SOUTHERN ILLINOIS HOSPITAL SERVICES: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: SOUTHERN ILLINOIS HOSPITAL SERVICES (EIN 37-0618939)
Tax period: 2013-04-01 to 2014-03-31
Filed: 2014-12-01
IRS object ID: 201403359349300160
Schema version: 2013v3.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-12-01T11:00:48-06:00	ReturnTs
Tax Period End	2014-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE HORWATH LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	9600 BROWNSBORO ROAD	AddressLine1
Address Line2	SUITE 400	AddressLine2
City	LOUISVILLE	City
State	KY	State
ZIP Code	402411122	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	370618939	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHERN ILLINOIS HOSPITAL SERVICES	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	SOUT	BusinessNameControlTxt
Phone	6184575200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3988	AddressLine1
City	CARBONDALE	City
State	IL	State
ZIP Code	629023988	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MIKE KASSER	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2014-11-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHERN ILLINOIS HEALTHCARE	BusinessNameLine1

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3988	AddressLine1
City	CARBONDALE	City
State	IL	State
ZIP Code	629023988	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$791,472,291	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SIH.NET	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	SOUTHERN ILLINOIS HOSPITAL SERVICES' (SIHS) MISSION STATEMENT IS "WE ARE DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF ALL OF THE PEOPLE IN THE COMMUNITIES WE SERVE."	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	3060	TotalEmployeeCnt
Total Volunteers	274	TotalVolunteersCnt
Total Gross UBI	$744,466	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$190,433	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,321,897	PYContributionsGrantsAmt
CY Contributions Grants	$2,453,089	CYContributionsGrantsAmt
PY Program Service Revenue	$380,496,986	PYProgramServiceRevenueAmt
CY Program Service Revenue	$403,639,319	CYProgramServiceRevenueAmt
PY Investment Income	$18,270,190	PYInvestmentIncomeAmt
CY Investment Income	$37,643,751	CYInvestmentIncomeAmt
PY Other Revenue	$4,682,486	PYOtherRevenueAmt
CY Other Revenue	$10,090,495	CYOtherRevenueAmt
PY Total Revenue	$406,771,559	PYTotalRevenueAmt
CY Total Revenue	$453,826,654	CYTotalRevenueAmt
PY Grants And Similar Paid	$445,902	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$969,461	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$167,575,408	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$175,384,686	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$207,502	CYTotalFundraisingExpenseAmt
PY Other Expenses	$195,335,490	PYOtherExpensesAmt
CY Other Expenses	$219,781,261	CYOtherExpensesAmt
PY Total Expenses	$363,356,800	PYTotalExpensesAmt
CY Total Expenses	$396,135,408	CYTotalExpensesAmt
PY Revenues Less Expenses	$43,414,759	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$57,691,246	CYRevenuesLessExpensesAmt
Total Assets BOY	$607,114,260	TotalAssetsBOYAmt
Total Assets EOY	$650,327,766	TotalAssetsEOYAmt
Total Liabilities BOY	$211,021,480	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$202,895,203	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$396,092,780	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$447,432,563	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) IS DEDICATED TO PROMOTING THE HEALTH AND WELL BEING OF ALL OF THE PEOPLE IN THE COMMUNITIES WE SERVE. OUR MISSION IS GUIDED BY OUR VALUES: COMPASSION, COLLABORATION, QUALITY, STEWARDSHIP, INTEGRITY, ACCOUNTABILITY AND RESPECT. (CONTINUED IN SCHEDULE O)	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$333,185,772	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$411,519,546	RevenueAmt
Desc	SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) PROVIDES QUALITY HEALTH SERVICES TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. THROUGH DAILY OPERATIONS, SIHS' HOSPITALS PROVIDE SIGNIFICANT AMOUNTS OF UNCOMPENSATED CHARITY CARE, UNCOMPENSATED GOVERNMENT-SPONSORED HEALTH CARE, SUBSIDIZED HEALTH SERVICES AND MEDICAL EDUCATION. THE PRIMARY SERVICE AREA OF SIHS IS A VERY RURAL SEVEN-COUNTY REGION WITH A COMBINED POPULATION OF APPROXIMATELY 244,000. THE RESIDENTS OF THESE COUNTIES' MEDIAN HOUSEHOLD INCOMES ARE BELOW THE STATE AVERAGE, PLUS THE POVERTY RATE IS HIGHER THAN THE STATE AVERAGE. (CONTINUED IN SCHEDULE O)	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,193,906	ExpenseAmt
Grant	$969,461	GrantAmt
Revenue	$0	RevenueAmt
Desc	SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) HAS EXTENDED ITS SERVICES BEYOND HOSPITAL WALLS AND INTO THE NEIGHBORHOODS WHERE PEOPLE LIVE AND WORK. THE COMMUNITY BENEFITS DEPARTMENT OF SIHS WAS INSTITUTED IN 1994 WITH AN OPERATING BUDGET SPECIFICALLY ALLOCATED TO BRING HEALTH-RELATED PROGRAMS TO THE AREAS IN WHICH THEY WERE MOST NEEDED. COMMUNITY BENEFITS HAS UNDERTAKEN A WIDE VARIETY OF SUCCESSFUL PROGRAMS SINCE ITS INCEPTION. (CONTINUED IN SCHEDULE O)	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$130,201	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) PROVIDES PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE CHILDREN AND ADOLESCENTS ATTENDING SOUTHERN ILLINOIS SCHOOLS. (CONTINUED IN SCHEDULE O)	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$335,509,879	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	Yes (true)	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	337	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3060	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	6184575200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1239 EAST MAIN STREET	AddressLine1
City	CARBONDALE	City
State	IL	State
ZIP Code	62901	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
EUGENE BASANTA
Vice Chair	2.00	2.00	Yes (X)	Yes (X)	$350	$0	$0
MARLENE SIMPSON
Secretary	2.00	1.00	Yes (X)	Yes (X)	$400	$0	$0
REX BUDDE
President/CEO	40.00	15.00	Yes (X)	Yes (X)	$1,051,133	$0	$241,430
STEVE SABENS
Chair	2.00	2.00	Yes (X)	Yes (X)	$450	$0	$0
BOB MEES
Trustee	2.00	1.00	Yes (X)		$400	$0	$0
DEBRA MCMORROW
Trustee	2.00	1.00	Yes (X)		$300	$0	$0
DR TERRENCE GLENNON
Trustee	2.00	2.00	Yes (X)		$7,280	$0	$0
GEORGE O'NEILL
Trustee	2.00	2.00	Yes (X)		$400	$0	$0
HAROLD BARDO
Trustee	2.00	2.00	Yes (X)		$250	$0	$0
KATHLEEN FRALISH
Trustee	2.00	2.00	Yes (X)		$400	$0	$0
MARSHA RYAN MD
Trustee	2.00	2.00	Yes (X)		$7,165	$0	$0
MIKE ABSHER
Trustee	2.00	1.00	Yes (X)		$350	$0	$0
MORTON LEVINE
Trustee	2.00	2.00	Yes (X)		$350	$0	$0
DAVID HOLLAND
VP/ Info Systems	40.00	10.00		Yes (X)	$350,554	$0	$105,751
JAMES MILLER MD
VP/CMO	40.00	10.00		Yes (X)	$473,599	$0	$66,755
JOHN B MILLSTEAD
VP/ Administrator	50.00	0		Yes (X)	$534,639	$0	$172,051
JOHN BROTHERS
VP/Administrator	50.00	0		Yes (X)	$263,910	$0	$117,906
JULIE FIRMAN
VP/CNO	50.00	0		Yes (X)	$330,649	$0	$95,865
MIKE KASSER
VP/CFO/Treasurer	40.00	15.00		Yes (X)	$401,237	$0	$145,249
PAM HENDERSON
VP/ HR	40.00	0		Yes (X)	$342,460	$0	$86,573
PHILIP SCHAEFER
VP/ Amb & Phys Services	15.00	55.00		Yes (X)	$486,711	$0	$164,808
SHELLY PIERCE
VP/Quality	30.00	25.00		Yes (X)	$190,905	$0	$36,606
TERRENCE FARRELL
VP/ Administrator	60.00	0		Yes (X)	$354,287	$0	$124,019
WILLIAM SHERWOOD
VP/ General Counsel	40.00	15.00		Yes (X)	$461,443	$0	$173,385
WILLIAM THORNE
VP/ Community Benefits	32.00	0		Yes (X)	$304,888	$0	$102,548
CHARLES BROOKS
Staff Nurse	40.00	0			$182,634	$0	$30,276	Yes (X)
DANIEL SKILES
Exec Director PHO	40.00	0			$190,708	$0	$39,302	Yes (X)
LEAH MACFARLANE
Pharmacist	40.00	0			$178,365	$0	$21,560	Yes (X)
REBECCA BRASEL
Staff Nurse	40.00	0			$181,178	$0	$43,733	Yes (X)
THOMAS HENTRICH
Pharmacist	40.00	0			$184,748	$0	$44,089	Yes (X)
BECKY ASHTON
Former VP	0.00	0			$249,262	$0	$407		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,731,405	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,812,313	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	112	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
BRIGHAM ANESTHESIA SOUTH LLC
35 ALBANY RD STE C	CARBONDALE	IL	62903	MEDICAL AND HEALTHCARE PAYMENTS	$3,649,278
MEDICAL STAFFING NETWORK
PO BOX 203000	DALLAS	TX	72445	MEDICAL AND HEALTHCARE PAYMENTS	$3,065,378
AOS LLC
1859 BOWKES AVE	FENTON	MO	63026	IT SERVICES	$2,830,007
LAB CORP OF AMERICA
PO BOX 12140	BURLINGTON	NC	27216	LAB SERVICES	$2,011,281
MIDWEST REGIONAL NEONATOLOGY
1809 WEST MAIN	CARBONDALE	IL	62901	MEDICAL AND HEALTHCARE PAYMENTS	$1,014,878

