SOUTHERN ILLINOIS HOSPITAL SERVICES: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: SOUTHERN ILLINOIS HOSPITAL SERVICES (EIN 37-0618939)
Tax period: 2010-04-01 to 2011-03-31
Filed: 2011-11-15
IRS object ID: 201143199349301024
Schema version: 2010v3.2
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-15T08:00:07-06:00	Timestamp
Tax Period End Date	2011-03-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	9600 Brownsboro Road	AddressLine1
Address Line2	Suite 400	AddressLine2
City	Louisville	City
State	KY	State
ZIP Code	402411122	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-04-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	370618939	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	SOUT	NameControl
Phone	6184575200	Phone

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	MIKE KASSER	Name
Title	CFO	Title
Date Signed	2011-11-11	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	5023263996	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	715383868	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SIH.NET	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1946	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	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."	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	3075	TotalNbrEmployees
Total Nbr Volunteers	624	TotalNbrVolunteers
Total Gross UBI	540749	TotalGrossUBI
Net Unrelated Business Txbl Income	-301779	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	695222	ContributionsGrantsPriorYear
Contributions Grants Current Year	1337683	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	354220997	ProgramServiceRevenuePriorYear
Program Service Revenue CY	360779581	ProgramServiceRevenueCY
Investment Income Prior Year	8002780	InvestmentIncomePriorYear
Investment Income Current Year	23185750	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2732513	OtherRevenuePriorYear
Other Revenue Current Year	2432597	OtherRevenueCurrentYear
Total Revenue Prior Year	365651512	TotalRevenuePriorYear
Total Revenue Current Year	387735611	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	120214	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	310528	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	143001610	SalariesEtcPriorYear
Salaries Etc Current Year	153920954	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	179690	TotalFundrsngExpCurrentYear
Other Expense Prior Year	180940927	OtherExpensePriorYear
Other Expenses Current Year	188886921	OtherExpensesCurrentYear
Total Expenses Prior Year	324062751	TotalExpensesPriorYear
Total Expenses Current Year	343118403	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	41588761	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	44617208	RevenuesLessExpensesCY
Total Assets BOY	494130186	TotalAssetsBOY
Total Assets EOY	553602831	TotalAssetsEOY
Total Liabilities BOY	187854441	TotalLiabilitiesBOY
Total Liabilities EOY	194999641	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	306275745	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	358603190	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) IS DEDICATED TO PROMOTING THE HEALTH AND WELL BEING OF ALL OF THE PEOPLE IN THE COMMUNITIES WE SERRVE. OUR MISSION IS GUIDED BY OUR VALUES: COMPASSION, COLLABORATION, QUALITY, STEWARDSHIP, INTEGRITY, ACCOUNTABILITY AND RESPECT. (CONTINUED IN SCHEDULE O)	MissionDescription
Significant Change	false	SignificantChange
Expense	293716434	Expense
Grants	0	Grants
Revenue	361498916	Revenue
Description	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 240,000. THE RESIDENTS OF THESE COUNTIES' MEDIAN HOUSEHOLD INCOMES ARE BELOW THE STATE AVERAGE, PLUS THE POVERTY RATE IS HIGHER THAN THE STATE AVERAGE. (CONTINUED IN SCHEDULE O)	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	1142821	Expense
Grants	310528	Grants
Revenue	0	Revenue
Description	SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) HAS EXTENDED ITS SERVICES BEYOND HOSPITAL WALLS AND INTO THE NEIGHBORHOODS WHERE PEOPLE LIVE AND WORK. THE COMMUNITY BENEFITS DEPARTMENT OF SIHS WAS INSTITUTED IN 1994 WITH AN OPERATING BUDGET SPECIFICALLY ALLOCATED TO BRING HEALTH-RELATED PROGRAMS TO THE AREAS IN WHICH THEY WERE MOST NEEDED. COMMUNITY BENEFITS HAS UNDERTAKEN A WIDE VARIETY OF SUCCESSFUL PROGRAMS SINCE ITS INCEPTION. (CONTINUED IN SCHEDULE O)	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	184476	Expense
Grants	0	Grants
Revenue	0	Revenue
Description	SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) PROVIDES PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE CHILDREN AND ADOLESCENTS ATTENDING SOUTHERN ILLINOIS SCHOOLS. (CONTINUED IN SCHEDULE O)	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	295043731	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	342	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3075	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	6184575200	TelephoneNumber

Address US AddressUS

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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Highest Compensated EmployeeHighestCompensatedEmployee
JULIE FIRMAN
VP/CNO	40	X	184373	0	71394
REX BUDDE
PRESIDENT/CEO	35	X	409888	0	208901	X
MIKE KASSER
VP/CFO	31	X	278862	0	112060
WILLIAM SHERWOOD
VP/GENERAL COUNSEL	33	X	253081	0	157395
PHILIP SCHAEFER
VP/AMBULATORY SERVICES	10	X	260629	0	128583
PAM HENDERSON
VP/HR	36	X	194524	0	71770
DAVID HOLLAND
VP/INFO SYSTEMS	32	X	211423	0	94123
JOHN B MILLSTEAD
VP/ADMINISTRATOR	40	X	278678	0	145072
BECKY ASHTON
VP/ADMINISTRATOR	40	X	251394	0	92080
SCOTT SEABORN
VP/ADMINISTRATOR	40	X	218190	0	105951
GEORGE O'NEILL
CHAIR	2	X	500	0	0	X
JEFFREY PARKS
VICE CHAIR	2	X	835	0	0	X
PHIL NORDSTROM
SECRETARY	2	X	800	0	0	X
HAROLD BARDO
TRUSTEE	2		350	0	0	X
EUGENE BASANTA
TRUSTEE	2		400	0	0	X
RUSSELL BROWN DO
TRUSTEE	2		500	0	0	X
KATHLEEN FRALISH
TRUSTEE	2		0	0	0	X
MORTON LEVINE
TRUSTEE	2		0	0	0	X
MARSHA RYAN MD
TRUSTEE	2		14421	0	0	X
STEVE SABENS
TRUSTEE	2		400	0	0	X
ANAD SALEM MD
TRUSTEE	2		2423	33623	0	X
MARLENE SIMPSON
TRUSTEE	2		600	0	0	X
JAMES MILLER MD
CMO	30	X	432110	0	42140
CATHERINE PORTER
CRNA	40		190953	0	25261		X
RICHARD BOREN
CRNA	40		180413	0	43428		X
BRIAN LANCE
PHARMACIST	40		168215	0	30765		X
WILLIAM THORNE
VP/COMMUNITY BENEFITS	36	X	155972	0	81094
THOMAS HENTIRCH
PHARMACIST	40		169003	0	39478		X
NICOLE WILLIAMS
PHARMACIST	40		158542	0	14248		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4017479	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	33623	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1463743	TotalOtherCompensation
Number Individuals GT100 K	81	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MEDICAL STAFFING NETWORK
PO BOX 844774	DALLAS	TX	752844774	MEDICAL AND HEALTHCARE PAYMENTS	2970036
BRIGHAM ANESTHESIA SOUTH LLC
35 ALBANY ROAD SUITE C	CARBONDALE	IL	629037605	MEDICAL AND HEALTHCARE PAYMENTS	1684861
ALLIANCE HEALTHCARE SERVICE INC
100 BAYVIEW CIRCLE SUITE 400	NEWPORT BEACH	CA	92660	MEDICAL AND HEALTHCARE PAYMENTS	1278372
LABORATORY CORP OF AMERICA
PO BOX 12140	BURLINGTON	NC	272162140	MEDICAL AND HEALTHCARE PAYMENTS	1216757
MIDWEST REGIONAL NEONATOLOGY
1809 WEST MAIN	CARBONDALE	IL	62901	MEDICAL AND HEALTHCARE PAYMENTS	972577

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	42	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	76596	FundraisingEvents
Related Organizations	0	RelatedOrganizations
Government Grants	700652	GovernmentGrants
All Other Contributions	560435	AllOtherContributions
Noncash Contributions	17588	NoncashContributions
Total Contributions	1337683	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
PATIENT REVENUE	357248819	357248819	0	$0
PARTNERSHIP INCOME	3468793	3468793	0	$0
LEASEHOLD REVENUE FROM RELATED ORGANIZATIONS	61969	61969

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	360779581	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	8866719	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$8,866,719	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	622183	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	594300	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	27883	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	27883	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$27,883	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	341231141	Securities
Other	81163	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	326774288	Securities
Other	218985	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	14456853	Securities
Other	-137822	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	14319031	TotalRevenueColumn
Exclusion	$14,319,031	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	32954	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	76596	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	60684	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-27730	TotalRevenueColumn
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	-$27,730	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	2686	GrossIncomeGaming

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	2686	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$2,686	ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount	Business CodeBusinessCode
CAFETERIA/VENDING/HOSPITAL AUXILIARY	1562371	392697	0	$1,169,674
MEDICAL RECORDS/X-RAY/INTERNET PHYSICIANS	601365	268286	333079	$0	621300
REFERENCE LAB	201409	0	201409	$0	621500

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	64613	TotalRevenueColumn
Related Or Exempt Function Income	58352	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	6261	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2429758	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	387735611	TotalRevenueColumn
Related Or Exempt Function Income	361498916	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	540749	UnrelatedBusinessRevenue
Exclusion	$24,358,263	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	308428	Total
Program Services	308428	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	2100	Total
Program Services	2100	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4394021	Total
Program Services	692658	ProgramServices
Management And General	3701363	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	25311	Total
Program Services	25311	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	113240771	Total
Program Services	96300541	ProgramServices
Management And General	16826988	ManagementAndGeneral
Fundraising	113242	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2645627	Total
Program Services	2643434	ProgramServices
Fundraising	2193	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	25351077	Total
Program Services	22571641	ProgramServices
Management And General	2768225	ManagementAndGeneral
Fundraising	11211	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8264147	Total
Program Services	7084005	ProgramServices
Management And General	1171690	ManagementAndGeneral
Fundraising	8452	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	304278	Total
Program Services	48208	ProgramServices
Management And General	256070	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	123135	Total
Management And General	123135	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	78272	Total
Management And General	78272	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	487377	Total
Management And General	487377	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	38542358	Total
Program Services	31179521	ProgramServices
Management And General	7336268	ManagementAndGeneral
Fundraising	26569	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1015045	Total
Program Services	34467	ProgramServices
Management And General	975578	ManagementAndGeneral
Fundraising	5000	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	65449477	Total
Program Services	64523008	ProgramServices
Management And General	919120	ManagementAndGeneral
Fundraising	7349	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4145458	Total
Program Services	3905	ProgramServices
Management And General	4137967	ManagementAndGeneral
Fundraising	3586	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6244483	Total
Program Services	5370062	ProgramServices
Management And General	874421	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	521305	Total
Program Services	307447	ProgramServices
Management And General	213546	ManagementAndGeneral
Fundraising	312	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	929052	Total
Program Services	515244	ProgramServices
Management And General	413808	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	7388332	Total
Program Services	7370332	ProgramServices
Management And General	18000	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	22538010	Total
Program Services	16007572	ProgramServices
Management And General	6530438	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7534408	Total
Program Services	7279174	ProgramServices
Management And General	255234	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	21153228	21153228
PROVIDER TAX	6047140	6047140
EQUIPMENT RENTAL	4943367	4531214	412153
HOSPITAL AUXILIARY	437350	437350
DUES AND SUBSCRIPTIONS	712009	418921	293088

