE BOYER
COMMITTEE COMMUNITY MEMBER1.00.0Yes (X)$0$0$0
MR TIMOTHY GOVER
COMMITTEE COMMUNITY MEMBER1.00.0Yes (X)$0$0$0
MR HANK DAVIS
COMMITTEE COMMUNITY MEMBER1.00.0Yes (X)$0$0$0
MS JANET GROVE
COMMITTEE COMMUNITY MEMBER1.00.0Yes (X)$0$0$0
MR KEVIN LEWTON
COMMITTEE COMMUNITY MEMBER1.00.0Yes (X)$0$0$0
MS DEE SCOTT
COMMITTEE COMMUNITY MEMBER1.00.0Yes (X)$0$0$0
MR JAMIE PILSON
COMMITTEE COMMUNITY MEMBER1.00.0Yes (X)$0$0$0
DR JOSHUA W GARRETT
COMMITTEE COMMUNITY MEMBER50.00.0Yes (X)$1,219,456$0$17,095
DR LORI L CUDONE
DIRECTOR54.01.0Yes (X)$624,986$0$26,057
DR PHILLIP KEPP
DIRECTOR1.01.0Yes (X)$0$0$0
MR RAY RIECK
DIRETOR1.01.0Yes (X)$0$0$0
MR MICHAEL SMITH
DIRECTOR1.01.0Yes (X)$0$0$0
MS CAROL JO FRITTS
COMMITTEE COMMUNITY MEMEBER1.01.0Yes (X)$0$0$0
MR TIMOTHY A OLS
PRESIDENT & CEO40.015.0Yes (X)$658,108$0$33,409
MR DENNIS J PLUARD
VP FINANCE & OPERATIONS52.03.0Yes (X)$394,344$0$29,814
MR JERRY J ESKER
VP PRACTICE MANAGEMENT55.00.0Yes (X)$378,407$0$23,316
MS MARY LOU WILD
VP PATIENT CARE55.00.0Yes (X)$352,021$0$19,081
DR JAMES HILDEBRANDT
VP MEDICAL AFFAIRS54.01.0Yes (X)$471,073$0$30,504
MR ERIC G BENSON
VP HUMAN RESOURCES55.00.0Yes (X)$290,697$0$28,829
MS KIMBERLY A UPHOFF
VP DEVELOPMENT & FOUNDATION27.028.0Yes (X)$263,029$0$27,303
MS MARGARETT A RATLIFF
VP INFORMATION SYSTEMS55.00.0Yes (X)$274,059$0$22,940
AARON C EUBANKS MD
PHYSICIAN50.00.0$1,692,364$0$30,602Yes (X)
LOUIS B MENDELLA MD
PHYSICIAN50.00.0$1,541,198$0$33,175Yes (X)
MATTHEW D JONES MD
PHYSICIAN50.00.0$1,197,652$0$30,112Yes (X)
CHARLY T NGUYEN MD
PHYSICIAN50.00.0$1,146,144$0$34,499Yes (X)
AZIZ S AHMED MD
PHYSICIAN50.00.0$1,111,039$0$5,855Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,342,998TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$513,726TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K188IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SM WILSON COMPANY
2185 HAMPTON AVE PO BOX 5210ST LOUISMO63139CONSTRUCTION$8,772,282
PRAIRIE CARDIOVASCULAR CONSULTANTS
619 EAST MASON STSPRINGFIELDIL62701MED SPECIALIST FEES$2,256,719
MCCARTHY BUILDING COMPANIES
3117 BIG BEND BOULEVARDST LOUISMO63143CONSTRUCTION$7,732,411
K WOHLTMAN CONSTRUCTION INC
PO BOX 1607EFFINGHAMIL62401CONSTRUCTION$2,351,021
CERNER CORPORATION
PO BOX 959156ST LOUISMO63195SOFTWARE SERVICE$2,123,345
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K64CntrctRcvdGreaterThan100KCnt
Related Organizations$302,600RelatedOrganizationsAmt
Government Grants$229,430GovernmentGrantsAmt
All Other Contributions$11,178AllOtherContributionsAmt
Total Contributions$543,208TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REV.621110$224,050,545$224,050,545
OUTREACH REVENUE541900$45,231$45,231
NET PROVIDER REVENUE621110$51,695,697$51,695,697
FieldValueIRS element (for citing)
Total Program Service Revenue$275,791,473TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,282,167TotalRevenueColumnAmt
Exclusion$2,282,167ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$366,240RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$366,240RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$366,240TotalRevenueColumnAmt
Exclusion$366,240ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$108,275,287SecuritiesAmt
Other$142,984OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$106,713,734SecuritiesAmt
Other$404,424OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,561,553SecuritiesAmt
Other-$261,440OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,300,113TotalRevenueColumnAmt
Exclusion$1,300,113ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
REFERENCE LAB.621500$9,480,689$5,120,510$4,360,179
PEACE MEAL PROGRAM REVENUE900099$3,047,351$3,047,351
CAFETERIA & CATERING722320$934,569$934,569

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,453,268TotalRevenueColumnAmt
Exclusion$6,453,268ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$19,915,877OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$300,199,078TotalRevenueColumnAmt