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	44	CntrctRcvdGreaterThan100KCnt
Related Organizations	$16,101	RelatedOrganizationsAmt
Government Grants	$1,785,803	GovernmentGrantsAmt
All Other Contributions	$651,185	AllOtherContributionsAmt
Total Contributions	$2,453,089	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT REVENUE	622110	$401,920,581	$401,920,581	$0	$0
PARTNERSHIP INCOME	900099	$1,510,727	$1,510,727	$0	$0
LEASEHOLD REVENUE FROM RELATED ORGANIZATIONS	531120	$208,011	$208,011	$0	$0
		$0
		$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$403,639,319	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,782,600	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$8,782,600	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$670,891	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$637,346	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$33,545	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,545	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$33,545	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$365,861,072	SecuritiesAmt
Other	$8,370	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$336,808,801	SecuritiesAmt
Other	$199,490	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$29,052,271	SecuritiesAmt
Other	-$191,120	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,861,151	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$28,861,151	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA/VENDING/HOSPITAL AUXILIARY	900099	$1,961,136	$528,879	$0	$1,432,257
MEDICAL RECORDS/X-RAY/INTERNET PHYSICIANS	621300	$638,179	$123,740	$514,439	$0
REFERENCE LAB	621500	$230,027	$0	$230,027	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,227,608	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,227,608	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,056,950	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$453,826,654	TotalRevenueColumnAmt
Related Or Exempt Func Income	$411,519,546	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$744,466	UnrelatedBusinessRevenueAmt
Exclusion	$39,109,553	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$969,461	TotalAmt
Program Services	$969,461	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,460,026	TotalAmt
Program Services	$1,194,379	ProgramServicesAmt
Management And General	$6,265,647	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$43,680	TotalAmt
Program Services	$43,680	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$125,471,649	TotalAmt
Program Services	$103,689,202	ProgramServicesAmt
Management And General	$21,630,195	ManagementAndGeneralAmt
Fundraising	$152,252	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,868,988	TotalAmt
Program Services	$1,741,941	ProgramServicesAmt
Management And General	$1,124,681	ManagementAndGeneralAmt
Fundraising	$2,366	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$29,937,717	TotalAmt
Program Services	$27,429,410	ProgramServicesAmt
Management And General	$2,488,929	ManagementAndGeneralAmt
Fundraising	$19,378	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,602,626	TotalAmt
Program Services	$7,753,614	ProgramServicesAmt
Management And General	$1,837,760	ManagementAndGeneralAmt
Fundraising	$11,252	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$612,467	TotalAmt
Program Services	$9,231	ProgramServicesAmt
Management And General	$603,236	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$146,133	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$146,133	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$77,000	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$77,000	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$484,592	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$484,592	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$61,046,680	TotalAmt
Program Services	$52,581,926	ProgramServicesAmt
Management And General	$8,464,754	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,056,025	TotalAmt
Program Services	$17,748	ProgramServicesAmt
Management And General	$1,038,277	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,451,517	TotalAmt
Program Services	$7,517,532	ProgramServicesAmt
Management And General	$911,731	ManagementAndGeneralAmt
Fundraising	$22,254	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,413,074	TotalAmt
Program Services	$6,805,653	ProgramServicesAmt
Management And General	$2,607,421	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,026,148	TotalAmt
Program Services	$5,661,496	ProgramServicesAmt
Management And General	$1,364,652	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$770,515	TotalAmt
Program Services	$460,779	ProgramServicesAmt
Management And General	$309,736	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,008,634	TotalAmt
Program Services	$509,679	ProgramServicesAmt
Management And General	$498,955	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,700,565	TotalAmt
Program Services	$6,662,200	ProgramServicesAmt
Management And General	$38,365	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$27,012,904	TotalAmt
Program Services	$17,842,811	ProgramServicesAmt
Management And General	$9,170,093	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,728,918	TotalAmt
Program Services	$8,460,282	ProgramServicesAmt
Management And General	$268,636	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$73,586,384	$73,586,384	$0	$0
PROVIDER TAX	$5,854,768	$5,854,768	$0	$0
EQUIPMENT RENTAL	$5,736,778	$5,241,896	$494,882	$0
HOSPITAL AUXILIARY	$533,726	$533,726	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,534,433	TotalAmt
Program Services	$942,081	ProgramServicesAmt
Management And General	$592,352	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$396,135,408	TotalAmt
Program Services	$335,509,879	ProgramServicesAmt
Management And General	$60,418,027	ManagementAndGeneralAmt
Fundraising	$207,502	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,859	BOYAmt
EOY	$6,325	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,075,871	BOYAmt
EOY	$8,492,184	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$83,950,513	BOYAmt
EOY	$82,227,368	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,100,268	BOYAmt
EOY	$789,001	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,876,596	BOYAmt
EOY	$9,332,618	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,080,193	BOYAmt
EOY	$4,844,913	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$400,487,556	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$219,428,076	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$169,697,790	BOYAmt
EOY	$181,059,480	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$310,962,871	BOYAmt
EOY	$323,940,686	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,014,093	BOYAmt
EOY	$2,805,594	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$574,500	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$21,349,206	BOYAmt
EOY	$36,255,097	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$607,114,260	BOYAmt
EOY	$650,327,766	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$45,777,524	BOYAmt
EOY	$47,748,475	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$135,345,000	BOYAmt
EOY	$128,290,000	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$29,898,956	BOYAmt
EOY	$26,856,728	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$211,021,480	BOYAmt
EOY	$202,895,203	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$395,765,997	BOYAmt
EOY	$447,280,642	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$326,783	BOYAmt
EOY	$151,921	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$396,092,780	BOYAmt
EOY	$447,432,563	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$607,114,260	BOYAmt
EOY	$650,327,766	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$57,691,246	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$9,453,002	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,101,539	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$77,000	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$75,875	OtherActivitiesAmt
Total Lobbying Expenditures	$152,875	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i	A PORTION OF DUES PAID TO THE ILLINOIS HOSPITAL ASSOCIATION IS USED FOR LOBBYING BY THAT ASSOCIATION IN THE AMOUNT OF $75,875.
SCHEDULE C, PART II-B, LINE 1G, DIRECT CONTRACT WITH LEGISLATORS	THE ORGANIZATION HAS HIRED A PROFESSIONAL SERVICES FIRM TO CONDUCT LOBBYING ON BEHALF OF THE ORGANIZATION.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,331,285	OtherCostOrOtherBasisAmt
Book Value	$11,331,285	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$107,968,814	OtherCostOrOtherBasisAmt
Depreciation	$57,414,121	DepreciationAmt
Book Value	$50,554,693	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,110,479	OtherCostOrOtherBasisAmt
Depreciation	$8,782,368	DepreciationAmt
Book Value	$4,328,111	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$245,336,076	OtherCostOrOtherBasisAmt
Depreciation	$153,231,587	DepreciationAmt
Book Value	$92,104,489	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,740,902	OtherCostOrOtherBasisAmt
Book Value	$22,740,902	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$181,059,480	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$28,249,730
STUDENT/TUITION LOANS RECEIVABLE	$710,649
OTHER CURRENT ASSETS	$908,105
UNAMORTIZED BOND COSTS, NET	$3,918,508
EXECUTIVE BENEFIT PLAN	$2,468,105

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$36,255,097	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$11,083,309
INTEREST RATE SWAP CONTRACT	$9,853,341
MEDICAL PROFESSIONAL LIABILITY	$4,603,859
DUE TO AFFILIATES	$96,708
ACCRUED BOND INTEREST	$631,364
ASBESTOS LIABILITY	$98,378
LONG TERM EXECUTIVE RETIREMENT PLAN	$338,900
MISCELLANEOUS	$150,869

Field	Value	IRS element (for citing)
Total Liability	$26,856,728	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS. BELOW IS THE FIN 48 (ASC 740) FOOTNOTE FROM THOSE FINANCIAL STATEMENTS THE CORPORATION IS 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, 2014 AND 2013, NO TAX WAS DUE RELATED TO THESE OPERATIONS. 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, 2014 AND 2013. 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, 2014 AND 2013. 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, 2010 AND PRIOR.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$120,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Total Spent	$120,000	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule F, Part I, Line 3, Method to account for expenditures on org.'s financial statements	CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL
Schedule F, Part I, Line 3, Method to account for expenditures on org.'s financial statements	CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,260,538	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,260,538	NetCommunityBenefitExpnsAmt
Total Expense	0.03350	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,266,981	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,083,070	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,183,911	NetCommunityBenefitExpnsAmt
Total Expense	0.05850	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$81,527,519	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,083,070	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,444,449	NetCommunityBenefitExpnsAmt
Total Expense	0.09200	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$805,548	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$805,548	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,773,270	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$615,002	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,158,268	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,010,926	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,886,301	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,124,625	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$159,410	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$159,410	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$973,920	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$973,920	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$7,723,074	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,501,303	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,221,771	NetCommunityBenefitExpnsAmt
Total Expense	0.01310	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$89,250,593	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,584,373	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,666,220	NetCommunityBenefitExpnsAmt
Total Expense	0.10510	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$132,823	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$132,823	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$416,275	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$416,275	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$549,098	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$549,098	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$10,551,849	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,273,446	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$134,684,659	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$141,621,371	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,936,712	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
PHYSCIAN'S SURGERY CENTER
SURGERY CENTER	0.55	0.02	0.43
SOUTHERN ILLINOIS ORTHOPEDICS CENTER
MEDICINE	0.34	0	0.66

Field	Value	IRS element (for citing)
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc	Critical Access HospitalCriticalAccessHospitalInd
MEMORIAL HOSPITAL OF CARBONDALE
1	405 WEST JACKSON STREET	CARBONDALE	IL	62901	WWW.SIH.NET	0000513	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
HERRIN HOSPITAL
2	201 SOUTH 14TH STREET	HERRIN	IL	62948	WWW.SIH.NET	0000935	Yes (X)	Yes (X)		Yes (X)	A	ACUTE REHAB
ST JOSEPH MEMORIAL HOSPITAL
3	800 NORTH 2ND STREET	MURPHYSBORO	IL	62966	WWW.SIH.NET	0004614	Yes (X)	Yes (X)		Yes (X)	A		Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.sih.net/about/community-benefits/	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (true)	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment	(1) A - A: THE BROAD INTERESTS OF THE COMMUNITY WE SERVE WERE INCORPORATED BY INCLUDING INPUT FROM RESIDENTS, PATIENT GROUPS, HEALTH CARE PRACTITIONERS, LOCAL HEALTH DEPARTMENTS, SOCIAL SERVICE PROVIDERS, AND OTHER COMMUNITY ORGANIZATIONS AND PARTNERS. PARTICIPANTS CONTRIBUTED TO THIS ASSESSMENT BY: IDENTIFYING AND PRIORITIZING NEEDS;HIGHLIGHTING CURRENT SUCCESSFUL AND ONGOING ACTIVITIES; IDENTIFYING GAPS WHERE ATTENTION IS NEEDED; FOSTERING COLLABORATION, PURSUING OPPORTUNITIES FOR INNOVATION AND SUSTAINABILITY; AND DEVELOPING PLANS TO ADDRESS SIGNIFICANT COMMUNITY HEALTH ISSUES. THE PROCESS WAS GUIDED BY A STEERING COMMITTEE COMPOSED OF AN INTERNAL TEAM OF SIH REPRESENTATIVES AND AN EXTERNAL TEAM OF COMMUNITY STAKEHOLDERS KNOWLEDGEABLE ABOUT HEALTH, NEEDS ASSESSMENT, AND THE LOCAL COMMUNITY. THE PROCESS INCLUDED A PRIMARY SURVEY OF OUR COMMUNITY'S HEALTH PRIORITIES, A PATIENT FOCUS GROUP, AND FACILITATED GROUP DISCUSSIONS WITH LOCAL PUBLIC HEALTH DEPARTMENT STAFF, HEALTH AND SOCIAL SERVICE PROVIDERS, AND OTHER COMMUNITY MEMBERS. ACTIVE PARTICIPATION IN LOCAL HEALTH COMMUNITY COALITIONS ALSO PROVIDED INSIGHT INTO THE NEEDS AND PRIORITIES OF OUR COMMUNITY MEMBERS. ;
Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment	(1) A - A: HERRIN HOSPITAL, HERRIN, IL, ST JOSEPH MEMORIAL HOSPITAL, MURPHYSBORO, IL, MEMORIAL HOSPITAL OF CARBONDALE, CARBONDALE, IL;
Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined	(1) A - A: ORGANIZATION IS USING THE LOOK-BACK METHOD DESCRIBED IN 501(R)-5(B)(1). ;

Field	Value	IRS element (for citing)
Facility	24	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
RIC AND SIH REHABILITATION SERVICES LLC
PO Box 3988	CARBONDALE	IL	62901	REHABILITATION SERVICES
PRAIRIE BUILDING
409 West Oak	CARBONALE	IL	62901	CARDIAC DIAGNOSTIC
ST JO LAB AND IMAGING AT CMA
2601 West Main	CARBONDALE	IL	62901	LAB AND IMAGING SERIVCES
PHYSICIANS SURGERY CENTER
2601 West Main St	CARBONDALE	IL	62901	SURGERY CENTER
LPC WF IMAGING AND LAB
502 St Louis Street	WEST FRANKFORT	IL	62896	RADIOLOGY SERVICES, LABORATORY SERVICES
CANCER CARE CENTER
3117 Williamson County Parkway	MARION	IL	62959	CANCER TREATMENT SERVICES
SLEEP CENTER
8305 Express Drive	MARION	IL	62959	SLEEP STUDIES
BREAST CENTER
1237 East Main Street	CARBONDALE	IL	62901	MAMMOGRAPHY FACILITY
REHAB UNLIMITED
305 West Jackson	CARBONDALE	IL	62901	PHYSICAL THERAPY
MINERS MEMORIAL HEALTH CENTER
2553 Ken Gray Blvd	WEST FRANKFORT	IL	62896	FAMILY PRACTICE, RADIOLOGY AND LAB SERVICES, AND SPECIALTY CLINICS
LOGAN PARK RADIOLOGY AND LAB
405 Rushing Drive	HERRIN	IL	62948	RADIOLOGY SERVICES, LABORATORY SERVICES
REHAB UNLIMITED AND FIT FOR WORK
515 East Vienna Street	ANNA	IL	62906	PHYSICAL THERAPY SERVICES
REFERENCE LAB
500 Lincoln Drive	HERRIN	IL	62948	LAB SERVICES
WOUND CARE
315 South 13th St	HERRIN	IL	62948	WOUND CARE
REHAB UNLIMITED
6 East Shawnee Drive	MURPHYSBORO	IL	62864	PHYSICAL THERAPY SERIVCES
FRANKLIN MEDICAL ARTS
203 Bailey Lane	BENTON	IL	62912	LAB AND IMAGING SERVICES
LPC REHAB
3308 Logan Drive	HERRIN	IL	62948	REHABILITATION SERVICES
RIC PHYSICIAN PRACTICES
3224 South Park Avenue	HERRIN	IL	62948	REHABILITATION SERVICES
WOMEN'S CENTER
315 South 13th St	HERRIN	IL	62948	MAMMOGRAPHY SERVICE
HERRIN MEDICAL ARTS
220 S Park Ave	HERRIN	IL	62948	OUTPT CARDIOVASCULAR CENTER/CHF CLINIC
FIT FOR WORK
101 South Park Avenue	HERRIN	IL	62948	PHYSICAL THERAPY SERVICES
WOUND CARE - HARRISBURG
411 West Poplar	HARRISBURG	IL	62948	WOUND CARE
REHAB UNLIMITED - MARION
3905 Ernestine	MARION	IL	62959	REHABILITATION SERVICES
REHAB UNLIMITED MCLEANSBORO
117-119 S Jackson	MCLEANSBORO	IL	62859	REHABILITATION SERVICES

