2024-11-14T18:47:06-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2023-01-01 371158318 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION SOUT 6183320953 2041 GOOSE LAKE RD SAUGET IL 62206 JOHN JEFFRIES CFO 6183320953 2024-11-13 1 0 EVAN MEDER P02236104 3149254300 2024-11-13 2023 2024-10-15 13:58:12Z LARRY MCCULLEY 2041 GOOSE LAKE RD SAUGET IL 62206 92787010 0 X WWW.SIHF.ORG X 1985 IL PROVIDING A COORDINATED NETWORK OF HEALTH AND SUPPORTIVE SERVICES. 13 13 716 13 0 0 27944909 27213378 59620989 63675686 67716 1277622 15699 119282 87649313 92285968 62398 117558 0 0 50874555 56539194 0 0 0 21531808 26421794 72468761 83078546 15180552 9207422 81458709 89978535 18662146 17202838 62796563 72775697 LEAD INDIVIDUALS AND COMMUNITIES TO THEIR HEALTHIEST LIFESTYLE BY PROVIDING A COORDINATED NETWORK OF HEALTH AND SUPPORTIVE SERVICES. 0 0 64143138 117558 61811378 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 94,427 PATIENTS IN 2023 WITH 303,163 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. 2100821 0 1864308 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. 66243959 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 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 111 0 716 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 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 SECRETARY 1.00 0.00 X X 0 0 0 MARK HALL DIRECTOR 1.00 0.00 X 0 0 0 DARRELL STERLING JR DIRECTOR 1.00 0.00 X 0 0 0 GERRY HASENSTAB DIRECTOR 1.00 0.00 X 0 0 0 DALE FIELDER DIRECTOR 1.00 0.00 X 0 0 0 DEBRA REED DIRECTOR 1.00 0.00 X 0 0 0 CRYSTEN CALVERT DIRECTOR 1.00 0.00 X 0 0 0 THEODORE ROSS CHIEF MEDICAL OFFICER 40.00 0.00 X 355761 0 28556 LARRY MCCULLEY CEO 20.00 20.00 X 445744 0 23032 SHANE WATSON CHIEF GROWTH OFFICER 40.00 0.00 X 135454 0 31137 JOHN JEFFRIES CFO 20.00 20.00 X 0 222844 26985 PETE THEMAS CORPORATE VP OF COMPLIANCE 40.00 0.00 X 156236 0 32896 JAMIE HARDMAN OB DEPT CHAIR 40.00 0.00 X 540995 0 32033 PATRICE HOWARD VP OF QUALITY & PERFORMANCE 40.00 0.00 X 184162 0 25543 CHRISTOPHER LOYND PSYCHIATRY DEPT. CHAIR 40.00 0.00 X 322010 0 12188 JOHN MAGNER FP DEPT. CHAIR 40.00 0.00 X 181447 0 26048 GARY LINDSAY DENTAL DEPT. CHAIR 40.00 0.00 X 191780 0 7500 AKEMIE GRAY PEDIATRIC DEPARTMENT CHAIR 40.00 0.00 X 211982 0 20949 KENA GRAY VP OF OPERATIONS 40.00 0.00 X 172760 0 35939 GEOFFREY TURNER PHYSICIAN 40.00 0.00 X 553453 0 41937 EMILIA DAVID-RESTIVO PHYSICIAN 40.00 0.00 X 294787 0 11185 LUIS DEVENCIA PHYSICIAN 40.00 0.00 X 300613 0 37871 BHAWNA SHARMA PHYSICIAN 40.00 0.00 X 292049 0 38056 JAMES WADE PHYSICIAN 40.00 0.00 X 757048 0 13423 5096281 222844 445278 120 0 1 0 IMPACT STRATEGIES INC 340 OFFICE COURT STE A FAIRVIEW HEIGHTS IL 62208 CONSTRUCTION 3736618 LOUER FACILITY PLANNING 1604 EASTPORT PLAZA DR STE 100 COLLINSVILLE IL 62234 CONSULTING/FURNTIURE 565322 CORK TREE CREATIVE INC 105 PLAZA COURT EDWARDSVILLE IL 62025 MARKETING 357292 MORGAN RECORDS MANAGEMENT 8 STATE STREET NASHUA NH 03063 CONSULTING 348000 ST LOUIS DESIGN ALLIANCE 6014 DELMAR BLVD ST LOUIS MO 63112 CONSULTING 160876 6 27213378 27213378 PATIENT SERVICES 621400 43217244 43217244 340B PROGRAM REVENUE 621400 15842754 15842754 DENTAL SERVICES 621400 1864308 1864308 HEALTH INFORMATION EXCHANGE 621400 1700982 1700982 CLINIC RENT 621110 976740 976740 73658 73658 63675686 1157542 1157542 621122 501042 120080 120080 120080 REIMBURSEMENT SALARY 621400 111079 111079 PIPBHC LIFE LINKS 621400 7149 7149 MISCELLANEOUS INCOME 621400 1054 1054 119282 92285968 63675686 0 1396904 66762 66762 50796 50796 3174152 3174152 42211121 37906408 4304713 1143832 1048419 95413 6978439 5256591 1721848 3031650 2538543 493107 212808 212808 4930760 4381221 549539 391440 191115 200325 8835056 8090871 744185 3894753 85391 3809362 3610205 3505228 104977 