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	292837	Total
Program Services	188820	ProgramServices
Management And General	102241	ManagementAndGeneral
Fundraising	1776	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	343118403	Total
Program Services	295043731	ProgramServices
Management And General	47894982	ManagementAndGeneral
Fundraising	179690	Fundraising

Total Joint Costs TotalJointCosts

Field	Value	IRS element (for citing)
Total	0	Total

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	6117	BOY
EOY	6147	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	6517683	BOY
EOY	8783975	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	74409231	BOY
EOY	64261528	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	852781	BOY
EOY	1060801	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5936730	BOY
EOY	6983120	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2637547	BOY
EOY	4010202	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	330925157	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	168347303	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	156199120	BOY
EOY	162577854	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	214509601	BOY
EOY	280500142	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	4028234	BOY
EOY	3147797	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	29033142	BOY
EOY	22271265	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	494130186	BOY
EOY	553602831	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	30754382	BOY
EOY	37681942	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	140990000	BOY
EOY	138345000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	16110059	BOY
EOY	18972699	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	187854441	BOY
EOY	194999641	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	306084093	BOY
EOY	358055578	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	191652	BOY
EOY	547612	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	306275745	BOY
EOY	358603190	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	494130186	BOY
EOY	553602831	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	44617208	ReconcilationRevenueExpenses
Reconcilation Other Changes	7710237	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Exmpt Function Expenditures	0	TotalExmptFunctionExpenditures
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$78,272	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	78272	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Non Ded Lobby Political Total	0	NonDedLobbyPoliticalTotal

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	DIRECT CONTACT WITH LEGISLATORS	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE 1G	ReturnReference
Explanation	THE ORGANIZATION HAS HIRED A PROFESSIONAL SERVICES FIRM TO CONDUCT LOBBYING ON BEHALF OF THE ORGANIZATION. IN ADDITION, SEVERAL MEMBERS OF THE ORGANIZATION'S MANAGEMENT HAVE SPENT A PORTION OF THEIR TIME LOBBYING.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7521786	OtherCostOrOtherBasis
Book Value	7521786	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	102127459	OtherCostOrOtherBasis
Depreciation	44642237	Depreciation
Book Value	57485222	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11325523	OtherCostOrOtherBasis
Depreciation	7388880	Depreciation
Book Value	3936643	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	206806485	OtherCostOrOtherBasis
Depreciation	116316186	Depreciation
Book Value	90490299	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3143904	OtherCostOrOtherBasis
Book Value	3143904	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	162577854	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$7,858,699
ACCRUED BOND INTEREST	$708,079
MEDICAL PROFESSIONAL LIABILITY	$3,612,065
ASBESTOS LIABILITY	$334,215
LONG TERM EXECUTIVE RETIREMENT PLAN	$289,610
EMPLOYEES HELPING EMPLOYEES FUNDS	$43,758
DUE TO AFFILIATE - RIC	$331,406
INTEREST RATE SWAP CONTRACT	$5,794,867

Field	Value	IRS element (for citing)
Total Of Amounts	18972699	TotalOfAmounts
Total Revenue	387735611	TotalRevenue
Total Expenses	343118403	TotalExpenses
Excess Or Deficit For Year	44617208	ExcessOrDeficitForYear
Net Unrealized GL On Investments	12859689	NetUnrealizedGLOnInvestments
Other	-$1,532,181	OtherAmount
Total Adjustments	11327508	TotalAdjustments
Excess Or Deficit Per FS	55944716	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	399808642	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	12859689	NetUnrealizedGainsInvestments
Other Revenues	654984	OtherRevenues
Revenue Not Rptd F990	13514673	RevenueNotRptdF990
Revenue Subtotal	386293969	RevenueSubtotal
Investment Expenses Not Included	459378	InvestmentExpensesNotIncluded
Other Revenues Not Included	982264	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	1441642	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	387735611	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	343863926	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1642251	OtherExpensesIncluded
Expenses Not Rptd F990	1642251	ExpensesNotRptdF990
Expenses Subtotal	342221675	ExpensesSubtotal
Investment Expenses Not Included2	459378	InvestmentExpensesNotIncluded2
Other Expenses Not Included	437350	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	896728	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	343118403	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FIN 48 (ASC 740) footnote	Schedule D, Part X, Line 2	THE CORPORATION ADOPTED THE PROVISIONS OF ASC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ON APRIL 1, 2007. 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 TAX 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. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY UPON THE ADOPTION OF ASC 740 OR AT MARCH 31, 2011 AND 2010. 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, 2007 AND PRIOR.
Other changes in net assets	Schedule D, Part XI, Line 8	LOSS ON DERIVATIVE - -987267; CHANGE IN VALUE OF INTEREST RATE SWAP - -589567; CHANGE IN NET ASSETS OF AUXILIARY - 44653;
Other revenues in audited financial statements not in form 990	Schedule D, Part XII, Line 2d	RENTAL EXPENSES - 594300; FUNDRAISING EXPENSES - 60684;
Other revenues in form 990 not in audited financial statements	Schedule D, Part XII, Line 4b	HOSPITAL AUXILIARY INCOME - 392697; CHANGE IN FAIR VALUE OF INTEREST RATE SWAP - 589567;
Other expenses in audited financial statements not in form 990	Schedule D, Part XIII, Line 2d	RENTAL EXPENSES - 594300; FUNDRAISING EXPENSES - 60684; LOSS ON DERIVATIVE - 987267;
Other expenses in form 990 not in audited financial statements	Schedule D, Part XIII, Line 4b	HOSPITAL AUXILIARY EXPENSES - 437350;

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	0	NumberOfEmployees
Type Of Activities Conducted	PASSIVE INVESTMENTS	TypeOfActivitiesConducted
Total Expenditures	120000	TotalExpenditures

Field	Value	IRS element (for citing)
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Total Amount Spent	120000	TotalAmountSpent
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	SLICE OF LIFE	NameOfEvent1
Gross Receipts Event1	78916	GrossReceiptsEvent1
Charitable Contributions Event1	54302	CharitableContributionsEvent1
Gross Revenue Event1	24614	GrossRevenueEvent1
Cash Prizes Event1	9500	CashPrizesEvent1
Non Cash Prizes Event1	200	NonCashPrizesEvent1
Rent Facility Costs Event1	23400	RentFacilityCostsEvent1
Food And Beverage Event1	6933	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	8079	OtherDirectExpensesEvent1
Name Of Event2	ENCHANTED EVENING	NameOfEvent2
Gross Receipts Event2	30634	GrossReceiptsEvent2
Charitable Contributions Event2	22294	CharitableContributionsEvent2
Gross Revenue Event2	8340	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	80	RentFacilityCostsEvent2
Food And Beverage Event2	10213	FoodAndBeverageEvent2
Entertainment Event2	475	EntertainmentEvent2
Other Direct Expenses Event2	1804	OtherDirectExpensesEvent2
Gross Revenue Other Events	0	GrossRevenueOtherEvents
Gross Receipts Total	109550	GrossReceiptsTotal
Charitable Contributions Total	76596	CharitableContributionsTotal
Gross Revenue Total Events	32954	GrossRevenueTotalEvents
Cash Prizes Total Events	9500	CashPrizesTotalEvents
Non Cash Prizes Total Events	200	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	23480	RentFacilityCostsTotalEvents
Food And Beverage Total Events	17146	FoodAndBeverageTotalEvents
Entertainment Total Events	475	EntertainmentTotalEvents
Other Direct Expenses Total Events	9883	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	60684	DirectExpenseSummaryEvents
Net Income Summary	-27730	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12869594	TotalCommunityBenefitExpense
Net Community Benefit Expense	12869594	NetCommunityBenefitExpense
Percent Of Total Expense	0.04000	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	63008409	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39967452	DirectOffsettingRevenue
Net Community Benefit Expense	23040957	NetCommunityBenefitExpense
Percent Of Total Expense	0.07160	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	75878003	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39967452	DirectOffsettingRevenue
Net Community Benefit Expense	35910551	NetCommunityBenefitExpense
Percent Of Total Expense	0.11160	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	791013	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	791013	NetCommunityBenefitExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2256942	TotalCommunityBenefitExpense
Direct Offsetting Revenue	474445	DirectOffsettingRevenue
Net Community Benefit Expense	1782497	NetCommunityBenefitExpense
Percent Of Total Expense	0.00550	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2820974	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1886681	DirectOffsettingRevenue
Net Community Benefit Expense	934293	NetCommunityBenefitExpense
Percent Of Total Expense	0.00290	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	75191	TotalCommunityBenefitExpense
Net Community Benefit Expense	75191	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	324655	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	324655	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	6268775	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2361126	DirectOffsettingRevenue
Net Community Benefit Expense	3907649	NetCommunityBenefitExpense
Percent Of Total Expense	0.01210	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	82146778	TotalCommunityBenefitExpense
Direct Offsetting Revenue	42328578	DirectOffsettingRevenue
Net Community Benefit Expense	39818200	NetCommunityBenefitExpense
Percent Of Total Expense	0.12370	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	129014	TotalCommunityBuildingExpense
Net Community Building Expense	129014	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	421319	TotalCommunityBuildingExpense
Net Community Building Expense	421319	NetCommunityBuildingExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	550333	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	550333	NetCommunityBuildingExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$7,279,853	BadDebtExpenseAmount
Amount Attributable To	1589665	AmountAttributableTo
Amount Reimbursed By Medicare	115887709	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	120737999	CostOfCareReimbursedByMedicare

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	3	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	OtherOther	Critical Access HospitalCriticalAccessHospital
MEMORIAL HOSPITAL OF CARBONDALE
1	405 WEST JACKSON STREET	CARBONDALE	IL	62901	X	X	X	X
HERRIN HOSPITAL
2	201 SOUTH 14TH STREET	HERRIN	IL	62948	X	X		X	ACUTE REHAB
ST JOSEPH MEMORIAL HOSPITAL
3	800 NORTH 2ND STREET	MURPHYSBORO	IL	62966	X	X		X		X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumber
MEMORIAL HOSPITAL OF CARBONDALE
1
HERRIN HOSPITAL
2
ST JOSEPH MEMORIAL HOSPITAL
3