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7, BAD DEBT EXPENSE	THE ORGANIZATION IS REQUIRED FOR GAAP TO RECORD BAD DEBT EXPENSE AS A CONTRA-REVENUE ACCOUNT. THEREFORE ON THE TAX RETURN THE BAD DEBT EXPENSE IS INCLUDED IN PART VIII AND NOT PART IX OF THE CORE FORM 990. THEREFORE THERE IS NO BAD DEBT EXPENSE TO REMOVE FROM TOTAL EXPENSES FOR PURPOSES OF CALCULATING CHARITY CARE AND COMMUNITY BENEFIT PERCENTAGES.
Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARY ACCORDING TO THE INFORMATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE IRS PROVIDED WORKSHEET NUMBER 2 WAS USED TO CALCULATE A COST TO CHARGE RATIO USING INFORMATION FROM THE ORGANIZATION'S GENERAL LEDGER AND COST REPORTS. THAT RATIO WAS THEN USED IN CONJUNCTION WITH IRS WORKSHEET NUMBER 1 TO CALCULATE THE COST OF CHARITY CARE PROVIDED AND WORKSHEET NUMBER 3 TO CALCULATE UNREIMBURSED MEDICAID AMOUNTS. THE ORGANIZATION'S COST ACCOUNTING SOFTWARE WAS UTILIZED FOR CALCULATING PORTIONS OF THE SUBSIDIZED HEALTH SERVICES. THE ORGANIZATION'S COST ACCOUNTING SOFTWARE ENCOMPASSES ALL PATIENT TYPES, SERVICES, AND PAYORS. THE COST ASSOCIATED WITH A SERVICE ARE REVIEWED AND UPDATED ANNUALLY TO PROVIDE THE MOST ACCURATE COST POSSIBLE. BOTH DIRECT AND INDIRECT COSTS ARE CONSIDERED WHEN ENTERED INTO THE SYSTEM. ACTUAL COST OF HEALTH IMPROVEMENT AND COMMUNITY BENEFIT PROGRAMS, HEALTH EDUCATION, RESEARCH PROGRAMS, SOME SUBSIDIZED HEALTH SERVICES AND DONATIONS ARE STATED AT ACTUAL COST. THE COSTS OF THESE ITEMS ARE TRACKED THROUGH THE GENERAL LEDGER PROCESS AND THROUGH OTHER ACCOUNTING SOFTWARE.
Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation	0
Schedule H, Part I, Line 7g, Subsidized Health Services	A FAMILY PRACTICE CENTER IS INCLUDED IN SUBSIDIZED HEALTH SERVICES. THE COST OF PROVIDING THIS CENTER WAS $626,881.
Schedule H, Part II, Community Building Activities	THROUGH COMMUNITY BUILDING ACTIVITIES, SOUTHERN ILLINOIS HOSPITAL SERVICES ADDRESSES THE CAUSES OF HEALTH PROBLEMS THROUGH PROGRAMS THAT ADVOCATE FOR COMMUNITY HEALTH IMPROVEMENTS. THESE PROGRAMS INCLUDE: HEALTHY COMMUNITIES - THE FOCUS OF THE WORK IN THE AREA OF HEALTHY COMMUNITIES IS TO INCREASE THE CAPACITY OF LOCAL AGENCIES TO WORK COLLABORATIVELY TO ADDRESS THE UNMET HEALTH NEEDS WITHIN THE COMMUNITIES SERVED BY SIH HOSPITALS. DEPARTMENT STAFF WORKS TO IMPROVE COMMUNITY HEALTH THROUGH THE ASSESSMENT OF COMMUNITY NEEDS AND THE PLANNING, IMPLEMENTATION, AND EVALUATION OF COMMUNITY-BASED HEALTH PROMOTIONS, EDUCATION, PREVENTION PROGRAMS, AND SERVICES. IN FY13 AN INCREASED FOCUS WILL BE DIRECTED ON INITIATIVES ADDRESSING CARDIOVASCULAR DISEASE AND CANCER, THE DEVELOPMENT OF STRATEGIES, PROGRAMMING, AND INTERVENTIONS TO REDUCE METHAMPHETAMINE USAGE, AND THE CONTINUATION OF EFFORTS TO EXPAND ACCESS TO CARE FOR THE UNINSURED AND UNDER-INSURED. SIH IS ACTIVE IN TWO HEALTHY COMMUNITIES COALITIONS IN LOCAL COUNTIES. THESE COALITIONS ARE COMPRISED OF HEALTH PROVIDERS, SOCIAL SERVICE AGENCIES, CITIZENS AND OTHER INTERESTED COMMUNITY GROUPS. COORDINATED SCHOOL HEALTH - "HEALTHY STUDENTS- READY TO LEARN" - THROUGH THE COORDINATED SCHOOL HEALTH PROGRAM, THE PARTNERS IN HEALTH TEAM WORKS WITH SCHOOL DISTRICTS TO ENSURE THAT THE LEARNING ENVIRONMENT IS STRUCTURALLY SAFE AS WELL AS FREE FROM FEAR. POLICIES, SCHOOL SAFETY PLANS AND LESSONS FOCUSING ON VIOLENCE PREVENTION CONTRIBUTE TO A SAFE SCHOOL ENVIRONMENT. COMPREHENSIVE, SKILL-BASED HEALTH EDUCATION, PHYSICAL EDUCATION IN SCHOOL THAT EMPHASIZES IMPROVED FITNESS, THE DEVELOPMENT OF A LIFELONG INTEREST IN HEALTH AND WELLNESS, AND DEVELOPING EXPANDED AND SUSTAINABLE HEALTH SERVICES IN SCHOOLS ARE FOCUS AREAS OF THIS PROGRAM. THE "PARTNERS IN HEALTH" INITIATIVE NOW INVOLVES 41 SCHOOLS, 21,000 STUDENTS AND 1,100 FACULTY AND STAFF. THE COMPONENTS OF A COORDINATED SCHOOL HEALTH PROGRAM INCLUDE HEALTH INSTRUCTION, PHYSICAL EDUCATION, HEALTH SERVICES, NUTRITION SERVICES, DEVELOPMENT OF A HEALTHY SCHOOL ENVIRONMENT, HEALTH PROMOTION FOR STAFF, PSYCHOLOGICAL AND SOCIAL SERVICES, AND FAMILY/COMMUNITY INVOLVEMENT. IN ADDITION TO THE PARTNERS IN HEALTH, SOUTHERN ILLINOIS HOSPITAL SERVICES IS WORKING COLLABORATIVELY TO ESTABLISH SCHOOL-BASED HEALTH CENTERS IN THE COMMUNITIES OF CARBONDALE, MARION, WEST FRANKFORT, AND BENTON. THIS IS A COLLABORATION OF MULTIPLE COMMUNITY PARTNERS WHOSE GOAL IS TO ALLEVIATE THE OVERALL HEALTH DISPARITIES BETWEEN CHILDREN THAT RECEIVE REGULAR PRIMARY CARE, SCREENINGS AND SPECIALIZED SERVICES AND THOSE WHO DO NOT EXPERIENCE SUCH CARE. BY OFFERING HEALTH SERVICES FOR CHILDREN IN SCHOOL SETTINGS, IMPROVED COORDINATION OF CARE WITH PRIMARY PHYSICIANS WILL BE ENHANCED, CHRONIC CONDITIONS CAN BE BETTER MANAGED, AND ACCESS WILL BE INCREASED TO THOSE LACKING A PRIMARY CARE PROVIDER. CURRENT EFFORTS INCLUDE PLANNED PARTNERSHIPS BETWEEN THE SCHOOLS AND WOULD INVOLVE MULTIPLE COLLABORATIVE ENTITIES SUCH AS COMMUNITY HEALTH CENTERS, COMMUNITY MENTAL HEALTH AGENCIES, LOCAL HEALTH DEPARTMENTS, RURAL HEALTH CLINICS AND SIH COMMUNITY BENEFITS. PATIENT SUPPORT INITIATIVE - SOUTHERN ILLINOIS HOSPITAL SERVICES PROVIDES A PATIENT SUPPORT INITIATIVE (PSI) WITH THE GOAL OF PROVIDING PATIENTS WITH ADEQUATE CARE AND COMPENSATING PHYSICIANS AT REASONABLE RATES FOR PATIENTS THAT DO NOT HAVE RESOURCES AVAILABLE TO PAY THEIR HEALTH CARE BILLS. SIHS COMPENSATES PHYSICIANS FOR THE CARE OF PATIENTS THAT ENTER THE HEALTHCARE SYSTEM VIA THE EMERGENCY DEPARTMENTS AT SIHS FACILITIES AND ARE ASSIGNED TO PHYSICIANS BASED UPON THE ON-CALL ROTATION COVERAGE. PSI IS DESIGNED FOR PHYSICIAN/PATIENT CONTACT THAT OCCURS IN A HOSPITAL BASED SETTING WHEN THERE WAS NO PREVIOUS RELATIONSHIP BETWEEN THE PATIENT AND THE PHYSICIAN OR THE PHYSICIAN'S PRACTICE. PSI PAYS COMPENSATION FOR PROFESSIONAL FEES ONLY, RELATING DIRECTLY TO THE EPISODE OF CARE BEGUN IN THE EMERGENCY DEPARTMENT, NOT TO EXCEED 30 DAYS. INDIGENT CARE FUNDING - SOUTHERN ILLINOIS HOSPITAL SERVICES PROVIDES FUNDING TO PURCHASE PRESCRIPTIONS, MEDICAL SUPPLIES AND TRANSPORTATION TO PATIENTS DEEMED FINANCIALLY INDIGENT ON A CASE-BY- CASE BASIS.
Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount	IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY INSURANCE COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE CORPORATION REGULARLY PERFORMS HINDSIGHT PROCEDURES TO EVALUATE HISTORICAL WRITE-OFF AND COLLECTION EXPERIENCE THROUGHOUT THE YEAR TO ASSIST IN DETERMINING THE REASONABLENESS OF ITS PROCESS FOR ESTIMATING THE PROVISION FOR BAD DEBT.
Schedule H, Part III, Line 3, Bad Debt Expense Methodology	COSTING METHODOLOGY OF BAD DEBT EXPENSE THE COST TO CHARGE RATIO IS CALCULATED UTILIZING WORKSHEET 2 INCLUDED IN THE INTERNAL REVENUE SERVICE'S FORM 990 SCHEDULE H INSTRUCTIONS. THIS COST TO CHARGE RATIO IS APPLIED TO THE CHARGES THAT ARE WRITTEN OFF PER THE ABOVE METHODOLOGY. COSTING METHODOLOGY TO ESTIMATE CHARITY CARE IN BAD DEBT EXPENSE TO ESTIMATE THE AMOUNT OF CARE THAT WAS WRITTEN OFF AS BAD DEBT EXPENSE THAT WOULD HAVE BEEN ELIGIBLE FOR CHARITY UNDER OUR POLICY THE FOLLOWING STEPS WERE TAKEN: - THE NUMBER OF ENCOUNTERS BY COUNTY AT EACH OF OUR 3 FACILITIES WAS OBTAINED FROM OUR REGISTRATION SYSTEM. THE PERCENTAGE OF PATIENTS FROM EACH COUNTY VARIES BY FACILITY DUE TO THE LOCATION OF THE FACILITY. - THE AMOUNT OF BAD DEBT EXPENSE BY COUNTY AT EACH HOSPITAL WAS ESTIMATED BY APPLYING THE PERCENTAGES OBTAINED ABOVE TO THE AMOUNT OF TOTAL CHARGES WRITTEN OFF AT EACH FACILITY. - THE POVERTY RATE OF EACH COUNTY WAS THEN APPLIED TO THESE ALLOCATED CHARGES TO ESTIMATE THE AMOUNT OF CHARGES THAT WOULD HAVE BEEN ELIGIBLE UNDER OUR CHARITY POLICY BASED ON POVERTY LEVEL GUIDELINES. - THE COST TO CHARGE RATIO AS CALCULATED UTILIZING WORKSHEET 2 FROM THE SCHEDULE H INSTRUCTIONS WAS THEN USED TO DETERMINE THE COST OF THESE CHARGES.
Schedule H, Part III, Line 4, Bad debt expense - financial statement footnote	PROVISION FOR BAD DEBT: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY INSURANCE COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE CORPORATION REGULARLY PERFORMS HINDSIGHT PROCEDURES TO EVALUATE HISTORICAL WRITE-OFF AND COLLECTION EXPERIENCE THROUGHOUT THE YEAR TO ASSIST IN DETERMINING THE REASONABLENESS OF ITS PROCESS FOR ESTIMATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costs	THE EXPENSES FROM THE AUDITED FINANCIAL STATEMENTS ARE ADJUSTED PER MEDICARE REGULATIONS. OVERHEADS ARE ALLOCATED BASED ON THE STEP-DOWN METHOD BY USING MEDICARE APPROVED STATISTICS. MEDICARE COSTS ARE DETERMINED BY MULTIPLYING THE DAYS OR CHARGES TIMES THE PER DIEM AMOUNT OR THE COST TO CHARGE RATIO APPLICABLE TO THE DEPARTMENT. HOME OFFICE EXPENSES ARE ALLOCATED TO THE FACILITIES BASED ON THE HOME OFFICE COST REPORT. STATISTICS USED ON THE HOME OFFICE COST REPORT ARE APPROVED BY THE MEDICARE INTERMEDIARY. ONE HUNDRED PERCENT OF THE SHORTFALL OF MEDICARE ALLOWABLE COSTS OVER MEDICARE REVENUE IS CONSIDERED TO BE A COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance	THE FOLLOWING IS INCLUDED IN OUR POLICY - PATIENT FAIR BILLING AND COLLECTIONS, POLICY # SY-PF-128: PURSUING COLLECTION ACTION: SIH AND ITS AGENTS MAY PURSUE COLLECTION ACTION AGAINST AN UNINSURED PATIENT ONLY WHEN THE FOLLOWING CONDITIONS ARE MET: A. SIH HAS GIVEN THE UNINSURED PATIENT THE OPPORTUNITY TO: 1) ASSESS THE ACCURACY OF THE BILL. 2) APPLY FOR FINANCIAL ASSISTANCE IN ACCORDANCE WITH SIH'S HEALTHCARE ASSISTANCE POLICY (HAP) POLICY WITHIN 60 DAYS OF DISCHARGE. 3) AVAIL THEMSELVES OF A REASONABLE PAYMENT PLAN BASED UPON THEIR ACCOUNT(S) BALANCE OR UPON THE PATIENT'S AVAILABLE INCOME AND ASSETS, THE AMOUNT OWED AND ANY PRIOR PAYMENTS. B. IF THE UNINSURED PATIENT HAS INDICATED AN INABILITY TO PAY THE FULL AMOUNT OF THE DEBT IN ONE PAYMENT, SIH OR AVADYNE HEALTH OFFERS THE PATIENT A REASONABLE PAYMENT PLAN. 1) SIH OR AVADYNE HEALTH MAY REQUIRE THE UNINSURED PATIENT TO PROVIDE REASONABLE VERIFICATION OF HIS OR HER INABILITY TO PAY THE FULL AMOUNT OF THE DEBT IN ONE PAYMENT. 2) SIH OR AVADYNE HEALTH MAY REQUIRE THE PATIENT TO PROVIDE REASONABLE VERIFICATION OF HIS OR HER INCOME IF AN EXTENDED PAYMENT PLAN IS REQUESTED (THE EXTENDED PAYMENT PLAN ALLOWS LONGER TIME FRAME TO PAY THAN IS OUTLINED IN POLICY SY-PF-111 PAYMENT ARRANGEMENTS). C. WHEN THE CIRCUMSTANCES OF THE PATIENT SUGGEST THE POTENTIAL FOR HAP ELIGIBILITY, THE PATIENT IS GIVEN AT LEAST 60 DAYS FOLLOWING THE DATE OF DISCHARGE OR RECEIPT OF OUTPATIENT CARE TO SUBMIT A HAP APPLICATION BEFORE NON-ECA. D. THE PATIENT HAS FAILED TO MAKE PAYMENTS IN ACCORDANCE WITH A REASONABLE PAYMENT PLAN PREVIOUSLY AGREED TO WITH SIH OR AVADYNE HEALTH. E. THE PATIENT INFORMS SIH THAT HE OR SHE HAS APPLIED FOR HEALTHCARE COVERAGE UNDER MEDICAID, KIDCARE OR OTHER GOVERNMENT SPONSORED HEALTHCARE PROGRAM (AND THERE IS A REASONABLE BASIS TO BELIEVE THE PATIENT WILL QUALIFY FOR SUCH PROGRAM) BUT THE PATIENT'S APPLICATION IS DENIED. SIH DOES NOT REFER A BILL, OR PORTION THEREOF, TO A COLLECTION AGENCY OR ATTORNEY FOR COLLECTION ACTION AGAINST THE PATIENT, WITHOUT FIRST OFFERING THE PATIENT THE OPPORTUNITY TO REQUEST A REASONABLE PAYMENT PLAN FOR THE AMOUNT PERSONALLY OWED BY THE PATIENT. A) THIS OPPORTUNITY IS AVAILABLE FOR THE 80 DAYS FOLLOWING THE INITIAL BILL DATE. B) IF THE PATIENT REQUESTS A REASONABLE PAYMENT PLAN, BUT FAILS TO AGREE TO A PLAN WITHIN 80 DAYS OF THE REQUEST, SIH MAY PROCEED WITH COLLECTION ACTION AGAINST THE PATIENT. NO COLLECTION AGENCY, LAW FIRM OR INDIVIDUAL MAY INITIATE LEGAL ACTION FOR NON-PAYMENT OF A HOSPITAL BILL AGAINST A PATIENT WITHOUT THE WRITTEN APPROVAL OF THE CORPORATE DIRECTOR OF PFS WHO REASONABLY BELIEVES THE CONDITIONS FOR PURSUING COLLECTION HAVE BEEN MET. SIH FACILITIES WILL NOT ENGAGE IN ECA'S AGAINST AN INDIVIDUAL BEFORE THE FACILITY HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL MAY BE ELIGIBLE FOR HAP. SIH MAY ENGAGE AN OUTSIDE THIRD PARTY COLLECTION AGENCY, FIRM OR INDIVIDUAL TO MANAGE THE PROCESS OF IMPLEMENTING SIH'S FINANCIAL ASSISTANCE AND REASONABLE PAYMENT PLAN PROGRAMS AND POLICIES SO LONG AS SUCH AGENCY, FIRM OR INDIVIDUAL IS CONTRACTUALLY BOUND TO COMPLY WITH THE TERMS OF PUBLIC ACT 094-0885 (PATIENT FAIR BILLING ACT). COLLECTION LIMITATIONS: SIH DOES NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF A HOSPITAL BILL AGAINST PATIENTS WHO HAVE CLEARLY DEMONSTRATED THEY HAVE NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET THEIR FINANCIAL OBLIGATIONS PROVIDED THE PATIENT HAS MET THEIR RESPONSIBILITIES AS LISTED BELOW. A. PATIENT RESPONSIBILITIES: 1) TO RECEIVE THE PROTECTION AND BENEFITS OF THE PATIENT FAIR BILLING ACT, A PATIENT RESPONSIBLE FOR PAYING A HOSPITAL BILL MUST ACT REASONABLY AND COOPERATE IN GOOD FAITH WITH SIH BY PROVIDING SIH WITH ALL OF THE REASONABLY REQUESTED FINANCIAL AND OTHER RELEVANT INFORMATION AND DOCUMENTATION NEEDED TO DETERMINE THE PATIENT'S ELIGIBILITY UNDER HAP OR REASONABLE PAYMENT PLAN OPTIONS WITHIN 80 DAYS OF A REQUEST FOR SUCH INFORMATION. 2) TO RECEIVE THE PROTECTION AND BENEFITS OF THE PATIENT FAIR BILLING ACT, A PATIENT RESPONSIBLE FOR PAYING A HOSPITAL BILL COMMUNICATES TO SIH ANY MATERIAL CHANGE IN THE PATIENT'S FINANCIAL SITUATION THAT MAY AFFECT THE PATIENT'S ABILITY TO ABIDE BY THE PROVISIONS OF AN AGREED UPON REASONABLE PAYMENT PLAN OR QUALIFICATION FOR HAP WITHIN 30 DAYS OF THE CHANGE.
Schedule H, Part VI, Line 2, Needs assessment.	A COMPLETE COPY OF THE ORGANIZATION'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTP://WWW.SIH.NET/ABOUT/COMMUNITY-BENEFITS/
Schedule H, Part VI, Line 3, Patient education of eligibility for assistance.	THE FOLLOWING EXCERPT IS FROM OUR POLICY # SY-PF-128 PATIENT FAIR BILLING AND COLLECTIONS: PATIENT NOTIFICATION OF HEALTHCARE ASSISTANCE PROGRAM 7.1 NOTICES ARE PLACED IN ALL DEPARTMENTS WHERE PATIENT REGISTRATION TAKES PLACE. THIS NOTICE STATES SIH ACCEPTS MEDICARE, MEDICAID, AND ALL HEALTH INSURANCES, INCLUDING AUTOMOBILE AND LIABILITY. 7.2 PATIENT NOTIFICATION OF HEALTHCARE ASSISTANCE PROGRAM: A. FINANCIAL ASSISTANCE NOTICES ARE PLACED IN ALL DEPARTMENTS REGISTERING PATIENTS. 1) SIGNAGE IN ENGLISH, SPANISH AND ARABIC IS POSTED SAYING: A) A HEALTHCARE ASSISTANCE PROGRAM IS AVAILABLE TO ASSIST QUALIFYING PATIENTS TO AID IN THE FINANCIAL RESOLUTION OF THEIR HOSPITAL BILLS. B. SIH'S WEBSITE PROMINENTLY POSTS A NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE THROUGH HAP ALONG WITH A DESCRIPTION OF THE HAP APPLICATION PROCESS AND A COPY OF THE HAP APPLICATION AND POLICY. C. INFORMATION (PAPER COPIES OF THE HAP, HAP APPLICATION FORM, PLAIN LANGUAGE SUMMARY OF THE HAP, AND OTHER APPLICABLE WRITTEN MATERIAL REGARDING THE HAP) IS AVAILABLE IN ALL PATIENT INTAKE OFFICES AND IN OTHER PUBLIC LOCATIONS WITHIN THE HOSPITAL AND BY MAIL (UPON REQUEST WITHOUT CHARGE).
Schedule H, Part VI, Line 4, Community information.	THE PRIMARY SERVICE AREA OF SOUTHERN ILLINOIS HEALTHCARE IS A SEVEN-COUNTY REGION BETWEEN THE MISSISSIPPI AND OHIO RIVERS IN SOUTHERN ILLINOIS THAT INCLUDES PERRY, JACKSON, FRANKLIN, WILLIAMSON, UNION, JOHNSON, AND SALINE COUNTIES. THE COMBINED POPULATION OF THIS AREA IS APPROXIMATELY 240,000. SIH FACILITIES ARE LOCATED IN COMMUNITIES THAT ARE ADJACENT TO RT. 13, THE PRIMARY EAST-WEST STATE HIGHWAY THROUGH THE REGION, AND ON INTERSTATE I-57, THE MAIN NORTH-SOUTH TRANSPORTATION ARTERY. THESE COUNTIES ARE VERY RURAL: WILLIAMSON COUNTY, THE MOST DENSELY POPULATED COUNTY IN THE SIH SERVICE TERRITORY, CONTAINS 158 PERSONS PER SQUARE MILE. JOHNSON COUNTY, THE LEAST DENSELY POPULATED, CONTAINS 37 PERSONS PER SQUARE MILE. THE AVERAGE NUMBER OF PERSONS PER SQUARE MILE IN ILLINOIS IS 231. COLLECTIVELY, THE RESIDENTS OF EACH OF THESE COUNTIES HAVE MEDIAN HOUSEHOLD INCOMES THAT ARE SUBSTANTIALLY LESS THAN THE STATEWIDE AVERAGE OF $55,735. OF THE SEVEN COUNTIES, JOHNSON'S MEDIAN HOUSEHOLD INCOME IS THE HIGHEST AT $41,619 AND JACKSON COUNTY'S IS THE LOWEST AT $32,169. MORE OF THE RESIDENTS IN THESE COUNTIES LIVE IN POVERTY THAN THE STATE AVERAGE OF 12.6% WITH THE HIGHEST PERCENTAGE BEING 28.5% IN JACKSON COUNTY AND THE LOWEST OF 13.6% IN JOHNSON COUNTY. FURTHER EVIDENCE OF THE ECONOMIC DISTRESS OF THE REGION IS REFLECTED IN THE DEGREE OF CHILDHOOD POVERTY. NOT SURPRISINGLY, THESE COUNTIES RANK AMONG THE POOREST OF ILLINOIS' 102 COUNTIES BASED UPON THE PERCENTAGE OF CHILDREN LIVING IN POVERTY. JACKSON COUNTY HAS THE HIGHEST RATE, 32.1%, OF CHILDHOOD POVERTY RANKING 98TH IN THE STATE. JACKSON, UNION, WILLIAMSON, AND SALINE COUNTIES FALL CLOSELY BEHIND WITH RANKINGS OF 97TH, 92ND, 89TH, AND 83RD RESPECTIVELY. THE POPULATION OF THIS AREA IS LARGELY HOMOGENEOUS WITH A RACIAL MAKEUP THAT IS PREDOMINATELY WHITE, 95%+. JACKSON COUNTY IS THE MOST DIVERSE OF THE COUNTIES WITH 78.5% OF THE POPULATION BEING WHITE AND 14.7% AFRICAN AMERICAN.
Schedule H, Part VI, Line 5, Promotion of community health	SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) IS DEDICATED TO PROMOTING THE HEALTH AND WELL BEING OF ALL OF THE PEOPLE IN THE COMMUNITIES WE SERVE. OUR MISSION IS GUIDED BY OUR VALUES: COMPASSION, COLLABORATION, QUALITY, STEWARDSHIP, INTEGRITY, ACCOUNTABILITY AND RESPECT. OVER 3,000 EMPLOYEES, ALONG WITH PHYSICIANS AND VOLUNTEERS, ARE WORKING TOGETHER TO ACHIEVE OUR MISSIONS AND ENSURE THAT THE HEALTH CARE NEEDS OF THOSE WE SERVE ARE MET BY TREATING PATIENTS IN SIHS FACILITIES, BY OFFERING SERVICES IN RURAL CLINICS, BY COLLABORATING WITH SOME OF AMERICA'S BEST HOSPITALS AND BY IMPROVING THE QUALITY OF LIFE IN OUR COMMUNITIES WITH OUR CHARITABLE COMMUNITY BENEFITS PROGRAMS. SIHS PROVIDES QUALITY HEALTH SERVICES TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. SIHS OPERATES 3 COMMUNITY HOSPITALS WITH A COMBINED TOTAL OF 253 BEDS. EACH HOSPITAL OPERATES A FULL TIME EMERGENCY ROOM. NO ONE IS DENIED CARE OR TREATMENT WITHIN THE HOSPITALS OR EMERGENCY ROOMS. MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SERVICES PROVIDED AT EACH FACILITY. THE BOARD OF TRUSTEES OF SIHS IS COMPRISED OF 13 MEMBERS. THESE MEMBERS ARE COMPRISED OF LOCAL COMMUNITY LEADERS, PHYSICIANS AND OUR CEO AND A MAJORITY OF THE BOARD IS COMPRISED OF PERSONS WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION OR FAMILY MEMBERS THEREOF. SIHS INVESTS EXCESS FUNDS FROM OPERATIONS INTO THE EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, REPAYMENT OF DEBT AND IMPROVEMENT IN PATIENT CARE. SOUTHERN ILLINOIS HOSPITAL SERVICES HAS ALSO EXTENDED ITS SERVICES BEYOND HOSPITAL WALLS AND INTO THE NEIGHBORHOODS WHERE PEOPLE LIVE AND WORK. ANNUALLY OPERATING FUNDS ARE ALLOCATED SPECIFICALLY TO BRING HEALTH-RELATED PROGRAMS TO THE AREAS IN WHICH THEY ARE MOST NEEDED. OUR GOAL IS TO REACH OUT TO COMMUNITIES TO LEARN HOW SIHS CAN HELP IN COMPLETING THE HEALTH CARE PICTURE. CURRENTLY, THE COMMUNITY BENEFITS DEPARTMENT OF SIHS COLLABORATES WITH SOUTHERN ILLINOIS SCHOOLS TO PROVIDE SCHOOL NURSING SERVICES AND A COMPREHENSIVE SCHOOL HEALTH EDUCATION PROGRAM. INCLUDED IN THESE AND OTHER DEPARTMENTAL INITIATIVES ARE EFFORTS TO ADDRESS DISPARITIES IN LOCAL RESIDENT'S HEALTH STATUS AND HEALTH OUTCOMES. A HEALTH MINISTRY INITIATIVE, AIDING THE REGION'S FAITH COMMUNITIES THROUGH THE TRAINING AND SUPPORT OF PARISH NURSES, IS AN ONGOING EFFORT OF THE DEPARTMENT. OVER 100 PARISH NURSES HAVE BEEN TRAINED AND ARE BEING SUPPORTED IN THE HEALTH PROMOTION WORK OF THEIR RESPECTIVE FAITH COMMUNITIES TO DATE. ALSO THE DEPARTMENT IS ACTIVE IN THE CREATION AND FACILITATION OF HEALTHY COMMUNITY COALITIONS. THESE GROUPS INCLUDE HEALTH PROVIDERS, SOCIAL SERVICE AGENCIES, CONCERNED CITIZENS AND OTHER COMMUNITY GROUPS INTERESTED IN IMPROVING THE HEALTH OF THEIR RESPECTIVE COMMUNITIES. THE GROUPS SEEK TO MEET LOCALLY IDENTIFIED COMMUNITY HEALTH NEEDS AND THROUGH THE IMPLEMENTATION OF PROGRAMS THAT ADDRESS THE DEMONSTRATED UNMET HEALTH NEEDS OF THE RESIDENTS OF THE COMMUNITIES SERVED. THESE COALITIONS MAKE A SIGNIFICANT IMPACT ON THE LIVES OF THOSE WITHIN THE COMMUNITIES SERVED BY SIHS. CURRENTLY, STAFF IS ENGAGED IN NUMEROUS COMMUNITY HEALTH PROMOTION, EDUCATION, AND PREVENTION INITIATIVES. AN INCREASE IN ACCESS TO PRIMARY HEALTH, BEHAVIORAL HEALTH, AND ORAL HEALTH CARE SERVICES HAS BEEN AFFECTED THROUGH THE SIHS SUPPORT OF EXISTING AND DEVELOPING COMMUNITY-BASED INTERVENTIONS. INCREASED NUMBERS OF COLLABORATIVE PARTNERSHIPS THAT SUPPORT INCREASED INDIVIDUAL AND COMMUNITY CAPACITY TO ACHIEVE A HEALTHY COMMUNITY VISION ARE ONGOING. IN ORDER TO ACCOMPLISH THE ORGANIZATION'S MISSION AS WELL AS THE OVERALL GOALS PREVIOUSLY OUTLINED, THE COMMUNITY BENEFITS DEPARTMENT OF SOUTHERN ILLINOIS HEALTHCARE IMPLEMENTS A NUMBER OF DIRECTED INITIATIVES. FOLLOWING IS A DESCRIPTION OF THESE INITIATIVES, THE SPECIFIC GOALS AND OBJECTIVES TO BE ACHIEVED FOR FY14, AND AN OUTLINE OF THE MEANS BY WHICH DEPARTMENT STAFF WILL WORK TO PLAN, IMPLEMENT, AND EVALUATE THESE PROGRAMS. THE HEALTH MINISTRY PROGRAM COLLABORATES WITH SOUTHERN ILLINOIS FAITH COMMUNITIES TO IMPROVE THE HEALTH AND WELLNESS OF PEOPLE IN THE COMMUNITIES THEY SERVE. EMPHASIZING WHOLENESS OF BODY, MIND AND SPIRIT, FAITH COMMUNITIES WITH A HEALTH MINISTRY OFFER HEALTH PROMOTION AND EDUCATION ACTIVITIES; ADVOCACY AND REFERRAL; AND CARING SPIRITUAL SUPPORT. THE FOCUS OF THE SIH HEALTH COMMUNITIES PROGRAM IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY MEMBERS OF SOUTHERN ILLINOIS HEALTHCARE'S SERVICE AREA AND TO IMPROVE THE HEALTH AND WELL-BEING OF SIH EMPLOYEES THROUGH A STRATEGIC WELLNESS PLAN INCLUDING PREVENTATIVE HEALTH SCREENINGS, EDUCATIONAL PROGRAMMING, AND DISEASE MANAGEMENT. IN ADDITION TO THE INITIATIVES WHICH DEPARTMENT STAFF PLANS, IMPLEMENTS, AND EVALUATES, COMMUNITY BENEFITS ALSO PROVIDES SIGNIFICANT FINANCIAL SUPPORT TO SEED NEW PROGRAMS WHICH MEET BOTH THE PRIORITIES OF THE DEPARTMENT AND PRESSING COMMUNITY NEEDS. THIS FINANCIAL SUPPORT IS PROVIDED TO APPLICANTS WHO DEMONSTRATE THE CAPACITY TO SUCCESSFULLY IMPLEMENT THE PROPOSED PROGRAM PLAN AND CREATE SUSTAINABLE SOLUTIONS TO UNMET HEALTH NEEDS. CURRENTLY, COMMUNITY BENEFITS IS WORKING CLOSELY WITH SEVERAL COMMUNITY-BASED PROVIDERS TO DESIGN PROGRAMS WHERE THE LEVERAGING OF SIH FUNDING, COMBINED WITH THE AGENCY'S RESOURCES AND EXPERTISE, RESULT IN INNOVATIVE PROGRAMS THAT MEET THE NEEDS OF THE COMMUNITIES SERVED BY SIH HOSPITALS AND IMPROVE BOTH INDIVIDUAL AND COMMUNITY HEALTH. SOME OF THE PROGRAMS INVOLVE INCREASING ACCESS TO PRIMARY AND LIMITED SPECIALTY HEALTH CARE, INCREASING ACCESS TO ORAL HEALTH CARE FOR THE UNINSURED, AND IMPROVING THE OVERALL HEALTH AND HUMAN SERVICE SYSTEM CAPACITY TO RECOGNIZE AND RESPOND TO DOMESTIC VIOLENCE AND CHILD ABUSE AND NEGLECT.
Schedule H, Part VI, Line 6, Affiliated health care system	SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) IS PART OF A LARGER SYSTEM THAT PROVIDES HEALTH SERVICES TO THE POPULATION OF SOUTHERN ILLINOIS. SIHS PROVIDES CARE THROUGH ITS THREE HOSPITALS AND ONE COMMUNITY HEALTH CENTER. SOUTHERN ILLINOIS MEDICAL SERVICES (SIMS) PROVIDES CARE THROUGH PHYSICIAN PRACTICES. THESE PRACTICES ARE COMPRISED OF THE CENTER FOR MEDICAL ARTS, LOGAN PRIMARY CARE, PHYSICIAN CARE GROUP, INDIVIDUAL PHYSICIAN PRACTICES, HOSPITAL PHYSICIANS AND EMERGENCY ROOM PHYSICIANS. SIHS AND SIMS WORK TOGETHER IN PROVIDING CARE AND TREATMENT OF THE MEDICALLY SICK, INJURED OR AFFLICTED. BOTH PROVIDE QUALITY HEALTH SERVICES TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.
Schedule H, Part VI, Line 7, State filing of community benefit report	IL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1	Address Line2USAddress/AddressLine2	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
SHAWNEE HEALTH SERVICES
109 CALIFORNIA ST	PO BOX 577	CARTERVILLE	IL	62918	370966854	501(C)(3)	$499,050	N/A	N/A	GENERAL PROGRAM FUNDING
THE H GROUP
902 WEST MAIN ST		WEST FRANKFORT	IL	62896	370916475	501(C)(3)	$185,671	N/A	N/A	GENERAL PROGRAM FUNDING
LAND OF LINCOLN LEGAL ASST FOUND
509 S UNIVERSITY AVE	3RD FLOOR	CARBONDALE	IL	62901	370958448	501(C)(3)	$60,000	N/A	N/A	GENERAL PROGRAM FUNDING
JACKSON COUNTY AMBULANCE
520 NORTH UNIVERSITY AVE		CARBONDALE	IL	62901	376001092	JACKSON CO IL GOV	$45,000	N/A	N/A	GENERAL PROGRAM FUNDING
SOUTHERN ILLINOIS UNIVERSITY
1235 DOUGLAS DRIVE		CARBONDALE	IL	62901	376005961	STATE OF IL UNIV	$27,125	N/A	N/A	GENERAL PROGRAM FUNDING
COMMUNITY HEALTH & EMERG SRV CAIRO
PO BOX 3008		CARBONDALE	IL	62902	371100482	501(C)(3)	$25,000	N/A	N/A	GENERAL PROGRAM FUNDING
JACKSON CO HEALTH DEPT
415 HEALTH DEPT ROAD		MURPHYSBORO	IL	62956	376001092	501(C)(3)	$18,512	N/A	N/A	GENERAL PROGRAM FUNDING
CITY OF WEST FRANFORT
PO BOX 2122		WEST FRANKFORT	IL	62896	376000857	CITY OF IL GOVT	$15,000	N/A	N/A	GENERAL PROGRAM FUNDING
ILLINOIS POISON CENTER
222 S RIVERSIDE PLAZA	SUITE 1900	CHICAGO	IL	60606	372167008	501(C)(3)	$7,077	N/A	N/A	GENERAL PROGRAM FUNDING
REHAB INST OF CHICAGO
345 EAST SUPERIOR		CHICAGO	IL	60016	372256036	501(C)(3)	$6,500	N/A	N/A	GENERAL PROGRAM FUNDING
RIVER TO RIVER RUNNERS
402 CARDINAL DRIVE		MT VERNON	IL	62864	371253714	501(C)(3)	$5,400	N/A	N/A	GENERAL PROGRAM FUNDING
SIU FOUNDATION
PO BOX 19666		SPRINFFIELD	IL	62794	376024575	501(C)(3)	$5,250	N/A	N/A	GENERAL PROGRAM FUNDING

