2026-01-29T12:47:16+00:00 2025-03-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2024-04-01 205521741 Southern Illinois Medical Services NFP SOUT 6184575200 1239 EAST MAIN STREET CARBONDALE IL 62901 WARREN P LADNER CFO 6184575200 2026-01-29 true true Mallory Fairless P01321579 3128997000 2026-01-29 2024 2025-03-06 01:10:19Z Southern Illinois Medical Group JOHN ANTES 1239 EAST MAIN STREET CARBONDALE IL 62901 83948645 false X www.sih.net X 2006 IL As physicians, mid-level providers and staff, our mission is to improve the health of the people we serve through excellence in medical care. 6 4 946 17 49819 42824 0 0 81448894 83726344 1026 587 185832 146650 81635752 83873581 0 0 0 0 74766088 85078585 0 0 0 62223545 66031603 136989633 151110188 -55353881 -67236607 44935518 53320102 417119134 490356228 -372183616 -437036126 X Southern Illinois Medical Services NFP (SIMS) employs physicians and operates physician practices to provide care and treatment of the medically sick, injured, or afflicted on a not-for-profit basis. (Continued in Schedule O) false false 76172249 0 29531596 SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) OPERATES COMMUNITY PHYSICIAN PRACTICES TO PROVIDE CARE AND TREATMENT OF THE MEDICALLY SICK, INJURED OR AFFLICTED ON A NOT-FOR PROFIT BASIS. THESE PRACTICES ARE LOCATED IN VARIOUS COMMUNITIES IN OUR CENTRAL SERVICE AREA. BOTH PRIMARY CARE AND SPECIALIZED MEDICAL CARE ARE PROVIDED INCLUDING FAMILY MEDICINE, GENERAL SURGERY, BREAST SURGERY, PULMONOLOGIST, BARIATRIC, ONCOLOGY, AND NEUROLOGY. THESE PRACTICES PROVIDE THE ONLY ACCESS TO SEVERAL OF THESE SPECIALTIES WITHIN OUR SERVICE AREA. THESE COMMUNITY PHYSICIAN PRACTICES PROVIDE QUALITY HEALTH SERVICES TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. DURING THIS REPORTING PERIOD, THE COMMUNITY PHYSICIAN PRACTICES OF SIMS RECORDED 204,456 ENCOUNTERS IN TREATING THIS POPULATION. (CONTINUED IN SCHEDULE O) 41079850 0 31499457 SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) OPERATES THE FOLLOWING PHYSICIAN CLINICS: THE CENTER FOR MEDICAL ARTS (CMA) IN CARBONDALE, IL LOGAN PRIMARY CARE (LPC) IN HERRIN, IL AND WEST FRANKFORT, IL PRIMARY CARE GROUP (PCG) IN HARRISBURG, IL HMC CLINICS AND URGENT CARE CENTER IN MARION, IL. THESE PHYSICIAN CLINICS PROVIDE CARE AND TREATMENT OF THE MEDICALLY SICK, INJURED OR AFFLICTED ON A NOT-FOR PROFIT BASIS. QUALITY HEALTH SERVICES ARE PROVIDED TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. DURING THIS REPORTING PERIOD, THE PRACTICES OF THE PHYSICIAN CLINICS RECORDED A COMBINED TOTAL OF 262,773 ENCOUNTERS TREATING THIS POPULATION. (CONTINUED IN SCHEDULE O). 11843105 0 10888596 SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) OPERATES HOSPITAL PHYSICIAN PRACTICES TO PROVIDE CARE AND TREATMENT OF THE MEDICALLY SICK, INJURED OR AFFLICTED ON A NOT-FOR PROFIT BASIS AT THE THREE HOSPITALS OPERATED BY OUR SOLE MEMBER SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS). THESE PHYSICIANS STAFF THE EMERGENCY ROOMS AT EACH OF THE THREE HOSPITALS. THESE PHYSICIANS ARE VITAL TO PROVIDING HEALTHCARE TO THE POPULATION OF OUR SERVICE AREAS. THE HOSPITAL PHYSICIANS PROVIDE QUALITY HEALTH SERVICES TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. DURING THIS REPORTING PERIOD, THE HOSPITAL PHYSICIANS OF SIMS RECORDED 154,307 ENCOUNTERS IN TREATING THIS POPULATION. (CONTINUED IN SCHEDULE O) 11015998 0 11903526 SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) ALSO PROVIDES OTHER ADMINISTRATIVE SERVICES AND LEASES SPACE TO ITS RELATED ORGANIZATIONS. 