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SARAH BUSH LINCOLN HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SARAH BUSH LINCOLN HEALTH CENTER (EIN 23-7098532)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-04-27
IRS object ID
201331179349300503
Schema version
2011v1.5
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)
Timestamp2013-04-27T13:55:10-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1211 N BROADWAY SUITE 600AddressLine1
CityST LOUISCity
StateMOState
ZIP Code631022733ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237098532EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Sarah Bush Lincoln Health CenterBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% CRAIG W SHEAGREN CPAInCareOfName
Name ControlSARANameControl
Phone2172582514Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 372AddressLine1
CityMattoonCity
StateILState
ZIP Code61938ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCRAIG W SHEAGRENName
TitleVICE PRESIDENT FINANCETitle
Phone2172582514Phone
Date Signed2013-04-25DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDonna J LarsonName
Phone3142315544Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTIMOTHY A OLSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRIVEAddressLine1
CityMATTOONCity
StateILState
ZIP Code61938ZIPCode
FieldValueIRS element (for citing)
Gross Receipts294706564GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.sarahbush.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF SARAH BUSH LINCOLN HEALTH CENTER IS TO PROVIDE EXCEPTIONAL CARE FOR ALL AND CREATE HEALTHY COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees1891TotalNbrEmployees
Total Nbr Volunteers223TotalNbrVolunteers
Total Gross UBI4893022TotalGrossUBI
Contributions Grants Prior Year1172631ContributionsGrantsPriorYear
Contributions Grants Current Year1832937ContributionsGrantsCurrentYear
Program Service Revenue Prior Year177799760ProgramServiceRevenuePriorYear
Program Service Revenue CY181887410ProgramServiceRevenueCY
Investment Income Prior Year4543416InvestmentIncomePriorYear
Investment Income Current Year2210549InvestmentIncomeCurrentYear
Other Revenue Prior Year12214109OtherRevenuePriorYear
Other Revenue Current Year14668989OtherRevenueCurrentYear
Total Revenue Prior Year195729916TotalRevenuePriorYear
Total Revenue Current Year200599885TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year27638GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY61598GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year108124738SalariesEtcPriorYear
Salaries Etc Current Year115342915SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year73551517OtherExpensePriorYear
Other Expenses Current Year67135862OtherExpensesCurrentYear
Total Expenses Prior Year181703893TotalExpensesPriorYear
Total Expenses Current Year182540375TotalExpensesCurrentYear
Revenues Less Expenses Prior Year14026023RevenuesLessExpensesPriorYear
Revenues Less Expenses CY18059510RevenuesLessExpensesCY
Total Assets BOY275371572TotalAssetsBOY
Total Assets EOY315364003TotalAssetsEOY
Total Liabilities BOY93738269TotalLiabilitiesBOY
Total Liabilities EOY117204059TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY181633303NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY198159944NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense158127590Expense
Grants61598Grants
Revenue186780432Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense158127590TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096127NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1891NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Name Of Foreign CountryBDNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCRAIG W SHEAGREN CPANamePerson
Telephone Number2172582514TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRIVEAddressLine1
CityMATTOONCity
StateILState
ZIP Code61938ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MR JIM LITTLEFORD
DIRECTOR1.0X000
MR STEVE HONSELMAN
CHAIRPERSON1.0X000X
MR SCOTT LENSINK
VICE CHAIRPERSON1.0X000X
DR GARY MIKEL
SECRETARY55.0X328123027094X
MR CHRIS CONSIDINE
DIRECTOR1.0X000
MS ANN BACON
TREASURER1.0X000X
DR ALDO RUFFOLO
DIRECTOR1.0X000
MS JEANNE DAU
DIRECTOR1.0X000
MR MARK DONNELL
DIRECTOR1.0X000
MR TIM MOONEY
DIRECTOR1.0X000
MR STEVE WENTE
DIRECTOR1.0X000
MR LARRY LILLY
DIRECTOR1.0X000
DR KIRAN JOAG
DIRECTOR55.0X445239027477
DR BILL PERRY
DIRECTOR1.0X000
MR TIMOTHY A OLS
PRESIDENT & CEO39.0232503012474X
MR CRAIG SHEAGREN
VP FINANCE52.0270311021470X
MR DENNIS J PLUARD
VP OPERATIONS54.0349900023735X
MR JERRY E ESKER
VP SYSTEM PRACTICES55.0285246018802X
MS MARY LOU WILD
VP PAITENT CARE55.0280057014937X
MR ERIC G BENSON
VP HUMAN RESOURCES54.0220401022625X
MS KIMBERLY A UPHOFF
VP DEVELOPMENT27.0165697021069X
AARON C EUBANKS MD
PHYSICIAN55.01430560031322X
LOUIS B MENDELLA MD
PHYSICIAN55.01351928033575X
CHARLEY T NGUYEN MD
PHYSICIAN55.01305699034777X
MICHAEL S SMITH MD
PHYSICIAN55.01109701034559X
CURTIS R GREEN MD
PHYSICIAN55.0912170032960X
MR GARY BARNETT
FORMER PRESIDENT & CEO39.0548351019024X
FieldValueIRS element (for citing)
Total Reportable Comp From Org9235886TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation375900TotalOtherCompensation
Number Individuals GT100 K110NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SM WILSON COMPANY
2185 HAMPTON AVE PO BOX 5210ST LOUISMO63139CNSTRCTN CONTRACTOR10770190
AON RISK SERVICES INC OF MINNESOTA
75 REMITTANCE DR SUITE 1943CHICAGOIL606751943INSURANCE PROF LIAB1393420
AETNO-HARTFORD
PO BOX 88863CHICAGOIL60695INSURANCE ASO & ADMI1290371
GE HEALTHCARE
PO BOX 843553DALLASTX752843553PREV MAINT AGREEMENT963417
SOUTH BEND MEDICAL FOUNDATION INC
PO BOX 2030MISHAWAKAIN465462030LABORATORY SERVICES872864
FieldValueIRS element (for citing)
Number Of Contractors GT100 K40NumberOfContractorsGT100K
Related Organizations518360RelatedOrganizations
Government Grants1244360GovernmentGrants
All Other Contributions70217AllOtherContributions
Total Contributions1832937TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REV.621110147221015147221015
OUTREACH REVENUE5419005822858228
NET PROVIDER REVENUE6211103460816734608167
FieldValueIRS element (for citing)
Total Program Service Revenue181887410TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1627216TotalRevenueColumn
Exclusion$1,627,216ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real360549Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real360549Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column360549TotalRevenueColumn
Exclusion$360,549ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities94582927Securities
Other107085Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities93880088Securities
Other226591Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities702839Securities
Other-119506Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column583333TotalRevenueColumn
Exclusion$583,333ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
REFERENCE LAB.62150090063034790865$4,215,438
CAFETERIA & OTHER7223205199980$5,199,980
MANAGEMENT FEES5610006190361903

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column40254TotalRevenueColumn
Unrelated Business Revenue40254UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue14308440TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column200599885TotalRevenueColumn
Related Or Exempt Function Income181887410RelatedOrExemptFunctionIncome
Unrelated Business Revenue4893022UnrelatedBusinessRevenue
Exclusion$11,986,516ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total61598Total
Program Services61598ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3215984Total
