2019-11-21T14:30:08-06:00 2019-03-31 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2018-04-01 205521741 Southern Illinois Medical Services NFP SOUT 6184575200 1239 EAST MAIN STREET CARBONDALE IL 62901 MIKE KASSER CFO 2019-11-21 true Rachel Spurlock P00520729 5023263996 2018 2020-04-17 16:48:07Z Southern Illinois Medical Group REX BUDDE 1239 EAST MAIN STREET CARBONDALE IL 62901 90354208 false X www.sih.net X 2006 IL As physicians, mid-level providers and staff, our mission is to improve the health of the people we serve through excellence in medical care. 9 7 958 7 11739 0 0 0 79588992 90112400 650840 40593 113417 120562 80353249 90273555 0 0 0 0 59365496 71949120 0 0 0 60140152 62049105 119505648 133998225 -39152399 -43724670 62145150 61917459 141579589 183154618 -79434439 -121237159 X Southern Illinois Medical Services NFP (SIMS) employs physicians and operates physician practices to provide care and treatment of the medically sick, injured, or afflicted on a not-for-profit basis. (Continued in Schedule O) false false 52258648 0 25000909 SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) OPERATES COMMUNITY PHYSICIAN PRACTICES TO PROVIDE CARE AND TREATMENT OF THE MEDICALLY SICK, INJURED OR AFFLICTED ON A NOT-FOR PROFIT BASIS. THESE PRACTICES ARE LOCATED IN VARIOUS COMMUNITIES IN OUR CENTRAL SERVICE AREA. BOTH PRIMARY CARE AND SPECIALIZED MEDICAL CARE ARE PROVIDED INCLUDING FAMILY MEDICINE, GENERAL SURGERY, BREAST SURGERY, PULMONOLOGIST, BARIATRIC, ONCOLOGY, AND NEUROLOGY. THESE PRACTICES PROVIDE THE ONLY ACCESS TO SEVERAL OF THESE SPECIALTIES WITHIN OUR SERVICE AREA. THESE COMMUNITY PHYSICIAN PRACTICES PROVIDE QUALITY HEALTH SERVICES TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. DURING THIS REPORTING PERIOD, THE COMMUNITY PHYSICIAN PRACTICES OF SIMS RECORDED 185,195 ENCOUNTERS IN TREATING THIS POPULATION. (CONTINUED IN SCHEDULE O) 39257248 0 32194132 SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) OPERATES FOUR PHYSICIAN CLINICS:THE CENTER FOR MEDICAL ARTS (CMA) IN CARBONDALE, IL LOGAN PRIMARY CARE (LPC) IN HERRIN, IL AND WEST FRANKFORT, IL. PRIMARY CARE GROUP (PCG) IN HARRISBURG, IL AND URGENT CARE CENTER IN MARION, IL. THESE PHYSICIAN CLINICS PROVIDE CARE AND TREATMENT OF THE MEDICALLY SICK, INJURED OR AFFLICTED ON A NOT-FOR PROFIT BASIS. QUALITY HEALTH SERVICES ARE PROVIDED TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. DURING THIS REPORTING PERIOD, THE PRACTICES OF THE PHYSICIAN CLINICS RECORDED A COMBINED TOTAL OF 293,797 ENCOUNTERS TREATING THIS POPULATION. (CONTINUED IN SCHEDULE O). 25163538 0 23674074 SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) OPERATES HOSPITAL PHYSICIAN PRACTICES TO PROVIDE CARE AND TREATMENT OF THE MEDICALLY SICK, INJURED OR AFFLICTED ON A NOT-FOR PROFIT BASIS AT THE THREE HOSPITALS OPERATED BY OUR SOLE MEMBER SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS). THESE HOSPITAL PHYSICIANS PROVIDE TWO DISTINCT SERVICES. ONE GROUP STAFFS THE EMERGENCY ROOMS AT EACH OF THE THREE HOSPITALS AND THE SECOND GROUP PROVIDES CARE DURING A HOSPITAL STAY AT THESE SAME HOSPITALS. BOTH GROUPS OF PHYSICIANS ARE VITAL TO PROVIDING HEALTHCARE TO THE POPULATION OF OUR SERVICE AREAS, AS MANY OF THE RESIDENTS DO NOT HAVE A PRIMARY CARE PHYSICIAN. THE HOSPITAL PHYSICIANS PROVIDE QUALITY HEALTH SERVICES TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. DURING THIS REPORTING PERIOD, THE HOSPITAL PHYSICIANS OF SIMS RECORDED 261,204 ENCOUNTERS IN TREATING THIS POPULATION. (CONTINUED IN SCHEDULE O) 8678986 0 9352108 SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) ALSO PROVIDES OTHER ADMINISTRATIVE SERVICES AND LEASES SPACE TO ITS RELATED ORGANIZATIONS. 