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	ALL GRANTS MADE ARE UNRESTRICTED AND CAN BE USED IN ANY WAY THE DONEE ORGANIZATION SEES FIT TO FURTHER ITS EXEMPT PURPOSE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
REX BUDDE
PRESIDENT/CEO	$504,541	$0	$57,065	$0	$489,527	$0	$214,366	$0	$27,064	$0	$1,292,563	$0	$444,862	$0
BECKY ASHTON
FORMER VP	$0	$0	$0	$0	$249,262	$0	$0	$0	$407	$0	$249,669	$0	$153,153	$0
MIKE KASSER
VP/CFO/TREASURER	$315,920	$0	$36,959	$0	$48,358	$0	$108,171	$0	$37,078	$0	$546,486	$0	$0	$0
WILLIAM SHERWOOD
VP/ GENERAL COUNSEL	$252,360	$0	$30,445	$0	$178,638	$0	$131,974	$0	$41,411	$0	$634,828	$0	$130,554	$0
JULIE FIRMAN
VP/CNO	$197,144	$0	$23,654	$0	$109,851	$0	$76,580	$0	$19,285	$0	$426,514	$0	$66,088	$0
PHILIP SCHAEFER
VP/ AMB & PHYS SERVICES	$291,294	$0	$35,176	$0	$160,241	$0	$117,691	$0	$47,117	$0	$651,519	$0	$114,919	$0
PAM HENDERSON
VP/ HR	$206,688	$0	$24,716	$0	$111,056	$0	$78,474	$0	$8,099	$0	$429,033	$0	$63,068	$0
DAVID HOLLAND
VP/ INFO SYSTEMS	$220,492	$0	$25,792	$0	$104,270	$0	$84,824	$0	$20,927	$0	$456,305	$0	$60,999	$0
JOHN B MILLSTEAD
VP/ ADMINISTRATOR	$337,149	$0	$39,662	$0	$157,828	$0	$131,465	$0	$40,586	$0	$706,690	$0	$111,928	$0
JAMES MILLER MD
VP/CMO	$310,100	$0	$36,640	$0	$126,859	$0	$27,700	$0	$39,055	$0	$540,354	$0	$81,451	$0
WILLIAM THORNE
VP/ COMMUNITY BENEFITS	$173,271	$0	$21,170	$0	$110,447	$0	$63,444	$0	$39,104	$0	$407,436	$0	$53,575	$0
TERRENCE FARRELL
VP/ ADMINISTRATOR	$278,806	$0	$32,893	$0	$42,588	$0	$97,838	$0	$26,181	$0	$478,306	$0	$0	$0
JOHN BROTHERS
VP/ADMINISTRATOR	$210,923	$0	$24,859	$0	$28,128	$0	$104,482	$0	$13,424	$0	$381,816	$0	$0	$0
SHELLY PIERCE
VP/QUALITY	$186,454	$0	$1,549	$0	$2,902	$0	$21,863	$0	$14,743	$0	$227,511	$0	$0	$0
THOMAS HENTRICH
PHARMACIST	$169,781	$0	$1,549	$0	$13,418	$0	$7,143	$0	$36,946	$0	$228,837	$0	$0	$0
LEAH MACFARLANE
PHARMACIST	$176,523	$0	$1,548	$0	$294	$0	$7,155	$0	$14,405	$0	$199,925	$0	$0	$0
DANIEL SKILES
EXEC DIRECTOR PHO	$179,760	$0	$1,549	$0	$9,399	$0	$6,763	$0	$32,539	$0	$230,010	$0	$0	$0
CHARLES BROOKS
STAFF NURSE	$173,056	$0	$1,548	$0	$8,030	$0	$7,098	$0	$23,178	$0	$212,910	$0	$0	$0
REBECCA BRASEL
STAFF NURSE	$172,653	$0	$1,549	$0	$6,976	$0	$7,247	$0	$36,486	$0	$224,911	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 4a, Severance or change-of-control payment