Management And General3215984ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total39100Total
Management And General39100ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total89302111Total
Program Services82080096ProgramServices
Management And General7222015ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3631449Total
Program Services3337767ProgramServices
Management And General293682ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13916848Total
Program Services12791369ProgramServices
Management And General1125479ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5237423Total
Program Services4813864ProgramServices
Management And General423559ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total123991Total
Management And General123991ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total105479Total
Management And General105479ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total25931Total
Management And General25931ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8093056Total
Program Services7556231ProgramServices
Management And General536825ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total728256Total
Program Services728256ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total26347078Total
Program Services24216345ProgramServices
Management And General2130733ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1557222Total
Program Services1431287ProgramServices
Management And General125935ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3227345Total
Program Services2966344ProgramServices
Management And General261001ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1049636Total
Program Services964750ProgramServices
Management And General84886ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total811643Total
Program Services746004ProgramServices
Management And General65639ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total900185Total
Program Services900185ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9917215Total
Program Services9115193ProgramServices
Management And General802022ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total7588200Total
Management And General7588200ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MAINTENANCE/PREVENTATIVE MAINT25892812379881209400
IL HOSPITAL TAX ASSESSMENT26170682617068
DUES AND SUBSCRIPTIONS353316353316
RECRUITMENT EXPENSES693881693881

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total407079Total
Program Services374155ProgramServices
Management And General32924ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total182540375Total
Program Services158127590ProgramServices
Management And General24412785ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5370BOY
EOY5670EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY47164649BOY
EOY89599328EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25355275BOY
EOY31150762EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3103841BOY
EOY3131064EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2481784BOY
EOY2670893EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis188163594LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec107141053LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY70096743BOY
EOY81022541EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY96942839BOY
EOY54811183EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY23820928BOY
EOY45703046EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6400143BOY
EOY7269516EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY275371572BOY
EOY315364003EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY23535662BOY
EOY32636623EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY44450000BOY
EOY42245000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY632589BOY
EOY356004EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY25120018BOY
EOY41966432EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY93738269BOY
EOY117204059EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY181633303BOY
EOY198159944EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY181633303BOY
EOY198159944EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY275371572BOY
EOY315364003EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses18059510ReconcilationRevenueExpenses
Reconcilation Other Changes-1532869ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$25,931GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB25931TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPOLITICAL CAMPAIGN AND LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART IVReturnReference
ExplanationTHIS IS THE PORTION OF THE IHHA/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 24.6% OF THE ANNUAL MEMBERSHIP DUES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance65660868BeginningOfYearBalance
Contributions6860Contributions
Investment Earnings Or Losses8519InvestmentEarningsOrLosses
Other Expenditures62518959OtherExpenditures
End Of Year Balance3157288EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance44179288BeginningOfYearBalance
Contributions18233631Contributions
Investment Earnings Or Losses6968167InvestmentEarningsOrLosses
Grants Or Scholarships502922GrantsOrScholarships
Other Expenditures3217296OtherExpenditures
End Of Year Balance65660868EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance38975241BeginningOfYearBalance
Contributions5800500Contributions
Investment Earnings Or Losses3288311InvestmentEarningsOrLosses
Grants Or Scholarships658806GrantsOrScholarships
Other Expenditures3225958OtherExpenditures
End Of Year Balance44179288EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance42423175BeginningOfYearBalance
Contributions5589131Contributions
Investment Earnings Or Losses-5482375InvestmentEarningsOrLosses
Grants Or Scholarships326818GrantsOrScholarships
Other Expenditures3227872OtherExpenditures
End Of Year Balance38975241EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.01066BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.78793PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.20141TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis3194269OtherCostOrOtherBasis
Book Value3194269BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis80493743OtherCostOrOtherBasis
Depreciation37950821Depreciation
Book Value42542922BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis169555OtherCostOrOtherBasis
Depreciation70265Depreciation
Book Value99290BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis85227311OtherCostOrOtherBasis
Depreciation65699759Depreciation
Book Value19527551BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19078717OtherCostOrOtherBasis
Depreciation3420208Depreciation
Book Value15658509BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings81022541TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
DESIGNATED UNDER BOND AGRMT2977252F
SUPPLEMENTAL PENSION16895413F
DEFERRED COMPENSATION6525819F
HEDGE FUNDS19304562F
FieldValueIRS element (for citing)
Total Of Book Value Securities45703046TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
SUPPLEMENTAL PENSION$20,184,978
DEFERRED COMPENSATION$7,423,027
EST PROFESSIONAL LIABILITY CLAIMS$14,358,427
FieldValueIRS element (for citing)
Total Of Amounts41966432TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSPART VIALL FUNDS ARE HELD BY A RELATED ORGANIZATION, SARAH BUSH LINCOLN HEALTH FOUNDATION. PER THE DONORS SPECIFIED INTENTIONS, PERMANENT AND TERM 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. IN THE CURRENT YEAR, THE ORGANIZATION REVIEWED ITS CLASSIFICATION OF FUNDS AS ENDOWMENTS UNDER THE GUIDANCE OF SFAS 117. FUNDS THAT DID NOT MEET THE DEFINITIONS UNDER SFAS 117 HAVE BEEN REMOVED ON LINE 1E OF PART V.
