HARRISBURG MEDICAL CENTER INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- HARRISBURG MEDICAL CENTER INC (EIN 23-7426289)
- Tax period
- 2024-04-01 to 2025-03-31
- Filed
- 2026-01-29
- IRS object ID
- 202620299349301572
- Schema version
- 2024v5.1
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-01-29T12:34:22+00:00 | ReturnTs |
| Tax Period End | 2025-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 West Wacker Drive Suite 2600 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606061224 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237426289 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Harrisburg Medical Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HARR | BusinessNameControlTxt |
| Phone | 6182537671 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Dr Warren Tuttle Drive | AddressLine1Txt |
| City | Harrisburg | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62946 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Warren Ladner | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6184575200 | PhoneNum |
| Signature | 2026-01-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Mallory Fairless | PreparerPersonNm |
| PTIN | P01321579 | PTIN |
| Phone | 3128997000 | PhoneNum |
| Preparation | 2026-01-29 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN ANTES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Dr Warren Tuttle Drive | AddressLine1Txt |
| City | Harrisburg | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62946 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $62,236,822 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.sih.net/hmc | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | WE ARE DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF ALL THE PEOPLE IN THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 508 | TotalEmployeeCnt |
| Total Volunteers | 24 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $615,587 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,259 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $47,871,764 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $61,986,234 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,821 | PYInvestmentIncomeAmt |
| CY Investment Income | $117,920 | CYInvestmentIncomeAmt |
| PY Other Revenue | $94,723 | PYOtherRevenueAmt |
| CY Other Revenue | $83,149 | CYOtherRevenueAmt |
| PY Total Revenue | $48,584,895 | PYTotalRevenueAmt |
| CY Total Revenue | $62,192,562 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,668,034 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $28,779,867 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $33,844,352 | PYOtherExpensesAmt |
| CY Other Expenses | $34,626,991 | CYOtherExpensesAmt |
| PY Total Expenses | $60,512,386 | PYTotalExpensesAmt |
| CY Total Expenses | $63,406,858 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$11,927,491 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,214,296 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,196,981 | TotalAssetsBOYAmt |
| Total Assets EOY | $47,167,002 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $33,186,173 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $51,970,490 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,989,192 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$4,803,488 | NetAssetsOrFundBalancesEOYAmt |
| Mission | HARRISBURG MEDICAL CENTER AND SOUTHERN ILLINOIS HEALTHCARE IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF ALL THE PEOPLE IN THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $41,382,881 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $54,802,682 | RevenueAmt |
| Desc | IN SUPPORT OF ITS MISSION, THE HOSPITAL PROVIDES CARE TO PATIENTS AT LESS THAN ITS ESTABLISHED CHARGES FOR PATIENTS THAT MEET THE HOSPITAL'S FINANCIAL ASSISTANCE CRITERIA. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, THEY ARE NOT REPORTED IN NET PATIENT SERVICE REVENUE. CHARGES EXCLUDED FROM REVENUE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) WERE APPROXIMATELY $1,909,000 FOR FISCAL YEAR 2025. IN ADDITION, THE HOSPITAL PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER CERTAIN GOVERNMENT-REIMBURSED PUBLIC AID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS WHICH ARE LESS THAN ESTABLISHED CHARGES FOR THE SERVICES PROVIDED TO THE RECIPIENTS AND THE PAYMENTS ARE LESS THAN THE COST OF RENDERING CARE. (continued on schedule O) | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,741,971 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,198,686 | RevenueAmt |
| Desc | HARRISBURG MEDICAL CENTER OPERATES PHYSICIAN PRACTICES TO PROVIDE CARE AND TREATMENT OF THE MEDICALLY SICK, INJURED OR afflicted ON A NOT-FOR PROFIT BASIS. THESE PRACTICES ARE LOCATED IN VARIOUS COMMUNITIES IN OUR SERVICE AREA. BOTH PRIMARY CARE AND SPECIALIZED MEDICAL CARE ARE PROVIDED INCLUDING PEDIATRICS, BEHAVIORAL HEALTH, AND FAMILY MEDICINE. THESE PHYSICIAN PRACTICES PROVIDE QUALITY HEALTH SERVICES THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. THESE PHYSICIANS PROVIDED UNCOMPENSATED CARE THROUGH PARTICIPATION IN THE GOVERNMENT SPONSORED MEDICARE AND MEDICAID PROGRAMS AND THE HMC INDIGENT FINANCIAL ASSISTANCE PROGRAM. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $50,124,852 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | 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 | false | 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 | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 35 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 508 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | 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 |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | 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 | WARREN LADNER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6182537671 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 DR WARREN TUTTLE DR | AddressLine1Txt |
| City | Harrisburg | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62946 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 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 |
|---|---|---|---|---|---|---|---|---|---|
| Dennis Murphy | |||||||||
| Board Chair | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Gina Sirach | |||||||||
| Secretary/Treasurer (Partial Year) | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| John Antes | |||||||||
| President/CEO/Trustee | 10.0 | 45.0 | Yes (X) | Yes (X) | $0 | $877,075 | $146,166 | ||
| John B Millstead | |||||||||
| SR VP/COO | 10.0 | 35.0 | Yes (X) | Yes (X) | $0 | $807,044 | $245,318 | ||
| Matt Businaro | |||||||||
| Board Vice Chair | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Michael Williams | |||||||||
| Secretary/Treasurer (Partial Year) | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Angela Rowe | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Benna Daugherty | |||||||||
| Trustee | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Dr Jonah Rice | |||||||||
| Trustee (Partial Year) | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Jacqueline Scott | |||||||||
| Trustee | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Krystina Eubanks | |||||||||
| Trustee (Partial Year) | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Matthew Winkleman | |||||||||
| Trustee | 1.0 | 40.0 | Yes (X) | $0 | $660,028 | $75,774 | |||
| Michael Tison | |||||||||
| Trustee (Partial Year) | 1.0 | 2.0 | Yes (X) | $0 | $350 | $0 | |||
| Denao Ruttino | |||||||||
| VP/Innovation Technology | 10.0 | 45.0 | Yes (X) | $0 | $425,975 | $64,524 | |||
| Jennifer Harre | |||||||||
| VP/CNO | 10.0 | 45.0 | Yes (X) | $0 | $365,346 | $82,129 | |||
| John Daly | |||||||||
| VP/General Counsel | 10.0 | 45.0 | Yes (X) | $0 | $438,971 | $45,001 | |||