11015998 11903526 140111202 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false true false false false false false false true false false false false true 133 0 true 946 true true true false false false false false false false false false false false X 6 4 false false false false true true true true true false false false true true true true true true false true false false IL X Warren Ladner 6184575200 1239 East Main Street Carbondale IL 62901 John Antes President/CEO 10.0 45.0 X X 0 877075 146166 Morton Levine Secretary 1.0 2.0 X X 0 400 0 Warren Ladner Sr VP/CFO/Treasurer 10.0 45.0 X X 0 552460 109396 Brad Cole Trustee (Partial Year) 1.0 0 X 0 0 0 Eugene Basanta Trustee 1.0 2.0 X 0 250 0 Gina Sirach Trustee 1.0 1.0 X 0 0 0 Raj Gulati MD Trustee 1.0 2.0 X 0 300 0 Denao Ruttino VP/Innovation Technology 10.0 45.0 X 0 425975 64524 John Daly VP/General Counsel 10.0 45.0 X 0 438971 45001 Marci L Moore-Connelley MD SR VP/CMO 10.0 45.0 X 0 606413 99050 Sara Malone VP/CMO SIMS 50.0 0 X 464876 0 98753 Shelly Pierce VP/Quality 10.0 45.0 X 0 376582 74569 Steve Hubler-Marti Chief Operating Officer (Partial Year) 40.0 0 X 278891 0 27134 Andrea Loggini Physician 40.0 0 X 1024660 0 27964 Gerson Criste MD Physician 40.0 0 X 1366733 0 85799 Hal Lewis Physician 40.0 0 X 1421597 0 59523 Lukasz Dabrowski MD Physician 40.0 0 X 1073080 0 78298 Nader Dababneh MD Physician 40.0 0 X 1547524 0 89961 Daniel Skiles Former VP/Health Transformation 0.0 0.0 X 0 334906 37067 Darrell Bryant FORMER VP/COO SIMS 0.0 0 X 391128 0 0 Todd Guenzburger FORMER OFFICER 0.0 40.0 X 0 534973 49390 7568489 4148305 1092595 202 true true false PRAIRIE CARDIOVASCULAR PO BOX 19420 SPRINGFIELD IL 627949420 CARDIOVASCULAR SERVICES 21601365 LOCUMTENENS LLC 2655 NORTHWIND PKWY ATLANTA GA 30384 STAFFING 2863627 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 LOCUM STAFFING 2283849 DONGWOO JOHN CHANG 14 BREYER CT ELKINS PARK PA 190271350 MEDICAL SERVICES 1568652 CHG COMPANIES PO BOX 972651 DALLAS TX 75397 MEDICAL STAFFING 1463647 30 0 NET PATIENT REVENUE 621110 82840579 82840579 0 0 LEASEHOLD REVENUE 531120 875604 875604 0 0 INTEREST ON STATE PAYMENTS 900099 10161 10161 0 0 0 0 0 0 83726344 562 0 0 562 25 0 0 25 0 0 0 0 0 138052 75064 62988 13169 49819 0 MEDICAL RECORD REVENUE 900099 81710 81710 0 0 PURCHASE DISCOUNTS 900099 1952 1952 0 0 0 0 0 0 83662 83873581 83823175 49819 587 X 892153 586129 306024 0 546949 133321 413628 0 67442846 61201709 6241137 0 2538851 2258524 280327 0 8815725 7781225 1034500 0 4842061 4202405 639656 0 218960 0 218960 0 51254796 49346664 1908132 0 7712 0 7712 0 1128187 783865 344322 0 1760953 1424628 336325 0 3520745 3456012 64733 0 142218 103401 38817 0 287351 250892 36459 0 154910 154910 0 0 3458916 1591776 1867140 0 -189177 2628648 -2817825 0 MEDICAL SUPPLIES 3896539 3896539 0 0 DUES/SUBSCRIPTIONS/LICENSES 229134 187540 41594 0 EQUIPMENT RENTAL 126268 101923 24345 0 SALES-EXCISE TAX 31375 18375 13000 0 2716 2716 0 0 151110188 140111202 10998986 0 8705 9145 569498 395668 10020197 7397871 0 0 0 0 128614 248640 80287 88680 1223097 1406026 48591030 25935439 23323461 22655591 38 94 0 0 6486444 5210422 3095177 15907965 44935518 53320102 22196293 19661057 0 37386 0 0 394922841 470657785 417119134 490356228 X -372183616 -437036126 -372183616 -437036126 44935518 53320102 X -67236607 -59292 2443389 X false true true false X 3359818 3359818 27373337 14805613 12567724 93092 49859 43233 16691001 10214133 6476868 1073782 865834 207948 22655591 Dishonored Checks 1025 Receivable from related party 5142676 Lease Assets 3144063 Miscellaneous Receivable 222339 SERP 659507 Malpractice Loss 6703817 Other Assets 34538 15907965 Federal Income Taxes Medical Professional Liability Insurance 6703817 Due to affiliates 457164063 Executive Benefits Liability 130568 Asbestos Liability 10000 Accrued Interest payable 13174 Bond Liability payable to SIHS 3346491 Lease Liability 3257526 Unclaimed Property 32146 470657785 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The organization is included in consolidated financial statements. Below is the FIN 48 (ASC 740) footnote from those financial statements: SIHE and its affiliated organizations, with the exception of the Captive, 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 impose 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. X X X X true true false false false false false false false