2023-11-12T11:33:10-06:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2022-01-01 371158318 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION SOUT 6183320953 2041 GOOSE LAKE RD SAUGET IL 62206 JOHN JEFFRIES CFO 6183320953 2023-11-08 1 JOHN JEFFRIES XXX-XX-XXXX 0 AMBER ROGNAN-HAMILTON P01251012 3149254300 2023-11-08 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z LARRY MCCULLEY 2041 GOOSE LAKE RD SAUGET IL 62206 87649313 0 X WWW.SIHF.ORG X 1985 IL PROVIDING A COORDINATED NETWORK OF HEALTH AND SUPPORTIVE SERVICES. 12 12 697 12 0 0 23150519 27944909 57735721 59620989 8143 67716 159405 15699 81053788 87649313 16263 62398 0 0 47615198 50874555 0 0 0 20180341 21531808 67811802 72468761 13241986 15180552 58422336 81458709 10828864 18662146 47593472 62796563 LEAD INDIVIDUALS AND COMMUNITIES TO THEIR HEALTHIEST LIFESTYLE BY PROVIDING A COORDINATED NETWORK OF HEALTH AND SUPPORTIVE SERVICES. 0 0 57742985 62398 57821028 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 91,759 PATIENTS IN 2022 WITH 294,362 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. 1899131 0 1799961 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. 59642116 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 98 0 697 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 1 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 (TERM ENDED OCTOBER 22) 0.50 0.50 X 0 0 0 MARK HALL DIRECTOR 1.00 0.00 X 0 0 0 GERARD 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 338160 0 26280 LARRY MCCULLEY CEO 20.00 20.00 X 422953 0 21492 PATRICE HOWARD VP OF QUALITY & PERFORMANCE 40.00 0.00 X 174760 0 23869 PAULA BRODIE VP OF COMM. & SUPPORT SERVICES 40.00 0.00 X 122166 0 4623 ZACHARY YODER CHIEF OPERATION OFFICER 20.00 20.00 X 218892 0 25339 JOHN JEFFRIES CFO 20.00 20.00 X 0 208752 35233 JAMIE HARDMAN OB DEPT. CHAIR 40.00 0.00 X 461857 0 29979 CHRISTOPHER LOYND PSYCHIATRY DEPT. CHAIR 40.00 0.00 X 258912 0 8859 JOHN MAGNER FP DEPT. CHAIR 40.00 0.00 X 195128 0 25477 GARY LINDSAY DENTAL DEPT. CHAIR 40.00 0.00 X 184215 0 6611 AKEMIE GRAY PEDIATRIC DEPARTMENT CHAIR 40.00 0.00 X 177317 0 18229 GEOFFREY TURNER PHYSICIAN 40.00 0.00 X 554735 0 39318 EMILIA DAVID-RESTIVO PHYSICIAN 40.00 0.00 X 301068 0 11685 LUIS DEVENCIA PHYSICIAN 40.00 0.00 X 298255 0 34320 BHAWNA SHARMA PHYSICIAN 40.00 0.00 X 286672 0 43446 ALFRED JOHNSON PHYSICIAN 40.00 0.00 X 285339 0 29728 4280429 208752 384488 113 0 1 0 CORK TREE CREATIVE INC 105 PLAZA COURT EDWARDSVILLE IL 62025 MARKETING 299686 LOUER FACILITY PLANNING 1604 EASTPORT PLAZA DR STE 100 COLLINSVILLE IL 62234 CONSULTING/FURNTIURE 205320 CHRISTINA BEREDA 1871 BETHEL RIDGE FARMS BLVD OFALLON IL 62269 CONSULTING 136919 WB CONSTRUCTION 760 SOUTH 2ND STREET ST LOUIS MO 63102 CONSTRUCTION 128861 TIM KISABETH 3312 ROSENBERG LANE GODFREY IL 62035 PHYSICIAN COVERAGE 117500 6 241815 27660904 42190 27944909 PATIENT SERVICES 621400 38917746 38917746 340B PROGRAM REVENUE 621400 17602116 17602116 DENTAL SERVICES 621400 1799961 1799961 CLINIC RENT 621110 1046484 1046484 HEALTH INFORMATION EXCHANGE 621400 190407 190407 64275 64275 59620989 67716 67716 PIPBHC LIFE LINKS 621400 13456 13456 MISCELLANEOUS INCOME 621400 2243 2243 15699 87649313 59620989 0 83415 10012 10012 52386 52386 2745117 2745117 39892499 36477480 3415019 1122566 1122566 4205532 3832208 373324 2908841 2481144 427697 115965 115965 4073264 3697628 375636 361340 220797 140543 6382429 5737125 645304 3766916 292387 3474529 3125543 3106109 19434 372235 80858 291377 348732 338969 9763 87847 87847 1870661 1851171 19490 427523 3768 423755 REGISTRATION & MEMBERSH 291406 139911 151495 MISCELLANEOUS EXPENSE 194602 49826 144776 EMPLOYEE FUNCTIONS 103209 55588 47621 PUBLICATIONS 10136 4336 5800 72468761 59642116 12826645 0 4232 4332 34788754 32742964 443391 4141430 6349761 4868451 66050 140578 339592 698541 44425007 25191019 16429556 19233988 11856562 7770863 1000 1000 58422336 81458709 5617280 6087891 2174420 3125808 2749372 9160655 287792 287792 10828864 18662146 X 47593472 62796563 47593472 62796563 58422336 81458709 15180552 22539 0 X X 0 1 X 1 1 1 X 17972183 17602735 25038295 23150519 27944909 111708641 17972183 17602735 25038295 23150519 27944909 111708641 111708641 12339 25423 8183 8143 67716 121804 130 42141 67540 20970 15699 146480 111976925 268571253 0.99760 0.99790 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: VENDING MACHINE - 2018 AMOUNT: $ 130. 