| Marci L Moore-Connelley MD | |||||||||
| SR VP/CMO | 10.0 | 45.0 | Yes (X) | $0 | $606,413 | $99,050 | |||
| Molly Hamilton | |||||||||
| VP Human Resources | 10.0 | 35.0 | Yes (X) | $0 | $312,150 | $23,867 | |||
| Rodney Smith | |||||||||
| VP/Administrator | 20.0 | 35.0 | Yes (X) | $0 | $502,455 | $103,761 | |||
| Shelly Pierce | |||||||||
| VP/Quality | 10.0 | 45.0 | Yes (X) | $0 | $376,582 | $74,569 | |||
| Warren Ladner | |||||||||
| Sr VP/CFO/Treasurer | 10.0 | 45.0 | Yes (X) | $0 | $552,460 | $109,396 | |||
| Andrea Miller | |||||||||
| Physician | 40.0 | 0 | $345,205 | $0 | $37,286 | Yes (X) | |||
| Deborah Gajewski | |||||||||
| RN Supervisor | 40.0 | 0 | $222,693 | $0 | $18,306 | Yes (X) | |||
| J Cody Sandusky | |||||||||
| Pharmacist | 40.0 | 1.0 | $177,677 | $0 | $22,375 | Yes (X) | |||
| Kasey Harner | |||||||||
| Advanced Practice Provider | 40.0 | 0 | $0 | $0 | $0 | Yes (X) | |||
| Mary Ozee | |||||||||
| RN Supervisor | 40.0 | 0 | $194,092 | $0 | $20,572 | Yes (X) | |||
| Stephanie Franklin | |||||||||
| Advanced Practice Provider | 40.0 | 0 | $227,851 | $0 | $22,707 | Yes (X) | |||
| Donald Hutson | |||||||||
| FORMER VP/Administrator | 0.0 | 0.0 | $351,239 | $0 | $40,902 | Yes (X) | |||
| Pam Henderson | |||||||||
| Former Officer | 0.0 | 0.0 | $0 | $119,012 | $7,714 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,518,757 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,043,861 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,239,417 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 32 | 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/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| STATERA HEALTHCARE LLC | |||||
| 2250 N ILLINOIS AVENUE | CARBONDALE | IL | 62901 | MEDICAL STAFFING | $1,200,618 |
| TRINITY MEDICAL STAFFING LLC | |||||
| 2250 N ILLINOIS AVENUE | CARBONDALE | IL | 62901 | MEDICAL STAFFING | $1,029,492 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | MEDICAL STAFFING | $314,415 |
| CROSS COUNTRY STAFFING | |||||
| 6551 PK OF COMMERCE BLVD | BOCA RATON | FL | 33487 | MEDICAL STAFFING | $190,918 |
| HH SUTTON PLUMBING & MECHANIC | |||||
| 923 SOUTH FOURTH STREET | ELDORADO | IL | 62903 | PLUMBING | $166,925 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $5,259 | AllOtherContributionsAmt |
| Total Contributions | $5,259 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 622100 | $61,754,859 | $61,754,859 | $0 | $0 |
| LEASEHOLD REVENUE FROM RELATED ORGANIZATIONS | 531120 | $224,199 | $224,199 | $0 | $0 |
| MISCELLANEOUS DEPARTMENTAL REVENUE | 900099 | $7,176 | $7,176 | $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 | $61,986,234 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,094 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,094 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $109,826 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $109,826 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $46,589 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $44,260 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,329 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,329 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,329 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA REVENUE | 722310 | $65,686 | $0 | $0 | $65,686 |
| MEDICAL RECORDS | 621300 | $15,134 | $15,134 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| 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) |
|---|---|---|
| Other Revenue Total | $80,820 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $62,192,562 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $62,001,368 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $185,935 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $421,941 | TotalAmt |
| Program Services | $21,676 | ProgramServicesAmt |
| Management And General | $400,265 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,318,609 | TotalAmt |
| Program Services | $20,602,209 | ProgramServicesAmt |
| Management And General | $1,716,400 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $623,866 | TotalAmt |
| Program Services | $599,885 | ProgramServicesAmt |
| Management And General | $23,981 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,867,327 | TotalAmt |
| Program Services | $3,438,916 | ProgramServicesAmt |
| Management And General | $428,411 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,548,124 | TotalAmt |
| Program Services | $1,405,116 | ProgramServicesAmt |
| Management And General | $143,008 | ManagementAndGeneralAmt |
| Fundraising | $0 | 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 | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,795 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $21,795 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,046 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $16,046 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,037,535 | TotalAmt |
| Program Services | $7,018,583 | ProgramServicesAmt |
| Management And General | $18,952 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305 | TotalAmt |
| Program Services | $125 | ProgramServicesAmt |
| Management And General | $180 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $858,403 | TotalAmt |
| Program Services | $792,659 | ProgramServicesAmt |
| Management And General | $65,744 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,257 | TotalAmt |
| Program Services | $27,402 | ProgramServicesAmt |
| Management And General | $4,855 | 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 | $2,344,474 | TotalAmt |
| Program Services | $2,318,024 | ProgramServicesAmt |
| Management And General | $26,450 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,157 | TotalAmt |
| Program Services | $47,280 | ProgramServicesAmt |
| Management And General | $7,877 | 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 | $19,341 | TotalAmt |
| Program Services | $19,141 | ProgramServicesAmt |
| Management And General | $200 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $542,485 | TotalAmt |
| Program Services | $542,485 | ProgramServicesAmt |
| Management And General | $0 | 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 | $2,250,682 | TotalAmt |
| Program Services | $2,232,586 | ProgramServicesAmt |
| Management And General | $18,096 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$201,649 | TotalAmt |
| Program Services | -$204,474 | ProgramServicesAmt |
| Management And General | $2,825 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $6,145,979 | $6,145,979 | $0 | $0 |
| PROVIDER TAX | $3,781,017 | $3,781,017 | $0 | $0 |
| EQUIPMENT RENTAL | $1,219,018 | $1,217,431 | $1,587 | $0 |
| HOME OFFICE EXPENSE | $10,288,548 | $0 | $10,288,548 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,598 | TotalAmt |
| Program Services | $118,812 | ProgramServicesAmt |
| Management And General | $96,786 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,406,858 | TotalAmt |
| Program Services | $50,124,852 | ProgramServicesAmt |
| Management And General | $13,282,006 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,036 | BOYAmt |
| EOY | $3,750 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,040 | BOYAmt |
| EOY | $10,611,128 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,043,563 | BOYAmt |
| EOY | $12,578,551 | 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 | $803 | BOYAmt |
| EOY | $22,750 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $473,390 | BOYAmt |
| EOY | $572,541 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,210 | BOYAmt |
| EOY | $118,622 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $30,836,346 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,398,155 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,897,028 | BOYAmt |
