2022-10-28T09:21:20-05:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2021-01-01 371158318 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION SOUT 6183320953 2041 GOOSE LAKE RD SAUGET IL 62206 JOHN JEFFRIES CFO 6183320953 2022-10-25 1 JOHN JEFFRIES XXX-XX-XXXX AMBER ROGNAN-HAMILTON P01251012 3149254300 2022-10-25 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z LARRY MCCULLEY 2041 GOOSE LAKE RD SAUGET IL 62206 81053788 0 X WWW.SIHF.ORG X 1985 IL PROVIDING A COORDINATED NETWORK OF HEALTH AND SUPPORTIVE SERVICES. 13 13 671 13 0 0 25038295 23150519 53978256 57735721 8183 8143 67540 159405 79092274 81053788 18000 16263 0 0 43747344 47615198 0 0 0 20179479 20180341 63944823 67811802 15147451 13241986 49119720 58422336 14768234 10828864 34351486 47593472 LEAD INDIVIDUALS AND COMMUNITIES TO THEIR HEALTHIEST LIFESTYLE BY PROVIDING A COORDINATED NETWORK OF HEALTH AND SUPPORTIVE SERVICES. 0 0 54446755 16263 56160607 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 96,480 PATIENTS IN 2021 WITH 315,685 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. 1841222 0 1575114 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. 56287977 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 106 0 671 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 ETHEL MAE MANAGER CHAIRMAN 0.50 0.50 X X 0 0 0 KENNETH HALL JR VICE CHAIRMAN 0.50 0.50 X X 0 0 0 RICHARD SINCLAIR 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 TREASURER 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 ASSISTANT SECRETARY 1.00 0.00 X X 0 0 0 WILLIE NELSON 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 DEBRA REED DIRECTOR 1.00 0.00 X 0 0 0 THEODORE ROSS CHIEF MEDICAL OFFICER 40.00 0.00 X 378486 0 24957 LARRY MCCULLEY CEO 20.00 20.00 X 397304 0 19633 PATRICE HOWARD VP OF QUALITY & PERFORMANCE 40.00 0.00 X 158531 0 19277 PAULA BRODIE VP OF COMM. & SUPPORT SERVICES 40.00 0.00 X 111128 0 4441 CHRISTINA CARNEY CHIEF OPERATION OFFICER 40.00 0.00 X 182316 0 24561 JOHN JEFFRIES CFO 20.00 20.00 X 0 149606 8855 DARRYL ENGELJOHN OB DEPT. CHAIR 40.00 0.00 X 382524 0 19633 CHRISTOPHER LOYND PSYCHIATRY DEPT. CHAIR 40.00 0.00 X 245162 0 22607 JOHN MAGNER FP DEPT. CHAIR 40.00 0.00 X 234477 0 24533 GARY LINDSAY DENTAL DEPT. CHAIR 40.00 0.00 X 170549 0 5905 AKEMIE GRAY PEDIATRIC DEPARTMENT CHAIR 40.00 0.00 X 195020 0 22953 LUIS DEVENCIA PHYSICIAN 40.00 0.00 X 301597 0 33391 MARK WASSERMAN PHYSICIAN 40.00 0.00 X 333111 0 27658 GEOFFREY TURNER PHYSICIAN 40.00 0.00 X 519273 0 34624 VERNA PORTER PHYSICIAN 40.00 0.00 X 351866 0 17849 WALTER YEE PHYSICIAN 40.00 0.00 X 329930 0 27045 EMILIA DAVID-RESTIVO PHYSICIAN 40.00 0.00 X 315166 0 11450 4606440 149606 349372 108 0 1 0 CORK TREE CREATIVE INC 105 PLAZA COURT EDWARDSVILLE IL 62025 MARKETING 396713 ALEX SCHNADERBECK 4005 N CO ROAD 3W MONTEN VISTA CO 81144 PHYSICIAN COVERAGE 208750 TIM KISABETH 3312 ROSENBERG LANE GODFREY IL 62035 PHYSICIAN COVERAGE 116500 STANDARD SETTERS 1702 CORDELL COURT GODFREY IL 62035 JANITORIAL 111060 CHRISTINA BEREDA 1871 BETHEL RIDGE FARMS BLVD OFALLON IL 62269 CONSULTING 109245 5 23137919 12600 23150519 PATIENT SERVICES 621400 39377515 39377515 340B PROGRAM REVENUE 621400 15394220 15394220 DENTAL SERVICES 621400 1575114 1575114 CLINIC RENT 621110 677637 677637 HEALTH INFORMATION EXCHANGE 621400 525090 525090 186145 186145 57735721 8143 8143 INSURANCE PROCEEDS 621400 138435 138435 PIPBHC LIFE LINKS 621400 13456 13456 MISC INCOME 621400 7514 7514 159405 81053788 57735721 0 167548 16263 16263 2978220 2978220 35292507 33845768 1446739 1029310 1029310 5768394 4375219 1393175 2546767 2227842 318925 134455 134455 4138667 3516203 622464 384992 226237 158755 5663066 5366414 296652 3472516 183556 3288960 3011422 2991277 20145 267268 112469 154799 377899 370618 7281 185135 120035 65100 1733990 1718016 15974 342428 4924 337504 REGISTRATION & MEMBERSH 213875 92253 121622 MISCELLANEOUS EXPENSE 169488 46853 122635 EMPLOYEE FUNCTIONS 76745 39757 36988 PUBLICATIONS 8395 4963 3432 67811802 56287977 11523825 0 4132 4232 25395384 34788754 236488 443391 6729530 6349761 59394 66050 306087 339592 39891342 23461786 16387705 16429556 1000 1000 49119720 58422336 5718936 5617280 3513858 2174420 5247648 2749372 287792 287792 14768234 10828864 X 34251486 47593472 100000 0 34351486 47593472 49119720 58422336 13241986 0 X X 0 1 X 1 1 1 X 20400876 17972183 17602735 25038295 23150519 104164608 20400876 17972183 17602735 25038295 23150519 104164608 104164608 29992 12339 25423 8183 8143 84080 144 130 42141 67540 20970 130925 104379613 257661420 0.99790 0.99780 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: VENDING MACHINE - 2017 AMOUNT: $ 144. 2018 AMOUNT: $ 130. 2019 AMOUNT: $ 26. MISCELLANEOUS INCOME - 2019 AMOUNT: $ 42,115. 2020 AMOUNT: $ 67,540. 2021 AMOUNT: $ 7,514. PIPBHC LIFE LINKS - 2021 AMOUNT: $ 13,456. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 600143 600143 24987106 12988585 11998521 4079161 2337184 1741977 9737515 8136017 1601498 487417 487417 16429556 DEPOSITS HELD 287792 287792 81053788 0 81053788 0 81053788 67811802 0 67811802 0 67811802 X X X X X X 0 0 0 0 0 0 0 0 0 GEOFFREY TURNER PHYSICIAN 519273 0 0 0 0 0 11600 0 23024 0 553897 0 0 0 LARRY MCCULLEY CEO 397304 0 0 0 0 0 11600 0 8033 0 416937 0 0 0 THEODORE ROSS CHIEF MEDICAL OFFICER 378486 0 0 0 0 0 9130 0 15827 0 403443 0 0 0 DARRYL ENGELJOHN OB DEPT. CHAIR 382524 0 0 0 0 0 11600 0 8033 0 402157 0 0 0 VERNA PORTER PHYSICIAN 351866 0 0 0 0 0 10598 0 7251 0 369715 0 0 0 MARK WASSERMAN PHYSICIAN 333111 0 0 0 0 0 6552 0 21106 0 360769 0 0 0 WALTER YEE PHYSICIAN 329930 0 0 0 0 0 11600 0 15445 0 356975 0 0 0 LUIS DEVENCIA PHYSICIAN 301597 0 0 0 0 0 11196 0 22195 0 334988 0 0 0 EMILIA DAVID-RESTIVO PHYSICIAN 315166 0 0 0 0 0 11450 0 0 0 326616 0 0 0 CHRISTOPHER LOYND PSYCHIATRY DEPT. CHAIR 245162 0 0 0 0 0 7829 0 14778 0 267769 0 0 0 JOHN MAGNER FP DEPT. CHAIR 234477 0 0 0 0 0 8706 0 15827 0 259010 0 0 0 AKEMIE GRAY PEDIATRIC DEPARTMENT CHAIR 195020 0 0 0 0 0 7773 0 15180 0 217973 0 0 0 CHRISTINA CARNEY CHIEF OPERATION OFFICER 182316 0 0 0 0 0 7293 0 17268 0 206877 0 0 0 PATRICE HOWARD VP OF QUALITY & PERFORMANCE 158531 0 0 0 0 0 4499 0 14778 0 177808 0 0 0 GARY LINDSAY DENTAL DEPT. CHAIR 170549 0 0 0 0 0 5905 0 0 0 176454 0 0 0 JOHN JEFFRIES CFO 0 149606 0 0 0 0 0 0 0 8855 0 158461 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 1A 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 0 1 0 1 1 0 0 0 0 1 1 1 1 0 1 1 1 0 0 TOUCHETTE REGIONAL HOSPITAL L 3158000 FMV TOUCHETTE REGIONAL HOSPITAL O 2342000 FMV TOUCHETTE REGIONAL HOSPITAL J 63000 FMV TOUCHETTE REGIONAL HOSPITAL E 91000 FMV COLES COUNTY MENTAL HEALTH ASSN O 243000 FMV TOUCHETTE REGIONAL HOSPITAL D 306000 FMV SCHEDULE R, PART V LINE 1J THE ORGANIZATIONS LEASES SHARED SPACE TO TOUCHETTE REGIONAL HOSPITAL FOR HR, CORP BENEFITS AND FACILITY OFFICES. BOTH ORGANIZATIONS UTILIZE THIS SPACE FOR NONPROFIT BUSINESS PURPOSES.