FIN 48 FOOTNOTEPART X, LINE 2MANAGEMENT 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

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures16719275TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent16719275SubtotalAmountSpent
Total Amount Spent16719275TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CotruePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierINVESTMENTS & EXPENDITURESIdentifier
Return ReferencePART I, COLUMN FReturnReference
ExplanationINVESTMENTS IN REGION: 16,628,634 EXPENDITURES IN REGION: 90,641 (INVESTMENT EXPENSES)Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage130.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense10302641TotalCommunityBenefitExpense
Net Community Benefit Expense10302641NetCommunityBenefitExpense
Percent Of Total Expense0.05810PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense37380598TotalCommunityBenefitExpense
Direct Offsetting Revenue30914454DirectOffsettingRevenue
Net Community Benefit Expense6466144NetCommunityBenefitExpense
Percent Of Total Expense0.03640PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense47683239TotalCommunityBenefitExpense
Direct Offsetting Revenue30914454DirectOffsettingRevenue
Net Community Benefit Expense16768785NetCommunityBenefitExpense
Percent Of Total Expense0.09450PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense511327TotalCommunityBenefitExpense
Net Community Benefit Expense511327NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense359409TotalCommunityBenefitExpense
Net Community Benefit Expense359409NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense870736TotalCommunityBenefitExpense
Net Community Benefit Expense870736NetCommunityBenefitExpense
Percent Of Total Expense0.00490PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense48553975TotalCommunityBenefitExpense
Direct Offsetting Revenue30914454DirectOffsettingRevenue
Net Community Benefit Expense17639521NetCommunityBenefitExpense
Percent Of Total Expense0.09940PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense46255TotalCommunityBuildingExpense
Net Community Building Expense46255NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense25000TotalCommunityBuildingExpense
Net Community Building Expense25000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense2350TotalCommunityBuildingExpense
Net Community Building Expense2350NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense73605TotalCommunityBuildingExpense
Net Community Building Expense73605NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,820,389BadDebtExpenseAmount
Amount Reimbursed By Medicare39086479AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare52571487CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-13485008MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SARAH BUSH LINCOLN HEALTH CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11000 HEALTH CENTER DRIVEAddressLine1
CityMATTOONCity
StateILState
ZIP Code61938ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SARAH BUSH LINCOLN HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent130.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities9NumberOfOtherFacilities

Other Facilities OtherFacilities (9 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
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 AVE EMATTOONIL61928CLINIC
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 6AIT IS PUBLISHED ON OUR WEBSITE (WWW.SARAHBUSH.ORG).
PART I, LINE 7, COLUMN FTHE ORGANIZATION INCURRED BAD DEBT EXPENSE IN THE AMOUNT OF $5,070,722, HOWEVER, IT HAS BEEN DISREGARDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
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.
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. COLES COMMUNITY HEALTH PLAN IS A NOT-FOR-PROFIT CORPORATION EXCLUSIVELY FOR CHARITABLE PURPOSES AND TO SUPPORT AND ENCOURAGE GIFTS OF MONEY AND PROPERTY FROM DONORS, INCLUDING BUT NOT LIMITED TO GIFTS FROM INDIVIDUALS, CORPORATIONS, AND TRUSTS, AND TO APPLY SUCH GIFTS AND THE PROCEEDS THEREOF TO THE DEVELOPMENT AND STAINABILITY OF IMPROVED HEALTH CARE ACCESS FOR LOW INCOME PEOPLE OF COLES COUNTY.
PART III, LINE 4THE SYSTEM REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. USED THE RATIO OF PATIENT CARE COST TO CHARGES (0.3590) AS COMPUTED ON WORKSHEET 2 OF THE ACCOUNTING WORK PAPERS TO CALCULATE THE BAD DEBT EXPENSE (5,070,722) AT COST (1,820,389). WE REDUCE BAD DEBT EXPENSE BY THE DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS.
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.
PART III, LINE 9BACCOUNTS, WHICH HAVE BEEN WRITTEN OFF AS A BAD DEBT AND REFERRED TO A COLLECTION AGENCY, WILL BE PLACED ON HOLD AT THE COLLECTION AGENCY AND ADDED TO THE BALANCES CONSIDERED FOR FINANCIAL ASSISTANCE.
PART V, SECTION B, LINE 19DPATIENTS WITHOUT INSURANCE AND WHO QUALIFY FOR FINANCIAL ASSISTANCE (OR HAVE PREVIOUSLY QUALIFIED FOR FINANCIAL ASSISTANCE) ARE GIVEN A DISCOUNT IN ACCORDANCE WITH HOSPITAL POLICY.
2. NEEDS ASSESSMENTSARAH BUSH LINCOLN (SBL) ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH A VARIETY OF METHODS. DATA COLLECTED FROM THE ILLINOIS BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (IBRFSS) IS USED TO ROUTINELY MONITOR THE HEALTH STATUS OF THOSE IN THE COMMUNITY. DATA IS SEGMENTED AT A COUNTY-LEVEL AND ASSESSES HEALTH INDICATORS SUCH AS OBESITY, PHYSICAL ACTIVITY, NUTRITION, TOBACCO USE, SUBSTANCE ABUSE, MENTAL HEALTH, IMMUNIZATIONS AND ACCESS TO HEALTH CARE. SARAH BUSH LINCOLN USES INFORMATION FROM THE IBRFSS AND HEALTH PEOPLE 2020 TO DETERMINE THE LEADING HEALTH INDICATORS WITH THE LARGEST PREDICTED TARGET AUDIENCE FOR THE COMMUNITIES IT SERVES. BASED ON THE CURRENT COMMUNITY NEEDS ASSESSMENT, SBL'S HEALTH COMMUNITY STRATEGY IS TO REDUCE OBESITY AMONG THE POPULATION LIVING IN ITS SERVICE AREA. SBL WILL WORK COLLABORATIVELY WITH OTHERS TO ACHIEVE THIS GOAL. SARAH BUSH LINCOLN ALSO ASSESSES THE HEALTH CARE NEEDS OF THE YOUTH BY CONDUCTING A YOUTH RISK BEHAVIOR SURVEY THROUGH ITS I SING THE BODY ELECTRIC, NATIONALLY-RECOGNIZED PROGRAM. THE SURVEY GATHERS DATA FROM MORE THAN 4,000 HIGH SCHOOL STUDENTS IN THE REGION AND ASSESSES HEALTH BEHAVIORS SUCH AS NUTRITION, SUBSTANCE ABUSE, INJURIES, PHYSICAL ACTIVITY, SEXUAL BEHAVIOR, BODY IMAGE, AND SUICIDE. SURVEY QUESTIONS COME FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION YOUTH RISK BEHAVIOR SURVEILLANCE SURVEY, THE ILLINOIS YOUTH SURVEY, AND MONITORING THE FUTURE SURVEY. ADDITIONALLY, SARAH BUSH LINCOLN WORKS CLOSELY WITH THE COLES COUNTY HEALTH DEPARTMENT TO REVIEW DATA FROM THE I-PLAN, WHICH IS ANOTHER ASSESSMENT TOOL USED TO DETERMINE THE HEALTH NEEDS OF THE COMMUNITY.
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 THE APPLICATION) WITH A DEDICATED PHONE NUMBER.