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	22	NumberOfOtherFacilities

Other Facilities OtherFacilities (16 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
BREAST CENTER
1237 EAST MAIN STREET	CARBONDALE	IL	62901	MAMMOGRAPHY FACILITY
MINERS MEMORIAL HEALTH CENTER
2553 KEN GRAY BLVD	WEST FRANKFORT	IL	62896	FAMILY PRACTICE, RADIOLOGY AND LAB SERVICES, AND SPECIALTY CLINICS
SLEEP CENTER
8305 EXPRESS DRIVE	MARION	IL	62959	SLEEP STUDIES
CANCER CARE CENTER
3117 WILLIAMSON COUNTY PARKWAY	MARION	IL	62959	CANCER TREATMENT SERVICES
LOGAN PARK RADIOLOGY
405 RUSHING DRIVE	HERRIN	IL	62948	RADIOLOGY SERVICES
REHAB UNLIMITED AND FIT FOR WORK
525 EAST VIENNA STREET	ANNA	IL	62906	PHYSICAL THERAPY SERVICES
REHAB UNLIMITED
6 EAST SHAWNEE DRIVE	MURPHYSBORO	IL	62864	PHYSICAL THERAPY SERIVCES
SIOC
510 LINCOLN DRIVE	HERRIN	IL	62948	PHYSICAL THERAPY SERVICES
RIC PHYSICIAN PRACTICES
3224 SOUTH PARK AVENUE	HERRIN	IL	62948	REHABILITATION SERVICES
WOMEN'S CENTER
315 SOUTH 13TH ST	HERRIN	IL	62948	MAMMOGRAPHY SERVICE
RIC AND SIH REHABILITATION SERVICES LLC
PO BOX 3988	CARBONDALE	IL	62901	REHABILITATION SERVICES
FIT FOR WORK
101 SOUTH PARK AVENUE	HERRIN	IL	62948	PHYSICAL THERAPY SERVICES
LPC WF IMAGING
502 ST LOUIS STREET	WEST FRANKFORT	IL	62896	RADIOLOGY SERVICES
FRANKLIN MEDICAL ARTS
203 BAILEY LANE	BENTON	IL	62912	LAB, IMAGING AND MAMMOGRAPHY SERVICES
REFERENCE LAB
500 LINCOLN DRIVE	HERRIN	IL	62948	LAB SERVICES
PHYSICIANS SURGERY CENTER
2601 WEST MAIN ST	CARBONDALE	IL	62901	SURGERY CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Subsidized Health Services	Schedule H, Part I, Line 7g	A FAMILY PRACTICE CENTER IS INCLUDED IN SUBSIDIZED HEALTH SERVICES. THE COST OF PROVIDING THIS CENTER WAS $1,625,652.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	21,153,228
Costing Methodology used to calculate financial assistance	Schedule H, Part I, Line 7	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARY ACCORDING TO THE INFORMATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE IRS PROVIDED WORKSHEET NUMBER 2 WAS USED TO CALCULATE A COST TO CHARGE RATIO USING INFORMATION FROM THE ORGANIZATION'S GENERAL LEDGER AND COST REPORTS. THAT RATIO WAS THEN USED IN CONJUNCTION WITH IRS WORKSHEET NUMBER 1 TO CALCULATE THE COST OF CHARITY CARE PROVIDED. THE ORGANIZATION'S COST ACCOUNTING SOFTWARE WAS UTILIZED FOR REPORTING THE UNREIMBURSED MEDICAID AMOUNTS AND A PORTION OF THE SUBSIDIZED HEALTH SERVICES. THE ORGANIZATION'S COST ACCOUNTING SOFTWARE ENCOMPASSES ALL PATIENT TYPES, SERVICES, AND PAYERS. THE COST ASSOCIATED WITH A SERVICE ARE REVIEWED AND UPDATED ANNUALLY TO PROVIDE THE MOST ACCURATE COST POSSIBLE. BOTH DIRECT AND INDIRECT COSTS ARE CONSIDERED WHEN ENTERED INTO THE SYSTEM. ACTUAL COST OF HEALTH IMPROVEMENT AND COMMUNITY BENEFIT PROGRAMS, HEALTH EDUCATION, RESEARCH PROGRAMS, SOME SUBSIDIZED HEALTH SERVICES AND DONATIONS ARE STATED AT ACTUAL COST. THE COSTS OF THESE ITEMS ARE TRACKED THROUGH THE GENERAL LEDGER PROCESS AND THROUGH OTHER ACCOUNTING SOFTWARE.
Community Building Activities	Schedule H, Part II	THROUGH COMMUNITY BUILDING ACTIVITIES, SOUTHERN ILLINOIS HOSPITAL SERVICES ADDRESSES THE CAUSES OF HEALTH PROBLEMS THROUGH PROGRAMS THAT ADVOCATE FOR COMMUNITY HEALTH IMPROVEMENTS. THESE PROGRAMS INCLUDE HEALTHY COMMUNITIES - THE FOCUS OF THE WORK IN THE AREA OF HEALTHY COMMUNITIES IS TO INCREASE THE CAPACITY OF LOCAL AGENCIES TO WORK COLLABORATIVELY TO ADDRESS THE UNMET HEALTH NEEDS WITHIN THE COMMUNITIES SERVED BY SIH HOSPITALS. DEPARTMENT STAFF WORKS TO IMPROVE COMMUNITY HEALTH THROUGH THE ASSESSMENT OF COMMUNITY NEEDS AND THE PLANNING, IMPLEMENTATION, AND EVALUATION OF COMMUNITY-BASED HEALTH PROMOTIONS, EDUCATION, PREVENTION PROGRAMS, AND SERVICES. IN FY11 AN INCREASED FOCUS OF THESE ACTIVITIES WILL BE DIRECTED TO INITIATIVE ADDRESSING CARDIOVASCULAR DISEASE AND CANCER, THE DEVELOPMENT OF STRATEGIES, PROGRAMMING, AND INTERVENTIONS TO REDUCE METHAMPHETAMINE USAGE, AND THE CONTINUATION OF EFFORTS TO EXPAND ACCESS TO CARE FOR THE UNINSURED AND UNDER-SERVED. COORDINATED SCHOOL HEALTH - "HEALTHY CHILDREN- READY TO LEARN" - THROUGH THE COORDINATED SCHOOL HEALTH PROGRAM, THE PARTNERS IN HEALTH TEAM WORKS WITH SCHOOL DISTRICTS TO ENSURE THAT THE LEARNING ENVIRONMENT IS STRUCTURALLY SAFE AS WELL AS FREE FROM FEAR. POLICIES, SCHOOL SAFETY PLANS AND LESSONS FOCUSING ON VIOLENCE PREVENTION CONTRIBUTE TO A SAFE SCHOOL ENVIRONMENT. COMPREHENSIVE, SKILL-BASED HEALTH EDUCATION, PHYSICAL EDUCATION IN SCHOOL THAT EMPHASIZES IMPROVED FITNESS, THE DEVELOPMENT OF A LIFELONG INTEREST IN HEALTH AND WELLNESS, AND DEVELOPING EXPANDED AND SUSTAINABLE HEALTH SERVICES IN SCHOOLS ARE FOCUS AREAS OF THIS PROGRAM. THIS "PARTNERS IN HEALTH" INITIATIVE NOW INVOLVES 49 SCHOOLS WITHIN 28 SCHOOL DISTRICTS. THERE ARE OVER 25,000 STUDENTS WITHIN THESE DISTRICTS. THE COMPONENTS OF A COORDINATED SCHOOL HEALTH PROGRAM INCLUDE HEALTH INSTRUCTION, PHYSICAL EDUCATION, HEALTH SERVICES, NUTRITION SERVICES, DEVELOPMENT OF A HEALTHY SCHOOL ENVIRONMENT, HEALTH PROMOTION FOR STAFF, PSYCHOLOGICAL AND SOCIAL SERVICES, AND FAMILY/COMMUNITY INVOLVEMENT. IN ADDITIONS TO THE PARTNERS IN HEALTH, SOUTHERN ILLINOIS HOSPITAL SERVICES IS WORKING COLLABORATIVELY TO ESTABLISH SCHOOL-BASED HEALTH CENTERS IN THE COMMUNITIES OF CARBONDALE, MARION, WEST FRANKFORT, AND BENTON. THIS IS A COLLABORATION OF MULTIPLE COMMUNITY PARTNERS WHOSE GOAL IS TO ALLEVIATE THE OVERALL HEALTH DISPARITIES BETWEEN CHILDREN THAT RECEIVE REGULAR PRIMARY CARE, SCREENINGS AND SPECIALIZED SERVICES AND THOSE WHO DO NOT EXPERIENCE SUCH CARE. BY OFFERING HEALTH SERVICES FOR CHILDREN IN SCHOOL SETTINGS, IMPROVED COORDINATION OF CARE WITH PRIMARY PHYSICIANS WILL BE ENHANCED, CHRONIC CONDITIONS CAN BE BETTER MANAGED, AND ACCESS WILL BE INCREASED TO THOSE LACKING A PRIMARY CARE PROVIDER. CURRENT EFFORTS INCLUDE PLANNED PARTNERSHIPS BETWEEN THE SCHOOLS AND WOULD INVOLVE MULTIPLE COLLABORATIVE ENTITIES SUCH AS COMMUNITY HEALTH CENTERS, COMMUNITY MENTAL HEALTH AGENCIES, LOCAL HEALTH DEPARTMENTS, RURAL HEALTH CLINICS AND SIH COMMUNITY BENEFITS. PATIENT SUPPORT INITIATIVE - SOUTHERN ILLINOIS HOSPITAL SERVICES PROVIDES A PATIENT SUPPORT INITIATIVE (PSI) WITH THE GOAL OF PROVIDING PATIENTS WITH ADEQUATE CARE AND COMPENSATING PHYSICIANS AT REASONABLE RATES FOR PATIENTS THAT DO NOT HAVE RESOURCES AVAILABLE TO PAY THEIR HEALTH CARE BILLS. SIHS COMPENSATES PHYSICIANS FOR THE CARE OF PATIENTS THAT ENTER THE HEALTHCARE SYSTEM VIA THE EMERGENCY DEPARTMENTS AT SIHS FACILITIES AND ARE ASSIGNED TO PHYSICIANS BASED UPON THE ON-CALL ROTATION COVERAGE. PSI IS DESIGNED FOR PHYSICIAN/PATIENT CONTACT THAT OCCURS IN A HOSPITAL BASED SETTING WHEN THERE WAS NO PREVIOUS RELATIONSHIP BETWEEN THE PATIENT AND THE PHYSICIAN OR THE PHYSICIAN'S PRACTICE. PSI PAYS COMPENSATION FOR PROFESSIONAL FEES ONLY, RELATING DIRECTLY TO THE EPISODE OF CARE BEGUN IN THE EMERGENCY DEPARTMENT, NOT TO EXCEED 30 DAYS. INDIGENT CARE FUNDING - SOUTHERN ILLINOIS HOSPITAL SERVICES PROVIDES FUNDING TO PURCHASE PRESCRIPTIONS, MEDICAL SUPPLIES AND TRANSPORTATION TO PATIENTS DEEMED FINANCIALLY INDIGENT ON A CASE-BY CASE BASIS.