Warren Ladner Sr VP/CFO/Treasurer 0 480024 0 0 0 72436 0 62156 0 47240 0 661856 0 37938 John Antes President/CEO 0 839330 0 0 0 37745 0 115054 0 31112 0 1023241 0 0 Daniel Skiles Former VP/Health Transformation 0 0 0 0 0 334906 0 0 0 37067 0 371973 0 43808 Darrell Bryant FORMER VP/COO SIMS 0 0 0 0 391128 0 0 0 0 0 391128 0 73138 0 Todd Guenzburger FORMER OFFICER 0 426328 0 0 0 108645 0 16880 0 32510 0 584363 0 95158 Shelly Pierce VP/Quality 0 292671 0 0 0 83911 0 56323 0 18246 0 451151 0 46756 Marci L Moore-Connelley MD SR VP/CMO 0 514344 0 134 0 91935 0 70940 0 28110 0 705463 0 56471 John Daly VP/General Counsel 0 365392 0 0 0 73579 0 40712 0 4289 0 483972 0 37210 Sara Malone VP/CMO SIMS 402583 0 0 0 62293 0 52645 0 46108 0 563629 0 28059 0 Denao Ruttino VP/Innovation Technology 0 382897 0 0 0 43078 0 46946 0 17578 0 490499 0 8243 Steve Hubler-Marti Chief Operating Officer (Partial Year) 276583 0 0 0 2308 0 9672 0 17462 0 306025 0 0 0 Nader Dababneh MD Physician 1088493 0 359533 0 99498 0 45966 0 43995 0 1637485 0 27903 0 Gerson Criste MD Physician 607947 0 718024 0 40762 0 38674 0 47125 0 1452532 0 22862 0 Lukasz Dabrowski MD Physician 314477 0 724596 0 34007 0 24897 0 53401 0 1151378 0 16216 0 Hal Lewis Physician 653120 0 740358 0 28119 0 16667 0 42856 0 1481120 0 0 0 Andrea Loggini Physician 486448 0 471984 0 66228 0 13446 0 14518 0 1052624 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation COMPENSATION FOR THE ORGANIZATION'S PRESIDENT IS PAID BY SOUTHERN ILLINOIS HOSPITAL SERVICES, INC (SIHS), A RELATED TAX-EXEMPT ORGANIZATION. SIHS USES THE FOLLOWING METHODS TO DETERMINE THE PRESIDENT'S COMPENSATION: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part I, Line 4a Severance or change-of-control payment Severance payments were made to the following officers: Paid by Southern Illinois Hospital Services-a related organization Dan Skiles - $279,535 Paid by Southern Illinois Medical Services Darrell Bryant - $317,990 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Compensation for all but two of the organization's officers is paid by Southern Illinois Hospital Services, Inc. (SIHS), a related tax-exempt organization. SIHS made the following supplemental nonqualified retirement plan payments/contributions: John Antes - No payment received, $100,602 deferred compensation Warren Ladner - $37,938 payment received, $48,027 deferred compensation Shelly Pierce - $46,756 payment received; $44,445 deferred compensation Marci Moore-Connelley - $56,471 payment received; $54,086 deferred compensation Daniel Skiles - $ 43,808 payment received; no deferred compensation John Daly - $37,210 payment received; $30,402 deferred compensation Denao Ruttino - $8,243 payment received; $34,140 deferred compensation Todd Guenzburger - $ 95,158 payment received; no deferred compensation SIMS made the following supplemental nonqualified retirement plan payments/contributions: Darrell Bryant - $73,138 payment received; no deferred compensation Sara Malone - $28,059 payment received, $37,381 deferred compensation Gerson Criste - $22,862 payment received; $21,999 deferred compensation Lukaz Dabrowski - $16,216 payment received; $15,653 deferred compensation Nadar Dababneh - $27,903 payment received; $28,069 deferred compensation STEPHANIE WHITLOCK DAUGHER-IN-LAW OF FORMER VP/CHIEF OPERATIONS OFFICER DARRELL BRYANT 126499 EMPLOYEE COMPENSATION false Form 990, Part III, Line 1 ORGANIZATION'S MISSION (CONTINUED FROM PART III) THESE PHYSICIANS AND PRACTICES PROVIDE QUALITY HEALTH SERVICES TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. SIMS CONDUCTS ITS BEHAVIORS BY SHOWING THE ORGANIZATION'S VALUES OF RESPECT, INTEGRITY, COMPASSION, COLLABORATION, STEWARDSHIP, ACCOUNTABILITY AND QUALITY. THE PRIMARY SERVICE AREA OF SIMS IS A VERY RURAL ELEVEN-COUNTY REGION WITH A COMBINED POPULATION OF APPROXIMATELY 262,000. THESE COUNTIES ARE CHARACTERIZED BY: - MEDIAN HOUSEHOLD INCOMES IN THE AREA THAT ARE