Related Or Exempt Func Income$275,791,473RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,120,510UnrelatedBusinessRevenueAmt
Exclusion$18,743,887ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$70,055TotalAmt
Program Services$70,055ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,627,575TotalAmt
Management And General$6,627,575ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$268,111TotalAmt
Management And General$268,111ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$126,763,881TotalAmt
Program Services$117,744,532ProgramServicesAmt
Management And General$9,019,349ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,629,073TotalAmt
Program Services$4,299,711ProgramServicesAmt
Management And General$329,362ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,119,898TotalAmt
Program Services$18,688,352ProgramServicesAmt
Management And General$1,431,546ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,424,403TotalAmt
Program Services$6,896,151ProgramServicesAmt
Management And General$528,252ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$259,243TotalAmt
Management And General$259,243ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$148,851TotalAmt
Management And General$148,851ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$34,695TotalAmt
Management And General$34,695ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,293,354TotalAmt
Program Services$18,255,711ProgramServicesAmt
Management And General$1,037,643ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,028,176TotalAmt
Program Services$1,028,176ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$41,712,950TotalAmt
Program Services$38,745,041ProgramServicesAmt
Management And General$2,967,909ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,785,401TotalAmt
Program Services$2,587,218ProgramServicesAmt
Management And General$198,183ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,514,320TotalAmt
Program Services$3,264,273ProgramServicesAmt
Management And General$250,047ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,202,837TotalAmt
Program Services$1,117,254ProgramServicesAmt
Management And General$85,583ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,258,085TotalAmt
Program Services$1,168,571ProgramServicesAmt
Management And General$89,514ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,633,863TotalAmt
Program Services$1,633,863ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,662,521TotalAmt
Program Services$13,619,271ProgramServicesAmt
Management And General$1,043,250ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,420,460TotalAmt
Management And General$5,420,460ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MAINTENANCE/PREVENTATIVE MAINT$3,396,197$3,154,555$241,642
IL HOSPITAL TAX ASSESSMENT$4,451,804$4,451,804
DUES AND SUBSCRIPTIONS$441,757$441,757
UNRELATED BUSINESS TAX$6,521$6,521

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,764,332TotalAmt
Program Services$1,714,380ProgramServicesAmt
Management And General$49,952ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$268,918,363TotalAmt
Program Services$238,880,675ProgramServicesAmt
Management And General$30,037,688ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,420BOYAmt
EOY$8,020EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$107,231,328BOYAmt
EOY$94,235,869EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,726,218BOYAmt
EOY$39,658,093EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,180,615BOYAmt
EOY$3,518,805EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,008,721BOYAmt
EOY$3,069,938EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$289,065,561LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$123,743,746LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$129,734,423BOYAmt
EOY$165,321,815EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$65,832,819BOYAmt
EOY$77,264,347EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$78,353,701BOYAmt
EOY$83,285,525EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,646,445BOYAmt