4. COMMUNITY INFORMATIONSARAH BUSH LINCOLN SERVES RURAL COMMUNITIES IN EAST CENTRAL ILLINOIS. SBL'S MARKET AREA ENCOMPASSES 7 COUNTIES INCLUDING: COLES, CUMBERLAND, DOUGLAS, SHELBY, CLARK, EDGAR, AND MOULTRIE. POPULATION OF THIS MARKET IS 160,267. TWENTY-EIGHT PERCENT OF HOUSEHOLDS IN COLES COUNTY HAVE INCOMES BELOW THE FEDERAL POVERTY LEVEL, AND 28 PERCENT OF COLES COUNTY RESIDENTS ARE UNINSURED, WHICH IS SUBSTANTIALLY HIGHER THAN THE UNINSURED NATIONAL AVERAGE OF 15 PERCENT.
5. PROMOTION OF COMMUNITY HEALTHDESCRIPTION IS LISTED IN #1, PART II - COLES COMMUNITY HEALTH PLAN.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
COLES TOGETHER
400 AIRPORT ROADMATTOONIL61938371243664501(C)(6)27500SEE PART IV
COLES COMMUNITY HEALTH PLAN
825 18TH STCHARLESTONIL61920753246048501(C)(3)25000SEE PART IV
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPART IIIdentifier
ExplanationCOLES 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 UTIMATELY IMPACT THE UTILIZATION AND VIABILITY OF OUR HOSPITAL ORGANIZATION. COLES COMMUNITY HEALTH PLANS IS A NOT-FOR-PROFIT CORPORATION EXCLUSIVELY FOR CHARITABLE PURPOSES AND TO SUPPORT AND ENCOURAGE GIFTS OF MONEY AND PROPERTY FROM DONORS, INCLUDING BUT NOT LIMITED TO GIFTS FROM INDIVIDUALS, CORPORATIONS, AND TRUSTS, AND TO APPLY SUCH GIFTS AND THE PROCEEDS THEREOF TO THE DEVELOPMENT AND SUSTAINABILITY OF IMPROVED HEALTH CARE ACCESS FOR LOW INCOME PEOPLE OF COLES COUNTY.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DR GARY MIKEL
213060088292026771082500188440355217000
DR KIRAN JOAG
2995130106835038891082500192270472716000
MR DENNIS J PLUARD
249473072000028427082500154850373635000
MR GARY BARNETT
2626500268517017184044420145820567375000
MR TIMOTHY A OLS
22097901000001524000124740244977000
MR CRAIG SHEAGREN
20682005847005021082500132200291781000
MR JERRY E ESKER
196428065958022860079720108300304048000
MS MARY LOU WILD
20308605241502455608155067820294994000
MR ERIC G BENSON
148589052796019016063410162840243026000
MS KIMBERLY A UPHOFF
112105040771012821047040163650186766000
AARON C EUBANKS MD
8096160614997059470825002307201461882000
LOUIS B MENDELLA MD
8096170534204081070825002532501385503000
CHARLEY T NGUYEN MD
82399303893770923290825002652701340476000
MICHAEL S SMITH MD
74299702830270836770825002630901144260000
CURTIS R GREEN MD
6500000191647070523076150253450945130000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanation
COMPENSATION INFORMATION, SCHEDULE J, LINE 7ADDITIONAL COMPENSATION TO OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE DEPENDENT ON SPECIFIC ORGANIZATIONAL AND INDIVIDUAL GOALS. THESE GOALS INCLUDE FINANCAIL, QUALITY, CUSTOMER SERVICE, AND OTHER GOALS RELATED TO THE ORGANIZATION'S STRATEGIC PLAN.
HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES, SCHEDULE J, LINE 1ACOUNTRY CLUB DUES ARE REPORTED AS TAXABLE COMPENSATION FOR OUR PRESIDENT AND CEO, MR. TIMOTHY A OLS AND WOULD INCLUDE OUR PRIOR PRESIDENT AND CEO, MR. GARY BARNETT.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, SCHEDULE J, LINE 4BSARAH 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 CRAIG SHEAGREN JERRY ESKER AARON EUBANKS, MD MICHAEL SMITH, MD KIRAN JOAG, MD DENNIS PLURAD ERIN BENSON CURTIS GREEN, MD LOUIS MENDELLA, MD GARY BARNETT MARY LOU WILD TIMOTHY OLS CHARLEY NGUYEN, MD KIMBERLY UPHOFF THE FOLLOWING PERSONS RECEIVED DISTRIBUTIONS FROM THE PLAN DURING THE TAX YEAR: DENNIS PLUARD $10,070

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN861091967IssuerEIN
Date Issued2011-03-18DateIssued
Issue Price45000000IssuePrice
Description Of PurposeSEE PART VIDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuertrueOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds45000000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow12159250RefundingEscrow
Issuance Costs From Proceeds517777IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures14285181CapitalExpenditures
Other Spent Proceeds18037792OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2014YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledtrueForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSEE SCHEDULE OIdentifier
Return Reference0ReturnReference

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
THERESE A BLUME
SIBLING-CHRIS CONSIDINE16393T BLUME EMPLOYEED BY HLTH CNTRfalse
MAGGIE R WENTE