SUBSTANTIALLY LESS THAN THE STATEWIDE AVERAGE. - ALL ELEVEN COUNTIES HAVE MORE RESIDENTS LIVING IN POVERTY THAN THE STATE AVERAGE. SIMS PROVIDES SERVICES THROUGH THE FOLLOWING: PHYSICIAN CLINICS - SIMS OPERATES FIVE PHYSICIAN CLINICS - THE CENTER FOR MEDICAL ARTS (CMA), LOGAN PRIMARY CARE (LPC), PRIMARY CARE GROUP (PCG), URGENT CARE CENTER (UCC) AND HARRISBURG MEDICAL CENTER CLINIC (HMC CLINIC). THE CENTER FOR MEDICAL ARTS HAS A LONG-STANDING TRADITION OF CARING FOR SOUTHERN ILLINOIS RESIDENTS, WITH A HISTORY DATING BACK TO THE 1930'S. ORIGINALLY OPERATED AS THE CARBONDALE CLINIC, THE CENTER FOR MEDICAL ARTS WAS PURCHASED IN 2006. TODAY IT IS A GROWING HEALTH FACILITY THAT INCLUDES A PROMPT CARE CLINIC, AMBULATORY SURGERY CENTER AND A RETAIL PHARMACY. BASIC LAB AND RADIOLOGY SERVICES ARE ALSO PROVIDED ON-SITE. PRACTITIONERS INCLUDE FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, AND SPECIALISTS SUCH AS GASTROENTEROLOGY, GENERAL SURGERY AND UROLOGY. LOGAN PRIMARY CARE AND PRIMARY CARE GROUP PROVIDE GENERAL FAMILY PRACTICE MEDICINE AND ACUTE NON-EMERGENCY CARE. ORIGINALLY ESTABLISHED IN 1993, LPC WAS ACQUIRED BY SOUTHERN ILLINOIS MEDICAL SERVICES IN NOVEMBER 2011. PRIMARY CARE GROUP WAS ESTABLISHED IN 1992 AND WAS ACQUIRED BY SOUTHERN ILLINOIS MEDICAL SERVICES IN FEBRUARY 2014. THE URGENT CARE CENTER WAS ESTABLISHED IN OCTOBER 2018 IN MARION, IL. THE CARE PROVIDED INCLUDES AN ALTERNATIVE TO PATIENTS SEEKING IMMEDIATE CARE FOR NON-LIFE-THREATENING ISSUES AND ALSO HOUSES THE WORK READY PROGRAM AIMED AT THE PREVENTION AND REDUCTION OF WORK- RELATED INJURIES. HARRISBURG MEDICAL CENTER CLINIC PROVIDES BEHAVIORAL HEALTH CARE TO PATIENTS AT OUR HOSPITAL FACILITIES. HMC CLINIC HAS PROVIDED THESE SERVICES SINCE THE ACQUISITION BY SIH IN AUGUST 2021. COMMUNITY PHYSICIANS - THESE PHYSICIANS ARE LOCATED AT VARIOUS LOCATIONS WITHIN OUR CENTRAL SERVICE AREA. THESE PRACTITIONERS PROVIDE A VARIETY OF SPECIALTIES, INCLUDING GENERAL SURGERY, BREAST SURGERY, PULMONOLOGY AND NEUROLOGY. THESE PRACTICES PROVIDE THE ONLY ACCESS TO SEVERAL OF THESE SPECIALTIES WITHIN OUR SERVICE AREA. HOSPITAL PHYSICIANS -THESE GROUPS OF PHYSICIANS ARE LOCATED AND WORK WITHIN THE HOSPITALS OPERATED BY OUR SOLE MEMBER, SOUTHERN ILLINOIS HOSPITAL SERVICES. THESE PHYSICIANS STAFF THE EMERGENCY ROOMS AND PROVIDE HOSPITALIST CARE TO PATIENTS AT THESE HOSPITALS. THESE PHYSICIANS ARE VITAL TO PROVIDING HEALTH CARE TO THE POPULATION OF OUR SERVICE AREA AS MANY OF THE RESIDENTS DO NOT HAVE A PRIMARY CARE PHYSICIAN. SERVICES PROVIDED: DURING THE YEAR ENDED MARCH 31, 2025, SIMS' PHYSICIANS RECORDED 621,536 ENCOUNTERS IN TREATING THE POPULATION AREA. THE PHYSICIAN CLINICS ACCOUNTED FOR 262,773 OF THESE ENCOUNTERS, COMMUNITY PHYSICIANS ACCOUNTED FOR 204,456 ENCOUNTERS AND HOSPITAL PHYSICIANS PROVIDED THE REMAINING 154,307 ENCOUNTERS. APPROXIMATELY 67.7% OF THESE ENCOUNTERS PROVIDED CARE THAT WAS CLASSIFIED AS EITHER UNCOMPENSATED FINANCIAL ASSISTANCE OR UNCOMPENSATED GOVERNMENT-SPONSORED HEALTH CARE. AN ADDITIONAL 4.3% OF THE TOTAL CARE PROVIDED IN THESE ENCOUNTERS WAS WRITTEN OFF AS BAD DEBT. COMMUNITY BENEFITS: THE GOAL OF THE ORGANIZATION'S SOLE MEMBER'S, SOUTHERN ILLINOIS HOSPITAL SERVICES, IS TO RESPOND TO IDENTIFIED COMMUNITY HEALTH NEEDS, INCREASE ACCESS TO CARE, LEAD AND SERVE AS AN EXAMPLE TO OTHERS IN SERVICE TO THE COMMUNITY, AND IMPROVE THE OVERALL HEALTH STATUS OF THOSE IN THE COMMUNITIES SERVED. THESE PROGRAMS EXTEND TO THE PATIENTS OF SIMS. SOUTHERN ILLINOIS HEALTHCARE'S OVERALL APPROACH IS TO TARGET THE INTERSECTIONS OF DOCUMENTED UNMET COMMUNITY HEALTH NEEDS AND THE ORGANIZATION'S MISSION, VALUES AND KEY STRENGTHS. COMMUNITY BENEFIT ACTIVITIES EMPHASIZE PRIMARY PREVENTATIVE HEALTH CARE SERVICES, HIGH IMPACT HEALTH SCREENING AND PROMOTION, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND INCREASE ACCESS TO CARE ESPECIALLY FOR VULNERABLE AND UNDERSERVED PEOPLE. Form 990, Part III, Line 4a COMMUNITY PHYSICIAN PRACTICES (CONTINUED FROM PART III) THROUGH DAILY OPERATIONS, THE COMMUNITY PHYSICIAN PRACTICES OF SIMS PROVIDE SIGNIFICANT AMOUNTS OF UNCOMPENSATED FINANCIAL ASSISTANCE AND UNCOMPENSATED GOVERNMENT-SPONSORED HEALTH CARE. THE PATIENT POPULATION OF THE COMMUNITY PHYSICIAN PRACTICES OF SIMS IS COMPRISED OF 53% MEDICARE, 17% MEDICAID, 3% SELF-PAY/FINANCIAL ASSISTANCE AND 27% COMMERCIAL/MANAGED CARE. UNCOMPENSATED HEALTH CARE: THE COMMUNITY PHYSICIAN PRACTICES OF SIMS HAVE PROVIDED $26,657,299 OF UNCOMPENSATED HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICARE HEALTH CARE PROGRAM. INDIGENT HEALTH CARE: THE COMMUNITY PHYSICIAN PRACTICES OF SIMS HAVE PROVIDED $11,938,535 OF INDIGENT HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICAID HEALTH CARE PROGRAM AND $605,663 OF INDIGENT FINANCIAL ASSISTANCE. BAD DEBTS: THE COMMUNITY PHYSICIAN PRACTICES OF SIMS WROTE OFF $620,154 FROM PRIVATE PAY ACCOUNTS THAT WERE UNCOLLECTIBLE BUT DID NOT MEET THE CRITERIA TO BE CONSIDERED FINANCIAL ASSISTANCE. SIMS HAS DETERMINED THAT 17.7% OR $109,141 OF THE AMOUNTS WRITTEN OFF AS BAD DEBT WOULD HAVE QUALIFIED AS FINANCIAL ASSISTANCE IF THE PATIENTS WOULD HAVE SUBMITTED THE REQUIRED DOCUMENTATION. Form 990, Part III, Line 4b PHYSICIAN CLINICS (CONTINUED FROM PART III) CMA ENCOMPASSES NEARLY 60,000 SQUARE FEET OF SPACE, MAKING IT ONE OF THE AREA'S LARGEST HEALTH CARE FACILITIES. A PROMPT CARE CLINIC IS AVAILABLE WITHIN THE CENTER TO MEET THE IMMEDIATE MEDICAL NEEDS OF PATIENTS ALONG WITH AN IMAGING CENTER AND LABORATORY SERVICES. BOTH PRIMARY CARE AND SPECIALIZED MEDICAL CARE ARE PROVIDED INCLUDING FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, GENERAL SURGERY, AND UROLOGY, AMONG OTHERS. LPC HAS OPERATIONS IN TWO LOCATIONS AND ENCOMPASSES 40,000 SQUARE FEET. LPC BEGAN OPERATIONS IN DECEMBER 1993 AND WAS ACQUIRED BY SOUTHERN ILLINOIS MEDICAL SERVICES IN NOVEMBER 2011. LPC PROVIDES A VARIETY OF SERVICES INCLUDING GENERAL FAMILY PRACTICE MEDICINE, RADIOLOGY, AND LAB. TWO MED STATIONS FOR ACUTE NON-EMERGENCY CARE ARE ALSO OPERATED. UCC OPENED IN OCTOBER 2018 AND PROVIDES TWO SERVICES TO THE COMMUNITY. THE FIRST IS AN URGENT CARE CENTER THAT PROVIDES CARE OF NON-LIFE- THREATENING ISSUES. THE SECOND IS WORK CARE THAT PROVIDES EVALUATION AND TREATMENT OF INJURED WORKERS AND ALSO PROVIDES SERVICES AIMED AT THE PREVENTION AND REDUCTION OF WORK- RELATED INJURIES. PCG HAS OPERATIONS IN HARRISBURG, IL AND CARRIER MILLS, IL AND ENCOMPASSES 25,000 SQUARE FEET. PCG BEGAN OPERATIONS IN SEPTEMBER 1992 AND WAS ACQUIRED BY SOUTHERN ILLINOIS MEDICAL SERVICES IN FEBRUARY 2014. PCG PROVIDES A VARIETY OF SERVICES INCLUDING GENERAL FAMILY PRACTICE MEDICINE, GENERAL SURGERY, LABORATORY, IMAGING AND CHIROPRACTIC MEDICINE. PHYSICAL THERAPY AND OCCUPATIONAL THERAPY ARE ALSO PROVIDED IN THREE LOCAL COMMUNITIES. HMC CLINICS BEGAIN OPERATIONS IN AUGUST 2021. HMC CLINICS HAS OPERATIONS IN ILLINOIS IN CARBONDALE, HERRIN, AND MURPHYSBORO. PSYCHIATRY SERVICES ARE PROVIDED BY HMC CLINICS. THROUGH DAILY OPERATIONS, THE PHYSICIAN CLINICS PROVIDE SIGNIFICANT AMOUNTS OF UNCOMPENSATED FINANCIAL ASSISTANCE AND UNCOMPENSATED GOVERNMENT-SPONSORED HEALTH CARE. THE PATIENT POPULATION OF THE PHYSICIAN CLINICS IS COMPRISED OF 35% MEDICARE, 25% MEDICAID, 2% SELF-PAY/FINANCIAL ASSISTANCE AND 38% COMMERCIAL/MANAGED CARE. UNCOMPENSATED HEALTH CARE: THE PHYSICIAN CLINICS HAVE PROVIDED $4,012,477 OF UNCOMPENSATED HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICARE HEALTH PROGRAM. INDIGENT HEALTH CARE: THE PHYSICIAN CLINICS HAVE PROVIDED $4,747,808 OF INDIGENT HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICAID HEALTH CARE PROGRAM AND $152,477 OF INDIGENT FINANCIAL ASSISTANCE. BAD DEBTS: THE PHYSICIAN CLINICS WROTE OFF $1.033,554 OF PRIVATE PAY ACCOUNTS THAT WERE UNCOLLECTIBLE BUT DID NOT MEET THE CRITERIA TO BE CONSIDERED FINANCIAL ASSISTANCE. IT HAS BEEN DETERMINED THAT 17.7% OR $138,399 OF THE AMOUNTS WRITTEN OFF AS BAD DEBT WOULD HAVE QUALIFIED