EOY$8,585,336EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$426,721,690BOYAmt
EOY$474,947,748EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$39,792,787BOYAmt
EOY$42,277,766EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,790,000BOYAmt
EOY$59,174,442EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$53,186,830BOYAmt
EOY$51,464,289EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$127,769,617BOYAmt
EOY$152,916,497EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$298,952,073BOYAmt
EOY$322,031,251EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$298,952,073BOYAmt
EOY$322,031,251EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$426,721,690BOYAmt
EOY$474,947,748EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$31,280,715ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$8,201,537NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$34,695GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$34,695TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FFormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITIES: THIS IS THE PORTION OF THE IHA/AHA DUES THAT IS OFFSET AND ALLOCATED TO LOBBYING PURPOSES. THE LOBBYING PERCENTAGE THAT WAS PUBLISHED BY THE AMERICAN HOSPITAL ASSOCIATION WAS DETERMINED TO BE 22.12% OF THE ANNUAL MEMBERSHIP DUES AND THE PERCENTAGE BY IHA WAS DETERMINED TO BE 34.0% OF THEIR DUES.ExplanationTxt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,873,031BeginningYearBalanceAmt
Contributions$43,737ContributionsAmt
Investment Earnings Or Losses$21,870InvestmentEarningsOrLossesAmt
End Year Balance$3,938,638EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,440,394BeginningYearBalanceAmt
Contributions$15,359ContributionsAmt
Investment Earnings Or Losses$417,278InvestmentEarningsOrLossesAmt
End Year Balance$3,873,031EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$65,660,868BeginningYearBalanceAmt
Contributions$6,860ContributionsAmt
Investment Earnings Or Losses$8,519InvestmentEarningsOrLossesAmt
Other Expenditures$62,518,959OtherExpendituresAmt
End Year Balance$3,157,288EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.01280BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.71630PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.27090TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,553,346OtherCostOrOtherBasisAmt
Book Value$3,553,346BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$138,366,558OtherCostOrOtherBasisAmt
Depreciation$48,400,443DepreciationAmt
Book Value$89,966,115BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$543,828OtherCostOrOtherBasisAmt
Depreciation$374,370DepreciationAmt
Book Value$169,458BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$103,512,435OtherCostOrOtherBasisAmt
Depreciation$70,346,321DepreciationAmt
Book Value$33,166,114BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,089,394OtherCostOrOtherBasisAmt
Depreciation$4,622,612DepreciationAmt
Book Value$38,466,782BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$165,321,815TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SUPPLEMENTAL PENSION$29,686,812F
DEFERRED COMPENSATION$12,827,782F
HEDGE FUNDS$40,770,931F
FieldValueIRS element (for citing)
Total Book Value Securities$83,285,525TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
SUPPLEMENTAL PENSION$29,792,141
DEFERRED COMPENSATION$12,827,783
EST PROFESSIONAL LIABILITY CLA$8,844,365
FieldValueIRS element (for citing)
Total Liability$51,464,289TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS: ALL FUNDS ARE HELD BY A RELATED ORGANIZATION, SARAH BUSH LINCOLN HEALTH FOUNDATION. PER THE DONORS SPECIFIED INTENTIONS, PERMANENT AND TEMPORARY ENDOWMENT FUNDS MAY BE USED FOR CHARITABLE, BENEVOLENT, EDUCATIONAL, AND SCIENTIFIC PURPOSES TO SUPPORT SARAH BUSH LINCOLN HEALTH CENTER. THE PURPOSE OF THE BOARD DESIGNATED FUNDS IS TO PROVIDE FINANCIAL SUPPORT FOR ACTIVITIES OF THE SARAH BUSH LINCOLN HEALTH SYSTEM OR EXPENSES ASSOCIATED WITH MANAGING THE FOUNDATION.