SISTER-IN-LAW-STEVE WENTE22707M WENTE EMPLOYEED BY HLTH CNTRfalse
SBL MANAGEMENT SERVICES DIRECTORS
SEE PART V216581RENT INCOMEfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSBL HEALTH MANAGEMENT SERVICES RELATIONSHIPIdentifier
Return ReferencePART IVReturnReference
ExplanationSBL HEALTH MANAGEMENT SERVICES IS A TAXABLE ENTITY RELATED TO SBL HEALTH CENTER. ANN BACON, SCOTT LENSINK, AND LARRY LILLY ARE BOARD MEMBERS OF BOTH SBL HEALTH CENTER AND SBL HEALTH MANAGEMENT SERVICES. NONE OF THE BOARD MEMBERS HAVE A FINANCIAL INTEREST IN SBL HEALTH MANAGEMENT SERVICES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (23 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4AAS A NOT-FOR-PROFIT PROVIDER OF HEALTHCARE, SARAH BUSH LINCOLN HEALTH CENTER LEADERSHIP AND STAFF HAPPILY SHOULDER THE SOCIAL RESPONSIBILITY TO PROVIDE CARE AND RESOURCES TO MEMBERS OF THE COMMUNITY WHO ARE IN NEED-- REGARDLESS OF THEIR PERSONAL CIRCUMSTANCES. THE PUBLIC TRUSTS US TO CONSERVE OUR RESOURCES AND USE THEM WISELY, WHILE IT LOOKS TO US FOR LEADERSHIP, PARTNERSHIP AND COLLABORATION ON A VARIETY OF PROJECTS. TO THAT END, WE PROVIDE HIGH QUALITY HEALTHCARE TO PEOPLE REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES IS CRITICAL TO THE OPERATION AND STABILITY OF SBLHC, WE RECOGNIZE THAT NOT EVERYONE IS ABLE TO AFFORD ESSENTIAL MEDICAL SERVICES. SINCE IT IS OUR MISSION TO PROVIDE HEALTHCARE AND EDUCATION TO ALL MEMBERS OF THE COMMUNITY, WE PROVIDE: - BOTH FREE AND SUBSIDIZED CARE, - CARE TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT BELOW-COST REIMBURSEMENT AND, - HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY AT LARGE DURING THE FISCAL YEAR THAT ENDED JUNE 30, 2012, WE SERVED 6,968 INPATIENTS AND PROVIDED 449,676 OUTPATIENT SERVICES. WE SPONSORED NUMEROUS WELLNESS AND COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR OLDER RESIDENTS AND THE MEDICALLY UNDERSERVED, AND A WIDE VARIETY OF COMMUNITY SUPPORT ACTIVITIES. THIS INFORMATION OUTLINES THE MANY PROGRAMS AND SERVICES PROVIDED BY SBLHC DURING FISCAL YEAR 2012, MOST OF WHICH ARE ON-GOING. WE MAKE THIS INFORMATION AVAILABLE TO YOU SO YOU HAVE A BETTER UNDERSTANDING OF OUR MISSION, INCLUDING THE WAYS IN WHICH OUR RESOURCES ARE USED WITHIN THE COMMUNITY. WE ARE FIRMLY COMMITTED TO PROVIDING EXCEPTIONAL CARE AND CREATING HEALTHY COMMUNITIES, AND WE TRUST YOU'LL SEE THAT OUR ACTIONS MATCH OUR WORDS. THIS INFORMATION OUTLINES THE MANY PROGRAMS AND SERVICES PROVIDED BY SBLHC DURING FISCAL YEAR 2012, MOST OF WHICH ARE ON-GOING. WE MAKE THIS INFORMATION AVAILABLE TO YOU SO YOU HAVE A BETTER UNDERSTANDING OF OUR MISSION, INCLUDING THE WAYS IN WHICH OUR RESOURCES ARE USED WITHIN THE COMMUNITY. WE ARE FIRMLY COMMITTED TO PROVIDING EXCEPTIONAL CARE AND CREATING HEALTHY COMMUNITIES, AND WE TRUST YOU'LL SEE THAT OUR ACTIONS MATCH OUR WORDS. SUMMARY WE HAVE CATEGORIZED OUR COMMUNITY SOCIAL RESPONSIBILITY STATEMENT TO CORRESPOND WITH OUR STRATEGIC GOALS. THE FOLLOWING IS A SNAPSHOT OF OUR ACTIVITIES FOR FISCAL YEAR 2012. EACH PROGRAM IS FURTHER DESCRIBED THROUGHOUT THIS BOOKLET. IMPROVE PATIENT EXPERIENCE AND LOYALTY $8,919 o ADVANTAGE 50 IMPROVE CLINICAL AND OPERATIONAL QUALITY $688,479 o COMMUNITY HEALTH SCREENS o EAST CENTRAL ILLINOIS BREAST & CERVICAL CANCER PROGRAM o HEALTH EDUCATION o HEART SMART FOR TEENS o METS PHASE III AT EIU o NOURISHMENT o OH, BABY! o REGIONAL BEHAVIORAL HEALTH NETWORK o SARAH BUSH LINCOLN WEBSITE o STEP IN THE RIGHT DIRECTION & LIVING WITH DIABETES o SUPPORT GROUPS ENHANCE HUMAN CAPITAL $14,046 o HEALTH OCCUPATIONS CREATE HEALTHY COMMUNITIES $232,897 o COMMUNITY AID o I SING THE BODY ELECTRIC o MOBILE MAMMOGRAPHY o ORGANIZATIONAL SUPPORT o ROTARY HIGH SCHOOL ATHLETIC HEART SCAN o YOUTH EDUCATION o SPORTS PHYSICALS MAINTAIN FINANCIAL VIABILITY $15,488,370 o FINANCIAL ASSISTANCE o GOVERNMENTAL INSURANCE PROGRAMS IMPROVE PATIENT EXPERIENCE AND LOYALTY ADVANTAGE 50 THIS FREE MEMBERSHIP GROUP IS OPEN TO ANYONE 50 YEARS OLD OR BETTER. IT PROVIDES HEALTH INFORMATION AND SOCIAL OUTINGS, AS WELL AS A VARIETY OF DISCOUNTS. THE NON-REIMBURSED COST TO SBLHC IS $8,919. IMPROVE CLINICAL AND OPERATIONAL QUALITY COMMUNITY HEALTH SCREENS PREVENTIVE HEALTH SCREENS ARE AVAILABLE FOR FREE AND AT REDUCED COSTS BOTH AT THE HEALTH CENTER AND AT OUTREACH LOCATIONS. TESTS SCREEN FOR VARIOUS