| EOY | $22,438,191 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $447,911 | BOYAmt |
| EOY | $821,469 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,196,981 | BOYAmt |
| EOY | $47,167,002 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,048,967 | BOYAmt |
| EOY | $5,131,135 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,862,928 | BOYAmt |
| EOY | $25,765,940 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $384,483 | BOYAmt |
| EOY | $39,825 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,889,795 | BOYAmt |
| EOY | $21,033,590 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,186,173 | BOYAmt |
| EOY | $51,970,490 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,989,192 | BOYAmt |
| EOY | -$4,803,488 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,989,192 | BOYAmt |
| EOY | -$4,803,488 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,196,981 | BOYAmt |
| EOY | $47,167,002 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,214,296 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$1,600,000 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $16,046 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $16,046 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | A PORTION OF DUES PAID TO ILLINOIS HOSPITAL ASSOCIATION IS USED FOR LOBBYING BY THAT ASSOCIATION IN THE AMOUNT OF $16,046. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $772,443 | OtherCostOrOtherBasisAmt |
| Book Value | $772,443 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,803,864 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,658,267 | DepreciationAmt |
| Book Value | $17,145,597 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,400,065 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,639,309 | DepreciationAmt |
| Book Value | $2,760,756 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,859,974 | OtherCostOrOtherBasisAmt |
| Depreciation | $100,579 | DepreciationAmt |
| Book Value | $1,759,395 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,438,191 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal Income Taxes | |
| DUE TO AFFILIATES | $20,384,809 |
| THIRD PARTY SETTLEMENTS | $487,048 |
| MEDICAL LIABILITY INSURANCE | |
| ACCRUED INTEREST | $43,018 |
| EXECUTIVE BENEFIT PLAN | |
| LEASED LIABILITY | $117,321 |
| UNCLAIMED PROPERTY | $1,394 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $21,033,590 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $0 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $0 | TotalRevenuePerForm990Amt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $0 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $0 | TotalExpensesPerForm990Amt |
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: SIHE and its affiliated organizations, with the exception of the Captive, Harrisburg Medical Center Clinic Services LLC, HSSI and PSC, are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. The Corporation realized certain income which the Internal Revenue Service considers to be unrelated business income subject to income tax. For the years ended March 31, 2025 and 2024, a minimal amount of tax was due related to these operations. The Captive is incorporated under the laws of the Cayman Islands, which imposes no tax on income or capital gains. However, the Captive is subject to U.S. federal corporate taxation to the extent that it generates income that is effectively connected with a U.S. trade or business. The Captive is not engaged in any such trade or business in the U.S. PSC is a pass-through entity and its members separately account for their share of PSC's net income or loss which is allocated to the members based on the ownership percentage. Accordingly, income taxes are not provided for in the accompanying consolidated financial statements. When tax returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would be ultimately sustained. Examples of tax positions common to health systems include matters such as the tax- exempt entity taking a tax position that an organization is tax exempt without observing corresponding proof of tax exemption from federal and state taxing authorities and there is material net income generated by the entity or egregious compensation paid to insiders that could result in revocation of exempt status (outside the scope of intermediate sanctions excise tax penalties). The tax position is to consider that these compensatory arrangements do not jeopardize tax exemption. The benefit of a tax position is recognized in the consolidated financial statements in the period during which, based on all available evidence, management believes it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions taken are not offset or aggregated with other positions. Tax positions that meet the "more-likely-than-not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely of being realized upon settlement with the applicable taxing authority. There were no uncertain tax benefits identified and recorded at March 31, 2025 and 2024. 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 for the years ended March 31, 2025 and 2024. 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, 2021 and prior. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600 | DiscountedCareOtherPct |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $572,940 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $572,940 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00904 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,860,310 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,351,730 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,508,580 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02379 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | 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 | $18,433,250 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,351,730 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,081,520 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03283 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $809 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $809 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00001 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,862,813 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,077,113 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,785,700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05970 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $4,863,622 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,077,113 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,786,509 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05972 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $23,296,872 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,428,843 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,868,029 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09255 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | 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 | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,247,351 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $220,781 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $10,141,562 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,196,830 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,055,268 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRISBURG MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 DR WARREN TUTTLE DRIVE | AddressLine1Txt |
| City | HARRISBURG | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62946 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.HARRISBURGMC.COM | WebsiteAddressTxt |