8678986 9352108 125358420 true false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 116 0 true 958 true true true false false false false false false false X 9 7 false false false false true true true true true false false true true true true true true false true false IL X Mike Kasser 6184575200 1239 East Main Stret Carbondale IL 62901 Rex Budde President 13.0 42.0 X X 0 1010422 299647 Mike Kasser SR VP/CFO 13.0 42.0 X X 0 686409 153942 Steve Sabens Secretary 1.0 3.0 X X 0 450 0 Eugene Basanta Trustee 1.0 3.0 X 0 500 0 Kathleen Fralish Trustee 1.0 3.0 X 0 600 0 Harold Bardo Trustee 1.0 3.0 X 0 550 0 George O'Neill Trustee 1.0 3.0 X 0 400 0 Morton Levine Trustee 1.0 3.0 X 0 550 0 Brad Cole Trustee 1.0 0 X 0 0 0 William Sherwood VP/General Counsel 13.0 42.0 X 0 454496 48639 Philip Schaefer SR VP/ADMINISTRATOR/CCNDO 40.0 25.0 X 0 552681 163078 Shelly Pierce VP/Quality 25.0 30.0 X 0 300013 58028 Daniel Skiles VP/Health 11.0 44.0 X 0 300463 68953 Marci L Moore-Connelley MD SR VP/CMO 14.0 41.0 X 0 505193 70490 Gerald Mourey VP/Info Systems 9.0 41.0 X 0 321329 72930 Darrell Bryant VP/COO SIMS 50.0 0 X 279157 0 44177 Gerson Criste MD Physician 40.0 0 X 1045414 0 73474 John Watson Physician 40.0 0 X 896783 0 72014 Lukasz Dabrowski Physician 40.0 0 X 883641 0 56274 Mark Fleming Physician 40.0 0 X 866618 0 85363 Mack McCain MD Physician 40.0 0 X 822922 0 78355 4794535 4134056 1345364 245 false true false PRAIRIE CARDIOVASCULAR PO BOX 19420 SPRINGFIELD IL 627949420 CARDIOVASCULAR SERVICES 15637052 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 MEDICAL STAFFING 3255705 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 MEDICAL STAFFING 2808052 MEDICAL MARKETING MANAGEMENT LLC 26261 EVERGREEN RD SUITE 450 SOUTHFIELD MI 48076 MEDICAL STAFFING 2246224 MEDICUS HOSPITALISTS SERVICES 22 ROULSTON RD WINDHAM NH 03087 MEDICAL SERVICES 1902206 22 0 NET PATIENT REVENUE 621110 89184743 89184743 0 0 LEASEHOLD REVENUE FROM RELATED ORGANIZATIONS 531120 927657 927657 0 0 0 0 0 0 90112400 26 0 0 26 40567 0 0 40567 0 0 0 0 131913 80653 51260 45202 6058 0 MEDICAL RECORD REVENUE 900099 60019 60019 0 TRANSCRIPTIONS FEES 561000 5681 0 5681 0 PURCHASE DISCOUNTS 900099 3602 3602 0 0 0 0 0 0 69302 90273555 90221223 11739 40593 X 0 0 0 0 0 0 0 0 320473 320473 0 0 0 0 0 0 54506980 51014627 3492353 0 2203234 2120431 82803 0 10121220 9456857 664363 0 4797213 4464898 332315 0 0 0 0 0 401066 0 401066 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42882799 41565834 1316965 0 2414 0 2414 0 1018389 871597 146792 0 140307 94532 45775 0 0 0 0 0 3185994 3100064 85930 0 84176 75366 8810 0 0 0 0 0 362785 341471 21314 0 99408 0 99408 0 0 0 0 0 2457487 1628969 828518 0 5766146 4840769 925377 0 MEDICAL SUPPLIES 3884365 3884365 0 0 EQUIPMENT RENTAL 1407713 1395980 11733 0 DUES/SUBSCRIPTIONS/LICENSES 174230 158855 15375 0 BANK FEES 155590 0 155590 0 26236 23332 2904 0 133998225 125358420 8639805 0 9745 9805 1126356 469712 15023675 15044815 0 0 0 204799 446014 57656 25996 1427594 1604213 41749592 13217954 28458035 28531638 0 0 13069519 12786338 2767771 2998928 62145150 61917459 16994854 19330021 0 124584735 163824597 141579589 183154618 X -79434439 -121237159 -79434439 -121237159 62145150 61917459 X -43724670 1921950 X false true X true false X 2954830 2954830 24008379 6964568 17043811 45227 277 44950 13769115 5758202 8010913 972041 494907 477134 28531638 Medical Professional Liability Insurance 4250167 Due to affiliates 155893698 Executive Benefits Liability 299606 Asbestos Liability 10113 Accrued Interest payable 13174 Bond Liability payable to SIHS 3357839 163824597 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The organization is included in consolidated financial statements. Below is the FIN 48 (ASC 740) footnote from those financial statements: SIHE and its affiliated organizations, with the exception of the Captive, HSSI and PSC, are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. The Corporation realized certain income which the Internal Revenue Service considers to be unrelated business income subject to income tax. For the years ended March 31, 2019 and 2018, no tax was due related to these operations. The Captive is incorporated under the laws of the Cayman Islands, which imposes no tax on income or capital gains. However, the Captive is subject to U.S. federal corporate taxation to the extent that it generates income that is effectively connected with a U.S. trade or business. The Captive is not engaged in any such trade or business in the U.S. PSC is a pass-through entity and its members separately account for their share of PSC's net income or loss which is allocated to the members based on the ownership percentage. Accordingly, income taxes are not provided for in the accompanying consolidated