BECKY ASHTON, FORMER VP/ADMINSTRATOR RECEIVED SEVERANCE PAYMENTS OF $14,760.

Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan

THE ORGANIZATION MADE THE FOLLOWING SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS/CONTRIBUTIONS: REX BUDDE - $444,862 PAYMENT, $204,166 DEFERRED COMPENSATION BECKY ASHTON-$153,153 PAYMENT, NO DEFERRED COMPENSATION PAM HENDERSON - $63,068 PAYMENT, $69,628 DEFERRED COMPENSATION DAVE HOLLAND - $60,999 PAYMENT, $76,182 DEFERRED COMPENSATION MIKE KASSER - NO PAYMENT, $97,971 DEFERRED COMPENSATION JAMES MILLER - $81,451 PAYMENT, $17,500 DEFERRED COMPENSATION BART MILLSTEAD - $111,928 PAYMENT, $121,265 DEFERRED COMPENSATION PHIL SCHAEFER - $114,919 PAYMENT; $107,491 DEFERRED COMPENSATION BILL SHERWOOD - $130,554 PAYMENT, $121,774 DEFERRED COMPENSATION JULIE FIRMAN - $66,088 PAYMENT, $69,338 DEFERRED COMPENSATION WILLIAM THORNE - $53,575 PAYMENT. $55,843 DEFERRED COMPENSATION TERENCE FARRELL - NO PAYMENT, $90,618 DEFERRED COMPENSATION SHELLY PIERCE - NO PAYMENT, $14,560 DEFERRED COMPENSATION JOHN BROTHERS - NO PAYMENT, $95,655 DEFERRED COMPENSATION

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A	861091967	45200FSD2	2011-11-16	$52,750,000	DEEMED REISSUANCE OF 2008 VARIABLE RATE DEMAND REVENUE BONDS	false	false	false
ILLINOIS FINANCE AUTHORITY
B	861091967	45200FS42	2010-02-18	$68,985,878	DEEMED REISSUANCE OF 2005 BONDS	false	false	false
ILLINOIS FINANCE AUTHORITY
C	861091967		2011-10-27	$14,420,000	REFUNDING 1998 BOND ISSUE	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,515,000	$0	$52,750,000	$0	$0	$0	$0	$0	$0	$0	$52,750,000	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$68,985,878	$0	$0	$0	$0	$0	$0	$0	$68,985,878	$0	2010	Yes (true)	false	Yes (true)	Yes (true)
C	$6,365,000	$0	$14,420,000	$0	$0	$0	$282,518	$0	$0	$0	$14,137,482	$0	2011	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
MORGAN STANLEY CAPITAL SERVICES
A	false	Yes (true)	false	false	Yes (true)	Yes (true)	27.3	false	false	false	0.0	false	Yes (true)
(no name)
B	false	Yes (true)	false	false	false	false	0.0			false	0.0	false	Yes (true)
(no name)
C	false	Yes (true)	false	false	false	false				false		false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I, EXPLANATION OF BOND ISSUE	FormAndLineReferenceDesc
Explanation	THE BOND ISSUE REFERRED TO IN PART I, LINE A RELATES TO 2005 MULTI-MODAL BONDS THAT WERE CONVERTED TO A FLOATING INDEX RATE INTEREST MODE AND DEEMED REISSUED FOR PURPOSES OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, ON 11/5/2008. THE BOND WAS THEN CONVERTED TO A FIXED INTEREST RATE AND DEEMED REISSUED FOR PURPOSES OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, ON 02/18/2010.	ExplanationTxt