AS FINANCIAL ASSISTANCE IF THE PATIENTS WOULD HAVE SUBMITTED THE REQUIRED DOCUMENTATION. Form 990, Part III, Line 4c HOSPITAL PHYSICIAN PRACTICES (CONTINUED FROM PART III) THROUGH DAILY OPERATIONS, THE HOSPITAL PHYSICIAN PRACTICES OF SIMS PROVIDE SIGNIFICANT AMOUNTS OF UNCOMPENSATED FINANCIAL ASSISTANCE AND UNCOMPENSATED GOVERNMENT-SPONSORED HEALTH CARE. THE PATIENT POPULATION OF THE HOSPITAL PHYSICIAN PRACTICES OF SIMS IS COMPRISED OF 40% MEDICARE, 27% MEDICAID, 3% SELF-PAY/FINANCIAL ASSISTANCE AND 30% COMMERCIAL/MANAGED CARE. UNCOMPENSATED HEALTH CARE: THE HOSPITAL PHYSICIANS OF SIMS PROVIDED $5,133,976 OF UNCOMPENSATED HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICARE HEALTH CARE PROGRAM. INDIGENT HEALTH CARE: THE HOSPITAL PHYSICIANS OF SIMS HAVE PROVIDED $5,047,170 OF INDIGENT HEALTH CARE THROUGH PARTICIPATION IN THE GOVERNMENT-SPONSORED MEDICAID HEALTH CARE PROGRAM AND $267,162 OF INDIGENT FINANCIAL ASSISTANCE. BAD DEBTS: THE HOSPITAL PHYSICIAN PRACTICES OF SIMS WROTE OFF $1,595,362 FROM PRIVATE PAY ACCOUNTS THAT WERE UNCOLLECTIBLE BUT DID NOT MEET THE CRITERIA TO BE CONSIDERED FINANCIAL ASSISTANCE. SIMS HAS DETERMINED THAT 17.7% OR $217,583 OF THE AMOUNTS WRITTEN OFF AS BAD DEBT WOULD HAVE QUALIFIED AS FINANCIAL ASSISTANCE IF THE PATIENTS WOULD HAVE SUBMITTED THE REQUIRED DOCUMENTATION Form 990, Part III, Line 4d Description of other program services (Expenses $ 11,015,998 including grants of $ 0)(Revenue $ 11,903,526) SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (SIMS) ALSO PROVIDES OTHER ADMINISTRATIVE SERVICES AND LEASES SPACE TO ITS RELATED ORGANIZATIONS. Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION FOR THE ORGANIZATION'S PRESIDENT AND OTHER OFFICERS IS PAID BY SOUTHERN ILLINOIS HOSPITAL SERVICES, INC. (SIHS), A RELATED TAX-EXEMPT ORGANIZATION. THE BOARD OF TRUSTEES SETS THE EXECUTIVE COMPENSATION POLICY AND IS RESPONSIBLE FOR APPROVAL OF THE COMPENSATION. THE GOVERNANCE COMMITTEE IS DESIGNATED BY THE BOARD TO ACT AS THE COMPENSATION COMMITTEE FOR MATTERS CONCERNING EXECUTIVE COMPENSATION. EACH MEMBER OF THE COMMITTEE, WHILE CONSIDERING EXECUTIVE COMPENSATION ISSUES, MUST BE AN INDEPENDENT DIRECTOR, FREE FROM ANY CONFLICT OF INTEREST. THE COMMITTEE SEEKS OUT AND CONTRACTS THE SERVICES OF AN OUTSIDE, INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO ADVISE THE COMMITTEE IN MATTERS OF MARKET VALUES OF COMPARABLE EXECUTIVE POSITIONS. THE COMMITTEE ANNUALLY REVIEWS ALL COMPARABILITY DATA AND PREPARES A RECOMMENDATION AS TO THE COMPENSATION PACKAGE OF THE PRESIDENT/CEO FOR THE FULL BOARD. ONLY THE FULL BOARD HAS THE AUTHORITY TO APPROVE THE COMPENSATION OF THE PRESIDENT/CEO. THE DECISIONS AND DELIBERATIONS ARE DOCUMENTED IN THE GOVERNANCE COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN JUNE 2024. BECAUSE THE ORGANIZATION'S PRESIDENT AND OTHER OFFICERS ARE NOT PAID BY THE FILING ORGANIZATION, THE FORM 990 INSTRUCTIONS REQUIRE THIS TO BE ANSWERED "NO." Form 990, Part VI, Line 1a Delegate broad authority to a committee The members of the Governance Committee are the President, the Secretary, and the Treasurer. The Governance committee is authorized to act for the Board of Trustees in all matters as specifically authorized by resolution of the Board or when the Board of Trustees is not in session. Form 990, Part VI, Line 6 Classes of members or stockholders The organization's sole member is Southern Illinois Hospital Services, a related tax-exempt organization. The member has the right to elect members to the board of trustees and approve some decisions of the board. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The organization's sole member, Southern Illinois Hospital Services, Inc., has the exclusive right to elect Trustees to the organization's Board of Trustees Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The organization's sole member, Southern Illinois Hospital Services (Corporate Member), has reserved powers found in the Organizations bylaws. Except for transfers identified in the budget of the Organization approved by the Corporate Member, the Organization may not transfer assets to entities other than the Corporate Member or entities that the Corporate Member controls (the "Corporate Member Affiliates"), without the approval of the Corporate Member. The Corporate Member has the right to require the Organization to transfer assets to the extent necessary to accomplish the Corporate Member's goals and objectives. The Corporate Member also has the right to require the organization to provide for the payment of all indebtedness of the Corporate Member or a Corporate Member Affiliate. The Organization cannot be required to violate its charitable purposes, the terms of any restricted gifts, or the covenants of its debt instruments in complying with any asset transfers directed by the Corporate Member. In addition, the following matters must be submitted to and receive the approval of the Corporate Member: 1. Capital expenditures in excess of $500,000; 2. The buying, selling, leasing, mortgaging or disposing of real property belonging to the Corporation or any of its subsidiaries; 3. The establishment or discontinuance of any major services; including services requiring Certificates of Need; 4. Long-Range Strategic Plans; 5. Master Facilities and Site Plans; 6. The creation or dissolution of any corporation, the sole member or majority stockholder of which is the Corporation; 7. Joint venture or affiliation agreements; 8. The incurrence of indebtedness in excess of $500,000; 9. Such other matters as may be required by law or by the Organization's Articles of Incorporation, or by its bylaws to be submitted to the Corporate Member; 10. Delegation of the functions, powers, duties and responsibilities of any officer of the Corporation, and; 11. Any other matter which may be specified from time to time by the Corporate Member. In addition, The Corporate Member retains the right to approve all changes to the organization's bylaws. Form 990, Part VI, Line 11b Review of form 990 by governing body A draft of the Form 990 and supplemental schedules was distributed to the CEO, CFO and certain Vice-Presidents of the corporation for their review and comments. A draft copy was presented to the Finance Committee by the CFO and the organization's tax advisors for review and comments. After the review and comment period, all suggestions and comments were considered and the Form 990 was updated as appropriate. The finalized Form 990 and supplemental schedules was then presented to the Board of Trustees and a copy of the return was made available to every member of the governing body before it was filed with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy Annually, the General Counsel sends out a Conflict of Interest Questionnaire to each Trustee, Director, Officer, Manager and key employee to complete and return. The General Counsel then reviews these Questionnaires to determine what conflicts, real or perceived, exist. During every board meeting, the General Counsel reminds the Trustees that the Board has a conflict of interest policy, that the General Counsel has reviewed the agenda for any conflicts, but that the Trustees are obligated to give notice if a conflict has been over-looked or if a discussion or action comes before the Board which may involve or create a conflict of interest for someone. If a Trustee has a conflict of interest, the Trustee or the General Counsel discloses the conflict. The Trustee with the conflict is allowed to remain in the meeting to answer any question the Trustee may need to answer and then the conflicted Trustee is excused from the meeting. The remaining Trustees then discuss the matter further and action is taken on the matter. Finally, the conflicted Trustee is then invited back into the meeting. Interested persons may also be asked, in rare situations, to resign their position on the