| State License | 521 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRISBURG MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.sih.net/hmc/hmc-home/chna | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.sih.net/hmc/hmc-home/chna | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.0 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.sih.net/patients-and-visitors/financial-resources/healthcare-assistance-program | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.sih.net/patients-and-visitors/financial-resources/healthcare-assistance-program | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.sih.net/patients-and-visitors/financial-resources/healthcare-assistance-program | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | The significant health needs of the community are identified through the CHNA. These needs were prioritized based on overall impact, magnitude of the problem, severity and ability and interest of the community. CHNA advisory team members discussed and voted on the top issues. The following areas were identified as the top 3 priority needs: 1 - Social Determinants of Health (poverty, hunger/food access, housing, access to care) 2 - Behavioral Health (mental health and substance misuse) 3 - Chronic Disease Prevention, Management and Treatment |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - HARRISBURG MEDICAL CENTER. THE CHNA AND DEVELOPMENT OF ITS IMPLEMENTATION PLAN IS A WAY FOR THE HOSPITAL'S CORPORATE MEMBER, SOUTHERN ILLINOIS HOSPITAL SERVICES (SIH), AND COMMUNITY PARTNERS TO WORK COLLABORATIVELY TO IMPROVE THE HEALTH AND WELL-BEING OF ALL THE PEOPLE IN THE COMMUNITIES SERVED. IN ORDER TO DEVELOP A BROAD UNDERSTANDING OF COMMUNITY HEALTH NEEDS IN THE ELEVEN COUNTY SERVICE AREA, A COMMUNITY SURVEY WAS CONDUCTED BETWEEN AUGUST 30, 2021 AND SEPTEMBER 22, 2021. A SURVEY LINK WAS DISTRIBUTED VIA E-MAIL, SOCIAL MEDIA, FLYER DISTRIBUTION AND WORD OF MOUTH TO THE COMMUNITY AT-LARGE. SEE APPENDIX 1 OF THE CHNA FOR REFERENCE. THE BROAD INTERESTS OF THE COMMUNITY WE SERVE WERE INCORPORATED BY INCLUDING INPUT FROM RESIDENTS, PATIENT GROUPS, HEALTH CARE PRACTITIONERS, LOCAL HEALTH DEPARTMENTS, SOCIAL SERVICES PROVIDERS AND OTHER COMMUNITY ORGANIZATIONS AND PARTNERS. A SURVEY OF 637 COMMUNITY MEMBERS AND PARTNERS AND 17 HEALTHCARE PROVIDERS WAS CONDUCTED TO GAIN INPUT REGARDING OVERALL HEALTH ISSUES TO BE ADDRESSED. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED TO INCORPORATE FOUR HOSPITALS WITHIN THE SOUTHERN ILLINOIS HEALTHCARE SYSTEM AS THE COMMUNITY IS DEFINED AS THE SAME SURROUNDING AREA. ONE OF THESE HOSPITALS, HARRISBURG MEDICAL CENTER IS REPORTED ON THIS SEPARATE 990 RETURN, WHILE THE REMAINING THREE HOSPITALS ARE INCLUDED ON THE SOUTHERN ILLINOIS HOSPITAL SERVICES 990 RETURN. VULNERABLE AND UNDER-REPRESENTED POPULATIONS IN OUR AREA ARE CHARACTERIZED BY THE FOLLOWING HEALTH DISPARITIES: - HOMELESSNESS - FOOD INSECURITIES - LIMITED ACCESS TO MEDICAL SCREENINGS AND TREATMENT THE ABOVE ISSUES ARE SUPPORTED BY THE FOLLOWING STATISTICS: - 48.7% OF HOUSEHOLDS WITH CHILDREN ARE AT OR BELOW 20% OF POVERTY LEVEL - 46.1% OF WORKING AGE POPULATION ARE UNEMPLOYED - 57.1% OF STUDENTS ARE ELIGIBLE FOR FREE LUNCH - 17.9% OF HOUSEHOLDS RECEIVE SNAP BENEFITS - 16.2% OF Adults ARE UNABLE TO FILL PRESCRIPTIONS DUE TO COST SIH CHNA ADVISORY TEAM: THE 53-MEMBER TEAM REVIEWED THE DATA, PROVIDED INPUT AND SHARED THEIR PERCEPTIONS OF OVERALL IMPACT, MAGNITUDE OF THE PROBLEM, SEVERITY, AND ABILITY AND INTEREST OF THE COMMUNITY TO ADDRESS THE ISSUES, AND VOTED ON THE TOP PRIORITY HEALTH ISSUES. MANY OF THE INDIVIDUALS INVITED TO PARTICIPATE IN THE SURVEY ARE OR PROVIDE SERVICES TO THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATONS. IT WAS REQUESTED THAT THESE INDIVIDUALS PROMOTE THE SURVEY AMONG THOSE THEY SERVE. THIS INCLUDED FEDERALLY QUALIFIED HEALTH CENTERS STAFF AND HEALTHY COMMUNITY COALITION MEMBERS THAT SERVE OUR MOST VULNERABLE POPULATIONS - LOW INCOME FAMILIES AND THOSE LIVING IN POVERTY, UNINSURED AND UNDER-INSURED, ELDERLY, TEENS, THOSE WITH BEHAVIORAL HEALTH ISSUES, ETC. AN INVITATION EMAIL WITH A SURVEY MONKEY LINK WAS SENT TO OVER 4,000 INDIVIDUALS. THE SURVEY WAS ALSO PROMOTED VIA FACEBOOK, ALL RESPONSES WERE COLLECTED ANONYMOUSLY. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - HARRISBURG MEDICAL CENTER. A joint CHNA was conducted with the hospitals listed below. MEMORIAL HOSPITAL OF CARBONDALE, CARBONDALE, IL HERRIN HOSPITAL, HERRIN, IL ST JOSEPH MEMORIAL HOSPITAL, MURPHYSBORO, IL |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - HARRISBURG MEDICAL CENTER. THE MOST RECENTLY CONDUCTED CHNA WAS COMPLETED IN MARCH 2022 FOR WHICH AN IMPLEMENTATION STRATEGY WAS DEVELOPED FOR THE NEXT THREE YEARS BEGINNING APRIL 1, 2022 AND ENDING MARCH 31, 2025. THE INFORMATION BELOW DESCRIBES HOW THE HOSPITAL IS ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENT CHNA. THREE IMPLEMENTATION PLAN TEAMS WERE DEVELOPED IN ORDER TO BRING EXPERTS TOGETHER WITH EXPERTISE AND INTEREST IN EACH OF THE CHOSEN AREAS. KEY ISSUES AND NEEDS WERE IDENTIFIED AND INTERVENTION STRATEGIES WERE DEVELOPED. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN WAS REVIEWED AND ADOPTED BY THE SIH BOARD OF TRUSTEES IN MARCH 2022. THE PRIORITY AREAS THROUGH THIS NEEDS ASSESSMENT WILL BE USED TO FOCUS COMMUNITY BENEFITS DEPARTMENT PLANNING FOR THE NEXT THREE YEARS. THE PRIORITY HEALTH ISSUES THAT THE FOUR HOSPITALS WILL ADDRESS FROM 2022 - 2025 ARE: SOCIAL DETERMINANTS OF HEALTH (ACCESS TO CARE, HUNGER/FOOD ACCESS, HOUSING, AND POVERTY), BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE MISUSE), AND CHRONIC DISEASE PREVENTION, MANAGEMENT, AND TREATMENT (FOCUSING ON CARDIOVASCULAR DISEASE, STROKE AND DIABETES). Addressing Social Determinants of Health To address social determinants of health, Harrisburg Medical Center participates in community outreach and screening activities designed to increase access to preventive care and connect vulnerable individuals to needed resources. These efforts include outreach and screening events in targeted communities, telehealth services delivered in collaboration with federally qualified health centers, and referrals to community-based services. HMC also supports homeless outreach initiatives by providing funding and collaborating with regional partners to expand case management and housing services for individuals experiencing homelessness. In addition, HMC participates in training initiatives for hospital staff and community partners to increase awareness of health equity, reduce stigma, and address unconscious bias. Addressing Behavioral Health Needs Harrisburg Medical Center plays a key role in SIH's behavioral health initiatives, including Narcan distribution and harm-reduction efforts, collaboration with community organizations to expand access to substance misuse services, and participation in a Crisis Intervention Team pilot to improve care coordination for individuals presenting to the emergency department in mental health crisis. HMC also supports Mental Health First Aid and Signs of Suicide education programs across the region and participates in anti-stigma campaigns designed to increase awareness of behavioral health resources and encourage individuals to seek treatment. Addressing Chronic Disease Prevention and Management To address chronic disease, Harrisburg Medical Center participates in tobacco cessation initiatives, including Courage to Quit classes and promotion of the Illinois Tobacco Quitline. HMC also supports the CDC-recognized Diabetes Prevention Program and nutrition education and healthy cooking demonstrations targeted to low-income individuals across the service area. These activities are designed to increase prevention, improve self-management of chronic conditions, and reduce avoidable hospital utilization. Health Needs Not Addressed as Priority The CHNA identified additional community needs, including cancer, pediatric dental care, lack of broadband access, infant mortality, early childhood learning, COVID-19, and healthcare workforce shortages. These needs were not prioritized for this implementation period due to resource constraints, the presence of other community organizations addressing these issues, and the need to focus efforts on the highest-ranked health priorities. Harrisburg Medical Center continues to collaborate with community partners on these issues as appropriate. |