Schedule L IRS990ScheduleL

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship With Org	SON OF TERENCE FARRELL	RelationshipWithOrgTxt
Cash Grant	$6,712	CashGrantAmt
Type Of Assistance	GRANT	TypeOfAssistanceTxt
Assistance Purpose	NURSING SCHOLARSHIP	AssistancePurposeTxt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JILL KASSER
SPOUSE OF VP/CFO, MIKE KASSER	$10,212	EMPLOYEE COMPENSATION	false
LIAM FARRELL
SON OF VP/ADMINISTRATOR TERENCE FARRELL	$32,173	EMPLOYEE COMPENSATION	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION	(CONTINUED FROM PART III) OVER 3,000 EMPLOYEES, ALONG WITH PHYSICIANS AND VOLUNTEERS, ARE WORKING TOGETHER TO ACHIEVE OUR MISSION AND ENSURE THAT THE HEALTH CARE NEEDS OF THOSE WE SERVE ARE MET BY TREATING PATIENTS IN SIHS FACILITIES, BY OFFERING SERVICES IN RURAL CLINICS, BY COLLABORATING WITH SOME OF AMERICA'S BEST HOSPITALS AND BY IMPROVING THE QUALITY OF LIFE IN OUR COMMUNITIES WITH OUR CHARITABLE COMMUNITY BENEFITS PROGRAMS. OUR SERVICES ARE PROVIDED REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.
FORM 990, PART III, LINE 4A, HOSPITAL SERVICES	(CONTINUED FROM PART III) THE FACILITIES THAT MAKE UP SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) INCLUDE: MEMORIAL HOSPITAL OF CARBONDALE: OPENED IN 1950, MEMORIAL HOSPITAL OF CARBONDALE, WITH 140 LICENSED BEDS, IS THE FLAGSHIP HOSPITAL FOR SIH AND A REGIONAL REFERRAL CENTER FOR THE 16 COUNTY SOUTHERN ILLINOIS REGION. PHYSICIANS IN NEARLY 40 DIFFERENT SPECIALTIES PRACTICE HERE, BRINGING EXPERTISE AND NEW PROCEDURES, BUT SUCCESSFULLY TAILORING THEM TO THE PARTICULAR NEEDS OF A RURAL SETTING. IT IS HOME TO THE FIRST OPEN HEART SURGERY PROGRAM IN THE IMMEDIATE SOUTHERN ILLINOIS AREA AND IS THE CORE HOSPITAL FOR SIH'S COMPREHENSIVE, REGIONAL HEART PROGRAM, PRAIRIE HEART INSTITUTE. THE REGION'S ONLY PRIMARY STROKE CENTER IS LOCATED WITHIN THIS HOSPITAL. THE HOSPITAL IS ALSO HOME TO A COMMISSION ON CANCER ACCREDITED COMPREHENSIVE CANCER TREATMENT CENTER, THE ONLY LEVEL II PLUS NEO-NATAL INTENSIVE CARE UNIT, AND THE ONLY PEDIATRIC UNIT IN THE IMMEDIATE SOUTHERN ILLINOIS AREA. THE HOSPITAL IS AFFILIATED WITH SOUTHERN ILLINOIS UNIVERSITY'S MEDICAL SCHOOL THROUGH ITS FAMILY PRACTICE RESIDENCY PROGRAM. HERRIN HOSPITAL: OPENED IN 1913, HERRIN HOSPITAL WAS THE FIRST HOSPITAL OWNED AND OPERATED BY THE ORGANIZATION. HERRIN HOSPITAL CURRENTLY OPERATES 85 LICENSED BEDS. IT IS ALSO HOME TO THE 29 BED ACUTE REHABILITATION CENTER, AN AFFILIATE PROGRAM WITH THE REHABILITATION INSTITUTE OF CHICAGO, RECOGNIZED AS THE TOP REHABILITATION HOSPITAL IN AMERICA. A RECENT RENOVATION UPGRADED PATIENT ACCOMMODATIONS TO INCLUDE PRIVATE ROOMS AND IMPROVED ACCESS TO OUTPATIENT SERVICES BY RELOCATING THOSE SERVICES TO THE MAIN FLOOR. THE AREA'S ONLY BARIATRIC SURGICAL PROGRAM FOR WEIGHT LOSS IS HOUSED AT THIS HOSPITAL AS WELL AS BEING THE REGION'S FIRST ACCREDITED CHEST PAIN CENTER. ST. JOSEPH MEMORIAL HOSPITAL: ST JOSEPH MEMORIAL HOSPITAL IS LOCATED IN MURPHYSBORO, ILLINOIS AND IS A FULL-SERVICE, CRITICAL ACCESS HOSPITAL WITH 25 LICENSED BEDS. ST. JOSEPH OPENED ON OCTOBER 1, 1960 AND WAS ACQUIRED BY SOUTHERN ILLINOIS HOSPITAL SERVICES ON JANUARY 5, 1995 FROM THE SISTERS OF THE ASC HEALTH SYSTEM. ST JOSEPH'S CATHOLIC IDENTITY HAS BEEN RETAINED BY SIHS SINCE THE PURCHASE AND THE STAFF TAKES PRIDE IN THE HOSPITAL'S SPIRITUAL ROOTS. ST. JOSEPH HAS EVOLVED OVER TIME TO BECOME A REGIONAL PROVIDER OF SPECIALIZED OUTPATIENT SERVICES. THESE SPECIALIZED SERVICES INCLUDE A SLEEP DISORDERS CENTER ACCREDITED BY THE AMERICAN ACADEMY OF SLEEP MEDICINE, THE AREA'S ONLY COORDINATED INFUSION THERAPY PROGRAM, A WOULD CARE CENTER WITH HYPERBARIC THERAPY, AND AN OUTPATIENT GERIATRIC COUNSELING PROGRAM. MINERS MEMORIAL HEALTH CENTER: WEST FRANKFORT, ILLINOIS IS HOME TO MINERS MEMORIAL HEALTH CENTER. THE HEALTH CENTER HOUSES A PHYSICIAN SPECIALTY CLINIC THAT OFFERS VISITING SPECIALISTS INCLUDING UROLOGY, PODIATRY AND CARDIOLOGY. IT IS ALSO HOME TO WEST FRANKFORT FAMILY MEDICINE, WITH FAMILY MEDICINE AND OBSTETRIC PHYSICIANS FROM SIU SCHOOL OF MEDICINE, AND OFFERS MAMMOGRAPHY, X-RAY, ULTRASOUND, BONE DENSITOMETRY, AND LABORATORY SERVICES. SERVICES PROVIDED: DURING THIS REPORTING PERIOD, OUR HOSPITALS RECORDED 62,788 ADULT AND CHILD PATIENT DAYS AND 3,096 NEWBORN PATIENT DAYS. OUTPATIENT REGISTRATIONS TOTALED 314,386 WITH 67,720 OF THESE REGISTRATIONS BEING EMERGENCY ROOM VISITS. APPROXIMATELY 60.17% OF THESE DAYS AND REGISTRATIONS PROVIDED CARE THAT WAS CLASSIFIED AS EITHER UNCOMPENSATED CHARITY CARE OR UNCOMPENSATED GOVERNMENT HEALTH CARE. AN ADDITIONAL 2.9% OF THE CARE PROVIDED IN THESE DAYS AND REGISTRATIONS WERE WRITTEN OFF AS BAD DEBT. ROUTINE INPATIENT CARE AND OUTPATIENT PROCEDURES ARE PROVIDED AT ALL THREE OF OUR FACILITIES. EACH FACILITY ALSO HAS ITS OWN UNIQUE PROGRAMS AND PATIENT CARE UNITS. OUR TWO LARGER FACILITIES, CARBONDALE MEMORIAL HOSPITAL AND HERRIN HOSPITAL BOTH HOUSE INTENSIVE CARE UNITS. THESE TWO LARGER FACILITIES EACH HAVE SPECIALTY UNITS WITHIN THEIR RESPECTIVE FACILITIES. CARBONDALE MEMORIAL HOSPITAL PROVIDES OBSTETRICAL, PEDIATRICS, AND A NEONATAL NURSERY. HERRIN HOSPITAL PROVIDES THE ACUTE REHABILITATION CENTER. SURGICAL SERVICES ARE OFFERED AT ALL FACILITIES, WITH CARBONDALE MEMORIAL HOSPITAL PROVIDING OPEN-HEART AND CARDIAC SERVICES. ST. JOSEPH MEMORIAL HOSPITAL ALSO OPERATES SWING BEDS. ST. JOSEPH ALSO OFFERS UNIQUE OUTPATIENT SERVICES TO THE AREA. THE SLEEP DISORDERS CENTER OFFERS TWO LOCATIONS AND THE SENIOR RENEWAL PROGRAM OFFERS OUTPATIENT BEHAVIORAL HEALTH TREATMENT. SIHS HAS ALSO PROVIDED SUBSIDIZED HEALTH CARE SERVICES. SUBSIDIZED HEALTH SERVICES INCLUDE, BUT ARE NOT LIMITED TO PHYSICIAN REFERRAL CENTERS, FAMILY PRACTICE CENTERS, SENIOR MEMBERSHIP, ETC. THESE HEALTH CARE SERVICES ARE PROVIDED IN RESPONSE TO COMMUNITY NEEDS. THESE HEALTH SERVICES MUST BE SUBSIDIZED FROM OTHER REVENUE SOURCES IN ORDER TO BE PROVIDED. SIHS PROVIDES MEDICAL EDUCATION THROUGH AN AFFILIATION WITH THE SOUTHERN ILLINOIS UNIVERSITY'S MEDICAL SCHOOL FAMILY PRACTICE RESIDENCY PROGRAM.
FORM 990, PART III, LINE 4B, COMMUNITY BENEFITS	(CONTINUED FROM PART III) THE COMMUNITY BENEFITS DEPARTMENT'S PRIMARY FUNCTIONS THAT ARE PERFORMED ON BEHALF OF SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) INCLUDE: - COORDINATE SYSTEM-WIDE COMMUNITY HEALTH ASSESSMENTS AND COMMUNITY BENEFIT PLANNING; - PLAN, IMPLEMENT, AND EVALUATE DEPARTMENTALLY INITIATED COMMUNITY HEALTH PROMOTION PROGRAMS AND SERVICES; - INITIATE AND PARTICIPATE IN COLLABORATIVE PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS TO DEVELOP AND IMPLEMENT SOLUTIONS TO UNMET HEALTH NEEDS; - CONVENE COMMUNITY-BASED ORGANIZATIONS AND PUBLIC SECTOR ENTITIES TO FOCUS ON PERVASIVE ISSUES AND TO DEVELOP HEALTH INITIATIVES; AND - IDENTIFY FUNDING OPPORTUNITIES/GRANT PROGRAMS THAT FUND COMMUNITY-BASED HEALTH PROGRAMS AND PUBLIC/PRIVATE HEALTH INITIATIVES. COMMUNITY BENEFITS SERVICES TARGET THE FOLLOWING COMMUNITIES AND POPULATIONS: - UNINSURED, UNDERINSURED AND UNDER-SERVED; - POPULATIONS VULNERABLE DUE TO A RANGE OF SOCIO-ECONOMIC BARRIERS SUCH AS POVERTY, EDUCATION LEVELS, EMPLOYMENT STATUS, AND/OR RACIAL DISPARITIES IN HEALTH CARE; - POPULATIONS HARD TO REACH DUE TO LANGUAGE AND CULTURAL CHALLENGES; - POPULATIONS WITH IDENTIFIED NEEDS THAT CAN BE EFFICIENTLY REACHED THROUGH THE LEVERAGING OF COMMUNITY LINKAGES (I.E. FAITH-BASED, SCHOOLS, NEIGHBORHOODS, COMMUNITIES, ETC.); - THE WORKING POOR; AND - POPULATIONS AT RISK OF EXPERIENCING ADVERSE HEALTH CONDITIONS OR OUTCOMES. IN ORDER TO ACCOMPLISH THE ORGANIZATION'S MISSION, THE COMMUNITY BENEFITS DEPARTMENT OF SIHS IMPLEMENTS A NUMBER OF DIRECTED INITIATIVES. PROGRAMS DURING THE REPORTING YEAR INCLUDE: HEALTH MINISTRY -- THE HEALTH MINISTRY PROGRAM COLLABORATES WITH SOUTHERN ILLINOIS FAITH COMMUNITIES TO IMPROVE THE HEALTH AND WELLNESS OF PEOPLE IN THE COMMUNITIES THEY SERVE. EMPHASIZING WHOLENESS OF BODY, MIND AND SPIRIT, FAITH COMMUNITIES WITH A HEALTH MINISTRY OFFER HEALTH PROMOTION AND EDUCATION ACTIVITIES; ADVOCACY AND REFERRAL; AND CARING SPIRITUAL SUPPORT. HEALTHY COMMUNITIES -- THE FOCUS OF THE WORK IN THE AREA OF HEALTHY COMMUNITIES IS TO INCREASE THE CAPACITY OF LOCAL AGENCIES TO WORK COLLABORATIVELY TO ADDRESS THE UNMET HEALTH NEEDS WITH THE COMMUNITIES SERVED BY SIHS. STAFF WILL WORK TO IMPROVE COMMUNITY HEALTH THROUGH THE ASSESSMENT OF COMMUNITY NEEDS AND THE PLANNING, IMPLEMENTATION, AND EVALUATION OF COMMUNITY BASED HEALTH PROMOTIONS, EDUCATION, PREVENTION PROGRAMS, AND SERVICES. AN INCREASED FOCUS OF THESE ACTIVITIES WILL BE DIRECTED TO INITIATIVES ADDRESSING CARDIOVASCULAR DISEASE AND CANCER, AND THE DEVELOPMENT OF STRATEGIES, PROGRAMMING, AND INTERVENTIONS TO REDUCE SUBSTANCE ABUSE, AND THE CONTINUATION OF EFFORTS TO EXPAND ACCESS TO CARE FOR THE UNINSURED AND THE UNDER-SERVED. HEALTHY COMMUNITY COALITIONS -- THE FORMAL GATHERING OF HEALTH PROVIDERS, SOCIAL SERVICE AGENCIES, CONCERNED CITIZENS, AND OTHER COMMUNITY GROUPS INTERESTED IN IMPROVING THE HEALTH OF THEIR RESPECTIVE COMMUNITIES. SIHS IS ACTIVE IN THREE SUCH COALITIONS, REPRESENTING FOUR COUNTIES - JACKSON, PERRY, FRANKLIN AND WILLIAMSON COUNTIES. EMERGENCY ORAL HEALTH CARE - COLLABORATION WITH LOCAL DENTAL PROVIDERS TO PROVIDE PREVENTIVE ORAL HEALTH CARE FOR MEDICAID PATIENTS; HOPEFULLY REPLACING EMERGENCY ROOM VISITS FOR TOOTH RELATED COMPLAINTS. MEDICAL LEGAL PARTNERSHIP SI -- AN INNOVATIVE PROGRAM THAT PROVIDES LEGAL ASSISTANCE TO LOW-INCOME AND UNDERINSURED ADULTS SEEKING MEDICAL CARE. THE ONGOING MEDICAL-LEGAL COLLABORATION BETWEEN LAND OF LINCOLN LEGAL SERVICES AND SIH IS ADDRESSING MANY OF THE SOCIAL ISSUES FACED BY PATIENTS CONTRIBUTING TO THEIR HEALTH CARE NEEDS. LEGAL ASSISTANCE IN PROVIDED IN THE AREAS OF PUBLIC BENEFITS, DISABILITY, FAMILY, HOUSING AND CONSUMER ISSUES. START! WALKING - SIH IS A REGIONAL SPONSOR OF THE AMERICAN HEART ASSOCIATION'S START! WALKING GUIDE TO LOCAL PATHS AND PARKS. CURRENTLY APPROXIMATELY 50 PATHS ARE DESIGNATED AS START! WALKING PATHS. WE CHOOSE HEALTH SOUTHERNMOST ILLINOIS - A MULTI-YEAR INITIATIVE TO ENCOURAGE AND SUPPORT PLACE-BASED POLICIES, SYSTEMS AND ENVIRONMENTAL CHANGES AIMED AT IMPROVING AND SUSTAINING HEALTH. SIH IS ENGAGED WITH LOCAL HEALTH DEPARTMENTS AND COMMUNITY PARTNERS IN THE LOWER 16 COUNTIES IN ILLINOIS TO PROMOTE HEALTHY EATING AND ACTIVE LIVING IN SCHOOLS AND WORKSITES, REDUCE EXPOSURE TO SECONDHAND SMOKE IN MULTI-UNIT HOUSING COMPLEXES AND OUTDOOR PLACES, INCREASE ACCESS TO HEALTHIER FOODS AND PROMOTE BREASTFEEDING, IMPROVE OUR LOCAL BUILT ENVIRONMENT TO INCREASE OPPORTUNITIES FOR PHYSICAL ACTIVITY, AND TO IMPROVE THE SOCIAL AND EMOTIONAL HEALTH OF STUDENTS.
FORM 990, PART III, LINE 4C, SCHOOL BASED HEALTH SERVICES	(CONTINUED FROM PART III) THE FOLLOWING IS A SUMMARY OF THE PROGRAMS DURING THIS REPORTING YEAR: HEALTHY CHILDREN - READY TO LEARN - SIH AND AREA AGENCIES COLLABORATE IN AN INITIATIVE TO IMPLEMENT THE EIGHT COMPONENTS OF A COORDINATED SCHOOL HEALTH PROGRAM IN AREA SCHOOLS. THE COMPONENTS OF A COORDINATED SCHOOL HEALTH PROGRAM INCLUDE HEALTH INSTRUCTION, PHYSICAL EDUCATION, HEALTH SERVICES, NUTRITION SERVICES, DEVELOPMENT OF A HEALTHY SCHOOL ENVIRONMENT, HEALTH PROMOTION FOR STAFF, PSYCHOLOGICAL AND SOCIAL SERVICES, AND FAMILY/COMMUNITY INVOLVEMENT PARTNERS IN HEALTH -- THROUGH THE COORDINATED SCHOOL HEALTH PROGRAM, THE PARTNERS IN HEALTH TEAM WORKS WITH SCHOOL DISTRICTS TO ENSURE THAT THE LEARNING ENVIRONMENT IS STRUCTURALLY SAFE AS WELL AS FREE FROM FEAR. POLICIES, SCHOOL SAFETY PLANS AND LESSONS FOCUSING ON SOCIAL AND EMOTIONAL LEARNING CONTRIBUTE TO A SAFE SCHOOL ENVIRONMENT. COMPREHENSIVE, SKILL-BASED HEALTH EDUCATION, PHYSICAL EDUCATION IN SCHOOL THAT EMPHASIZES IMPROVED FITNESS, THE DEVELOPMENT OF A LIFELONG INTEREST IN HEALTH AND WELLNESS, AND DEVELOPING EXPANDED AND SUSTAINABLE HEALTH SERVICES IN SCHOOLS ARE FOCUS AREAS OF THIS PROGRAM. A COMMITMENT TO THE COMMUNITY IS ALSO SEEN THROUGH THE EXTENSIVE COLLABORATION OF AGENCIES INVOLVED IN THIS EFFORT. SIH PARTNERS WITH SEVERAL COUNTY HEALTH DEPARTMENTS TO ENSURE THAT THE SCHOOL DISTRICTS HAVE AMPLE RESOURCES AND ACHIEVE THE COMMON GOALS AND OBJECTIVES. THIS INITIATIVE INVOLVES EIGHT COLLABORATING PARTNERS, 70 SCHOOLS DISTRICTS, 25,000 STUDENTS, AND APPROXIMATELY 1100 FACULTY AND STAFF. CATCH (COORDINATED APPROACH TO CHILD HEALTH) -- CATCH IS A PROGRAM DESIGNED TO PROMOTE PHYSICAL ACTIVITY, HEALTHY FOOD CHOICES, AND PREVENT TOBACCO USE IN ELEMENTARY SCHOOL AGED CHILDREN. CATCH EMPLOYS A COORDINATED APPROACH TO CHILD HEALTH PROMOTION BY TARGETING MULTIPLE ASPECTS OF THE SCHOOL ENVIRONMENT AND INVOLVING CLASSROOM TEACHERS, SCHOOL FOOD SERVICE STAFF, PHYSICAL EDUCATION (PE) TEACHERS, STUDENTS' FAMILIES, AND THE BROADER SCHOOL COMMUNITY IN A RANGE OF HEALTH PROMOTING ACTIVITIES FOR ALL CHILDREN IN GRADES PREK-8, SIMILAR TO THE CDC'S COORDINATED SCHOOL HEALTH PROGRAM MODEL. THE FOUR CORE COMPONENTS OF CATCH INCLUDE: (1) THE EAT SMART SCHOOL NUTRITION PROGRAM, (2) A CLASSROOM PHYSICAL ACTIVITY AND HEALTHY EATING CURRICULA, (3) THE CATCH PHYSICAL EDUCATION PROGRAM, AND (4) A FAMILY EDUCATION AND INVOLVEMENT PROGRAM. THE COORDINATION OF HEALTH MESSAGES AND ACTIVITIES BETWEEN THESE FOUR COMPONENT AREAS IS CRITICAL TO POSITIVELY IMPACTING CHILDREN'S KNOWLEDGE, SKILLS, AND BEHAVIOR. SIH AND PROGRAM PARTNERS ARE IMPLEMENTING COMPONENTS OF THE CATCH PROGRAM IN 70 ELEMENTARY SCHOOL DISTRICTS IN THE 16 COUNTIES IN THE SOUTHERN ILLINOIS REGION. THIS PROGRAM IMPACTS OVER 6,000 STUDENTS AND THEIR FAMILIES.
Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committee	GOVERNANCE COMMITTEE THE BOARD HAS A GOVERNANCE COMMITTEE CONSISTING OF 5 TRUSTEES. THE PURPOSE OF THE GOVERNANCE COMMITTEE IS TO ASSURE THE BOARD OF TRUSTEES THAT THE RESPECTIVE PROGRAMS ARE FUNCTIONAL TO FULFILL THE RESPONSIBILITIES OF THE BOARD OF TRUSTEES: * DEVELOP AND MAINTAIN EFFECTIVE COMPENSATION AND BENEFIT POLICIES AND PRACTICES; REVIEW AND RECOMMEND IN ADVANCE ALL EXECUTIVE COMPENSATION ARRANGEMENTS; PROVIDE FOR THE EVALUATION OF THE PERFORMANCE OF THE CEO AND OTHER SYSTEM OFFICERS; REVIEW AND RECOMMEND ANNUAL PERFORMANCE OBJECTIVES FOR SYSTEM OFFICERS; PROVIDE FOR CONDUCT OF A PERIODIC SELF-EVALUATION OF THE BOARD OF TRUSTEES. * ASSURE THAT THE PROGRAMS WHICH ADDRESS NEW BOARD MEMBER ORIENTATION, CONTINUING EDUCATION, MENTORING, AND FACILITATE UNDERSTANDING OF CURRENT TRENDS IN HEALTHCARE AND MEDICAL TERMINOLOGY, ARE FUNCTIONAL. * IDENTIFY COMPETENT, HIGHLY QUALIFIED INDIVIDUALS TO SERVE AS MEMBERS OF THE BOARD OF TRUSTEES; RECOMMEND INDIVIDUALS TO SERVE IN LEADERSHIP POSITIONS ON THE BOARD; AND FACILITATE AND INTERVIEW POTENTIAL BOARD MEMBERS. * 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, Sec A, Line 6, Classes of members or stockholders	THE ORGANIZATION'S SOLE MEMBER IS SOUTHERN ILLINOIS HOSPITAL ENTERPRISES, INC., 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, Sec A, Line 7a, Members or stockholders electing members of governing body	THE ORGANIZATION'S SOLE MEMBER, SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES, HAS THE EXCLUSIVE RIGHT TO ELECT TRUSTEES TO THE ORGANIZATION'S BOARD OF TRUSTEES.
Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders	THE ORGANIZATION'S SOLE MEMBER, SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES (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, Sec B, 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, Sec B, 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, Sec B, Line 15a, Process to establish compensation of top management official	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 2013.
Form 990, Part VI, Sec B, 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 IT'S ACTIONS TO THE BOARD. THE DECISIONS AND DELIBERATIONS ARE DOCUMENTED IN THE GOVERNANCE COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN JUNE 2013.
Form 990, Part VI, Sec C, 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 Expenses	CONSULTING FEES - TOTAL EXPENSE: 2524886, PROGRAM SERVICE EXPENSE: 582201, MANAGEMENT AND GENERAL EXPENSES: 1942685, FUNDRAISING EXPENSES: 0; CREDIT & COLLECTION FEES - TOTAL EXPENSE: 733987, PROGRAM SERVICE EXPENSE: 31242, MANAGEMENT AND GENERAL EXPENSES: 702745, FUNDRAISING EXPENSES: 0; CLINICAL SERVICE FEES - TOTAL EXPENSE: 5690685, PROGRAM SERVICE EXPENSE: 5690685, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: 0; ENGINEERING FEES - TOTAL EXPENSE: 445443, PROGRAM SERVICE EXPENSE: 421856, MANAGEMENT AND GENERAL EXPENSES: 23587, FUNDRAISING EXPENSES: 0; ARCHITECT FEES - TOTAL EXPENSE: 55362, PROGRAM SERVICE EXPENSE: 41124, MANAGEMENT AND GENERAL EXPENSES: 14238, FUNDRAISING EXPENSES: 0; RECRUITMENT FEES - TOTAL EXPENSE: 557186, PROGRAM SERVICE EXPENSE: 234750, MANAGEMENT AND GENERAL EXPENSES: 322436, FUNDRAISING EXPENSES: 0; OTHER PROFESSIONAL FEES - TOTAL EXPENSE: 3418319, PROGRAM SERVICE EXPENSE: 2729084, MANAGEMENT AND GENERAL EXPENSES: 689235, FUNDRAISING EXPENSES: 0; AGENCY STAFFING - TOTAL EXPENSE: 3777827, PROGRAM SERVICE EXPENSE: 3764224, MANAGEMENT AND GENERAL EXPENSES: 13603, FUNDRAISING EXPENSES: 0; PHYSICIAN SERVICES - TOTAL EXPENSE: 35746986, PROGRAM SERVICE EXPENSE: 35605723, MANAGEMENT AND GENERAL EXPENSES: 141263, FUNDRAISING EXPENSES: 0; PURCHASED SERVICES - TOTAL EXPENSE: 8095999, PROGRAM SERVICE EXPENSE: 3481037, MANAGEMENT AND GENERAL EXPENSES: 4614962, FUNDRAISING EXPENSES: 0;
Form 990 , Part XI, Line 9, Other changes in net assets or fund balances	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP - 2449618; GAIN/(LOSS) ON DERIVITIVE - 2703839; EQUITY TRANSFERS - -2051918;
FORM 990, PART XII, LINE 3A, REQUIREMENTS UNDER SINGLE AUDIT ACT AND OMB CIRCULAR A-133	AS REQUIRED BY THE U.S. OFFICE OF MANAGEMENT AND BUDGET CIRCULAR A-133, AUDITS OF STATES, LOCAL GOVERNMENTS, AND NON-PROFIT ORGANIZATIONS, IN 2014 SOUTHERN ILLINOIS HEALTHCARE SERVICES AND AFFILIATES RECEIVED AN AUDIT FOR THE 2013 CONSOLIDATED FINANCIAL STATEMENTS IN ACCORDANCE WITH THE SINGLE AUDIT ACT.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	QUALITY HEALTH PARTNERS LLC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1239 E MAIN ST	AddressLine1
City	CARBONDALE	City
State	IL	State
ZIP Code	62901	ZIPCode