CANCERS AND MEASURE CHOLESTEROL LEVELS, PULMONARY FUNCTION, BONE DENSITY, BLOOD PRESSURE AND BODY FAT. BLOOD SUGAR ANALYSIS AND VISION/GLAUCOMA SCREENINGS ARE ALSO PROVIDED, AS ARE WORKSHOPS FOCUSED ON LIFESTYLE MODIFICATION. THE NET NON-REIMBURSED COST OF THESE SERVICES AFTER DISCOUNTED FEES AND GRANT FUNDING WAS APPROXIMATELY $89,563. EAST CENTRAL ILLINOIS BREAST AND CERVICAL CANCER PROGRAM THE EAST CENTRAL ILLINOIS BREAST AND CERVICAL CANCER PROGRAM (ECIBCCP) PROVIDES MAMMOGRAMS AND CERVICAL CANCER SCREENS TO WOMEN. SBLHC PROMOTES THE PROGRAM AND WORKS WITH WOMEN IN NEED IN A NINE-COUNTY AREA BY SCHEDULING THEIR APPOINTMENTS. IN FY 2012 ECIBCCP PROVIDED SERVICES TO 1,149 WOMEN. THE NON-REIMBURSED COST WAS APPROXIMATELY $249,784. HEALTH EDUCATION HEALTH-RELATED EDUCATIONAL PROGRAMS ARE OFFERED IN MANY SETTINGS THROUGHOUT THE COMMUNITY ON SUCH TOPICS AS NUTRITION, DIABETES, DEPRESSION, EATING DISORDERS, SLEEP DISORDERS, OSTEOPOROSIS, HYPERTENSION, EXERCISE, CARDIAC HEALTH, CANCER, BEREAVEMENT, LIVING WILLS AND PRE- AND POST-NATAL CARE OF MOTHERS AND INFANTS. HEALTH STYLES, THE HEALTH CENTER'S QUARTERLY OUTREACH MAGAZINE, PROVIDES HEALTH INFORMATION AND IS DISTRIBUTED TO 68,000 HOUSEHOLDS IN AN EIGHT-COUNTY AREA AT A COST OF $108,983. HEART SMART FOR TEENS ADOLESCENTS IN AREA MIDDLE SCHOOLS LEARN ABOUT MAKING HEALTHY CHOICES ABOUT FOOD AND EXERCISE AS AN EASY WAY TO IMPROVE THE QUALITY OF THEIR LIVES. THE PROGRAM WAS PARTIALLY GRANT FUNDED. THE NON-REIMBURSED COST WAS $6,306. METS PHASE III AT EIU EXERCISE AND CARDIOVASCULAR EDUCATION ARE COMBINED TO HELP PEOPLE WITH CARDIAC EVENTS REHABILITATE. THE NON-REIMBURSED COST TO SBLHS IS $17,018. NOURISHMENT SBLHC PROVIDES MEALS AT A SUBSIDIZED RATE FOR COMMUNITY RESIDENTS UNABLE TO PREPARE MEALS FOR THEMSELVES. RECIPIENT'S SPECIFIC DIETARY NEEDS MADE IT DIFFICULT, IF NOT IMPOSSIBLE, FOR THEM TO PARTICIPATE IN OTHER COMMUNITY MEAL PROGRAMS. THE NON-REIMBURSED COST WAS $4,250. OH, BABY! OH, BABY! CLASSES ENHANCE THE PRENATAL CARE OF NEW MOTHERS, HELP THEM UNDERSTAND THE MANY CHANGES THEIR BODIES UNDERGO, AND PREPARE THEM FOR THE BIRTH AND CARE OF THEIR NEWBORNS. ADDITIONALLY, LACTATION SUPPORT SERVICES ARE PROVIDED FREE TO ALL WOMEN WHO DELIVER THEIR BABIES AT THE HEALTH CENTER FOR AN UNLIMITED PERIOD OF TIME. A BREASTFEEDING WARMLINE PAGER GIVES MOTHERS FREE ACCESS TO INTERNATIONALLY BOARD-CERTIFIED LACTATION CONSULTANTS DEDICATED TO ANSWERING BREASTFEEDING QUESTIONS AND CONCERNS. THESE SERVICES ASSIST WOMEN IN NURSING THEIR BABIES LONGER, THUS IMPROVING THE LONG-TERM HEALTH OF THEIR INFANTS. THE NON-REIMBURSED COST TO PROVIDE THESE SERVICES IS $8,261. REGIONAL BEHAVIORAL HEALTH NETWORK SARAH BUSH LINCOLN, THE COLES COUNTY MENTAL HEALTH CENTER (NOW LIFE LINKS) AND THE HUMAN RESOURCES CENTER OF EDGAR AND CLARK COUNTIES JOINED FORCES TO CREATE THE REGIONAL BEHAVIORAL HEALTH NETWORK, AN ORGANIZATION THAT STREAMLINES ACCESS TO MENTAL HEALTHCARE FOR PEOPLE IN CRISIS. TOGETHER, THE THREE ORGANIZATIONS ESTIMATE THEY RESPOND TO ABOUT 3,000 CRISES INQUIRES FOR BEHAVIORAL HEALTH SERVICES ANNUALLY. THE COLLABORATIVE EFFORT IS PARTIALLY FUNDED BY GRANTS. THE HEALTH CENTER'S DIRECT AND IN-KIND NON-REIMBURSED COST WAS $74,000. SARAH BUSH LINCOLN WEBSITE THE HEALTH CENTER'S WEBSITE, WWW.SARAHBUSH.ORG, PROVIDES AREA RESIDENTS WITH ACCESS TO ACCURATE MEDICAL INFORMATION ABOUT ILLNESSES, TESTS AND TREATMENTS, AND IT OFFERS THEM A PLACE TO STORE THEIR OWN HEALTH INFORMATION. THE COST OF MAINTAINING THE SITE WAS $87,185. STEP IN THE RIGHT DIRECTION AND LIVING WITH DIABETES THIS SIX-MONTH LIFESTYLE MODIFICATION PROGRAM IS FREE TO AREA RESIDENTS WHO ARE AT RISK FOR DIABETES. PARTICIPANTS EXERCISE TWICE WEEKLY IN A CLASS SETTING, WHILE LEARNING ABOUT THEIR HEALTH AND WAYS TO IMPROVE IT. IT IS DESIGNED TO ASSIST PARTICIPANTS WITH WEIGHT LOSS, ESTABLISH REGULAR AND APPROPRIATE EXERCISE AND DIET CHANGES. THE PROGRAM HAS SERVED MORE THAN 50 COMMUNITY MEMBERS WITH BLOOD GLUCOSE LEVELS OF 100 TO 125. THE NON-REIMBURSED COST WAS $40,731. SUPPORT GROUPS SUPPORT GROUPS ASSIST THOSE AFFECTED BY CANCER, OSTOMY, STROKE, ADD, ADHD, POOR PULMONARY FUNCTION, LOSS OF A CHILD THROUGH MISCARRIAGE AND STILLBIRTH, NUTRITION AND CERTAIN CARDIAC EVENTS. THE NON-REIMBURSED COST OF PROVIDING EDUCATION AND RESOURCES WAS APPROXIMATELY $2,400.