| Schedule H, Part V, Section B, Line 13 Facility , 1 | Facility , 1 - HARRISBURG MEDICAL CENTER. IF A PATIENT MEETS CERTAIN PRESUMPTIVE ELIGIBILITY CRITERIA, THE PATIENT SHALL NOT BE REQUIRED TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND SHALL BE DEEMED TO RECEIVE A 100% ALLOWANCE. PRESUMPTIVE ELIGIBILITY CATEGORIES ARE: 1) HOMELESSNESS, DEFINED AS AN INDIVIDUAL WITHOUT PERMANENT HOUSING WHO MAY LIVE ON THE STREETS, STAY IN A SHELTER, MISSION, SINGLE ROOM OCCUPANCY FACILITIES, ABANDONED BUILDING OR VEHICLE, OR IN ANY OTHER UNSTABLE OR NON-PERMANENT SITUATION; 2) DECEASED WITH NO ESTATE; 3) MENTAL INCAPACITATION WITH NO REPRESENTATIVE; 4) MEDICAID ELIGIBLE BUT NOT ON DATE OF SERVICE; 5) MEDICAID ELIGIBLE ON DATE OF SERVICE, BUT THE SERVICE IS NON-COVERED, AND 6) INCARCERATION IN A PENAL INSTITUTION. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| HMC CLINIC AT MARION | ||||
| 3106 OUTER DRIVE | MARION | IL | 62959 | PROVIDER BASED RURAL HEALTH CLINIC |
| ELDORADO PRIMARY CARE | ||||
| 1007 US HIGHWAY 45 | ELDORADO | IL | 62930 | PROVIDER BASED RURAL HEALTH CLINIC |
| MACH MINE CLINIC | ||||
| 16468 LIBERTY SCHOOL ROAD | MARION | IL | 62959 | PRIMARY CARE CLINIC |
| VIKING MINE CLINIC | ||||
| 13643 NORTH THOMPSONVILLE ROAD | MACEDONIA | IL | 62860 | PRIMARY CARE CLINIC |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | SOUTHERN ILLINOIS HOSPITAL SERVICES |
| Schedule H, Part I, Line 7g Subsidized Health Services | NONE OF THE COSTS ARE ATTRIBUTABLE TO A PHYSICIAN CLINIC |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | THE IRS PROVIDED WORKSHEETS WERE UTILIZED TO CALCULATE FINANCIAL ASSISTANCE AND MEDICAID COST BASED ON COST TO CHARGE RATIOS FROM THE COST REPORT INFORMATION. SUBSIDIZED HEALTH SERVICES INCLUDE BEHAVIORAL HEALTH COST AS DETERMINED BY OUR DECISION SUPPORT SOFTWARE. ACTUAL COST IS USED FOR REPORTING OTHER BENEFIT COST AS TRACKED THROUGH OUT THE YEAR IN THE GENERAL LEDGER PROCESS. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | FOR FINANCIAL STATEMENT PURPOSES, SOUTHERN ILLINOIS HOSPITAL SERVICES HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE ON IRS FORM 990, PART IX. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS OF ACCOUNTS RECEIVABLE CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | BASED ON THE HOSPITAL'S EXPERIENCE WITH ALL ITS PATIENTS AND THE REGION POVERTY RATE, THE ORGANIZATION ESTIMATES THAT APPROXIMATELY 17.70% OF ACCOUNTS WRITTEN OFF TO BAD DEBT MAY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. ALTHOUGH FINANCIAL ASSISTANCE INFORMATION WAS PROVIDED TO THESE PATIENTS, NO APPLICATION FOR ASSISTANCE WAS RECEIVED, AND THEREFORE ELIGIBILITY FOR FINANCIAL ASSISTANCE WAS NOT DETERMINED. THEREFORE, 17.70% OF THE BAD DEBT ADJUSTMENTS ARE INCLUDED ON PART III, LINE 3 AT COST. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 13-14 OF SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES, INC CONSOLIDATED FINANCIAL REPORT WITH SUPPLEMENTARY INFORMATION MARCH 31, 2025, AND 2024. |
| 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 COST 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 EXPENSE IS ALLOCATED TO THE FACILITIES BASED ON THE HOME OFFICE COST REPORT STATISTICS USED 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. BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THE IRS HAS ACKNOWLEDGED THAT LESSENING THE GOVERNMENT BURDEN ASSOCIATED WITH PROVIDING MEDICARE BENEFITS IS A CHARITABLE PURPOSE. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | THE HOSPITAL'S COLLECTION POLICY AND FINANCIAL ASSISTANCE POLICY (FAP) CONTAIN PROVISIONS FOR COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THESE PRACTICES ALSO APPLY BROADLY TO ALL TYPES OF PATIENTS. The HOSPITAL WILL PROVIDE PATIENTS WITH A PLAIN LANGUAGE SUMMARY OF THE FAP. The HOSPITAL WILL MAKE A REASONABLE EFFORT TO ORALLY NOTIFY THE INDIVIDUAL ABOUT THE FAP AND ABOUT HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FAP APPLICATION. IF The HOSPITAL DETERMINES THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE, The HOSPITAL WILL: A) PROVIDE THE INDIVIDUAL WITH A BILLING STATEMENT THAT INDICATES THE AMOUNT HE OR SHE OWES FOR THE CARE RECEIVED, ASSUMING THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE OTHER THAN FREE CARE AND HOW THAT AMOUNT WAS DETERMINED, B) REFUND TO THE INDIVIDUAL ANY AMOUNT HE OR SHE HAS PAID THAT EXCEEDS THE AMOUNT THE INDIVIDUAL IS DETERMINED TO BE PERSONALLY RESPONSIBLE FOR PAYING, C) TAKE ALL REASONABLE AVAILABLE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") TAKEN AGAINST THE INDIVIDUAL. FOR ALL TYPES OF PATIENTS, the HOSPITAL TAKES THE FOLLOWING ACTIONS AT LEAST 30 DAYS BEFORE INITIATING ECA TO OBTAIN PAYMENT FOR CARE: A) PROVIDE THE INDIVIDUAL WITH A WRITTEN NOTICE THAT INDICATES FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE INDIVIDUALS, B) IDENTIFIES THE ECA(S) THAT the HOSPITAL (OR OTHER AUTHORIZED PARTY) INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE AND C) STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED THAT IS NO EARLIER THAN 30 DAYS AFTER THE DATE THAT THE WRITTEN NOTICE IS PROVIDED. |
| Schedule H, Part V, Section B, Line 16a FAP website | - HARRISBURG MEDICAL CENTER: Line 16a URL: https://www.sih.net/patients-and-visitors/financial-resources/healthcare-assistance-program; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - HARRISBURG MEDICAL CENTER: Line 16b URL: https://www.sih.net/patients-and-visitors/financial-resources/healthcare-assistance-program; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - HARRISBURG MEDICAL CENTER: Line 16c URL: https://www.sih.net/patients-and-visitors/financial-resources/healthcare-assistance-program; |
| Schedule H, Part VI, Line 2 Needs assessment | THE HOSPITAL ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY AND THEY MIGHT BE ADDRESSED BY PARTICIPATING IN STRATEGIC AND OPERATIONAL PLANNING SESSIONS THAT INCLUDE THE BOARD OF DIRECTORS, STATE LEGISLATORS, OFFICIALS FROM THE LOCAL COMMUNITY COLLEGE AND LOCAL CLERGY. THE CEO PARTICIPATES IN STRATEGIC PLANNING MEETINGS WITH LEADERSHIP OF HOSPITAL'S CORPORATE MEMBER. HOSPITAL LEADERSHIP MEETS WITH LEADERSHIP FROM LOCAL HEALTH DEPARTMENTS, AREA HOSPITALS, AREA LONG TERM CARE FACILITIES AND EMERGENCY PLANNERS ON AN ONGOING BASIS. THE PRESIDENT OF THE MEDICAL STAFF MEETS REGULARLY WITH PRIMARY BEHAVIORAL HEALTH CLINIC LEADERS AS WELL AS REPRESENTATIVES FROM COMMUNITY BEHAVIORAL HEALTH AND SUPPORT ORGANIZATIONS TO ASCERTAIN NEEDS AND ASSESS MEETING OF THE NEEDS. HOSPITAL DATA IS REVIEWED TO DETERMINE PATIENTS' NEEDS BY ANALYZING DIAGNOSIS, READMISSION RATES AND THE MEDICARE CASE MIX INDEX. THE HOSPITAL PARTICIPATES IN REGIONAL HAZARD ASSESSMENTS AND DRILLS. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | THE HOSPITAL EDUCATES PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH MULTIPLE COMMUNICATION CHANNELS. PATIENTS WHO ARE UNINSURED OR OTHERWISE CONSIDERED SELF-PAY ARE PROVIDED A COPY OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM (FAP) PLAIN LANGUAGE SUMMARY DURING THE REGISTRATION PROCESS. HOSPITAL PATIENT BILLING STATEMENTS INCLUDE A STATEMENT EXPLAINING HOW A PATIENT MAY APPLY FOR CONDSIDERATION UNDER THE HOSPITAL'S FAP. SIGNAGE IS DISPLAYED IN REGISTRATION, PATIENT CARE, AND BUSINESS OFFICE AREAS THAT ANNOUNCES FINANCIAL HELP WITH BILLS FOR THOSE PATIENTS WHO QUALIFY. IF A PATIENT CONTACTS THE BUSINESS OFFICE REGARDING DIFFICULTY IN MAKING PAYMENTS, HOSPITAL PERSONNEL INFORMS THE PATIENT OF THE FAP. ONE FULL-TIME FINANCIAL COUNSELOR ASSISTS THE HOSPITAL'S PATIENTS IN APPLYING FOR GOVERNMENT FUNDED MEDICAL COVERAGE AND OTHER AVAILABLE ASSISTANCE PROGRAMS. |