SCHEDULE D, PART X, LINE 2FIN 48 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the CaribbeanInvestments$29,342,677
Central America and the CaribbeanInvestments$85,944
FieldValueIRS element (for citing)
Subtotal Spent$29,428,621SubtotalSpentAmt
Total Spent$29,428,621TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE F, PART I, COLUMN FFormAndLineReferenceDesc
ExplanationINVESTMENTS & EXPENDITURES: INVESTMENTS IN REGION: $ 29,342,677 EXPENDITURES IN REGION: 85,944 --------------- $ 29,428,621ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,338,188TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,338,188NetCommunityBenefitExpnsAmt
Total Expense0.01240TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$61,854,460TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,200,601DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,653,859NetCommunityBenefitExpnsAmt
Total Expense0.04330TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,192,648TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,200,601DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,992,047NetCommunityBenefitExpnsAmt
Total Expense0.05570TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,027,201TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,027,201NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$314,728TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$314,728NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,341,929TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,341,929NetCommunityBenefitExpnsAmt
Total Expense0.00500TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$66,534,577TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,200,601DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,333,976NetCommunityBenefitExpnsAmt
Total Expense0.06070TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,745TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$67,745NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,745TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$67,745NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$3,338,188BadDebtExpenseAmt
Reimbursed By Medicare$47,889,017ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$80,611,422CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$32,722,405MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SARAH BUSH LINCOLN HEALTH CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRIVEAddressLine1Txt
CityMATTOONCityNm
State AbbreviationILStateAbbreviationCd
ZIP61938ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTP://WWW.SARAHBUSH.ORGWebsiteAddressTxt
State License0003392StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SARAH BUSH LINCOLN HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy Website URL+StrategyWebsiteURLTxt
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care130.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5A 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 7B CHNA REPORT: THE CHNA REPORT FOR TAX YEAR 2012 IS POSTED AT: HTTP://MATTOON.HEALTHFORECAST.NET/REPORT.PDF
SCHEDULE H, PART V, SECTION B, LINE 11NEEDS 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. ACTIVATE HEALTHY CHOICES AMONG ADULTS: SBLHC BUILT THE CENTER FOR HEALTHY LIVING IN FY 2015; THERE ARE 857 MEMBERS AS OF JUNE 30,2016. 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 16: ENROLLED 43 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. FY16 = 7,988 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 FT 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, & 16CFAP, FAP APPLICATION, AND FAP PLAIN LANGUAGE SUMMARY: HTTPS://WWW.SARAHBUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/
SCHEDULE H, PART V, SECTION B, LINE 22DPATIENTS WITHOUT INSURANCE AND WHO QUALIFY FOR FINANCIAL ASSISTANCE (OR HAVE PREVIOUSLY QUALIFIED FOR FINANCIAL ASSISTANCE) ARE GIVEN A DISCOUNT IN ACCORDANCE WITH HOSPITAL POLICY. AMOUNT GENERALLY BILLED (AGB) TEST: ANY PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE BILLED NO MORE THAN AN AMOUNT DETERMINED BY MULTIPLYING THE GROSS CHARGES FOR ALL EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY SERVICES PROVIDED TO SUCH INDIVIDUAL BY THE AMOUNT GENERALLY BILLED (AGB) PERCENTAGE. GUARANTORS WITH FAMILY INCOME LESS THAN 400% OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR THE AGB DISCOUNT. THE AGB PERCENTAGE MEANS THE PERCENT CALCULATED ANNUALLY WHICH IS EQUAL TO (I) THE AGGREGATE DOLLAR AMOUNT OF CLAIMS PAID FOR ALL EMERGENCY MEDICAL CARE AND OTHER MEDICALLY NECESSARY SERVICES DURING THE TWELVE (12) MONTH PERIOD ENDED DECEMBER OF EACH YEAR BY BOTH MEDICARE AND ALL PRIVATE HEALTH INSURERS AS PRIMARY PAYERS, TOGETHER WITH ANY ASSOCIATED PORTIONS OF THOSE CLAIMS DUE FROM MEDICARE BENEFICIARIES OR INSURED PERSONS FOR CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES PLUS ANY LUMP SUM OR ADJUSTMENT PAYMENTS RELATED TO THE CARE OF PATIENTS BY MEDICARE OR OTHER PAYERS DIVIDED BY (II) THE GROSS CHARGES APPLICABLE TO ALL CLAIMS INCLUDED IN CALCULATING THE AMOUNT UNDER CLAUSE (I). THE AGB PERCENTAGE SHALL BE APPLIED TO ALL ELIGIBLE APPLICANT'S ACCOUNTS EFFECTIVE THIRTY (30) DAYS FOLLOWING THE END OF THE TWELVE (12) MONTH PERIOD USED IN DETERMINING THE AGB PERCENTAGE. ONLY EMERGENCY OR MEDICALLY NECESSARY SERVICES WILL BE ELIGIBLE FOR CONSIDERATION IN THIS CALCULATION.