Bad debt expense - financial statement footnote	Schedule H, Part III, Line 4	BAD DEBT EXPENSE FOOTNOTE IN FINANCIAL STATEMENTS "PATIENT RECEIVABLES DUE DIRECTLY FROM PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS AND BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS. A PATIENT RECEIVABLE IS CONSIDERED PAST DUE WHEN THE AMOUNT BILLED REMAINS UNPAID FOR MORE THAN 30 DAYS SUBJECT TO THIRD-PARTY PAYOR'S AGREED UPON TERMS, IF APPLICABLE. THE HOSPITALS DO NOT CHARGE INTEREST ON PATIENT RECEIVABLE ACCOUNTS WHICH ARE PAST DUE. PATIENT RECEIVABLES ARE WRITTEN OFF AS BAD DEBT EXPENSE WHEN DEEMED NONCOLLECTABLE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED." COSTING METHODOLGY OF BAD DEBT EXPENSE THE COST TO CHARGE RATIO IS CALCULATED UTILIZING WORKSHEET 2 INCLUDED IN THE INTERNAL REVENUE SERVICE'S FORM 990 SCHEDULE H INSTRUCTIONS. THIS COST TO CHARGE RATIO IS APPLIED TO THE CHARGES THAT ARE WRITTEN OFF PER THE ABOVE FOOTNOTE ABOVE. COSTING METHODOLOGY TO ESTIMATE CHARITY CARE IN BAD DEBT EXPENSE TO ESTIMATE THE AMOUNT OF CARE THAT WAS WRITTEN OFF AS BAD DEBT EXPENSE THAT WOULD HAVE BEEN ELIGIBLE FOR CHARITY UNDER OUR POLICY THE FOLLOWING STEPS WERE TAKEN: - THE NUMBER OF ENCOUNTERS BY COUNTY AT EACH OF OUR 3 FACILITIES WAS OBTAINED FROM OUR REGISTRATION SYSTEM. THE PERCENTAGE OF PATIENTS FROM EACH COUNTY VARIES BY FACILITY DUE TO THE LOCATION OF THE FACILITY. - THE AMOUNT OF BAD DEBT EXPENSE BY COUNTY AT EACH HOSPITAL WAS ESTIMATED BY APPLYING THE PERCENTAGES OBTAINED ABOVE TO THE AMOUNT OF TOTAL CHARGES WRITTEN OFF AT EACH FACILITY. - THE POVERTY RATE OF EACH COUNTY WAS THEN APPLIED TO THESE ALLOCATED CHARGES TO ESTIMATE THE AMOUNT OF CHARGES THAT WOULD HAVE BEEN ELIGIBLE UNDER OUR CHARITY POLICY BASED ON POVERTY LEVEL GUIDELINES. - THE COST TO CHARGE RATIO AS CALCULATED UTILIZING WORKSHEET 2 FROM THE SCHEDULE H INSTRUCTIONS WAS THEN USED TO DETERMINE THE COST OF THESE CHARGES.
Community benefit & methodology for determining medicare costs	Schedule H, Part III, Line 8	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.
Collection practices for patients eligible for financial assistance	Schedule H, Part III, Line 9b	THE FOLLOWING IS INCLUDED IN OUR POLICY - PATIENT FAIR BILLING AND COLLECTIONS, POLICY # SY-PF-128: PURSUING COLLECTION ACTION: SIH AND ITS AGENTS MAY PURSUE COLLECTION ACTION AGAINST AN UNINSURED PATIENT ONLY WHEN THE FOLLOWING CONDITIONS ARE MET: A. SIH HAS GIVEN THE UNINSURED PATIENT THE OPPORTUNITY TO: 1) ASSESS THE ACCURACY OF THE BILL. 2) APPLY FOR FINANCIAL ASSISTANCE IN ACCORDANCE WITH SIH'S HEALTHCARE ASSISTANCE POLICY (HAP) POLICY. 3) AVAIL THEMSELVES OF A REASONABLE PAYMENT PLAN BASED UPON THEIR ACCOUNT(S) BALANCE OR UPON THE PATIENT'S AVAILABLE INCOME AND ASSETS, THE AMOUNT OWED AND ANY PRIOR PAYMENTS. B. IF THE UNINSURED PATIENT HAS INDICATED AN INABILITY TO PAY THE FULL AMOUNT OF THE DEBT IN ONE PAYMENT, SIH OR PMD WILL OFFER THE PATIENT A REASONABLE PAYMENT PLAN. 1) SIH OR PMD MAY REQUIRE THE UNINSURED PATIENT TO PROVIDE REASONABLE VERIFICATION OF HIS OR HER INABILITY TO PAY THE FULL AMOUNT OF THE DEBT IN ONE PAYMENT. C. WHEN THE CIRCUMSTANCES OF THE UNINSURED PATIENT SUGGEST THE POTENTIAL FOR HAP ELIGIBILITY, THE UNINSURED PATIENT WILL BE GIVEN AT LEAST 60 DAYS FOLLOWING THE DATE OF DISCHARGE OR RECEIPT OF OUTPATIENT CARE TO SUBMIT A HAP APPLICATION. D. THE UNINSURED PATIENT HAS FAILED TO MAKE PAYMENTS IN ACCORDANCE WITH A REASONABLE PAYMENT PLAN PREVIOUSLY AGREED TO WITH SIH OR PMD. E. THE UNINSURED PATIENT INFORMS SIH THAT HE OR SHE HAS APPLIED FOR HEALTHCARE COVERAGE UNDER MEDICAID, KIDCARE OR OTHER GOVERNMENT SPONSORED HEALTHCARE PROGRAM (AND THERE IS A REASONABLE BASIS TO BELIEVE THE PATIENT WILL QUALIFY FOR SUCH PROGRAM) BUT THE PATIENT'S APPLICATION IS DENIED. SIH WILL NOT REFER A BILL, OR PORTION THEREOF, TO A COLLECTION AGENCY OR ATTORNEY FOR COLLECTION ACTION AGAINST THE INSURED PATIENT, WITHOUT FIRST OFFERING THE PATIENT THE OPPORTUNITY TO REQUEST A REASONABLE PAYMENT PLAN FOR THE AMOUNT PERSONALLY OWED BY THE PATIENT. A) THIS OPPORTUNITY IS AVAILABLE FOR THE 30 DAYS FOLLOWING THE INITIAL BILL DATE. B) IF THE INSURED PATIENT REQUESTS A REASONABLE PAYMENT PLAN, BUT FAILS TO AGREE TO A PLAN WITHIN 30 DAYS OF THE REQUEST, SIH MAY PROCEED WITH COLLECTION ACTION AGAINST THE PATIENT. NO COLLECTION AGENCY, LAW FIRM OR INDIVIDUAL MAY INITIATE LEGAL ACTION FOR NON-PAYMENT OF A HOSPITAL BILL AGAINST A PATIENT WITHOUT THE WRITTEN APPROVAL OF THE CFO OR CORPORATE DIRECTOR OF PFS WHO REASONABLY BELIEVES THE CONDITIONS FOR PURSUING COLLECTION HAVE BEEN MET. SIH MAY ENGAGE AN OUTSIDE THIRD PARTY COLLECTION AGENCY, FIRM OR INDIVIDUAL TO MANAGE THE PROCESS OF IMPLEMENTING SIH'S FINANCIAL ASSISTANCE AND REASONABLE PAYMENT PLAN PROGRAMS AND POLICIES SO LONG AS SUCH AGENCY, FIRM OR INDIVIDUAL IS CONTRACTUALLY BOUND TO COMPLY WITH THE TERMS OF PUBLIC ACT 094-0885 (PATIENT FAIR BILLING ACT). COLLECTION LIMITATIONS: SIH SHALL NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF A HOSPITAL BILL AGAINST UNINSURED PATIENTS WHO HAVE CLEARLY DEMONSTRATED THEY HAVE NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET THEIR FINANCIAL OBLIGATIONS PROVIDED THE PATIENT HAS MET THEIR RESPONSIBILITIES AS LISTED BELOW. A. PATIENT RESPONSIBILITIES: 1) TO RECEIVE THE PROTECTION AND BENEFITS OF THE PATIENT FAIR BILLING ACT, A PATIENT RESPONSIBLE FOR PAYING A HOSPITAL BILL MUST ACT REASONABLY AND COOPERATE IN GOOD FAITH WITH SIH BY PROVIDING SIH WITH ALL OF THE REASONABLY REQUESTED FINANCIAL AND OTHER RELEVANT INFORMATION AND DOCUMENTATION NEEDED TO DETERMINE THE PATIENT'S ELIGIBILITY UNDER HAP OR REASONABLE PAYMENT PLAN OPTIONS WITHIN 30 DAYS OF A REQUEST FOR SUCH INFORMATION. 2) TO RECEIVE THE PROTECTION AND BENEFITS OF THE PATIENT FAIR BILLING ACT, A PATIENT RESPONSIBLE FOR PAYING A HOSPITAL BILL SHALL COMMUNICATE TO SIH ANY MATERIAL CHANGE IN THE PATIENT'S FINANCIAL SITUATION THAT MAY AFFECT THE PATIENT'S ABILITY TO ABIDE BY THE PROVISIONS OF AN AGREED UPON REASONABLE PAYMENT PLAN OR QUALIFICATION FOR HAP WITHIN 30 DAYS OF THE CHANGE.
Needs assessment.	Schedule H, Part VI, Line 2	THE ASSESSMENT OF COMMUNITY NEEDS IS AN ONGOING PROCESS. SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) PERFORMS ASSESSMENT WORK TO DETERMINE NEEDS IN THE AREA OF ACCESS TO CARE. SUBSTANTIAL DATA FOR OUR SERVICE AREA IS COLLECTED AND COMPILED RELATING TO COUNTY DEMOGRAPHICS, THE CURRENT LEADING CAUSES OF MORTALITY, ASSESSMENT OF RISK FACTORS REGARDING HEALTH STATUS, HEALTH CARE COVERAGE, AND HEALTH CARE UTILIZATION, AND CHILD POVERTY. SIHS ALSO COLLABORATES WITH LOCAL HEALTH DEPARTMENTS SERVING THE SEVEN COUNTIES WITHIN THE SIH PRIMARY SERVICE AREA. THE LOCAL HEALTH DEPARTMENTS ALSO CONDUCT NEEDS ASSESSMENTS RELATED TO HEALTH AND DETERMINE THEIR PRIORITY HEALTH PROBLEMS. THIS INFORMATION IS CONSIDERED WHEN PRIORITIZING THE KEY HEALTH-RELATED NEEDS TO BE ADDRESSED IN OUR SERVICE AREA. OUR COMMUNITY BENEFITS STAFF IS VERY INVOLVED IN FACILITATING THE LOCAL HEALTH DEPARTMENTS' ASSESSMENTS BY BEING INVOLVED WITH SUB-COMMITTEES AND PROVIDING DATA AND INPUT. MANY DATA SOURCES ARE USED TO EXAMINE AND ASSESS COMMUNITY HEALTH STATUS. DATA COLLECTED INCLUDES DEMOGRAPHIC INFORMATION, INFORMATION PERTAINING TO EDUCATION AND ECONOMICS, AND INFORMATION DETAILING THE HEALTH STATUS AND HEALTH BEHAVIORS OF THE RESIDENTS WITHIN THE SIH SERVICE AREA. LOCAL, STATE, AND NATIONAL DATA SOURCES WERE USED TO GATHER INFORMATION. DATA SETS ACCESSED INCLUDE: - CENSUS - ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS/HEALTH PRIORITIES - IDPH - NATIONAL CENTER FOR HEALTH STATISTICS - MORTALITY - MORBIDITY - YEARS OF POTENTIAL LIFE LOST - YEARS OF HEALTHY LIFE - BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY - CDC/IDPH - YOUTH RISK BEHAVIOR SURVEILLANCE SURVEY - CDC/IDPH/LOCAL SURVEYS CONDUCTED - HEALTHY PEOPLE 2010, DATA 2010 - WONDERCDC.GOV/, INCLUDES 2010 TARGETS SIHS ALSO USES THE ASSESSMENT TOOL, COMMUNITY NEED INDEX (CNI). THE GOAL IS TO IDENTIFY THE CORE DRIVERS OF HEALTH DISPARITIES IN OUR COMMUNITIES IN AN EFFORT TO PROVIDE A SCIENTIFIC TOOL TO ASSIST IN COMMUNITY BENEFIT PLANNING. THE USE OF THE CNI DATA WILL VALIDATE LOCAL COMMUNITY NEEDS ASSESSMENTS, HIGHLIGHT COMMUNITIES WITH UNMET HEALTH NEEDS AND SUPPORT COMMUNITY BENEFIT INITIATIVES. CNI DATA PROVIDES A TOOL TO QUANTIFY NEED, PRIORITIZE RESOURCE ALLOCATION AND A BASELINE TO MEASURE PROGRESS.
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	PATIENTS OF SIH FACILITIES WITH AN INABILITY TO PAY FOR THE SERVICES, OR WHO DEMONSTRATE THAT THEY DO NOT HAVE THE CAPACITY TO PAY THE ENTIRE BALANCE OWED FOR SERVICES RENDERED ARE PROVIDED AID THROUGH THE SIH HEALTHCARE ASSISTANCE PROGRAM (HAP). SIH BELIEVES THAT IT HAS A RESPONSIBILITY AND AN OBLIGATION TO MEET THE FINANCIAL NEEDS OF THE UNINSURED AND UNDER-INSURED PATIENTS IN THE COMMUNITIES IT SERVES. THROUGH THE HEALTHCARE ASSISTANCE PROGRAM PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE. UPON SUBMISSION OF THE REQUIRED INFORMATION PATIENTS THEN WORK WITH SIH FINANCIAL COUNSELORS OR DESIGNATED STAFF THAT UTILIZED ESTABLISHED CRITERIA TO DETERMINE THE INDIVIDUAL'S ELIGIBILITY FOR DISCOUNTED CHARGES. SIH POLICY ALLOWS STAFF TO CLASSIFY AN INDIVIDUAL IN NEED OF ASSISTANCE AS EITHER FINANCIALLY INDIGENT OR MEDICALLY INDIGENT. FINANCIALLY INDIGENT REFERS TO AN UNINSURED OR UNDER-INSURED PERSON WHO DOES NOT HAVE THE ABILITY TO PAY FOR SERVICES RENDERED. SIH MAY CLASSIFY ALL PATIENTS WHOSE INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES AS FINANCIALLY INDIGENT WHICH RESULTS IN 100% FINANCIAL ASSISTANCE. PARTIAL FINANCIAL ASSISTANCE IS PROVIDED ON A SLIDING SCALE FOR THOSE PATIENTS WHOSE INCOME IS BETWEEN 2 AND 4 TIMES THE FEDERAL POVERTY GUIDELINES. SIH UTILIZES THE FEDERAL POVERTY GUIDELINES PUBLISHED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. AN INDIVIDUAL WHO MEETS THE CRITERIA OF BEING MEDICALLY INDIGENT IS ONE WHOSE REMAINING HOSPITAL BILL(S), AFTER APPLICATION OF FINANCIALLY INDIGENT CRITERIA, EXCEEDS A SPECIFIED PERCENTAGE OF THE PATIENT'S ANNUAL INCOME AND WHO IS UNABLE TO PAY THE REMAINING BALANCE OF THE BILL(S). TO BE CONSIDERED FOR CLASSIFICATION AS A MEDICALLY INDIGENT PATIENT THE AMOUNT OWED AFTER APPLICATION OF THE FINANCIALLY INDIGENT ADJUSTMENT MUST EXCEED TWENTY FIVE (25) PERCENT OF THE PATIENT'S ANNUAL INCOME AND THE PATIENT MUST BE UNABLE TO PAY THEIR REMAINING BALANCE OF THEIR BILL(S). PATIENTS CLASSIFIED AS MEDICALLY INDIGENT WILL BE RESPONSIBLE FOR MEDICARE EXPECTED PAYMENT FURTHER REDUCED BY THE FINANCIALLY INDIGENT ADJUSTMENT PERCENTAGE. PAYMENTS ARRANGEMENTS FOR MEDICALLY INDIGENT PATIENTS MAY ALSO BE ARRANGED THROUGH AN SIH FINANCIAL COUNSELOR. FINALLY, SIH POLICY PROVIDES FOR THE ABILITY TO ASSIST PATIENTS THROUGH JUDGMENTAL HEALTH CARE ASSISTANCE. SIH RESERVES THE RIGHT TO PROVIDE JUDGMENTAL HEALTH CARE ASSISTANCE IN THE FOLLOWING CIRCUMSTANCES: A. HOMELESS B. RESIDENT OF SHELTER FACILITIES C. RAPE VICTIM OR VICTIM OF VIOLENT CRIMES D. DECEASED PATIENTS E. LAWSUITS INITIATED BY HOSPITAL AND THERE ARE NO AVAILABLE ASSETS FOR PAYMENT. THE FOLLOWING EXCERPT IS FROM OUR POLICY # SY-PF-128 PATIENT FAIR BILLING AND COLLECTIONS: PATIENT NOTIFICATION: 7.1 NOTICES WILL BE PLACED IN EACH PATIENT INTAKE OFFICE AND IN ALL AREAS WHERE PATIENT REGISTRATION TAKES PLACE THAT STATES SIH ACCEPTS MEDICARE, MEDICAID, AND ALL HEALTH INSURANCES, INCLUDING AUTOMOBILE AND LIABILITY. 7.2 NOTICES WILL BE PLACED IN EACH PATIENT INTAKE OFFICE, IN ALL AREAS WHERE PATIENT REGISTRATION TAKES PLACE AND THE EMERGENCY DEPARTMENT WAITING ROOMS THAT STATES "YOU MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE TERMS AND CONDITIONS THE HOSPITAL OFFERS TO QUALIFIED PATIENTS." THE SIGNAGE WILL BE IN ENGLISH AND SPANISH. 7.3 SIH'S WEBSITE WILL PROMINENTLY POST A NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE THROUGH HAP ALONG WITH A DESCRIPTION OF THE HAP APPLICATION PROCESS AND A COPY OF THE HAP APPLICATION. 7.4 INFORMATION (BROCHURE, HAP APPLICATION AND ANY OTHER APPLICABLE WRITTEN MATERIAL) REGARDING HAP WILL BE AVAILABLE IN ALL PATIENT INTAKE OFFICES AND IN ALL AREAS WHERE PATIENT REGISTRATION TAKES PLACE.
Community information.	Schedule H, Part VI, Line 4	THE PRIMARY SERVICE AREA OF SOUTHERN ILLINOIS HEALTHCARE IS A SEVEN-COUNTY REGION BETWEEN THE MISSISSIPPI AND OHIO RIVERS IN SOUTHERN ILLINOIS THAT INCLUDES PERRY, JACKSON, FRANKLIN, WILLIAMSON, UNION, JOHNSON, AND SALINE COUNTIES. THE COMBINED POPULATION OF THIS AREA IS 240,077. SIH FACILITIES ARE LOCATED IN COMMUNITIES THAT ARE ADJACENT TO RT. 13, THE PRIMARY EAST-WEST STATE HIGHWAY THROUGH THE REGION, AND ON INTERSTATE I-57, THE MAIN NORTH-SOUTH TRANSPORTATION ARTERY. THESE COUNTIES ARE VERY RURAL: WILLIAMSON COUNTY, THE MOST DENSELY POPULATED COUNTY IN THE SIH SERVICE TERRITORY, CONTAINS 144 PERSONS PER SQUARE MILE. JOHNSON COUNTY, THE LEAST DENSELY POPULATED, CONTAINS 37 PERSONS PER SQUARE MILE. THE AVERAGE NUMBER OF PERSONS PER SQUARE MILE IN ILLINOIS IS 223. COLLECTIVELY, THE RESIDENTS OF EACH OF THESE COUNTIES HAVE MEDIAN HOUSEHOLD INCOMES THAT ARE SUBSTANTIALLY LESS THAN THE STATEWIDE AVERAGE OF $ 46,590. OF THE SEVEN COUNTIES, JOHNSON'S MEDIAN HOUSEHOLD INCOME IS THE HIGHEST AT $ 33,326 AND JACKSON COUNTY'S IS THE LOWEST AT $ 24,946. MORE OF THE RESIDENTS IN THESE COUNTIES LIVE IN POVERTY THAN THE STATE AVERAGE OF 10.7% WITH THE HIGHEST PERCENTAGE BEING 25.2% IN JACKSON COUNTY AND THE LOWEST OF 11.3% IN JOHNSON COUNTY. FURTHER EVIDENCE OF THE ECONOMIC DISTRESS OF THE REGION IS REFLECTED IN THE DEGREE OF CHILDHOOD POVERTY. NOT SURPRISINGLY, THESE COUNTIES RANK AMONG THE POOREST OF ILLINOIS' 102 COUNTIES BASED UPON THE PERCENTAGE OF CHILDREN LIVING IN POVERTY. FRANKLIN COUNTY HAS THE HIGHEST RATE, 24.4%, OF CHILDHOOD POVERTY RANKING 98TH IN THE STATE. JACKSON, UNION, WILLIAMSON, AND SALINE COUNTIES FALL CLOSELY BEHIND WITH RANKINGS OF 97TH, 92ND, 89TH, AND 83RD RESPECTIVELY. THE POPULATION OF THIS AREA IS LARGELY HOMOGENEOUS WITH A RACIAL MAKEUP THAT IS PREDOMINATELY WHITE, 95%+. JACKSON COUNTY IS THE MOST DIVERSE OF THE COUNTIES WITH 80% OF THE POPULATION BEING WHITE AND 13% AFRICAN AMERICAN.
Promotion of community health	Schedule H, Part VI, Line 5	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 2,000 EMPLOYEES, ALONG WITH PHYSICIANS AND VOLUNTEERS, ARE WORKING TOGETHER TO ACHIEVE OUR MISSIONS AND ENSURE THAT THE HEALTH CARE NEEDS OF THOSE WE SERVE ARE MET BY TREATING PATIENTS IN SIHS FACILITIES, BY OFFERING SERVICES IN RURAL CLINICS, BY COLLABORATING WITH SOME OF AMERICA'S BEST HOSPITALS AND BY IMPROVING THE QUALITY OF LIFE IN OUR COMMUNITIES WITH OUR CHARITABLE COMMUNITY BENEFITS PROGRAMS. SIHS PROVIDES QUALITY HEALTH SERVICES TO PEOPLE THROUGHOUT SOUTHERN ILLINOIS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. SIHS OPERATES 3 COMMUNITY HOSPITALS WITH A COMBINED TOTAL OF 240 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. SIHS INVESTS EXCESS FUNDS FROM OPERATIONS INTO THE EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, REPAYMENT OF DEBT AND IMPROVEMENT IN PATIENT CARE. SOUTHERN ILLINOIS HOSPITAL SERVICES HAS ALSO EXTENDED ITS SERVICES BEYOND HOSPITAL WALLS AND INTO THE NEIGHBORHOODS WHERE PEOPLE LIVE AND WORK. ANNUALLY OPERATING FUNDS ARE ALLOCATED SPECIFICALLY TO BRING HEALTH-RELATED PROGRAMS TO THE AREAS IN WHICH THEY ARE MOST NEEDED. OUR GOAL IS TO REACH OUT TO COMMUNITIES TO LEARN HOW SIHS CAN HELP IN COMPLETING THE HEALTH CARE PICTURE. CURRENTLY, THE COMMUNITY BENEFITS DEPARTMENT OF SIHS COLLABORATES WITH SOUTHERN ILLINOIS SCHOOLS TO PROVIDE SCHOOL NURSING SERVICES AND A COMPREHENSIVE SCHOOL HEALTH EDUCATION PROGRAM. ADDITIONALLY, THE DEPARTMENT HAS UNDERTAKEN EFFORTS TO SUPPORT INCREASED ACCESS TO QUALITY HEALTH CARE IN THE REGION THROUGH A NUMBER OF INITIATIVES, INCLUDING THE DIRECT FINANCIAL SUPPORT OF THREE FREE HEALTH CLINICS. INCLUDED IN THESE AND OTHER DEPARTMENTAL INITIATIVES ARE EFFORTS TO ADDRESS DISPARITIES IN LOCAL RESIDENT'S HEALTH STATUS AND HEALTH OUTCOMES. A HEALTH MINISTRY INITIATIVE, AIDING THE REGION'S FAITH COMMUNITIES THROUGH THE TRAINING AND SUPPORT OF PARISH NURSES, IS AN ONGOING EFFORT OF THE DEPARTMENT. OVER 100 PARISH NURSES HAVE BEEN TRAINED AND ARE BEING SUPPORTED IN THE HEALTH PROMOTION WORK OF THEIR RESPECTIVE FAITH COMMUNITIES TO DATE. ALSO THE DEPARTMENT IS ACTIVE IN THE CREATION AND FACILITATION OF HEALTHY COMMUNITY COALITIONS. THESE GROUPS INCLUDE HEALTH PROVIDERS, SOCIAL SERVICE AGENCIES, CONCERNED CITIZENS AND OTHER COMMUNITY GROUPS INTERESTED IN IMPROVING THE HEALTH OF THEIR RESPECTIVE COMMUNITIES. THE GROUPS SEEK TO MEET LOCALLY IDENTIFIED COMMUNITY HEALTH NEEDS AND THROUGH THE IMPLEMENTATION OF PROGRAMS THAT ADDRESS THE DEMONSTRATED UNMET HEALTH NEEDS OF THE RESIDENTS OF THE COMMUNITIES SERVED. THESE COALITIONS MAKE A SIGNIFICANT IMPACT ON THE LIVES OF THOSE WITHIN THE COMMUNITIES SERVED BY SIHS. CURRENTLY, STAFF IS ENGAGED IN NUMEROUS COMMUNITY HEALTH PROMOTION, EDUCATION, AND PREVENTION INITIATIVES. AN INCREASE IN ACCESS TO PRIMARY HEALTH, BEHAVIORAL HEALTH, AND ORAL HEALTH CARE SERVICES HAS BEEN AFFECTED THROUGH THE SIHS SUPPORT OF EXISTING AND DEVELOPING COMMUNITY-BASED INTERVENTIONS. INCREASED NUMBERS OF COLLABORATIVE PARTNERSHIPS THAT SUPPORT INCREASED INDIVIDUAL AND COMMUNITY CAPACITY TO ACHIEVE A HEALTHY COMMUNITY VISION ARE ONGOING. IN ORDER TO ACCOMPLISH THE ORGANIZATION'S MISSION AS WELL AS THE OVERALL GOALS PREVIOUSLY OUTLINED, THE COMMUNITY BENEFITS DEPARTMENT OF SOUTHERN ILLINOIS HEALTHCARE IMPLEMENTS A NUMBER OF DIRECTED INITIATIVES. FOLLOWING IS A DESCRIPTION OF THESE INITIATIVES, THE SPECIFIC GOALS AND OBJECTIVES TO BE ACHIEVED FOR FY11, AND AN OUTLINE OF THE MEANS BY WHICH DEPARTMENT STAFF WILL WORK TO PLAN, IMPLEMENT, AND EVALUATE THESE PROGRAMS. THE HEALTH MINISTRY PROGRAM COLLABORATES WITH SOUTHERN ILLINOIS FAITH COMMUNITIES TO IMPROVE THE HEALTH AND WELLNESS OF PEOPLE IN THE COMMUNITIES THEY SERVE. EMPHASIZING WHOLENESS OF BODY, MIND AND SPIRIT, FAITH COMMUNITIES WITH A HEALTH MINISTRY OFFER HEALTH PROMOTION AND EDUCATION ACTIVITIES; ADVOCACY AND REFERRAL; AND CARING SPIRITUAL SUPPORT. THE FOCUS OF THE SIH COMMUNITY BENEFITS WELLNESS PROGRAM IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY MEMBERS OF SOUTHERN ILLINOIS HEALTHCARE'S SERVICE AREA AND TO IMPROVE THE HEALTH AND WELL-BEING OF SIH EMPLOYEES THROUGH A STRATEGIC WELLNESS PLAN INCLUDING PREVENTATIVE HEALTH SCREENINGS, EDUCATIONAL PROGRAMMING, AND DISEASE MANAGEMENT. IN ADDITION TO THE INITIATIVES WHICH DEPARTMENT STAFF PLANS, IMPLEMENTS, AND EVALUATES, COMMUNITY BENEFITS ALSO PROVIDES SIGNIFICANT FINANCIAL SUPPORT TO SEED NEW PROGRAMS WHICH MEET BOTH THE PRIORITIES OF THE DEPARTMENT AND PRESSING COMMUNITY NEEDS. THIS FINANCIAL SUPPORT IS PROVIDED TO APPLICANTS WHO DEMONSTRATE THE CAPACITY TO SUCCESSFULLY IMPLEMENT THE PROPOSED PROGRAM PLAN AND CREATE SUSTAINABLE SOLUTIONS TO UNMET HEALTH NEEDS. CURRENTLY, COMMUNITY BENEFITS IS WORKING CLOSELY WITH SEVERAL COMMUNITY-BASED PROVIDERS TO DESIGN PROGRAMS WHERE THE LEVERAGING OF SIH FUNDING, COMBINED WITH THE AGENCY'S RESOURCES AND EXPERTISE, RESULT IN INNOVATIVE PROGRAMS THAT MEET THE NEEDS OF THE COMMUNITIES SERVED BY SIH HOSPITALS AND IMPROVE BOTH INDIVIDUAL AND COMMUNITY HEALTH. SOME OF THE PROGRAMS INVOLVE INCREASING ACCESS TO PRIMARY AND LIMITED SPECIALTY HEALTH CARE, INCREASING ACCESS TO ORAL HEALTH CARE FOR THE UNINSURED, AND IMPROVING THE OVERALL HEALTH AND HUMAN SERVICE SYSTEM CAPACITY TO RECOGNIZE AND RESPOND TO DOMESTIC VIOLENCE AND CHILD ABUSE AND NEGLECT. THE HANDS OF HOPE MEDICAL CLINIC LOCATED IN MARION, IL IS PROVIDING PRIMARY AND LIMITED SPECIALTY HEALTH CARE TO WORKING UNINSURED RESIDENTS OF WILLIAMSON COUNTY. HERRIN HOSPITAL PROVIDES LAB SERVICES TO PATIENTS REFERRED BY THE CLINIC UNDER A PROGRAM ADMINISTERED BY COMMUNITY BENEFITS.
Affiliated health care system	Schedule H, Part VI, Line 6	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 PROVIDES CARE THROUGH PHYSICIAN PRACTICES. THESE PRACTICES ARE COMPRISED OF THE CENTER FOR MEDICAL ARTS, 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.
State filing of community benefit report	Schedule H, Part VI, Line 7	IL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
AMERICAN HEART ASSOCIATION
PO BOX 40022902	DES MOINES	IA	503402902	135613797	501(C)(3)	30000	0	N/A	N/A	GENERAL PROGRAM FUNDING
SOUTHERN ILLINOIS UNIVERSITY FOUNDATION
1235 DOUGLAS DRIVE	CARBONDALE	IL	62901	376024575	501(C)(3)	52100	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)	7500	0	N/A	N/A	GENERAL PROGRAM FUNDING
WOMEN FOR HEALTH AND WELLNESS
700 LOGAN COLLEGE ROAD	CARTERVILLE	IL	62918	371331447	501(C)(3)	10000	0	N/A	N/A	GENERAL PROGRAM FUNDING
REHABILITATION INSTITUTE OF CHICAGO
345 EAST SUPERIOR	CHICAGO	IL	60016	362256036	501(C)(3)	5500	0	N/A	N/A	GENERAL PROGRAM FUNDING
JACKSON COUNTY HEALTH DEPARTMENT
415 HEALTH DEPARTMENT ROAD	MURPHYSBORO	IL	62966	376001092	501(C)(3)	8000	0	N/A	N/A	GENERAL PROGRAM FUNDING
ARTHRITIS FOUNDATION
4501 W DEYOUNG	MARION	IL	62959	264639290	501(C)(3)	5000	0	N/A	N/A	GENERAL PROGRAM FUNDING	SUITE B104
CARTERVILLE SCHOOL DISTRICT
UNIT OFFICE 306 VIRGINIA STREET	CARTERVILLE	IL	62918	370859478	501(C)(3)	6500	0	N/A	N/A	GENERAL PROGRAM FUNDING
SOUTHERN IL REGIONAL SOCIAL SERVICES
604 EAST COLLEGE	CARBONDALE	IL	62901	370795898	501(C)(3)	10417	0	N/A	N/A	GENERAL PROGRAM FUNDING
COMMUNITY HEALTH & EMERGENCY SERVICES
PO BOX 233	CAIRO	IL	62914	371100482	501(C)(3)	35000	0	N/A	N/A	GENERAL PROGRAM FUNDING
LAND OF LINCOLN LEGAL ASSISTANCE FOUNDATION
509 S UNIVERSITY AVENUE	CARBONDALE	IL	62901	370958448	501(C)(3)	57500	0	N/A	N/A	GENERAL PROGRAM FUNDING	3RD FLOOR
AMERICAN CANCER SOCIETY
4503 W DEYOUNG	MARION	IL	62959	131788491	501(C)(3)	22700	0	N/A	N/A	GENERAL PROGRAM FUNDING	SUITE 200 C
THE H GROUP BBT
902 WEST MAIN STREET	WEST FRANKFORT	IL	62896	370916475	501(C)(3)	10817	0	N/A	N/A	GENERAL PROGRAM FUNDING

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	11	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JULIE FIRMAN
168740	0	173	0	15460	0	58787	0	12607	0	255767	0	0	0
REX BUDDE
396020	0	1173	0	12695	0	158125	0	50776	0	618789	0	0	0
MIKE KASSER
248467	0	816	0	29579	0	82134	0	29926	0	390922	0	9004	0
WILLIAM SHERWOOD
232790	0	816	0	19475	0	120422	0	36973	0	410476	0	7147	0
PHILIP SCHAEFER
246329	0	816	0	13484	0	93967	0	34616	0	389212	0	5017	0
PAM HENDERSON
182177	0	816	0	11531	0	66919	0	4851	0	266294	0	0	0
DAVID HOLLAND
200794	0	816	0	9813	0	75674	0	18449	0	305546	0	0	0
JOHN B MILLSTEAD
269303	0	816	0	8559	0	102709	0	42363	0	423750	0	0	0
BECKY ASHTON
240945	0	1879	0	8570	0	84227	0	7853	0	343474	0	0	0
SCOTT SEABORN
206427	0	816	0	10947	0	87495	0	18456	0	324141	0	0	0
JAMES MILLER MD
284433	0	680	0	146997	0	7099	0	35041	0	474250	0	37359	0
CATHERINE PORTER
149647	0	777	0	40529	0	3660	0	21601	0	216214	0	0	0
RICHARD BOREN
179010	0	1029	0	374	0	7600	0	35828	0	223841	0	0	0
BRIAN LANCE
157883	0	816	0	9516	0	6554	0	24211	0	198980	0	0	0
WILLIAM THORNE
143956	0	816	0	11200	0	47484	0	33610	0	237066	0	0	0
THOMAS HENTIRCH
156560	0	816	0	11627	0	6598	0	32880	0	208481	0	0	0
NICOLE WILLIAMS
157436	0	1028	0	78	0	6323	0	7925	0	172790	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Severance or change-of-control payment	Schedule J, Part I, Line 4a	CATHERINE PORTER, CRNA, ONE THE 5 HIGHEST COMPENSATED EMPLOYEES, RECEIVED SEVERANCE PAYMENTS OF $31,363.
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b	THE ORGANIZATION MADE THE FOLLOWING SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS/CONTRIBUTIONS: REX BUDDE - $152,000 DEFERRED COMPENSATION BECKY ASHTON-$74,427 DEFERRED COMPENSATION PAM HENDERSON - $59,546 DEFERRED COMPENSATION DAVE HOLLAND - $68,646 DEFERRED COMPENSATION MIKE KASSER - $9,004 PAYMENT; $72,334 DEFERRED COMPENSATION JAMES MILLER - $127,175 PAYMENT BART MILLSTEAD - $92,909 DEFERRED COMPENSATION PHIL SCHAEFER - $5,016 PAYMENT; $84,167 DEFERRED COMPENSATION SCOTT SEABORN - $79,109 DEFERRED COMPENSATION BILL SHERWOOD - $7,147 PAYMENT; $110,689 DEFERRED COMPENSATION JULIE FIRMAN - $58,787 DEFERRED COMPENSATION WILLIAM THORNE - $41,362 DEFERRED COMPENSATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
ILLINOIS FINANCE AUTHORITY
861091967	45200FS42	2010-02-18	68985878	DEEMED REISSUANCE OF 2005 BONDS	false	false	false
ILLINOIS FINANCE AUTHORITY
861091967	45200FSD2	2008-12-04	55000000	FINANCE CAPITAL ACQUISITIONS	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0	0	68985878	0	0	0	0	0	0	0	0	0	2008	true	false	true	true
935000	0	55058935	0	0	0	919545	559403	0	19383215	10346431	10346431	2011	true	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	0.0000	0.0000	0.0000	true
false	false	false	false	0.0000	0.0000	0.0000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Term Of GICTermOfGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
(no name)
false	false	false	0.0	false	0.0	false	true
MORGAN STANLEY
false	true	true	29.0	false	0.0	false	true	false	false

Form990 Schedule K Part V Form990ScheduleKPartV

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Relationship	SPOUSE OF VP/CFO, MIKE KASSER	Relationship
Amount Of Transaction	25311	AmountOfTransaction
Description Of Transaction	EMPLOYEE COMPENSATION	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990, PART III, LINE 1	(CONTINUED FROM PART III) OVER 2000 EMPLOYEES, ALONG WITH PHYSICIANS AND VOLUNTEERS, ARE WORKING TOGETHER TO ACHIEVE OUR MISSION AND ENSURE THAT THE HEALTH CARE NEEDS OF THOSE WE SERVE ARE MET BY TREATING PATIENTS IN SIHS FACILITIES, BY OFFERING SERVICES IN RURAL CLINICS, BY COLLABORATING WITH SOME OF AMERICA'S BEST HOSPITALS AND BY IMPROVING THE QUALITY OF LIFE IN OUR COMMUNITIES WITH OUR CHARITABLE COMMUNITY BENEFITS PROGRAMS. OUR SERVICES ARE PROVIDED REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.
HOSPITAL SERVICES	FORM 990, PART III, LINE 4A	(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 IS THE LARGEST FACILITY AND A REGIONAL MEDICAL CENTER WITH 140 LICENSED BEDS. IT IS HOME TO THE FIRST OPEN HEART SURGERY PROGRAM IN THE IMMEDIATE SOUTHERN ILLINOIS AREA AND OFFERS HIGH-QUALITY CARDIAC SERVICES. THE HOSPITAL IS ALSO HOME TO A REGIONAL CANCER TREATMENT CENTER, THE ONLY LEVEL II PLUS NEO-NATAL INTENSIVE CARE UNIT, AND THE ONLY PEDIATRIC UNIT IN THE IMMEDIATE SOUTHERN ILLINOIS AREA. THE HOSPITAL IS AFFILIATED WITH SOUTHERN ILLINOIS UNIVERSITY'S MEDICAL SCHOOL THROUGH ITS FAMILY PRACTICE RESIDENCY PROGRAM. HERRIN HOSPITAL: OPENED IN 1913, HERRIN HOSPITAL WAS THE FIRST HOSPITAL OWNED AND OPERATED BY THE ORGANIZATION. HERRIN HOSPITAL CURRENTLY OPERATES 75 LICENSED BEDS. IT IS ALSO HOME TO THE 29 BED ACUTE REHABILITATION CENTER, AN AFFILIATE PROGRAM WITH THE REHABILITATION INSTITUTE OF CHICAGO, RECOGNIZED AS THE TOP REHABILITATION HOSPITAL IN AMERICA. THROUGH THIS AFFILIATION, PATIENTS RECOVERING FROM STROKE AND INJURY RECEIVE THE BEST POSSIBLE CARE IN THE REGION. ST. JOSEPH MEMORIAL HOSPITAL: A 25 LICENSED BED ACUTE CARE CATHOLIC HOSPITAL FACILITY; ST JOSEPH MEMORIAL HOSPITAL IS LOCATED IN MURPHYSBORO, ILLINOIS. ST. JOSEPH OPENED ON OCTOBER 1, 1960 AND WAS ACQUIRED BY SOUTHERN ILLINOIS HOSPITAL SERVICES ON JANUARY 5, 1995. ST JOSEPH'S CATHOLIC IDENTITY HAS BEEN RETAINED BY SIHS SINCE THE PURCHASE. ST. JOSEPH IS HOME TO THE SLEEP DISORDERS CENTER, WHICH IS DEDICATED TO THE DIAGNOSIS AND TREATMENT OF SLEEP DISORDERS. 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 67,409 ADULT AND CHILD PATIENT DAYS AND 3,267 NEWBORN PATIENT DAYS. OUTPATIENT REGISTRATIONS TOTALED 269,358 WITH 64,924 OF THESE REGISTRATIONS BEING EMERGENCY ROOM VISITS. APPROXIMATELY 59.35% OF THESE DAYS AND REGISTRATIONS PROVIDED CARE THAT WAS CLASSIFIED AS EITHER UNCOMPENSATED CHARITY CARE OR UNCOMPENSATED GOVERNMENT-SPONSORED HEALTH CARE. AN ADDITIONAL 2% 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. PATIENTS IN THE ACUTE REHABILITATION CENTER ARE GIVEN THERAPY TO RECOVER FROM STROKE, CARDIAC EVENTS, SURGERIES, AND INJURIES. SURGICAL SERVICES ARE OFFERED AT ALL FACILITIES, WITH CARBONDALE MEMORIAL HOSPITAL PROVIDING OPEN-HEART AND CARDIAC SERVICES. TWO UNIQUE PROGRAMS OF ST. JOSEPH MEMORIAL HOSPITAL ARE THE SLEEP DISORDERS CENTER AND THE SENIOR RENEWAL PROGRAM. THE SLEEP DISORDERS CENTER OFFERS TWO LOCATIONS TO DIAGNOSE SLEEP DISORDERS. THE SENIOR RENEWAL PROGRAM OFFERS OUTPATIENT BEHAVIORAL HEALTH TREATMENT THROUGH A COMBINATION OF GROUP PSYCHOTHERAPY, INDIVIDUAL AND/OR FAMILY THERAPY AND INTENSIVE NURSING EDUCATION. 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.
COMMUNITY BENEFITS	FORM 990, PART III, LINE 4B	(CONTINUED FROM PART III) THE COMMUNITY BENEFITS DEPARTMENT'S PRIMARY FUNCTIONS THAT ARE PERFORMED ON BEHALF OF SOUTHERN ILLINOIS HOSPITAL SERVICES (SIHS) INCLUDE: - COORDINATE SYSTEM-WIDE COMMUNITY HEALTH ASSESSMENTS AND COMMUNITY BENEFIT PLANNING; - PLAN, IMPLEMENT, AND EVALUATE DEPARTMENTALLY INITIATED COMMUNITY HEALTH PROMOTION PROGRAMS AND SERVICES; - INITIATE AND PARTICIPATE IN COLLABORATIVE PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS TO DEVELOP AND IMPLEMENT SOLUTIONS TO UNMET HEALTH NEEDS; - CONVENE COMMUNITY-BASED ORGANIZATIONS AND PUBLIC SECTOR ENTITIES TO FOCUS ON PERVASIVE ISSUES AND TO DEVELOP HEALTH INITIATIVES; AND - IDENTIFY FUNDING OPPORTUNITIES/GRANT PROGRAMS THAT FUND COMMUNITY-BASED HEALTH PROGRAMS AND PUBLIC/PRIVATE HEALTH INITIATIVES. SIHS' SERVICES TARGET THE FOLLOWING COMMUNITIES AND POPULATIONS: - UNINSURED, UNDERINSURED AND UNDER-SERVED; - POPULATIONS THAT ARE VULNERABLE DUE TO A RANGE OF SOCIO-ECONOMIC BARRIERS SUCH AS POVERTY, EDUCATION LEVELS, EMPLOYMENT STATUS, AND/OR RACIAL DISPARITIES IN HEALTH CARE; - POPULATIONS THAT ARE HARD TO REACH DUE TO LANGUAGE AND CULTURAL CHALLENGES; - POPULATIONS WITH IDENTIFIED NEEDS THAT CAN BE EFFICIENTLY REACHED THROUGH THE LEVERAGING OF COMMUNITY LINKAGES (I.E. FAITH-BASED, SCHOOLS, NEIGHBORHOODS, COMMUNITIES, ETC.); - THE WORKING POOR; AND - POPULATIONS AT RISK OF EXPERIENCING ADVERSE HEALTH CONDITIONS OR OUTCOMES. IN ORDER TO ACCOMPLISH THE ORGANIZATION'S MISSION, THE COMMUNITY BENEFITS DEPARTMENT OF SIHS IMPLEMENTS A NUMBER OF DIRECTED INITIATIVES. PROGRAMS DURING THE REPORTING YEAR INCLUDE: HEALTH MINISTRY -- THE HEALTH MINISTRY PROGRAM COLLABORATES WITH SOUTHERN ILLINOIS FAITH COMMUNITIES TO IMPROVE THE HEALTH AND WELLNESS OF PEOPLE IN THE COMMUNITIES THEY SERVE. EMPHASIZING WHOLENESS OF BODY, MIND AND SPIRIT, FAITH COMMUNITIES WITH A HEALTH MINISTRY OFFER HEALTH PROMOTION AND EDUCATION ACTIVITIES; ADVOCACY AND REFERRAL; AND CARING SPIRITUAL SUPPORT. HEALTHY COMMUNITIES -- THE FOCUS OF THE WORK IN THE AREA OF HEALTHY COMMUNITIES IS TO INCREASE THE CAPACITY OF LOCAL AGENCIES TO WORK COLLABORATIVELY TO ADDRESS THE UNMET HEALTH NEEDS WITH THE COMMUNITIES SERVED BY SIHS. STAFF WILL WORK TO IMPROVE COMMUNITY HEALTH THROUGH THE ASSESSMENT OF COMMUNITY NEEDS AND THE PLANNING, IMPLEMENTATION, AND EVALUATION OF COMMUNITY BASED HEALTH PROMOTIONS, EDUCATION, PREVENTION PROGRAMS, AND SERVICES. AN INCREASED FOCUS OF THESE ACTIVITIES WILL BE DIRECTED TO INITIATIVES ADDRESSING CARDIOVASCULAR DISEASE AND CANCER, AND THE DEVELOPMENT OF STRATEGIES, PROGRAMMING, AND INTERVENTIONS TO REDUCE SUBSTANCE ABUSE, AND THE CONTINUATION OF EFFORTS TO EXPAND ACCESS TO CARE FOR THE UNINSURED AND THE UNDER-SERVED. HEALTHY COMMUNITY COALITIONS ARE THE FORMAL GATHERING OF HEALTH PROVIDERS, SOCIAL SERVICE AGENCIES, CONCERNED CITIZENS, AND OTHER COMMUNITY GROUPS INTERESTED IN IMPROVING THE HEALTH OF THEIR RESPECTIVE COMMUNITIES. SIHS IS ACTIVE IN TWO SUCH COALITIONS, ONE IN JACKSON COUNTY, AND THE OTHER IN FRANKLIN AND WILLIAMSON COUNTIES.
SCHOOL BASED HEALTH SERVICES	FORM 990, PART III, LINE 4C	(CONTINUED FROM PART III) THE FOLLOWING IS A SUMMARY OF THE PROGRAMS DURING THIS REPORTING YEAR: PARTNERS IN HEALTH -- A COLLABORATIVE INITIATIVE, PARTNERING WITH REGIONAL SCHOOLS, PROMOTING AND ASSISTING IN THE IMPLEMENTATION OF COORDINATED SCHOOL HEALTH PROGRAMMING IN SCHOOLS BY SUPPLYING CURRICULUM, MATERIALS, SUPPLIES, TEACHER TRAINING, AND ONGOING SUPPORT IN SOUTHERN ILLINOIS SCHOOLS. STAFF ASSISTS SCHOOL PERSONNEL WITH ASSESSMENT, PROGRAM PLANNING, IMPLEMENTATION, AND EVALUATION WITHIN THE EIGHT AREAS OF THE COORDINATED SCHOOL HEALTH MODEL. INVOLVED IN THIS PROGRAM ARE FIVE COLLABORATING PARTNERS, 41 SCHOOLS, 21,000 STUDENTS, AND 1100 FACULTY AND STAFF. HEALTHY STUDENTS - READY TO LEARN -- SCHOOLS PROVIDE AN IDEAL LOCATION WHERE A RANGE OF HEALTH SERVICES CAN BE DELIVERED TO THE ADOLESCENT POPULATION EFFECTIVELY AND EFFICIENTLY. THE SCHOOL BASED HEALTH CENTER IS A PLANNED PARTNERSHIP BETWEEN THE SCHOOL DISTRICT AND LOCAL HEALTH CARE PROVIDERS TO DELIVER PRIMARY HEALTH CARE AND SOCIAL SERVICES. THROUGH THE COLLABORATIVE RELATIONSHIP WITH EXISTING HEALTH CARE PROVIDERS, SCHOOL DISTRICTS PLAN, DELIVER, AND EVALUATE SERVICES THAT SERVE THE UNMET HEALTH NEEDS OF THE STUDENTS WITH THE GOAL OF IMPROVED OVERALL ACADEMIC AND SOCIAL OUTCOMES. SERVICES PROVIDED AT THE SCHOOL BASED HEALTH CENTER INCLUDE PRIMARY CARE, IMMUNIZATIONS, VISION SCREENING, SOCIAL SERVICE REFERRALS, MENTAL HEALTH COUNSELING, AND NUTRITION COUNSELING. COLLABORATIVE AGENCIES ARE WORKING TO SERVE THE HEALTH NEEDS OF 9,900 STUDENTS AND 670 IN NEWLY DEVELOPED SCHOOL BASED HEALTH CENTERS IN 6 SCHOOL DISTRICTS. HEALTHY FITNESS ZONE -- PROMOTES 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 INITIATIVE IS BASED UPON CURRENT LOCAL RESEARCH AND NATIONAL PHYSICAL EDUCATION STANDARDS PUBLISHED BY THE NATIONAL ASSOCIATION FOR SPORTS AND PHYSICAL EDUCATION (NASPE). 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. FITNESSGRAM WAS DEVELOPED BY THE COOPER INSTITUTE AND UNLIKE OTHER ASSESSMENT TOOLS, IS DESIGNED TO ENCOURAGE YOUTH TO SET GOALS TO IMPROVE THEIR OWN PERSONAL FITNESS LEVELS. NATIONAL PHYSICAL EDUCATION GUIDELINES RECOMMEND THE USE OF FITNESSGRAM FOR PHYSICAL FITNESS ASSESSMENTS. 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 K-5, 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. SOUTHERN ILLINOIS HEALTHCARE HAS PILOTED CATCH IN 12 ELEMENTARY SCHOOLS.
Family/business relationships amongst interested persons	Form 990, Part VI, Section A, Line 2	RUSSELL BROWN, DO AND JEFFREY PARKS, MD - BUSINESS RELATIONSHIP
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	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.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	THE ORGANIZATION'S SOLE MEMBER, SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES, HAS THE EXCLUSIVE RIGHT TO ELECT TRUSTEES TO THE ORGANIZATION'S BOARD OF TRUSTEES.
Decisions requiring approval by members or stockholders	Form 990, Part VI, Section A, Line 7b	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.
Review of form 990 by governing body	Form 990, Part VI, Section B, Line 11b	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. THIS DRAFT COPY WAS PRESENTED TO THE FINANCE COMMITTEE BY THE CFO AND THE ORGANIZATION'S TAX ADVISORS FOR REVIEW AND COMMENTS. AFTER THIS 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.
Conflict of interest policy	Form 990, Part VI, Section B, Line 12c	ANNUALLY, THE GENERAL COUNSEL SENDS OUT A CONFLICT OF INTEREST QUESTIONNAIRE TO EACH TRUSTEE, DIRECTOR, OFFICER, AND MANAGER 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.
Process used to establish compensation of top management official	Form 990, Part VI, Section B, Line 15a	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 2010.
Process used to establish compensation of other officers/key employees	Form 990, Part VI, Section B, Line 15b	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 2010.
Public Disclosure	Form 990, Part VI, Section C, Line 19	THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC 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.
OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES	FORM 990, PART VII, SECTION A, LINE 1A	THE FOLLOWING OFFICERS AND TRUSTEES DEVOTE TIME TO SOUTHERN ILLINOIS HOSPITAL ENTERPRISES, INC., A RELATED TAX-EXEMPT ORGANIZATION, AS FOLLOWS (APPROXIMATE): ANAD SALEM - 1 HOUR PER WEEK EUGENE BASANTA - 1 HOUR PER WEEK GEORGE O'NEILL - 1 HOUR PER WEEK HAROLD BARDO - 1 HOUR PER WEEK JEFFREY PARKS - 1 HOUR PER WEEK KATHLEEN FRALISH - 1 HOUR PER WEEK MARLENE SIMPSON - 1 HOUR PER WEEK MARSHA RYAN - 1 HOUR PER WEEK MIKE KASSER - 1 HOUR PER WEEK MORTON LEVINE - 1 HOUR PER WEEK PHIL NORDSTROM - 1 HOUR PER WEEK REX BUDDE - 1 HOUR PER WEEK RUSSELL BROWN - 1 HOUR PER WEEK STEVE SABENS - 1 HOUR PER WEEK WILLIAM SHERWOOD - 1 HOUR PER WEEK THE FOLLOWING OFFICERS AND TRUSTEES DEVOTE TIME TO SOUTHERN ILLINOIS MEDICAL SERVICES, NFP, A RELATED TAX-EXEMPT ORGANIZATION, AS FOLLOWS (APPROXIMATE): ANAD SALEM - 1 HOUR PER WEEK DAVE HOLLAND - 8 HOURS PER WEEK HAROLD BARDO - 1 HOUR PER WEEK JAMES MILLER - 10 HOURS PER WEEK JEFFREY PARKS - 1 HOUR PER WEEK KATHLEEN FRALISH - 1 HOUR PER WEEK MIKE KASSER - 8 HOURS PER WEEK PHIL NORDSTROM - 1 HOUR PER WEEK PHIL SCHAEFER - 30 HOURS PER WEEK REX BUDDE - 4 HOURS PER WEEK STEVE SABENS - 1 HOUR PER WEEK WILLIAM SHERWOOD - 6 HOURS PER WEEK PAM HENDERSON - 4 HOURS PER WEEK WILLIAM THORNE - 4 HOURS PER WEEK THE FOLLOWING OFFICERS AND TRUSTEES DEVOTE TIME TO SIH FOUNDATION, NFP, A RELATED TAX-EXEMPT ORGANIZATION, AS FOLLOWS (APPROXIMATE): MARSHA RYAN - 1 HOUR PER WEEK MIKE KASSER - 1 HOUR PER WEEK REX BUDDE - 1 HOUR PER WEEK WILLIAM SHERWOOD - 1 HOUR PER WEEK
Other changes in net assets or fund balances	Form 990, Part XI, Line 5	NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 12859689; PRIOR PERIOD ADJUSTMENTS - -12569; CHANGE IN FAIR VALUE OF INTEREST RATE SWAP - -589567; LOSS ON DERIVATIVE - -987267; EQUITY TRANSFERS - -3916080; CHANGE IN RESTRICTED FUNDS - 355961; ROUNDING - 70;
REQUIREMENTS UNDER SINGLE AUDIT ACT AND OMB CIRCULAR A-133	FORM 990, PART III, LINE 3	AS REQUIRED BY THE U.S. OFFICE OF MANAGEMENT AND BUDGET CIRCULAR A-133, AUDITS OF STATES, LOCAL GOVERNMENTS, AND NON-PROFIT ORGANIZATIONS, IN 2011 SOUTHERN ILLINOIS HEALTHCARE SERVICES AND AFFILIATES RECEIVED AN AUDIT FOR THE 2010 CONSOLIDATED FINANCIAL STATEMENTS IN ACCORDANCE WITH THE SINGLE AUDIT ACT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES INC
PO BOX 3988	CARBONDALE	IL	62902	371136788	LEASING OF MEDICAL SPACE	IL	501(C)(3)	11 - Type II	NA
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
1239 EAST MAIN STREET	CARBONDALE	IL	62901	205521741	MEDICAL SERVICES	IL	501(C)(3)	3	NA
SIH FOUNDATION NFP
1239 EAST MAIN STREET	CARBONDALE	IL	62901	271933790	FUNDRAISING	IL	501(C)(3)	11 - Type II	NA

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
RIC AND SIHS REHABILITATION SERVICES LLC
PO BOX 3988	CARBONDALE	IL	62902	364566925	MEDICAL SERVICES	IL	NA	RELATED	165521	1244002	false	false	0.999
PHYSICIANS' SURGERY CENTER LLC
2601 WEST MAIN STREET	CARBONDALE	IL	62901	260425547	MEDICAL SERVICES	IL	NA	RELATED	1528472	1302803	false	false	0.55

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressForeign/AddressLine1	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Legal Domicile StateLegalDomicileState
SIH CAYMAN SPC GROUP LTD
PO BOX 1051	CAYMAN ISLANDS	CJ	KY1-1102	980611605	FINANCING	CJ	NA	C CORPORATION	3548479	17186909	1
HEALTH SERVICES OF SOUTHERN ILLINOIS INC
				371115061	PHARMACY		NA	C CORPORATION				PO BOX 3988	CARBONDALE	IL	62902	IL

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
A	188811	FMV
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
Q	3916095	FMV
SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES INC
J	242726	FMV
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
O	10404675	COST
SOUTHERN ILLINOIS HEALTHCARE ENTERPRISES INC
K	216347	COST