| Schedule H, Part VI, Line 4 Community information | WHILE EACH OF THE ELEVEN COUNTIES IN THE HOSPITAL SYSTEM SERVICE AREA IS UNIQUE, ALL SHARE SIMILAR CHALLENGES. ALL HAVE ISOLATED HOUSEHOLDS, RESIDENTS WITH LOW INCOME AND LOW EDUCATIONAL LEVELS, AND HIGH RATES OF POVERTY, ILLNESS, AND MORTALITY. ALL HAVE A LARGE NUMBER OF MEDICALLY UNDERSERVED RESIDENTS. IN GENERAL, SOUTHERN ILLINOIS RESIDENTS ARE MORE PRONE TO HAVE HIGHER BMI, HIGHER BLOOD PRESSURE, INCREASED RISK FOR DIABETES AND ARE MORE APT TO SMOKE AND BE SEDENTARY THAN ALL OTHER ILLINOISANS. IMPROVEMENTS ARE NEEDED IN AREAS SUCH AS PREVENTATIVE SCREENINGS, HEALTHY EATING, AND PHYSICAL ACTIVITY. RESIDENTS FACE CONSIDERABLE BARRIERS TO ACCESS, DEMONSTRATED BY UNMET OR MISSED PRIMARY CARE APPOINTMENTS AND HIGH EMERGENCY DEPARTMENT UTILIZATION. UNEMPLOYMENT, POVERTY, FOOD INSECURITY, ACCESS TO CARE AND LACK OF TRANSPORTATION SERVE AS BARRIERS TO HEALTH AND HEALTHCARE. HARRISBURG MEDICAL CENTER PREDOMINATELY SERVES A RURAL FIVE-COUNTY AREA INCLUDING SALINE, GALLATIN, HARDIN, POPE, AND WHITE COUNTIES. POVERTY RATES RANGE FROM A LOW OF 12.3% TO A HIGH OF 20.5% IN THESE COUNTIES. THE OVERALL AVERAGE FOR THE FIVE COUNTIES IS 18.34%. EACH OF THE COUNTIES IS FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA. THE POPULATION OF THE FIVE COUNTIES IS APPROXIMATELY 50,000 AND THE POPULATION HAS SHOWN A DECLINING TREND FOR AT LEAST THE PAST TWENTY YEARS. APPROXIMATELY 17% OF THE POPULATION IS 65 YEARS OLD OR OLDER AS COMPARED TO 12% OF ALL ILLINOISANS. 87% OF THE POPULATION HAVE A HIGH SCHOOL DIPLOMA WHILE ONLY 16% OF THE POPULATION OVER 25 YEARS OLD HAVE EARNED A BACHELOR'S DEGREE OR HIGHER. INCOME PER CAPITAL IS $26,500 FOR THE POPULATION WHICH IS 26% LESS THAN THE INCOME PER CAPITAL OF THE STATE OF ILLINOIS AND 22% LESS THAN OF THE U.S.. THE PERCENTAGE OF INDIVIDUALS IN THIS AREA LIVING IN POVERTY EXCEEDS THE PERCENTAGE FOR THE STATE OF ILLINOIS AND FOR THE UNITED STATES OF AMERICA. 32% OF THE SERVICE AREA RECEIVES MEDICAID AS COMPARED TO 21% OF ILLINOISANS AND 22% OF THE U.S. POPULATION. 59% OF CHILDREN LIVING IN THE 5-COUNTY SERVICE AREA ARE ELIGIBLE FOR FREE OR REDUCED-PRICE SCHOOL LUNCHES. EIGHT NON-SIH HOSPITALS EXIST WITH THE ELEVEN COUNTY PRIMARY MARKET AREA. THE MARION VA MEDICAL CENTER AND HEARTLAND REGIONAL MEDICAL CENTER ARE BOTH LOCATED IN WILLIAMSON COUNTY. THE REMAINING FACILITIES ARE 25-BED CRITICAL ACCESS HOSPITALS: FERRELL HOSPITAL IN SALINE COUNTY, FRANKLIN HOSPITAL IN FRANKLIN COUNTY, MARSHALL BROWNING HOSPITAL IN PERRY COUNTY, PINCKNEYVILLE COMMUNITY HOSPITAL IN PERRY COUNTY, UNION COUNTY HOSPITAL IN UNION COUNTY, AND HARDIN COUNTY HOSPITAL IN HARDIN COUNTY. THREE SIH HOSPITALS, MEMORIAL HOSPITAL OF CARBONDALE, HERRIN HOSPITAL OF HERRIN AND ST JOSEPH HOSPITAL OF MURPHYSBORO ALSO SERVE THE AREA. EACH OF THE ELEVEN COUNTIES WITHIN THE PRIMARY MARKET AREA HAS BEEN FEDERALLY DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA, AND AT LEAST A PORTION OF EACH COUNTY HAS BEEN FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA OR HAVING A MEDICALLY UNDERSERVED POPULATION. |
| Schedule H, Part VI, Line 5 Promotion of community health | HMC IS PASSIONATE ABOUT THE HEALTH AND WELL-BEING OF THE COMMUNITIES SERVED. HMC PROVIDES QUALITY HEALTH SERVICES TO PEOPLE THROUGHOUT THE SERVICE AREA REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. HMC IS A COMMUNITY HOSPITAL THAT PROVIDES ACUTE AND BEHAVIORAL HEALTH CARE. A FULL-TIME EMERGENCY ROOM ENSURES NO ONE IS DENIED CARE OR TREATMENT WITHIN THE HOSPITAL. MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. CONSISTENT WITH THE SERVICES PROVIDED AT THE FACILITY, THE BOARD OF TRUSTEES IS COMPRISED OF ELEVEN MEMEBERS. THESE MEMBERS ARE COMPRISED OF LOCAL COMMUNITY LEADERS, PHYSICIANS AND THE CEO AND COO OF SOUTHERN ILLINOIS HEALTHCARE. THE MAJORITY OF THE BOARD IS COMPRISED OF PERSONS WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION OR FAMILY MEMBERS THEREOF. HMC INVESTS EXCESS FUNDS FROM OPERATIONS INTO THE EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, REPAYMENT OF DEBT AND IMPROVEMENT IN PATIENT CARE. OPERATING FUNDS ARE ALLOCATED ANNUALLY TO BRING HEALTH RELATED PROGRAMS TO THE AREA. OUR GOAL IS TO RESPOND TO COMMUNITY HEALTH NEEDS, INCREASE ACCESS TO CARE AND IMPROVE THE OVERALL HEALTH STATUS OF THOSE IN THE COMMUNITIES SERVED BY HMC. HMC PARTICIPATES IN MANY COMMUNITY EVENTS TO PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY. HMC SUPPORTS AND PROVIDES OUTREACH FOR OUR COMMUNITY. HMC PARTICIPATES IN MANY COMMUNITY ORGANIZATIONS EVENTS TO PROMOTE HEALTH SUCH AS HEALTH FAIRS AT THE COMMUNITY COLLEGE, LOCAL PARADES, SALINE COUNTY CHAMBER OF COMMERCE, SALINE COUNTY CHAMBER GOLF TOURNAMENT. THE HOSPITAL ACTIVELY SUPPORTS AND WORKS WITH OTHER HEALTH-RELATED ORGANIZATIONS SUCH AS HOSPICE OF SOUTHERN ILLINOIS AND EGYPTIAN HEALTH DEPARTMENT, AS WELL AS OTHER AREA HOSPITALS, AND NURSING HOMES. HMC HOSTS SEMI-ANNUAL BLOOD DRIVES FOR THE AMERICAN RED CROSS AT THE HOSPITAL. HMC CLINICS ALSO PROVIDED FOOD BASKETS TO LOCAL FAMILIES AT THANKSGIVING AND CHRISTMAS AND ALSO PURCHASED GIFTS FOR THE SCHOOLS UNDERPRIVILEGED STUDENTS. HMC IS ACTIVE WITH THE GOLDEN CIRCLE SENIOR CITIZENS ORGANIZATION IN HARRISBURG. HMC'S REGISTERED DIETICIANS REVIEW AND APPROVE THEIR MENU EVERY MONTH AT NO CHARGE. OUR REGISTERED DIETICIANS ALSO PROVIDE NUTRITIONAL CONSULTS AT NO CHARGE IN THE CLINICS. HMC PROVIDES AN ATHLETIC TRAINER AND DRUG SCREENING TESTS AT NO CHARGE TO THE HARRISBURG HIGH SCHOOL. |
| Schedule H, Part VI, Line 6 Affiliated health care system | THE HOSPITAL IS PART OF A LARGER SYSTEM, SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS), THAT PROVIDES HEALTH SERVICES TO THE POPULATION OF SOUTHERN ILLINOIS. SIHS PROVIDES CARE THROUGH ITS FOUR HOSPITALS AND A COMMUNITY HEALTH CENTER. THREE OF THE HOSPITALS ARE REPORTED AS SOUTHERN ILLINOIS HOSPITAL SERVICES AND ONE IS REPORTED AS HARRISBURG MEDICAL CENTER. HARRISBURG MEDICAL CENTER ALSO PROVIDES CARE THROUGH TWO RURAL HEALTH CLINICS. 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 PHYSICIAN 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John B Millstead | ||||||||||||||
| SR VP/COO | $0 | $564,917 | $0 | $0 | $0 | $242,127 | $0 | $196,002 | $0 | $49,316 | $0 | $1,052,362 | $0 | $201,760 |
| John Antes | ||||||||||||||
| President/CEO/Trustee | $0 | $839,330 | $0 | $0 | $0 | $37,745 | $0 | $115,054 | $0 | $31,112 | $0 | $1,023,241 | $0 | $0 |
| Matthew Winkleman | ||||||||||||||
| Trustee | $0 | $398,320 | $0 | $243,691 | $0 | $18,017 | $0 | $29,514 | $0 | $46,260 | $0 | $735,802 | $0 | $17,000 |
| Pam Henderson | ||||||||||||||
| Former Officer | $0 | $3,203 | $0 | $0 | $0 | $115,809 | $0 | $6,372 | $0 | $1,342 | $0 | $126,726 | $0 | $96,406 |
| Donald Hutson | ||||||||||||||
| FORMER VP/Administrator | $0 | $0 | $0 | $0 | $351,239 | $0 | $0 | $0 | $40,902 | $0 | $392,141 | $0 | $47,703 | $0 |
| Shelly Pierce | ||||||||||||||
| VP/Quality | $0 | $292,671 | $0 | $0 | $0 | $83,911 | $0 | $56,323 | $0 | $18,246 | $0 | $451,151 | $0 | $46,756 |
| Marci L Moore-Connelley MD | ||||||||||||||
| SR VP/CMO | $0 | $514,344 | $0 | $134 | $0 | $91,935 | $0 | $70,940 | $0 | $28,110 | $0 | $705,463 | $0 | $56,471 |
| Rodney Smith | ||||||||||||||
| VP/Administrator | $0 | $425,072 | $0 | $0 | $0 | $77,383 | $0 | $57,519 | $0 | $46,242 | $0 | $606,216 | $0 | $40,318 |