603136 191723 411413 332762 325291 7471 46718 46718 2301791 2272877 28914 527211 814 526397 REGISTRATION & MEMBERSH 366204 157442 208762 MISCELLANEOUS EXPENSE 232835 65237 167598 EMPLOYEE FUNCTIONS 124800 57932 66868 PUBLICATIONS 11315 4580 6735 83078546 66243959 16834587 0 4332 4432 32742964 48152535 4141430 512502 4868451 5686528 140578 157634 698541 837330 50427630 24394425 19233988 26033205 11856562 2394770 7770863 6198599 1000 1000 81458709 89978535 6087891 8639114 3125808 1070613 9160655 7205319 287792 287792 18662146 17202838 X 62796563 72775697 62796563 72775697 81458709 89978535 X 9207422 323527 448185 X X 0 1 X 1 1 1 X 17602735 25038295 23150519 27944909 27213378 120949836 17602735 25038295 23150519 27944909 27213378 120949836 120949836 25423 8183 8143 67716 1157542 1267007 42141 67540 20970 15699 8203 154553 122371396 284467567 0.98840 0.99760 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: VENDING MACHINE - 2019 AMOUNT: $ 26. MISCELLANEOUS INCOME - 2019 AMOUNT: $ 42,115. 2020 AMOUNT: $ 67,540. 2021 AMOUNT: $ 7,514. 2022 AMOUNT: $ 2,243. 2023 AMOUNT: $ 1,054. PIPBHC LIFE LINKS - 2021 AMOUNT: $ 13,456. 2022 AMOUNT: $ 13,456. 2023 AMOUNT: $ 7,149. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2756953 2756953 28566103 14917754 13648349 4178634 2750766 1427868 13263328 6725905 6537423 1662612 1662612 26033205 DEPOSITS HELD 287792 287792 92489415 323527 323527 92165888 120080 120080 92285968 82958466 0 82958466 120080 120080 83078546 PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN ON DISPOSAL OF ASSET 120,080. PART XII, LINE 4B - OTHER ADJUSTMENTS: GAIN ON DISPOSAL OF ASSET 120,080. 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. 1 SIU FOUNDATION 1235 DOUGLAS DRIVE CARBONDALE IL 629014308 376024575 501(C)(3) 50000 0 GENERAL SUPPORT 1 AID TO LOWER INCOME INDIVIDUALS 308 50796 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 JAMES WADE PHYSICIAN 757048 0 0 0 0 0 0 0 13423 0 770471 0 0 0 GEOFFREY TURNER PHYSICIAN 553453 0 0 0 0 0 13200 0 28737 0 595390 0 0 0 JAMIE HARDMAN OB DEPT CHAIR 540995 0 0 0 0 0 13200 0 18833 0 573028 0 0 0 LARRY MCCULLEY CEO 445744 0 0 0 0 0 13200 0 9832 0 468776 0 0 0 THEODORE ROSS CHIEF MEDICAL OFFICER 355761 0 0 0 0 0 8753 0 19803 0 384317 0 0 0 LUIS DEVENCIA PHYSICIAN 300613 0 0 0 0 0 11286 0 26585 0 338484 0 0 0 CHRISTOPHER LOYND PSYCHIATRY DEPT. CHAIR 322010 0 0 0 0 0 12188 0 0 0 334198 0 0 0 BHAWNA SHARMA PHYSICIAN 292049 0 0 0 0 0 9319 0 28737 0 330105 0 0 0 EMILIA DAVID-RESTIVO PHYSICIAN 294787 0 0 0 0 0 11185 0 0 0 305972 0 0 0 JOHN JEFFRIES CFO 0 222844 0 0 0 0 0 9382 0 17603 0 249829 0 0 AKEMIE GRAY PEDIATRIC DEPARTMENT CHAIR 211982 0 0 0 0 0 2116 0 18833 0 232931 0 0 0 PATRICE HOWARD VP OF QUALITY & PERFORMANCE 184162 0 0 0 0 0 6710 0 18833 0 209705 0 0 0 KENA GRAY VP OF OPERATIONS 172760 0 0 0 0 0 7202 0 28737 0 208699 0 0 0 JOHN MAGNER FP DEPT. CHAIR 181447 0 0 0 0 0 7228 0 18820 0 207495 0 0 0 GARY LINDSAY DENTAL DEPT. CHAIR 191780 0 0 0 0 0 7500 0 0 0 199280 0 0 0 PETE THEMAS CORPORATE VP OF COMPLIANCE 156236 0 0 0 0 0 6311 0 26585 0 189132 0 0 0 SHANE WATSON CHIEF GROWTH OFFICER 135454 0 0 0 0 0 2400 0 28737 0 166591 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 2023. 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, PART XI, LINE 9: EQUITY TRANSFER 448,185. 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 ILLINOIS 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 1 TOUCHETTE REGIONAL HOSPITAL L 4742000 FMV TOUCHETTE REGIONAL HOSPITAL O 2422000 FMV TOUCHETTE REGIONAL HOSPITAL J 84000 FMV TOUCHETTE REGIONAL HOSPITAL E 271000 FMV COLES COUNTY MENTAL HEALTH ASSN O 150000 FMV TOUCHETTE REGIONAL HOSPITAL D 554000 FMV TOUCHETTE REGIONAL HOSPITAL S 448185 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.