2019 AMOUNT: $ 26. MISCELLANEOUS INCOME - 2019 AMOUNT: $ 42,115. 2020 AMOUNT: $ 67,540. 2021 AMOUNT: $ 7,514. 2022 AMOUNT: $ 2,243. PIPBHC LIFE LINKS - 2021 AMOUNT: $ 13,456. 2022 AMOUNT: $ 13,456. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1368693 1368693 26206770 14059685 12147085 4106987 2558947 1548040 12097259 8572387 3524872 645298 645298 19233988 DEPOSITS HELD 287792 287792 87671852 22539 22539 87649313 0 87649313 72468761 0 72468761 0 72468761 CAYMAN ISLANDS 0 0 FOR WORKERS COMPENSATION, GENERAL LIABILITY AND AUTO INSURANCE 630000 0 0 0 0 0 0 630000 0 630000 0 0 1 0 0 0 PART I, LINE 2: TO PROVIDE WORKERS COMPENSATION, GENERAL LIABILITY AND AUTO INSURANCE. PART III ACCOUNTING METHOD: 1 AID TO LOWER INCOME INDIVIDUALS 355 52386 PART I, LINE 2: INTERNAL TRACKING FORMS ARE USED ACCORDING TO STATE AND LOCAL GRANT POLICIES. X X X X X X 0 0 0 0 0 0 0 0 0 GEOFFREY TURNER PHYSICIAN 554735 0 0 0 0 0 12200 0 27118 0 594053 0 0 0 JAMIE HARDMAN OB DEPT. CHAIR 461857 0 0 0 0 0 12200 0 17779 0 491836 0 0 0 LARRY MCCULLEY CEO 422953 0 0 0 0 0 12200 0 9292 0 444445 0 0 0 THEODORE ROSS CHIEF MEDICAL OFFICER 338160 0 0 0 0 0 8512 0 17768 0 364440 0 0 0 LUIS DEVENCIA PHYSICIAN 298255 0 0 0 0 0 11191 0 23129 0 332575 0 0 0 BHAWNA SHARMA PHYSICIAN 286672 0 0 0 0 0 20500 0 22946 0 330118 0 0 0 ALFRED JOHNSON PHYSICIAN 285339 0 0 0 0 0 11040 0 18688 0 315067 0 0 0 EMILIA DAVID-RESTIVO PHYSICIAN 301068 0 0 0 0 0 11685 0 0 0 312753 0 0 0 CHRISTOPHER LOYND PSYCHIATRY DEPT. CHAIR 258912 0 0 0 0 0 8220 0 639 0 267771 0 0 0 ZACHARY YODER CHIEF OPERATION OFFICER 218892 0 0 0 0 0 8723 0 16616 0 244231 0 0 0 JOHN JEFFRIES CFO 0 208752 0 0 0 0 0 8717 0 26516 0 243985 0 0 JOHN MAGNER FP DEPT. CHAIR 195128 0 0 0 0 0 7709 0 17768 0 220605 0 0 0 PATRICE HOWARD VP OF QUALITY & PERFORMANCE 174760 0 0 0 0 0 6090 0 17779 0 198629 0 0 0 AKEMIE GRAY PEDIATRIC DEPARTMENT CHAIR 177317 0 0 0 0 0 5237 0 12992 0 195546 0 0 0 GARY LINDSAY DENTAL DEPT. CHAIR 184215 0 0 0 0 0 6611 0 0 0 190826 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 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 A, LINE 2 BOARD MEMBERS KENNETH HALL JR. AND MARK HALL ARE SIBLINGS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS PRESENTED TO THE BOARD 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 2022. 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. SECTION 168(H)(6)(F)(II) ELECTION DECLARATION PURSUANT TO TREASURY REGULATIONS SECTIONS 301.9100-7T(A)(2)(I) AND (3), 2031-37 N. MILWAUKEE MM, LLC (EIN: 32-0539636), A FOR-PROFIT SUBSIDIARY OF METROPOLITAN HOUSING DEVELOPMENT CORPORATION, AN ILLINOIS NOT-FOR-PROFIT ORGANIZATION AND SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC., AN LLINOIS NOT-FOR-PROFIT ORGANIZATION, HEREBY ELECTS UNDER INTERNAL REVENUE CODE SECTION 168(H)(6)(F)(II) AS FOLLOWS: (I) NOT TO BE TREATED AS A TAX-EXEMPT ENTITY FOR PURPOSES OF INTERNAL REVENUE CODE SECTIONS J 68(H)(5) AND (6), AND (II) TO TREAT ANY GAIN RECOGNIZED BY ITS TAX-EXEMPT PARENT ON ANY DISPOSITION OF AN INTEREST IN IT (AND TO TREAT ANY DIVIDEND OR INTEREST RECEIVED OR ACCRUED BY ITS TAX-EXEMPT PARENT FROM IT) AS UNRELATED BUSINESS TAXABLE INCOME UNDER INTERNAL REVENUE CODE SECTION 511. THIS DECLARATION WAS MADE ON NOVEMBER 6, 2017. 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 5969000 FMV TOUCHETTE REGIONAL HOSPITAL O 2080000 FMV TOUCHETTE REGIONAL HOSPITAL J 55000 FMV TOUCHETTE REGIONAL HOSPITAL E 240000 FMV COLES COUNTY MENTAL HEALTH ASSN O 292000 FMV TOUCHETTE REGIONAL HOSPITAL D 229000 FMV TOUCHETTE REGIONAL HOSPITAL C 241816 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.