financial statements. When tax returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would be ultimately sustained. Examples of tax positions common to health systems include matters such as the tax exempt entity taking a tax position that an organization is tax exempt without observing corresponding proof of tax exemption from federal and state taxing authorities and there is material net income generated by the entity or egregious compensation paid to insiders that could result in revocation of exempt status (outside the scope of intermediate sanctions excise tax penalties). The tax position is to consider that these compensatory arrangements do not jeopardize tax exemption. The benefit of a tax position is recognized in the consolidated financial statements in the period during which, based on all available evidence, management believes it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions taken are not offset or aggregated with other positions. Tax positions that meet the "more-likely-than-not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely of being realized upon settlement with the applicable taxing authority. There were no uncertain tax benefits identified and recorded at March 31, 2019 and 2018. The Corporation does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Corporation would recognize interest and/or penalties related to income tax matters in miscellaneous expenses. There was no interest and/or penalties related to income tax matters identified and recorded at March 31, 2019 and 2018. Tax returns filed by the Corporation are subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Tax returns filed by the Corporation are no longer subject to examination for the years ended March 31, 2015 and prior. false true false false false false false false false Rex Budde President 0 717168 0 0 0 293254 0 280766 0 18881 0 1310069 0 258335 Mike Kasser SR VP/CFO 0 425660 0 0 0 260749 0 124645 0 29297 0 840351 0 228206 William Sherwood VP/General Counsel 0 295429 0 566 0 158501 0 10925 0 37714 0 503135 0 122665 Philip Schaefer SR VP/ADMINISTRATOR/CCNDO 0 384386 0 0 0 168295 0 130927 0 32151 0 715759 0 135752 Shelly Pierce VP/Quality 0 235397 0 0 0 64616 0 43364 0 14664 0 358041 0 33481 Daniel Skiles VP/Health 0 258199 0 0 0 42264 0 31417 0 37536 0 369416 0 0 Marci L Moore-Connelley MD SR VP/CMO 0 436905 0 0 0 68288 0 56422 0 14068 0 575683 0 38500 Gerald Mourey VP/Info Systems 0 291109 0 0 0 30220 0 36979 0 35951 0 394259 0 0 Darrell Bryant VP/COO SIMS 226840 0 19384 0 32933 0 41405 0 2772 0 323334 0 20364 0 Gerson Criste MD Physician 425456 0 582503 0 37455 0 32924 0 40550 0 1118888 0 29149 0 John Watson Physician 720041 0 103260 0 73482 0 46825 0 25189 0 968797 0 38877 0 Lukasz Dabrowski Physician 319001 0 550099 0 14541 0 23157 0 33117 0 939915 0 7446 0 Mark Fleming Physician 766359 0 3379 0 96880 0 49570 0 35793 0 951981 0 36433 0 Mack McCain MD Physician 515965 0 248113 0 58844 0 37387 0 40968 0 901277 0 26204 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation COMPENSATION FOR THE ORGANIZATION'S PRESIDENT IS PAID BY SOUTHERN ILLINOIS HOSPITAL SERVICES, INC (SIHS), A RELATED TAX-EXEMPT ORGANIZATION. SIHS USES THE FOLLOWING METHODS TO DETERMINE THE PRESIDENT'S COMPENSATION: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Compensation for all but one of the organization's officers is paid by Southern Illinois Hospital Services, Inc. (SIHS), a related tax-exempt organization. SIHS made the following supplemental nonqualified retirement plan payments/contributions: Rex Budde - $258,335 payment received; $269,841 deferred compensation Mike Kasser - $228,206 payment received; $113,720 deferred compensation William Sherwood - $122,665 payment received; No deferred compensation Phil Schaefer - $135,752 payment received; $120,002 deferred compensation Shelly Pierce - $33,481 payment received: $35,205 deferred compensation Marci Moore-Connelley - $38,500 payment received; $46,535 deferred compensation Gerald Mourey - $No payment received; $26,054 deferred compensation Daniel Skiles - No payment received; $20,996 deferred compensation SIMS made the following supplemental nonqualified retirement plan payments/contributions: Darrell Bryant - $20,364 payment received; $32,512 deferred compensation Gerson Criste - $29,149 payment received; $21,999 deferred compensation Lukasz Dabrowski - $7,446 payment received; $14,405 deferred compensation Mark Fleming- $36,433 payment received; $38,645 deferred compensation John Watson - $38,877 payment received; $35,900 deferred compensation Mack McCain - $26,204 payment received; $26,462 deferred compensation CERTAIN EXECUTIVES PARTICIPATE IN A SPLIT-DOLLAR LIFE INSURANCE PLAN. PREMIUMS PAID ON BEHALF OF THE EXECUTIVES ARE TREATED AS LOANS. LISTED BELOW ARE THE EXECUTIVES WHO PARTICIPATE IN THE PLAN AND THE OUTSTANDING LOAN BALANCE AS OF 3/31/19: REX BUDDE - $137,753 MIKE KASSER - $76,069 PHILLIP SCHAEFER - $95,122 Form 990, Part III, Line 1 ORGANIZATION'S MISSION (CONTINUED FROM PART III) THESE PHYSICIANS AND PRACTICES PROVIDE QUALITY HEALTH SERVICES TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. SIMS CONDUCTS ITS BEHAVIORS BY SHOWING THE ORGANIZATION'S VALUES OF RESPECT, INTEGRITY, COMPASSION, COLLABORATION, STEWARDSHIP, ACCOUNTABILITY AND QUALITY. THE PRIMARY SERVICE AREA OF SIMS IS A VERY RURAL SEVEN-COUNTY REGION WITH A COMBINED POPULATION OF APPROXIMATELY 245,000. THESE COUNTIES ARE CHARACTERIZED BY: - MEDIAN HOUSEHOLD INCOMES IN THE AREA THAT ARE SUBSTANTIALLY LESS THAN THE STATEWIDE AVERAGE. - ALL SEVEN COUNTIES HAVE MORE RESIDENTS LIVING IN POVERTY THAN THE STATE AVERAGE. SIMS PROVIDES SERVICES THROUGH THE FOLLOWING: PHYSICIAN CLINICS - SIMS OPERATES FOUR PHYSICIAN CLINICS - THE CENTER FOR MEDICAL ARTS (CMA), LOGAN PRIMARY CARE (LPC), PRIMARY CARE GROUP (PCG) AND URGENT CARE CENTER (UCC). THE CENTER FOR MEDICAL ARTS HAS A LONG-STANDING TRADITION OF CARING FOR SOUTHERN ILLINOIS RESIDENTS, WITH A HISTORY DATING BACK TO THE 1930'S. ORIGINALLY OPERATED AS THE CARBONDALE CLINIC, THE CENTER FOR MEDICAL ARTS WAS PURCHASED IN 2006. TODAY IT IS A GROWING HEALTH FACILITY THAT INCLUDES A PROMPT CARE CLINIC, AMBULATORY SURGERY CENTER AND A RETAIL PHARMACY. BASIC LAB AND RADIOLOGY SERVICES ARE ALSO PROVIDED ON-SITE. PRACTITIONERS INCLUDE FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, AND SPECIALISTS SUCH AS GASTROENTEROLOGY, GENERAL SURGERY AND UROLOGY. LOGAN PRIMARY CARE AND PRIMARY CARE GROUP PROVIDE GENERAL FAMILY PRACTICE MEDICINE AND ACUTE NON-EMERGENCY CARE. ORIGINALLY ESTABLISHED IN 1993, LPC WAS ACQUIRED BY SOUTHERN ILLINOIS MEDICAL SERVICES IN NOVEMBER 2011. PRIMARY CARE GROUP WAS ESTABLISHED IN 1992 AND WAS ACQUIRED BY SOUTHERN ILLINOIS MEDICAL SERVICES IN FEBRUARY, 2014. THE URGENT CARE CENTER WAS ESTABLISHED IN OCTOBER 2018 IN MARION, IL. THE CARE PROVIDED INCLUDES AN ALTERNATIVE TO PATIENTS SEEKING IMMEDIATE CARE FOR NON-LIFE THREATENING ISSUES AND ALSO HOUSES THE WORK READY PROGRAM AIMED AT THE PREVENTION AND REDUCTION OF WORK RELATED INJURIES. COMMUNITY PHYSICIANS - THESE PHYSICIANS ARE LOCATED AT VARIOUS LOCATIONS WITHIN OUR CENTRAL SERVICE AREA. THESE PRACTITIONERS PROVIDE A VARIETY OF SPECIALTIES, INCLUDING GENERAL SURGERY, BREAST SURGERY, PULMONOLOGY AND NEUROLOGY. THESE PRACTICES PROVIDE THE ONLY ACCESS TO SEVERAL OF THESE SPECIALTIES WITHIN OUR SERVICE AREA. HOSPITAL PHYSICIANS -THESE GROUPS OF PHYSICIANS ARE LOCATED AND WORK WITHIN THE HOSPITALS OPERATED BY OUR SOLE MEMBER, SOUTHERN ILLINOIS HOSPITAL SERVICES. THESE PHYSICIANS STAFF THE EMERGENCY ROOMS AND PROVIDE HOSPITALIST CARE TO PATIENTS AT THESE HOSPITALS. THESE PHYSICIANS ARE VITAL TO PROVIDING HEALTH CARE TO THE POPULATION OF OUR SERVICE AREA AS MANY OF THE RESIDENTS DO NOT HAVE A PRIMARY CARE PHYSICIAN. SERVICES PROVIDED: DURING THE YEAR ENDED MARCH 31, 2019, SIMS' PHYSICIANS RECORDED 740,196 ENCOUNTERS IN TREATING THE POPULATION AREA. THE PHYSICIAN CLINICS ACCOUNTED FOR 293,797 OF THESE ENCOUNTERS, COMMUNITY PHYSICIANS ACCOUNTED FOR 185,195 ENCOUNTERS AND HOSPITAL PHYSICIANS PROVIDED THE REMAINING 261,204 ENCOUNTERS. APPROXIMATELY 57.3% OF THESE ENCOUNTERS PROVIDED CARE THAT WAS CLASSIFIED AS EITHER UNCOMPENSATED FINANCIAL ASSISTANCE OR UNCOMPENSATED GOVERNMENT-SPONSORED HEALTH CARE. AN ADDITIONAL 5.54% OF THE TOTAL CARE PROVIDED IN THESE ENCOUNTERS WAS WRITTEN OFF AS BAD DEBT. COMMUNITY BENEFITS: THE GOAL OF THE ORGANIZATION'S SOLE MEMBER'S, SOUTHERN ILLINOIS HOSPITAL SERVICES, IS TO RESPOND TO IDENTIFIED COMMUNITY HEALTH NEEDS, INCREASE ACCESS TO CARE, LEAD AND SERVE AS AN EXAMPLE TO OTHERS IN SERVICE TO THE COMMUNITY, AND IMPROVE THE OVERALL HEALTH STATUS OF THOSE IN THE COMMUNITIES SERVED. THESE PROGRAMS EXTEND TO THE PATIENTS OF SIMS. SOUTHERN ILLINOIS HEALTHCARE'S OVERALL APPROACH IS TO TARGET THE INTERSECTIONS OF DOCUMENTED UNMET COMMUNITY HEALTH NEEDS AND THE ORGANIZATION'S MISSION, VALUES AND KEY STRENGTHS. COMMUNITY BENEFIT ACTIVITIES EMPHASIZE PRIMARY PREVENTATIVE HEALTH CARE SERVICES, HIGH IMPACT HEALTH SCREENING AND PROMOTION, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND INCREASE ACCESS TO CARE ESPECIALLY FOR VULNERABLE AND UNDERSERVED PEOPLE. Form 990, Part III, Line 4a COMMUNITY PHYSICIAN PRACTICES (CONTINUED FROM PART III) THROUGH DAILY OPERATIONS, THE COMMUNITY PHYSICIAN PRACTICES OF SIMS PROVIDE SIGNIFICANT AMOUNTS OF UNCOMPENSATED FINANCIAL ASSISTANCE AND UNCOMPENSATED GOVERNMENT-SPONSORED HEALTH CARE. THE PATIENT POPULATION OF THE COMMUNITY PHYSICIAN PRACTICES OF SIMS IS COMPRISED OF 47% MEDICARE, 19% MEDICAID, 2% SELF-PAY/FINANCIAL ASSISTANCE AND 32% COMMERCIAL/MANAGED CARE. UNCOMPENSATED HEALTH CARE: THE COMMUNITY PHYSICIAN PRACTICES OF SIMS HAVE PROVIDED $15,835,919 OF UNCOMPENSATED HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICARE HEALTH CARE PROGRAM. INDIGENT HEALTH CARE: THE COMMUNITY PHYSICIAN PRACTICES OF SIMS HAVE PROVIDED $7,956,305 OF INDIGENT HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICAID HEALTH CARE PROGRAM AND $528,832 OF INDIGENT FINANCIAL ASSISTANCE. BAD DEBTS: THE COMMUNITY PHYSICIAN PRACTICES OF SIMS WROTE OFF $1,135,783 FROM PRIVATE PAY ACCOUNTS THAT WERE UNCOLLECTIBLE, BUT DID NOT MEET THE CRITERIA TO BE CONSIDERED FINANCIAL ASSISTANCE. SIMS HAS DETERMINED THAT 19.9% OR $172,612 OF THE AMOUNTS WRITTEN OFF AS BAD DEBT WOULD HAVE QUALIFIED AS FINANCIAL ASSISTANCE IF THE PATIENTS WOULD HAVE SUBMITTED THE REQUIRED DOCUMENTATION. Form 990, Part III, Line 4b PHYSICIAN CLINICS (CONTINUED FROM PART III) CMA ENCOMPASSES NEARLY 60,000 SQUARE FEET OF SPACE, MAKING IT ONE OF THE AREA'S LARGEST HEALTH CARE FACILITIES. A PROMPT CARE CLINIC IS AVAILABLE WITHIN THE CENTER TO MEET THE IMMEDIATE MEDICAL NEEDS OF PATIENTS ALONG WITH AN IMAGING CENTER AND LABORATORY SERVICES. BOTH PRIMARY CARE AND SPECIALIZED MEDICAL CARE ARE PROVIDED INCLUDING FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, GENERAL SURGERY, AND UROLOGY, AMONG OTHERS. LPC HAS OPERATIONS IN TWO LOCATIONS AND ENCOMPASSES 40,000 SQUARE FEET. UCC OPENED IN OCTOBER 2018 AND PROVIDES TWO SERVICES TO THE COMMUNITY. THE FIRST IS AN URGENT CARE CENTER THAT PROVIDES CARE OF NON LIFE THREATENING ISSUES. THE SECONDE IS WORK CARE THAT PROVIDES EVALUATION AND TREATMENT OF INJRED WORKERS AND ALSO PROVIDES SERVICES AIMED AT THE PREVENTION AND REDUCTION OF WORK RELATED INJURIES. PCG BEGAN OPERATIONS IN DECEMBER 1993 AND WAS ACQUIRED BY SOUTHERN ILLINOIS MEDICAL SERVICES IN NOVEMBER, 2011. LPC PROVIDES A VARIETY OF SERVICES INCLUDING GENERAL FAMILY PRACTICE MEDICINE, RADIOLOGY, AND LAB. TWO MED STATIONS FOR ACUTE NON-EMERGENCY CARE ARE ALSO OPERATED. PCG HAS OPERATIONS IN HARRISBURG, IL AND CARRIER MILLS, IL AND ENCOMPASSES 25,000 SQUARE FEET. PCG BEGAN OPERATIONS IN SEPTEMBER 1992 AND WAS ACQUIRED BY SOUTHERN ILLINOIS MEDICAL SERVICES IN FEBRUARY 2014. PCG PROVIDES A VARIETY OF SERVICES INCLUDING GENERAL FAMILY PRACTICE MEDICINE, GENERAL SURGERY, LABORATORY, IMAGING AND CHIROPRACTIC MEDICINE. PHYSICAL THERAPY AND OCCUPATIONAL THERAPY ARE ALSO PROVIDED IN THREE LOCAL COMMUNITIES. THROUGH DAILY OPERATIONS, THE PHYSICIAN CLINICS PROVIDE SIGNIFICANT AMOUNTS OF UNCOMPENSATED FINANCIAL ASSISTANCE AND UNCOMPENSATED GOVERNMENT-SPONSORED HEALTH CARE. THE PATIENT POPULATION OF THE PHYSICIAN CLINICS IS COMPRISED OF 30% MEDICARE, 23% MEDICAID, 2% SELF-PAY/FINANCIAL ASSISTANCE AND 45% COMMERCIAL/MANAGED CARE. UNCOMPENSATED HEALTH CARE: THE PHYSICIAN CLINICS HAVE PROVIDED $3,991,328 OF UNCOMPENSATED HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICARE HEALTH PROGRAM. INDIGENT HEALTH CARE: THE PHYSICIAN CLINICS HAVE PROVIDED $4,510,355 OF INDIGENT HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICAID HEALTH CARE PROGRAM AND $165,787 OF INDIGENT FINANCIAL ASSISTANCE. BAD DEBTS: THE PHYSICIAN CLINICS WROTE OFF $1,082,794 OF PRIVATE PAY ACCOUNTS THAT WERE UNCOLLECTIBLE, BUT DID NOT MEET THE CRITERIA TO BE CONSIDERED FINANCIAL ASSISTANCE. IT HAS BEEN DETERMINED THAT 19.9% OR $152,202 OF THE AMOUNTS WRITTEN OFF AS BAD DEBT WOULD HAVE QUALIFIED AS FINANCIAL ASSISTANCE IF THE PATIENTS WOULD HAVE SUBMITTED THE REQUIRED DOCUMENTATION. Form 990, Part III, Line 4c HOSPITAL PHYSICIAN PRACTICES (CONTINUED FROM PART III) THROUGH DAILY OPERATIONS, THE HOSPITAL PHYSICIAN PRACTICES OF SIMS PROVIDE SIGNIFICANT AMOUNTS OF UNCOMPENSATED FINANCIAL ASSISTANCE AND UNCOMPENSATED GOVERNMENT-SPONSORED HEALTH CARE. THE PATIENT POPULATION OF THE HOSPITAL PHYSICIAN PRACTICES OF SIMS IS COMPRISED OF 32% MEDICARE, 17% MEDICAID, 3% SELF-PAY/FINANCIAL ASSISTANCE AND 48% COMMERCIAL/MANAGED CARE. UNCOMPENSATED HEALTH CARE: THE HOSPITAL PHYSICIANS OF SIMS PROVIDED $18,547,323 OF UNCOMPENSATED HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICARE HEALTH CARE PROGRAM. INDIGENT HEALTH CARE: THE HOSPITAL PHYSICIANS OF SIMS HAVE PROVIDED $9,330,143 OF INDIGENT HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICAID HEALTH CARE PROGRAM AND $372,809 OF INDIGENT FINANCIAL ASSISTANCE. BAD DEBTS: THE HOSPITAL PHYSICIAN PRACTICES OF SIMS WROTE OFF $2,349,383 FROM PRIVATE PAY ACCOUNTS THAT WERE UNCOLLECTIBLE, BUT DID NOT MEET THE CRITERIA TO BE CONSIDERED FINANCIAL ASSISTANCE. SIMS HAS DETERMINED THAT 19.9% OR $416,363 OF THE AMOUNTS WRITTEN OFF AS BAD DEBT WOULD HAVE QUALIFIED AS FINANCIAL ASSISTANCE IF THE PATIENTS WOULD HAVE SUBMITTED THE REQUIRED DOCUMENTATION Form 990, Part III, Line 4d Description of other program services (Expenses $ 8,678,986 including grants of $ 0)(Revenue $ 9,352,108) SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) ALSO PROVIDES OTHER ADMINISTRATIVE SERVICES AND LEASES SPACE TO ITS RELATED ORGANIZATIONS. Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION FOR THE ORGANIZATION'S PRESIDENT AND OTHER OFFICERS IS PAID BY SOUTHERN ILLINOIS HOSPITAL SERVICES, INC. (SIHS), A RELATED TAX-EXEMPT ORGANIZATION. THE BOARD OF TRUSTEES SETS THE EXECUTIVE COMPENSATION POLICY AND IS RESPONSIBLE FOR APPROVAL OF THE COMPENSATION. THE GOVERNANCE COMMITTEE IS DESIGNATED BY THE BOARD TO ACT AS THE COMPENSATION COMMITTEE FOR MATTERS CONCERNING EXECUTIVE COMPENSATION. EACH MEMBER OF THE COMMITTEE, WHILE CONSIDERING EXECUTIVE COMPENSATION ISSUES, MUST BE AN INDEPENDENT DIRECTOR, FREE FROM ANY CONFLICT OF INTEREST. THE COMMITTEE SEEKS OUT AND CONTRACTS THE SERVICES OF AN OUTSIDE, INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO ADVISE THE COMMITTEE IN MATTERS OF MARKET VALUES OF COMPARABLE EXECUTIVE POSITIONS. THE COMMITTEE ANNUALLY REVIEWS ALL COMPARABILITY DATA AND PREPARES A RECOMMENDATION AS TO THE COMPENSATION PACKAGE OF THE PRESIDENT/CEO FOR THE FULL BOARD. ONLY THE FULL BOARD HAS THE AUTHORITY TO APPROVE THE COMPENSATION OF THE PRESIDENT/CEO. THE DECISIONS AND DELIBERATIONS ARE DOCUMENTED IN THE GOVERNANCE COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN JUNE 2018. BECAUSE THE ORGANIZATION'S PRESIDENT AND OTHER OFFICERS ARE NOT PAID BY THE FILING ORGANIZATION, THE FORM 990 INSTRUCTIONS REQUIRE THIS TO BE ANSWERED "NO". Form 990, Part VI, Line 1a Delegate broad authority to a committee The members of the Governance Committee are the President, the Secretary, and the Treasurer. The Governance committee is authorized to act for the Board of Trustees in all matters as specifically authorized by resolution of the Board or when the Board of Trustees is not in session. Form 990, Part VI, Line 6 Classes of members or stockholders The organization's sole member is Southern Illinois Hospital Services, a related tax-exempt organization. The member has the right to elect members to the board of trustees and approve some decisions of the board. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The organization's sole member, Southern Illinois Hospital Services, Inc., has the exclusive right to elect Trustees to the organization's Board of Trustees Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The organization's sole member, Southern Illinois Hospital Services (Corporate Member), has reserved powers found in the Organizations bylaws. Except for transfers identified in the budget of the Organization approved by the Corporate Member, the Organization may not transfer assets to entities other than the Corporate Member or entities that the Corporate Member controls (the "Corporate Member Affiliates"), without the approval of the Corporate Member. The Corporate Member has the right to require the Organization to transfer assets to the extent necessary to accomplish the Corporate Member's goals and objectives. The Corporate Member also has the right to require the organization to provide for the payment of all indebtedness of the Corporate Member or a Corporate Member Affiliate. The Organization cannot be required to violate its charitable purposes, the terms of any restricted gifts, or the covenants of its debt instruments in complying with any asset transfers directed by the Corporate Member. In addition, the following matters must be submitted to and receive the approval of the Corporate Member: 1. Capital expenditures in excess of $500,000; 2. The buying, selling, leasing, mortgaging or disposing of real property belonging to the Corporation or any of its subsidiaries; 3. The establishment or discontinuance of any major services; including services requiring Certificates of Need; 4. Long-Range Strategic Plans; 5. Master Facilities and Site Plans; 6. The creation or dissolution of any corporation, the sole member or majority stockholder of which is the Corporation; 7. Joint venture or affiliation agreements; 8. The incurrence of indebtedness in excess of $500,000; 9. Such other matters as may be required by law or by the Organization's Articles of Incorporation, or by its bylaws to be submitted to the Corporate Member; 10. Delegation of the functions, powers, duties and responsibilities of any officer of the Corporation, and; 11. Any other matter which may be specified from time to time by the Corporate Member. In addition, The Corporate Member retains the right to approve all changes to the organization's bylaws Form 990, Part VI, Line 11b Review of form 990 by governing body A draft of the Form 990 and supplemental schedules was distributed to the CEO, CFO and certain Vice-Presidents of the corporation for their review and comments. A draft copy was presented to the Finance Committee by the CFO and the organization's tax advisors for review and comments. After the review and comment period, all suggestions and comments were considered and the Form 990 was updated as appropriate. The finalized Form 990 and supplemental schedules was then presented to the Board of Trustees and a copy of the return was made available to every member of the governing body before it was filed with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy Annually, the General Counsel sends out a Conflict of Interest Questionnaire to each Trustee, Director, Officer, Manager and key employee to complete and return. The General Counsel then reviews these Questionnaires to determine what conflicts, real or perceived, exist. During every board meeting, the General Counsel reminds the Trustees that the Board has a conflict of interest policy, that the General Counsel has reviewed the agenda for any conflicts, but that the Trustees are obligated to give notice if a conflict has been over-looked or if a discussion or action comes before the Board which may involve or create a conflict of interest for someone. If a Trustee has a conflict of interest, the Trustee or the General Counsel discloses the conflict. The Trustee with the conflict is allowed to remain in the meeting to answer any question the Trustee may need to answer and then the conflicted Trustee is excused from the meeting. The remaining Trustees then discuss the matter further and action is taken on the matter. Finally, the conflicted Trustee is then invited back into the meeting. Interested persons may also be asked, in rare situations, to resign their position on the Board. Form 990, Part VI, Line 15b Process to establish compensation of other employees The Board of Trustees sets the executive compensation policy and is responsible for approval of the compensation. The Governance Committee is designated by the Board to act as the Compensation Committee for matters concerning executive compensation. Each member of the Committee, while considering executive compensation issues, must be an independent director, free from any conflict of interest. The Committee seeks out and contracts the services of an outside, independent executive compensation consultant to advise the Committee in matters of market values of comparable executive positions. The Committee annually reviews all comparability data and prepares a recommendation as to the compensation package of all officers for the full Board. Only the Committee will have the authority to approve the compensation of the senior management team and will report its actions to the Board. The decisions and deliberations are documented in the governance committee minutes. This process was last undertaken in June 2018. Form 990, Part VI, Line 19 Required documents available to the public The organization makes its conflict of interest policy available to the public on its website and upon request. Governing documents and financial statements are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time. Form 990, Part IX, Line 11g Other Fees CREDIT and COLLECTION FEES - Total Expense: 1266010, Program Service Expense: 1227459, Management and General Expenses: 38551, Fundraising Expenses: 0; CLINICAL SERVICE FEES - Total Expense: 104969, Program Service Expense: 104969, Management and General Expenses: 0, Fundraising Expenses: 0; ARCHITECT FEES - Total Expense: 1020, Program Service Expense: 1020, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER PROFESSIONAL FEES - Total Expense: 528088, Program Service Expense: 274598, Management and General Expenses: 253490, Fundraising Expenses: 0; OTHER PURCHASED SERVICES - Total Expense: 1156520, Program Service Expense: 224050, Management and General Expenses: 932470, Fundraising Expenses: 0; PHYSICIAN SERVICES - Total Expense: 39716999, Program Service Expense: 39693908, Management and General Expenses: 23091, Fundraising Expenses: 0; CONSULTING FEES - Total Expense: 2363, Program Service Expense: 420, Management and General Expenses: 1943, Fundraising Expenses: 0; RECRUITMENT FEES - Total Expense: 36000, Program Service Expense: 36000, Management and General Expenses: 0, Fundraising Expenses: 0; ENGINEERING FEES - Total Expense: 3410, Program Service Expense: 3410, Management and General Expenses: 0, Fundraising Expenses: 0; AGENCY STAFFING - Total Expense: 67420, Program Service Expense: 0, Management and General Expenses: 67420, Fundraising Expenses: 0; Form 990, Part X, Line 25 Bond Liability payable to SIHS The Series 2017A non-taxable bond is split between Southern Illinois Medical Services and Southern Illinois Hospital Services, a related tax exempt entity. The amount listed on line 25 represents the piece of the bond that Southern Illinois Medical Services holds. Form 990, Part XI, Line 9 Other changes in net assets or fund balances EQUITY TRANSFER FROM SIHS - 1921950; SOUTHERN ILLINOIS HOSPITAL SERVICES PO BOX 3988 CARBONDALE IL 62902 370618939 HEALTHCARE IL 501(c)(3) 3 SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES false SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES INC PO BOX 3988 CARBONDALE IL 62902 371136788 LEASING OF MEDICAL SPACE IL 501(c)(3) Type II NA false SIH FOUNDATION NFP 1239 EAST MAIN STREET CARBONDALE IL 62901 271933790 FUNDRAISING IL 501(c)(3) Type I SOUTHERN ILLINOIS HOSPITAL SERVICES false RIC AND SIHS REHABILITATION SERVICES LLC PO BOX 3988 CARBONDALE IL 629023988 364566925 MEDICAL SERVICES IL NA N/A 0 0 0 0 PHYSICIANS' SURGERY CENTER LLC 2601 WEST MAIN STREET CARBONDALE IL 62901 260425547 MEDICAL SERVICES IL NA N/A 0 0 0 0 SIH CAYMAN SPC GROUP LTD PO BOX 1051 GRAND CAYMAN CJ CJ KY11102 980611605 FINANCING CJ NA C Corporation false HEALTH SERVICES OF SOUTHERN ILLINOIS INC PO BOX 3988 CARBONDALE IL 62902 371115061 FITNESS CENTER IL NA C Corporation false HIDK PROPERTIES LAND TRUST 1239 EAST MAIN STREET CARBONDALE IL 62902 466693066 RENTAL PROPERTIES IL NA Trust false false false false false true false false false false true true false false true true false true false true