Field	Value	IRS element (for citing)
EIN	454435852	EIN
Primary Activities	ADMINISTRATIVE SERVICES	PrimaryActivitiesTxt
Legal Domicile State	IL	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$6,305	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHERN ILLINOIS HOSPITAL SERVICES	BusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES INC
PO BOX 3988	CARBONDALE	IL	62902	371136788	LEASING OF MEDICAL SPACE	IL	501(C)(3)	11 - Type II	NA	false
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
1239 EAST MAIN STREET	CARBONDALE	IL	62901	205521741	MEDICAL SERVICES	IL	501(C)(3)	3	SOUTHERN ILLINOIS HOSPITAL SERVICES	Yes (true)
SIH FOUNDATION NFP
1239 EAST MAIN STREET	CARBONDALE	IL	62901	271933790	FUNDRAISING	IL	501(C)(3)	11 - Type I	SOUTHERN ILLINOIS HOSPITAL SERVICES	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
RIC AND SIHS REHABILITATION SERVICES LLC
PO BOX 3988	CARBONDALE	IL	62902	364566925	MEDICAL SERVICES	IL	SIHS	RELATED	$108,773	$999	false	$0	false	0.999
PHYSICIANS' SURGERY CENTER LLC
2601 WEST MAIN STREET	CARBONDALE	IL	62901	260425547	MEDICAL SERVICES	IL	SIHS	RELATED	$479,416	$1,465,700	false	$0	false	0.55

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1	Province Or StateForeignAddress/ProvinceOrState	CountryForeignAddress/Country	Postal CodeForeignAddress/PostalCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Legal Domicile StateLegalDomicileStateCd
SIH CAYMAN SPC GROUP LTD
PO BOX 1051	CAYMAN ISLANDS	CJ	KY1-1102	980611605	FINANCING	CJ	SIHS	C CORPORATION	$6,591,587	$30,364,054	1	Yes (true)
HEALTH SERVICES OF SOUTHERN ILLINOIS INC
				371115061	INACTIVE		NA	C CORPORATION				Yes (true)	PO BOX 3988	CARBONDALE	IL	62902	IL
HIDK PROPERTIES LAND TRUST
				466693066	RENTAL PROPERTIES		SIHS	TRUST	$0	$0	1	Yes (true)	1239 EAST MAIN STREET	CARBONDALE	IL	62901	IL

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTHERN ILLINOIS MEDICAL SERVICES
J	$678,336	FMV
SOUTHERN ILLINOIS MEDICAL SERVICES
R	$1,655,918	FMV
SOUTHERN ILLINOIS HOSPITAL SERVICES
A	$208,011	FMV