2021-11-15T09:42:24-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2020-01-01 371158318 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION SOUT 6183320953 2041 GOOSE LAKE RD SAUGET IL 62206 JOHN JEFFRIES CFO 6183320953 2021-11-12 1 JOHN JEFFRIES XXX-XX-XXXX AMBER ROGNAN-HAMILTON P01251012 3149254300 2021-11-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z LARRY MCCULLEY 2041 GOOSE LAKE RD SAUGET IL 62206 79092274 0 X WWW.SIHF.ORG X 1985 IL PROVIDING A COORDINATED NETWORK OF HEALTH AND SUPPORTIVE SERVICES. 13 13 675 12 0 0 17602735 25038295 49345836 53978256 25423 8183 42141 67540 67016135 79092274 29078 18000 0 0 46211009 43747344 0 0 0 20712072 20179479 66952159 63944823 63976 15147451 30623024 49119720 11418989 14768234 19204035 34351486 LEAD INDIVIDUALS AND COMMUNITIES TO THEIR HEALTHIEST LIFESTYLE BY PROVIDING A COORDINATED NETWORK OF HEALTH AND SUPPORTIVE SERVICES. 0 0 53269900 18000 52948242 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 102,453 PATIENTS IN 2020 WITH 322,042 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. 1442441 0 1030014 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. 0 0 0 54712341 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 91 0 675 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 0.00 X X 0 0 0 MARTHA WARFORD ASSISTANT TREASURER 1.00 0.00 X X 0 0 0 LUCY SMITH SECRETARY 1.00 0.00 X X 0 0 0 WALTER HUNTER ASSISTANT SECRETARY 1.00 0.00 X X 0 0 0 IRMA GOLLIDAY DIRECTOR 1.00 0.00 X 0 0 0 ZOILA MARTY DIRECTOR 1.00 0.00 X 0 0 0 ANNA MARIE NELSON DIRECTOR 1.00 0.00 X 0 0 0 KENNETH HALL JR DIRECTOR 0.50 0.50 X 0 0 0 JOYCE MCKINNEY DIRECTOR 1.00 0.00 X 0 0 0 GERRY HASENSTAB DIRECTOR 1.00 0.00 X 0 0 0 DALE FIEDLER DIRECTOR 1.00 0.00 X 0 0 0 THEODORE ROSS CHIEF MEDICAL OFFICER 40.00 0.00 X 368715 0 27017 LARRY MCCULLEY CEO 20.00 20.00 X 412766 0 16879 PATRICE HOWARD VP OF QUALITY & PERFORMANC 40.00 0.00 X 137801 0 18051 PAULA BRODIE VP OF COMM. & SUPPORT SERV 40.00 0.00 X 109261 0 4370 CHRISTINA CARNEY CHIEF OPERATION OFFICER 40.00 0.00 X 219609 0 31524 DARRYL ENGELJOHN OB DEPT. CHAIR 40.00 0.00 X 389854 0 18779 CHRISTOPHER LOYND PSYCHIATRY DEPT. CHAIR 40.00 0.00 X 231846 0 21813 JOHN MAGNER FP DEPT. CHAIR 40.00 0.00 X 239677 0 25204 GARY LINDSAY DENTAL DEPT. CHAIR 40.00 0.00 X 170349 0 6814 AKEMIE GRAY PEDIATRIC DEPARTMENT CHAIR 40.00 0.00 X 191495 0 7660 LUIS DEVENCIA PHYSICIAN 40.00 0.00 X 312741 0 18779 MARK WASSERMAN PHYSICIAN 40.00 0.00 X 351647 0 34140 GEOFFREY TURNER PHYSICIAN 40.00 0.00 X 445172 0 34140 VERNA PORTER PHYSICIAN 40.00 0.00 X 360232 0 17574 WALTER YEE PHYSICIAN 40.00 0.00 X 335231 0 27317 ROBERT QUAAS PHYSICIAN 40.00 0.00 X 213477 0 15288 4489873 0 325349 91 0 1 0 CORK TREE CREATIVE INC 105 PLAZA COURT EDWARDSVILLE IL 62025 MARKETING/ADVERTISING 279105 STANDARD SETTERS 1702 CORDELL COURT GODFREY IL 62035 JANITORIAL 106360 2 25038295 25038295 PATIENT SERVICES 621400 31249145 31249145 340B PROGRAM REVENUE 621400 18725870 18725870 HEALTH INFORMATION EXCHANGE 621400 2072602 2072602 DENTAL SERVICES 621400 1030014 1030014 CLINIC RENT 621110 828831 828831 71794 71794 53978256 8183 8183 PIPBHC LIFE LINKS 900099 67540 67540 67540 79092274 53978256 0 75723 18000 18000 2982904 2982904 32712095 31905542 806553 1038227 993910 44317 4664561 3913886 750675 2349557 2055022 294535 58203 58203 2593710 2367357 226353 258330 231986 26344 7502739 7313143 189596 3132176 105616 3026560 2996986 2949579 47407 265018 96667 168351 357737 354798 2939 233188 164470 68718 1726305 1726305 301703 4835 296868 BAD DEBT EXPENSE 339663 339663 REGISTRATION & MEMBERSH 227249 102180 125069 MISCELLANEOUS EXPENSE 143274 45315 97959 PUBLICATIONS 21902 2771 19131 21296 21296 63944823 54712341 9232482 0 4132 4132 6074138 25395384 126519 236488 6135894 6729530 64401 59394 255369 306087 38111520 21723815 17961621 16387705 950 1000 30623024 49119720 5103982 5718936 100000 3513858 5927215 5247648 287792 287792 11418989 14768234 X 19204035 34251486 100000 19204035 34351486 30623024 49119720 15147451 0 X X 0 1 X 1 1 1 X 17298103 20400876 17972183 17602735 25038295 98312192 17298103 20400876 17972183 17602735 25038295 98312192 98312192 27266 29992 12339 25423 8183 103203 191 144 130 42141 67540 110146 98525541 246717928 0.99780 0.99840 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: VENDING MACHINE - 2016 AMOUNT: $ 191. 2017 AMOUNT: $ 144. 2018 AMOUNT: $ 130. 2019 AMOUNT: $ 26. 2020 AMOUNT: $ 0. MISCELLANEOUS INCOME - 2019 AMOUNT: $ 42,115. 2020 AMOUNT: $ 67,540. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 600143 600143 24706854 11941811 12765043 3696623 2087588 1609035 9107900 7694416 1413484 16387705 DEPOSITS HELD 287792 287792 78752611 0 78752611 339663 339663 79092274 63605160 0 63605160 339663 339663 63944823 PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 339,663. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 339,663. 1 TOUCHETTE REGIONAL HOSPITAL 5900 BOND AVENUE CENTERVILLE IL 62207 371305510 501(C)(3) 18000 CASE MANAGEMENT, 330 OUTREACH, HEALTH START PROGRAM 1 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 2020 SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS. X X X X X X 0 0 0 0 0 0 0 0 0 GEOFFREY TURNER PHYSICIAN 445172 0 0 0 0 0 11400 0 22740 0 479312 0 0 0 LARRY MCCULLEY CEO 412666 0 100 0 0 0 9500 0 7379 0 429645 0 0 0 DARRYL ENGELJOHN OB DEPT. CHAIR 389854 0 0 0 0 0 11400 0 7379 0 408633 0 0 0 THEODORE ROSS CHIEF MEDICAL OFFICER 368715 0 0 0 0 0 11400 0 15617 0 395732 0 0 0 MARK WASSERMAN PHYSICIAN 351647 0 0 0 0 0 11400 0 22740 0 385787 0 0 0 VERNA PORTER PHYSICIAN 360232 0 0 0 0 0 11400 0 6174 0 377806 0 0 0 WALTER YEE PHYSICIAN 335231 0 0 0 0 0 11400 0 15917 0 362548 0 0 0 LUIS DEVENCIA PHYSICIAN 312741 0 0 0 0 0 11400 0 7379 0 331520 0 0 0 JOHN MAGNER FP DEPT. CHAIR 239677 0 0 0 0 0 9587 0 15617 0 264881 0 0 0 CHRISTOPHER LOYND PSYCHIATRY DEPT. CHAIR 231846 0 0 0 0 0 9274 0 12539 0 253659 0 0 0 CHRISTINA CARNEY CHIEF OPERATION OFFICER 219609 0 0 0 0 0 8784 0 22740 0 251133 0 0 0 ROBERT QUAAS PHYSICIAN 213477 0 0 0 0 0 8539 0 6749 0 228765 0 0 0 AKEMIE GRAY PEDIATRIC DEPARTMENT CHAIR 191495 0 0 0 0 0 7660 0 0 0 199155 0 0 0 GARY LINDSAY DENTAL DEPT. CHAIR 170349 0 0 0 0 0 6814 0 0 0 177163 0 0 0 PATRICE HOWARD VP OF QUALITY & PERFORMANC 137801 0 0 0 0 0 5512 0 12539 0 155852 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 A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN, VICE-CHAIRMAN, TREASURER, AND SECRETARY. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE POWERS AND AUTHORITY AS COMMISSIONED BY THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF SIHF. THE EXECUTIVE COMMITTEE SHALL BE RESPONSIBLE FOR OVERSEEING OTHER STANDING COMMITTEES. 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 2020. 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 1 1 0 0 0 0 1 1 1 1 0 1 1 1 0 0 TOUCHETTE REGIONAL HOSPITAL L 2509000 FMV TOUCHETTE REGIONAL HOSPITAL O 2544000 FMV TOUCHETTE REGIONAL HOSPITAL A 61000 FMV TOUCHETTE REGIONAL HOSPITAL E 431000 FMV COLES COUNTY MENTAL HEALTH ASSN O 246000 FMV TOUCHETTE REGIONAL HOSPITAL D 224000 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.