| Jennifer Harre | ||||||||||||||
| VP/CNO | $0 | $301,951 | $0 | $0 | $0 | $63,395 | $0 | $32,971 | $0 | $49,158 | $0 | $447,475 | $0 | $22,885 |
| John Daly | ||||||||||||||
| VP/General Counsel | $0 | $365,392 | $0 | $0 | $0 | $73,579 | $0 | $40,712 | $0 | $4,289 | $0 | $483,972 | $0 | $37,210 |
| Warren Ladner | ||||||||||||||
| Sr VP/CFO/Treasurer | $0 | $480,024 | $0 | $0 | $0 | $72,436 | $0 | $62,156 | $0 | $47,240 | $0 | $661,856 | $0 | $37,938 |
| Denao Ruttino | ||||||||||||||
| VP/Innovation Technology | $0 | $382,897 | $0 | $0 | $0 | $43,078 | $0 | $46,946 | $0 | $17,578 | $0 | $490,499 | $0 | $8,243 |
| Molly Hamilton | ||||||||||||||
| VP Human Resources | $0 | $276,172 | $0 | $0 | $0 | $35,978 | $0 | $21,797 | $0 | $2,070 | $0 | $336,017 | $0 | $0 |
| J Cody Sandusky | ||||||||||||||
| Pharmacist | $177,069 | $0 | $0 | $0 | $608 | $0 | $7,195 | $0 | $15,180 | $0 | $200,052 | $0 | $0 | $0 |
| Stephanie Franklin | ||||||||||||||
| Advanced Practice Provider | $156,356 | $0 | $70,930 | $0 | $565 | $0 | $6,428 | $0 | $16,279 | $0 | $250,558 | $0 | $0 | $0 |
| Deborah Gajewski | ||||||||||||||
| RN Supervisor | $183,318 | $0 | $38,388 | $0 | $987 | $0 | $4,651 | $0 | $13,655 | $0 | $240,999 | $0 | $0 | $0 |
| Andrea Miller | ||||||||||||||
| Physician | $263,028 | $0 | $53,780 | $0 | $28,397 | $0 | $11,640 | $0 | $25,646 | $0 | $382,491 | $0 | $0 | $0 |
| Mary Ozee | ||||||||||||||
| RN Supervisor | $145,881 | $0 | $47,573 | $0 | $638 | $0 | $5,842 | $0 | $14,730 | $0 | $214,664 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | Compensation for the organization's President is paid by Southern Illinois Hospital Services, Inc. (SIHS), a related tax-exempt organization. SIHS uses the following methods to determine the President's compensation: -Compensation committee -Independent compensation consultant -Compensation survey or study -Approval by the board or compensation committee |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | DONALD HUTSON FORMER VP/HOSPITAL ADMINISTRATOR RECEIVED SEVERANCE OF $311,660 |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | COMPENSATION FOR THE ORGANIZATION'S OFFICERS IS PAID BY SOUTHERN ILLINOIS HOSPITAL SERVICES INC, A RELATED TAX-EXEMPT ORGANIZATION. THE FOLLOWING SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS/CONTRIBUTIONS WERE MADE: JOHN ANTES - NO PAYMENT RECEIVED, $100,602 DEFERRED COMPENSATION WARREN LADNER - $37,938 PAYMENT RECEIVED, $48,027 DEFERRED COMPENSATION JOHN DALY - $37,210 PAYMENT RECEIVED, $30,402 DEFERRED COMPENSATION John MILLSTEAD - $201,760 PAYMENT RECEIVED, $178,277 DEFERRED COMPENSATION MARCI MOORE-CONNELLEY - $56,471 PAYMENT RECEIVED, $54,086 DEFERRED COMPENSATION DENAO RUTTINO - $8,243 PAYMENT RECEIVED, $34,140 DEFERRED COMPENSATION SHELLY PIERCE - $46,756 PAYMENT RECEIVED, $44,445 DEFERRED COMPENSATION JENNIFER HARRE - $22,885 PAYMENT RECEIVED, $20,799 DEFERRED COMPENSATION PAM HENDERSON - $96,406 PAYMENT RECEIVED, $6,165 DEFERRED COMPENSATION MOLLY HAMILTON - NO PAYMENT RECEIVED, $10,750 DEFERRED COMPENSATION RODNEY SMITH - $40,318 PAYMENT RECEIVED, $41,503 DEFERRED COMPENSATION DONALD HUTSON - $47,703 PAYMENT RECEIVED, NO DEFERRED COMPENSATION Matthew Winkleman - $ 17,000 payment received, $14,669 deferred compensation |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCE AUTHORITY | ||||||||
| A | 861091967 | 000000000 | 2021-12-01 | $18,565,000 | REFUND TAX-EXEMPT SERIES 2017 BONDS (ISSUED 3/14/17) | false | false | false |
| Illinois Finance Authority | ||||||||
| B | 861091967 | 000000000 | 2024-11-19 | $10,000,000 | Construction and equipment | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $1,980,000 | $0 | $18,565,000 | $0 | $0 | $0 | $337,239 | $0 | $0 | $0 | $18,227,761 | $0 | 2017 | Yes (true) | false | false | Yes (true) |
| B | $413,000 | $0 | $10,000,000 | $0 | $0 | $0 | $77,978 | $0 | $0 | $9,922,022 | $0 | $0 | 2024 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | 0 | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.0 | 0.0 | 0.0 | false | false | 0 | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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 | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | false | false | Yes (true) | false | 0 | false | false | false | 0 | false | false | Yes (true) |
| B | false | Yes (true) | false | false | false | false | 0 | false | false | false | 0 | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part II, Line 17 | ADEQUATE BOOKS AND RECORDS WILL BE AVAILABLE TO SUPPORT THE FINAL ALLOCATION OF PROCEEDS ONCE THEY ARE MADE. |
| Schedule K, Part V Different Procedures to Undertake Corrective Action | Issuer name: ILLINOIS FINANCE AUTHORITY N/A |
| Schedule K, Part V Different Procedures to Undertake Corrective Action | Issuer name: Illinois Finance Authority N/A |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIFFANY BUSINARO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | EMPLOYEE - WIFE OF BOARD MEMBER MATT BUSINARO | RelationshipDescriptionTxt |
| Transaction | $21,676 | TransactionAmt |
| Transaction | WAGES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a Program service accomplishments continued | (continued from Part III, Line 4a) MULBERRY CENTER AT HARRISBURG OFFERS PATIENT-CENTERED PSYCHIATRIC CARE IN AN ENVIRONMENT WHERE COMPREHENSIVE MEDICAL CARE IS AVAILABLE. THROUGH INTERACTIVE EXPERIENCES, PATIENTS LEARN TO BETTER UNDERSTAND THEIR SYMPTOMS AND LEARN HOW TO MANAGE THEM AFTER DISCHARGE. THE INPATIENT UNIT IS DIVIDED INTO TWO WINGS. ONE IS A GENERAL ADULT UNIT, HOUSING INDIVIDUALS WITH PSYCHIATRIC DISORDERS WHICH DO NOT INVOLVE DEMENTIA. THE SECOND WING IS A GEROPSYCHIATRIC UNIT WHICH TREATS PATIENTS WHOSE ILLNESS IS COMPLICATED BY DEMENTIA AND EMPHASIS IS PLACED ON MANAGING COGNITIVE DEFICITS ASSOCIATED WITH DEMENTIA. IN BOTH WINGS, PATIENTS RECEIVE SERVICES FROM A MULTI-DISCIPLINARY TEAM UNDER THE DIRECTION OF PSYCHIATRISTS. THE MULBERRY CENTER PROVIDES FOR 24/7 EMERGENCY ADMISSIONS. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | THE EXECUTIVE COMMITTEE, COMPRISED OF THE 3 BOARD OFFICERS AND 3 TRUSTEES, SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED IN THE BYLAWS. |
| Form 990, Part VI, Line 4 Significant changes to organizational documents | Term limits were added to the by-laws. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE ORGANIZATION'S SOLE MEMBER IS SOUTHERN ILLINOIS HOSPITAL SERVICES, A RELATED TAX-EXEMPT ORGANIZATION. THE MEMBER HAS THE RIGHT TO ELECT MEMBERS TO THE BOARD OF TRUSTEES AND APPROVE SOME DECISIONS OF THE BOARD. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE ORGANIZATION'S SOLE MEMBER, SOUTHERN ILLINOIS HOSPITAL SERVICES, INC., HAS THE EXCLUSIVE RIGHT TO ELECT TRUSTEES TO THE ORGANIZATION'S BOARD OF TRUSTEES. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE ORGANIZATION'S SOLE MEMBER, SOUTHERN ILLINOIS HOSPITAL SERVICES (CORPORATE MEMBER), HAS RESERVED POWERS FOUND IN THE ORGANIZATION'S BYLAWS THE FOLLOWING MATTERS REQUIRE THE APPROVAL OF THE CORPORATE MEMBER: 1. APPROVAL AND REMOVAL OF THE MEMBERS OF THE BOARD OF TRUSTEES; 2. APPROVAL OF ANY CHANGE TO THE STATEMENT OF MISSION, PHILOSOPHY, ROLE AND PURPOSE OF THE CORPORATION; 3. APPROVAL OF CAPITAL EXPENDITURES IN EXCESS OF $50,000; 4. APPROVAL OF THE BUYING, SELLING, LEASING, MORTGAGING OR DISPOSING OF PROPERTY; 5. APPROVAL OF STRATEGIC PLANS; 6. APPROVAL OF THE CREATION OR DISSOLUTION OF ANY CORPORATION, THE SOLE MEMBER OR MAJORITY STOCKHOLDER OF WHICH IS THE CORPORATION; 7. APPROVAL OF MERGER, DISSOLUTION, CONSOLIDATION OR REORGANIZATION OF THE CORPORATION; 8. APPROVAL OF JOINT VENTURES OR AFFILIATIONS; 9. APPROVAL OF THE INCURRENCE OF ANY INDEBTEDNESS; 10. APPROVAL OF SUCH OTHER MATTERS AS MAY BE REQUIRED BY LAW OR BY THE CORPORATION'S ARTICLES OF INCORPORATION, OR BY THE BYLAWS TO BE SUBMITTED TO THE CORPORATE MEMBER; 11. APPROVAL OF ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; AND 12. SELECTION AND TERMINATION OF THE ADMINISTRATOR OF THE CORPORATION, FOLLOWING CONSULTATION WITH THE BOARD. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | A DRAFT OF THE FORM 990 AND SUPPLEMENTAL SCHEDULES WAS DISTRIBUTED TO THE CEO, CFO AND CERTAIN VICE-PRESIDENTS OF THE CORPORATION FOR THEIR REVIEW AND COMMENTS. A DRAFT COPY WAS PRESENTED TO THE FINANCE COMMITTEE BY THE CFO AND THE ORGANIZATION'S TAX ADVISORS FOR REVIEW AND COMMENTS. AFTER THE REVIEW AND COMMENT PERIOD, ALL SUGGESTIONS AND COMMENTS WERE CONSIDERED AND THE FORM 990 WAS UPDATED AS APPROPRIATE. THE FINALIZED FORM 990 AND SUPPLEMENTAL SCHEDULES WAS THEN PRESENTED TO THE BOARD OF TRUSTEES AND A COPY OF THE RETURN WAS MADE AVAILABLE TO EVERY MEMBER OF THE GOVERNING BODY BEFORE IT WAS FILED WITH THE IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ANNUALLY, THE GENERAL COUNSEL SENDS OUT A CONFLICT OF INTEREST QUESTIONNAIRE TO EACH TRUSTEE, DIRECTOR, OFFICER, MANAGER AND KEY EMPLOYEE TO COMPLETE AND RETURN. THE GENERAL COUNSEL THEN REVIEWS THESE QUESTIONNAIRES TO DETERMINE WHAT CONFLICTS, REAL OR PERCEIVED, EXIST. DURING EVERY BOARD MEETING, THE GENERAL COUNSEL REMINDS THE TRUSTEES THAT THE BOARD HAS A CONFLICT OF INTEREST POLICY, THAT THE GENERAL COUNSEL HAS REVIEWED THE AGENDA FOR ANY CONFLICTS, BUT THAT THE TRUSTEES ARE OBLIGATED TO GIVE NOTICE IF A CONFLICT HAS BEEN OVER-LOOKED OR IF A DISCUSSION OR ACTION COMES BEFORE THE BOARD WHICH MAY INVOLVE OR CREATE A CONFLICT OF INTEREST FOR SOMEONE. IF A TRUSTEE HAS A CONFLICT OF INTEREST, THE TRUSTEE OR THE GENERAL COUNSEL DISCLOSES THE CONFLICT. THE TRUSTEE WITH THE CONFLICT IS ALLOWED TO REMAIN IN THE MEETING TO ANSWER ANY QUESTION THE TRUSTEE MAY NEED TO ANSWER AND THEN THE CONFLICTED TRUSTEE IS EXCUSED FROM THE MEETING. THE REMAINING TRUSTEES THEN DISCUSS THE MATTER FURTHER AND ACTION IS TAKEN ON THE MATTER. FINALLY, THE CONFLICTED TRUSTEE IS THEN INVITED BACK INTO THE MEETING. INTERESTED PERSONS MAY ALSO BE ASKED, IN RARE SITUATIONS, TO RESIGN THEIR POSITION ON THE BOARD. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | COMPENSATION FOR THE ORGANIZATION'S PRESIDENT AND OTHER OFFICERS IS PAID BY SOUTHERN ILLINOIS HOSPITAL SERVICES, INC. (SIHS), A RELATED TAX-EXEMPT ORGANIZATION. THE BOARD OF TRUSTEES SETS THE EXECUTIVE COMPENSATION POLICY AND IS RESPONSIBLE FOR APPROVAL OF THE COMPENSATION. THE GOVERNANCE COMMITTEE IS DESIGNATED BY THE BOARD TO ACT AS THE COMPENSATION COMMITTEE FOR MATTERS CONCERNING EXECUTIVE COMPENSATION. EACH MEMBER OF THE COMMITTEE, WHILE CONSIDERING EXECUTIVE COMPENSATION ISSUES, MUST BE AN INDEPENDENT DIRECTOR, FREE FROM ANY CONFLICT OF INTEREST. THE COMMITTEE SEEKS OUT AND CONTRACTS THE SERVICES OF AN OUTSIDE, INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO ADVISE THE COMMITTEE IN MATTERS OF MARKET VALUES OF COMPARABLE EXECUTIVE POSITIONS. THE COMMITTEE ANNUALLY REVIEWS ALL COMPARABILITY DATA AND PREPARES A RECOMMENDATION AS TO THE COMPENSATION PACKAGE OF THE PRESIDENT/CEO FOR THE FULL BOARD. ONLY THE FULL BOARD HAS THE AUTHORITY TO APPROVE THE COMPENSATION OF THE PRESIDENT/CEO. THE DECISIONS AND DELIBERATIONS ARE DOCUMENTED IN THE GOVERNANCE COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN JUNE 2024. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | The Board of Trustees sets the executive compensation policy and is responsible for approval of the compensation. The Governance Committee is designated by the Board to act as the Compensation Committee for matters concerning executive compensation. Each member of the Committee, while considering executive compensation issues, must be an independent director, free from any conflict of interest. The Committee seeks out and contracts the services of an outside, independent executive compensation consultant to advise the Committee in matters of market values of comparable executive positions. The Committee annually reviews all comparability data and prepares a recommendation as to the compensation package of all officers for the full Board. Only the Committee will have the authority to approve the compensation of the senior management team and will report it's actions to the Board. The decisions and deliberations are documented in the governance committee minutes. This process was last undertaken in June 2024. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION MAKES ITS CONFLICT-OF-INTEREST POLICY AVAILABLE TO THE PUBLIC ON ITS WEBSITE AND UPON REQUEST. GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104 THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. |
| Form 990, Part IX, Line 11g Other Fees | PHYSICIAN FEES - Total Expense: 5537820, Program Service Expense: 5532650, Management and General Expenses: 5170, Fundraising Expenses: 0; CLINICAL SERVICE FEES - Total Expense: 240115, Program Service Expense: 240115, Management and General Expenses: 0, Fundraising Expenses: 0; CONSULTING FEES - Total Expense: 154528, Program Service Expense: 154528, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER PROFESSIONAL FEES - Total Expense: 6684, Program Service Expense: 450, Management and General Expenses: 6234, Fundraising Expenses: 0; LAUNDRY & LINEN - Total Expense: 341196, Program Service Expense: 341196, Management and General Expenses: 0, Fundraising Expenses: 0; PATIENT TRANSPORT - Total Expense: 154194, Program Service Expense: 154194, Management and General Expenses: 0, Fundraising Expenses: 0; CREDIT & COLLECTION FEES - Total Expense: 649, Program Service Expense: 649, Management and General Expenses: 0, Fundraising Expenses: 0; PURCHASED SERVICES - Total Expense: 187773, Program Service Expense: 180225, Management and General Expenses: 7548, Fundraising Expenses: 0; ARCHITECT FEES - Total Expense: 2210, Program Service Expense: 2210, Management and General Expenses: 0, Fundraising Expenses: 0; AGENCY STAFFING - Total Expense: 412366, Program Service Expense: 412366, Management and General Expenses: 0, Fundraising Expenses: 0; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HARRISBURG MEDICAL CENTER FOUNDATION | ||||||||||
| 540 N COMMERCIAL | HARRISBURG | IL | 62946 | 371411984 | FUNDRAISING | IL | 501(c)(3) | Type I | HARRISBURG MEDICAL CENTER | Yes (true) |
| SOUTHERN ILLINOIS HOSPITAL SERVICES | ||||||||||
| PO BOX 3988 | CARBONDALE | IL | 62902 | 370618939 | HEALTHCARE | IL | 501(c)(3) | 3 | SOUTHERN ILLINOIS HOSPITAL ENTERPRISES INC | false |
| SOUTHERN ILLINOIS HOSPITAL ENTERPRISES INC | ||||||||||
| PO BOX 3988 | CARBONDALE | IL | 62902 | 371136788 | HEALTHCARE | IL | 501(c)(3) | Type II | NA | false |
| SOUTHERN ILLINOIS MEDICAL SERVICES NFP | ||||||||||
| 1239 EAST MAIN STREET | CARBONDALE | IL | 62901 | 205521741 | HEALTHCARE | IL | 501(c)(3) | 3 | SOUTHERN ILLINOIS HOSPITAL SERVICES | false |
| SIH FOUNDATION NFP | ||||||||||
| 1239 EAST MAIN STREET | CARBONDALE | IL | 62901 | 271933790 | FUNDRAISING | IL | 501(c)(3) | Type I | SOUTHERN ILLINOIS HOSPITAL SERVICES | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SIH CAYMAN SPC GROUP LTD | |||||||||||||
| PO BOX 1051 | CJ | KY11102 | 980611605 | FINANCING | CJ | SOUTHERN ILLINOIS HOSPITAL SERVICES | C Corporation | false | |||||
| HEALTH SERVICES OF SOUTHERN ILLINOIS | |||||||||||||
| 371115061 | HEALTHCARE | SOUTHERN ILLINOIS HOSPITAL SERVICES | C Corporation | false | PO BOX 3988 | CARBONDALE | IL | 62902 | IL | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | 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 | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | 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 | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |