SOUTHERN ILLINOIS HOSPITAL SERVICES: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SOUTHERN ILLINOIS HOSPITAL SERVICES (EIN 37-0618939)
Tax period: 2018-04-01 to 2019-03-31
Filed: 2019-11-21
IRS object ID: 201933259349300423
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-21T14:30:40-06:00	ReturnTs
Tax Period End	2019-03-31	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	9600 Brownsboro Road Suite 400	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402411122	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	370618939	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Southern Illinois Hospital Services	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3988	AddressLine1Txt
City	Carbondale	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	629023988	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MIKE KASSER	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2019-11-21	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Southern Illinois Healthcare	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	REX BUDDE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3988	AddressLine1Txt
City	CARBONDALE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	629023988	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,139,835,594	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.SIH.net	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	Southern Illinois Hospital Services' (SIHS) mission statement is "We are dedicated to improving the health and well-being of all of the people in the communities we serve."	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	3726	TotalEmployeeCnt
Total Volunteers	223	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,815,787	PYContributionsGrantsAmt
CY Contributions Grants	$1,962,589	CYContributionsGrantsAmt
PY Program Service Revenue	$533,781,899	PYProgramServiceRevenueAmt
CY Program Service Revenue	$586,850,377	CYProgramServiceRevenueAmt
PY Investment Income	$44,156,286	PYInvestmentIncomeAmt
CY Investment Income	$14,994,926	CYInvestmentIncomeAmt
PY Other Revenue	$6,207,214	PYOtherRevenueAmt
CY Other Revenue	$5,979,801	CYOtherRevenueAmt
PY Total Revenue	$585,961,186	PYTotalRevenueAmt
CY Total Revenue	$609,787,693	CYTotalRevenueAmt
PY Grants And Similar Paid	$627,290	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$657,404	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$210,806,504	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$221,796,972	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$128,327	CYTotalFundraisingExpenseAmt
PY Other Expenses	$294,217,268	PYOtherExpensesAmt
CY Other Expenses	$311,797,531	CYOtherExpensesAmt
PY Total Expenses	$505,651,062	PYTotalExpensesAmt
CY Total Expenses	$534,251,907	CYTotalExpensesAmt
PY Revenues Less Expenses	$80,310,124	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$75,535,786	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,033,015,904	TotalAssetsBOYAmt
Total Assets EOY	$1,089,453,464	TotalAssetsEOYAmt
Total Liabilities BOY	$358,098,811	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$352,655,109	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$674,917,093	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$736,798,355	NetAssetsOrFundBalancesEOYAmt
Mission	Southern Illinois Hospital Services (SIHS) is dedicated to promoting the health and well being of all of the people in the communities we serve. Our mission is guided by our values: compassion, collaboration, quality, stewardship, integrity, accountability and respect. (Continued in Schedule O)	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$443,522,479	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$590,761,641	RevenueAmt
Desc	SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) PROVIDES QUALITY HEALTH SERVICES TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. THROUGH DAILY OPERATIONS, SIHS' HOSPITALS PROVIDE SIGNIFICANT AMOUNTS OF UNCOMPENSATED CHARITY CARE, UNCOMPENSATED GOVERNMENT-SPONSORED HEALTH CARE, SUBSIDIZED HEALTH SERVICES AND MEDICAL EDUCATION. THE PRIMARY SERVICE AREA OF SIHS IS A VERY RURAL SEVEN-COUNTY REGION WITH A COMBINED POPULATION OF APPROXIMATELY 242,000. THE RESIDENTS OF THESE COUNTIES' MEDIAN HOUSEHOLD INCOMES ARE BELOW THE STATE AVERAGE AND IN ADDITION, THE POVERTY RATE IS HIGHER THAN THE STATE AVERAGE. (CONTINUED IN SCHEDULE O)	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,540,260	ExpenseAmt
Grant	$657,404	GrantAmt
Revenue	$0	RevenueAmt
Desc	THROUGH OUR COMMUNITY BENEFITS PROGRAM AND SERVICES, SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) HAS EXTENDED ITS CARE BEYOND HOSPITAL WALLS AND INTO THE NEIGHBORHOODS WHERE PEOPLE LIVE AND WORK TO POSITIVELY IMPACT THOSE COMMUNITIES. THE COMMUNITY BENEFITS DEPARTMENT OF SIHS WAS INSTITUTED IN 1994 WITH AN OPERATING BUDGET SPECIFICALLY ALLOCATED TO BRING HEALTH-RELATED PROGRAMS TO THE AREAS IN WHICH THEY WERE MOST NEEDED. COMMUNITY BENEFITS HAS UNDERTAKEN A WIDE VARIETY OF SUCCESSFUL PROGRAMS SINCE ITS INCEPTION. (CONTINUED IN SCHEDULE O)	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$235,822	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) PROVIDES PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. (CONTINUED IN SCHEDULE O)	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$445,298,561	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	331	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3726	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	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	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIKE KASSER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6184575200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1239 EAST MAIN STREET	AddressLine1Txt
City	CARBONDALE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62901	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 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
Rex Budde
President/CEO	40.0	15.0	Yes (X)	Yes (X)	$1,010,422	$0	$299,647
Marlene Simpson
Secretary	2.0	1.0	Yes (X)	Yes (X)	$700	$0	$0
Dr Terrence Glennon
Chair	2.0	2.0	Yes (X)	Yes (X)	$550	$0	$0
Mike Hudson
Vice Chair	2.0	1.0	Yes (X)	Yes (X)	$500	$0	$0
Steve Sabens
Trustee	2.0	2.0	Yes (X)		$450	$0	$0
Eugene Basanta
Trustee	2.0	2.0	Yes (X)		$500	$0	$0
Kathleen Fralish
Trustee	2.0	2.0	Yes (X)		$600	$0	$0
Harold Bardo
Trustee	2.0	2.0	Yes (X)		$550	$0	$0
George O'Neill
Trustee	2.0	2.0	Yes (X)		$400	$0	$0
Morton Levine
Trustee	2.0	2.0	Yes (X)		$550	$0	$0
Debra McMorrow
Trustee	2.0	1.0	Yes (X)		$450	$0	$0
Bob Mees
Trustee	2.0	1.0	Yes (X)		$500	$0	$0
Parviz Sanjabi MD
Trustee	2.0	1.0	Yes (X)		$500	$0	$0
Terence Farrell
Former VP/Administrator	40.0	0		Yes (X)	$423,319	$0	$103,711
Mike Kasser
SR VP/CFO/TREASURER	40.0	15.0		Yes (X)	$686,409	$0	$153,942
John B Millstead
SR VP/COO	55.0	0		Yes (X)	$648,439	$0	$203,011
Philip Schaefer
SR VP/ ADMINISTRATOR/CCNDO	25.0	40.0		Yes (X)	$552,681	$0	$163,078
Marci L Moore-Connelley MD
SR VP/CMO	40.0	15.0		Yes (X)	$505,193	$0	$70,490
William Sherwood
VP/ General Counsel	40.0	15.0		Yes (X)	$454,496	$0	$48,639
Julie Firman
VP/CNO (Partial Year)	50.0	0		Yes (X)	$359,576	$0	$96,320
Jennifer Harre
VP/CNO (Began 2/28/19)	50.0	0		Yes (X)	$137,223	$0	$39,340
Pam Henderson
VP/ HR	50.0	0		Yes (X)	$358,315	$0	$82,021
William Thorne
VP/ Community Benefits	50.0	0		Yes (X)	$354,267	$0	$95,100
Gerald Mourey
VP/Info Systems	40.0	10.0		Yes (X)	$321,329	$0	$72,930
Rodney Smith
VP/Administrator (Partial Year)	55.0	0		Yes (X)	$307,755	$0	$57,674
Daniel Skiles
VP Health	43.0	12.0		Yes (X)	$300,463	$0	$68,953
Shelly Pierce
VP/Quality	30.0	25.0		Yes (X)	$300,013	$0	$58,028
Al Taylor
VP/Administrator	50.0	0		Yes (X)	$219,107	$0	$25,918
Gery Blackburn
Treasury Manager	40.0	0			$223,597	$0	$16,495	Yes (X)
Rebecca Brasel
Registered Nurse Shift Supervisor	60.0	0			$206,844	$0	$36,933	Yes (X)
Thomas Hentrich
Pharmacist	44.0	0			$206,239	$0	$40,794	Yes (X)
Susan Odle
Hospital Administrator	55.0	0			$205,514	$0	$10,780	Yes (X)
Shannon Hartke
PFS Manager	40.0	0			$201,187	$0	$12,252	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,988,638	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,756,056	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	173	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt
MEDICAL STAFFING NETWORK INC
PO BOX 840292	DALLAS	TX	75247	STAFFING	$4,527,406
SHIRLEY RYAN ABILITY LAB
355 EAST ERIE	CHICAGO	IL	60611	MEDICAL SERVICES	$3,051,728
HURON CONSULTING GROUP
4795 PAYSPHERE CIRCLE	CHICAGO	IL	60674	CONSULTING	$2,221,668
MCDERMOTT WILL & EMERY LLP
227 W MONROE	CHICAGO	IL	60606	LEGAL SERVICES	$1,651,915
AOS LLC
1859 BOWLES AVE	FENTON	MO	63026	INFORMATION TECHNOLOGY SERVICES	$1,460,356	SUITE 200

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	42	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$656,962	RelatedOrganizationsAmt
Government Grants	$1,243,533	GovernmentGrantsAmt
All Other Contributions	$62,094	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$1,962,589	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Patient Revenue	622110	$578,345,021	$578,345,021	$0	$0
Affiliate Income in Southern Illinois Orthopedic Center	900099	$1,337,036	$1,337,036	$0	$0
Leasehold revenue from related organizations	531120	$1,281,227	$1,281,227	$0	$0
Interest on state payments		$5,887,093	$5,887,093	$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	$586,850,377	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,943,617	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,943,617	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,236,020	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,174,219	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$61,801	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$61,801	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$61,801	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,531,924,991	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,528,873,682	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,051,309	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,051,309	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,051,309	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Cafeteria/Vending/Hospital Auxiliary	900099	$2,879,808	$873,072	$0	$2,006,736
Medical Records/X-Ray	621300	$255,720	$255,720	$0	$0
Physician Hospital Organization Revenue	900099	$1,718,817	$1,718,817	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,063,655	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,063,655	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,918,000	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$609,787,693	TotalRevenueColumnAmt
Related Or Exempt Func Income	$590,761,641	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$17,063,463	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$657,404	TotalAmt
Program Services	$657,404	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,584,058	TotalAmt
Program Services	$1,389,620	ProgramServicesAmt
Management And General	$7,194,438	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$148,613	TotalAmt
Program Services	$148,613	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$163,738,690	TotalAmt
Program Services	$128,851,729	ProgramServicesAmt
Management And General	$34,789,527	ManagementAndGeneralAmt
Fundraising	$97,434	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,604,717	TotalAmt
Program Services	$3,375,980	ProgramServicesAmt
Management And General	$227,468	ManagementAndGeneralAmt
Fundraising	$1,269	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$33,536,736	TotalAmt
Program Services	$30,759,094	ProgramServicesAmt
Management And General	$2,768,976	ManagementAndGeneralAmt
Fundraising	$8,666	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,184,158	TotalAmt
Program Services	$9,390,484	ProgramServicesAmt
Management And General	$2,786,328	ManagementAndGeneralAmt
Fundraising	$7,346	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	$1,411,166	TotalAmt
Program Services	$29,203	ProgramServicesAmt
Management And General	$1,381,963	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$228,270	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$228,270	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$117,356	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$117,356	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	$438,749	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$438,749	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$80,914,031	TotalAmt
Program Services	$67,541,880	ProgramServicesAmt
Management And General	$13,372,151	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,033,890	TotalAmt
Program Services	$7,392	ProgramServicesAmt
Management And General	$1,026,498	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,465,030	TotalAmt
Program Services	$8,381,208	ProgramServicesAmt
Management And General	$1,070,210	ManagementAndGeneralAmt
Fundraising	$13,612	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$13,808,318	TotalAmt
Program Services	$10,419,753	ProgramServicesAmt
Management And General	$3,388,565	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	$9,216,514	TotalAmt
Program Services	$7,798,595	ProgramServicesAmt
Management And General	$1,417,919	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$643,108	TotalAmt
Program Services	$314,576	ProgramServicesAmt
Management And General	$328,532	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,268,891	TotalAmt
Program Services	$530,906	ProgramServicesAmt
Management And General	$737,985	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,906,081	TotalAmt
Program Services	$7,734,798	ProgramServicesAmt
Management And General	$3,171,283	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	$38,383,344	TotalAmt
Program Services	$26,443,625	ProgramServicesAmt
Management And General	$11,939,719	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,120,841	TotalAmt
Program Services	$4,759,320	ProgramServicesAmt
Management And General	$361,521	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$110,888,541	$110,888,541	$0	$0
Provider Tax	$15,665,493	$15,665,493	$0	$0
Equipment Rental	$9,158,240	$8,312,161	$846,079	$0
Hospital Auxiliary	$745,786	$0	$745,786	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,383,882	TotalAmt
Program Services	$1,898,186	ProgramServicesAmt
Management And General	$485,696	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$534,251,907	TotalAmt
Program Services	$445,298,561	ProgramServicesAmt
Management And General	$88,825,019	ManagementAndGeneralAmt
Fundraising	$128,327	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,809	BOYAmt
EOY	$7,458	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,721,100	BOYAmt
EOY	$1,349,580	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	$103,000,347	BOYAmt
EOY	$111,389,135	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$308,932	BOYAmt
EOY	$308,944	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	$114,650	BOYAmt
EOY	$588,017	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$15,366,821	BOYAmt
EOY	$15,406,072	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,927,550	BOYAmt
EOY	$10,231,842	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$613,216,011	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$303,938,653	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$306,880,448	BOYAmt
EOY	$309,277,358	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$455,106,445	BOYAmt
EOY	$475,617,134	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,917,849	BOYAmt
EOY	$2,050,489	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,239,806	BOYAmt
EOY	$1,232,063	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$124,424,147	BOYAmt
EOY	$161,995,372	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,033,015,904	BOYAmt
EOY	$1,089,453,464	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$54,373,543	BOYAmt
EOY	$59,998,635	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	$225,759,052	BOYAmt
EOY	$221,254,316	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	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$77,966,216	BOYAmt
EOY	$71,402,158	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$358,098,811	BOYAmt
EOY	$352,655,109	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$673,725,558	BOYAmt
EOY	$736,414,057	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,191,535	BOYAmt
EOY	$384,298	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$674,917,093	BOYAmt
EOY	$736,798,355	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,033,015,904	BOYAmt
EOY	$1,089,453,464	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$75,535,786	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$11,843,699	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$1,810,825	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$117,356	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$63,185	OtherActivitiesAmt
Total Lobbying Expenditures	$180,541	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1g DIRECT CONTACT WITH LEGISLATORS	THE ORGANIZATION HAS HIRED A PROFESSIONAL SERVICES FIRM TO CONDUCT LOBBYING ON BEHALF OF THE ORGANIZATION.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	A portion of dues paid to Illinois Hospital Association is used for lobbying by that Association in the amount of $63,185.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	A portion of dues paid to Illinois Hospital Association is used for lobbying by that Association in the amount of $63,185.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$16,618,625	OtherCostOrOtherBasisAmt
Book Value	$16,618,625	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$191,866,333	OtherCostOrOtherBasisAmt
Depreciation	$89,531,528	DepreciationAmt
Book Value	$102,334,805	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,388,832	OtherCostOrOtherBasisAmt
Depreciation	$3,752,721	DepreciationAmt
Book Value	$636,111	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$373,839,063	OtherCostOrOtherBasisAmt
Depreciation	$201,223,368	DepreciationAmt
Book Value	$172,615,695	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$26,503,158	OtherCostOrOtherBasisAmt
Depreciation	$9,431,036	DepreciationAmt
Book Value	$17,072,122	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$309,277,358	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Due from affiliates	$155,402,239
Student/Tuition Loans Receivable	$1,014,831
Other Current Assets	$979,443
Executive Benefit Plan	$3,766,857
Incentive-Bonus Receivable PHO	$832,002

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$161,995,372	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
Estimated third-party payor settlements	$16,170,246
Interest Rate Swap Contracts	$10,654,920
Medical Professional Liability	$2,115,201
Accrued Bond Interest	$876,294
Asbestos Liability	$63,937
Long Term Executive Retirement Plan	$353,466
Miscellaneous	$43,094
Series 2017B taxable bond	$41,125,000

Field	Value	IRS element (for citing)
Total Liability	$71,402,158	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	The organization is included in consolidated financial statements. Below is the FIN 48 (ASC 740) footnote from those financial statements: SIHE and its affiliated organizations, with the exception of the Captive, HSSI and PSC, are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. The Corporation realized certain income which the Internal Revenue Service considers to be unrelated business income subject to income tax. For the years ended March 31, 2019 and 2018, no tax was due related to these operations. The Captive is incorporated under the laws of the Cayman Islands, which imposes no tax on income or capital gains. However, the Captive is subject to U.S. federal corporate taxation to the extent that it generates income that is effectively connected with a U.S. trade or business. The Captive is not engaged in any such trade or business in the U.S. PSC is a pass-through entity and its members separately account for their share of PSC's net income or loss which is allocated to the members based on the ownership percentage. Accordingly, income taxes are not provided for in the accompanying consolidated financial statements. When tax returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would be ultimately sustained. Examples of tax positions common to health systems include matters such as the tax exempt entity taking a tax position that an organization is tax exempt without observing corresponding proof of tax exemption from federal and state taxing authorities and there is material net income generated by the entity or egregious compensation paid to insiders that could result in revocation of exempt status (outside the scope of intermediate sanctions excise tax penalties). The tax position is to consider that these compensatory arrangements do not jeopardize tax exemption. The benefit of a tax position is recognized in the consolidated financial statements in the period during which, based on all available evidence, management believes it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions taken are not offset or aggregated with other positions. Tax positions that meet the "more-likely-than-not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely of being realized upon settlement with the applicable taxing authority. There were no uncertain tax benefits identified and recorded at March 31, 2019 and 2018. The Corporation does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Corporation would recognize interest and/or penalties related to income tax matters in miscellaneous expenses. There was no interest and/or penalties related to income tax matters identified and recorded at March 31, 2019 and 2018. Tax returns filed by the Corporation are subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Tax returns filed by the Corporation are no longer subject to examination for the years ended March 31, 2015 and prior.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$120,000	RegionTotalExpendituresAmt

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 METHOD TO ACCOUNT FOR EXPENDITURES ON ORG'S FINANCIAL STATEMENTS	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICAN AND THE CARIBBEAN: ACCRUAL	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

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,359,365	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,359,365	NetCommunityBenefitExpnsAmt
Total Expense	0.0138	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,133,861	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,296,798	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,837,063	NetCommunityBenefitExpnsAmt
Total Expense	0.0671	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
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	$119,493,226	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,296,798	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,196,428	NetCommunityBenefitExpnsAmt
Total Expense	0.0809	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$628,468	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$628,468	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,166,487	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$657,515	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,508,972	NetCommunityBenefitExpnsAmt
Total Expense	0.0047	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,678,837	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,202,983	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,475,854	NetCommunityBenefitExpnsAmt
Total Expense	0.0028	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$223,207	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,141	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$204,066	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$657,404	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$657,404	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$7,354,403	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,879,639	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,474,764	NetCommunityBenefitExpnsAmt
Total Expense	0.0102	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$126,847,629	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$78,176,437	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,671,192	NetCommunityBenefitExpnsAmt
Total Expense	0.0911	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)
Total Community Benefit Expns	$254,388	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$254,388	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$235,822	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$235,822	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	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	$490,210	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$490,210	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$26,145,507	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,456,927	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$156,819,365	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$172,904,016	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$16,084,651	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
PHYSCIAN'S SURGERY CENTER
SURGERY CENTER	0.6358	0.0	0.3642
SOUTHERN ILLINOIS ORTHOPEDICS CENTER
MEDICINE	0.34	0.0	0.66

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

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc	Critical Access HospitalCriticalAccessHospitalInd
MEMORIAL HOSPITAL OF CARBONDALE
1	405 WEST JACKSON STREET	CARBONDALE	IL	62901	www.sih.net	0000513	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
HERRIN HOSPITAL
2	201 SOUTH 14TH STREET	HERRIN	IL	62948	www.sih.net	0000935	Yes (X)	Yes (X)		Yes (X)	A	ACUTE REHAB
ST JOSEPH MEMORIAL HOSPITAL
3	2 SOUTH HOSPITAL DRIVE	MURPHYSBORO	IL	62966	www.sih.net	0004614	Yes (X)	Yes (X)		Yes (X)	A		Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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	18	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/ABOUT/COMMUNITY-BENEFITS/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.SIH.NET/ABOUT/COMMUNITY-BENEFITS/	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
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	www.sih.net/patients-visitors/healthcare-assistance-program/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.sih.net/patients-visitors/healthcare-assistance-program/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.sih.net/patients-visitors/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 (4 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 5 issues. Feedback from senior leadership was obtained and the following areas were identified as the priority needs: 1 - Cancer 2 - Cardiovascular disease and its risk factors of obesity and diabetes 3 - Mental Health
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - A. The broad interests of the community we serve were incorporated by including input from residents, patient groups, health care practitioners, local health departments, social services providers, and other community organizations and partners. Participants contributed to this assessment by: -Identifying and prioritizing needs; -Highlighting current successful and ongoing activities; -Identifying gaps where attention is needed; -Fostering collaboration, pursuing opportunities for innovation and sustainability; -Developing plans to address significant community health issues. The process was guided by a steering committee composed of an internal team of SIH representatives and an external team of community stakeholders knowledgeable about health, needs assessment, and the local community. The process included a primary survey of our community's health priorities, meetings with healthcare providers and a 34 member SIH CHNA Advisory team. The CHNA Advisory team members included SIH staff, local public health department staff, and health and social service providers. This 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. Active participation in local Health Community Coalitions also provided insight into the needs and priorities of our community members.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - A. 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 A, 1	Facility A, 1 - A. The most recently conducted CHNA was completed in March 2019 for which an implementation strategy has been developed for April 1, 2019 through March 31, 2022. The information below describes how the hospital addressed the needs identified in the 2015 CHNA during the third and final year of the 2015 CHNA cycle. 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 on March 24, 2016. The priority areas through this needs assessment will be used to focus Community Benefits Department planning for the next three years (April 1 2016 - March 31, 2019). Some issues were identified but not prioritized to directly address at this time due to such factors as other groups and organizations, including SIH, already working to address them.

Field	Value	IRS element (for citing)
Facility	24	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Cancer Institute
1400 Pin Oak Drive	Carterville	IL	62918	Cancer treatment
Prairie Building
409 West Oak	Carbondale	IL	62901	Cardiac Diagnostic
St Jo Lab & Imaging - St Jo
2601 West Main St	Carbondale	IL	62901	Lab & Imaging Services
Logan Park Radiology & Lab
405 Rushing Drive	Herrin	IL	62948	Radiology, Lab
Physician Surgery Center
2601 West Main	Carbondale	IL	62901	Surgery Center
Primary Care Group
117 East Clark Street	Harrisburg	IL	62946	Lab, Imaging, Wound Care, Physical Therapy
Sleep Center
8305 Express Drive	Marion	IL	62959	Sleep Studies
Breast Center
1237 East Main St	Carbondale	IL	62901	Mammography
Outpatient Rehab - Carbondale
305 West Jackson	Carbondale	IL	62901	Physical Therapy
Women's Center
3117 Williamson Co Parkway	Marion	IL	62959	Mammography
Outpatient Rehab - Murphysboro
6 East Shawnee Drive	Murphysboro	IL	62966	Physical Therapy
Miners Memorial Health Center
2553 Ken Gray Blvd	West Frankfort	IL	62896	Family Practice, Radiology, Lab and Specialty Clinics
Outpatient Rehab - Anna
515 East Vienna St	Anna	IL	62906	Physical Therapy
Outpatient Rehab - Logan Park
3308 Logan Drive	Herrin	IL	62948	Physical Therapy
Outpatient Rehab - Marion
1403 Joe Abbott Way	Marion	IL	62959	Physical Therapy
Wound Care
315 South 13th St	Herrin	IL	62948	Wound Care
RICSIH Rehabilitation Services
PO BOX 3988	CARBONDALE	IL	62901	Rehabilitation Services
Franklin Medical Arts
203 Bailey Lane	Benton	IL	62812	Lab
Medical Arts Clinic
19 East Shawnee Drive	Murphysboro	IL	62868	Lab Services
Oldenhage-Hughes
207 W Jackson St	Carbondale	IL	62901	Lab Services
RIC Physician Practices
3224 South Park Avenue	Herrin	IL	62948	Rehabilitation Services
LPC-WF Imaging & Lab
502 St Louis Street	West Frankfort	IL	62896	Lab, Imaging, Rehab Services
Prairie Heart Marion
3905 Ernestine Drive	Marion	IL	62959	Cardiac Diagnostic
Outpatient Rehab - Marion East
1501 Sandbar Drive	Marion	IL	62959	Rehabilitation services

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7g Subsidized Health Services	A FAMILY PRACTICE CENTER IS INCLUDED IN SUBSIDIZED HEALTH SERVICES. THE COST OF PROVIDING THIS CENTER WAS $1,737,807.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARY ACCORDING TO THE INFORMATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE IRS PROVIDED WORKSHEET NUMBER 2 WAS USED TO CALCULATE A COST TO CHARGE RATIO USING INFORMATION FROM THE ORGANIZATION'S GENERAL LEDGER AND COST REPORTS. THAT RATIO WAS THEN USED IN CONJUCTION WITH IRS WORKSHEET 1 TO CALCULATE THE COST OF FINANCIAL ASSISTANCE PROVIDED AND WORKSHEET NUMBER 3 TO CALCULATE UNREIMBURSED MEDICAID AMOUNTS. THE ORGANIZATION'S COST ACCOUNTING PROGRAM WAS UTILIZED FOR CALCULATING PORTIONS OF THE SUBSIDIZED HEALTH SERVICES. THE ORGANIZATION'S COST ACCOUNTING PROGRAM ENCOMPASSES ALL PATIENT TYPES, SERVICES AND PAYORS. THE COST ASSOCIATED WITH A SERVICE ARE REVIEWED AND UPDATED ANNUALLY TO PROVIDE THE MOST ACCURATE COST POSSIBLE. BOTH DIRECT AND INDIRECT COSTS ARE CONSIDERED WHEN ENTERED INTO THE SYSTEM. ACTUAL COST OF HEALTH IMPROVEMENT AND COMMUNITY BENEFIT PROGRAMS, HEALTH EDUCATION, RESEARCH PROGRAMS, SOME SUBISIDIZED HEALTH SERVICES AND DONATIONS ARE STATED AT ACTUAL COST. THE COSTS OF THESE ITEMS ARE TRACKED THROUGH THE GENERAL LEDGER PROCESS AND THROUGH OTHER ACCOUNTING SOFTWARE.
Schedule H, Part II Community Building Activities	Through Community Building activities, Southern Illinois Hospital Services addresses the causes of health problems through programs that advocate for Community Health Improvements. These programs include: Healthy Communities - This initiative is directed at improving community health through timely assessment of needs and facilitating the planning, implementation, and evaluation of community-based programs and services. SIH is active in two Healthy Communities Coalitions in local counties. These coalitions are comprised of health providers, social service agencies, citizens and other interested community groups interested in improving the health of their respective communities. The Jackson County Healthy Community Coalition raises awareness about health issues relevant to Jackson County, develops projects that address unmet needs or gaps in health services, coordinates services and collaborations to maximize resources, develop plans and reports, encourages advocacy and assists in accessing funding. Membership includes partners from over 80 different Jackson county organizations. Action teams have been developed to address the following: - Behavioral Health - works to prevent substance abuse, enhance mental health and emotional well-being of the county residents - Positive Youth Development - trainings, education and related activities for community youth. - Sexual Action Team - focus on decreasing sexually transmitted diseases through education, screenings and protective behaviors - Health Living Action Team - works to prevent cardiovascular disease by targeting eating behaviors, physical activity and tobacco use. - Joint Access to Care Team - focuses on improving access to all health care services - Cancer Action Team - works to increase screening and public education - Built Environment Team - works to improve the environment for pedestrians and bicyclists - Preparedness Team - prepares communities for emergencies - Diabetes Today Resource Team - works to reduce diabetes and its impact on those living with the disease. The Franklin/Williamson Counties Healthy Communities Coalition supports the collection, tracking and reporting of relevant county health data, develops projects to address identified health priorities, develops plans and reports, fosters collaboration and encourages advocacy. Membership includes partners from over 60 different Franklin/Williamson county organizations. Action teams have been developed to address the following: - Healthy Seniors Action Team - provides activities which promote the health and well-being of individuals age 55 and older - Positive Youth Development - addresses health issues concerning youth - Joint Access to Care Team - focuses on improving access to all health care services. As part of the above coalitions, Southern Illinois Healthcare provided funding to local health departments for their work to provide a regional chronic disease/diabetes self management program. Accomplishments of this initiative include training over 85 certified leaders in these programs, conducting classes for over 600 individuals, and conducted screening events to promote early detection of diabetes and hypertension. Other initiatives of our Health Communities include the following: - Provide funding of the Medical Legal Partnership of Southern Illinois which offers individuals and families legal help to improve their health. The collaborative effort of Southern Illinois Healthcare and Land of Lincoln Legal Assistance Foundation assists patients in improving their health by alleviating the legal stressors in their lives. During the current year 579 low-income patients were assisted through this initiative. - Dental care is an area identified as an access to care issue in our community health needs assessment. Southern Illinois Healthcare has partnered with 3 local federally qualified health centers to address the issue of dental coverage. The program ensures appointments are available for oral health concerns. - SIH provides funding to the Illinois Poison Center. The Illinois Poison Center is a non-profit health service that provides comprehensive and trusted information and treatment advice on potentially harmful substances via a free, confidential 24 hour helpline. Information materials are provided to schools and community groups to spread prevention and poison awareness messages. Coordinated School Health - This program is directed at reducing the growth of childhood obesity and improving the overall health and well-being of children and adolescents. The "Illinois CATCH on to Health Consortium (ICHC)" is a collaborative initiative between the SIU School of Medicine Center for Rural Health and Social Services Development, local health departments and community organizations in southern Illinois. Together SIH impacted over 80 schools and 20,000 kids in the lower 16 counties of Illinois. SIH partners with local schools to form School Wellness Committees, complete the CDC's School Health Index, and implement Coordinated School Health Programs and policies to improve health and reduce overweight and obesity among southern Illinois students. During FY19, SIH staff worked with 35 schools, which impacted over 9,930 children, in the 5 county service area. SIH also impacted over 7,623 students/ families through Family Fun Nights, school sponsored 5K's, math and science nights, Family Vacation Nights, school safety days, and much more. SIH staff also conducted training for 62 school food service workers and 54 physical education teachers. ICHC members also worked collaboratively with schools in the SIH coverage area to promote and assist in the implementation of coordinated school health programming by providing training and technical support, and by training staff on the CATCH (Coordinated Approach to Child Health) program and supplying CATCH curriculum and materials. Program partners have implemented components of the CATCH program in over 80 elementary school districts in 15 counties impacting over 20,000 students and their families. School Based Fitness Assessment and Training for Physical Education Teachers - Southern Illinois Healthcare promotes lifelong fitness by supporting quality physical education is southern Illinois schools and assisting children to meet the surgeon general's recommendation for 60 minutes of daily physical activity. Support for this is provided through: - Awarding stipends for physical education teachers to attend training workshops - Hosting annual physical education workshops that highlight national physical education standards - Hosting networking sessions throughout the year for physical education teachers - Completing System for Observing Fitness Instruction Time evaluations in participating schools. Patient Support Initiative - Southern Illinois Hospital Services provides a Patient Support Initiative (PSI) with the goal of providing patients with adequate care and compensating physicians at reasonable rates for patients that do not have resources available to pay their health care bills. SIHS compensates physicians for the care of patients that enter the healthcare system via the emergency departments at SIHS facilities and are assigned to physicians based upon the on-call rotation coverage. PSI is designed for physician/patient contact that occurs in a hospital based setting when there was no previous relationship between the patient and the physician or the physician's practice. PSI pays compensation for professional fees only, relating directly to the episode of care begun in the Emergency Department, not to exceed 30 days. Indigent Care Funding - Southern Illinois Hospital Services provides funding to purchase prescriptions, medical supplies and transportation to patients deemed financially indigent on a case-by case basis.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	In evaluating the collectability of accounts receivable, the Corporation analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for provision for bad debts. For receivables associated with services provided to patients who have third-party insurance coverage, the Corporation analyzes contractually due amounts and provides a provision for bad debts, if necessary. For receivables associated with self-pay patients (which include both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Corporation records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The Corporation regularly performs hindsight procedures to evaluate historical write-off and collection experience throughout the year to assist in determining the reasonableness of its process for estimating the provision for bad debt.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	The cost to charge ratio is calculated utilizing Worksheet 2 included in the Internal Revenue Service's Form 990 Schedule H instructions. This cost to charge ratio is applied to the charges that are written off per the above methodology. To estimate the amount of care that written off as bad debt expense that would have been eligible for charity under our policy the following calculation was prepared: - The number of encounters by county at each of our 3 facilities was obtained from our registration system. The percentage of patients from each county varies by facility due to the location of the facility. - An estimate of the amount of bad debt expense by county at each hospital was calculated by applying the percentages obtained above to the amount of total charges written off at each facility. - The poverty rate of each county was then applied to these allocated charges to estimate the amount of charges that would have been eligible under our charity policy based on poverty level guidelines.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Taken from the Consolidated Audit Report Page 10: Provision for Bad Debt - Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Corporation analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. A patient receivable is considered past due when the amount billed remains unpaid for more than 30 days subject to a third-party payor's agreed upon terms, if applicable. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party insurance coverage, the Corporation analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and co-payments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which include both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Corporation records a provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The Corporation regularly performs hindsight procedures to evaluate historical write-off and collection experience throughout the year to assist in determining the reasonableness of its process for estimating the allowance for doubtful accounts. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Recoveries of receivables previously written off are recorded as a reduction of the provision for bad debts when received
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The expenses from the audited financial statements are adjusted per Medicare regulations. Overheads are allocated based on the step-down method by using Medicare approved statistics. Medicare costs are determined by multiplying the days or charges times the per diem amount or the cost to charge ratio applicable to the department. Home office expenses are allocated to the facilities based on the Home office cost report. Statistics used on the Home office cost report are approved by the Medicare intermediary. One hundred percent of the shortfall of Medicare allowable costs over Medicare revenue is considered to be a community benefit. 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	If SIH determines the individual is eligible for financial assistance, SIH will: -Provide the individual with a billing statement that indicates the amount the individual owes for the care as an individual eligible for financial assistance ("HAP-eligible") (assuming the individual is eligible for assistance other than free care) and how that amount was determined and states, or describes how the individual can get information regarding, the amounts generally billed for the care -Refund to the individual any amount he or she has paid for the care (whether to the hospital facility or any other party to whom the hospital facility has referred or sold the individual's debt for the care) that exceeds the amount he or she is determined to be personally responsible for paying as a HAP-eligible individual, unless such amount is less than $5 (or such other amount published in the Internal Revenue Bulletin). -Take all reasonable available measures to reverse any extraordinary collection actions ("ECAs") (with the exception of a sale of debt) taken against the individual to obtain payment for the care. After determining financial assistance eligibility, SIH takes the following actions at least 30 days before first initiating one or more of the above ECAs to obtain payment for care: - Provide the individual with a written notice that indicates financial assistance is available for eligible individuals, identifies the ECA(s) that SIH (or other authorized party) intends to initiate to obtain payment for the care, and states a deadline after which such ECA(s) may be initiated that is no earlier than 30 days after the date that the written notice is provided. -Provide the individual with a plain language summary of the HAP with the written notice described above. -Make a reasonable effort to orally notify the individual about SIH's HAP and about how the individual may obtain assistance with the HAP application process.
Schedule H, Part V, Section B, Line 16a FAP website	A - MEMORIAL HOSPITAL OF CARBONDALE: Line 16a URL: www.sih.net/patients-visitors/healthcare-assistance-program/;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - MEMORIAL HOSPITAL OF CARBONDALE: Line 16b URL: www.sih.net/patients-visitors/healthcare-assistance-program/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - MEMORIAL HOSPITAL OF CARBONDALE: Line 16c URL: www.sih.net/patients-visitors/healthcare-assistance-program/;
Schedule H, Part VI, Line 2 Needs assessment	A complete copy of the organization's most recently conducted community health needs assessment and implementation strategy can be found at: http://www.sih.net/about/community-benefits/. The community benefits department at SIHS regularly assesses the needs within the community and provides programs in order to meet the needs in surrounding areas through the following activities: - Monitoring the data and meeting with community coalitions and others to learn about various programs and needs in the communities. - Work with Healthy Southern Illinois Delta Network and others such as local health departments and federally qualified health centers to assess needs on an ongoing basis. - Conduct physician "meet and greets" to discuss the needs and issues the physicians and their staff are seeing in their practices.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	SIH takes the following steps to notify patients about the availability of the healthcare assistance policy ("HAP"): -Financial Assistance notices are placed in all departments registering patients. -SIH posts signage in English and Spanish regarding the availability of financial assistance. -SIH's website posts notice of financial assistance through the Healthcare Assistance Program and applications in English, Arabic and Spanish. -Information regarding HAP is available in all Patient Intake offices and in other public locations within the hospital, (upon request without charge). -Registrars inform all patients of the Healthcare Assistance Program, and offers a plain language summary.
Schedule H, Part VI, Line 4 Community information	The primary service area of Southern Illinois Healthcare is a seven-county region in Southern Illinois that includes Perry, Jackson, Franklin, Williamson, Union, Johnson, and Saline counties. The combined population of this area is approximately 245,000. Median household incomes in the area are substantially less than the statewide average. All seven counties have more residents living in poverty than the state average. Eight non-SIH hospitals exist within the 7-county primary market area. The Marion VA Medical Center in Marion (Williamson County) is a 55-bed bed acute care facility owned and operated by the US Department of Veterans Affairs. Heartland Regional Medical Center, also located in Marion, is a 92-bed acute care hospital owned by Community Health Systems (CHS). Harrisburg Medical Center in Harrisburg (Saline County) is licensed for 45 acute care beds plus 31 acute mental illness beds. The remaining facilities are 25-bed Critical Access Hospitals: Ferrell Hospital in Eldorado (Saline County); Franklin Hospital in Benton (Franklin County); Marshall Browning Hospital in Du Quoin (Perry County); Pinckneyville Community Hospital in Pinckneyville (Perry County); and CHS-owned Union County Hospital District in Anna (Union County). Harrisburg Medical Center and Marshall Browning Hospital have affiliation agreements with Southern Illinois Healthcare. Each of the seven 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	Southern Illinois Hospital Services (SIHS) is dedicated to promoting the health and well-being of all of the people in the communities we serve. Our mission is guided by our values: compassion, collaboration, quality, stewardship, integrity, accountability and respect. Over 3,300 employees, along with physicians and volunteers, are working together to achieve our missions and ensure that the health care needs of those we serve are met by treating patients in SIHS facilities, by offering services in rural clinics, by collaborating with some of America's best hospitals and by improving the quality of life in our communities with our charitable community benefits programs. SIHS provides quality health services to people throughout Southern Illinois regardless of race, creed, sex, national origin, handicap, age or ability to pay. SIHS operates 3 community hospitals with a combined total of 279 beds. Each hospital operates a full time emergency room. No one is denied care or treatment within the hospitals or emergency rooms. Medical staff privileges are available to all qualified physicians in the area, consistent with the services provided at each facility. The Board of Trustees of SIHS is comprised of 13 members. These members are comprised of local community leaders, physicians and our CEO. The majority of the Board is comprised of persons who are neither employees nor independent contractors of the organization or family members thereof. SIHS invests excess funds from operations into the expansion and replacement of existing facilities and equipment, repayment of debt and improvement in patient care. Southern Illinois Hospital Services has also extended its services beyond hospital walls and into the neighborhoods where people live and work. Annually operating funds are allocated specifically to bring health-related programs to the areas in which they are most needed. Our goal is to 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 by SIH facilities. Currently, the Community Benefits Department of SIHS collaborates with Southern Illinois schools to address childhood obesity. Included in this initiative are the Coordinated School Health program, CATCH (Coordinated Approach to Child Health) program and School Based Fitness Assessment and Training for Physical Education Teachers. A Health Ministry initiative, aiding the region's faith communities through the training and support of parish nurses, is an ongoing effort of the department. Over 140 parish nurses have been trained and are being supported in the health promotion work of their respective faith communities to date. Over 30,000 contacts were made during the current year. Also the department is active in the creation and facilitation of Healthy Community Coalitions. These groups include health providers, social service agencies, concerned citizens and other community groups interested in improving the health of their respective communities. The groups seek to meet locally identified community health needs and through the implementation of programs that address the demonstrated unmet health needs of the residents of the communities served. These coalitions make a significant impact on the lives of those within the communities served by SIHS. Currently, staff is engaged in numerous community health promotion, education, and prevention initiatives. An increase in access to primary health, behavioral health, and oral health care services has been affected through the SIHS support of existing and developing community-based interventions. Increased numbers of collaborative partnerships that support increased individual and community capacity to achieve a healthy community vision are ongoing. In order to accomplish the organization's mission as well as the overall goals previously outlined, the Community Benefits Department of Southern Illinois Healthcare implements a number of directed initiatives. Following is a description of these initiatives, the specific goals and objectives to be achieved for FY17, and an outline of the means by which department staff will work to plan, implement, and evaluate these programs. The Coordinated School Health program is working to reduce the growth of childhood obesity and improve the overall health and well-being of children and adolescents. The goal is to increase the number of schools involved in the SIH programs and to increase active PE time. The Health Ministry program collaborates with southern Illinois faith communities to improve the health and wellness of people in the communities they serve. Emphasizing wholeness of body, mind and spirit, faith communities with a health ministry offer health promotion and education activities; advocacy and referral; and caring spiritual support. The goal is to raise awareness of the Parish nursing specialty and establish new health ministries. The focus of the SIH Health Communities Program is to improve the community health through timely assessment of needs and facilitating the planning, implementation, and evaluation of community based programs and services. The goal is to increase collaborative capacity of local agencies and to develop a regional chronic disease/diabetes self-management program. SIH provides funding to sponsor activities and events in the community to promote and encourage healthy and active lifestyles. Sponsored efforts help build a sustainable community-linked infrastructure and a health enhancing environment. On an on-going basis, Community Benefit Department staff participates in and facilitates a variety of boards, coalitions, networks, commissions, committees, partnerships and panels. Spending time in the community enable staff to bring back first-hand knowledge of community needs, existing resources, and identify opportunities for clinical and community linkages.
Schedule H, Part VI, Line 6 Affiliated health care system	Southern Illinois Hospital Services (SIHS) is part of a larger system that provides health services to the population of Southern Illinois. SIHS provides care through its three hospitals and one community health center. Southern Illinois Medical Services (SIMS) provides care through physician practices. These practices are comprised of the Center for Medical Arts, Logan Primary Care, Physician Care Group, individual physician practices, hospital physicians and emergency room physicians. SIHS and SIMS work together in providing care and treatment of the medically sick, injured or afflicted. Both provide quality health services to people throughout Southern Illinois regardless of race, creed, sex, national origin, handicap, age or ability to pay.
Schedule H, Part VI, Line 7 State filing of community benefit report	IL

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (15 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
LAND OF LINCOLN LEGAL ASST FOUNDATION
509 SOUTH UNIVERSITY AVE	3RD FLOOR	CARBONDALE	IL	62901	370958448	501(C)(3)	$105,000	$0	N/A	N/A	GENERAL PROGRAM FUNDING
SOUTHERN ILLINOIS UNIVERSITY FOUNDATION
PO BOX 19666		SPRINGFIELD	IL	62794	376024575	501(C)(3)	$21,340	$0	N/A	N/A	GENERAL PROGRAM FUNDING
ILLINOIS POISON CENTER
222 SOUTH RIVERSIDE PLAZA	SUITE 1900	CHICAGO	IL	60606	372167008	501(C)(3)	$26,983	$0	N/A	N/A	GENERAL PROGRAM FUNDING
HERRIN CHAMBER OF COMMERCE
3 SOUTH PARK AVENUE	SUITE A	HERRIN	IL	62948	370618499	501(C)(6)	$11,750	$0	N/A	N/A	GENERAL PROGRAM FUNDING
JACKSON COUNTY HEALTH DEPARTMENT
415 HEALTH DEPARTMENT ROAD		MURPHYSBORO	IL	62956	376001092	GOVERNMENT ENTITY	$15,000	$0	N/A	N/A	GENERAL PROGRAM FUNDING
SOUTHERN SEVEN HEALTH DEPARTMENT
260 LICK CREEK ROAD		ANNA	IL	62906	371069423	GOVERNMENT ENTITY	$15,000	$0	N/A	N/A	GENERAL PROGRAM FUNDING
EGYPTIAN HEALTH DEPARTMENT
1412 US 45 NORTH		EDLORADO	IL	62930	376006931	GOVERNMENT ENTITY	$15,000	$0	N/A	N/A	GENERAL PROGRAM FUNDING
PERRY COUNTY HEALTH DEPARTMENT
PO BOX 49	907 WEST MAIN STREET	PINCKNEYVILLE	IL	62274	376001795	GOVERNMENT ENTITY	$15,000	$0	N/A	N/A	GENERAL PROGRAM FUNDING
FRANKLIN WILLIAMSON COUNTIES HEALTH DEPARTMENT
2312 WEST MAIN STREET		MARION	IL	62959	376021157	GOVERNMENT ENTITY	$6,250	$0	N/A	N.A	GENERAL PROGRAM FUNDING
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUE		DALLAS	TX	75231	135613797	501(C)(3)	$15,000	$0	N/A	N/A	GENERAL PROGRAM FUNDING
JOHN A LOGAN COMMUNITY COLLEGE
700 LOGAN COLLEGE ROAD		CARTERVILLE	IL	62918	370905504	GOVERNMENT ENTITY	$6,675	$0	N/A	N/A	GENERAL PROGRAM FUNDING
FARMERS MARKET OF CARBONDALE
1282 WING HILL ROAD		COBDEN	IL	62920	261352663	501(C0(3)	$18,000	$0	N/A	N/A	GENERAL PROGRAM FUNDING
THE WOMEN'S CENTER
610 SOUTH THOMPSON STREET		CARBONDALE	IL	62901	237417709	501(C)(3)	$10,000	$0	N/A	N/A	GENERAL PROGRAM FUNDING
WOMEN FOR HEALTH & FITNESS
700 LOGAN COLLEGE ROAD		CARTERVILLE	IL	62918	371331447	501(C)(3)	$10,000	$0	N/A	N/A	GENERAL PROGRAM FUNDING
HOSPICE OF SOUTHERN ILLINOIS
204 HALFWAY ROAD		MARION	IL	62959	371107446	501(C)(3)	$14,800	$0	N/A	N/A	GENERAL PROGRAM FUNDING

Field	Value	IRS element (for citing)
Total501c3 Org	14	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	All grants made are unrestricted and can be used in any way the donee organization sees fit to further its exempt purpose	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Rex Budde
President/CEO	$717,168	$0	$0	$0	$293,254	$0	$280,766	$0	$18,881	$0	$1,310,069	$0	$258,335	$0
Terence Farrell
Former VP/Administrator	$3,063	$0	$0	$0	$420,256	$0	$96,505	$0	$7,206	$0	$527,030	$0	$96,809	$0
Mike Kasser
SR VP/CFO/TREASURER	$425,660	$0	$0	$0	$260,749	$0	$124,645	$0	$29,297	$0	$840,351	$0	$228,206	$0
John B Millstead
SR VP/COO	$488,531	$0	$141	$0	$159,767	$0	$166,047	$0	$36,964	$0	$851,450	$0	$128,467	$0
Philip Schaefer
SR VP/ ADMINISTRATOR/CCNDO	$384,386	$0	$0	$0	$168,295	$0	$130,927	$0	$32,151	$0	$715,759	$0	$135,752	$0
Marci L Moore-Connelley MD
SR VP/CMO	$436,905	$0	$0	$0	$68,288	$0	$56,422	$0	$14,068	$0	$575,683	$0	$38,500	$0
William Sherwood
VP/ General Counsel	$295,429	$0	$566	$0	$158,501	$0	$10,925	$0	$37,714	$0	$503,135	$0	$122,665	$0
Julie Firman
VP/CNO (Partial Year)	$249,840	$0	$0	$0	$109,736	$0	$76,918	$0	$19,402	$0	$455,896	$0	$78,436	$0
Jennifer Harre
VP/CNO (Began 2/28/19)	$130,128	$0	$0	$0	$7,095	$0	$4,249	$0	$35,091	$0	$176,563	$0	$0	$0
Pam Henderson
VP/ HR	$250,595	$0	$884	$0	$106,836	$0	$74,484	$0	$7,537	$0	$440,336	$0	$75,581	$0
William Thorne
VP/ Community Benefits	$210,232	$0	$0	$0	$144,035	$0	$58,456	$0	$36,644	$0	$449,367	$0	$113,065	$0
Gerald Mourey
VP/Info Systems	$291,109	$0	$0	$0	$30,220	$0	$36,979	$0	$35,951	$0	$394,259	$0	$0	$0
Rodney Smith
VP/Administrator (Partial Year)	$278,960	$0	$0	$0	$28,795	$0	$25,500	$0	$32,174	$0	$365,429	$0	$0	$0
Daniel Skiles
VP Health	$258,199	$0	$0	$0	$42,264	$0	$31,417	$0	$37,536	$0	$369,416	$0	$0	$0
Shelly Pierce
VP/Quality	$235,397	$0	$0	$0	$64,616	$0	$43,364	$0	$14,664	$0	$358,041	$0	$33,481	$0
Al Taylor
VP/Administrator	$176,659	$0	$0	$0	$42,448	$0	$9,625	$0	$16,293	$0	$245,025	$0	$0	$0
Gery Blackburn
Treasury Manager	$222,160	$0	$0	$0	$1,437	$0	$8,471	$0	$8,024	$0	$240,092	$0	$0	$0
Rebecca Brasel
Registered Nurse Shift Supervisor	$194,371	$0	$0	$0	$12,473	$0	$3,674	$0	$33,259	$0	$243,777	$0	$0	$0
Thomas Hentrich
Pharmacist	$193,083	$0	$0	$0	$13,156	$0	$5,807	$0	$34,987	$0	$247,033	$0	$0	$0
Susan Odle
Hospital Administrator	$203,606	$0	$0	$0	$1,908	$0	$7,749	$0	$3,031	$0	$216,294	$0	$0	$0
Shannon Hartke
PFS Manager	$199,148	$0	$0	$0	$2,039	$0	$7,243	$0	$5,009	$0	$213,439	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

Terence Farrell, VP/Hospital Administrator, received severance payments of $323,447.

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

The organization made the following supplemental nonqualified retirement plan payments/contributions: Rex Budde - $258,335 payment, $269,841 deferred compensation Pam Henderson - $75,581 payment, $64,421 deferred compensation Mike Kasser - $228,206 payment, $113,720 deferred compensation Bart Millstead - $128,467 payment, $155,122 deferred compensation Phil Schaefer - $135,752 payment; $120,002 deferred compensation Bill Sherwood - $122,665 payment, No deferred compensation Julie Firman - $78,435 payment, $68,967 deferred compensation William Thorne - $113,065 payment. $49,781 deferred compensation Terence Farrell - $96,809 payment, $96,505 deferred compensation Shelly Pierce - $33,481 payment, $35,205 deferred compensation Dan Skiles - No payment, $20,996 deferred compensation Marci Moore-Connelley - $38,500 payment, $46,535 deferred compensation Gerald Mourey - No payment, $26,054 deferred compensation Jennifer Harre - No payment, No deferred compensation Rodney Smith - No payment, $25,500 deferred compensation Al Taylor - No payment, $9,625 deferred compensation CERTAIN EXECUTIVES PARTICIPATE IN A SPLIT-DOLLAR LIFE INSURANCE PLAN. PREMIUMS PAID ON BEHALF OF THE EXECUTIVES ARE TREATED AS LOANS. LISTED BELOW ARE THE EXECUTIVES WHO PARTICIPATE IN THE PLAN AND THE OUTSTANDING LOAN BALANCE AS OF 3/31/19: REX BUDDE - $137,753 MIKE KASSER - $76,069 PHILLIP SCHAEFER - $95,122

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 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	2011-10-27	$14,420,000	See Supplemental Information	false	false	false
ILLINOIS FINANCE AUTHORITY
B	861091967	000000000	2014-07-01	$127,215,000	See Supplemental Information	false	false	false
ILLINOIS FINANCE AUTHORITY
C	861091967	45204ESL3	2017-02-16	$36,355,638	See Supplemental Information	false	false	false
ILLINOIS FINANCE AUTHORITY
D	861091967	45204EZB7	2017-09-12	$76,037,298	REFUNDED 2010 BOND ISSUE	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 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	$13,235,000	$0	$14,443,335	$0	$0	$0	$282,518	$0	$0	$0	$14,137,482	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
B	$11,980,000	$0	$127,632,149	$0	$0	$0	$979,638	$0	$0	$75,000,000	$51,235,362	$0	2015	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$35,185,412	$0	$0	$0	$587,619	$0	$0	$23,520,205	$0	$11,052,176	2016	false	false	false	Yes (true)
D	$415,000	$0	$76,037,298	$0	$0	$0	$927,485	$0	$0	$0	$75,109,813	$0	2017	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of GICTermOfGICPct
A	false	false	false	Yes (true)	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)	0.0
C	false	Yes (true)	false	false	false	false	false	false	Yes (true)
D	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) Explanation of bond issue	2014 bond issue - The bond issue contains two bonds issued at the same time. It includes revenue bonds in the amount of $75,580,000 and revenue refunding bonds in the amount of $51,635,000. These bonds were reported on one Form 8038. 2011 bond issue - The bond issue financed capital expenditures and refunded the 2008 variable rate demand revenue bonds which had a deemed reissuance in 2011. 2010 bond issue - The bond issue refunded the 1998 bond issue. 2017 bond issue - Finance capital expenditures
Schedule K, Part V Different Procedures to Undertake Corrective Action	Issuer name: ILLINOIS FINANCE AUTHORITY NO DIFFERENCES FOR REPORTED BOND ISSUES
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 10/27/2016
Schedule K, Part V Different Procedures to Undertake Corrective Action	Issuer name: ILLINOIS FINANCE AUTHORITY NO DIFFERENCE FOR REPORTED BOND ISSUES
Schedule K, Part V Different Procedures to Undertake Corrective Action	Issuer name: ILLINOIS FINANCE AUTHORITY NO DIFFERENCES FOR REPORTED BOND ISSUES
Schedule K, Part V Different Procedures to Undertake Corrective Action	Issuer name: ILLINOIS FINANCE AUTHORITY N/A

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Rex Budde
Officer	Split Dollar Life Insurance treated as a Loan	Yes (X)	$137,803	$137,753	false	Yes (true)	Yes (true)
Mike Kasser
Officer	Split Dollar Life Insurance Treated as a Loan	Yes (X)	$75,955	$76,069	false	Yes (true)	Yes (true)
Phillip Schaefer
Officer	Split Dollar Life Insurance treated as a Loan	Yes (X)	$95,174	$95,122	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$308,944	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LIAM FARRELL
SON OF FORMER VP/ADMINISTRATOR TERENCE FARRELL	$96,454	EMPLOYEE COMPENSATION	false
AMANDA FARRELL
DAUGHTER-IN-LAW OF FORMER VP/ADMINISTRATOR TERENCE FARRELL	$52,159	EMPLOYEE COMPENSATION	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1 ORGANIZATION'S MISSION	(CONTINUED FROM PART III) OVER 3,700 EMPLOYEES, ALONG WITH PHYSICIANS AND VOLUNTEERS, ARE WORKING TOGETHER TO ACHIEVE OUR MISSION AND ENSURE THAT THE HEALTH CARE NEEDS OF THOSE WE SERVE ARE MET. WE MAKE THIS A REALITY BY TREATING PATIENTS IN SIHS FACILITIES, OFFERING SERVICES IN RURAL CLINICS, COLLABORATING WITH SOME OF AMERICA'S BEST HOSPITALS AND IMPROVING OUR COMMUNITIES WITH OUR CHARITABLE COMMUNITY BENEFITS PROGRAMS. OUR SERVICES ARE PROVIDED REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.
Form 990, Part III, Line 4a HOSPITAL SERVICES	(CONTINUED FROM PART III) THE FACILITIES THAT MAKE UP SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) INCLUDE: MEMORIAL HOSPITAL OF CARBONDALE: OPENED IN 1950, MEMORIAL HOSPITAL OF CARBONDALE, A 154 BED TERTIARY CARE HOSPITAL, IS THE FLAGSHIP HOSPITAL FOR SIH AND A REGIONAL REFERRAL CENTER FOR THE 16 COUNTY SOUTHERN ILLINOIS REGION. PHYSICIANS IN OVER 45 DIFFERENT SPECIALTIES PRACTICE HERE, BRINGING EXPERTISE AND NEW PROCEDURES, BUT SUCCESSFULLY TAILORING THEM TO THE PARTICULAR NEEDS OF A RURAL SETTING. IT IS THE CORE HOSPITAL FOR SIH'S COMPREHENSIVE, REGIONAL HEART PROGRAM, PRAIRIE HEART INSTITUTE. OUR NEUROSCIENCE PROGRAM INCLUDES NEUROSURGERY AND THE REGION'S ONLY PRIMARY STROKE CENTER. THE HOSPITAL IS ALSO HOME TO A COMMISSION ON CANCER ACCREDITED COMPREHENSIVE CANCER TREATMENT CENTER. THE HOSPITAL HAS THE REGION'S LARGEST BIRTHING CENTER WITH LEVEL II PLUS SPECIAL CARE NURSERY, AND THE ONLY PEDIATRIC UNIT IN THE IMMEDIATE SOUTHERN ILLINOIS AREA. THE HOSPITAL IS AFFILIATED WITH SOUTHERN ILLINOIS UNIVERSITY'S SCHOOL OF MEDICINE THROUGH ITS FAMILY PRACTICE RESIDENCY PROGRAM. HERRIN HOSPITAL: OPENED IN 1913, HERRIN HOSPITAL WAS THE FIRST HOSPITAL OWNED AND OPERATED BY THE ORGANIZATION. HERRIN HOSPITAL CURRENTLY OPERATES 85 LICENSED BEDS. IT IS ALSO HOME TO THE 29 BED ACUTE REHABILITATION CENTER THROUGH AN ALLIANCE WITH THE SHIRLEY RYAN ABILITY LAB, RECOGNIZED AS THE TOP REHABILITATION HOSPITAL IN AMERICA. THE HOSPITAL HOUSES THE AREA'S ONLY BARIATRIC SURGICAL PROGRAM FOR WEIGHT LOSS. IN ADDITION, THE REGION'S FIRST ACCREDITED CHEST PAIN CENTER IS LOCATED AT THIS HOSPITAL. ST. JOSEPH MEMORIAL HOSPITAL: ST JOSEPH MEMORIAL HOSPITAL IS LOCATED IN MURPHYSBORO, ILLINOIS AND IS A FULL-SERVICE, CRITICAL ACCESS HOSPITAL WITH 25 LICENSED BEDS. ST. JOSEPH OPENED ON OCTOBER 1, 1960 AND WAS ACQUIRED BY SOUTHERN ILLINOIS HOSPITAL SERVICES ON JANUARY 5, 1995 FROM THE SISTERS OF THE ASC HEALTH SYSTEM. ST JOSEPH'S CATHOLIC IDENTITY HAS BEEN RETAINED BY SIHS SINCE THE PURCHASE AND THE STAFF TAKES PRIDE IN THE HOSPITAL'S SPIRITUAL ROOTS. ST. JOSEPH HAS EVOLVED OVER TIME TO BECOME A REGIONAL PROVIDER OF SPECIALIZED OUTPATIENT SERVICES. THESE SPECIALIZED SERVICES INCLUDE A SLEEP DISORDERS CENTER ACCREDITED BY THE AMERICAN ACADEMY OF SLEEP MEDICINE, A COMPREHENSIVE WOUND CARE CENTER WITH HYPERBARIC THERAPY, A COORDINATED INFUSION THERAPY PROGRAM, AND AN OUTPATIENT GERIATRIC COUNSELING PROGRAM. MINERS MEMORIAL HEALTH CENTER: WEST FRANKFORT, ILLINOIS IS HOME TO MINERS MEMORIAL HEALTH CENTER. THE HEALTH CENTER HOUSES A PHYSICIAN SPECIALTY CLINIC THAT OFFERS VISITING SPECIALISTS INCLUDING UROLOGY, PODIATRY AND CARDIOLOGY. IT IS ALSO HOME TO WEST FRANKFORT FAMILY MEDICINE, WITH FAMILY MEDICINE AND OBSTETRIC PHYSICIANS FROM SIU SCHOOL OF MEDICINE, AND OFFERS MAMMOGRAPHY, X-RAY, ULTRASOUND, BONE DENSITOMETRY, AND LABORATORY SERVICES. SERVICES PROVIDED: DURING THIS REPORTING PERIOD, OUR HOSPITALS RECORDED 70,316 ADULT AND CHILD PATIENT DAYS AND 2,909 NEWBORN PATIENT DAYS. OUTPATIENT REGISTRATIONS TOTALED 381,548 WITH 71,536 OF THESE REGISTRATIONS BEING EMERGENCY ROOM VISITS. APPROXIMATELY 65.7% OF THESE DAYS AND REGISTRATIONS PROVIDED CARE THAT WAS CLASSIFIED AS EITHER UNCOMPENSATED CHARITY CARE OR UNCOMPENSATED GOVERNMENT HEALTH CARE. AN ADDITIONAL 1.31% OF THE CARE PROVIDED IN THESE DAYS AND REGISTRATIONS WERE WRITTEN OFF AS BAD DEBT. ROUTINE INPATIENT CARE AND OUTPATIENT PROCEDURES ARE PROVIDED AT ALL THREE OF OUR FACILITIES. EACH FACILITY ALSO HAS ITS OWN UNIQUE PROGRAMS AND PATIENT CARE UNITS. OUR TWO LARGER FACILITIES, CARBONDALE MEMORIAL HOSPITAL AND HERRIN HOSPITAL BOTH HOUSE INTENSIVE CARE UNITS. THESE TWO LARGER FACILITIES EACH HAVE SPECIALTY UNITS WITHIN THEIR RESPECTIVE FACILITIES. CARBONDALE MEMORIAL HOSPITAL PROVIDES OBSTETRICAL, PEDIATRICS, AND A NEONATAL NURSERY. HERRIN HOSPITAL PROVIDES THE ACUTE REHABILITATION CENTER. SURGICAL SERVICES ARE OFFERED AT ALL FACILITIES, WITH CARBONDALE MEMORIAL HOSPITAL PROVIDING OPEN-HEART AND CARDIAC SERVICES. ST. JOSEPH MEMORIAL HOSPITAL ALSO OPERATES SWING BEDS. ST. JOSEPH ALSO OFFERS UNIQUE OUTPATIENT SERVICES TO THE AREA. THE SLEEP DISORDERS CENTER OFFERS TWO LOCATIONS AND THE SENIOR RENEWAL PROGRAM OFFERS OUTPATIENT BEHAVIORAL HEALTH TREATMENT. SIHS HAS ALSO PROVIDED SUBSIDIZED HEALTH CARE SERVICES. SUBSIDIZED HEALTH SERVICES INCLUDE, BUT ARE NOT LIMITED TO PHYSICIAN REFERRAL CENTERS, FAMILY PRACTICE CENTERS, SENIOR MEMBERSHIP, ETC. THESE HEALTH CARE SERVICES ARE PROVIDED IN RESPONSE TO COMMUNITY NEEDS. THESE HEALTH SERVICES MUST BE SUBSIDIZED FROM OTHER REVENUE SOURCES IN ORDER TO BE PROVIDED. SIHS PROVIDES MEDICAL EDUCATION THROUGH AN AFFILIATION WITH THE SOUTHERN ILLINOIS UNIVERSITY'S MEDICAL SCHOOL FAMILY PRACTICE RESIDENCY PROGRAM.
Form 990, Part III, Line 4b COMMUNITY BENEFITS	(CONTINUED FROM PART III) THE OVERARCHING GOAL OF SOUTHERN ILLINOIS HEALTHCARE'S COMMUNITY BENEFITS DEPARTMENT 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 BY SIH FACILITIES. SOUTHERN ILLINOIS HEALTHCARE'S OVERALL APPROACH TO COMMUNITY BENEFITS 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 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. STRATEGIC EFFORTS ARE INCREASING THE INTEGRATION OF COMMUNITY BASED SERVICES WITH CLINICAL SERVICES TO HELP STRENGTHEN THE CONTINUUM OF CARE AND SUPPORT AN EFFICIENT AND EFFECTIVE HEALTH CARE DELIVERY SYSTEM. IN ORDER TO ACCOMPLISH THE ORGANIZATION'S MISSION, THE COMMUNITY BENEFITS DEPARTMENT OF SIHS IMPLEMENTS A NUMBER OF DIRECTED INITIATIVES. PROGRAMS DURING THE REPORTING YEAR INCLUDE: HEALTH MINISTRY - THE HEALTH MINISTRY PROGRAM COLLABORATES WITH SOUTHERN ILLINOIS FAITH COMMUNITIES TO IMPROVE THE HEALTH AND WELLNESS OF PEOPLE IN THE COMMUNITIES THEY SERVE. EMPHASIZING WHOLENESS OF BODY, MIND AND SPIRIT, FAITH COMMUNITIES WITH A HEALTH MINISTRY OFFER HEALTH PROMOTION AND EDUCATION ACTIVITIES; ADVOCACY AND REFERRAL; AND CARING SPIRITUAL SUPPORT. HEALTH MINISTRY INCLUDES OVER 80 CHURCHES AND 2 FAITH BASED COMMUNITIES IN 9 COUNTIES. REGULARLY SCHEDULED ACTIVITIES INCLUDE HEALTH EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS AND EXERCISE PROGRAMS. OVER 150 REGISTERED NURSES HAVE COMPLETED THE PARISH NURSE BASIC PREP COURSE. IN FY19, 15 INDIVIDUALS WERE TRAINED AS CONGREGATION HEALTH CONNECTORS AND 14 WERE TRAINED AS FAITH COMMUNITY NURSES. IN FY19 OVER 55,000 CONTACTS WERE MADE BY FAITH COMMUNITY/PARISH NURSES, CONGREGATIONAL HEALTH CONNECTORS, AND SPIRITUAL HOMEBOUND VISITOR VOLUNTEERS. THESE CONTACTS WERE MADE IN THE FORM OF HOME VISITS, CHURCH, HOSPITAL, NURSING HOME VISITS AND TELEPHONE CALLS, AS WELL AS EDUCATIONAL AND SCREENING EVENTS AND EDUCATIONAL MATERIALS DISTRIBUTION. SERVICES AND RESOURCES PROVIDED INCLUDED TRANSPORTATION, MEALS, GERIATRIC AND CAREGIVER SUPPORT, REFERRAL TO HEALTHCARE PROVIDERS AND COMMUNITY BASED AGENCIES AND OTHER SERVICES. ANNUALLY, IN COLLABORATION WITH HOSPICE OF SOUTHERN ILLINOIS AND JOHN A LOGAN COLLEGE THE "LIVING WITH GRIEF" SERIES IN SPONSORED AND ATTENDED BY OVER 50 PROFESSIONALS. SIH CONTINUED COLLABORATIVE EFFORTS TO IMPACT EMERGENCY PREPAREDNESS BY PROVIDING MINI GRANTS FOR AEDS AND NEEDED SUPPLIES TO 8 FAITH BASED COMMUNITIES AND FAITH BASED ORGANIZATIONS. HEALTHY COMMUNITIES - THIS INITIATIVE IS DIRECTED AT IMPROVING COMMUNITY HEALTH THROUGH TIMELY ASSESSMENT OF NEEDS AND FACILITATING THE PLANNING, IMPLEMENTATION, AND EVALUATION OF COMMUNITY BASED PROGRAMS AND SERVICES. THE FOCUS OF THE WORK OF HEALTHY COMMUNITIES IS TO INCREASE THE CAPACITY OF LOCAL AGENCIES TO WORK COLLABORATIVELY TO ADDRESS HEALTH NEEDS AND IMPROVE ACCESS TO HEALTH CARE SERVICES, DEVELOP HIGH IMPACT SCREENING OPPORTUNITIES TO PROMOTE EARLY DETECTION OF DISEASE (SPECIFICALLY DIABETES AND HYPERTENSION) AND A REGIONAL DISEASE/DIABETES SELF-MANAGEMENT PROGRAM. HEALTHY C0MMUNITY COALITIONS -- THE COALITIONS ARE COMPRISED OF HEALTH PROVIDERS, SOCIAL SERVICE AGENCIES, CONCERNED CITIZENS, AND OTHER COMMUNITY GROUPS INTERESTED IN IMPROVING THE HEALTH OF THEIR RESPECTIVE COMMUNITIES. SIHS IS ACTIVE IN TWO SUCH COALITIONS, REPRESENTING FOUR COUNTIES - JACKSON, PERRY, FRANKLIN AND WILLIAMSON COUNTIES. EMERGENCY ORAL HEALTH CARE - COLLABORATION WITH LOCAL DENTAL PROVIDERS TO PROVIDE PREVENTIVE ORAL HEALTH CARE FOR MEDICAID PATIENTS; HOPEFULLY REPLACING EMERGENCY ROOM VISITS FOR TOOTH RELATED COMPLAINTS. MEDICAL LEGAL PARTNERSHIP SI -- AN INNOVATIVE PROGRAM THAT PROVIDES LEGAL ASSISTANCE TO LOW-INCOME AND UNDER INSURED ADULTS SEEKING MEDICAL CARE. THE ONGOING MEDICAL-LEGAL COLLABORATION BETWEEN LAND OF LINCOLN LEGAL SERVICES AND SIH IS ADDRESSING MANY OF THE SOCIAL ISSUES FACED BY PATIENTS CONTRIBUTING TO THEIR HEALTH CARE NEEDS. LEGAL ASSISTANCE IN PROVIDED IN THE AREAS OF PUBLIC BENEFITS, DISABILITY, FAMILY, HOUSING AND CONSUMER ISSUES. DIABETES SELF MANAGEMENT PROGRAM - PROVIDED GRANTS TO LOCAL HEALTH DEPARTMENTS FOR ESTABLISHMENT OF DIABETES RESOURCE TEAMS ILLINOIS POISON CENTER - PROVIDED FUNDING TO THIS NON-PROFIT HEALTH SERVICES THAT PROVIDES FREE INFORMATION AND TREATMENT ADVICE OPIOID USE DISORDER -HELD AND CO-SPONSORED NUMEROUS REGIONAL SUMMITS, MEETINGS AND CONFERENCES THAT ADDRESSED THIS ISSUE OF SUBSTANCE ABUSE MENTAL HEALTH INITIATIVES - WORKING WITH COMMUNITY PARTNERS TO PROVIDE THE APPROPRIATE LEVEL OF CARE THROUGH COMMUNITY SUPPORT SERVICES TO ADDRESS PATIENT'S MENTAL HEALTH NEEDS.
Form 990, Part III, Line 4c SCHOOL BASED HEALTH SERVICES	(CONTINUED FROM PART III) SOUTHERN ILLINOIS HEALTHCARE COORDINATED SCHOOL HEALTH PROGRAM IS WORKING TO REDUCE THE GROWTH OF CHILDHOOD OBESITY AND IMPROVE THE OVERALL HEALTH AND WELL-BEING OF CHILDREN AND ADOLESCENTS. THE FOLLOWING IS A SUMMARY OF THE SCHOOL HEALTH PROGRAMS DURING THIS REPORTING YEAR: THE ILLINOIS CATCH ON TO HEALTH CONSORTIUM IS A COLLABORATIVE INITIATIVE BETWEEN THE SIU SCHOOL OF MEDICINE CENTER FOR RURAL HEALTH AND SOCIAL SERVICES DEVELOPMENT, SOUTHERN ILLINOIS HEALTHCARE, LOCAL HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATION IN SOUTHERN ILLINOIS. DURING FY19, SIH STAFF WORKED WITH 35 SCHOOLS, IMPACTING OVER 9,930 CHILDREN, IN THE 5 COUNTY SERVICE AREA. SIH ALSO IMPACTED OVER 7,623 STUDENTS/FAMILIES THROUGH VARIOUS ACTIVITIES. THIS CONSORTIUM ALSO WORKED WITH SCHOOLS TO PROMOTE AND ASSIST IN THE IMPLEMENTATION OF COORDINATED SCHOOL HEALTH PROGRAMMING BY PROVIDING TRAINING AND TECHNICAL SUPPORT. CATCH (COORDINATED APPROACH TO CHILD HEALTH) -- CATCH IS A PROGRAM DESIGNED TO PROMOTE PHYSICAL ACTIVITY, HEALTHY FOOD CHOICES, AND PREVENT TOBACCO USE IN ELEMENTARY SCHOOL AGED CHILDREN. CATCH EMPLOYS A COORDINATED APPROACH TO CHILD HEALTH PROMOTION BY TARGETING MULTIPLE ASPECTS OF THE SCHOOL ENVIRONMENT AND INVOLVING CLASSROOM TEACHERS, SCHOOL FOOD SERVICE STAFF, PHYSICAL EDUCATION (PE) TEACHERS, STUDENTS' FAMILIES, AND THE BROADER SCHOOL COMMUNITY IN A RANGE OF HEALTH PROMOTING ACTIVITIES FOR ALL CHILDREN IN GRADES PREK-8, SIMILAR TO THE CDC'S COORDINATED SCHOOL HEALTH PROGRAM MODEL. THE FOUR CORE COMPONENTS OF CATCH INCLUDE: (1) THE EAT SMART SCHOOL NUTRITION PROGRAM, (2) A CLASSROOM PHYSICAL ACTIVITY AND HEALTHY EATING CURRICULA, (3) THE CATCH PHYSICAL EDUCATION PROGRAM, AND (4) A FAMILY EDUCATION AND INVOLVEMENT PROGRAM. THE COORDINATION OF HEALTH MESSAGES AND ACTIVITIES BETWEEN THESE FOUR COMPONENT AREAS IS CRITICAL TO POSITIVELY IMPACTING CHILDREN'S KNOWLEDGE, SKILLS, AND BEHAVIOR. SIH AND PROGRAM PARTNERS ARE IMPLEMENTING COMPONENTS OF THE CATCH PROGRAM IN OVER 80 ELEMENTARY SCHOOL DISTRICTS IN THE 16 COUNTIES IN THE SOUTHERN ILLINOIS REGION. THIS PROGRAM IMPACTS OVER 20,000 STUDENTS AND THEIR FAMILIES. SIH STAFF CONDUCTED TRAINING FOR 62 SCHOOL FOOD SERVICE WORKERS DURING THE YEAR. ANOTHER INITIATIVE IS PROMOTING LIFELONG FITNESS BY SUPPORTING QUALITY PHYSICAL EDUCATION IN SOUTHERN ILLINOIS SCHOOLS AND ASSISTING CHILDREN TO MEET THE SURGEON GENERAL'S RECOMMENDATION FOR 60 MINUTES OF DAILY PHYSICAL ACTIVITY. THIS NEED IS BASED UPON CURRENT LOCATOC RESEARCH AND NATIONAL PHYSICIAN EDUCATION STANDARDS. PROGRAM COMPONENTS ASSIST SCHOOLS IN DEVELOPING A QUALITY PHYSICAL EDUCATION PROGRAM THAT HELPS STUDENTS SET AND WORK TOWARD GOALS, PRACTICE SELF-ASSESSMENT AND LEARN THE BENEFITS OF LIFELONG PHYSICAL ACTIVITY. SIH STAFF CONDUCTED TRAINING FOR 54 PE TEACHERS THIS YEAR. OTHER SIH INITIATIVES TO SUPPORT THE HEALTH CARE NEEDS OF OUR COMMUNITIES INCLUDE: THE FUNDING OF THE PATIENT CARE INITIATIVE - PROVIDES FUNDING TO OTHER HEALTH CARE PROVIDERS TO SUPPLEMENT IN THE CARE OF INDIGENT PATIENTS. THE FUNDING OF THE INDIGENT FUND - PROVIDES MONETARY SUPPORT TO INDIGENT PATIENTS FOR TRAVEL, PRESCRIPTIONS AND OTHER EXPENSES.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	GOVERNANCE COMMITTEE The Board has a Governance Committee consisting of 5 Trustees. The purpose of the Governance Committee is to assure the Board of Trustees that the respective programs are functional to fulfill the responsibilities of the Board of Trustees: * Develop and maintain effective compensation and benefit policies and practices; review and recommend in advance all executive compensation arrangements; provide for the evaluation of the performance of the CEO and other System Officers; review and recommend annual performance objectives for System Officers; provide for conduct of a periodic self-evaluation of the Board of Trustees. * Assure that the programs which address new Board member orientation, continuing education, mentoring, and facilitate understanding of current trends in healthcare and medical terminology, are functional. * Identify competent, highly qualified individuals to serve as members of the Board of Trustees; recommend individuals to serve in leadership positions on the Board; and facilitate and interview potential Board members. * Act for the Board of Trustees in all matters as specifically authorized by resolution of the Board or when the Board of Trustees is not in session.
Form 990, Part VI, Line 6 Classes of members or stockholders	The organization's sole member is Southern Illinois Hospital Enterprises, Inc., a related tax-exempt organization. The member has the right to elect members to the board of trustees and approve some decisions of the board.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	The organization's sole member, Southern Illinois Healthcare Enterprises, has the exclusive right to elect Trustees to the organization's Board of Trustees
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	The organization's sole member, Southern Illinois Healthcare Enterprises (Corporate Member), has reserved powers found in the Organizations bylaws. Except for transfers identified in the budget of the Organization approved by the Corporate Member, the Organization may not transfer assets to entities other than the Corporate Member or entities that the Corporate Member controls (the "Corporate Member Affiliates"), without the approval of the Corporate Member. The Corporate Member has the right to require the Organization to transfer assets to the extent necessary to accomplish the Corporate Member's goals and objectives. The Corporate Member also has the right to require the organization to provide for the payment of all indebtedness of the Corporate Member or a Corporate Member Affiliate. The Organization cannot be required to violate its charitable purposes, the terms of any restricted gifts, or the covenants of its debt instruments in complying with any asset transfers directed by the Corporate Member. In addition, the following matters must be submitted to and receive the approval of the Corporate Member: 1. Capital expenditures in excess of $500,000; 2. The buying, selling, leasing, mortgaging or disposing of real property belonging to the Corporation or any of its subsidiaries; 3. The establishment or discontinuance of any major services; including services requiring Certificates of Need; 4. Long-Range Strategic Plans; 5. Master Facilities and Site Plans; 6. The creation or dissolution of any corporation, the sole member or majority stockholder of which is the Corporation; 7. Joint venture or affiliation agreements; 8. The incurrence of indebtedness in excess of $500,000; 9. Such other matters as may be required by law or by the Organization's Articles of Incorporation, or by its bylaws to be submitted to the Corporate Member; 10. Delegation of the functions, powers, duties and responsibilities of any officer of the Corporation, and; 11. Any other matter which may be specified from time to time by the Corporate Member. In addition, The Corporate Member retains the right to approve all changes to the organization's bylaws.
Form 990, Part VI, 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	The Board of Trustees sets the executive compensation policy and is responsible for approval of the compensation. The Governance Committee is designated by the Board to act as the Compensation Committee for matters concerning executive compensation. Each member of the Committee, while considering executive compensation issues, must be an independent director, free from any conflict of interest. The Committee seeks out and contracts the services of an outside, independent executive compensation consultant to advise the Committee in matters of market values of comparable executive positions. The Committee annually reviews all comparability data and prepares a recommendation as to the compensation package of the President/CEO for the full Board. Only the full Board has the authority to approve the compensation of the President/CEO. The decisions and deliberations are documented in the governance committee minutes. This process was last undertaken in June 2018.
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 2018.
Form 990, Part VI, Line 19 Required documents available to the public	The organization makes its conflict of interest policy available to the public on its website and upon request. Governing documents and financial statements are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104; these documents are not available to the public at this time.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	PHO INCENTIVE - Total Revenue: 745860, Related or Exempt Function Revenue: 745860, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; PURCHASE DISCOUNTS - Total Revenue: 101850, Related or Exempt Function Revenue: 101850, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; MEANINGFUL USE - Total Revenue: 40386, Related or Exempt Function Revenue: 40386, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; DEPARTMENT REVENUE - Total Revenue: 147454, Related or Exempt Function Revenue: 147454, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; OTHER REVENUE - Total Revenue: 28105, Related or Exempt Function Revenue: 28105, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part IX, Line 11g Other Fees	Consulting Fees - Total Expense: 12488871, Program Service Expense: 9227439, Management and General Expenses: 3261432, Fundraising Expenses: 0; 5366 - Total Expense: 1089941, Program Service Expense: 53667, Management and General Expenses: 1036274, Fundraising Expenses: 0; Clinical Service Fees - Total Expense: 5119306, Program Service Expense: 5119306, Management and General Expenses: 0, Fundraising Expenses: 0; Engineering Fees - Total Expense: 169433, Program Service Expense: 153974, Management and General Expenses: 15459, Fundraising Expenses: 0; Architect Fees - Total Expense: 15591, Program Service Expense: 7458, Management and General Expenses: 8133, Fundraising Expenses: 0; Recruitment Fees - Total Expense: 314907, Program Service Expense: 4259, Management and General Expenses: 310648, Fundraising Expenses: 0; Other Professional Fees - Total Expense: 7237866, Program Service Expense: 4697789, Management and General Expenses: 2540077, Fundraising Expenses: 0; Agency Staffing - Total Expense: 3966237, Program Service Expense: 3871888, Management and General Expenses: 94349, Fundraising Expenses: 0; Physician Services - Total Expense: 39095352, Program Service Expense: 38920026, Management and General Expenses: 175326, Fundraising Expenses: 0; Purchased Services - Total Expense: 11416527, Program Service Expense: 5486074, Management and General Expenses: 5930453, Fundraising Expenses: 0;
Form 990, Part X, Line 20 Tax Exempt Bond Liabilities	The Series 2017A Non-Taxable bond is split between Southern Illinois Hospital Services and Southern Illinois Medical Services, a related tax exempt entity. The amount listed on line 25 represents the piece of the bond that Southern Illinois Hospital Services holds.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	EQUITY TRANSFERS - -1921950; 337479 - -337479; GAIN/LOSS ON DERIVATIVE - 448604;
Form 990, Part XII, Line 3a REQUIREMENTS UNDER SINGLE AUDIT ACT AND OMB CIRCULAR A-133	AS REQUIRED BY THE U.S. OFFICE OF MANAGEMENT AND BUDGET CIRCULAR A-133, AUDITS OF STATES, LOCAL GOVERNMENTS, AND NON-PROFIT ORGANIZATIONS, IN 2019 SOUTHERN ILLINOIS HEALTHCARE SERVICES AND AFFILIATES RECEIVED AN AUDIT FOR THE 2019 CONSOLIDATED FINANCIAL STATEMENTS IN ACCORDANCE WITH THE SINGLE AUDIT ACT.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	QUALITY HEALTH PARTNERS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1239 E MAIN ST	AddressLine1Txt
City	CARBONDALE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62901	ZIPCd

Field	Value	IRS element (for citing)
EIN	454435852	EIN
Primary Activities	ADMINISTRATIVE SERVICES	PrimaryActivitiesTxt
Legal Domicile State	IL	LegalDomicileStateCd
Total Income	$1,718,817	TotalIncomeAmt
End Of Year Assets	$854,277	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHERN ILLINOIS HOSPITAL SERVICES	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 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
SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES INC
PO BOX 3988	CARBONDALE	IL	62902	371136788	LEASING OF MEDICAL SPACE	IL	501(c)(3)	Type II	NA	false
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
1239 EAST MAIN STREET	CARBONDALE	IL	62901	205521741	MEDICAL SERVICES	IL	501(c)(3)	3	SOUTHERN ILLINOIS HOSPITAL SERVICES	Yes (true)
SIH FOUNDATION NFP
1239 EAST MAIN STREET	CARBONDALE	IL	62901	271933790	FUNDRAISING	IL	501(c)(3)	Type I	SOUTHERN ILLINOIS HOSPITAL SERVICES	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
RIC AND SIHS REHABILITATION SERVICES LLC
PO BOX 3988	CARBONDALE	IL	62902	364566925	MEDICAL SERVICES	IL	SIHS	Related	-$571,383	$999	false	false	0.999
PHYSICIANS' SURGERY CENTER LLC
2601 WEST MAIN STREET	CARBONDALE	IL	62901	260425547	MEDICAL SERVICES	IL	SIHS	Related	$86,917	$1,015,722	false	false	0.6358	$0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
SIH CAYMAN SPC GROUP LTD
PO BOX 1051	Cayman Islands	CAYMAN ISLANDS	CJ	KY11102	980611605	FINANCING	CJ	SIHS	C Corporation	$5,696,131	$42,719,700	1	Yes (true)
HEALTH SERVICES OF SOUTHERN ILLINOIS INC
					371115061	FITNESS CENTER		NA	C Corporation			0	false	PO BOX 3988	CARBONDALE	IL	62902	IL
HIDK PROPERTIES LAND TRUST
					466693066	RENTAL PROPERTIES		SIHS	Trust	$0	$0	1	Yes (true)	1239 EAST MAIN STREET	CARBONDALE	IL	62901	IL

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

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTHERN ILLINOIS MEDICAL SERVICES
A	$1,097,747	FMV
SOUTHERN ILLINOIS MEDICAL SERVICES
R	$1,921,950	FMV
SOUTHERN ILLINOIS MEDICAL SERVICES
J	$1,277,016	FMV
SIH FOUNDATION
C	$656,962	FMV