ENHANCE HUMAN CAPITALHEALTH OCCUPATIONSHEALTH OCCUPATIONS THE HEALTH OCCUPATIONS PROGRAM PROVIDES AREA HIGH SCHOOL STUDENTS WITH THE OPPORTUNITY TO LEARN MORE ABOUT HEALTHCARE. THE COLLABORATIVE PROGRAM RUNS THROUGHOUT THE SCHOOL YEAR, PROVIDES JOB SHADOWING FOR STUDENTS AND FREQUENT INTERACTION WITH PRACTICING PROFESSIONALS. STUDENTS GRADUATE WITH A CERTIFIED NURSE ASSISTANT CERTIFICATE. SEVENTY-FIVE STUDENTS WERE INVOLVED IN THE PROGRAM DURING FY12. THE NON-REIMBURSED COST OF PROVIDING CLASSROOM SPACE FOR TRAINING WAS $14,046. CREATE HEALTHY COMMUNITIES COMMUNITY AID SBLHC ASSISTED MISSIONS IN VARIOUS AREAS AND LOCAL PROJECTS WITH HEALTHCARE NEEDS BY DONATING MEDICAL SUPPLIES AND EQUIPMENT. THE COST WAS APPROXIMATELY $97,420. I SING THE BODY ELECTRIC THROUGH I SING THE BODY ELECTRIC, HIGH SCHOOL YOUTH IN A SEVEN-COUNTY AREA USE THE ARTS TO ENCOURAGE THEIR PEERS TO MAKE HEALTHY CHOICES. THE BODY ELECTRIC COALITION INCLUDES SBLHC, THE REGIONAL OFFICE OF EDUCATION, EASTERN ILLINOIS UNIVERSITY, LAKE LAND COLLEGE, PARIS COMMUNITY HOSPITAL, AND WEIU-TV. APPROXIMATELY 65 PERCENT OF HIGH SCHOOL STUDENTS IN THE TARGETED REGION PARTICIPATE IN THE BIENNIAL YOUTH RISK BEHAVIOR SURVEY, AND AGGREGATE RESULTS ARE BROADLY SHARED TO INCREASE AWARENESS. STUDENTS WHO PARTICIPATE IN BODY ELECTRIC CREATE ARTS-BASED PROJECTS, WHICH FORM THE BASIS OF THE BODY ELECTRIC ARTS & HEALTH TOUR. IN ADDITION, THE PROGRAM TRAINS UNIVERSITY INTERNS, WHO GAIN EXPERIENCE IN COMMUNITY-BASED PREVENTION EDUCATION. IN FY 2012, THE NON-REIMBURSED COST OF BODY ELECTRIC WAS $62,833. MOBILE MAMMOGRAPHY BRINGING BREAST CANCER SCREENING SERVICES TO AREA TOWNS HAS INCREASED ACCESSIBILITY TO MAMMOGRAPHY FOR THOUSANDS OF WOMEN. A COLLABORATIVE PROGRAM WITH AREA HEALTH DEPARTMENTS AND BANKS, MOBILE MAMMOGRAPHY HAS SERVED 19,293 WOMEN. IN FY12, 1,352 MAMMOGRAMS WERE PERFORMED ON THE VAN WITH THE HELP OF A GRANT FROM THE WABASH VALLEY AFFILIATE OF THE SUSAN G. KOMEN FOR THE CURE FOUNDATION. THE NON-REIMBURSED COST TO SBLHS WAS $3,612. ORGANIZATIONAL SUPPORT (CASH AND IN-KIND GIFTS) BEING A GOOD NEIGHBOR MEANS SUPPORTING THE EFFORTS OF LOCAL AND REGIONAL ORGANIZATIONS WITH SIMILAR MISSIONS. THE HEALTH SYSTEM GAVE DIRECT FINANCIAL SUPPORT, STAFF TIME, THE USE OF HEALTH CENTER FACILITIES, AND OTHER RESOURCES IN EXCESS OF $54,562 TO COMMUNITY ORGANIZATIONS AND/OR PROJECTS, INCLUDING BUT NOT LIMITED TO: - COLES COUNTY DIAL-A-RIDE, A SERVICE THAT TRANSPORTS LOCAL RESIDENTS TO THEIR PHYSICIANS' OFFICES - AMERICAN HEART ASSOCIATION HEART WALK, TO SUPPORT CARDIOVASCULAR RESEARCH - AMERICAN CANCER SOCIETY'S RELAY FOR LIFE, TO SUPPORT CANCER RESEARCH - COLES COUNTY 4-H AUCTION, TO SUPPORT EDUCATION - HOPE HOUSE, HOMELESS SHELTERS AND FOOD PANTRIES, AN AREA SCHOOL THROUGH OUR ADOPT-A-SCHOOL PROGRAM TO SUPPORT EDUCATION, MULTIPLE SPORTS TEAMS IN CHARLESTON, MATTOON, NEOGA, AND CASEY TO HELP FOSTER ACTIVE LIFESTYLES IN OUR YOUTH - YMCA RUN FOR BAGEL, TO SUPPORT HEALTH AND TOURISM - CHARLESTON COMMUNITY THEATRE, TO SUPPORT THE ARTS - AMERICAN DIABETES ASSOCIATION WALK, TO SUPPORT RESEARCH - MARCH OF DIMES WALK, TO SUPPORT RESEARCH - HABITAT FOR HUMANITY, TO HELP BUILD AFFORDABLE, QUALITY HOMES - VARIOUS COMMUNITY FESTIVALS, TO SUPPORT FITNESS AND TOURISM WE ALSO LEND SUPPORT TO COLES COUNTY UNITED WAY, ROTARY INTERNATIONAL, CCAR INDUSTRIES, COLES TOGETHER, COLES COMMUNITY HEALTH PLAN, AREA CHAMBERS OF COMMERCE, AND OTHER AGENCIES BY PARTICIPATING IN THEIR FUNDRAISING EVENTS, BOARDS AND COMMITTEES. IN ADDITION, SBLHC SUPPORTS A WIDE VARIETY OF SCHOOL ACTIVITIES BY SPONSORING PROGRAMS AND NEWSLETTERS SO STUDENTS HAVE A MORE FULFILLING SCHOOL EXPERIENCE. ROTARY HIGH SCHOOL ATHLETIC HEART SCAN AREA ROTARY CLUBS FORMED A UNIQUE PARTNERSHIP WITH THE SARAH BUSH LINCOLN HEALTH FOUNDATION TO HELP PREVENT PREMATURE DEATHS OF SEEMINGLY HEALTHY YOUNG ATHLETES. IN PAST YEARS THE CLUBS RAISED FUNDS TO PROVIDE FREE ULTRASOUND HEART SCANS TO AREA HIGH SCHOOL SOPHOMORE ATHLETES TO UNCOVER CARDIOMYOPATHY, WHICH MAY PRODUCE SUDDEN HEART ATTACKS DURING STRENUOUS ACTIVITIES. TWICE A YEAR, SARAH BUSH LINCOLN PROVIDES FREE ECHOCARDIOGRAMS TO HIGH SCHOOL SOPHOMORE ATHLETES. SO FAR, 3,391 HIGH SCHOOL ATHLETES FROM 20 AREA SCHOOLS HAVE TAKEN ADVANTAGE OF THIS LIFE-SAVING AND PAINLESS TEST. THE NON-REIMBURSED COST OF THESE SCANS IS APPROXIMATELY $3,080. YOUTH EDUCATION SBLHC SPONSORS YOUTH AND CHILDREN'S PROGRAMS FOCUSED ON THE IMPORTANCE OF HEALTHY LIFESTYLES, STAYING SAFE AND WAYS TO PROVIDE SAFE BABYSITTING. THE NON-REIMBURSED COST OF THESE EFFORTS IS APPROXIMATELY $4,104. SPORTS PHYSICALS ORTHOPEDIC SURGEONS AND FAMILY PRACTICE PHYSICIANS PARTNER WITH AREA SCHOOLS TO PROVIDE SPORTS PHYSICALS FOR ATHLETES. STUDENTS PAY $20 PER PHYSICAL, A FEE THAT IS THEN DONATED TO THEIR SCHOOLS' BOOSTER CLUBS BY SBLHC. SOME 360 SPORTS PHYSICALS WERE PROVIDED AT A COST OF $7,285. MAINTAIN FINANCIAL VIABILITY FINANCIAL ASSISTANCE TRADITIONAL CHARITY CARE COVERS SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY FOR THEIR HEALTHCARE. THE HEALTH SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE FINANCIAL ASSISTANCE POLICIES WITHOUT CHARGE OR AT AMOUNTS LESS THAN THEIR ESTABLISHED RATES. EFFECTIVE JANUARY 1, 2005, THE HEALTH SYSTEM ADOPTED A NEW CHARITY CARE POLICY THAT SIGNIFICANTLY EXPANDED THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR PATIENTS OF THE SYSTEM. THE POLICY GIVES FINANCIAL ASSISTANCE IN SOME CASES AT FOUR TIMES THE FEDERAL POVERTY GUIDELINES. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED WAS $27,882,169 FOR THE YEAR AND THE COST OF THOSE SERVICES AFTER CONTRIBUTIONS AND OTHER DIRECT ASSISTANCE WAS $10,009,569. IN FY 2012, 3,921 PEOPLE RECEIVED FINANCIAL ASSISTANCE. GOVERNMENTAL INSURANCE PROGRAM UNPAID COST OF PUBLIC PROGRAMS FOR TREATING MEDICARE, MEDICAID, AND OTHER GOVERNMENTAL PROGRAMS IN EXCESS OF GOVERNMENT PAYMENTS WAS $5,478,801 DURING THE YEAR.
BUSINESS RELATIONSHIPSFORM 990, PART VI, SECTION A, LINE 2SCOTT LENSINK, ANN BACON, AND LARRY LILLY HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER AS A RESULT OF ALL SERVING AS BOARD MEMBERS OF SARAH BUSH LINCOLN HEALTH MANAGEMENTS SERVICES, A FOR-PROFIT AFFILIATE OF THE ORGANIZATION.
MEMBERSFORM 990, PART VI, SECTION A, LINE 6THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS SARAH BUSH LINCOLN HEALTH SYSTEM.
ELECTION OF GOVERNING BODYPART VI, SECTION A, LINE 7ABOARD 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.
DECISIONS OF THE GOVERNING BODYPART VI, SECTION A, LINE 7BTHE SARAH BUSH 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 REVIEWFORM 990 PART VI, SECTION B, LINE 11ATHE 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.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12A-CMEMBERS 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.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, SECTION B, LINES 15A & 15BCOMPENSATION IS DETERMINED FOR THE CEO, VP OPERATIONS, VP SYSTEM PRACTICES, VP FINANCE, VP PATIENT CARE SERVICES, VP INFORMATION SERVICES, VP HUMAN RESOURCES, AND VP 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.
PUBLIC DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19CURRENTLY, SARAH BUSH LINCOLN HEALTH CENTER POSTS THEIR COMMUNITY BENEFITS STATEMENT ON OUR PUBLIC WEB-SITE. NO OTHER GOVERNING DOCUMENTS ARE ROUTINELY MADE AVAILABLE.
INDEPENDENT VOTING MEMBERSPART VI, LINE 1BTHREE BOARD MEMBERS ARE NOT CONSIDERED INDEPENDENT DUE TO THE FACT THAT THEY ARE LISTED IN A TRANSACTION REPORTED ON SCHEDULE L INVOLVING A TAXABLE RELATED ENTITY. IF NOT FOR THE REQUIREMENT TO REPORT THIS TRANSACTION, THERE WOULD BE 10 INDEPENDENT VOTING MEMBERS.
SCHEDULE KPART VA POLICY HAD NOT BEEN ESTABLISHED PRIOR TO THE END OF OUR TAX REPORTING PERIOD; HOWEVER, A POLICY HAS SUBSEQUENTLY BEEN ADOPTED AND DOES INCLUDE PROCEDURES TO TAKE CORRECTIVE ACTIONS INCLUDING THE VOLUNTARY CLOSING AGREEMENT PROGRAM WHERE APPROPRIATE. THIS POLICY WAS ADOPTED BY THE BOARD ON JANUARY 24TH, 2013.
DESCRIPTION OF PURPOSESCHEDULE K, PART I, LINE A, COLUMN FREFINANCE OLD BONDS AND CONSTRUCTION OF MASTER FACILITY PLAN
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5THIS AMOUNT REPRESENTS THE NET UNREALIZED GAINS/(LOSSES) ON INVESTMENT SECURITIES.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MR STEVE HONSELMAN TITLE:CHAIRPERSON HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MR SCOTT LENSINK TITLE:VICE CHAIRPERSON HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MS ANN BACON TITLE:TREASURER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MR STEVE WENTE TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MR LARRY LILLY TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MR TIMOTHY A OLS TITLE:PRESIDENT & CEO HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MR CRAIG SHEAGREN TITLE:VP FINANCE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MR DENNIS J PLUARD TITLE:VP OPERATIONS HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MR ERIC G BENSON TITLE:VP HUMAN RESOURCES HOURS:1

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
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-ISBLHSfalse
SARAH'S HOMEMAKERS OF SARAH BUSH LINCOLN
1000 HEALTH CENTER DRIVEMATTOONIL61938371395122HOME CAREIL501(C)(3)9SBLHSfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipLegal Domicile Foreign CountryLegalDomicileForeignCountry
SARAH BUSH LINCOLN HEALTH MGMT SERVICES
1000 HEALTH CENTER DRIVEMATTOONIL61938371136614RETAIL DME/RXILSBLHSC CORP000.00000
SARAH BUSH LINCOLN CAPTIVE INSURANCE LTD
INSURANCESBLHSC CORP000.00000CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg