2019-06-25T14:21:47-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2018-01-01 371158318 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION SOUT 6183320953 2041 GOOSE LAKE RD SAUGET IL 62206 THOMAS CHAUNDY CFO 6183320953 2019-06-25 1 JEFF PARKER P00970069 3149254300 67.137.57.251 2019-06-25 09:43:33 CD P 616D57ED59C9C12D8A28A3D9D480C81CB0617C5C DBE5E9100BD705C5801F05FB9419F1388E8E9FDA 2018 2019-02-21 02:37:17Z LARRY MCCULLEY 2041 GOOSE LAKE RD SAUGET IL 62206 65909782 0 X WWW.SIHF.ORG X 1985 IL PROVIDING A COORDINATED NETWORK OF HEALTH AND SUPPORTIVE SERVICES. 11 11 743 12 0 0 20400876 17972183 48203272 47840399 29992 12339 401669 84861 69035809 65909782 174147 106230 0 0 47308941 47811416 0 0 0 20150332 20262168 67633420 68179814 1402389 -2270032 34249489 32053448 12839398 12913389 21410091 19140059 LEAD INDIVIDUALS AND COMMUNITIES TO THEIR HEALTHIEST LIFESTYLE BY PROVIDING A COORDINATED NETWORK OF HEALTH AND SUPPORTIVE SERVICES. 0 0 54728873 106230 45414554 SIHF OPERATES 32 FEDERALLY QUALIFIED HEALTH CENTERS ACROSS 11 COUNTIES IN SOUTHERN ILLINOIS. ALL PATIENTS ARE PROVIDED MEDICAL SERVICES REGARDLESS OF THEIR ABILITY TO PAY. OPERATIONS ARE SUPPORTED BY FEDERAL AND STATE OF ILLINOIS GRANTS. SIHF SERVED 106,143 PATIENTS IN 2018 WITH 360,391 CLINIC AND HOSPITAL VISITS.AS A PATIENT AT SIHF HEALTHCARE, YOU'LL HAVE A DEDICATED, ON-GOING RELATIONSHIP WITH A PRIMARY CARE PROVIDER. HE OR SHE WILL HELP YOU GET TO WHERE YOU NEED TO BE BOTH PHYSICALLY AND MENTALLY. YOUR PROVIDER LEADS A TEAM THAT TAKES RESPONSIBILITY FOR PROVIDING HEALTHCARE FOR YOU THAT IS PERSONALIZED, COMPREHENSIVE, COMPASSIONATE AND EFFICIENT. 2047907 2510576 AT SIHF HEALTHCARE, OUR DENTAL TEAM PROVIDES THE HIGHEST QUALITY OF ORAL HEALTHCARE FOR YOUR FAMILY. WE COMPLEMENT OUR TEAM OF EXPERTS WITH STATE-OF-THE-ART EQUIPMENT AND THE LATEST TECHNOLOGY TO MINIMIZE ANY PAIN AND MAXIMIZE YOUR COMFORT WHILE IN THE DENTIST CHAIR. FOR OUR DENTISTS, CARE IS MORE THAN SIMPLY FIXING A DENTAL PROBLEM. WE TAKE THE TIME AT EVERY VISIT TO EDUCATE PATIENTS AND PARENTS ON THE IMPORTANCE OF PREVENTATIVE CARE AT HOME, TEACHING GOOD NUTRITION AND PROPER ORAL HYGIENE PRACTICES.WE ACCEPT MEDICAID AND ALLKIDS, MAKING US ONE OF THE FEW HEALTH CENTERS IN SOUTHERN ILLINOIS WHO TREAT KIDS WHO ARE TOO OFTEN DENIED THE DENTAL CARE THEY NEED. 56776780 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 97 0 743 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X NANCY FLEMING 6183320953 2041 GOOSE LAKE RD SAUGET IL 62206 WILLIE NELSON CHAIRMAN 0.50 0.50 X X 0 0 0 ETHEL MAE MANAGER VICE CHAIRMAN 0.50 0.50 X X 0 0 0 RICHARD SINCLAIR TREASURER 1.00 X X 0 0 0 MARTHA WARFORD ASSISTANT TREASURER 1.00 X X 0 0 0 LUCY SMITH SECRETARY 1.00 X X 0 0 0 WALTER HUNTER ASSISTANT SECRETARY 1.00 X X 0 0 0 IRMA GOLLIDAY DIRECTOR 1.00 X 0 0 0 ZOILA MARTY DIRECTOR 1.00 X 0 0 0 ANNA MARIE NELSON DIRECTOR 1.00 X 0 0 0 KENNETH HALL JR DIRECTOR 0.50 0.50 X 0 0 0 JOYCE MCKINNEY DIRECTOR 1.00 X 0 0 0 THEODORE ROSS CHIEF MEDICAL OFFICER 40.00 X 350696 0 21687 LARRY MCCULLEY CEO 20.00 20.00 X 385572 0 21337 PATRICE HOWARD VP OF ADMINISTRATION 40.00 X 118473 0 12995 PAULA BRODIE VP OF COMMUNICATION & SUPPORT SERVICES 40.00 X 99795 0 3992 JOSEPH JANSEN CORPORATE VICE PRESIDENT (LEFT 10/18) 40.00 X 165925 0 11328 DARRYL ENGELJOHN OB DEPT. CHAIR 40.00 X 405165 0 16771 CHRISTOPHER LOYND PSYCHIATRY DEPT. CHAIR 40.00 X 212408 0 17042 JOHN MAGNER FP DEPT. CHAIR 40.00 X 213308 0 27320 GARY LINDSAY DENTAL DEPT. CHAIR 40.00 X 162539 0 6455 AKEMIE GRAY PEDIATRIC DEPARTMENT CHAIRPERSON 40.00 X 170470 0 6988 MARK WASSERMAN PHYSICIAN 40.00 X 401670 0 22763 GEOFFREY TURNER PHYSICIAN 40.00 X 352211 0 26539 VERNA PORTER PHYSICIAN 40.00 X 358358 0 16027 WALTER YEE PHYSICIAN 40.00 X 358179 0 18663 MICHAEL MOORE PHYSICIAN 40.00 X 329649 0 6287 4084418 0 236194 102 0 1 0 CORK TREE CREATIVE INC 105 PLAZA COURT EDWARDSVILLE IL 62025 MARKETING/ADVERTISING 286505 STANDARD SETTERS 1702 CORDELL COURT GODFREY IL 62035 JANITORIAL 112019 CLIFTONLARSONALLEN 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 PROFESSIONAL SERVICES 106470 3 17961014 11169 17972183 PATIENT SERVICES 621400 42300560 42300560 DENTAL SERVICES 621400 2510576 2510576 340B PROGRAM REVENUE 621400 1086419 1086419 CLINIC RENT 621110 881469 881469 EHR INCENTIVE PAYMENTS 621400 748000 748000 313375 313375 47840399 12339 12339 MISCELLANEOUS REVENUE 900099 84731 84731 VENDING MACHINE REVENUE 900099 130 130 84861 65909782 47925130 0 12469 106230 106230 2430264 2430264 36495470 34640312 1855158 1153649 1151313 2336 5235879 4369892 865987 2496154 2202746 293408 63550 63550 1712731 1457621 255110 258835 218078 40757 5562782 4749544 813238 3967941 143300 3824641 3761159 3751883 9276 456506 152938 303568 332706 331318 1388 266801 160000 106801 1913772 1913772 345491 65366 280125 BAD DEBT EXPENSE 1177810 1177810 REGISTRATION & MEMBERSH 219635 90691 128944 MISCELLANEOUS EXPENSE 146285 71033 75252 EMPLOYEE FUNCTIONS 73184 22208 50976 2980 725 2255 68179814 56776780 11403034 0 4158 4097 3625673 6299068 2097975 344939 7202256 5283777 62172 77871 564391 268157 38213780 18439661 20691414 19774119 1450 1420 34249489 32053448 5764994 6076313 15000 15000 6683094 6342737 376310 479339 12839398 12913389 X 21410091 19140059 21410091 19140059 34249489 32053448 -2270032 0 X X 0 1 X 1 1 1 X 16980283 17261884 17298103 20400876 17972183 89913329 16980283 17261884 17298103 20400876 17972183 89913329 89913329 5831 8294 27266 29992 12339 83722 216 191 144 130 681 89997732 233062610 0.99910 0.99900 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: VENDING MACHINE - 2015 AMOUNT: $ 216. 2016 AMOUNT: $ 191. 2017 AMOUNT: $ 144. 2018 AMOUNT: $ 130. 600143 600143 24617622 9873070 14744552 3676673 1596390 2080283 9031156 6970201 2060955 288186 288186 19774119 DEPOSITS HELD 479339 479339 64731972 0 64731972 1177810 1177810 65909782 67002004 0 67002004 1177810 1177810 68179814 PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 1,177,810. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 1,177,810. 1 TOUCHETTE REGIONAL HOSPITAL 5900 BOND AVENUE CENTERVILLE IL 62207 371305510 501(C)(3) 31793 CASE MANAGEMENT, 330 OUTREACH, HEALTH START PROGRAM ST CLAIR COUNTY HEALTH 19 PUBLIC SQUARE STE 150 BELLEVILLE IL 62220 370760015 501(C)(3) 7019 RYAN WHITE PART C - ORAL HEALTH CHRISTOPHER RURAL HEALTH PLANNING CORP 4241 HIGHWAY 14 WEST CHRISTOPHER IL 62822 371041283 501(C)(3) 30709 NAVIGATOR GRANT - ENROLL PATIENTS SHAWNEE HEALTH SYSTEM 109 CALIFORNIA STREET CARTERVILLE IL 62918 370966854 501(C)(3) 30709 NAVIGATOR GRANT - ENROLL PATIENTS 4 PART I, LINE 2: GRANT EXPENDITURES ARE MADE IN ACCORDANCE WITH THE CONTRACT AND/OR MEMORANDUM OF UNDERSTANDING BETWEEN SIHF AND THE OTHER PARTIES. THE ACCOUNTS ARE RECONCILED EACH MONTH AS A PART OF THE MONTH END CLOSING PROCESS. WITH THE EXCEPTION OF THE STATE FUNDING WITH TRH, THE OTHERS ARE CONSIDERED SUBRECIPIENTS TO GRANTS AS REPORTED IN THE 2018 SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS. X X X X X X 0 0 0 0 0 0 0 0 0 THEODORE ROSS CHIEF MEDICAL OFFICER 340196 0 7500 0 3000 0 11000 0 10687 0 372383 0 0 0 LARRY MCCULLEY CEO 385572 0 0 0 0 0 11000 0 10337 0 406909 0 0 0 JOSEPH JANSEN CORPORATE VICE PRESIDENT (LEFT 10/18 165925 0 0 0 0 0 6794 0 4534 0 177253 0 0 0 DARRYL ENGELJOHN OB DEPT. CHAIR 382897 0 18768 0 3500 0 11000 0 5771 0 421936 0 0 0 CHRISTOPHER LOYND PSYCHIATRY DEPT. CHAIR 208908 0 0 0 3500 0 8712 0 8330 0 229450 0 0 0 JOHN MAGNER FP DEPT. CHAIR 208908 0 900 0 3500 0 8869 0 18451 0 240628 0 0 0 GARY LINDSAY DENTAL DEPT. CHAIR 154677 0 4862 0 3000 0 6455 0 0 0 168994 0 0 0 AKEMIE GRAY PEDIATRIC DEPARTMENT CHAIRPERSON 166270 0 1200 0 3000 0 6988 0 0 0 177458 0 0 0 MARK WASSERMAN PHYSICIAN 294879 0 103791 0 3000 0 6393 0 16370 0 424433 0 0 0 GEOFFREY TURNER PHYSICIAN 296104 0 53107 0 3000 0 11000 0 15539 0 378750 0 0 0 VERNA PORTER PHYSICIAN 358358 0 0 0 0 0 11000 0 5027 0 374385 0 0 0 WALTER YEE PHYSICIAN 352415 0 2764 0 3000 0 11000 0 7663 0 376842 0 0 0 MICHAEL MOORE PHYSICIAN 326143 0 3506 0 0 0 6287 0 0 0 335936 0 0 0 PART I, LINE 3 THE COMMITTEE SHALL CONSIDER GOALS AND OBJECTIVES RELEVANT TO EACH EXECUTIVE'S COMPENSATION. IN DETERMINING THE EXECUTIVE'S COMPENSATION, THE COMMITTEE SHALL CONSIDER THE FOUNDATION'S PERFORMANCE METRICS, THE VALUE OF SIMILAR COMPENSATION AWARDS TO THE EXECUTIVES AT COMPARABLE HEALTH CARE ORGANIZATIONS, AND THE AWARDS GIVEN TO THE FOUNDATION'S EXECUTIVE IN PAST YEARS. THE COMMITTEE SHALL ALSO CONSIDER THE ANNUAL WRITTEN EVALUATION MADE BY THE BOARD OF THE EXECUTIVE'S PERFORMANCE IN LIGHT OF HIS OR HER GOALS AND OBJECTIVES. ADDITIONALLY, IN ORDER TO SATISFY THE REBUTTABLE PRESUMPTION, EXECUTIVE COMPENSATION MUST BE REASONABLE, THAT IS, AN AMOUNT THAT WOULD ORDINARILY BE PAID FOR SIMILAR POSITIONS BY SIMILARLY SITUATED ORGANIZATIONS UNDER LIKE CIRCUMSTANCES. COMPENSATION ARRANGEMENTS SHOULD, THEREFORE, FALL WITHIN THE BOUNDS OF MARKET PRACTICE FOR POSITIONS AT COMPARABLE HEALTH CARE INSTITUTIONS IN WHICH THEIR SKILLS WOULD BE EMPLOYED. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS EMAILED TO EACH BOARD MEMBER FOR COMMENTS AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C AT A REGULAR SCHEDULED BOARD MEETING, DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE GIVEN A QUESTIONNAIRE THAT THEY ARE REQUIRED TO COMPLETE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE CONSISTS OF 4 BOARD MEMBERS AND USES COMPARABILITY DATA AND SALARY SURVEYS, WHICH ARE PROVIDED ANNUALLY BY AN INDEPENDENT COMPENSATION CONSULTANT, KLEMM & ASSOCIATES. THE DATA AND SURVEYS INCLUDE SALARIES OF EXECUTIVES WITH SIMILAR JOB TITLES/JOB DESCRIPTIONS AT LIKE-SIZE HEALTH CARE ENTITIES (BY NUMBER OF EMPLOYEES AND REVENUE) TO SHOW A MINIMUM, MEDIAN AND MAXIMUM SALARY RANGE FOR COMPARABILITY PURPOSES. COMMITTEE COUNSEL DOCUMENTS THE DISCUSSIONS OF THE COMMITTEE AND ANY COMPENSATION DECISIONS OF THE COMMITTEE, AND TRANSCRIBES THE ABOVE INTO MEETING MINUTES THAT THE COMMITTEE APPROVES AT THE NEXT SUBSEQUENT MEETING TO MEMORIALIZE THE MEETING. THE COMPENSATION COMMITTEE ALSO SUBMITS THEIR RECOMMENDATIONS TO THE FULL BOARD OF DIRECTORS FOR APPROVAL. THIS PROCESS WAS MOST RECENTLY COMPLETED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PAGE 12, PART XII, LINE 2C THIS PROCESS DID NOT CHANGE IN THE CURRENT YEAR. TOUCHETTE REGIONAL HOSPITAL 5900 BOND AVE CENTREVILLE IL 62206 371305510 HOSPITAL IL 501(C)(3) LINE 3 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION 1 COLES COUNTY MENTAL HEALTH ASSN DBA LIFELINKS MENTAL HEALTH 750 BROADWAY AVE EAST MATTOON IL 61938 370864416 BEHAVIORAL HEALTH IL 501(C)(3) LINE 7 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION 1 1 1 0 0 1 0 0 0 0 1 1 1 1 0 1 1 1 0 0 TOUCHETTE REGIONAL HOSPITAL L 1495000 FMV TOUCHETTE REGIONAL HOSPITAL O 2070000 FMV TOUCHETTE REGIONAL HOSPITAL A 64000 FMV TOUCHETTE REGIONAL HOSPITAL E 479000 FMV COLES COUNTY MENTAL HEALTH ASSN O 247000 FMV SCHEDULE R, PART V LINE 1A THE ORGANIZATIONS RENTS SHARED SPACE TO TOUCHETTE REGIONAL HOSPITAL FOR HR, CORP BENEFITS AND FACILITY OFFICES. BOTH ORGANIZATIONS UTILIZE THIS SPACE FOR NONPROFIT BUSINESS PURPOSES.