Board. Form 990, Part VI, Line 15b Process to establish compensation of other employees The Board of Trustees sets the executive compensation policy and is responsible for approval of the compensation. The Governance Committee is designated by the Board to act as the Compensation Committee for matters concerning executive compensation. Each member of the Committee, while considering executive compensation issues, must be an independent director, free from any conflict of interest. The Committee seeks out and contracts the services of an outside, independent executive compensation consultant to advise the Committee in matters of market values of comparable executive positions. The Committee annually reviews all comparability data and prepares a recommendation as to the compensation package of all officers for the full Board. Only the Committee will have the authority to approve the compensation of the senior management team and will report its actions to the Board. The decisions and deliberations are documented in the governance committee minutes. This process was last undertaken in June 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 CREDIT and COLLECTION FEES - Total Expense: 1244446, Program Service Expense: 1127078, Management and General Expenses: 117368, Fundraising Expenses: 0; CLINICAL SERVICE FEES - Total Expense: 109217, Program Service Expense: 109217, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER PROFESSIONAL FEES - Total Expense: 357227, Program Service Expense: 108176, Management and General Expenses: 249051, Fundraising Expenses: 0; OTHER PURCHASED SERVICES - Total Expense: 1864958, Program Service Expense: 1290571, Management and General Expenses: 574387, Fundraising Expenses: 0; PHYSICIAN SERVICES - Total Expense: 46741811, Program Service Expense: 46695922, Management and General Expenses: 45889, Fundraising Expenses: 0; CONSULTING FEES - Total Expense: 162093, Program Service Expense: 5900, Management and General Expenses: 156193, Fundraising Expenses: 0; ENGINEERING FEES - Total Expense: 9800, Program Service Expense: 9800, Management and General Expenses: 0, Fundraising Expenses: 0; PATIENT BILLING FEES - Total Expense: 765244, Program Service Expense: 0, Management and General Expenses: 765244, Fundraising Expenses: 0; Form 990, Part X, Line 25 Bond Liability payable to SIHS The Series 2017A non-taxable bond is split between Southern Illinois Medical Services and Southern Illinois Hospital Services, a related tax exempt entity. The amount listed on line 25 represents the piece of the bond that Southern Illinois Medical Services holds. Form 990, Part XI, Line 9 Other changes in net assets or fund balances EQUITY TRANSFER FROM SIHS - 2443389; Total - 2443389; SOUTHERN ILLINOIS HOSPITAL SERVICES PO BOX 3988 CARBONDALE IL 62902 370618939 HEALTHCARE IL 501(c)(3) 3 SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES false SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES INC PO BOX 3988 CARBONDALE IL 62902 371136788 LEASING OF MEDICAL SPACE IL 501(c)(3) Type II NA false SIH FOUNDATION NFP 1239 EAST MAIN STREET CARBONDALE IL 62901 271933790 FUNDRAISING IL 501(c)(3) Type I SOUTHERN ILLINOIS HOSPITAL SERVICES false HARRISBURG MEDICAL CENTER 100 DR WARREN TUTTLE DRIVE HARRISBURG IL 62949 237426289 HEALTHCARE IL 501(c)(3) 3 SOUTHERN ILLINOIS HOSPITAL SERVICES false HARRISBURG MEDICAL CENTER FOUNDATION 6 EAST CLARK STREET HARRISBURG IL 62946 371411984 FUNDRAISING IL 501(c)(3) Type I HARRISBURG MEDICAL CENTER false SIH CAYMAN SPC GROUP LTD PO BOX 1051 GRAND CAYMAN CJ CJ KY11102 980611605 FINANCING CJ NA C Corporation false HEALTH SERVICES OF SOUTHERN ILLINOIS INC PO BOX 3988 CARBONDALE IL 62902 371115061 Fitness Center IL NA C Corporation false HIDK PROPERTIES LAND TRUST 1239 EAST MAIN STREET CARBONDALE IL 62902 466693066 RENTAL PROPERTIES IL NA Trust false false false false false true false false false false true true false false true true false true false true