SCHEDULE H, PART V, SECTION B, LINE 7ACHNA REPORT: https://www.sarahbush.org/media/filer_public/10/24/1024c90d-e620-4e78-9ebf -408aed615a49/chna_report.pdf
FieldValueIRS element (for citing)
Facility16FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
SBL ARCOLA CLINIC
241 W SPRINGFIELD RDARCOLAIL61920CLINIC
SBL ARTHUR CLINIC
211 S WALNUTARTHURIL61911CLINIC
SBL CASEY CLINIC
412 NW 3RD STCASEYIL62420CLINIC
SBL CHARLESTON FAMILY PRACTICE
116 WEST BUCHANAN AVECHARLESTONIL61920CLINIC
SBL FAMILY MEDICAL CENTER
200 RICHMOND AVEMATTOONIL61928CLINIC
SBL NEOGA CLINIC
650 OAK AVE PO BOX 640NEGOAIL62447CLINIC
SBL SULLIVAN CLINIC
7 HAWTHORNE LANESULLIVANIL61951CLINIC
SBL TOLEDO CLINIC
168 COURTHOUSE SQUARE PO BOX 99TOLEDOIL62468CLINIC
SBL EFFINGHAM CLINIC
905 N MAPLEEFFINGHAMIL62401CLINIC
SBL MATTOON WALK-IN CLINIC
144 DETTRO DRIVEMATTOONIL61938CLINIC
SBL NEWTON CLINIC
910 SOUTH BUREN STNEWTONIL62448CLINIC
SBL CHARLESTON WALK-IN CLINIC
2040 EAST LINCOLNCHARLESTONIL61920CLINIC
SBL ALTAMONT CLINIC
8 NORTH THIRD STALTAMONTIL62411CLINIC
SBL SHELBYVILLE CLINIC
207 S PINE ST SUITE 10SHELBYVILLEIL62565CLINIC
SBL TUSCOLA CLINIC
1100 TUSCOLA BLVDTUSCOLAIL61953CLINIC
SBL MARTINSVILLE CLINIC
890 RIDGELAWN ROADMARTINSVILLEIL62442CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 6AIT IS PUBLISHED ON OUR WEBSITE (WWW.SARAHBUSH.ORG).
SCHEDULE H, PART I, LINE 7, COLUMN FTHE ORGANIZATION INCURRED BAD DEBT EXPENSE IN THE AMOUNT OF $9,574,566, HOWEVER, IT HAS BEEN DISREGARDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
SCHEDULE H, PART I, LINE 7THE COSTING METHODOLOGY THAT WAS USED TO CALCULATE THESE AMOUNTS WAS THE RATIO OF PATIENT CARE COST TO CHARGES CALCULATED ON WORKSHEET 2 OF THE WORKING PAPERS.
SCHEDULE H, PART IICOLES 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 2USED THE RATIO OF PATIENT CARE COST TO CHARGES (0.3487) AS COMPUTED ON WORKSHEET 2 OF THE ACCOUNTING WORK PAPERS CALCULATE THE BAD DEBT EXPENSE (9,574,566) AT COST (3,338,188). WE REDUCE BAD DEBT EXPENSE BY THE DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS.
SCHEDULE H, PART III, LINE 4SEE THE PATIENT ACCOUNTS RECEIVABLE NOTE ON PAGE 8 OF THE ATTACHED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 8ALTHOUGH SBL DOES NOT TREAT SHORTFALL FOR MEDICARE AS A COMMUNITY BENEFIT, THERE COULD BE A CASE MADE THAT NOT BEING FULLY REIMBURSED FOR TREATING THE ELDERLY IS CONSIDERED TO BE THE PROVISION OF A BENEFIT TO THE COMMUNITY. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6, WAS THE RATIO OF PATIENT CARE COST TO CHARGES CALCULATED ON WORKSHEET 2 AND ALSO DETAILED ON WORKSHEET C OF THE WORKING PAPERS.
SCHEDULE H, PART III, LINE 9BACCOUNTS WRITTEN OFF AS A BAD DEBT AND REFERRED TO A COLLECTION AGENCY BUT LATER DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE WILL BE PLACED ON HOLD AT THE COLLECTION AGENCY AND ADDED TO THE BALANCES CONSIDERED FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENTEVERY 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, LN 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEWHEN 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 INFORMATIONSARAH BUSH LINCOLN (SBL) SERVES RURAL COMMUNITIES IN EAST CENTRAL ILLINOIS. SBL'S MARKET AREA ENCOMPASSES 7 COUNTIES INCLUDING: CLARK, COLES, CUMBERLAND, DOUGLAS, EDGAR, 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 HEALTHSARAH BUSH LINCOLN HEALTH CENTER HAS AN OPEN MEDICAL STAFF AS WELL AS A COMMUNITY BOARD.
SCHEDULE H, PART I, LINE 3CSEE PART V, LINE 13 FOR OTHER CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
COLES TOGETHER
400 AIRPORT ROADMATTOONIL61938371243664501(C)(6)$37,500SEE PART IV
COLES COUNTY COUNCIL ON AGING
11021 E CO RD 800NCHARLESTONIL619208632237414779501(C)(3)$10,000SEE PART IV
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART II, COLUMN HFormAndLineReferenceDesc
ExplanationPURPOSE OF GRANT OR ASSISTANCE: COLES TOGETHER IS A NOT-FOR-PROFIT 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. COLES COUNTY COUNCIL ON AGING IS A NOT-FOR-PROFIT CORPORATION FOUNDED TO ENHANCE THE QUALITY OF LIFE FOR OLDER ADULTS AND PEOPLE OF ALL AGES AND ABILITIES. OUR HOSPITAL BOARD HAS MADE A COMMITMENT TO SUPPORT THIS ORGANIZATION WHOSE COMMUNITY DEVELOPMENT EFFORTS ARE COMMITTED TO THE PROVISION OF EXCELLENCE IN SERVICE TO THE ELDERLY POPULATION OF COLES COUNTY AND THE GENERAL PUBLIC.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR GARY MIKEL
COMMITTEE COMMUNITY MEMBER$253,498$0$53,203$0$47,121$0$9,000$0$20,086$0$382,908$0$0$0
DR SHERYL ARTMANN
DIRECTOR$314,379$0$1,600$0$51,440$0$9,000$0$22,613$0$399,032$0$0$0
DR KIRAN JOAG
PHYSICIAN OFFICER$383,340$0$148,394$0$12,596$0$9,000$0$18,329$0$571,659$0$0$0
DR JOHN LAUER
DIRECTOR$295,047$0$119,321$0$48,482$0$9,000$0$24,107$0$495,957$0$0$0
AARON C EUBANKS MD
PHYSICIAN$795,585$0$779,613$0$117,166$0$9,000$0$21,602$0$1,722,966$0$0$0
LOUIS B MENDELLA MD
PHYSICIAN$844,408$0$572,835$0$123,955$0$9,000$0$24,175$0$1,574,373$0$0$0
MATTHEW D JONES MD
PHYSICIAN$594,341$0$561,233$0$42,078$0$9,000$0$21,112$0$1,227,764$0$0$0
CHARLY T NGUYEN MD
PHYSICIAN$801,011$0$223,057$0$122,076$0$9,000$0$25,499$0$1,180,643$0$0$0
MR TIMOTHY A OLS
PRESIDENT & CEO$355,086$0$190,730$0$112,292$0$9,000$0$24,409$0$691,517$0$0$0
MR DENNIS J PLUARD
VP FINANCE & OPERATIONS$251,110$0$87,456$0$55,778$0$9,000$0$20,814$0$424,158$0$0$0
MR JERRY J ESKER
VP PRACTICE MANAGEMENT$240,276$0$95,464$0$42,667$0$9,000$0$14,316$0$401,723$0$0$0
MS MARY LOU WILD
VP PATIENT CARE$165,192$0$82,910$0$103,919$0$9,000$0$10,081$0$371,102$0$0$0
DR JAMES HILDEBRANDT
VP MEDICAL AFFAIRS$292,937$0$108,464$0$69,672$0$9,000$0$21,504$0$501,577$0$0$0
MR ERIC G BENSON
VP HUMAN RESOURCES$182,729$0$71,295$0$36,673$0$7,580$0$21,249$0$319,526$0$0$0
MS KIMBERLY A UPHOFF
VP DEVELOPMENT & FOUNDATION$173,633$0$62,972$0$26,424$0$7,249$0$20,054$0$290,332$0$0$0
MS MARGARETT A RATLIFF
VP INFORMATION SYSTEMS$190,335$0$67,627$0$16,097$0$8,049$0$14,891$0$296,999$0$0$0
AZIZ S AHMED MD
PHYSICIAN$578,891$0$494,789$0$37,359$0$4,846$0$1,009$0$1,116,894$0$0$0
DR JOSHUA W GARRETT
COMMITTEE COMMUNITY MEMBER$572,643$0$604,184$0$42,629$0$9,000$0$8,095$0$1,236,551$0$0$0
DR LORI L CUDONE
DIRECTOR$421,596$0$166,269$0$37,121$0$9,000$0$17,057$0$651,043$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 7COMPENSATION INFORMATION: ADDITIONAL COMPENSATION TO OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE DEPENDENT ON SPECIFIC ORGANIZATIONAL AND INDIVIDUAL GOALS. THESE GOALS INCLUDE FINANCIAL, QUALITY, CUSTOMER SERVICE, AND OTHER GOALS RELATED TO THE ORGANIZATION'S STRATEGIC PLAN.
SCHEDULE J, PART I, LINE 1AHEALTH OR SOCIAL CLUB DUES AND COMPANION TRAVEL: COUNTRY CLUB DUES ARE REPORTED AS TAXABLE COMPENSATION FOR OUR PRESIDENT AND CEO, MR. TIMOTHY A OLS. TRAVEL FOR COMPANIONS IS PROVIDED PER THE EMPLOYMENT AGREEMENT WITH THE PRESIDENT & CEO, TIM OLS. ANY PERSONAL ITEMS, EXTRA DAYS, AND MEALS FOR BOTH ARE PAID FOR USING HIS PERSONAL CREDIT CARD.
SCHEDULE J, PART I, LINE 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: SARAH BUSH LINCOLN HEALTH CENTER CURRENTLY MAINTAINS A NONQUALIFIED, UNFUNDED, DEFINED CONTRIBUTION SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, ON BEHALF OF CERTAIN DESIGNATED MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THE PLAN IS INTENDED TO BE AN UNFUNDED DEFERRED COMPENSATION PLAN FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES, AS DESCRIBED IN THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED ("ERISA"). THE FOLLOWING PERSONS LISTED IN FORM 990, PART VII ARE PARTICIPANTS IN THE PLAN: GARY MIKEL, MD KIRAN JOAG, MD SHERYL ARTMANN, MD JOHN LAUER, MD AARON EUBANKS, MD LOUIS MENDELLA, MD CHARLEY NGUYEN, MD TIMOTHY A OLS DENNIS J PLUARD ERIC BENSON JERRY ESKER MARY LOU WILD KIMBERLY UPHOFF JAMES HILDEBRANDT MARGARETT RATLIFF AZIZ AHMED, MD JOSHUA GARRETT, MD LORI CUDONE, MD MATT JONES, MD THERE WERE NO DISTRIBUTIONS FROM THE PLAN DURING THE TAX YEAR BY THESE PARTICIPANTS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$12,880,000$0$45,000,000$0$0$0$517,777$0$0$26,444,431$18,037,792$02014Yes (true)falsefalseYes (true)
B$0$0$30,000,000$0$0$0$0$0$0$13,462,013$0$16,537,987falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, LINE A, COLUMN FDESCRIPTION OF PURPOSE: REFINANCE OLD BONDS AND CONSTRUCTION OF MASTER FACILITY PLAN
SCHEDULE K, PART I, LINE B, COLUMN FTHE 2015 REVENUE BONDS, SERIES 2015, ALLOWS BORROWING UP TO $30,000,000 WHICH BEAR A VARIABLE INTEREST RATE OF 68 PERCENT OF ONE MONTH LIBOR PLUS 45 BASIS POINTS PER ANNUM. BONDS BORROWED FOR REIMBURSING THE HEALTH CENTER FOR ACQUIRING, CONSTRUCTING, RENOVATING, EXPANDING AND EQUIPPING CERTAIN FACILITIES IN THE HOSPITAL.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
LAURIE E MOONEY
WIFE OF TIM MOONEY$136,069L MOONEY EMPLOYED BY HLTH CTRfalse
MORGAN E DAVIS
DAUGHTER OF DON DAVIS$11,431M DAVIS EMPLOYED BY HLTH CTRfalse
ROBERT CUDONE
HUSBAND OF LORI CUDONE$120,611R CUDONE EMPLOYED BY HLTH CTRfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4ASEE ATTACHED SOCIAL ACCOUNTABILITY STATEMENT
FORM 990, PART VI, SECTION A, LINE 2BUSINESS 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 7AELECTION OF GOVERNING BODY: BOARD MEMBERS WILL AID IN THE SELECTION FOR THE NOMINATION OF NEW BOARD MEMBERS WHEN VACANCIES OCCUR OR WHEN TERMS WILL EXPIRE, BUT THE FINAL APPROVAL OF THE CANDIDATES IS MADE BY THE SOLE MEMBER OF THE CORPORATION, SARAH BUSH LINCOLN HEALTH SYSTEM.
PART VI, SECTION A, LINE 7BDECISIONS OF THE GOVERNING BODY: THE SARAH BUSH LINCOLN HEALTH SYSTEM BOARD, THE SOLE MEMBER OF THE HEALTH CENTER BOARD, RETAINS CERTAIN RESERVED POWERS INCLUDING; AMENDING ARTICLES OF INCORPORATION OR BYLAWS, APPROVING THE ANNUAL OPERATING BUDGET AND LONG RANGE STRATEGIC PLAN, APPROVAL OF ANY TRANSACTIONS REQUIRING A CERTIFICATE OF NEED, APPROVAL OF THE BORROWING OF FUNDS AND INCURRING DEBT, APPROVAL OF MERGERS, CONSOLIDATIONS, SALE, OF ALL OR SUBSTANTIALLY ALL ASSETS, SELECTING AUDITORS, CREATING OR ACQUIRING SUBSIDIARY OR AFFILIATE CORPORATIONS, DISSOLVING THE CORPORATION, APPOINTING, EVALUATING AND REMOVAL OF PRESIDENT/CEO, AND ELECTING BOARD MEMBERS.
FORM 990 PART VI, SECTION B, LINE 11AFORM 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 12A-CCONFLICT 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 & 15BPROCESS 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 19PUBLIC DISCLOSURE: CURRENTLY, SARAH BUSH LINCOLN HEALTH CENTER POSTS THEIR COMMUNITY BENEFITS STATEMENT ON OUR PUBLIC WEB-SITE. NO OTHER GOVERNING DOCUMENTS ARE ROUTINELY MADE AVAILABLE.
FORM 990, PART XIIA FEDERAL AWARD WAS GRANTED AND AN A-133 AUDIT REQUIRED. THE A-133 AUDIT WAS PERFORMED IN CONJUNCTION WITH THE HOSPITAL'S ROUTINE AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SARAH BUSH LINCOLN HEALTH SYSTEM
1000 HEALTH CENTER DRIVEMATTOONIL61938371136714PARENT COIL501(C)(3)11-INAfalse
SARAH BUSH LINCOLN HEALTH CTR FOUNDATION
1000 HEALTH CENTER DRIVEMATTOONIL61938371136713FUNDRAISINGIL501(C)(3)11-ISBLHSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
SARAH BUSH LINCOLN HEALTH MGMT SERVICES
1000 HEALTH CENTER DRIVEMATTOONIL61938371136614RETAIL DME/RXILSBLHSC CORP$0$0Yes (true)
SARAH BUSH LINCOLN CAPTIVE INSURANCE LTD
INSURANCESBLHSC CORP$0$0Yes (true)PO BOX 69GRAND CAYMANCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SARAH BUSH LINCOLN HEALTH CENTER FOUNDATION
C$272,600BOOK VALUE
SARAH BUSH LINCOLN HEALTH MANAGEMENT SERVICES
A$236,384CONTRACTED RATE
SARAH BUSH LINCOLN HEALTH MANAGEMENT SERVICES
L$2,698,989BOOK VALUE